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        <PersonNm>JOHN RUFFOLO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF HEALTH ALLIANCE, LTD. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH HORIZON HEALTH ALLIANCE, LTD.'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. THE ORGANIZATION UPDATED ITS CONFLICT OF INTEREST POLICY (COI) IN 2014 TO CONFORM WITH THE REQUIREMENTS OF THE NYS NON-PROFIT REVITALIZATION ACT OF 2013. IN ACCORDANCE WITH THE PROCEDURES STATED IN THE COI POLICY, BOARD MEMBERS AND OFFICERS: 1. OBTAINED A COPY OF THE POLICY; 2. REVIEWED POTENTIAL CONFLICTS (AS DEFINED) 3. DISCLOSED POTENTIAL CONFLICTS OR CONFIRMED NO CONFLICT EXISTS 4. RECUSED THEMSELVES FROM DISCUSSION AND VOTING (IF CONFLICT EXISTS) THE BOARD OF DIRECTORS MONITORED AND ENFORCED COMPLIANCE WITH THE COI POLICY AND DOCUMENTED THIS IN MINUTES TO MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, AND APPROVAL OF THE AMOUNTS AND TYPES OF COMPENSATION OF THE SENIOR LEADERSHIP TEAM. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE CHIEF EXECUTIVE OFFICER. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL FOR THE CHIEF EXECUTIVE OFFICER. DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND SENIOR LEADERSHIP TEAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, PAGE 7, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>HORIZON HEALTH ALLIANCE,, LTD. IS A RELATED ORGANIZATION TO HORIZON HEALTH SERVICES, INC. (HHS) AND HORIZON VILLAGE, INC. (HV) HORIZON HEALTH ALLIANCE, LTD.- BY-LAWS STATE ONE OR MORE INDIVIDUALS REQUIRED TO SERVE ON HHS AND HV BOARDS. THE FOLLOWING IS A LIST OF HORIZON HEALTH ALLIANCE, LTD. BOD MEMBERS ON HHS BOARD: KEVIN D. ROBINSON, ESQ. SCOTT WEBER MICHAEL MAXWELL, ESQ. PATRICK C. KEATING THE FOLLOWING IS A LIST OF HORIZON HEALTH ALLIANCE, LTD. BOD MEMBERS ON HV BOARD: KEVIN D. ROBINSON, ESQ. SCOTT WEBER MICHAEL MAXWELL, ESQ. PATRICK C. KEATING THE SALARIES OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF THE ORGANIZATION ARE PAID OUT OF HORIZON HEALTH ALLIANCE, LTD. AND ALLOCATED TO BOTH HORIZON HEALTH SERVICES, INC. AND HORIZON VILLAGE, INC. BASED ON THE RELATIVE EXPENSE OF EACH COMPANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>6301 INUCON DRIVE EAST</AddressLine1Txt>
          <CityNm>SANBORN</CityNm>
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