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HomeMy WebLinkAbout04-1874 J. Jay Cooper, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320 Market Street, Strawberry Square, P.O. Box ]268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney 1.0. #31720 Attorneys for Plaintiff MICHAEL SCHRIM, PLAINTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA v. NO. 04 - IP7tf Gi(.>i~~ APPALACHIAN REHABILITATION, INC. and THOMAS J. MALOSKEY, CIVIL ACTION - LAW DEFENDANTS NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (800) 990-9108 F. ~~ J. Jay Cooper, Esquire GOLDBERG, KATZMAN & SHIPMAN, P,C. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, P A 17108-1268 (717) 234-4161 Attorney I.D, #31720 Attorneys for Plaintiff v. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. DL[- IP7l/ Cl~lL ~~ CIVIL ACTION - LAW MICHAEL SCHRIM, PLAINTIFF APPALACHIAN REHABILITATION, INC.: and THOMAS J. MALOSKEY, DEFENDANTS COMPLAINT AND NOW, comes the Plaintiff, Michael Schrim, by his attorneys, Goldberg, Katzman & Shipman, P.C., and who represents as follows: I. The Plaintiff is Michael Schrim, an adult individual residing at 43 Old Stone House Road, Carlisle, Cumberland County, Pennsylvania. 2. The Defendant Appalachian Rehabilitation, Inc., a Pennsylvania professional corporation with its registered office located at 1335 Johnson Road, Chambersburg, Pennsylvania, 17201. At all times relevant hereto, Defendant did business in Cumberland County, Pennsylvania. 3. Defendant, Thomas J. Maloskey, is the owner, and President of Appalachian Rehabilitation, Inc., and as such is an employer within the scope of the Pennsylvania Wage Payment and Collection Law. Defendant Maloskey's home address is unknown to Plaintiff after reasonable investigation, however, he does business out of the 1335 Johnson Road, Chambersburg, Pennsylvania, address of Appalachian Rehabilitation, Inc. . -- 4. On or about May 4,2001, the Plaintiff was hired by the Defendant as a employee in the Defendant's business of providing rehabilitation and physical therapy services. Attached hereto as Exhibit "A", is the contract that was signed by the parities on or about that May 4,2001, pursuant to which Plaintiff was hired to provided home health physical therapy services to patients on behalf of the Defendant. 5. On or about August I, 2001, Plaintiff was hired by Defendant as an employee for the purpose of providing physical therapy services for the Defendant to patients located in nursing facilities under contract with Defendant. A copy of the contract entered into is attached hereto as Exhibit "B" and incorporated herein by reference. Subsequently, on or about August 31,200 I, said therapy services contract was amended by the parties by substituting a new page and a new Exhibit "A", which are attached hereto as Exhibit "C". 6. Plaintiffs compensation was to be thirty-eight dollars per hour for both home health and therapy services provided at various facilities under contract with Defendant ,plus mileage at the rate of .22 cents per mile and Defendant was to provide medical coverage for Plaintiff. 7. From June 2001 through early October 2001, Plaintiff provided physical therapy services for the Defendant for various clients of the business, including home health patients and patients located at Outlook Pointe at Bent Creek and the Cumberland Crossings nursing home. 8. The Plaintiff in accordance with the agreement of the parties periodically billed Defendant for his services at the agreed upon rate. Copies of said billings are attached hereto as Exhibit "D ". Those billings totaled $11,438.00, of which Defendant only paid $6,184.00. 2 - .- 9. After October 2001, Defendants ceased assigning any work to the Plaintiff and Plaintiff has not provided any services to the Defendant since that time. 10. As of October 2001 ,the date that Plaintifflast provided services to Defendant, the Plaintiff was due and owed compensation for the services that he provided to the Defendant in the amount of$5250.00, unpaid mileage of$655.69 , and $1582.00 for medical coverage that Plaintiff was required to payout of his own pocket, minus the agreed upon copay of$132.75 per 2 week pay period. II. The Plaintiffhas made written demand upon the Defendant for payment ofthe monies due for his services, the last demand being a letter from Plaintiff's counsel dated September 23, 2003, to which Defendants never responded. COUNT I - BREACH OF CONTRACT 12. Paragraphs 1-13 are hereby incorporated by reference as fully as ifset forth herein. 13. By reason of the aforesaid, the Defendant Appalachian Rehabilitation is in breach of its contract of employment with the Plaintiff by reason offailing to pay the sums outlined above, which total $7487.69. WHEREFORE, the Plaintiff, Michael Schrim, demands judgment against the Defendant, Appalachian Rehabilitation, Inc., for the sum of $7,487.69, along with interest at the legal rate thereon, and attorneys fees due under the contracts signed by the parties. COUNT II - BREACH OF PENNSYLVANIA WAGE COLLECTION LAW 14. Paragraphs 1-13 are hereby incorporated by reference as fully as if set forth herein. 3 15. By reason of the aforesaid, the Plaintiff is owed the sum of$7,487.69 by Defendant, all as outlined above. 16. Pursuant to the provisions of the Pennsylvania Wage Payment and Collection Law 43 P.S. S 260.1, et seq., the Plaintiff is entitled to liquidated damages of25% of the amount due, or $1,871.92. 17. By reason of the aforesaid provisions of the Pennsylvania Wage Payment and Collection Law, the Plaintiff is entitled to a recovery of his reasonable attorney's fees incurred in connection with collecting the monies due to him by his former employer (43 P.S. sec.260.9a(f)). 18. Defendant Thomas J. Maloskey as a corporate officer of Defendant Appalachian Rehabilitation is an employer under the Wage Payment and Collection Law and is therefore legally responsible for payment of the compensation, damages, and fees due to the Plaintiff. WHEREFORE, the Plaintiff, Michael Schrim, demands judgment against the Defendants, Appalachian Rehabilitation, Inc., and Thomas J. Maloskey for the sum of $7,487.69, along with liquidated damages of25% of that amount, or $1,871.92, along with judgment for the Plaintiffs reasonable attorneys' fees. Respectfully submitted, GOLDBERG, KATZMAN & SHIPMAN, P.C. 105876.1 By: J. Jay Cooper, ESqUir:=J\()JGzr~ 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney LD. #31720 Attorneys for Plaintiff, Michael Schrim Date: LI-Lb-DL\ 4 () (1;'1 ", CA, ;,"',..' i"-/ V'-V1j I:, '.' '-',~ (t,'0(...S -j,''''1 'f -.-, .;(j I t.:t.p!U f5 J-lv;)..- 00.2. c1 ApPALACHIAN REHABILITATION PROVIDENCE PLACE 2085 WAYNE RD. EMPLOYEE CONTRACTOR AGREEMENT This agreement entered intO' this 4th day af May 2001 by and between Mick Schrim BS,MPT herein referred as the EMPLOYEE, and Appalachian Rehab; Inc. referred to' as the COMPANY. This will canfirm aur understanding relating to' yaur assaciatian. fY'I'{)- Pw'151(#,., 'r1-1'@z.rr1 j 1. EMPLOYEE is being empIayed far 5pw4.. .........'IN (ST ~.'~Cct services. 2. EMPLOYEE shalt perfonn agreed upon se. vi,,~.at clinics, affices, hospitals. nursing facilities and other halding a valid "'l;I eement with theCOMP ANY. 3. EMPLOYEE wilt use appropriate forms to duu..ll1:ntpatiem ......~.illeill, services rendered, progress nates, discharg,e summary and ather dacumentatian required by COMPANY. 4. EMPLOYEE agrees to' comply with Title VI af the Civil Rights Act of 1964- and all requirments impased by ar (Jursuant to' the regulatian af the Department afHealth, Educatian and Welfare (45 CFR, Part 90) issued pursuant to' that Title, to' the end that, nO' persDn in the United states shall, Dn the grDunds af race,cDID\"sex.age,disability Dr natianal argin, be excluded frDm participatiDn in, Dr be Dtherwise subiected to' discriminatian under any (Jrogram Dr activity fDr which Federal funds are used in support Df the CONTRACTOR'S activities; 5, EMPLOYEE shalt maintain at his/her-expeuse Ill1JIpractice and general liability insurance in the amDunt af at least $500,000 per Dccurrence and $1,OOO,006-in annuat aggregate', andsball provide the' COMPANY with- evidence Df such cDverage. 6. EMPLOYEE sbalt receive campensation at the rate of .$38.00 per visit frDm COMPANY Dn the 15th day Df the mDnth and the.Jllst business 4ay af the mDnth. EmplDyee must maintain a 80% efficiency rating Df 6.75 units (Jer hDur, _ 1(>< 1'1' ar average 5.4 units per hDnr. NO' avertime unless approved by DirectDr Df I"J xf1'o, Rehab. EmplDyee must be willing to' wDrk @ Dther facilities! hame health fDr \>I'('l\e. I Appalachian Rehab. ar WellCare Rehab. EmplDyee may increase their hDUrs (if I'V caselDad dDes nDtiustify 8 hDurs) by perfDrming screens. Three screens per hDur @ max, to' be determined by Rehab Directar. PH0NE:717-'Z09-066.8 Exr.#l j 4 FAX: 717.263-9799 IOOtIBIT I I ItA'1 . 7. EMPLOYEE association shall continue only as long.as the services rendered are satisfactory to COMPANY. The designated' COMPANY representative shall be the sole judge as to whethertbe- EMPLOYEE services are satisfactory. 8. EMPLOYEE shalt nO't incur any expense that may be intended to' be:a .charge- against COMPANY withO'ut the priorwritten-consent O'f the COMPANY'S- administratO'r lassistant administratO'r O'r designee. 9, It is understood and agreed upon that the Services to be performed- by the EMPLOYEE are professional incharaeter and neither this- Agreement nor any duties or obligations hereunder shall be assigned by the EMPLOYEE without the priM writtelt consent of CQMEANY. 10. EMPLOYEE will provide-rompany with'aeopy of up to date-State, and/or National Licensures. U. EMPI:,OYEE agrees to-provide-COMPANY with a bi-weekly invoice for hours billed and e~of..the.lIl1mth invoice-within four (4-)- working-days. 12. EMPLOYEE agrees to- provide COMPANY with a current copy of healtJi statements. 13. EMPLOYEE agrees to-followCOMPANYpolicies and procedures and to foUo,", the policies and- procedures of the facility where they are treatinglevaluating. 14. In the-event EMPLOYEE claims ami-receives payment from. the COMPANY for a service-, reimbursemenHorwhich' is later disallowed or recapfUl ed bytlie County.,.State; United States Government, or other reimhurs.ementsou:ree;the EMPLOYEE shall promptly refund the-disallowed or ncaptured amount to-the COMPANY or reiDtburseill€otsou:reeon request, or, atits option, the COMPANY may offset the amount-disallowed or recaptured from any payment due: or to become d:u:e-to EMPLOYEE under this Agreement or any-other payment due-or tobeeome due.to EMPLOYEE under this Agreement or any other agreement if the service provided was- unnecessarily rendered or fraudulently billed; 15, EMPLOYEE agrees thataH-servicesprovidetimay not be directly billed to Medicareorintermcdiaries utilizing-hislher individual provider-number. .All- billing- EMPLOYEE'S-services will be- by the COMPANY. . 2... \1'."" 17. This will be in effect fGr Gne(l) year and will autGmatically renew at the end Gf the term and each subsequent year unless terminated. This Agreement may be terminated by either party, with Gr witho-ut cause, by giving a thirty (30) day written nGtice Gf the terminatiGn to' the Gther party. Benefits after 90 day prGbatiGn periGd. (vacatiGn, persGnal, sick etc.) 18. This shall be gGverned by and cGnstrued in accGrdance with the laws Gf the CGmmGnwealth o-f Pennsylvania, with Gut giving effect to' the principles Gf cGnflicts Gf law under Pennsylvania law. This Agreement shall be deemed to' be made in the CGmmGnwealth 6f Pennsylvania, where the executi6n 6f this Agreement by the COMPANY will be fmally appr6ved and where the COMPANY'S perf6rmance under this Agreement will take place. Y 6U rec6gnize that the COMPANY empl6Ys various people thr6ugh6ut the c6untry, and that it is within the legitimate interest 6fthe COMPANY to' have its Agreement construed in a unif6rm fashi6n under the laws Gf Pennsylvania. Any litigatiGn arising Gut 6for relating to' this Agreement shall bebrGught in Pennsylvania, and YGU . agree that the federal and state CGUrts in Pennsylvania have jurisdiction Gver YGU with respect to' any litigatiGn. 19. If any prGvisiGn oftbisAgreementis invalid Gr unenfGrceable, in whGle or in part, this Agreement shall be deemed amended to' delete Gr modify, as necessary,tbe6ffendingprovisi6n and to' alter the remainder of this Agreement to' rendedt valid or enforceable. In witness whereof, the parties heretO' have set their hands the day and first above written. Appalachian Rehab. Inc. 1335 Johnson Road Chambersburg, Pa. 17201 Employee ( print) _jJ .. . ~ J.--xlJwd4l2V Appalachian Rehab. Inc. Signature Date Au~ 0101 01:11p RRI 18147361877 p.9 Th....\I1 SCJYke> ApumeDt This Thenlpy Serri_ Agreemut C'A~ _.-"l is CIIlIllaI into belwom Applllachilll Reh:lbiln.tioI1 fuc. located at 1333 JaIlDsoo Road, CbIllllbcrsburx,hJ 720l,alicalsed pnwider of tl>:npy services, md Midlocl Sduim (LPT) 43 Old St_ House RDad. Cartisle,PA 17013. III OOIISidcrltian of the IIllIlUal plIlIIIise< lICt fartb below in the bcdy oftbis AgJOOIllClll.lbe pmiosl8l= as follows: J,T_ The tenD oflhis AgtllllIDeIlt shaII.-- the I" ""'" of Ausus< 2OOJ, aad &halI.-:Uue iD full r.... ..d e1fecl for a p<<iod of an inilial tam of one year IIIId sballl8IIDmalically be!elllMlld lUIless either party delivers lD tb: od1cr -nto'a noli... ofiDlem IlOIlO r_ llt_ tlmy (30) days prier 10 tbD olIf1 of.... tenD. Unless oilhcrparty e10cts to teIIDinalethis ApmeIIl illl.."..faD.owith thell:rlllsofthis por8SIlIJIiI.lhis Aas=ooor sllllll be doaaocIlO b.. "- ..lUnUlIiaalIy I'OIIewed for edmti^""llCIlIIS of om (1) year each. Eitll::r paty may It any limo IaIIlinaIe dlia Agrecmcm, with or without...... UJlOIl thirty (30) days ...ill..",o,;"" to the otbor pony. ~P...~"5~ces Pmoridor a_to IlIOvidc spcoiaIizod JOIuIbiliblivothmpy........ (dIod: aU thas "pply Phyoica1 tb:nIpy. OccupoIiooal 'I'bclzpy, Spea:lIIIIId l..oIgu2gc PaIhoIosY) lD IOAlOIIiuco with any applicable roquiremcDls of fedcral. Slate, aDd loc:alllW1~ ruies IIId. "11',1_";".- ,.A.';.:I.t~.ll:y, P. .....:..k.t :mau abide by OrIMiad..'s poIicier and pmae<klres. Prorider ognocs toll""Vido iapul rcIalivo to .....,;..;"" inquitios ODd the admissioa pn>llOSS, to....... all ,.,., admiJoi.....panioi_wilhflGility I!oololRivc Dlrectoror Din:l:ttrofNarsiDs in sooISOltinIli periodicoI1y JClIS_....... for o:IJonal: ofCODdilioD, help to dovoJop lIDlI impJemeat a disclBp pllII, lIlICIId .bililatim .1DOCtiDp, prmide It least t....... ..m...a yeatll> FaaJiIf pc:nllIIIICI ODd pnlVIdc """'"'" ami liIIIcIy docmDl:DIlItian an:l biWllS infiU'Il"iliI- PROVlDllR. shall panic:ipatc...........,m, in pc:nlllIIICI O\'aIUaliClIIII ODd otbor ljUIIlity IIlClIIitoriDg JlI'CIsrams eslablisbcd by ORGANJZATION iocluding .tIllndaaIIlIt tho FacUily Quo1ity Assunmac Commi_ ~p. 3. eo_alion 3.1 PROVlDllR &hall submit to OR.GANIZA lION on.1II<IIIlhly bosis an iDvoicc for services l'OIlllctaIll tho..- ogm>d to by ORGANIZATION aad PROVIDER UDdct this A......JCIlt. PROVIDER. shall Dot RParoto!y bill the Mcdicarc cr MaIicoid ~ II1I)I__ """'1'II1I)I, ""y poyor, "" tbo potXa1 for Ill...,.;... it_ _lhlIAsr-. ThosdlcduJoof...forscMcconll<lczal by PROVIDER is illcorpamcd iato lbiaAsr-t. edu'bit "A." TheilM>ia: will reflect sc:niccs nII<lczaI barn the fine day oflhecaiaadu DIODlb 10 the laat day of Ihccolaldlr DIDIIIII, will be iD 1be _ tOqUiIed by ORGANIZATION aad will be suhmillcd lD ORGANIZATION wilhiD _ "'""- daye of tho aad of lhcc:olcndorlllDllll1. ORGANIZATION a_lOpIY PROVIDER "itl1illlixty(60)doysof.....pt of PROVIDER'S ....i_ ProJ21JritiS page I of8 EXHt8IT I liB" "III AUe!: 0101 01'12p ARl 1914?3GI9?? p.l0 3.2 fn cont'ormanc:t _ Seclillll 4432 of tho BaImcod Budacl Al:t of 1 997, ORGANIZATION will P'Y PROViDERdiRcdyfor........ pmjdcdro Mcdi=PlIlt.A ......6.une. who will.-i", oem... from.PROVIDERlIIIlIcrtho_oflhi'~OIIorajj...l..1WY I, 1999. Undcrno cilcnm"'_"" will PROVlDER.be"""'l*"lIlod 1It..._ gn:ztllI' liIIa the ~ aIIowIble p_ ro Ibc Facility UIIdcr lIlc applicable f.ucllecmlc. . 3.3 PROVIDER willaubmit taOR<1ANIZATION in. timely III_aU dDcumeatatica aca:swy fur !be subIDisUon oCtIDIliI= aad llCClII3lC bill& aadmy claims for paymaat wiU llCClII1llI:Iy aod compIlWy relkct scnicxIs providccI ('"Cicad ctlima"). In the _!bat ORGANIZATION rcq.- addilionaI iafonnatioa fiom PROViDER to submit to the fllOal i.utcrmcdWy or my Olhcr lbIrdportyn:imbllJlc:lllllllt _ PROVIDER sbaII provide IUCb iDfOllllllial in A timely _1IDd..-!bat Jl&YIMIl a:onlias III tho c:slablishcd ..;..m.... is coadogeoc _ PROVIDER'S timely rcopoIIlIO 10 sud1 ""JU'lSt PROVIDER will_...... fiIUy wid! OROANIZA noN'S _IS of..mcos providod by PROVIDER, incJudiDgProvidilJl ORGANIZATION witIa "'1',...-, "ot=0III1IlioD 10 IIlJlPOfl' claiDls modo for p~'IIlCIIl. 3.4 Eitbcrparty may r<qIIOIl, _ wrii= IIllIi=, dlc fI'''''' aadlor tams UDd<< Ibis A8ftlClJIClIl be ~g<<ialcd, u: at I1l1 ~ lIII= is. _1l"1lI1!1e._ tJIJIIIor fademlla....~ or iDt~ 1hcIco.( \\Ihicb lII8taiaUy aIlortba """,idcrlllillll and/or baldita 10 tIIo PlII1icl wlu:n lhi. ~_CfI'eCliVe. 3.5 Paymcat by ORGANIZATION 10 PROVIDER is caxIitioncd m PR.OVIDEi.comp!yiDg with all pnlYisioaa of tbio Acn>cmcm. ... cmJ Rlpll PROVIDER sIIaII_lywith Tides Vlaad VDotlho Civil Rights Act of 196+, SoctioaJ 503 ODd 5004 of the Rcb.biliuldoo AI:I. of 197.3, aad all JCqUiIemclItI inIpooocI by, or pursuIIlt to lh...gui.ticms of, the Dep_ ofHallh lIlIIlIumu s.m- isMd JlUI8lIIIIt 10 thcoc Acts. 5, Recanla PamaaatIO Sc:ctioIl J3~5x(vXJXI)(i) ofl'lllc 42 oflho lhJiIaI Sla\IIS Code, ,vith:cspcct tolD)"~ J\D:aished 1IIldl:r this Agreomcat, the val,," or CCIl ot wbicb iJ TOD TIloIIsamlDaUars(S 10,000) or _ 0\'01' . t\1IelVI (12) IlIOIIdlptriod, IIIIli1lh..""imIioaoffour(4) ~"lullcrlho ItIIlIirWion otlllil~l, PROVIDER ohall make avub'" plIlIIl~ upaa MitlosIlIllJICSttll the S..-y otlllc u_ S_ ~ ofH..w. aacI Hum... Sc:rvicoJ. Tho C<IlJPlIlIiIcr GaIcrIIof1lle Uailcd Slala Goaonl AC4lClUIllingOl&r, Ol'mnn lD)'oftbcirdllly alIlhorized ~v'" . eopy ofthioAfIIClIIIICIIl aod I5IIcb booka,llooum:nls aad rc:ccmls IS arc nCCCSll&l}' to certifY the__ _ otthc cas1 aflhc sc:mcc. pruvidcd by J'ROVIDIlR uadcrthisA~ PROVIDER. Jllnhcr ...... to p'Cn'idc pumpllY 11l11llCOld1100ROANIZA TlON as may be requlred......1he OmIIibus Iludp:t R.c<oacilialion AclS of 1987_ 1990. PROVIDER funbcr alllOCS ~iD.rhc eveal PR.OVIDI!Rcanics oat lUIY of hirIhcr dalics'" this Agreement throullh a auix.oolncl with Ihe vtIuc or... ot ta-lbO",,'. dollars(1 0,000) or IlIOl'C over a swd", (IZ) IllOI1lh period, suoh _tracr shaD COIllIin. cl....1O tho cIl'cct tha WIlilIho cxpiratlOll of the four(4) ran aflor lbC l\ImlslliD& of lM.orviceI plnUlIlIt to ouch sabooolraot, t.bc .ub....dt....... shall ~ avaiIaIIle promptly upon Mittca rcquea to tile Sccn:tary of tho Unitccl S_ ~ of Hc:aIth IlId Human Scrvil:cs, ComplRlllcr GelIonI ofthc VnilCd S_ /f11+- Providen: (ninals PB8" 2 orB Au/!: 01 01 01,121" ARI 1 a 1+?3S 1 977 p.ll General A""""ling om.... lX' lIlY oflbeir ciIIy aatboriJod rcprcsCllllIIMs. the subal.all'llct and SlIciI booio;,_1s IlIl4 rooonls OJ /SIC na:cssaryto verlfy the natmellllll_oflllth COIl. PROVIDER ..- 10 sa", iadcmDiiy iIIld hold llnIIas ORGANIZATION .&om any IIlId all Iiobility,IOSs. cost or cxpcasea iIlo:umd ditec:t1y <I.' indiRaly bol:a1IIC oftbo failunoofPROVIDER to oomply willlllle obligalloas rei forth abov... plllllglllJlh 6"", lX' far any "'-"*<1.' fiuIuIoaicWms submiIIod toORGANlATlON by PROVIDER for bill... purposes. 6. DinJlmrmce lu the _ PROVlDEII. daims ancI.-ivet,""""",,!Iam ORGANIZATION fll< .lKIViccwhich is Ialcr disalIowod Of recaupcd by Mcdil:are, MaIicaid, or any olIIor tbird pasty ~ SOUl'llC, ORGANIZA nON shall ~ l'IlOVIl>a IO"'P')' ORaANlZATION fur $UclI disa1lowt:d or r=vpcd iIIllCIIlIlS _1iIe cIisaIIooqcjOl'.-.pcd _/SIC. .-!tofrbe-.elIllIS otOlllissions of PKOVlDER, iDdudiag rIIo~ ofl'ROVIDI!R 10 submit 10 ORGANIZATION 0..., C1...... At il" opli(lD, ORGANIZATION may eilIlero1l'settboIIIIIlIltIIlldiAJlo_...-.poa !lam IIIYp_ISDIO PROVIDER oc may n:quinl PROVIDER ID ;""""'~ "'IIOJ' ORGANIZATION far tile IIItlOUIltS di.alJmted orl'ellOllpOd. PROVIDER mu p~faU,.,.. RqOCSICdby ORGANIZATION, ill all izttcmediazy lIIIdcda:r appeols Jll'O _to raaI..<<IispuIo<I pIIlIIIIOIltcloUm, hx:Iudiag ~ mWoblo l<IORGANlZATION all rclonat_ 7, Quallllatt:/IIIIS PROVlDERrop_ aut WIII1'lIIIlS tbaisbual1lbo-..yq...HIi~ri""", ccrtificati<las tJIIIJ/or Ii=- n:quirod by fccicnl.slare and 1a:aI1..... aod ,..........10 pta\'ido tbo...-.ioeo mjIIi.nld Ulllla'1/Ils A~ PROVIDER wiJI pr<wiclo ORGANIZATON widt.c:cpyofits liccast: C1llhccll'ectivc datcoflhis A_tanclat......-m.-l PIlOVlDER...... tbat il shall be 1'ISplDSI~ ......._g crimiIIIl bookgrouad cbocIoIlIIICi a1eoho1 ancI dnIc 10SIiDC OIIllx>seofils ~ it ......IOOIlGANlZA TION, iDdudiDg all..... nUtlDg to a:mduclillgl1X:h iav....gatiaallIId 1ootiq. pROVIDER fanbr:r..... duIt it sba/I.... ...igp lIlY ofilS empI.."..1O 01l.GANJZA TION who bow belli ~ oftbo IaIlawiag o:rimoo; lhoft, ....a11y c10Yilllll bdll\'ior, ....wI dCI' baIIory, ._ofrbeddcriy, c:biIdroDotwlllelahlc iadMduaJs orlllhcrcrimiJlal _violin.. rdatecllO lho....- -a jIIOvUlod 10 tba OIlGANlZATION who "'" riMPnn;""j allt:r l!I\Iloptialc aIoalIoI ancI dtug fcIlia& '" becnpp ill ..,""".... aInIsc. PROVIDER ad:sJowlcdps lIlId...... tbat........... iIIIoc:rimiul ~ (.) will...... tbe ptClIi_.m:a}'ClllS, (b) shall be eon~,,-, in ~ wilb 4PPfjcablc _ Jaw, lIIId (e) JIIIISl be based on _ provided llyluoppmpn.'" .laIoIOI'locoll.w......_._ ifso requir<tI b)/applloable .laIc law. PROVIDER further ~ IIIli apc:s lbat lIlalbal ad dtug lOIliIIg ofilllUlp~ will be .....-- by '" iadopoadout l~ tbat is lZlII1lcd by lbo u_ s_ Dcp.vtm=t of HCIlIlh IIIlI !lwlllm 8emoc:s. /)117- Providoft IIUtials pagc30f8 Au~ 0101 01,13p ARl 18147361877 p.12 " 8 Praud ADd AlMue PROVIDE1lIllP"""""" IIIlI wllllllls!hlt PROVIDER hu DOt beo:a sm:tilXlCd ...... my fPlIlicablo ","Ie <rfcderall'rauclllld abuse .-. Ulcludine cxdusioa 1IolII, federal health..... pn>gom, 0< j[, during <he torm oithis Agrcemem, PROVlDER,lUIY plIIl:III ofPR.OVlOIlR or any oJf_. dim:lot or owner of PROVIDER, rccci... sucb a __ arDDtieo of, JlI1lIlCl"ll'I....u.... PllOVlDE1l will immc:Iilll:ly proridcto OR.GANlZATION ,DCticeof aad.,fuII co<pl......oo ofwdu&llClioaorplllpCllOdSlllClicn and tIIc period oflls duraIi<n ORGANIZATION ICICMS lIJ: ri&bt to _lbe A..- immcdialdy upon rcccipt oCllOtice dial PROVlDf!R.my pllClltofPROVlDER or my ofIicer, dircctDtor_oC PR.OWER,hAs bo:u SIIlClioDedundcrfcdOlll or_frad 1IICi.__lIlJdPR.OVlOER,grm 10 incIcmnify lIlIlIlIold harmless ORGAMZATlON &om IIIIY IlIll all 1ialriliI:y, 10llI or__ iJIRlmod dinctly arindiroclJy by ORGANIZATION becauaoofllll)' ...c:ticnsiDcurred by PROVIDER lWIorany appwbJe __ or Cederall'raucI and .Iue -. iDdudiJla myexcluioa _, CodorIl huldK:arc pnlglIIII. 9 InSlltaJlCll! AId l'ademaity Subjoet to th. minimumc:ovaqD~ IlO! r_ ~,PROVIDER shoIIpIOOlll'C aIIIl moinllin at all tim.. tbrouPxtt tile TERM OF nus AGREEMENT socb i_w....... will fully prolOCl PROVIDER !tom all actS. errors '" OIIIiIom whiIo pe.fu...;...tho lIOIYiooo pn>ridal Jbr in Ibis Apcmad. PROVIDER shall ,ubmit lD ORO.ANIZATION prior to tlIo of!CcCnoo..... of Ibi. Agr=nou~ . ccnifitaro of ins1IrllOOO isslIcd by an insurer II1IIhor:Wd 10 0GIIlb:t i--.lnuiDoss in Ibis NIt lIlJd ........bIy ICa:(JlablolO OltGANlZATION, ildicaliag lMt PROVlDERhu CIlIII(llolo liahWly ..........-go, iDcIuding ~se iorany _ cl~...,.11IIIIpmcdc:o. S"""_ o:hoII be in lIle_ RlUCIlIbly ,...fllCloly 10 ORGANlZAlON <r in IIIIOlIIItI requimI by the.... oftbis _ whidt..... it grootc:r, butshaUlIOt be IesaWaII,ODD,OlIO lWinoiGoatoril!ilD'Y to__53,OOO.OOO I\lllfOlllIb' per l'O"I' IlIcl SIOO,ODO of.......SO filr..... _ ofPJ'CllCllYdanuco. Covmao Jess lbu owed ~ mus< be """""* ill wriIinc in....... by O&OANlZATION'S COlpClrale R.Ist t.f......-Ileportalalt. S8icI oortificafe shaU ~ dIaltbe iIIIUIIlIlZ """'I'8IIY wiU DOt.... Slid polioy ofinsurala wiIhout pvq ORGANlZATION dIiny (30) da)S advIlICt wriIlGIlUlIiQo, FurdIcr. !'ROWER shall JJQVide (0 OROANIZA '!lON thirty(30) days advIIlllI wriltoa IICIIico (or as SOOII as pno:ric:able) ..to my llIall:rioJ restrictioa, 1irnlhtioa, modiliClt:icd at rcvWOIl to cxm::raac (:ClltclqllaIed htRiD. PROVIDER shall..... iadcmni1j' lIlJd!ullcl ORCJANlZTION hInDfoss of IIld me my lIlIlI all liability, Ion, _lIlIlI_i_ _1Iy or iDdiroolIyftCllllll1Y -. 0II0IlI oromiSlians oCPROVIDER, bfsIIIer agoaIs, ""'P~ or iavirooo1iom..y cause ariliag 1iom... relaling to l'R.OVIDER'S perf- under tbia Agreomoa(, iaoIudiDg ...... sustaiood by ORGANIZATION as, rooult of emll1 in billing illfomllllion bv PR.OVlDSR to OR.GAJolIZATION, quliIy of..... vioIllioas ",~a..a.bI.1O tho -,..;"'" of PROVlDSR iD. die provilicllllllddalivayof <crvioosaad cmxt by PROWER in doIamiDini Modicve <O\ICl18C Cor tIIc ......... provided uadot dli.s A~ OROANIZA 110N shaI1 save,.iJdomaiiir aaclholdPROVJDER hlnnJoss from _lIlJd all liability,l""" c:osr and c:<JlOIIIeS ilIamld dinolJy or iadRclly from IIllY -. CI1'OfS or omissions by ORGANIZA '!lON, its Igallo. empioyees or iDvitoes &om fItY...... aisiae Jlom or ft!Iaias to ORGANIZATION'S periOllllAlMlO tmdcr cbis Ap:moat. !J11}t:;l piS" 4 oC8 Pro\'l= lnitiols ~ ' .,. ...., -. -- Au~ 01 01 01:14p ARI 18147361877 p.13 10 Equi......... ad Supplia Whca PROVIDI!R"""" "'l"ip-1IIJIlJor slIJIIIlics pmvidaI by ORGANIZA nON, PROVIDER .hall... such cquiplllOllt aad l1I!lP1ieI ptQperiy aad be saIolt. fCSllOI\SiI>Ie rar U1juziocOl'J.onuces rau/tiug lioa1!111Y miSuse. ra 1IdcIiti0ll, PROVIDER sluIU DOlify OR.OANIZAnON iu MiIiDs lVhamCO' oquipm=l or npplics provided by ORGANIZATION wi usod byPlWVIDSR !orpm'idillgS<<Vi....ltCII:dJqlOir<rftP''''''''"''''t WbI:a PROVIDER _ its """ equiJlllll:llllllllllor supplieo, PROVIDER aan= 10...... iDdI:mniJ}1 aad hold ORGANIZATION hJnDI... of and liw.1ho..."..us- or fail"", of... oquipmcal or supplies. PROVIDER sba1IlIIIinlllin its ",,",,._f%~ in soodopaaline~;'im aadftPlir aad in ~ with thcmsorufacl1ue', """"'......."'''''. aad lIloppUc:ablc fcdonl, SIlIIS aad 1ocaI_, II laclepeadent CoaInetor ThIs A,p.__cIooslllJt_lc.hiriDgaiPROVlOER"IIII~'''''_of ORGANIZATION. It iJ1Ilep.-tico' iataltiaatb.ot PROVIDER shaD be ..employe<: aadllOl ORGANIZATION'S indqlemIca1.......-"o, PROVIDER sluIU r:/lIiD disclaion sudjadsmcat rqarcliDg tlIc _or SIld _ of plll\iding SeM"" to ORGANIZATION subjoctto all applicable I&ws aod rogaWioas. ORGANIZATION aIllIIICS proti:slioo" aad IldIllinimIlivc ICIpOIIBibBity fer rhc services fClldcrcd llIIyto the _ tJw; OROANIZA nON wiD wuro itsclf th4t(I) PR.OVlDER.ls qusIi/io<I by"'''.~?D mdJ .r....-;......lO_ tIJ: SI:SVic:o:s .....t>.....d /lJr:; lIIId(2) PROVIDER. iJ satisfying 1Ile obIipti<las let tanh 1u:n:ia ill a Iime1y lIIIIlIIer. This Agn=neat sIr4ll not be construc:d lIS . pannmhip,lIId OIlOANlZATlON shall ncn be lisblc /llr lIlY obUpIiala illClllTed by PROVlD.ER. 12 CoDlldealialJty PROVlDER....... fD _ aad abide by olI focilnl, __ lUIdloca1lows port.IiahIg to <1OntldemiaIiIY II1I<I disclanue witb reprd to olI ilIfomIatioa aad I1:IlClRla ol:Ilaiaod or nMcwcd in die _ ofpnwiding serviteo to the ORGAI'IlZA TlON 0lII:II or F...litia residoouo. 13 Attomey's Fees If suit is brougbt to..._ uoy of dIO...... or coadiUans oflhis Agr'OCllIDt, lho JRVliliDg pony slloJl be oatitlod \Q.................... alhccaurt may tilt.. c:<llls __.hlo alUlnIcy', f_ in additiott to IIIf odIcr'relid to wbiclI it IDIl)' be CIllitled. 14 Notices Any _co requindlO be pn>\'icLod to ""Y Party to dIit Ap:moat ,1laII be in wrillII!l aad shaD ~ C<IISi_ effeclioc tbn:c (3) cloys oIlartha Jatc of deposit with the aDitad S_ POSlll Senice by c:orti1ied or regulmd mail, llrsl doss ....... pJqlllill. _ rocc:ipt roq-.rl, lIIIll a4d1esred lOW portico IS foil",,", ORGANIZATION: Appalaobim RehalrilitotioA l33Hobasm Raad a-bcnburg. PL 17201 f)1~ plgoSofS Providm Initials Au~ 0101 01:ISp ARI 18147361977 p.14 Pnmder: Midwtl Sduina LPT 43 Old SchaoJ no_ Road CarlUlc,PA 170IJ (711) 795-0121 tj N_ AuipabiIitJ Neithec1bis AgtCClIICGt IlQt GIl)' ottk4ulia or obligolioos 0( FROVWER. ho:ol UIId<< shall be assisa=d or dolegolod b)' PROVIDER. wilI1aul tk prior \WiltmCCllW:lllafORGANlZATION. J 6 Col'pOJ'llle COlllpliaate Prauam PROVIDER.pIS to ooopcrrlllO witIt ORGANIZA nON .. c:onyiDs out illIoorparoll: oompliBucc prograII1 by pnwidiDg -l<l, bulDat Jimilcd lO, llQ:eSIIIy billillg bad< up dccumcDtaliaa, portic:ipatioD in """lnICl aud claims .udils oad IllY 0Jba0 __bl< n:queo:t by <h. ORGANIZATION'S "",,""_ COIIIJl- cIllp8UaoDt I? CompliaD... CertillcaliAla PROVIDER acliIIcwIo<lges ORGANlZAnOl'l'S eorpo.... c....plianc:e Pni8nm aud "","pi 0( ORGANIZATION'S CodoofCAaduct. PROVIDER...._lS llDd WlI!lIlII1InI1rad1 ol/ls eq>loyo:s. prcwide palioal """ lICl FlldoroJ bcollb..... proarIID bIacIIIciaries filrOltGANJZA nON sbalI read aDd. rwoiew ORGANlZAnON'S Code ofCoocluotpriar1lI_- ofserviooo _tbisAIJ'Ol'lIICIII. PROVlDER._..... 10 obIaia _ moiD. sipxl C<<liIicIUonltom its cmpJoyoes tbal dJcy have recciYcd, lClICi IIId IIIldaswId ORGANIZA'I1'ON'S CodoofOlad1u:tllld _1O.bida bytllenquinao:a/ll ofORGANlZA11ON'S ColplXllle C<:IIlp\iaIlccPmanm Sudlcerlilicolicm sUlllllll bcobtzillcdpialO"',,', , ,oc..1 of.....""", IlIldc< this Agn:emeat, abalI be _nod by PROVIDER. oad sbiU be modi: ...iloblc for.mew by ORGANIZA nON or ill agelItc 1IpOIl-oO'" n:q-. 18 I!adreAsr--t Thill A_ OllIItIin.. <ad i. ialIIldod... . <<mplcto ota_ 0( Iillho ll:llllS baMm the plUlics with_I lD Jbc ~ts:l,...... h"" of. This A~ sImlI S1lpI2SCdc IllIY pmiOllS agreclllCll1S llDIllllllClldmeolts v.iIethu 0l'lIl or .......... ""'-tho partios .....riag lQ dIe provision ofl!lenlpy sern.... 19 ^'-_AndW...... Thill A~ar any pan or $eaion of it may be ~or woiwclllllllY liIlIc during the!enn 0( the AflZ'OCIIlClI& by mubIaJ ...;tt,...:o"..atoftho dwy IIUtluIrillCll rq>tCSClItCivcs of ORGANIZATION llDdPROVIDEIl Ally slICh ~ .baII """"1lO only ill .pcojfic ilIStInce. ~-119- pagc60fS Pmvidm'millaJ. "...,' Rue; 01 01 01: 15,. ARl 19147361877 p_ 15 20 C..lJ'oIIiaC Law This A8f"'lIl=t sbalI be go,.......u by am:IQlIIStrlIOd ill _with dto IAwr o{the Slalc ofPCIIIISflvania. 21 Severability Tho p"lYisiaIJ .fthis AgroeIIIOIIt.... severable llIId, CO Ibe _that IllY provisiallllllybc IIIICIIibtocabIc or may impair !hi: Cllf'0ll:(:II1eIIt of IllY otIler provisicm, shall be modfficd or doIotcd. 22 Captions All sc:cdoa c:.1pdollll an4 hHdings ill Ibis AJIl'COIIICIllIl/ll provided for iDfOlllllllimal ParpoHS only..d.a.n no< be n:IoYUlCOor _!hi: iuIcrp__ or CXlIIItrUlXJon of any pRl\isioa o(1bis ~ 2J Corpor.ne Acoop_ PRDIfll)ER adcnowblp IllIlIIlR"S till: tbiJ A~ is lIDt bindiagoa tbo putics WIliI aa:cpted by ORGANlZA nON'S Pn:sidcnt as cvideoclld by his or her BigDllbllC below. Ja w...... wII-t.1he panico by Iboir daIy ....lu.._ ""......lan... have CtI_lato tfIIs Acne-t .1 of the .le/lnl MItten_ ORGANIZATION: APPALACHIAN ~~LATJON 9y:1MIie~ J~ :4{IJJ.d{gJJ) TilIc: Admmistnlliv. Sccn:tary PROVIDER: Applj....t tyy) J~f),,1D ~ By; N_ (pRINT); Tn IC..i:H'Tt?& .'5c J+aJf"\ TitJc: Pf+t/<,Ic..J"rl- 71~p,," rvv);J.. PJovidcrs Initials page 7of8 Aue 01 01 01:15p ARl 18147361977 h llXlIlBIT A - SCUEJ)VU 0' IlA TES AppaUdUu Rdubilltatioo,PC I33'J_KQed Chanlhenllurg, P.. J 7201 .........1,2001 ~ Provider shall be paid at a rate of$3~,OO per hour for Physical Therapy Services, with 1I swt date of the I" week of August 2001. Payroll withholdiuSIUlount for health plan benefits win be SI32.7S per pay for family plan. Terms of previous Home Health Contract will remain in effect. <.,:~~y;~.-., ,-,i ~, ,......' , . " ~..,.: .it. Page 8 0 f 8 p.lll I ie, 1 i I I L'- I .1 ! ,. 1 ,I I i , i I I , I I I I I , Au~ 30 01 04:19p Hl<l )..'o..L-;' {03C.l.O.' -'" ,\ " 'L.' , r"'.' i. ~~ '- ,.\ '.'.' >..".' ~ :10 ~aadS......... Whao PROVIDER.... cquiJ>lMItllldlar suppJios pRJVidod by ORGANIZATION, PROVIDER sIlaII use such cquipman lIIId supplies..-Jy.oDd be soIoIy RS(lClIIfihIo far injuries at ~......uiq limn llIIY misuse. Ill.cldition, PROVlDEIl. sIIId IlOlilY OROANlZA TION in wriIiD8 whelIcvcr ccpripmcut or suppJic$ prori<bI by ORGANIZATION aad UIllII by PROVIDIl1l farJll<Mdins........ noodRpairOl' tqJI___ Whao PROVIDER .... ilS OWl! cquiplllClll aadl<< suppIicf, PltOVIDER.poos 10..... iDdemnify aadholdORGANlZATION hII11llessofond _ tho _ misulcorHihRaC_~'" suppIicI. PROVlDER.sIlaIIlIIIIiDlIia.. .......;....loul or JUpplieI in good opendio, CCIIdi1ioa 8Ild JqIIir and iD ~ with tho lIIIIIIIf_'. ,~"",,- ,_!".;",,, 0llIlI aU IppJiclblcfcdc:rll,_llDd~/JWI. 11 I........... Coatractor Th",A..-do.nocOClllOlilulo'lIiriasofPROVlDEIl.ID~oI' OItGANlZATION.1t islbe \i8tli=' iDIoaIioa .... PROVIDER sbaII be IIJ ''''' ~ 10<.\, ,I ,..", lIIId IIGI ORGANIZA TION'S cmpIoyeo. IlROVlDIlllOW.... diH:n:lioII aad Jud8mCaI'"lIII'IilI1IIe _ODd _ otptDridias acnicos to ORGANIZATION ouhjoct II> aIlappW:oblo....llDd "'*"'..'_ OltGANIZA T10N _ p.' -. . .., ODd lIdIIIiDimaIi", '''' ...;biIily tor tho acMocs JODderaIcmlylOlbo_dJat OllGANlZATION wiII_iuelCtbal ()) PROVIDER. is quoIiIbI by ............ .",u 01'<..,-' 11>""'" tho sam- ......~ far:; IIId (2) PRDVIDI!R is.~the obIipIians set fortbho:reillia .limoIy_, TJriIA....-!liIIIl1lOl be__... p..-ship, '!'" ORGAMZA nON oW IlOl be liabla fCO',.,.,. CJ/>6salioaI ma..l by PROVIDER. 12 C.ofi</~11ty , PROVIDER_ '" '-' lIIlIabidobyall-.u,__IoaoII.... pcrllIiniDs ......n.-.11ly and djscIosurc with n:pnllD .U infGmlIlica llDd ...... obloiaod or JOViewed i. the COIlISO of JlIO"idill! ..,.;"'" II> IIIe ()RGAMZA nON andI or I'ICiIiIies mi<laIIs. . , . - '" .-.....-',~,';. :: ~~)_ ;.;i.'<..t;' ,'":1 " ..... , . .,' , - -:;?;_:~t~~ : ltouiti.l>nlup&toealiln:e_ofthl....... r .."<I'....ofIilioA# r . tbcJllCVllilin&JIIr1!Y _lie : "i),. c:Dlided to _1IICb __..lhe c:oartmay fix.. _llDd ..."..uolJle -..y'. foes, in oddilitxlro ~ alher reIlef.. . :....:...' beentided. .....,.;;$;t..<~:.:,5;'~.i.~%B;~~at~;t.;~1.0~,;,:,~: , AI1rIlCllloo nquinoIUibe piO,idi;i. "'ii~":':" " '.' W1* l. MiiOis.... fII'ililHi CQasideoIld otiiocIm u..om. 1llk1li_oCdipoiit~tlifl'~1'I'iiiaI ~ branifioddr~maiI, liIIIcIats.......~~~"'" l_W','1a~9.adioo.fiJIJows:""" , ,,,"'.I~~hi'~::~W(~. i;',;U"" - i<i".-_'!M.6~""+1'~~': ;;. -to :~;;. ~h',: ,<: ORG."""TION-' .' :ih~,~-:"-' /o!. ..~,"" _i' l,..."7f~.:-'l' ~>"" . nI'I....... " .,.,\..,''.C }" : ltt'" . ,~,.,,!~~' . :.., . ..~'~..r "'IX' . :V.-.~ ". ~, - ,I -'0} :~.:II..,-,"~_" ',:,., r:::-'. ~.~~. 1", 'f,'.\~.c.:... . j' ..,-,. ............... llil-"~. .,.:'>..~ '"...,",::,\ '.<~'~' . -.... "... '....... .,_'.' ,....':.'"..:~." '. , "t ,,'. 1"'5J~':IIf;';'~'t" . "t L . ,.."if', , V ,~y 1", ~~ UIIUlIVII'AUIU~"ti:~\-;..';t":'~~~~::~i-~~&.a.;-~ '--"';v:;~"'''''..:,J''"''-: .':).~/f.,~;,c;:~~. ,. ,'- I ~.....P& l'f..vl 1;" ~If.- . i:-.'!f, ,I " f~:'.l'. . /.'" -, .' ~., '.~ ;..., '" .'r~.,' ". V'. . ~: , '. '.... . _' "4,~,-"I;'i{ ,'" -:', . " 1:~ "~~"~' .t,,'!:>.'~ ... " . .:4 ' '". "" ,)" ~j . . '"' _ ~ii,j , ~~.. .~'~ ~ i'~ . . \.' " ~r'" -~. - , . ~" . .' ,0:.,\ . ........;.... ,..,.... 1Itl.::"1l-'..1'"'~iiit.:~ r -, 'I~' .~-~,. . . ,"f':~.:- .' 6.... ~ ...","'~.1'..~~ ..)0I'j.'..~...'. '.f .,. , ;4. . _ "<,\,:..:.' .' ;,.~.'". . :;'~::'f,H1~: . ,< .;:~~ '.: '. '.~"\~t-',. ~ paaa5018 , ::/ I'nn'idcinlnilials.; .' 13 AItamey'. ,... , ,..'.7,;1/...... "'.." . ....",1 '.r" I' \<1 , -.r...;t..:II~'..t.~.... ...,).~~~: .~.~~ ~:~.~.. ,:~..~~:. .:.:~~~.~.:_,. ',,~~~: .', ~~~'Tt. , ...., ""'. . J," .';W 1"'-.. . ,:. ~ EXHIBIT I "c" '-"M; , , .:.. . -:,.~~. ... - EXHIBIT A-SCHEDULE OF RATES Appalachian Rehabilitation, PC 1335 JoImson Road Chambersburg, Pa 17201 August 1,2001 (VIr&(; 111 13&" at) ~/U\ Provider shall be paid at a rate of~O per hour for Physical Therapy Services, with a start date of the 1 st week of August 2001.Terms of Home Health Contract \viII remain in effect. A cJdehdutI1 +0 Home ~Hh COn1Y'4c-J; .224:- Mileage re I /YIhurse JY\~n +. 67<cluJe5 -fo/-fY~fYl prllliderlJ home or o+/:ce Ex.du/e; -to/-fY(JM ~ir5+ anI' laf+ r- ptnJ,qj, Ih^J-pJ- . ;. '", ..' "..;': ..,", ,c, '...~ .,. '..' -'j..1'" ,. "'-\':~,J.~~; ,".~~"!: ":' ....."... "'. ~. "':, :,' S;~;~~"':~~:-: l,t~, ,:;5~~~-: . :.1."'- .J~':f " .~'-,:-.. . '~~.:..::; . . . ;:",,;,~ ''\' .' "" ., , . . ,'C'. ~ m~. . .."., . . ~.'~~~ Page 8 of 8 ...... -L/.L/Lb..:S~/gg P.05 ~~. . . ~~. '"'eIP"" ~,.- rrATION '701. . "". o.lAC . A. J - (....,..... W4'n .. .11.,.... 17ae8 CONTRACTOR NAME: m I e.H A~L SCH-R.I vY"\ DRJDOIOTIPTISLPIM1'.IOT.JJ.EIl: 'P T DATESOFSERVlCES: O(Q i.) 0/ - O\,. 30 D\ COMPUTATIONS: "-" HOURlUNITNISIT/RATE: 3iS HOURIUNI1SIVISlTSJWwPll'rn: q TOTAL: 3 i-I J--- CONTRACTOR SIGNATtTDIi'. ilV( ~ Q /IJ 0, ~ iJSrmt TITLE: PT " UCIENSE NUMBER: p-r QO') qS"l. L DATE: Dto ?DDI _7'71___ _" .....'7.7 ___ ),<.3 '1)'1'''1 EXHtJIT I "DII --- .-'. . -..---- .1/172639799 p_os '~ 1 APf>.<UA~"N ~AT1CN 7OC.~. -&r~Jr_ ,.., O"'.&R IN",__ -. ra. (nee CONTRACI'OR NAME: m I e. HAec. 5c.,1'\'I~' rY\ DRIDO/OTIPTJSLPIMT.JOT.HER:: PT ,'.. DATES OF SERVICEs: 070101 07!IOI COMPUTATIONS: - HOURlUNITNlSITIRATE: 311 HOURIUNITSIVISIT..SIWQllram: 33 TOTAL: / J. :s-t.f CONTRACTOR SlGNATtT1lli'o tYVI ~ ~k~/I111i TITLE: f'T LlCIENSE NUMBER: PT 06,Q S<P L DATE: 01)101 - ~ 7'~1~_ "~7"7 ._ )(,3 "[J'1") t 6-Tt\" .J./J./~o39799 P.05 ~ ~.u.."~~"" -..- "'.'I'1CN ~ . "".........u:.~ . _.. ~.... WA.._ ,..... 17288 CONTRACTOR NAME: m I e.H AE-L Sc..t-t-R.l t'l'\ DRIDOIOTJPfISLPIMI'.IOTJBJt: PT DATES OF SERVICES: 0'3"-6\ - 01 07H7-61 COMPUTATIONS: HOVRIIlNITNlSITIRATE: it. "3'8 I L.lIS' "- HOURIUNIT.SIVISlT.SIWnlll{'E~: S- ( V ( :1 T TOTAL: rr 3'iJ ~ CONTRACTOR SIGN,A1111nr.. nlll,Zji.lUJL 4tl-;;- p?(fWJ"'" TITLE: f'( I' LJCIENSE NUMBER: (')IV ~ DATE: 'n 'i (7. 0 { - Pl-.c7''''''1.M. J ......7'." ..._ ).(,3 '17~4 ':-' ~ c. ...-.._.,_.-......-...~"-_.- .........--- p.05 ~un-01-HJl-1:24A appalachian rehab 17172639799 A~ /IiPP,.. -.cr~u ...........,.A'P".... 7OCSP\... .&-&,...~.= ~lUr~ W.... _la. PA. 17288 E~ ~ CONTRACTOR NAME: m I e.H AE'l.... SCl;-R.1 yY) DRJDOIOTIPTISLPIMT/OTIIER: PT DATES OF SERVICES: oY.: tll 0 I 6'5-001 COMPUTATIONS: i c., > " 3 4~ HOURlUNITNISITIRATE: ,3''3 yer- T ct?..et;;rc c.... 01...cs S I M... 3..2.'> - TOTAL: 41 I ';?G,J., 0- HOURJUNI1SIVISIT.SIWQ~I{'f.p: CONTRACTOR SIGNA11TD... f1(11) ;.riCbJtt"""" M'1Yo"7-- .'7),- TITLE: ( / L1CIENSE NUMBER.: (;:Jtv rt!2- DATE: bill? 01 .p.~~ --.:,;....- I~ t tv\! L - , .. - f e\-+0C Pea... . 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(..:.. !'lUW\T \ 'V7,idJ -( \ (;..""T~ v .ST)-=- () i- HOUlllllNITSIVISITSlWQQ{('FQ: TOTAL: CONTRACI'OR SIQllATtJPIi;' TITLE: Pl LICIENSE NUMBER: DATE: 0 1)TDT- - 1'1 lAM-, 4~ A~/Y1(1l ......7'"..:.._ .. "..'7'7 ._ ),(, 3 ~J 1'1 __," ~.........""'" dppa 1ach.1an t""ehab 17172639799 P. 05 APf-N.. ~eMMN._ -.... W.ATICff 1M. P..... ......~ . b- ~.... W4'lJl .,.... t"" ~. CONTRAC'jI'ORN~: ]Y\1e.W'Ia SC..H'Rlfl'"l . . i DlIIDOf01''''ISJ..P~J ",.. j)T .ij. I D....TBSOP'~VJcuJ ()q 15"01 100101 COMPVTA'r..IONs: .,~--"_." '-' HOURlVNlTNlSlTJRAn: HO I~e \11 ~,) .?-4 J( 611 : TOT At.: (~-~ ;>u,""r- '\ <:.J7,[dJ _ t;.+i~Vf"T}=O "'l'- cmmtACTOR SJGN,.UUlE: TI1'LE: f} LlCIEN81 ~ fi1~,4~ i1.>lJIfI' D....TE: iO 01 0\ ~. .....,.,..,... -~ ""711'1 1-" ,1<.3 'f:)~.4 - __ -ISla SI>Z 611. ****>k1!{**>IOtt:lk:** "'lEl NOl.L\i<lf1(l S38\:ld 'ON '3l/3W\JN NOl.L\i~S 'ON ffiEll; 'WWOJ 'ON H1S 2..06- . ON ::n l.:l 81'60 9l-~JO.aN3 ~1:60 9l-1JD=i~~S NO t S5 IW5Ntml ,\(jQW3W '" 3GOW ~",**'*lk** 81:68 3Wrl ***** 1002-9t-.1:)0 3100 )f(**********"(~'***** -ltltMOf .\,JWO:)- ",,******)\~****;.t:~:* VERIFICATION I, MICHAEL SCHRIM, hereby acknowledge that I am the Plaintiff in this action, that I have read the foregoing document, and that the facts stated therein are true and correct to the best of my knowledge, information, and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. c.s. Section 4904 relating to unsworn falsification to authorities. Date: {(VI.;.. /)~ AUwwv ,q)A~r Co J.bDI-{ MICHAEL SCHRIM ~~ (f:~ ry, ~~ ~ {Q frt h lrt () -J P- 1- (') --( ...." ':;':::;' c::;> J.~ - ~ :;-".. -,i ("l ." -.... ~S:JJ . ",....-- in '-J " (-J 'j\ -r1 I [>') -II :"-',,,. f',) -~) c.) VI ~~ SAlOIS SHUFF, FLOWER & LINDSAY ATIURNEVS-AreLAW 26 W. High Street Carlisle. P A IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY" PENNSYLVANIA MICHAEL SCHRIM, Plaintiff, CIVIL TERM v. APPALACHIAN REHABILITATION, INC. : And THOMAS J. MALOSKEY, Defendants. DOCKET NO.: 04-1874 ANSWER AND NEW MATTER Filed on Behalf of Defendants, Appalachian Rehabilitation, Inc, and Thomas J. Maloskey Counsel of Record: Kirk S. Sohonage, Esquire PA LD.# 77851 SAIDIS, SHUFF, FLOWER & LINDSAY 26 West High Street Carlisle, Pennsylvania 17013 717.243.6222 (P) 717.243.6510 (F) MICHAEL SCHRIM, Plaintiff, In the Court of Common Pleas of Cumberland County, Pennsylvania v. Docket No.: 04-1874 APPALACHIAN REHABILITATION, INe. : and THOMAS J. MALOSKEY, Defendants. Civil Term ANSWER 1. ADMITTED. 2. ADMITTED. 3. ADMITTED IN PART, DENIED IN PART. It is admitted that Thomas J. Maloskey is the owner and president of Appalachian Rehabilitation, Inc. and that he does business out of 1335 Johnson Road, Chambersburg, Pennsylvania. To the extent the remaining allegations in the Paragraph 3 are conclusions of law to which no response is required, Defendant denies the same and demands strict proof thereof at the time of trial. 4. ADMITTED. 5. ADMITTED. 6. ADMITTED. SAlOIS 7. ADMITTED. SHUFF, FLOWER & LINDSAY 8. ADMITTED. ATIORNEYS-AT-LAW 26 W. High Street Carlisle. P A 9. ADMITTED. 10. DENIED. The allegations contained in Paragraph 10 are specifically denied; therefore, strict proof thereof is demanded at the time of trial. To the contrary, the Defendant does not owe the Plaintiff the outstanding amounts alleged. Rather, the SAlOIS SHUFF, FLOWER & LINDSAY ATIORNEYS-AT-LAW 26 W. High Street Carlisle. P A specific organizations that received the services owe such money. Defendant has never received payment from those organizations and therefore cannot pay the Plaintiff such amounts. 11. ADMITTED. COUNT I - BREACH OF CONTRACT 12. Defendants incorporate by reference Paragraphs 1 through 11 as if set forth at length herein. 13. DENIED. The allegations contained in Paragraph 13 of Plaintiffs Complaint constitute legal conclusions to which no response is required. To the extent that a response is deemed necessary, said allegations are denied and strict proof thereof is demanded at the time of trial. COUNT 11- BREACH OF PENNSYLVANIA WAGE COLLECTION LAW 14. Defendants incorporate by reference Paragraphs 1 through 13 as if set forth at length herein. 15. DENIED. The allegations contained in Paragraph 15 of Plaintiffs Complaint constitute legal conclusions to which no response is required. To the extent that a response is deemed necessary, said allegations are specifically denied and strict proof thereof is demanded at the time of trial. 16. DENIED. The allegations contained in Paragraph 16 of Plaintiffs Complaint constitute legal conclusions to which no response is required. To the extent that a SAlOIS SHUFF. FLOWER & LINDSAY A1TORNEYS-AT.LAW 26 W. High Street Carlisle, PA response is deemed necessary, said allegations an~ specifically denied and strict proof thereof is demanded at the time of trial. 17. DENIED. The allegations contained in Paragraph 17 of Plaintiffs Complaint constitute legal conclusions to which no response: is required. To the extent that a response is deemed necessary, said allegations are specifically denied and strict proof thereof is demanded at the time of trial. 18. DENIED. The allegations contained in Paragraph 18 of Plaintiffs Complaint constitute legal conclusions to which no response is required. To the extent that a response is deemed necessary, said allegations aTe specifically denied and strict proof thereof is demanded at the time of trial. WHEREFORE, Defendants, Appalachian Rehabilitation, Inc. and Thomas J. Ma10skey, respectfully request this Honorable Court to enter a judgment in their favor and against the Plaintiff. NEW MATTER 19. Defendants incorporate by reference Paragraphs 1 through 18 as if set forth at length herein. 20. The claims of the Plaintiff are waived under the doctrine of accord and satisfaction. 21. All claims against these Defendants are barred by the applicable statute of limitations. 22. The allegations of the Plaintiffs Complaint faU to state a claim as a matter oflaw. SAlOIS SHUFF, FLOWER & LINDSAY A1TORNEYS.AT.LAW 26 W. High Street Carlisle. P A 23. The Plaintiff failed to mitigate his damages. 24. Plaintiffs damages, if any, are the sole, proximate and direct result of his own actions or omissions. 25. Plaintiff failed to perform the work he alleges or failed to provide the appropriate paperwork to the companies to whom he provided services. 26. Plaintiffs claims are barred, in whole or in part, under the doctrine of comparative negligence. 27. Plaintiff's damages are the result of actions or omissions of parties other than these Defendants and for which these Defendants are not liable. WHERERFORE, Defendants Appalachian Rehabilitation, Inc. and Thomas J. Maloskey, respectfully request this Honorable Court lenter judgment in their favor and against Plaintiff. Respectfully submitted, Saidis, Shuff, Flower & Lindsay Date: '{.'Z-1.01 By: /,,1/ Kirk . ohonage, Esquire Attorney I.D. #77851 26 West High Street Carlisle, Pennsylvania 17013 Phone: 717.243.6222 Fax: 717.243.6510 Attorneys for Defendants SAlOIS SHUFF, FLOWER & LINDSAY A1TORNEYS'AT'UW 26 W. High Street Carlisle, PA VERIFICATION I verify that the statements made in this ANSWER AND NEW MATTER are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Dated: OS-~/-6t.j ( Ek . SAlOIS SHUFF, FLOWER & LINDSAY ATIORNEYS.AT.LAW 26 W. High Street Carlisle, PA MICHAEL SCHRIM, Plaintiff, In the Court of Common Pleas of Cumberland County, Pennsylvania v. Dock,:tNo.: 04-1874 APPALACHIAN REHABILITATION, INC. : And THOMAS J. MALOSKEY, Defendants. Civil Term CERTIFICATE OF SERVICE On this 21st day of Mav. 2004, I, Adele H. GrouP. hereby certify that I served a true and correct copy of the foregoing DEFENDANTS ANSWER AND NEW MATTER via United States Mail, first-class, postage prepaid addressed as follows: J. Jay Cooper, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.c. 320 Market Street, Strawberry Square PO Box 1268 Hanisburg,PA 17108-1268 Saidis, Shuff, Flower & Lindsay By: ~Cj~. ~ Adele H. Group / ....., {"'-';"J <.-~ -<- (') -r', :71 j''-ii::n f"- -C'rq ")'J (--; r .!e) :: ~;., '() ~~;/ HI __~i'J ..-< -- h"" f'..) ~.~) SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2004-01874 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND SCHRIM MICHAEL VS APPALACHIAN REHABILITAITON ETA R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT , to wit: APPALACHIAN REHABILITATION INC but was unable to locate Her in his bailiwick. He therefore deputized the sheriff of FRANKLIN County, Pennsylvania, to serve the within COMPLAINT & NOTICE On May 26th , 2004 , this office was in receipt of the attached return from FRANKLIN Sheriff's Costs: Docketing Out of County Surcharge Dep Franklin Co 18,00 9.00 10.00 52.90 .00 89.90 OS/26/2004 GOLDBERG KATZMAN .. ,~ ./ So an~~/:,,:>/__/', /// ~., .,'.'/, ,...~.. ~.. /, / ~;;;~ .. .... .. ~/>- q.... R, Thomas Kline ' Sheriff of Cumberland County SHIPMAN Sworn and subscribed to before this J,4J- day Of~ .J..6t,'f A,D. (l a~~ ;rufp'rothonotary me SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2004-01874 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND SCHRIM MICHAEL VS APPALACHIAN REHABILITAITON ETA R. Thomas Kline , Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT , to wit: MALOSKEY THOMAS J but was unable to locate Him in his bailiwick, He therefore deputized the sheriff of FRANKLIN County, Pennsylvania, to serve the within COMPLAINT & NOTICE On May 26th , 2004 , this office was in receipt of the attached return from FRANKLIN Sheriff's Costs: Docketing Out of County Surcharge 6.00 .00 10,00 .00 .00 16.00 OS/26/2004 GOLDBERG KATZMAN ".-.. "> So a~~___=' ..'cC"~//~ /7;;':--/Y~--~- R, Thomas Kline Sheriff of Cumberland County SHIPMAN Sworn and subscribed to before this IA)- day of ~ ~'I A.D. Clw.t (1 ~ I/~nf /' !Prothonotary I r me SHERIFF'S RETURN - REGULAR C",f'(\'.cer;Q,.ltd C<JUMj ... 0', - \~'1~ CASE NO: 2004-00105 T COMMONWEALTH OF PENNSYLVANIA: COUNTY OF FRANKLIN MICHAEL SCHRIM VS APPALACHIAN REHABILITATION, ET GUS ALEXIOU , Deputy Sheriff of FRANKLIN County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT APPALACHIAN REHABILITATION INC was served upon the DEFENDANT , at 0009:55 Hour, on the 3rd day of May , 2004 at 1335 JOHNSON ROAD CHAMBERS BURG , PA 17201 MARY BETH MALOSKEY by handing to WIFE a true and attested copy of COMPLAINT together with and at the same time directing Her attention to the contents thereof, Sheriff's Costs: Docketing Service Affidavit Surcharge .00 .00 .00 ,00 .00 .00 Sworn and Subscribed to before me this cP~ ~ day of &00 L/ ax/ ~oezC~ NotaL.ry ~:--4 - U So Answers: GUS ALEXIOU By ~~~". Deputy Sheriff OS/20/2004 CUMBERLAND COUNTY SHERIFF Notarial Seal I Richard D. McCarty, Notary Public Charnbersburg Boro, franklin County My Commission Expires Jan. 29, 2007 SHERIFF'S RETURN - REGULAR C "ml,...lo....d Cov,,j.'j "'"', OLI- 121'1 CASE NO: 2004-00105 T COMMONWEALTH OF PENNSYLVANIA: COUNTY OF FRANKLIN MICHAEL SCHRIM VS APPALACHIAN REHABILITATION, ET GUS ALEXIOU , Deputy Sheriff of FRANKLIN County, Pennsylvania, who being duly sworn according to law, says, the within COMPLAINT MALOSKEY THOMAS J was served upon the DEFENDANT , at 0009:55 Hour, on the 3rd day of May , 2004 at 1335 JOHNSON ROAD CHAMBERSBURG, PA 17201 MARY BETH MALOSKEY by handing to WIFE a true and attested copy of COMPLAINT together with and at the same time directing Her attention to the contents thereof, Sheriff's Costs: Docketing Service Affidavit Surcharge .00 .00 .00 .00 .00 ,00 Sworn and Subscribed to before me this c:;()..;/; day of :::i::}/rl AD f ~otar~ So Answers: GUS ALEXIOU By G~~~~"3 -c':r- Deputy Sheriff 05(20(2004 CUMBERLAND COUNTY SHERIFF Notarial Seal I Richard D, McCarty, Notary Public Chambersburg Boro, Franklin County My Commission Expires Jan. 29, 2007 In The Court of Common Pleas of Cumberland County, Pennsylvania Michael Schrim VS. Appalachian Rehabilitation Inc et al SERVE: Thanas J. Maloskey No. 04-1874 civil ,/)5.7 Now, April 28. 2004 , I, SHERIFF OF CUMBERLAND COUNTY, P A, do hereby deputize the Sheriff of Franklin County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. "../7.../" /~ '~~~<:4"..g~R Sheriff of Cumberland County, PA Affidavit of Service Now, ~/lY 03' , 20~, at 9. 'S-S o'clock A M. served the withinW!f17 t::!JF C"l"ftp~~ C'CXt"~ ,A/V~~ ;2~-/oS" r upon,#IPIrY ~Fr# ~"LoS"~4=7' (pFF~4#r:r w//fIr) atl.?J.r roH.-vf'4'V If'~ C::;:Y~$"')p./.2f"Q"~ ~ /?::z.o/ byhandingto/l~/(1 ,(J'F~ ~"""~OJY~~y a rp..<J C:CI'/tP"'.s copy of the original COt4f~~ ~ and made known to ;IIA/f'Y d"~# #41LaJ'~7 the contents thereof. Aans~~ ~~ ~ Ifr .- ,-~ ~ ~ ~- VJ,. '4'?y ~Vf' ,A ,-RXt'04' Sheriff of County, PA Sworn and subscribed before me this _ day of ,20_ COSTS SERVICE !vlILEAGE AFFIDAVIT $ $ In The Court of Common Pleas of Cumberland County, Pennsylvania Michael Schrim VS, Appalachian Rehabilitation Inc et al SERVE: Appalachian Rehabilitation Inc No. 04-1874 civil IDCi Now, April 28, 2004 , I, SHERIFF OF CUMBERLAND COUNTY, P A, do hereby deputize the Sheriff of Franklin County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. ~"/p-~~' -r ....~...~ if:jd---.R Sheriff of Cum her land County, PA Affidavit of Service Now, ~/I/' C93 ,2009;'at 9=~'clock #M, served the within~7'C;;,~/~~ c:::tJ~ ~~~ ;;"ootit'-/oS -r upo~~ .d'.F'/7,/ ~A'.Lo~ ~,.~:;. ~~) at/.?.:?S 7~..fb~ /f'0'~ ~~)L.;If!!1f'.s:wC.lrG;. /iik /720/ bYhandingto~7 ~/~ ~#La.J)f-'R;T ~ ~""'~....r fth ,. 1 C!a~~ a ' copy 0 e ongma ...,.. -'" and made known tfY"/#Y ~ ~#~J)f{!. 7.... the contents thereof. #:i;~ S; ~'fo~ Sheriff of County, PA Sworn and subscribed before me this _ day of ,20_ COSTS SERVICE MILEAGE AFFIDAVIT $ $ J. Jay Cooper, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.c. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA MICHAEL SCHRIM, PLAINTIFF v. NO. 04-1874 APPALACHIAN REHABILITATION, INC.: and THOMAS J. MALOSKEY, DEFENDANTS CIVIL ACTION - LAW PLAINTIFF'S REPLY TO NEW MATTER AND NOW, comes the Plaintiff, Michael Schrim, by his attorneys, Goldberg Katzman, P.C., and who files the following Reply to New Matter. 19. The allegations of Plaintiffs Complaint Paragraphs 1 through 18 are hereby incorporated by reference. 20. Said allegation constitutes a conclusion oflaw to which no response is required. If a response is required, there are no facts or circumstances which would establish any accord and satisfaction between the parties. 21. Said allegation constitutes a conclusion oflaw to which no response is required. If a response is required, the applicable statute of limitations d.oes not bar the instant action. 22. Said allegation constitutes conclusion oflaw to which no response is required. 23. Denied. Plaintiff has mitigated to the extent possible his claimed damages. 24. Denied. Plaintiff s damages are not the result of any actions or omissions on his part. 25. Denied. Plaintiff did perform all work he is alleged to have performed and provided applicable paperwork as requested by Defendants. 26. Said allegations constitute a conclusion oflaw to which no response is required. 27. Denied. The parties that are responsible for Plaintiffs damages are the Defendants, for the reasons set forth in the Complaint. WHEREFORE, Plaintiff, Michael Schrim, respectfully request that the Court enter judgment as prayed for in his Complaint filed in this action. Respectfully submitted, GOLDBERG KATZMAN, P.C. Date: G-<t -D~ By: 110165.1 J. Jay r, Squire~ 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, P A 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim 2 VERIFICATION I, MICHAEL SCHRlM, hereby acknowledge that I am the Plaintiff in this action, that I have read the foregoing document, and that the facts stated therein are true and correct to the best of my knowledge, information, and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: lr '6- C}\ '1111 ~m'L A!2u~ MICHAEL SCHRlM CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person( s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Kirk S. Sohonage, Esquire Saidis, Shuff, Flower & Lindsay 26 West High Street Carlisle, P A 17013 GOLDBERG, KATZMAN & SHIPMAN, P.C Respectfully submitted, GOLDBERG, KATZMAN & SHIPMAN, P.C. Date: (y-q-O\. By: C\ \\.; ,..C ~~ 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim C) c,,; (,;:.,~ .'~ :::~:: -< "'-> =~ <= .c- ( ~-;: ..4..: o -n :r! rn:D r'"' :gm 00 ,,6 X""" (j:u :;:'-() :'-')fT1 ~~~! .J:'" \:J :''4:: <;~ (J'i :JJ -'< J. Jay Cooper, Esquire GOLDBERG KATZMAN, P.c. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, PA [7108-1268 (717) 234-4[61 Attorney 1.0. #3 [720 Attorneys for Plaintiff MICHAEL SCHRIM, PLAINTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-1874 APPALACHIAN REHABILITATION, INC.: and THOMAS 1. MALOSKEY, DEFENDANTS CIVIL ACTION - LAW MOTION TO COMPEL ANSWERS TO DISCOVERY REOUESTS AND NOW, comes the Plaintiff, Michael Schrim, by his attorneys, Goldberg Katzman, P.C., and who represents as follows: I. The Plaintiff, Michael Schrim, filed a Complaint against the Defendants on April 27, 2004. 2. On June 28, 2005, Plaintiff's counsel served Interrogatories and a Request for Production of Documents on Defendant, by serving Defendants' counsel. Copies of the Interrogatories and Request for Production are attached hereto as Exhibits "A" and "B". 3. Despite several conversations and the exchange of a number of em ails about the discovery with Defendant's counsel, Matthew J. Eshelman, Esq., the Defendant has failed to respond to the discovery requests. 4 Plaintiff has advised Defendants' counsel that a Motion to Compel will be filed regarding the discovery requests, and while Defendant's counsel does not concur in the Motion, Plaintiffs counsel does not believe that Defendants' counsel opposes the Motion either. 5. According to Pa., R.C.P. 4006(a)(2) and 4009.12, answers to discovery requests must be served within thirty (30) days of service. 6 Defendants have clearly failed to comply with the Pennsylvania Rules of Civil Procedure by reason of their failure to respond to the discovery requests of the Plaintiff within 30 days of service of the same. WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter an Order requiring the Defendant to show cause why they should not be required to file Answers to Plaintiffs discovery requests. Respectfully submitted, GOLDBERG, KATZMAN, P.C. By: " r (, i '-- ',--~' \, ?f,:J<, 320 t, eet, Strawberry Square P.O. Box 1268 Harrisburg, P A 17108-1268 (717) 234-4161 Attorney 1.D. #31720 Attorneys for Plaintiff, Michael Schrim \""\ I''"'' ",,-..........l Date: ,)", j"Xh 129332,1 2 CERTIFICATE OF SERVICE I hereby certify that I served a copy of the foregoing document upon the person( s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Matthew 1. Eshelman, Esquire Saidis, Shuff, Flower & Lindsay 2109 Market Street Camp Hill, PA 17011 GOLDBERG, KATZMAN, P.C Date: \},\;, )i);)5 By: (~". (',. c "-- ~" ?().~,- \- :.;~r -" r...}!'---~ J. Jay o~er)ESquire 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim 129336,1 J. Jay Cooper, Esquire GOLDBERG KATZMAN, P.c. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, PA \7\08-1268 (7\7) 234-4\6\ Attorney l.D. #3\ no Attorneys for Plaintiff MICHAEL SCHRIM, PLAINTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-1874 APPALACHIAN REHABILITATION, INC.: and THOMAS J. MALOSKEY, DEFENDANTS CIVIL ACTION - LAW INTERROGATORIES OF PLAINTIFF. MICHAEL SCHRIM FIRST SET. FOR ANSWER BY DEFENDANTS TO: Saidis, Shuff, Flower & Lindsay 26 West High Street Carlisle, PA 17013 PLEASE TAKE NOTICE that you are hereby required, pursuant to Pennsylvania Rule of Civil Procedure Nos. 4001 and 4005 to serve upon the undersigned, within thirty (30) days after service of this Notice, your answers in writing, under oath, to the following Interrogatories. These Interrogatories have been served for purposes of discovery and use at trial. t\\.\I\"I~ <, \\'/ DEFINITIONS AND INSTRUCTIONS (A) Whenever the term" document" is used herein, it includes (whether ornot specifically called for) all printed, typewritten, handwritten, graphic or recorded matter, however produced or reproduced and however formal or informal. (B) Whenever you are asked to "identifY" a document, the following information should be given as to each document of which you are aware, whether or not you have possession, custody or control thereof: (1) The nature of the document (~, letter, memorandum, computer print-out, minutes, resolution, tape recording, etc.); (2) Its date (or if it bears no date, the date when it was prepared); (3) The name, address, employer and position of the signer or signers (or if there is no signer, of the person who prepared it); (4) The name, address, employer, and position ofthe person, ifany to whom the document was sent; (5) If you have possession, custody, or control of the document, the location and designation of the place or file in which it is contained, and the name, address, and position of the person having custody of the document; (6) If you do not have possession, custody, or control of the document, the present location thereof and the name and address ofthe organization having possession, custody, or control thereof; and (7) A brief statement of the subject matter of such document. 2 (C) Whenever you are asked to "identifY" an oral communication, the following information should be given as to each oral communication of which you are aware, whether or not you or others were present or participated therein: (1) The means of communication (~, telephone, personal conversation, etc.); (2) Where it took place; (3) Its date; (4) The names, addresses, employers, and positions (a) Of all persons who participated in the communication; and (b) Of all other persons who were present during or who overheard that communication; (5) The substance of who said what to whom and the order in which it was said; and (6) Whether that communication or any part thereof is recorded, described, or referred to in any document (however informal) and, if so, an identification of such document in the manner indicated above. (D) If you claim that the subject matter of a document or oral communication is privileged, you need not set forth the brief statement of the subject matter of the document, or the substance ofthe oral communication called for above. You shall, however, otherwise "identifY" such document or oral communication and shall state each ground on which you claim that such document or oral communication is privileged. 3 (E) Whenever you are asked to "identifY" a person, the following information should be gIVen: (l) The name, present address, and present employer and position of the person; and (2) Whether the person has given testimony by way of deposition or otherwise in any proceeding related to the present proceeding and/or whether that person has given a statement whether oral, written, otherwise, and if so, the title and nature of any such proceeding, the date of the testimony, whether you have a copy ofthe transcript thereof, the name of the person to whom the statement was given, where the statement is presently located if written or otherwise transcribed, and the present location of such transcript or statement if not in your possession. (F) The term "you" shall be deemed to mean and refer to the party to whom these lntenogatories have been propounded for answer and shall also be deemed to refer to, but shall not be limited to, your attorneys, consultants, sureties, indemnitors, insurers, investigators, and any other agents insofar as the material requested herein is not privileged. (G) The word "incident" shall be deemed to mean and refer to the incident as alleged to have occuned and as set forth in the Complaint. These Interrogatories shall be deemed to be continuing Interrogatories. Between the time of your answers to said Interrogatories and the time of tria!, if you or anyone acting in your behaIflearns the identity or whereabouts of other witnesses not disclosed in your answers, or if you obtain or learn of additional information requested herein, but not supplied in your answers, then you shall promptly furnish a supplemental answer under oath containing the same. 4 INTERROGATORIES I. The names and addresses of all witnesses who have any knowledge whatsoever relevant to the subject matter of this Complaint. ANSWER: 2. The names, addresses, and telephone numbers of all witnesses which you intend to call at the trial of this case. ANSWER: 2 3. Please detail all documents which you intend to introduce into evidence at the hearing on this case. ANSWER: 3 4. From the time Plaintiff was hired until the time his employment was terminated, detail any and all compensation arrangements that the Plaintiff was subject to as an employee or independent contractor of the Defendants. ANSWER: 4 5. Did any other employees or independent contractors of the Defendants ever have a compensation arrangement similar to that which you contend Defendants had with Plaintiff? If so: (a) Identify the employees; and (b) Identify the exact terms of the compensation arrangement that applied to that employee. ANSWER: 5 6. Please provide the name, address, and last known telephone number of all physical therapists who were employed by the Defendants either as employees or independent contractors during calendar year 200 I, and with respect to each identify whether such person was an employee or an independent contractor. ANSWER: 6 7. For those persons identified in Paragraph 6 above, please identifY any documents evidencing the terms and conditions of their employment, and specifically the compensation arrangement to which each was entitled. ANSWER: 7 8. Please set forth in detail all facts you rely upon in support of your allegation in Paragraph 10 of your answer that the Defendants does not owe the Plaintiffthe outstanding amounts claimed by Plaintiff in his Complaint. ANSWER: 8 9. Please set forth in detail all facts you reply upon in support of your allegation in Paragraph 10 of your answer that the specific organizations that received the services in question owe Plaintiff the monies he claims are due to him in his Complaint. ANSWER: 9 10. Please set forth in detail the compensation arrangement De[endantshad with Outlook Point at Bent Creek during the calendar year 200 I, and identifying any documents relating to such arrangement. ANSWER: 10 1 ]. Please set forth in detail the compensation arrangements Defendants had with Cumberland Crossings Nursing home during calendar year 2001, identify any documents relating to such arrangement. ANSWER: 11 12. Identify all other nursing facilities or other entities that Defendants had contracts with during calendar year 200] to provide physical therapy services, and identify any documents evidencing the terms and conditions of such arrangements. ANSWER: 12 13. Identify all home health patients of the Defendants during calendar year 200 I, that Plaintiff provided services to, identify any documents outlining the terms and conditions of any service arrangements between those persons and the Defendants. ANSWER: 13 14. Identify all facts you rely upon in support of your allegation in Paragraph 20 of the New Matter that the claim of the Plaintiff was waived by accord and satisfaction. ANSWER: 14 15. Please set forth in detail all facts you rely upon as part of your allegation in Paragraph 21 of your New Matter that the Plaintiffs claim is barred by the applicable statute ofJimitations. ANSWER: 15 16. Please set forth in detail all facts you rely upon as part of your allegation at Paragraph 23 of your New Matter that the Plaintiff failed to mitigate his claimed damages. ANSWER: l6 1 7. Please set forth in detail all facts you rely upon in support of your allegation in Paragraph 24 of your New Matter that the Plaintiffs damages are the sole, proximate direct cause of his own actions or omissions. ANSWER: 17 18. Identify all facts you rely upon in support of your allegation in Paragraph 25 of your New Matter that the Plaintiff failed to perform the work he alleges or failed to provide the adequate paper work to the companies to whom he provided services. ANSWER: 18 19. Please set forth all facts you rely upon as part of your allegation at Paragraph 27 of your New Matter that the Plaintiff s damages are as a result of actions or omission of parties other than the Defendants and for which the Defendants are not liable. ANSWER: 19 Date: lo-"A; - ).tJ uS 1174261 By: Respectfully submitted, GOLDBERG KATZMAN, P.C. ~~ . ~ J. Jay p, squire " 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, P A 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim 20 J. Jay Cooper, Esquire GOLDBERG KATZMAN, P.c. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney l.D. #31720 Attorneys for Plaintiff MICHAEL SCHRlM, PLAlNTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-1874 APPALACHIAN REHABILITATION,lNC.: and THOMAS 1. MALOSKEY, DEFENDANTS CIVIL ACTION - LAW PLAINTIFF. MICHAEL SCHRlM'S. REOUEST FOR PRODUCTION OF DOCUMENTS DIRECTED TO DEFENDANTS. APPALACHIAN REHABILITATION. INC. and THOMAS J. MALOSKEY TO: Saidis, Shuff, Flower & Lindsay 26 West High Street Carlisle, P A 17013 Pursuant to Pa. R.C.P. No. 4009, as amended, Plaintiff, Michael Schrim, by his attorneys, Goldberg Katzman, P.c., requests you to produce copies of the following documents, at his expense, within thirty (30) days of service of this Request. 1== \ \. I ) \=\:\~\v,\T C!:> INSTRUCTIONS If you object to the production of any document on the grounds that the attorney/client, attorney work product, or any other privilege is applicable thereto, you shall, with respect to that document: (a) State its date; (b) Identify its author; (c) Identify each person from whom the document was received; (d) Identify each person who received it; (e) Identify each person from whom the document was received; (f) State the present location of the document and all copies thereof; (g) Identify each person who has ever had possession, custody or control of it or a copy thereof; and (h) Provide sufficient information concerning the document and the circumstances thereof to explain the claim of privilege and to permit the adjudication of the propriety of that claim. As referred to herein, "document" includes written, printed, typed, recorded, or graphic matter, however produced or reproduced, including correspondence, telegrams, other written communications, data processing storage units, tapes, contracts, agreements, notes, memoranda, analyses, projections, indices, work papers, studies, reports, surveys, diaries, calendars, films, photographs, diagrams, drawings, minutes of meetings, or any other writing (including copies of any of the foregoing) regardless of whether you, your former or present counsel, agents, employees, officers, insurers, or any other person acting on your behalf, are now in possession, custody, or control. 2 DOCUMENTSREOUESTED 1. All documents and information contained in Plaintiffs personnel file. 2. All documents evidencing amounts billed to and payments received by Defendant from Cumberland Crossings during the calendar year 2001 for services rendered by the Plaintiff. 3. All documents evidencing amounts billed to and payments received by Defendant from Bent Creek during the calendar year 2001 for services rendered by the Plaintiff 4. All documents evidencing amounts billed to and payments received by Defendant from any other person during the calendar year 200l for services rendered by the Plaintiff 5. Copies of all payor compensation reports for the Plaintiff that accompanied or explain the gross and net amount of each paycheck or payment provided to Plaintiff during the time of his employment with the Defendant. 6. All written policies in effect during the time of the Plaintiffs employment explaining policies and procedures relating to the payment of compensation to employees or independent contractors of the Defendant. 7. Copies of any statements generated during the time period that Plaintiff was employed by the Defendant evidencing payments to P1aintiffandlor compensation earned by Plaintiff during that time period. 8. All documents evidencing the terms and conditions of Plaintiff s employment while he was employed by the Defendant. 9. All documents evidencing the compensation arrangements existing between Plaintiff and Defendant while Plaintiff was employed by the Defendant during calendar year 2001. 3 10. All correspondence, memoranda, and/or notes or other documents regarding Plaintiffs job performance, the tem1s and conditions of his employment by Defendant, as well as those outlining circumstances and reasons why Plaintiff has not been paid the sums he claims are due to him by the Defendant. 11. All documents referred to in Defendant's Answers to Interrogatories. 12. All documents which Defendant intends to introduce into evidence. 13. A listing of all compensation earned by Plaintiff which are reflected on his W2 forms for 1999 and 2000. Respectfully submitted, GOLDBERG KATZMAN, P.C. Date: G\~\ 1m'; 117424 ] By: C)~S~ ~ 0 , Esquire 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim 4 CERTIFICATE OF SERVICE I hereby certify that I served an original and one copy of the foregoing document upon the person(s) indicated below by depositing a copy of the same in the United States mail, postage prepaid, at Harrisburg, Pennsylvania and addressed as follows: Saidis, Shuff, Flower & Lindsay 26 West High Street Carlisle, P A 17013 Date: G \ '2- q, ~ D S By: J.Jayc~~~~ 320 Market Street, Strawberry Square P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney I.D. #31720 Attorneys for Plaintiff, Michael Schrim ./'0 "3 ~L- , r, ':) ~ , -<> \_-- L(-.\ ~) '.1\ DEe 1 3 2005 rf\ f MICHAEL SCHRlM, PLAlNTIFF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA v. NO. 04-1874 APPALACHIAN REHABILITATION, lNC.: and THOMAS J. MALOSKEY, DEFENDANTS CIVIL ACTION - LAW ORDER AND NOW, this ~ day of December 2005, upon consideration of Plaintiff s Motion to Compel Discovery, it is hereby ORDERED that a Rule to show cause is entered upon the Defendants to show cause if any there be why the Defendants should not be required to file Answers to Plaintiff s Interrogatories and Request for Production of Documents. RULE returnable LO days from service. BY THE COURT: A~. /1J / ~ l/ lrP '!-,\!;; \' r ," , , , , .;'1 i:1 , r ' ~ J. Jay Cooper, Esquire GOLDBERG KATZMAN, P.C. 320 Market Street, Strawberry Square, P.O. Box 1268 Harrisburg, PA 17108-1268 (717) 234-4161 Attorney 1.0. #31720 Attorneys for Plaintiff MICHAEL SCHRIM, PLAlNTIFF v. APPALACHIAN REHABILITATION, lNe.: and THOMAS J. MALOSKEY, DEFENDANTS TO THE PROTHONOTARY: IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 04-1874 CIVIL ACTION - LAW PRAECIPE Please mark the above caption action settled and discontinued with prejudice. 131861.1 GOLDBERG KATZMAN, P.e. ~.L~ (..rr..\k~l)-\lD)l J. Jay er, squire PO Box 1268 Harrisburg, PAl 71 08-1268 (717) 234-4161 Pa. ID NO. 31720 Attorneys for Plaintiff Michael Schrim