![]() ![]() INVESTOR INFORMATION
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Kindred Healthcare, Inc. ("Company") amended its Code of Conduct on April 1, 2004, August 1, 2005, January 1, 2007 and October 1, 2007. The Code of Conduct serves as the Company's code of ethics and applies to the Company's Board of Directors and all of the Company's employees, including the principal executive officer, principal financial officer, principal accounting officer, and certain other persons performing similar functions. Generally, the April 1, 2004 amendments to the Code of Conduct clarify
the responsibilities of the Company and its employees regarding (1) the
protection of information of the Company's patients and residents and
(2) compliance with applicable securities laws. These amendments add a
general overview of the requirements of the Health Insurance Portability
and Accountability Act ("HIPAA") and the Company's development
of specific policies and procedures to ensure compliance with the HIPAA
Privacy Rule. These amendments also add expanded discussion of general
securities trading rules, including prohibited trading periods, additional
trading restrictions on officers, and the consequences of a securities
law violation. The August 1, 2005 amendments consist primarily of non-substantive
changes and further clarify that (1) all offers of employment are conditioned
upon completion of a background check, (2) conflicts of interest should
be disclosed upon hire and as they occur, and (3) employees should check
with their supervisors prior to sending data outside the Kindred network
to ensure proper safeguarding procedures are being utilized. The January
1, 2007 amendments consist solely of changes necessary to ensure compliance
with certain provisions of the Deficit Reduction Act of 2005 related to
the federal False Claims Act and applicable state false claims laws. The text of the Code of Conduct is set forth below. Contents
Overview Ethics
and Compliance Program Overview Quality Financial
Practices Business Practices Conflicts
of Interest Safeguarding of Resources
Compliance with Laws Implementation
of the Ethics and Compliance Program
Code of ConductOverviewThe Kindred Healthcare Code of Conduct describes Kindred’s values, standards and expectations that apply to all parts of our operations. The Code defines the appropriate relationships Kindred strives to have with patients, residents, employees, shareholders, customers, contractors and the communities in which we work. All employees, officers and Board Members must follow the standards in this Code for Kindred to grow and prosper in the future. Kindred recognizes as a healthcare organization we must comply with all laws and regulations pertaining to the provision of healthcare services. We must make every effort to identify where there is risk for non-compliance. The Code supports these efforts by promoting ethical and legal behavior in the following areas: Quality. Kindred Healthcare is committed to making quality care the primary consideration in everything we do. Quality is the cornerstone of all activities and should be the driving force behind all decisions and actions. Our goal is to understand customers’ expectations, to provide care and services in a timely and reasonable manner, and to be responsive to patients’, residents’ and families’ concerns. Kindred dedicates itself to continuous quality improvement every day to achieve enhanced quality outcomes. This means that we should always look for ways to work better and more efficiently and share these ideas with supervisors and colleagues. Financial Practices. Kindred is committed to being truthful, transparent and accurate in all records, reporting and billing activities. Business Practices. Kindred Healthcare competes on the basis of the quality and cost effectiveness of services provided. Kindred will not use gifts, gratuities, bribes or kickbacks to convince others to refer patients or residents to facilities or purchase services. Conflicts of Interest. We should all avoid situations where personal interests are, or appear to be, in conflict with Kindred’s interests. Safeguarding Resources. We are entrusted to safeguard and properly use Kindred Healthcare’s assets, including confidential information, and the assets of others, which are in our possession. Compliance with Laws. Kindred is committed to complying with the laws and regulations that govern our operations as a healthcare provider, employer and publicly held company. Each of us is likewise responsible for complying with these laws. Additional Guidance The Code covers many areas of potentially unethical and illegal behavior, but it is not possible to list all activities here that could raise compliance concerns. In many instances, Kindred’s policies and procedures provide detailed guidance on how to handle situations that may not be immediately clear. But there may be some situations where neither the Code nor Kindred’s policies provide the guidance needed to act ethically or legally. In these cases, you should consult a supervisor, manager or the Compliance Department to be sure that decisions made and actions taken reflect Kindred’s values and commitment to compliance. Kindred has high expectations and standards. Employees, officers and Board Members must review and observe the Kindred Code of Conduct to ensure that conduct and actions are consistent with Kindred’s commitment to excellence. Each of us can help promote Kindred Healthcare’s success by following the standards described in the Code. Application of Code to Contractors and Vendors Kindred is committed to maintaining integrity and quality when other
people or organizations act on Kindred’s behalf. Any independent
contractor, subcontractor, vendor, or other entity or individual with
whom Kindred has entered into a contract or other arrangement to conduct
business on behalf of Kindred, including the provision of patient or resident
care or services or conducting billing or coding services, must adhere
to all applicable laws and regulations. These entities are encouraged
to have their own compliance program and code of conduct or to adopt and
follow Kindred’s Code. In addition, any contractors providing patient
or resident care on Kindred’s behalf must show proof of licensure,
certification or other evidence of provider competency. Ethics and Compliance ProgramOverviewThe Kindred Healthcare Ethics and Compliance Program is a comprehensive effort to promote ethics and compliance among employees, officers and Board Members. The program seeks to promote a culture of ethical conduct and to support Kindred’s mission to be the most trusted and respected provider of post-acute services. The Program is also designed to detect, prevent and correct fraud, waste and abuse as we provide quality care to our patients and residents and conduct business operations. The Ethics and Compliance Program has seven basic elements. Program Structure. To promote compliance, Kindred has established systems, processes and compliance committees at every level of the organization, from the Board of Directors and the home office to field offices and to each facility. In addition, Kindred’s Compliance Department assists in coordinating and implementing the Program. Written Standards. Kindred’s policies and procedures, along with this Code of Conduct, provide guidance on how to perform job responsibilities ethically and legally. Each individual must take the time to be aware of the policies and procedures that apply to job responsibilities, follow these policies and procedures, and to request additional guidance from supervisors when needed. Training. Kindred has established training programs to provide detailed guidance on compliance issues and to make certain that each of us receive the information needed to perform our jobs. Minimum training requirements must be achieved and tracked. Reporting Mechanisms. Each of us must report possible compliance issues to supervisors or through the Open Door Policy. Our Compliance Hotline (800.359.7412) provides another way to report possible compliance issues anonymously or to get answers to compliance-related questions. Kindred employees who, in good faith, report a possible compliance issue must not be subjected to retaliation, retribution or harassment by Kindred or any of its employees. Issues reported to the Compliance Department are thoroughly reviewed and appropriate corrective action or performance improvement activities are initiated. Regulatory violations identified and corrected by managers during the course of business operations must be reported to the Compliance Department so that Kindred can ensure that issues are identified and addressed throughout the enterprise in a coordinated manner. Internal Investigation and Corrective Action. All reported concerns and allegations are taken seriously and reviewed promptly. Allegations of serious wrongdoing may be referred to the Law Department for direction in conducting the investigation. If an internal investigation substantiates a violation, it is Kindred’s policy to initiate corrective action, including, as appropriate, making restitution for any overpayment, notifying the appropriate government agency, implementing disciplinary action, or implementing system and process changes to prevent a similar violation from recurring in the future. Monitoring Systems. Internal and external monitoring systems make it possible for Kindred to make certain that written standards and training programs are working to address compliance concerns. These monitoring systems also provide valuable information on how to improve operations. Adherence to the Code. It is important that employees,
officers, and Board Members perform their job responsibilities ethically
and legally; therefore, adherence to the Code of Conduct is a component
of performance reviews. There is disciplinary action for intentional violations
of the Code, and it is unacceptable to overlook wrongdoing. Effectiveness of the Ethics and Compliance Program The effectiveness of the Program in promoting ethical and legal behavior and in detecting and preventing fraud, waste and abuse is assessed through various efforts. Kindred evaluates the organization’s ability to self-identify potential wrongdoing and conduct appropriate reviews, followed by corrective action and performance improvement when indicated. Adherence to policies and legal requirements and the effectiveness of controls to prevent wrongdoing are monitored by operations through self-audits, and validated through independent audits by the Internal Audit Department, the Compliance Department and various independent entities. The results of these activities are continuously assessed and used to improve the Program. QualityPatient and Resident Care and SafetyKindred is committed to providing high-quality care and promoting patient safety in the most appropriate setting. We should each strive to provide the best possible care based on the identified needs of patients and residents, and in the most cost-effective and safe manner. Kindred is subject to many federal, state and local laws on quality. Accreditation standards also apply to certain Kindred facilities. Kindred is committed to providing quality care in compliance with all applicable laws, regulations and standards related to patient and resident care. Customer Service Kindred’s goal is to understand our customers’ expectations, to provide care and services in a timely and reasonable manner, and to be responsive to patients’, residents’ and families’ concerns. This goal requires all of our focus. Patients, residents and their families are encouraged to ask questions and communicate any concern related to the care and services we provide. Employees are trained to be responsive so that questions and concerns can be resolved quickly, and to communicate issues to their supervisors when immediate solutions are not possible. Every Kindred hospital and nursing center utilizes the ASAP Program, which provides additional methods for patients, residents and family members to communicate concerns and achieve resolution. Patient and Resident Rights and Healthcare Decision-Making Patients, residents and their families entrust Kindred with the care and well being of those who, in many instances, are seriously ill. Each patient and resident is an individual entitled to dignity, consideration and respect. Patient or resident abuse or neglect is not tolerated. Kindred employees are responsible for reporting any instances of observed or suspected abuse or neglect to a supervisor. Kindred’s policies and procedures provide detail on patient and resident rights. Many patients and residents in our facilities have impaired or limited decision-making abilities due to injury, illness or disease. We should always respect the rights of patients and residents and their families to participate in healthcare decisions and we must inform them of their rights, as required by law. This includes the right to participate in decisions on whether to consent to or refuse treatment. In certain instances, a patient’s or resident’s decision regarding care may conflict with Kindred’s policies. These kinds of ethical issues should be reviewed under Kindred’s policies and procedures and applicable state and federal laws. Kindred will respond promptly to patient or resident concerns or complaints concerning admission, treatment, discharge or the quality of care. We are each responsible for responding to and communicating complaints or concerns. Any concerns should be brought to the attention of supervisors or the Compliance Department. All concerns should be reviewed and responded to in a timely manner. Quality of Life Kindred recognizes that our patients, residents and family members must often make difficult healthcare decisions that may significantly impact an individual’s quality of life. We are committed, along with our medical staffs, to help provide information that will promote knowledgeable decision-making. Additionally, when patients and residents are in our hospitals and nursing centers, we want to promote ethical, innovative, professional and compassionate care within an environment that nurtures their physical, social, emotional and spiritual needs. Professional Standards Kindred’s strength lies in the caliber and commitment of our employees, which is consistent with our Critical Success Factor, “Taking Care of Our People.” To deliver on Kindred’s commitment to quality, we should work toward the highest degree of performance, behave professionally at all times, and promote high standards and integrity. This includes using respectful communication and behaving properly toward patients, residents, visitors, coworkers, supervisors and contractors. Kindred prohibits abusive, menacing, threatening or disrespectful behavior. Kindred has implemented processes such as the Open Door Policy and the Compliance Hotline to facilitate appropriate methods for communicating and resolving concerns. Kindred leadership must promote a culture that supports teamwork and respect for other people, supports the provision of safe and quality care and services, and is designed to effectively carry out the mission, vision and goals of the organization. Leadership must encourage honest and open communication and be responsive to concerns and to resolving conflict. At Kindred, only qualified individuals may provide patient or resident care in our facilities. Kindred will ensure that caregivers have the appropriate qualifications to perform job duties professionally and in a manner consistent with Kindred’s high standards. All positions requiring licenses or certifications will be filled with employees who have the appropriate credentials. In addition, Kindred will not hire any individual who has been excluded from participating in the Medicare and Medicaid programs. Kindred has detailed policies on how to determine whether an applicant has been subject to such exclusion. Kindred expects each employee, officer and Board Member to observe the highest ethical and legal standards. We should always act honestly and in good faith, strive for excellence in performing job duties, observe all laws and regulations governing Kindred’s business, and use Kindred’s assets only for legitimate and ethical business purposes. This includes using all work time to the advantage of patients or residents or other Kindred endeavors and always putting forth the best effort on the job. All offers of employment are conditional upon the successful completion of any required background checks. Quality Improvement Kindred is dedicated to continuous quality improvement. These activities also assist in identifying best practices and disseminating them throughout the organization. Kindred focuses on training as well as policies and procedures to achieve quality care and quality outcomes and, at the same time, recognizes that providing quality care is full of opportunities for improvement. We should continuously strive to improve performance and operations. Kindred offers many chances to enhance job performance through additional training opportunities. Kindred requires that all financial documents, records and bills be accurate,
complete and truthful. Employees must follow legal requirements, established
financial standards, and generally accepted accounting principles in completing
all financial records. If the accuracy or reliability of information is
unclear or in doubt, all necessary steps must be taken to make appropriate
corrections. Particular care should be taken to ensure compliance in the
following areas: Financial PracticesClaims. All claims for payment must be supported by adequate documentation. Any claim submitted to the government or any other payer must contain truthful information. Bills. Bills must reflect only services actually rendered and be fully documented in the medical record. Documentation. Proper documentation must show that the services were actually provided and that information on the bill is accurate before making payment for services or seeking payment for services provided. Billing Codes. Billing codes must accurately describe the services provided. Any inaccuracies in bills already submitted must be immediately reported to a supervisor so that appropriate corrections can be made. Business PracticesKickbacks and ReferralsMany federal and state laws prohibit accepting or providing anything of value to induce the referral of patients, residents or business or in return for obtaining services or supplies. Therefore, Kindred employees, officers and Board Members must not accept or offer to provide anything of value in exchange for the direct or indirect referral of patients, residents or business, or in return for buying services or supplies. These laws pertain to all Medicare and Medicaid business and, in some states, to private business relationships as well. Violation of these laws may be a crime and can result in substantial penalties for both Kindred Healthcare and individual employees. It is difficult to identify all the situations that may raise fraud and abuse concerns; however, prohibitions include the following:
To ensure compliance with these laws, Kindred requires that all agreements with referral sources, and purchasers of Kindred’s services in cases where Kindred is the referral source, be put in writing. Contracts not already pre-approved by Kindred’s Law Department must be submitted for legal review before the agreements are finalized. Any questions or concerns about whether a particular arrangement is permissible under these laws should be directed to Kindred’s Law Department or the Compliance Department. Gifts and Gratuities If someone from outside of Kindred offers gifts or items of value, it
could be perceived as improper because it may suggest that the donor expects
special treatment in exchange for the gift. Therefore, Kindred does not
permit acceptance of gifts or gratuities of more than nominal value from
vendors or others doing business with Kindred. We should politely refuse
gifts or gratuities exceeding nominal value. Payments to Government Officials Federal law and the laws of most states prohibit giving anything of value to government officials with the intent to influence the decisions of the government. Kindred’s policy is that nothing of value may be given to federal or state government officials. Likewise, federal law prohibits corporations from contributing anything of value to the political campaign of anyone running for federal office. State laws vary on whether corporations can contribute to the political campaign of individual candidates. Kindred’s policy is that the organization will not contribute anything of value to the political campaign of any person running for federal office unless specifically permitted by law. The Senior Vice President of Compliance and Government Programs must pre-approve Kindred’s contributions to the political campaigns of individuals running for state offices. These laws and policies do not preclude lawful contributions by Kindred’s Political Action Committee (PAC) to support political candidates. Conflicts of InterestKindred’s employees, officers and Board Members should not engage in any activities that conflict with the interests of Kindred. It is impossible to describe all of the situations that may give rise to a conflict of interest, but some examples include:
Kindred’s employees, officers and Board Members have a responsibility to put the interests of Kindred and our patients and residents ahead of any other business interests they may have. Any potential conflicts of interest should be disclosed to supervisors upon hire or as they occur. This includes any additional employment accepted while working for Kindred. Safeguarding of ResourcesProtecting Confidential InformationKindred employees, officers, Board Members and business associates must maintain the confidentiality of all information obtained on the job. Confidential information should not be shared with anyone inside or outside of Kindred, except as necessary to perform work and only after proper authorization has been obtained. This confidentiality obligation continues even after transfer to another Kindred department or facility or after employment with Kindred has ended.
Document ManagementKindred Healthcare has a document management policy that applies to all Company documents that are in the possession or control of any employee, officer or Board Member. This policy establishes procedures for consistently retaining, preserving and disposing of Company documents, while ensuring the proper control of information and data storage. The policy is designed to:
Responsible Use of Kindred Resources
Compliance with LawsFalse ClaimsThe Federal False Claims Act, 31 USC §§ 3729-3733, and similar state laws assist the federal and state governments in combating fraud and abuse and recovering losses resulting from fraud in government programs, purchases and/or contracts. These laws prohibit the knowing and/or intentional use of false or fraudulent claims, records or statements for the purpose of obtaining payment from the government. These laws apply to Medicare and Medicaid reimbursement and prohibit, among other things, billing for services not rendered, billing for undocumented services, falsifying cost reports, billing for medically unnecessary services, assigning improper codes to secure reimbursement or higher reimbursement, and participating in kickbacks. A violation of these laws may result in civil, criminal and/or administrative penalties, including monetary penalties, imprisonment, exclusion from participation in Medicare and Medicaid, and loss of licensure status. Federal law and some state laws allow private citizens to file a lawsuit on behalf of the government and to share in a percentage of any monetary recovery or settlement. These laws and Kindred policy prohibit retaliating or discriminating against employees because of their initiation of, or participation in, a lawful false claims investigation, report, claim or proceeding. These laws also provide for certain monetary awards and equitable relief to the prevailing plaintiff, including compensation for lost wages and reinstatement to a former position. Summaries of the Federal False Claims Act, related state laws and applicable
whistleblower provisions are posted on Kindred’s external website
and on Kindred’s intranet (Knect). Suspected false claims violations
should be reported to Kindred Management, Kindred’s Compliance Hotline
(800.359.7412), or to the appropriate federal or state agency. Health, Safety and EnvironmentalKindred wants to create a safe environment for our employees, patients, residents and their families. Kindred is committed to complying with all federal, state and local health, safety and environmental laws. Kindred employees are responsible for ensuring that our offices and facilities comply with these laws, including laws regarding the following:
Workplace Conduct, Equal Employment Opportunity and DiscriminationKindred is an equal opportunity/affirmative action employer. Kindred’s policies, procedures and personnel programs are administered without regard to race, color, religion, sex, age, sexual orientation, national origin, disability or veteran status. To further the principle of equal opportunity, Kindred has developed affirmative action plans for minorities and women, individuals with disabilities, and Vietnam-era and other disabled veterans. In addition, Kindred complies with applicable federal, state and local laws governing nondiscrimination and harassment in employment at every Kindred location. The policy applies to recruitment, placement, promotion, transfer, retention and training, as well as to all other privileges, personnel programs, Kindred Healthcare policies, procedures, and terms and conditions of employment. Kindred employees share responsibility for preventing discrimination and harassment. Any knowledge of discrimination or harassment should be discussed immediately with a supervisor or manager, facility administrator, district or regional manager, director of operations or regional vice president. Kindred’s policies prohibit taking any kind of retaliatory action against those who report discrimination or harassment. Kindred’s policies on workplace conduct, equal employment opportunity and discrimination are described in detail in the Kindred Healthcare Employee Handbook. The Handbook should be consulted for detail on these policies. Securities Trading General Rule Kindred employees, officers and Board Members, and their immediate families, household members and associates, should not buy or sell securities (or the securities of any company with which Kindred has or is contemplating a material relationship) at any time employees, officers and Board Members possess material information that the rest of the investing public does not know. “Material information” is information that a reasonable investor would consider important in a decision to buy, hold or sell securities. Material information includes, but is not limited to, information regarding financial results, future earnings or other financial issues, Kindred’s intent to buy back or sell its stock, significant acquisitions or dispositions, material litigation, changes in management or forthcoming articles or analyst reports about Kindred. In addition, Kindred employees, officers and Board Members may not communicate material information to any other person (including relatives, friends, or business associates) regardless of the purpose for which such communication may be made, except to the extent necessary to perform their job functions. The federal securities laws generally prohibit employees, officers and Board Members from purchasing or selling securities if they possess material non-public information. These laws also prohibit Kindred employees, officers and Board Members from communicating such information to any other person for such use. Employees, officers and Board Members of Kindred may be presumed to know, or have access to, this type of information. Questions about whether information a Kindred employee, officer or Board Member possesses might be deemed material should be directed to the Law Department at 502.596.7300. Prohibited Trading Periods All Kindred executive officers, Board Members, vice presidents and corporate office directors are subject to prohibited trading periods. The covered personnel are prohibited from trading in Kindred securities during the period beginning on the first day of each calendar quarter and ending on the first business day following Kindred’s earnings release covering the previous quarter. For example, Kindred’s first quarter ends on March 31 and if it publicly announces its earnings for the first quarter on Tuesday, May 2, the prohibited trading period or “blackout period” would run from April 1 until May 3. Special blackout periods may also be imposed from time to time when material developments pertaining to Kindred have not yet been communicated publicly. Unless otherwise in possession of material, non-public information, covered personnel generally can trade in Kindred securities at any time other than a prohibited trading period.
Antitrust Kindred’s policy is to comply with the letter and spirit of the antitrust laws of the United States. These laws are designed to foster free and open competition in the marketplace. Kindred employees should not participate in any discussion, understanding, agreement, plan or scheme - formal or informal - with any competitor or potential competitor, which restricts competition. Examples of activities that could violate the antitrust laws include making arrangements or having discussions with competitors about prices, price levels, market territories, or refusing to deal with certain customers or other competitors. Government Requests for InformationKindred’s policy is to comply with every reasonable and lawful
request by federal, state and local government officials for information
and documents. These requests might include information related to patient
or resident care, billing and financial practices and related operational
or financial issues. While Kindred will comply with these requests, the
law does not require disclosure of certain information.
Please consult supervisors or the Law Department if there is any question concerning whether information or documents requested by a government official should be disclosed. Implementation of the Ethics and Compliance ProgramAdhering to the Code of ConductKindred’s employees, officers and Board Members must review and observe the Kindred Code of Conduct. We are each responsible for reporting suspected violations of the Code. It is not acceptable to overlook actual or potential wrongdoing. Resolution of Problems and Concerns Compliance-related concerns should be addressed by following Kindred’s Open Door Policy outlined in the Employee Handbook. This policy encourages employees to contact immediate supervisors and, if necessary, to proceed up the chain of command to reach an acceptable resolution. Compliance Hotline If the Open Door process is inappropriate or ineffective, or if an employee, Board Member, contractor or vendor desires anonymity in seeking information or reporting a concern, Kindred has a Compliance Hotline (800.359.7412). The Compliance Hotline is designed to permit an individual to call and report a compliance-related concern or to obtain clarification on compliance issues. An external party answers the Compliance Hotline 24 hours a day, seven days a week. Callers are reminded that they do not have to identify themselves. If there is no way to respond to the inquiry without identification, callers have the option of revealing their identity so that appropriate action can be taken. Kindred will make every attempt to preserve callers’ anonymity within the limits of the laws. Kindred Healthcare takes seriously any issue reported to the Hotline. It is therefore very important to use the Hotline appropriately. Employees who intentionally misuse the Compliance Hotline may be subject to disciplinary action. Kindred employees who, in good faith, report a possible violation of this Code must not be subjected to retaliation, retribution or harassment by Kindred or any of its employees. Any supervisor, manager or employee who conducts or condones retribution, retaliation or harassment in any way will be subject to disciplinary action up to and including discharge. All new employees, officers and Board Members must review the Kindred Healthcare Code of Conduct. The Code will also be reviewed annually with all employees during general compliance training. |
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