Please comment what clarification is needed if there is any . The top couple of pics is the case and the bottom two are the case questions.

RIVER CoMMUNITY HOSPITAL is a 210-bed, not-for-profit, acute care hospital with a long-standing reputation for providing quality healthcare services to a growing service area. River competes with three other hospitals in its metropolitan statistical area (MSA)-two not-for-profit and one for-profit. It is the smallest of the four but has traditionally been ranked highest in patient satisfaction polls. Hospitals are accredited by The Joint Commission, an indepen- dent, not-for-profit organization whose mission is to improve the safety and quality of healthcare provided to the public through accreditation and related services. (For more information on The Joint Commission, visit its website at www.jointcommission.org.) Although accreditation is optional for hospitals, it is generally required to qualify for governmental (Medicare and Medicaid) reimbursement, and hence the vast majority of hospitals apply for accreditation. River passed its latest Joint Com- mission survey with "flying colors," receiving the Gold Seal of Approval from that accrediting body In recent years, competition among the four hospitals in River's service area has been keen but friendly. However, a large for-profit chain recently purchased the for-profit hospital, which has resulted in some anxiety among the managers of the other three hospitals because of the chain's reputation for aggressively increasing market share in the markets they serve Relevant financial and operating data for River are contained in Exhibits 1.1 through 1.5, and selected industry data are contained in RIVER CoMMUNITY HOSPITAL is a 210-bed, not-for-profit, acute care hospital with a long-standing reputation for providing quality healthcare services to a growing service area. River competes with three other hospitals in its metropolitan statistical area (MSA)-two not-for-profit and one for-profit. It is the smallest of the four but has traditionally been ranked highest in patient satisfaction polls. Hospitals are accredited by The Joint Commission, an indepen- dent, not-for-profit organization whose mission is to improve the safety and quality of healthcare provided to the public through accreditation and related services. (For more information on The Joint Commission, visit its website at www.jointcommission.org.) Although accreditation is optional for hospitals, it is generally required to qualify for governmental (Medicare and Medicaid) reimbursement, and hence the vast majority of hospitals apply for accreditation. River passed its latest Joint Com- mission survey with "flying colors," receiving the Gold Seal of Approval from that accrediting body In recent years, competition among the four hospitals in River's service area has been keen but friendly. However, a large for-profit chain recently purchased the for-profit hospital, which has resulted in some anxiety among the managers of the other three hospitals because of the chain's reputation for aggressively increasing market share in the markets they serve Relevant financial and operating data for River are contained in Exhibits 1.1 through 1.5, and selected industry data are contained in