Corporate Policy on Equipment and Space Rental Arrangements
with Potential Sources or Recipients of Patient Referrals
CORPORATE ETHICS & COMPLIANCE PROGRAM
Policy No.: 30500
Drafted by: Corporate Ethics & Compliance Dept.
Revised by: Outside Counsel & AMR Personnel
From time to time, AMR enters into space or equipment lease agreements with certain health
care providers or organizations. For example, AMR may enter an agreement to lease one of its
ambulances to a hospital or fire agency which dispatches calls to AMR. As another example,
AMR may lease crew quarters or garage space from a hospital or fire agency. If such
providers or organizations may be in a position to refer or influence the referral of patients to
AMR, or if AMR is in a position to refer or influence the referral of patients to them, such
contracts must be structured to assure compliance with state and federal anti-kickback statutes.
Such contracts shall comply with this policy, except to the extent that any lawful exception
may be approved by AMR legal counsel.
All equipment and space rental contracts must comply with the Policy requirements set forth in
the AMR Corporate Policy on Contract Administration, Policy No. 20100.
II. GENERAL POLICY FOR RENTAL ARRANGEMENTS
A. All lease agreements must be executed by both parties, must be for a term of at
lease one year, and must specify the space or equipment covered under the
B. The payments made under such lease agreements shall be specified in advance,
commensurate with the fair market value for the space or equipment, and shall
not be based directly or indirectly on the value or volume of any referrals between
the parties. The lease arrangement must not be intended even in part to induce the
referral of business between the parties.