Related Conflict of Interest Policies

Title : Secondary/Additional Professional Activities and Outside Activities of Employed Practitioners Policy and Procedure Number : 3977, Version : 1

Whether the requested Secondary/Additional Professional Activity is consistent with Banner's Covered Professional Activity philosophy, as outlined in Article III, Section B.1. Whether the Employed Practitioner will receive Secondary/Additional Compensation for the proposed Secondary/Additional Professional Activity, and, if so, the manner in which the Employed Practitioner will receive the Secondary/Additional Compensation. Whether the total compensation to be received by the Employed Practitioner, including any Secondary/Additional Compensation, is commercially reasonable and consistent with fair market value.

b.

c.

d.

5. Following a final decision by PAT, the Physician Compensation Program Director, or his/her designee, will notify the appropriate operational contact within BMG or BMGC, as the case may be, in writing as to whether the requested Secondary/Additional Professional Activity has been approved or denied, and, if approved, any conditions that may have been placed upon such approval. 6. If the requested Secondary/Additional Professional Activity is approved, the appropriate operational contact will initiate a request for a written amendment to the Employed Practitioner's Employment Agreement in accordance with the then current process identified by the Legal Department, which request will include a copy of the PAT Request Form and written evidence of PAT's approval. 7. If the approved Secondary/Additional Professional Activity is to be provided to B—UMG or to Banner on behalf of a Banner critical access hospital, the appropriate operational contact also will initiate a request for an Intra-Entity Agreement/Special Provision between BMG or BMGC and B—UMG or between BMG or BMGC and Banner in accordance with the then-current process identified by the Legal Department, pursuant to which BMG or BMGC will provide the services of the Employed Practitioner to B—UMG or Banner in connection with the approved Secondary/Additional Professional Activity. 8. An Employed Practitioner may not begin to provide any Secondary/Additional Professional Activity to BMG, BMGC, another Medical Group or to Banner until (a) the proposed Secondary/Additional Professional Activity has been approved by PAT, and (b) the written amendment to the Employed Practitioner's Employment Agreement has been fully executed by both the Employed Practitioner and by BMG or BMGC, as the case may be. 9. BMG or BMGC, as the case may be, may terminate an Employed Practitioner's obligation to provide any Secondary/Additional Professional Activities at any time upon written notice to such Employed Practitioner. C. Review of Secondary/Additional Professional Activities by UPRT. 1. The review by UPRT of a proposed Secondary/Additional Professional Activity to be provided to B—UMG, the University of Arizona, another Medical Group or Banner will be initiated by sending a completed UPRT Request Form and all requested supporting documentation to the email box designed by UPRT or by such other mechanism as UPRT may identify from time to time. 2. The Physician Compensation Program Director, or his/her designee, will review the UPRT Request Form for completeness and may request additional information regarding the proposed Secondary/Additional Professional Activity. The Physician Compensation Program Director, or his/her designee, also will determine whether any additional approvals of the proposed compensation arrangement will be required.

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