Exhibit T3A.2.96

CERTIFICATE OF FORMATION

OF

MIDWEST TECHNOLOGY INVESTMENTS LLC

This Certificate of Formation of MIDWEST TECHNOLOGY INVESTMENTS LLC (the “LLC”), dated as of March 15, 2012, is being duly executed and filed by Dennis B. Angers, as an authorized person, to form a limited liability company under the Delaware Limited Liability Company Act (6 Del.C. §18-101, et seq.).

First. The name of the limited liability company formed hereby is MIDWEST TECHNOLOGY INVESTMENTS LLC.

Second. The address of the registered office of the LLC in the State of Delaware is c/o The Corporation Trust Company, Corporation Trust Center, 1209 Orange Street, Wilmington, Delaware 19801, New Castle County.

Third. The name of the registered agent for service of process on the LLC in the State of Delaware is The Corporation Trust Company, Corporation Trust Center, 1209 Orange Street, Wilmington, Delaware 19801, New Castle County.

IN WITNESS WHEREOF, the undersigned has executed this Certificate of Formation as of the date first written above.

STATE OF DELAWARE

CERTIFICATE OF AMENDMENT CHANGING ONLY THE

REGISTERED OFFICE OR REGISTERED AGENT OF A

LIMITED LIABILITY COMPANY

The limited liability company organized and existing under the Limited Liability Company Act of the State of Delaware, hereby certifies as follows:

1.            The name of the limited liability company is Midwest Technology Investments LLC.

2.            The Registered Office of the limited liability company in the State of Delaware is changed to National Registered Agents, Inc. 160 Greentree Dr. # 101 (street), in the City of Dover, Zip Code 19904. The name of the Registered Agent at such address upon whom process against this limited liability company may be served is National Registered Agents, Inc.

STATE OF DELAWARE

CERTIFICATE OF AMENDMENT

CERTIFICATE OF AMENDMENT TO THE

CERTIFICATE OF FORMATION OF

ASCEND HEALTH TECHNOLOGY LLC

* * * * * * *

In accordance with the provisions of §18-202 of the

Limited Liability Company Act of the State of Delaware

* * * * * * *

Susan G. Lowell, being an Authorized Person of Ascend Health Technology LLC, a Delaware limited liability company, does hereby certify as follows:

FIRST

The name of the limited liability company is Ascend Health Technology LLC (the “Company”).

SECOND

Article First of the Certificate of Formation of the Company is hereby deleted in its entirety and amended and restated to read as follows:

FIRST: The name of the limited liablity company formed hereby is “Ex Tech, LLC.”

IN WITNESS WHEREOF, the undersigned has executed this Certificate of Amendment to the Certificate of Formation on this 16th day of February, 2024.