From left, Anthony Shea, Armstrong County Commissioner; Dr. Chad Shaffer, physician at Armstrong County Memorial Hospital; Dr. Sarun Suwan, chief medical officer at ACMH; Nichole Geraci, president and CEO of ACMH; Dr. Michael Driscoll, president of the Indiana University of Pennsylvania; Dr. Ryan Smith, founding associate dean of clinical affairs for the future college of osteopathic medicine; Dr. Miko Rose, founding dean of the future college of osteopathic medicine; Dr. Luke Mortensen, founding associate dean; and John Strate, Armstrong County Commissioner at the signing ceremony on Wednesday, Jan. 29. William Pitts/Butler Eagle