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THE BAD DEBT EXPENSE IS CALCULATED AS A PERCENTAGE OF MONTHLY REVENUE, BASED ON THE PERCENTAGE USED FOR THE BUDGET. THAT AMOUNT IS THEN ADJUSTED UP OR DOWN BASED UPON THE ACTUAL ACCOUNTS RECEIVABLE BALANCES, CASH COLLECTIONS, AND AMOUNTS WRITTEN OFF.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III."},{"explanation":"PART III, LINE 8: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6."},{"explanation":"PART VI, LINE 2: MID VALLEY HOSPITAL DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH NEEDS. IN THE NEXT COUPLE YEARS, THE ORGANIZATION PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS."},{"explanation":"PART VI, LINE 3: IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY, WHEN INDIVIDUALS QUALIFY UNDER THIS POLICY, THE AMOUNT OF FREE OR DISCOUNTED SERVICE FOR WHICH THEY QUALIFY IS ADJUSTED OFF THE ACCOUNT AT THE TIME APPROVAL IS GRANTED. IF THEY QUALIFY FOR A DISCOUNT FROM ACTUAL CHARGES, THE ORGANIZATION WILL TRY TO SET THE PATIENT UP ON A MONTHLY PAYMENT PLAN. AS PART OF THE FINANCIAL ASSISTANCE POLICY, IF THEY HAVE BEEN APPROVED FOR FREE OR DISCOUNTED SERVICE IN THE PAST 6 MONTHS, THE APPROVAL WILL APPLY FOR THE CURRENT SERVICE AS WELL. FOR INDIVIDUALS THAT DO NOT QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY, THE NORMAL COLLECTION PRACTICES ARE FOLLOWED."},{"explanation":"PART VI, LINE 4: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED IN PECKVILLE, PA. MID-VALLEY HOSPITAL SERVES THE RESIDENTS OF LACKAWANNA COUNTY, PENNSYLVANIA. LACKAWANNA COUNTY IS 459 SQUARE MILES AND HAS A POPULATION OF 208,801. THE 2009 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $44,481 WHICH IS BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $49,520. APPROXIMATELY 15% OF RESIDENTS LIVE IN POVERTY."},{"explanation":"PART VI, LINE 6: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED AT 1400 MAIN ST., PECKVILLE, PA. A MEMBER OF THE MOSES TAYLOR HEALTH CARE SYSTEM, MID-VALLEY HOSPITAL'S CORE VALUE IS COMPASSIONATE, HIGH-QUALITY CARE. CONVENIENTLY LOCATED BETWEEN SCRANTON AND EYNON, PA., AND A STRONG SUPPORTER OF COMMUNITY PROGRAMS SUCH AS NUTRITION AND HEALTH FAIRS, AND THE ANNUAL HUNTERS' SCREENING PROGRAM, MID-VALLEY HOSPITAL HAS A WATCHFUL EYE ON THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. SHOULD YOU HAVE AN EMERGENCY, OUTPATIENT SERVICES, OR NEED AN INPATIENT STAY, YOU CAN REST ASSURED THAT MID-VALLEY HOSPITAL WILL CARE FOR YOU LIKE FAMILY. SHOULD YOU NEED MORE EXTENSIVE SERVICES, ITS ASSOCIATION WITH THE MOSES TAYLOR HEALTH CARE SYSTEM AND PHYSICIANS HEALTH ALLIANCE WILL ASSURE THAT YOU WILL RECEIVE THE SAME ATTENTION THAT YOU HAVE COME TO EXPECT AT MID-VALLEY HOSPITAL. A MAJORITY OF 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."}]},"ScheduleJ":{"compensation_process":{"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"KAREN M MURPHY RN 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THE BAD DEBT EXPENSE IS CALCULATED AS A PERCENTAGE OF MONTHLY REVENUE, BASED ON THE PERCENTAGE USED FOR THE BUDGET. THAT AMOUNT IS THEN ADJUSTED UP OR DOWN BASED UPON THE ACTUAL ACCOUNTS RECEIVABLE BALANCES, CASH COLLECTIONS, AND AMOUNTS WRITTEN OFF.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III."},{"explanation":"PART III, LINE 8: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6."},{"explanation":"PART V, SECTION B, LINE 19D: THE PREVAILING GROSS CHARGE FOR THE SERVICE RENDERED IS CHARGED TO THE PATIENT'S ACCOUNT. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THESE CHARGES ARE DISCOUNT ACCORDING TO HIS OR HER ABILITY TO PAY BASED UPON INCOME AND FAMILY SIZE."},{"explanation":"PART VI, LINE 2: MID VALLEY HOSPITAL DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH NEEDS. IN THE NEXT YEAR, THE ORGANIZATION PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS."},{"explanation":"PART VI, LINE 3: IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY, WHEN INDIVIDUALS QUALIFY UNDER THIS POLICY, THE AMOUNT OF FREE OR DISCOUNTED SERVICE FOR WHICH THEY QUALIFY IS ADJUSTED OFF THE ACCOUNT AT THE TIME APPROVAL IS GRANTED. IF THEY QUALIFY FOR A DISCOUNT FROM ACTUAL CHARGES, THE ORGANIZATION WILL TRY TO SET THE PATIENT UP ON A MONTHLY PAYMENT PLAN. AS PART OF THE FINANCIAL ASSISTANCE POLICY, IF THEY HAVE BEEN APPROVED FOR FREE OR DISCOUNTED SERVICE IN THE PAST 6 MONTHS, THE APPROVAL WILL APPLY FOR THE CURRENT SERVICE AS WELL. FOR INDIVIDUALS THAT DO NOT QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY, THE NORMAL COLLECTION PRACTICES ARE FOLLOWED."},{"explanation":"PART VI, LINE 4: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED IN PECKVILLE, PA. MID-VALLEY HOSPITAL SERVES THE RESIDENTS OF LACKAWANNA COUNTY, PENNSYLVANIA. LACKAWANNA COUNTY IS 459 SQUARE MILES AND HAS A POPULATION OF 208,801. THE 2009 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $44,481 WHICH IS BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $49,520. APPROXIMATELY 15% OF RESIDENTS LIVE IN POVERTY."},{"explanation":"PART VI, LINE 5: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED AT 1400 MAIN ST., PECKVILLE, PA. A MEMBER OF THE MOSES TAYLOR HEALTH CARE SYSTEM, MID-VALLEY HOSPITAL'S CORE VALUE IS COMPASSIONATE, HIGH-QUALITY CARE. CONVENIENTLY LOCATED BETWEEN SCRANTON AND EYNON, PA., AND A STRONG SUPPORTER OF COMMUNITY PROGRAMS SUCH AS NUTRITION AND HEALTH FAIRS, AND THE ANNUAL HUNTERS' SCREENING PROGRAM, MID-VALLEY HOSPITAL HAS A WATCHFUL EYE ON THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. SHOULD YOU HAVE AN EMERGENCY, OUTPATIENT SERVICES, OR NEED AN INPATIENT STAY, YOU CAN REST ASSURED THAT MID-VALLEY HOSPITAL WILL CARE FOR YOU LIKE FAMILY. SHOULD YOU NEED MORE EXTENSIVE SERVICES, ITS ASSOCIATION WITH THE MOSES TAYLOR HEALTH CARE SYSTEM AND PHYSICIANS HEALTH ALLIANCE WILL ASSURE THAT YOU WILL RECEIVE THE SAME ATTENTION THAT YOU HAVE COME TO EXPECT AT MID-VALLEY HOSPITAL. A MAJORITY OF 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. 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IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THESE CHARGES ARE DISCOUNT ACCORDING TO HIS OR HER ABILITY TO PAY BASED UPON INCOME AND FAMILY SIZE."},{"explanation":"PART VI, LINE 2: MID VALLEY HOSPITAL DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH NEEDS. IN THE NEXT YEAR, THE ORGANIZATION PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS."},{"explanation":"PART VI, LINE 3: IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY, WHEN INDIVIDUALS QUALIFY UNDER THIS POLICY, THE AMOUNT OF FREE OR DISCOUNTED SERVICE FOR WHICH THEY QUALIFY IS ADJUSTED OFF THE ACCOUNT AT THE TIME APPROVAL IS GRANTED. IF THEY QUALIFY FOR A DISCOUNT FROM ACTUAL CHARGES, THE ORGANIZATION WILL TRY TO SET THE PATIENT UP ON A MONTHLY PAYMENT PLAN. AS PART OF THE FINANCIAL ASSISTANCE POLICY, IF THEY HAVE BEEN APPROVED FOR FREE OR DISCOUNTED SERVICE IN THE PAST 6 MONTHS, THE APPROVAL WILL APPLY FOR THE CURRENT SERVICE AS WELL. FOR INDIVIDUALS THAT DO NOT QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY, THE NORMAL COLLECTION PRACTICES ARE FOLLOWED."},{"explanation":"PART VI, LINE 4: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED IN PECKVILLE, PA. MID-VALLEY HOSPITAL SERVES THE RESIDENTS OF LACKAWANNA COUNTY, PENNSYLVANIA. LACKAWANNA COUNTY IS 459 SQUARE MILES AND HAS A POPULATION OF 208,801. THE 2009 ESTIMATED MEDIAN HOUSEHOLD INCOME WAS $44,481 WHICH IS BELOW THE PENNSYLVANIA ESTIMATED HOUSEHOLD INCOME OF $49,520. APPROXIMATELY 15% OF RESIDENTS LIVE IN POVERTY."},{"explanation":"PART VI, LINE 5: MID-VALLEY HOSPITAL IS A COMMUNITY BASED, CRITICAL ACCESS HOSPITAL, LOCATED AT 1400 MAIN ST., PECKVILLE, PA. A MEMBER OF THE MOSES TAYLOR HEALTH CARE SYSTEM, MID-VALLEY HOSPITAL'S CORE VALUE IS COMPASSIONATE, HIGH-QUALITY CARE. CONVENIENTLY LOCATED BETWEEN SCRANTON AND EYNON, PA., AND A STRONG SUPPORTER OF COMMUNITY PROGRAMS SUCH AS NUTRITION AND HEALTH FAIRS, AND THE ANNUAL HUNTERS' SCREENING PROGRAM, MID-VALLEY HOSPITAL HAS A WATCHFUL EYE ON THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. SHOULD YOU HAVE AN EMERGENCY, OUTPATIENT SERVICES, OR NEED AN INPATIENT STAY, YOU CAN REST ASSURED THAT MID-VALLEY HOSPITAL WILL CARE FOR YOU LIKE FAMILY. SHOULD YOU NEED MORE EXTENSIVE SERVICES, ITS ASSOCIATION WITH THE MOSES TAYLOR HEALTH CARE SYSTEM AND PHYSICIANS HEALTH ALLIANCE WILL ASSURE THAT YOU WILL RECEIVE THE SAME ATTENTION THAT YOU HAVE COME TO EXPECT AT MID-VALLEY HOSPITAL. A MAJORITY OF 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."}]},"ScheduleJ":{"compensation_process":{"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"KAREN M MURPHY RN 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