Horizon Hospice Inc DBA Scripps Hospice

“The board of directors of horizon hospice has a business relationship with richard rothberger, richard sheridan, and christopher van gorder as these individuals are also officers and employees of scripps health, the tax exempt parent of horizon hospice.”

“Scripps health is the sole corporate member of horizon hospice, inc.”

“Scripps health, the sole corporate member, has the power to elect all members of the governing body.”

“The form 990 was prepared by an outside accounting firm with the support of the corporate finance team with input from human resources and the legal office. The form 990 was reviewed by the president, legal counsel, chief financial officer, audit committee, human resources and compensation committee prior to filing. In addition, a full copy of the 990 was provided to the board of trustees via email in advance of filing form 990 with the irs.”

“Compliance policy monitoring within 60 days of hire and annually thereafter all supervisors and above; all employees in the supply chain management department, audit & compliance services department, and case management department or function; and any other employee who is in a position to refer patients that are federally funded healthcare beneficiaries to other providers and services; and others as determined by the conflicts and business practices review committee will be required to complete and sign the conflict of interest commitment disclosure form. It is the responsibility of any employee who has a change in outside professional activities, significant financial interests, or potential or actual conflict of interest, or commitment situations that arise during the year to disclose the information to their supervisors as soon as the employee becomes aware of the potential or actual situation creating a possible conflict of interest or conflict commitment. Supervisors will assess the situation and refer to their business unit management and/or the conflicts and business practices review committee, as appropriate. In addition, each person entrusted with a position of responsibility in the governance and management is required to complete and submit disclosure statements as follows: 1. Initial conflict of interest and 990 tax return disclosure statement (initial disclosures) 2. Annual conflict of interest and 990 tax return disclosure statement 3. Subsequent occurrences reporting upon the occurrence of any new potential conflict of interests. Actual or potential conflict disclosures regarding employees are reviewed by the conflicts and business practices review committee. Disclosures requiring mitigation are discussed with the business unit chief executive and employee's supervisor. Legal counsel reviews each board of trustees' meeting agenda prior to the meeting and potential conflicts of interests are identified, considered and an appropriate course of action is determined by the member and legal counsel with the involvement of the president and board chair, where appropriate. Course of action may include the conflicted board member recusing themselves, abstaining from voting and/or reading a statement into the board minutes regarding such conflict. As it relates to board of trustees, when a determination is made that an actual conflict of interest exists and a covered individual is an "interested person" under california law, the transaction being considered will comply with applicable statutory requirements to avoid participation in the decision making process by the covered individual. The minutes of board meetings shall document all recusals from discussion and voting.”

“Officers & positions for which process was used, & year process began the organization's president and other officers are paid by its tax exempt parent, scripps health, and is disclosed as a person paid by a related organization. Pursuant to procedures required by tax equity and fiscal responsibility act of 1983 (tefra), scripps health's procedures are as follows: the board of trustees reviews executive compensation for officers and all key employees on an annual basis utilizing comparability data obtained by an external consultant. It is the philosophy of the scripps health board of trustees to compensate the corporation's executives fairly relative to the median compensation of peer organizations, considering and making appropriate adjustments for the cost of living in san diego, california and other relevant factors. To accomplish this, the board has adopted a philosophy of targeting executive salaries at approximately the 65th percentile of a national peer group of organizations as determined through an independent outside consultant engaged by the board and will rely on their recommendations using a database of independently collected data. The philosophy states: -for purposes of executive compensation comparisons, scripps uses a national peer group of medical delivery systems of similar revenue size and complexity. The peer group is reviewed and approved by the human resources and compensation committee. -salaries are targeted at approximately the 65th percentile of the peer group and will reflect the performance of the individual. -total cash compensation is positioned at approximately the 75th percentile of the peer group when maximum level incentives are paid for achievement of maximum level of predetermined objectives agreed upon by the board. -the board selects the 65th percentile for base compensation of peer group adjusted for cost of living of urban west coast market at the 50th percentile (i.e. The 50th percentile of california market is the 65th percentile of national peer market as our executive recruitment market is national). -annually, total cash compensation for each position will not exceed the base salary established for the period plus the maximum incentive percentage payout allowable as determined by the scripps management incentive plan approved by the board of trustees for the respective position. The report from the external consultant engaged to review executive compensation is presented to the human resources and compensation committee on an annual basis and the most recent reports were reviewed on january 25, 2017 and march 29, 2017. Review and discussion of such report is documented in the minutes.”

“Effective september 2017, scripps health entered into a transition agreement with the elizabeth hospice, inc., a california nonprofit public benefit corporation, to transfer active patients, and in order to provide for the continuity of care, also arrange for the employment by elizabeth hospice of the scripps health employees and the transfer of select pharmaceuticals and inventory. The organization is continuing for the collection and resolution of receivables. Form 990, part iii, line 4a horizon hospice, inc., doing business as scripps hospice, is a california nonprofit public benefit corporation, which is licensed by the california department of public health to provide hospice care services. Hospice care is given in a patient's home or wherever a patient calls home, such as an assisted living center, residential care facility, skilled nursing facility, or acute care setting, and includes: - managing physical symptoms and keeping patients comfortable - providing emotional and/or spiritual support for patients and their families - helping patients and/or their caregivers with daily living activities - providing information about patient care and changes that may occur as the disease progresses - providing bereavement (grief) support to patients and their families - teaching patients and their caregivers how to prepare and provide care at the end-of-life process additional hospice services may include: - visits by the hospice team for routine care - medications to alleviate pain and suffering - physical, speech and occupational therapy to allow patients to maintain the highest quality of life possible - respite care - inpatient care for a hospice patient when the primary caregiver needs rest - inpatient care - short term hospitalization to stabilize hospice patients to return to their homes - continuous/crisis care - nurse or home health aide will remain in the hospice patient's home for a minimum of 8 hours and up to 24 hours per day to provide around-the-clock care until symptoms are under control.”

“Availability of documents to the general public financial statements are posted quarterly on the dac (digital assurance certification) website and the municipal securities rulemaking board's (msrb) electronic municipal market access (emma) website in satisfaction of continuing disclosure requirements relating to the organization's tax-exempt debt issuances. Scripps health's conflict of interest policy and governing documents are available upon request.”

“Other changes in net assets or fund balances transfer from scripps health $17,219,582 restricted fund transfers $ 342,812 -------------- total $17,562,394”