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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>367446</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>52492</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44304</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GABRIELLE F PIERCE</PersonNm>
        <TitleTxt>RHC MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>23032</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>305990</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24439</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLEY GATES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>750071</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22132</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DWAIN M ROGERS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>413235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27406</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D SANGL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>458505</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27406</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA L MUNOZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE A LARSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11087</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2731975</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>564746</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>231746</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>30</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OIL VALLEY INTERNAL MEDICINE ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>339 W SPRING ST</AddressLine1Txt>
            <CityNm>TITUSVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16354</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSICIANS</ServicesDesc>
        <CompensationAmt>2508279</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752674907</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT STAFFING</ServicesDesc>
        <CompensationAmt>1014345</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAY D STEVENS MD PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>116 CENTRAL AVE</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSICIANS</ServicesDesc>
        <CompensationAmt>424329</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5575 DTC PKWY STE 225</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSICIANS</ServicesDesc>
        <CompensationAmt>382407</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OIL VALLEY HOSPITALISTS PC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>1227265</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ProgramServicesAmt>25582999</ProgramServicesAmt>
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      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>1108638</BookValueAmt>
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      <OtherSecuritiesGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>1481802</BookValueAmt>
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        <Desc>DUE FROM 3RD PARTY</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Federal Income Taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>EST INSURANCE LIABILITY</Desc>
        <Amt>1462000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>EST AMOUNTS TO 3RD PARTY</Desc>
        <Amt>256798</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>39034</Amt>
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      <TotalLiabilityAmt>1757832</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>68785738</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>32879</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>32879</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>68752859</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>-31892</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>60958190</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITION</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON DISPOSAL OF ASSETS - 1413 RENTAL EXPENSE - -33305</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE - 33305 GAIN ON DISPOSAL OF ASSETS - -1413</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <PhysicalImprvAndHousingGrp>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
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        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - TITUSVILLE AREA HOSPITAL. THE RESEARCH PROCESS INCLUDED A WIDE BASED SURVEY OF THE POPULATION. THE SURVEY INCLUDED INPUT FROM UNDERREPRESENTED GROUPS IN PUBLIC HOUSING. ELECTRONIC SURVEYS WERE COMPLETED. A GOOD DIVERSITY OF RESPONSE WAS REALIZED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - TITUSVILLE AREA HOSPITAL. THE CHNA REPORT WAS CONDUCTED WITH MEADVILLE MEDICAL CENTER, AN AFFILIATED ENTITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - TITUSVILLE AREA HOSPITAL. THE CHNA REPORT WAS CONDUCTED WITH ALLEGHENY COLLEGE AND VARIOUS LOCAL COMMUNITY PARTNERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - TITUSVILLE AREA HOSPITAL. IN RESPONSE TO THE RESULTS OF TITUSVILLE AREA HOSPITAL'S (TAH) MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS ONCE AGAIN CONDUCTED IN COLLABORATION BETWEEN MEADVILLE MEDICAL CENTER (MMC), TITUSVILLE AREA HOSPITAL (TAH), ALLEGHENY COLLEGE AND VARIOUS LOCAL COMMUNITY PARTNERS. INFORMATION WAS COLLECTED FROM INTERNAL DATA AT MMC AND TAH, AS WELL AS PUBLICLY AVAILABLE DATA AND INPUT FROM LOCAL COMMUNITY PARTNERS. THE PRIMARY FOCUS OF THIS YEAR'S ASSESSMENT WAS ON YOUTH IN OUR COMMUNITIES. THERE WAS ALSO A COMPARATIVE ANALYSIS TO SEE HOW CRAWFORD COUNTY IS DOING IN COMPARISON TO OTHER RURAL COUNTIES IN PENNSYLVANIA AS WELL AS TO THE OVERALL STATE AVERAGES. HISTORICAL DATA WAS ALSO ANALYZED TO SEE IF THE OVERALL HEALTH OF RESIDENTS IN CRAWFORD COUNTY WAS TRENDING IN A POSITIVE DIRECTION. UNFORTUNATELY, MOST OF THE TRENDS SHOWED THAT THE OVERALL HEALTH WAS EITHER REMAINING THE SAME OR TRENDING IN A NEGATIVE DIRECTION. IN PARTICULAR, THE PERCENT OF ADULTS WHO SMOKE HAS INCREASED FROM 16% IN 2018 TO 22% IN 2024. THE PERCENT OF ADULTS WHO ARE OBESE HAS INCREASED FROM 35% IN 2018 TO 38% IN 2024. SUBSTANCE ABUSE CONTINUES TO BE A SIGNIFICANT HEALTH ISSUE AMONG BOTH ADULTS AND CHILDREN, WHEN LOOKING AT BOTH HISTORICAL TRENDS AND A COMPARISON TO OTHER RURAL COMMUNITIES AND THE STATE AVERAGES. CRAWFORD COUNTY HAS SEEN A DECREASE IN SEXUALLY TRANSMITTED INFECTIONS FROM 2018 TO 2024 AND IS SIGNIFICANTLY BELOW THE STATE AVERAGE. THERE WAS ALSO AN IMPROVEMENT IN THE PERCENTAGE OF PEOPLE WHO HAVE HEALTH INSURANCE DURING THE SAME TIMEFRAME, WITH 10% NOT HAVING HEALTH INSURANCE IN 2018 AND 8% NOT HAVING INSURANCE IN 2024. ACCESS TO HEALTHCARE REMAINS A KEY PRIORITY FOR MMC. IN CRAWFORD COUNTY THERE ARE 1,630 PEOPLE PER PRIMARY CARE PHYSICIAN (PCP). THIS IS SIGNIFICANTLY HIGHER THAN THE STATE AVERAGE OF 1,260 PEOPLE PER PCP, BUT FAR LOWER THAN OTHER RURAL COUNTIES AT 2,472 PEOPLE PER PCP. YOUTH IN THE COMMUNITY NEED ADDITIONAL RESOURCES AND SUPPORT. MORE THAN 70% OF 12TH GRADERS IN CRAWFORD COUNTY REPORT THAT THEY HAVE EXPERIENCED SOME FORM OF EMOTIONAL ABUSE. AMONG 12TH GRADERS, 37% OF STUDENTS REPORTED A LIFETIME USE OF VAPING, 25% REPORTED VAPING IN THE LAST 30 DAYS, 14% REPORT BINGE DRINKING, 35% REPORT A LIFETIME USE OF MARIJUANA, AND 19% REPORT USING MARIJUANA IN THE LAST 30 DAYS. ALL ARE SIGNIFICANTLY HIGHER THAN STATE AVERAGES. AMONG 6TH GRADES, 7% REPORT A LIFETIME USE OF VAPING, 1% REPORT BINGE DRINKING, AND 3% REPORT A LIFETIME USE OF MARIJUANA. THE DATA CLEARLY SHOWS THAT MMC NEEDS TO PRIORITIZE A COMMUNITY HEALTH FOCUS ON THE YOUTH IN CRAWFORD COUNTY. OVER THE NEXT THREE YEARS, MMC WILL WORK WITH COMMUNITY PARTNERS TO ASSIST THEM IN EXPANDING EXISTING SERVICES, BUILD COLLABORATIONS WITH LOCAL SCHOOL DISTRICTS TO INTRODUCE NEW OPPORTUNITIES WITHIN THE SCHOOLS AND MAKE A SIGNIFICANT FINANCIAL INVESTMENT FROM THE MEADVILLE MEDICAL CENTER FOUNDATION (MMCF) TO BUILD CAPACITY AND RESOURCES SPECIFICALLY FOR THE YOUTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
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          <BusinessName>
            <BusinessNameLine1Txt>CONNEAUT VALLEY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>906 WASHINGTON ST</AddressLine1Txt>
            <CityNm>CONNEAUTVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16406</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CAMBRIDGE SPRINGS HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>118 RAILROAD ST</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16403</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MEADVILLE COMMUNITY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>747 TERRACE ST</AddressLine1Txt>
            <CityNm>MEADVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16335</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CONNEAUT LAKE HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10926 PA-18</AddressLine1Txt>
            <CityNm>CONNEAUT LAKE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16316</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SAEGERTOWN MEDICAL ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>707 ERIE ST</AddressLine1Txt>
            <CityNm>SAEGERTOWN</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16443</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VALLEY DENTAL CENTER</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>906 WASHINGTON STREET</AddressLine1Txt>
            <CityNm>CONNEAUTVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16406</ZIPCd>
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          <FacilityTxt>DENTAL SERVICES</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ALDEN PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>640 ALDEN ST</AddressLine1Txt>
            <CityNm>MEADVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16335</ZIPCd>
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          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 COLUMN F - PERCENT OF TOTAL EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR USED EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3 ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FAP</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE FEDERAL POVERTY GUIDELINES TITUSVILLE AREA HOSPITAL ALSO CONSIDERS THE PATIENT ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6. OTHER IRS WORKSHEETS USED THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH INCLUDED ALL PATIENT SEGMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2025. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT NOTE CAN BE FOUND ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE DATA COMPUTED USING THE MEDICARE COST REPORT FILED WITH CMS WAS UTILIZED FOR THE COMPUTATIONS IN PART III, SECTION B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TITUSVILLE AREA HOSPITAL: Line 16a URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TITUSVILLE AREA HOSPITAL: Line 16b URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TITUSVILLE AREA HOSPITAL: Line 16c URL: HTTPS://WWW.TITUSVILLEHOSPITAL.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>TITUSVILLE AREA HOSPITAL COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON A REGULAR BASIS TO DETERMINE HEALTH CARE NEEDS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN 2025. TITUSVILLE AREA HOSPITAL WORKS WITH MANY COMMUNITY PARTNERS INCLUDING HEALTH AND HUMAN SERVICE PROVIDERS, EDUCATION, GOVERNMENT, FAITH, LAW ENFORCEMENT, AND OTHER INTERESTED PARTIES IN COMPLETING THE ASSESSMENT OF THE COMMUNITY HEALTH NEEDS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARITY CARE POLICY IS POSTED IN ADMISSIONS AND EMERGENCY ROOM AREAS. COPIES OF THE CHARITY CARE POLICY ARE AVAILABLE IN ADMISSIONS AREA AND EMERGENCY ROOM AREAS. IF A PERSON IS ADMITTED WITH NO INSURANCE THEY ARE VISITED BY A FINANCIAL AID COUNSELOR AND MADE AWARE OF THEIR OPTIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>TITUSVILLE AREA HOSPITAL SERVES RESIDENTS OF CRAWFORD, FOREST, WARREN, AND VENANGO COUNTIES IN PENNSYLVANIA. THE MAIN SERVICE AREA IS CRAWFORD COUNTY. CRAWFORD COUNTY IS A RURAL AREA WITH A POPULATION OF APPROXIMATELY 83,938. THE 2020 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $51,919, WHICH IS WELL BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $63,627. APPROXIMATELY 12.5% OF RESIDENTS LIVE IN POVERTY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR STAFF IS COMMITTED TO THE CARE AND IMPROVEMENT OF LIFE. IN RECOGNITION OF THIS COMMITMENT, WE STRIVE TO DELIVER HIGH-QUALITY AND COST-EFFECTIVE HEALTHCARE WITH AN EMPHASIS ON COMPASSION, PERSONAL ATTENTION AND RESPECT. WE BELIEVE IN THE FOLLOWING VALUES: -WE WILL MEET OR EXCEED COMMUNITY STANDARDS FOR CARE EXPECTATIONS OF PATIENTS AND FAMILIES. -WE WILL MAINTAIN A POSITIVE AND FULFILLING WORKING ATMOSPHERE THAT BOTH MOTIVATES AND ALLOWS CAREGIVERS AND SUPPORT STAFF TO GIVE THEIR BEST. -WE WILL ENSURE THAT THE ORGANIZATION IS ADEQUATELY COMPENSATED FOR SERVICES PROVIDED, THEREBY MAINTAINING VIABILITY AS A CRITICAL REGIONAL HEALTHCARE AND ECONOMIC ASSET. -OUR VISION IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTHCARE SERVICES ENHANCED BY HIGH TECHNOLOGY APPROPRIATE TO COMMUNITY NEED. -WE WILL MAINTAIN A HIGHLY QUALIFIED MEDICAL AND SUPPORT STAFF IN A POSITIVE WORKING ENVIRONMENT FOCUSED ON EXCELLENCE. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS RESIDING IN PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION OR FAMILY MEMBERS. THE ORGANIZATION USES SURPLUS FUNDS TO PROVIDE THE LATEST IN TECHNOLOGY TO IMPROVE PATIENT CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>MEADVILLE MEDICAL CENTER (MMC) IS A CORPORATE MEMBER ALONG WITH TITUSVILLE AREA HEALTH CENTER. AS OF THE DATE OF ACQUISITION, MMC HAS DIRECT AUTHORITY OVER THE STRATEGIC, FINANCIAL, AND OPERATIONAL DIRECTION OF TITUSVILLE AREA HEALTH CENTER, INC. AND AFFILIATES. TITUSVILLE AREA HEALTH CENTER, INC. AND AFFILIATES (HEALTH CENTER) CONSISTS OF TITUSVILLE AREA HEALTH CENTER, INC. (PARENT), TITUSVILLE AREA HOSPITAL (HOSPITAL), THE TITUSVILLE AREA HEALTH CENTER FOUNDATION (FOUNDATION) AND TITUSVILLE AREA HEALTH SERVICES, INC. (HEALTH SERVICES). THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA. THE FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH CENTER AND AFFILIATES. HEALTH SERVICES OPERATES SEPARATELY FROM THE HOSPITAL OFFERING MULTISPECIALTY FAMILY MEDICINE PEDIATRICS TO PATIENTS IN TITUSVILLE, PENNSYLVANIA, AND THE SURROUNDING AREA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a &amp; 15B - REVIEW OF CEO AND OTHER OFFICER COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONSULTING FIRM, MERCER, PERFORMED THE MOST RECENT COMPENSATION REVIEW IN 2025. THEY COMPILED THE SALARY ADMINISTRATION AND PERFORMANCE MANAGEMENT GUIDELINES WHICH THE HOSPITAL UTILIZES ANY TIME A NEW POSITION IS CREATED OR AN EXISTING POSITION'S DESCRIPTION CHANGES. A JOB FACTOR WORKSHEET IS COMPLETED WHICH EVALUATES 6 AREAS BASED ON A POINT SYSTEM. THE SIX AREAS ARE LISTED BELOW: 1.) EDUCATION 2.) EXPERIENCE 3.) CONTACTS 4.) GUIDELINES 5.) BUDGET ACCOUNTABILITY 6.) SUPERVISORY/ACCOUNTABILITY THE TOTAL POINTS ARE USED TO ARRIVE AT A PAY GRADE ON THE SALARY ADMINISTRATION POLICY MANAGEMENT PAY SCALE. THE MANAGEMENT PAY SCALE IS REVIEWED ANNUALLY, AND UPDATED IF NECESSARY, BASED ON THE HOSPITAL COUNCIL OF WESTERN PENNSYLVANIA SURVEYS, WHICH PROVIDES COMPARABLE DATA OF OTHER HOSPITALS IN THE AREA. THE DELIBERATIONS AND DECISIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>STEPHEN COLEMAN, RICHARD CARR, &amp; JASON REAGLE - Business relationship, LEE CLINTON, CORY JACKSON, &amp; GABRIELLE PIERCE - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>TITUSVILLE AREA HOSPITAL HAS TWO CLASSES OF MEMBERSHIP. CORPORATE MEMBERSHIP CONSISTS OF ONE MEMBER, TITUSVILLE AREA HEALTH CENTER. COMMUNITY MEMBERSHIP SHALL CONSIST OF FORMER HOLDERS OF SHARES OF THE CORPORATION WHO ELECT TO CONTINUE AS SUCH MEMBERS AND OTHER PERSONS WHO ELECT TO BECOME SUCH MEMBERS OF THE CORPORATION. COMMUNITY MEMBERS SHALL NOT BE ENTITLED TO VOTE ON ANY MATTERS RESPECTING THE ACTIONS OR GOVERNANCE OF THE CORPORATION, SUCH ENTITLEMENT HAVING BEEN RESERVED SOLELY UNTO THE CORPORATION'S CORPORATE MEMBER, AND SHALL HAVE NO INTEREST IN THE PROPERTY, ASSETS OR BUSINESS OF THE CORPORATION. MEADVILLE MEDICAL CENTER IS A CORPORATE MEMBER ALONG WITH TITUSVILLE AREA HEALTH CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A MAJORITY OF THE DIRECTORS SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF THE CORPORATE MEMBER (TITUSVILLE AREA HEALTH CENTER, INC). MEADVILLE MEDICAL CENTER (MMC) SHALL APPOINT THE MMC BOARD APPOINTEE TO SERVE ON THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING POWERS ARE RESERVED UNTO MEADVILLE MEDICAL CENTER (MMC): A) NOMINATE AND ELECT THE MMC BOARD APPOINTEE, AND REMOVE SAID APPOINTEE AT ANY TIME, WITH OR WITHOUT CAUSE; B) APPROVE OR DISAPPROVE IN WHOLE OR IN PART THE CORPORATION'S BUDGET AND AMENDMENTS THERETO; C) APPROVE OR DISAPPROVE PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING THE AUTHORITY TO ESTABLISH A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MMC; D) APPROVE OR DISAPPROVE ALL LONG RANGE PLANS OF THE CORPORATION; E) APPROVE OR DISAPPROVE ALL AFFILIATIONS, MERGERS AND OTHER TRANSACTIONS BY THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; F) APPROVE OR DISAPPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; G) DIRECT THE CORPORATION TO MAKE CHANGES IN ITS ARTICLES OF INCORPORATION OR BYLAWS AND IN THE ABSENCE OF SUCH ACTION BY THE CORPORATION, OR A RECOMMENDATION BY TITUSVILLE AREA HEALTH CENTER, INC. (TAHC), TO DIRECTLY AMEND ITS ARTICLES OF INCORPORATION AND/OR BYLAWS ON ITS OWN MOTION; H) APPROVE OR DISAPPROVE ALL FINANCINGS OF INDEBTEDNESS BY THE CORPORATION FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY THE BOARD OF DIRECTORS OF MMC FROM TIME TO TIME, AND; I) EXERCISE SUCH OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF MMC. THE FOLLOWING POWERS ARE RESERVED UNTO TITUSVILLE AREA HEALTH CENTER, INC. (TAHC): A) NOMINATE AND ELECT THE REMAINING APPOINTEES TO THE BOARD OF DIRECTORS OF THE CORPORATION AND THE OFFICERS OF THE CORPORATION AND REMOVE SUCH DIRECTORS AND OFFICERS AT ANY TIME, WITH OR WITHOUT CAUSE; B) APPROVE OR DISAPPROVE ANY CHANGE IN THE NUMBER OF DIRECTORS; C) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL IN WHOLE OR IN PART OF THE CORPORATION'S BUDGET AND AMENDMENTS THERETO; D) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF PROJECTS OR EXPENDITURES WHICH ARE NOT IN THE BUDGET OR WHICH ARE VARIANCES THERETO INCLUDING RECOMMENDATION OF A DOLLAR THRESHOLD BELOW WHICH THE CORPORATION WILL NOT NEED TO OBTAIN APPROVAL FROM MMC; E) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL LONG RANGE PLANS OF THE CORPORATION; F) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL AFFILIATIONS, MERGERS, AND OTHER TRANSACTIONS BY THE CORPORATION NOT IN THE ORDINARY COURSE OF BUSINESS; G) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS; H) RECOMMEND TO MMC THE APPROVAL OR DISAPPROVAL OF ALL FINANCINGS OR INDEBTEDNESS BY THE CORPORATION FOR WHICH THE OBLIGATION TO REPAY EXCEEDS (I) A TERM OF TWELVE MONTHS OR (II) AN AGGREGATE DOLLAR THRESHOLD SET BY THE BOARD OF DIRECTORS OF MMC FROM TIME TO TIME, AND; I) EXERCISE SUCH OTHER POWERS OR PERFORM SUCH OTHER TASKS AS ARE RESERVED TO OR REQUIRED OF TAHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>TITUSVILLE AREA HOSPITAL ANNUALLY REQUIRES ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES TO FILL OUT A CONFLICTS OF INTEREST FORM DURING BOARD MEETINGS. ANY CONFLICT OF INTEREST IS REVIEWED BY THE BOARD OF DIRECTORS. IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>TITUSVILLE AREA HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST. AT THIS TIME, TITUSVILLE AREA HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A BOARD MEMBER COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>CORY JACKSON IS THE CONTROLLER FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER (MMC). HE IS THE ACTING BOARD TREASURER FOR TITUSVILLE AREA HOSPITAL. HE DOES NOT HAVE VOTING POWER. HIS COMPENSATION LISTED IS BEING SHOWN AS FROM A RELATED ORGANIZATION AS HE IS PAID BY MMC FOR HIS POSITION AS CONTROLLER. HE IS NOT COMPENSATED FOR HIS ROLE AS BOARD TREASURER. CEO COMPENSATION: LEE CLINTON IS THE CEO OF TITUSVILLE AREA HOSPITAL, TITUSVILLE HEALTH SERVICES, AND TITUSVILLE AREA HEALTH CENTER FOUNDATION. HIS COMPENSATION IS SPLIT BETWEEN THESE ENTITIES AND REPORTED ON PART VII, SECTION A, COLUMNS (D) - (F) AS BEING FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. NO COMPENSATION HAS BEEN LISTED ON PART IX, LINE 5 FOR HIM AS HIS COMPENSATION IS RECORDED ON PART IX OF THE FORM 990 FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER. GABRIELLE PIERCE MANAGED THE RHC ACTIVITIES FOR TAH THROUGH 04/2025. SHE WAS ALSO THE CEO THROUGH 04/2025 FOR MEADVILLE PHYSICIAN SERVICES (MPS), PRIMARY CARE SERVICES (PCS), AND CONNEAUT VALLEY HEALTH CENTER (CVHC). THE REMAINDER OF HER TIME WAS SPENT MANAGING PRACTICES AT MEADVILLE MEDICAL CENTER (MMC). MPS, PCS, CVHC, AND MMC ARE RELATED ENTITIES OF TAH. HER COMPENSATION IS SPLIT BETWEEN THESE ENTITIES AND REPORTED ON PART VII, SECTION A, COLUMNS (D) - (F) AS BEING FROM THE ORGANIZATION AND FROM RELATED ORGANIZATIONS. NO COMPENSATION HAS BEEN LISTED ON PART IX, LINE 5 FOR HER AS HER COMPENSATION IS RECORDED ON PART IX OF THE FORM 990 FOR RELATED ORGANIZATION MEADVILLE MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL PURCHASED SERVICE - Total Expense: 4702032, Program Service Expense: 4702032, Management and General Expenses: , Fundraising Expenses: ; NONMEDICAL PURCHASED SERVICE - Total Expense: 1954012, Program Service Expense: 1758611, Management and General Expenses: 195401, Fundraising Expenses: ; TEMPORARY SERVICES - Total Expense: 1941319, Program Service Expense: 1747187, Management and General Expenses: 194132, Fundraising Expenses: ; CONSULTING - Total Expense: 609249, Program Service Expense: 548324, Management and General Expenses: 60925, Fundraising Expenses: ; ASSOC. CLINICAL LABS - Total Expense: 292585, Program Service Expense: 292585, Management and General Expenses: , Fundraising Expenses: ; LAB OTHER - Total Expense: 267414, Program Service Expense: 267414, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 208759, Program Service Expense: 187883, Management and General Expenses: 20876, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 162142, Program Service Expense: 145928, Management and General Expenses: 16214, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST - 242857; TRANSFERS FROM AFFILIATES - 28625; Total - 271482;</ExplanationTxt>
      </SupplementalInformationDetail>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEADVILLE HOUSING CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>934 B STREET</AddressLine1Txt>
          <CityNm>MEADVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16335</ZIPCd>
        </USAddress>
        <EIN>250657800</EIN>
        <PrimaryActivitiesTxt>HOUSING PA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>256196092</EIN>
        <PrimaryActivitiesTxt>TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>066031521</EIN>
        <PrimaryActivitiesTxt>TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>