2026-05-01T08:24:26-05:00 2025-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-07-01 341784017 COMMUNITY HEALTH ASSOCIATES INC COMM 4194681244 955 BUCYRUS ROAD GALION OH 448332399 D ERIC DRAIME CFO 4194681244 2026-04-30 1 1 AMY CIMINELLO P00796388 6148493000 2026-04-27 2024 2025-03-06 01:10:19Z JERRY MORASKO 269 PORTLAND WAY SOUTH GALION OH 44833 66322239 0 X N/A X 1996 OH TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. 3 0 4 0 0 0 0 0 61859364 66301632 20559 20607 0 0 61879923 66322239 0 0 0 0 56822225 59725846 0 0 0 27634260 28839472 84456485 88565318 -22576562 -22243079 9706396 10727778 2357880 4552371 7348516 6175407 TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. 0 0 78215183 0 66301632 PROVIDE MEDICAL SERVICE TO OFFICE, HOSPITAL, AND NURSING HOME PATIENTS. 78215183 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X D ERIC DRAIME 4194685501 269 PORTLAND WAY SOUTH GALION OH 44833 JERRY MORASKO PRESIDENT/CEO 0.20 40.60 X X 0 1034140 17576 D ERIC DRAIME CFO/TREASURER 0.20 40.60 X X 0 426145 3050 SHELLIE BURGIN SECRETARY 0.20 40.20 X X 0 302927 2712 ROBERT DAWSON PHYSICIAN 40.00 0.00 X 1324114 0 32748 JAMES KERBS PHYSICIAN 40.00 0.00 X 706790 0 33841 DARYL SANDER PHYSICIAN 40.00 0.00 X 478486 0 27497 THOMAS J ZUESI PHYSICIAN 40.00 0.00 X 461260 0 30858 2970650 1763212 148282 4 0 1 0 0 NET PATIENT REVENUE 621110 66301632 66301632 66301632 20607 20607 66322239 66301632 0 20607 55156818 48140871 7015947 4569028 3987848 581180 402878 351632 51246 8198 7155 1043 746842 651844 94998 631270 550972 80298 77267 67439 9828 PROFESSIONAL PHYSICIAN 19776687 17261092 2515595 MEDICAL SUPPLIES 3730568 3730568 BAD DEBT EXPENSE 3291502 3291502 PHYSICIAN RECRUITING 174260 174260 88565318 78215183 10350135 0 2456 2806 4180828 4167027 5207640 5854541 187106 207714 128366 495690 9706396 10727778 2357880 4552371 2357880 4552371 X 7348516 6175407 7348516 6175407 9706396 10727778 X -22243079 21069970 X X 0 1 X 1 1 1 X X 1 GALION COMMUNITY HOSPITAL 344451872 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART III, LINE 4A: PROVIDE MEDICAL SERVICES TO OFFICE, HOSPITAL, AND NURSING HOME PATIENTS. 0 1 0 0 0 0 0 1 0 ROBERT DAWSON PHYSICIAN 849051 0 242063 0 233000 0 23000 0 9748 0 1356862 0 0 0 JERRY MORASKO PRESIDENT/CEO 0 961785 0 72355 0 0 0 0 0 17576 0 1051716 0 0 JAMES KERBS PHYSICIAN 675738 0 31052 0 0 0 21240 0 12601 0 740631 0 0 0 DARYL SANDER PHYSICIAN 478486 0 0 0 0 0 23000 0 4497 0 505983 0 0 0 THOMAS J ZUESI PHYSICIAN 264986 0 196274 0 0 0 23000 0 7858 0 492118 0 0 0 D ERIC DRAIME CFO/TREASURER 0 370796 0 55349 0 0 0 0 0 3050 0 429195 0 0 SHELLIE BURGIN SECRETARY 0 263841 0 39086 0 0 0 0 0 2712 0 305639 0 0 PART I, LINE 4B 457(F) AND 457(B) - SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE ROBERT DAWSON - $23,000 JAMES KERBS - $21,240 DARYL SANDER - $23,000 THOMAS ZUESI - $23,000 PART I, LINE 7 PHYSICIANS QUALIFY FOR BONUSES BASED ON THEIR TARGET RVU'S. THIS TARGET IS FIGURED BY TAKING THEIR YEARLY SALARY AND DIVIDING IT BY THE RVU RATE WHICH COMES FROM MGMA GUIDELINES. PHYSICIAN BONUSES VARY BASED ON THEIR CONTRACT. THESE BONUSES ARE ACCRUED ON A MONTHLY BASIS AND PAID ON A QUARTERLY BASIS BASED ON THE PHYSICIAN'S CONTRACT TERM UNLESS THE PHYSICIAN IS NOT LIKELY TO MEET THE YEARLY TARGET. PART I, LINE 3: COMMUNITY HEALTH ASSOCIATES, INC. RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL, AT ALL TIMES, BE GALION COMMUNITY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR DIRECTORS SHALL HAVE THE APPROVAL OF THE BOARD OF DIRECTORS OF GALION COMMUNITY HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, SUCH AS APPROVAL OF THE GOVERNING BODY'S ELECTION OR REMOVAL OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE SUB-COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND SENT TO THE EXECUTIVE COMMITTEE OF GALION COMMUNITY HOSPITAL'S BOARD FOR THEIR REVIEW PRIOR TO FILING. THE BOARD EXECUTIVE COMMITTEE APPROVES THE FORM 990 FOLLOWING REVIEW, AS AUTHORIZED BY THE FULL GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C GALION COMMUNITY HOSPITAL HAS A CONFLICT OF INTEREST POLICY THAT COVERS ALL BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION. CONFLICT OF INTEREST SURVEYS ARE REVIEWED BY BOARD CHAIRMAN AND THE CEO TO ENSURE COMPLIANCE. VARIOUS RESTRICTIONS ARE IMPOSED ON INDIVIDUALS WITH POTENTIAL CONFLICTS OF INTEREST (I.E. INABILITY TO VOTE) UNTIL DECISION HAS BEEN MADE ON POTENTIAL CONFLICT. COMMUNITY HEALTH ASSOCIATES, INC. HAS ADOPTED THIS POLICY. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC, OTHER THAN THE FINANCIAL STATEMENTS WHICH ARE ATTACHED TO GALION COMMUNITY HOSPITAL'S FORM 990. FORM 990, PART XI, LINE 9: TRANSFER FROM GALION COMMUNITY HOSPITAL 21,069,970. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A FINANCE COMMITTEE WHICH OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B: SINGLE AUDIT IS COMPLETED ON A CONSOLIDATED BASIS. FORM 990, PART IX COMMUNITY HEALTH ASSOCIATES, INC.'S EMPLOYEE BENEFIT AND RETIREMENT EXPENSES ARE REPORTED ON AVITA HEALTH SYSTEM'S RETURN IN PART IX. NORTH CENTRAL OHIO FAMILY CARE CENTER INC 269 PORTLAND WAY SOUTH GALION OH 44833 341807906 PHYSICIAN OFFICE OH 501(C)(3) LINE 12A, I GALION COMMUNITY HOSPITAL 1 GALION COMMUNITY HOSPITAL 269 PORTLAND WAY SOUTH GALION OH 44833 344451872 HOSPITAL SERVICES OH 501(C)(3) LINE 3 AVITA HEALTH SYSTEM 1 AVITA HEALTH FOUNDATION 269 PORTLAND WAY SOUTH GALION OH 44833 200934451 FUNDRAISING FOR GALION COMMUNITY HOSPITAL OH 501(C)(3) LINE 7 GALION COMMUNITY HOSPITAL 1 AVITA HEALTH SYSTEM 269 PORTLAND WAY SOUTH GALION OH 44833 274385692 HEALTHCARE OH 501(C)(3) LINE 12B, II N/A 0 CRAWFORD COUNTY SHARED HEALTH SERVICES INC 1220 NORTH MARKET STREET GALION OH 44833 341484014 HOME HEALTH & HOSPICE OH 501(C)(3) LINE 10 GALION COMMUNITY HOSPITAL 1 GALION COMMUNITY PAIN MANAGEMENT LLC 269 PORTLAND WAY SOUTH GALION OH 44833 300602607 HOSPITAL SUPPORT OH N/A 0 0 GALION COMMUNITY VASCULAR SERVICES LLC 269 PORTLAND WAY SOUTH GALION OH 44833 611613817 HOSPITAL SUPPORT OH N/A 0 0 AMERICAN SURGICAL SPINE SERVICES 629 N SANDUSKY AVE BUCYRUS OH 44820 371786727 HOSPITAL SUPPORT OH N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1