2025-11-06T17:28:33-06:00 2024-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2024-01-01 341045870 MIDWEST COMMUNITY HEALTH ASSOCIATES INC MIDW 2603738429 442 W HIGH ST BRYAN OH 435061681 STANTON RISSER PH ACFO 2602669380 2025-11-06 1 1 BRITTNEY KOCAJ P01320603 9542028600 2024 2025-03-06 01:10:19Z PARKVIEW PHYSICIANS GROUP - OHIO GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 42626379 0 X WWW.PARKVIEW.COM X 1969 OH IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 2 0 320 5 0 0 0 6785 25206463 42602431 -10113 0 8271 8125 25204621 42617341 5000 5000 0 0 29140741 35827741 0 0 0 13104544 12224857 42250285 48057598 -17045664 -5440257 10960436 9095479 85165324 88740624 -74204888 -79645145 X MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 46928680 5000 42602431 MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. (MCHA) IS A MULTI-SPECIALTY MEDICAL GROUP SPECIALIZING IN FAMILY MEDICINE, PEDIATRICS, AUDIOLOGY, CARDIOLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, WOUND CARE, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, PAIN MANAGEMENT, PHYSICAL MEDICINE & REHABILITATION, PODIATRY, ORTHOPEDICS, GENERAL SURGERY, OB/GYN, SLEEP MEDICINE, DERMATOLOGY, DIABETES MANAGEMENT, PHARMACEUTICAL MANAGEMENT, WALK-IN CLINICS, PHYSICAL & OCCUPATIONAL THERAPY, LABORATORY AND IMAGING SERVICES. THE PROVIDERS INCLUDE PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PHARMACISTS, PHYSICAL THERAPISTS, ATHLETIC TRAINERS, OCCUPATIONAL THERAPISTS, LABORATORY TECHS, AND RADIOLOGY TECHS. (SEE SCHEDULE O FOR CONTINUATION) MCHA PROVIDES VARIOUS SERVICES AT ITS SIX OFFICES IN BRYAN, MONTPELIER, ARCHBOLD, HICKSVILLE, WAUSEON, AND SHERWOOD, OHIO. SERVICES ARE OFFERED MONDAY THROUGH FRIDAY AT THESE LOCATIONS. MOST OFFICES PROVIDE LATE HOURS AT LEAST ONE DAY PER WEEK TO EXPAND ACCESS TO THE COMMUNITY. THE BRYAN LOCATION CONSISTS OF THE ABOVE SPECIALTIES, COLLABORATING WITH THE LOCAL HOSPITAL, HEALTH DEPARTMENTS, AND OTHER HEALTH CARE PROVIDERS. MCHA PROVIDES ATHLETIC TRAINERS FOR COMMUNITY SCHOOL SPORTS PROGRAMS. SEVERAL PROVIDERS ARE PRESENT AT THE LOCAL HIGH SCHOOL GAMES FOR POTENTIAL INJURIES. SPONSORSHIPS, PRESENTATIONS, AND OTHER EDUCATIONAL OPPORTUNITIES AT COMMUNITY CAREER EVENTS WITH LOCAL SCHOOLS AND COLLEGES WERE PROVIDED LIMITEDLY. WE ALSO OFFER MENTORING AND INTERNSHIPS FOR COLLEGE AND HIGH SCHOOL STUDENTS, AS WELL AS INTERNSHIPS FOR MID-LEVEL AND PHYSICIANS. VARIOUS PHYSICIANS AND LEADERS PARTICIPATED IN LOCAL COMMUNITY COMMITTEES (LOCAL HOSPITAL, HEALTH DEPARTMENT, BLACK SWAMP, UNITED WAY, YMCA, ROTARY, NAMI, SUFFICIENT GRACE MINISTRIES, ETC.). PROVIDERS CONTINUED TO VOLUNTEER SERVICES AT THE LOCAL UNDERSERVED/FREE CLINICS. ONGOING FINANCIAL SUPPORT WAS PROVIDED TO A LOCAL COLLEGE, NORTHWEST STATE COMMUNITY COLLEGE. MCHA CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SUPPORT SERVICES FOR COMMUNITY CARE, SUCH AS AN OB NAVIGATOR, CANCER NAVIGATOR, ETC., WERE PROVIDED TO HELP STREAMLINE CARE FOR PATIENTS. MCHA IS A CERTIFIED HEALTHCARE FACILITY AND OFFERS ANCILLARY SERVICES AT A LOWER COST (OUTPATIENT SETTING) SUCH AS X-RAY, CT, NUCLEAR MEDICINE, BONE DENSITY, MAMMOGRAMS, ULTRASOUNDS, BREAST CARE, LAB, ETC.. THE ORGANIZATION PARTICIPATES WITH LOCAL HEALTH CARE FACILITIES IN THE COMMUNITY HEALTH ASSESSMENT TO HELP CREATE/DEVELOP THE PLAN, AS WELL AS BE PARTICIPANTS IN IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY (I.E., TRANSPORTATION, TELEHEALTH SERVICES, CANCER SCREENINGS, MENTAL HEALTH, AND HEALTHY BEHAVIORS, ETC.). 46928680 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 19 0 1 320 1 0 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X STANTON RISSER 2602669380 1450 PRODUCTION RD FORT WAYNE IN 468081167 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 1.00 39.00 X X 0 1520046 75084 RAYMOND DUSMAN DIRECTOR/CHAIR/PCE PRESIDENT 1.00 39.00 X X 0 2222699 87881 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER/PRTL YR 1.00 39.00 X 0 1647203 217960 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 SALLY TAYLOR MCHA VP 39.00 1.00 X 319079 62 54923 DAVID COOLEY MCHA PHYSICIAN 38.00 2.00 X 893726 9616 72464 JOSE PARODI MCHA PHYSICIAN 40.00 0.00 X 601969 0 32265 ANTHONY URIBES MCHA PHYSICIAN 33.00 7.00 X 490378 95212 72417 ANTHONY KAMINSKY MCHA PHYSICIAN 40.00 0.00 X 568421 0 34167 SAMUEL FINCK MCHA PHYSICIAN 40.00 0.00 X 546322 0 47759 3419895 5713583 743763 68 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 MEDICAL PERSONNEL 1313746 DAMODER KESIREDDY MD 322 DUBLIN LANE BRYAN OH 43506 CONTRACTED PHYSICIAN 769938 HANNAN BAZZI MD 130 PINE LANE BRYAN OH 43506 CONTRACTED PHYSICIAN 715784 UNIVERSITY OF TOLEDO PHYSICIANS LLC 4510 DORR STREET TOLEDO OH 43615 MEDICAL PERSONNEL 345142 JACKSON & COKER LOCUMTENENS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 MEDICAL PERSONNEL 126429 6 6785 6785 NET PATIENT SERVICE REVENUE 621110 27445218 27445218 MCHA CLINICAL SUPPORT 561499 15079698 15079698 INTERUNIT RENT 531120 77515 77515 42602431 17163 9038 8125 8125 8125 42617341 42602431 0 8125 X 5000 5000 373992 373992 28648362 28648362 6805387 6805387 4460764 4423276 37488 435579 333229 102350 2583702 2555895 27807 37425 29015 8410 407054 354175 52879 823126 298656 524470 MEDICAL SUPPLIES 3163798 3163798 PROVIDER CME, LICENSES, 211393 211393 LICENSES 53393 52480 913 DUES & SUBSCRIPTIONS 48623 48014 609 48057598 46928680 1128918 0 34138 112907 3767060 2543246 269916 205076 90859 143514 6673400 4969391 2174221 1704009 3855255 3855255 768987 531472 10960436 9095479 1456372 1387009 1020 83708952 87352595 85165324 88740624 X -74204888 -79645145 -74204888 -79645145 10960436 9095479 -5440257 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5506 5506 0 PART II-B, LINE 1: REPRESENTS THE PORTION OF THE DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 124890 124890 1833629 1118214 715415 1219791 1099062 120729 3431080 2711165 719915 64010 40950 23060 1704009 MISCELLANEOUS 531472 531472 DUE TO/FROM INTERUNIT 85319881 RESERVE FOR MALPRACTICE 2032714 87352595 X PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR. X 1 1 0 1 0 0 0 0 0 1 0 RAYMOND DUSMAN DIRECTOR/CHAIR/PCE PRESIDENT 0 1176102 0 609840 0 436757 0 37950 0 49931 0 2310580 0 71075 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER/PRTL YR 0 991526 0 492356 0 163321 0 186966 0 30994 0 1865163 0 125575 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 0 760582 0 263340 0 496124 0 37950 0 37134 0 1595130 0 357700 DAVID COOLEY MCHA PHYSICIAN 842132 9616 25000 0 26594 0 23893 257 47800 514 965419 10387 0 0 ANTHONY URIBES MCHA PHYSICIAN 401627 95212 82746 0 6005 0 31780 6170 28863 5604 551021 106986 0 0 JOSE PARODI MCHA PHYSICIAN 567587 0 0 0 34382 0 9104 0 23161 0 634234 0 0 0 ANTHONY KAMINSKY MCHA PHYSICIAN 539583 0 0 0 28838 0 3372 0 30795 0 602588 0 0 0 SAMUEL FINCK MCHA PHYSICIAN 494941 0 44000 0 7381 0 6900 0 40859 0 594081 0 0 0 SALLY TAYLOR MCHA VP 240367 0 66808 0 11904 62 22491 4 32422 6 373992 72 0 0 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: DAVID COOLEY, SAMUEL FINCK; ANTHONY KAMINSKY; JOSE PARODI; ANTHONY URIBES PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF MIDWEST COMMUNITY HEALTH ASSOCIATES, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): RAYMOND DUSMAN $373,575; GREG JOHNSON $488,600; JEANNE' WICKENS $125,575 THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME OUTLINED IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: STANTON RISSER $35,417; JEANNE' WICKENS $162,816 PART I, LINE 7 THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT. FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, MIDWEST COMMUNITY HEALTH ASSOCIATES, INC., EIN 34-1045870. THEREFORE, PH REPORTS AND FILES ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. WERE 19 AND 320, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD MAY CREATE AN EXECUTIVE COMMITTEE OR ANY OTHER COMMITTEE OF DIRECTORS CONSISTING OF NOT LESS THAN ONE (1) DIRECTOR. THE BOARD MAY DELEGATE TO EACH SUCH COMMITTEE ANY OF THE RESPONSIBILITIES OF THE BOARD OTHER THAN THE FILLING OF VACANCIES ON THE BOARD OR IN ANY COMMITTEE OF DIRECTORS; PROVIDED, HOWEVER, SUCH DELEGATION TO ANY COMMITTEE SHALL NOT OPERATE TO RELIEVE THE BOARD, OR ANY INDIVIDUAL DIRECTOR, OR ANY RESPONSIBILITIES IMPOSED BY LAW. EACH SUCH COMMITTEE SHALL SERVE AT THE PLEASURE OF THE DIRECTORS, AND ANY ACTION OF SUCH COMMITTEE SHALL BE SUBJECT TO THE CONTROL AND DIRECTION OF THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, IS THE SOLE MEMBER OF MIDWEST COMMUNITY HEALTH ASSOCIATES, INC., WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A. FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 23, 2025, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." FORM 990, PART VI, SECTION B, LINE 15 LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO & EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY, CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2024, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2024 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO & EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF THE INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC., FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX-EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E., PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. 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