Emsc Charitable Contribution Request And Acknowledgement Form Page 3
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12EMSC
Emergency Medical Services Corporation
EMSC Policies and Procedures
Charitable Contribution Policy
Policy No 203
EMSC has established two categories of organizations that may qualify to receive a charitable
contribution under this Policy and additional corresponding eligibility criteria.
Type A Organization is an organization that meets the Basic Criteria and the following
additional criteria:
• The organization is not licensed as a healthcare
provider.
• The organization (including its subsidiary or parent organizations) does not directly
bill any federal healthcare program, including, but not limited to, the Medicare,
Medicaid and CHAMPUS
Programs.
Examples of eligible Type A Organizations under this Policy include, but are not limited to, the
following: National Charitable Disease Organization; American Red Cross Association.
Type B Organization is an organization that meets the Basic Criteria and the following
additional criteria:
• The organization is licensed as a healthcare
provider.
• The organization (or its subsidiary or parent organizations) directly bills federal
healthcare programs, including, but not limited to, the Medicare, Medicaid and
CHAMPUS
Programs.
• The organization has an effective patient choice of provider/supplier policy in
effect.
Examples of eligible Type B Organizations under this Policy may include, but are not limited
to, the
following:
• Tax-exempt Hospitals, Healthcare Systems and Foundations (private and
public).
• Non-Profit Physician
Organizations.
EMSC may provide eligible Type B Organizations only with an unrestricted charitable
contribution of up to $10,000 per calendar year for EmCare requests and $2,000 per calendar
year for AMR requests. Annual charitable contributions to eligible Type B Organizations can
only be made in connection with the following types of general community-based fund-raising
activities of the eligible Type B Organization:
• Capital campaigns
• Golf tournament fundraisers
• Other fundraisers
• Silent auctions
Charitable Contribution Policy
Page 3 of 12
Created- March 2006
Revised- April 2007
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