Emsc Charitable Contribution Request And Acknowledgement Form
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12EMSC
Emergency Medical Services Corporation
EMSC Policies and Procedures
Charitable Contribution Policy
Policy No 203
CHARITABLE CONTRIBUTION POLICY
PURPOSE:
EMSC has adopted this Charitable Contribution Policy in order to set forth the process to be
followed by EMSC, its subsidiaries and all affiliated companies in providing charitable
contributions to clients, affiliates, or suppliers of EMSC.
POLICY AND PROCEDURE:
I. POLICY
All employees of Emergency Medical Services Corporation (“EMSC”) or any of its affiliated or
managed companies (collectively, the “Company”) shall comply with the following guidelines
when providing charitable contributions:
• Charitable contributions are only provided to the eligible organizations defined in this
Policy.
• Recipients of these charitable contributions may use such funds only in accordance
with EMSC’s charitable
intent.
• Company employees must follow this policy when responding to organizations
seeking charitable contributions pursuant to this
Policy.
• No charitable contributions are made to any organization if the Company becomes
aware of any facts or circumstances suggesting that the contribution is compensation
or remuneration for referring or recommending potential or existing patients to any
EMSC owned or operated companies or
affiliates.
No funds should be expended by EMSC as charitable contributions outside the
context of this Policy unless specifically approved by the Chief Executive Officer
(“CEO”) and Chief Compliance Officer.
II. PROCEDURE
The following procedures should be followed for charitable contributions:
• EMSC shall establish a charitable contribution fund within its annual budget for
providing charitable contributions as set forth in this Policy.
• The CEO of EMSC will approve the total amount of funds to be allocated to the
charitable contribution fund in advance of each budgeted year. The budgeted amount
may vary from year to year.
• This charitable contribution fund shall be the sole source of funds for any charitable
contributions provided by EMSC pursuant to this Policy.
Charitable Contribution Policy
Page 1 of 12
Created- March 2006
Revised- April 2007
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