University Hospice Inc

“There are no separate committees with authority to act on behalf of the governing body.”

“A copy of the form 990 and all related schedules was provided to the governing board before filing in electronic form. An email was sent to all members of the governing body containing a link to a password-protected website on which the entire 990 could be viewed. The email explained that the form 990 was available for review on the website.”

“The steps in the conflict of interest policy are outlined below: 1. Senior management (vice presidents and above) shall complete a potential conflict of interest questionnaire periodically. Each system organization's ceo, coo, cfo and within their division's vice presidents may require any employee to complete a potential conflict of interest questionnaire. 2. Each employee is expected to report a potential conflict of interest when it arises. 3.a. An employee will report a potential conflict of interest by initiating a potential conflict of interest disclosure form and delivering it to his/her vice president. All employee potential conflicts will be screened by two levels of senior management to identify conflict or duality of interest situations. (a duality of interest exists when an individual has personal or outside interests that can be affected by decisions of the system. Such a duality or even multiplicity of interest can be beneficial to and consistent with the primary goals of the institutions. Duality of interest can raise the potential for conflict of interest when the personal interests of individuals come into conflict with the interests of the system.) b. When a division vice president is notified of a potential conflict/duality of interest, the vice president shall investigate the situation and make a report of his or her findings along with a recommendation to the executive vice president (coo) or ceo of the involved system organization. C. The executive vice president or ceo who received the 3.b report shall make a decision concerning a potential conflict of interest and any resolution measures to be taken. In the event the potential conflict involves a vice president, the president of university health shall investigate the situation and make a decision concerning a potential conflict of interest and any resolution measures to be taken. This information shall be communicated directly to the concerned employee. D. The employee may appeal the conflict of interest determination to the president of university health. The president's decision about a potential conflict of interest and any resolution measures is final and not cognizable under the employee grievance policy a-30. E. In the event the potential conflict involves the ceo of a system organization, the matter shall be reported to the chairman of the involved system organization board, who shall determine if a conflict exists and what, if any, resolution measures are necessary in accordance with the corporation's conflict of interest policy. 4. Filing of forms a. Conflict of interest questionnaires of those who are required by this policy to complete one periodically shall be filed in the applicable corporation's ceo's office and retained for no less than seven years. Optional conflict of interest questionnaires shall be filed in the office of the vice president who requested completion of the form. B. Completed potential conflict of interest disclosure forms shall be filed in the applicable corporation's ceo's office for the ceo, coo, and vice presidents and for all others in the appropriate vice president's office. The forms should be retained for no less than seven years. 5. The vice president for legal affairs will be available to advise on potential conflict of interest matters. Board members: board members are also required to complete a potential conflict of interest questionnaire annually. This questionnaire asks for disclosures related to any family relationships or business relationships with other board members, or business relationships with the organization.”

“The organization follows the process described in the treasury regulation 4958(6)(c) for establishing the rebuttable presumption of reasonableness in the review, approval, and documentation of officer, key management, and director compensation. Annually a compensation committee of the university health services board, comprised of three independent board members, reviews the compensation of the ceo and other senior management members. The review is conducted in the context of a board approved executive compensation philosophy. Both the development of the compensation philosophy and the review involve the advice and assistance of an independent compensation consulting firm. Minutes of the compensation committee are recorded. The compensation committee reports to the university health services board executive committee.”

“All governing documents, policies, financial statements, and informational returns are available upon request at the administrative offices”

“James r davis compensation paid by university health services inc (58-1581103) david a belkoski compensation paid by university health services inc (58-1581103) ellen c tereshinski compensation paid by university health services inc (58-1581103) william l farr compensation paid by university health services inc (58-1581103) caroline thomas compensation paid by university health services inc (58-1581103)”

“Equity transfer from uhs 2,202,880.”