Code of Conduct
Table of Contents
- Our Mission and Values Guide Us
- Our Mission & Values
- Code of Conduct Purpose
- Responsibilities
- Duty To Report
- Respect in the Workplace
- Anti-Discrimination
- Anti-Harassment
- Company Resources
- Environmental Health and Safety
- Corporate Responsibility & Regulatory Requirements
- Quality of Patient Care
- Preventing Fraud, Waste, and Abuse
- Gifts, Meals, and Entertainment
- Conflicts of Interest
- Medical Necessity and Laboratory Testing Services
- HIPAA, Privacy, and Security
- Sanction Screening and Exclusions
- Competitive Practices
- Charitable and Political Contributions
Our Mission and Core Values Guide Us
At Solaris Diagnostics, we are driven by a singular, unwavering goal: to set the gold standard for excellence in healthcare diagnostics. Our vision is a healthcare landscape where precision, compassion, and innovation converge to provide exceptional patient care. This is our North Star, the guiding principle that shapes our every endeavor.
Precision in Diagnostics
Our foremost aim is to redefine precision in diagnostics. We are committed to delivering results that healthcare practitioners and patients can rely on with absolute confidence. Precision means more than just accuracy; it means providing the right information at the right time to inform critical medical decisions.
Compassionate Patient-Centric Care
We believe that healthcare should never lose sight of the human element. Our ideal goal is to make every patient’s diagnostic journey as stress-free, supportive, and personalized as possible. We want to be more than a lab; we want to provide comfort and reassurance during challenging times.
Building Strong Healthcare Partnerships
We envision a future where Solaris is not just a diagnostic service provider but a trusted partner for healthcare practitioners. We aim to strengthen our relationships with healthcare professionals, fostering collaboration and trust. Together, we can improve patient outcomes and drive healthcare forward.
We define ourselves by our values.
Our Values speak to who we are, and what we stand for:
- Compassion for the Patient – Behind every sample is a patient, and every patient deserves our compassion.
- Collaborate with Integrity – Always choose to collaborate ethically and with respect, starting with honest communication.
- Accountable Actions – Be responsible for what you say, then accountable for what you do.
- Accurately Efficient – Accuracy and efficiency are equally possible by following the right processes.
- Learn to Solve – Bring solutions to every challenge by learning from experience and feedback.
- Stay Nimble – Be ready to think, decide, and act quickly when customization is required.
Our values help us make decisions that are consistently in the best interests of our patients, communities, colleagues, and the Company. Doing the right thing is your responsibility and so is following this Code of Conduct.
Code of Conduct Purpose
The Solaris Code of Conduct is a key part of the Compliance Program. It reflects core values and principles that guide Solaris operations. The purpose and objective of the Code is to:
- Establish a code of standards to be followed by all employees and contractors;
- Communicate an overview of standards they are expected to follow;
- Communicate methods of reporting issues and concerns in order to prevent, detect, and correct activities that are not consistent with the ethical standards Solaris has adopted; and
- Document the Solaris commitment to high professional standards.
The Code is the cornerstone of our anti-fraud and regulatory initiatives. It is designed to prevent and identify potential occurrences of unethical activities and to direct you to sources for more information.
Scope
The Solaris Code of Conduct must be followed by all Solaris employees and contractors. No one, no matter what his or her employment position, is exempt from the standards established by the Code. Failure to comply is a serious matter that may lead to disciplinary action up to and including termination. In addition, employees who violate some specific laws may be subject to legal prosecution.
We also expect our vendors to follow the highest ethical standards and to report any suspected violation of the Code. The reporting mechanisms available to our employees are also available to our vendors.
Responsibilities
All Employees and Contractors
All employees are required to be familiar with and follow the standards set forth in the Code of Conduct. On an annual basis, you should review the Code of Conduct and complete annual compliance training. If you are an employee, you must acknowledge you have received a copy of the Code at your annual performance review. You must also attest that you are aware of the principles it contains and your responsibility to report anything that may violate those principles. Compliance is an element of your performance review considered in merit increases, promotions, etc.
Special Responsibility for Managers & Leaders
With leadership comes additional responsibility. While all employees are expected to follow our Code of Conduct, a leader sets the example for employees to follow. In addition, leaders should create an environment that encourages discussion of our ethical standards and values. As a leader, make sure that:
- Your conduct is consistent with the highest ethical and legal standards.
- Your employees are aware of our policies including Compliance, Human Resources, the Lab, and other departmental policies.
- Your employees are aware of their obligation to report suspected violations of our standards.
- You know when to escalate concerns that were reported to you that could violate the Code of Conduct. Some may require legal obligations such as refunds or compliance corrective actions.
- You create a work environment that is open and receptive to discussion and reports of possible violations.
- You prohibit retaliation against anyone who reports a potential violation to you.
Duty To Report
All employees have a responsibility to ask questions and raise concerns about compliance or ethical behavior. If you know of a possible violation, you have a responsibility to report it to your supervisor. If you are uncomfortable for any reason in reporting a violation to your supervisor or if you believe your supervisor has not appropriately addressed the issue, you may report the suspected violation to any member of Solaris management, Human Resources, the Compliance Officer, or the Compliance and Ethics line at 844.860.8388 or Solaris.ethicspoint.com. The Compliance and Ethics line is an independent company where issues may be reported anonymously.
The Company is committed to identifying and correcting any wrongdoing, so it will promptly investigate all reported concerns. Employees and contractors are expected to fully cooperate with all investigative efforts and, to the extent possible, confidentiality will be maintained consistent with our legal and ethical responsibilities.
If the investigation substantiates a violation, corrective action will be taken. Corrective actions can include changing Company policies to prevent such a violation in the future, instituting appropriate disciplinary action against employees, and/or notifying an appropriate governmental agency.
Non-Retaliation
Solaris will not tolerate retaliation against anyone for speaking up in good faith about misconduct, including a violation of the Code of Conduct or company policy. Retaliation may be direct or indirect and takes many forms including dismissal, demotion, threats, harassment, or discrimination. If you think you or someone else has been the victim of retaliation, report it to one of our many reporting channels.
I Want To… | Who Should I Contact? |
---|---|
Discuss a problem with a co-worker such as strong perfume, or a disagreement about work. | Try politely discussing it with the person directly. If that doesn’t resolve the issue, talk to your Supervisor. |
Report a colleague possibly cheating on their timesheet. | Immediate Supervisor |
Discuss a problem with my Supervisor. | A higher-level manager or leader. |
Report my Supervisor treating people unfairly. | A higher-level manager or Human Resources. |
Discuss a suspected violation of the law, Compliance Policy, Quality of Care concern, etc. | – Your Supervisor or Manager – The Laboratory Director – Another member of management – The Compliance Officer – The HR Department – The Compliance Hotline |
Respect in the Workplace
Solaris is committed to fostering a trusting and safe work environment, ensuring dignity, fairness, and integrity in how we treat not only patients and clients but each other in all of our interactions. Reports of inappropriate behavior may be made to a supervisor, Human Resources, any member of management, the Compliance Officer, or the Compliance and Ethics hotline at 844.860.8388.
Anti-Discrimination
We treat employees equally regardless of background. Solaris prohibits treating anyone unfairly in matters that involve recruiting, hiring, training, promoting, compensation, or any other term or condition of employment. Employment decisions must always be in compliance with the law and based on merit, qualifications, and job-related performance without regard to non-job-related characteristics such as:
- Race, color, or ethnicity
- Ancestry, or national origin
- Disability
- Sex, gender, or gender identity
- Marital status or pregnancy
- Age
- Religion
- Sexual orientation
- Veteran status
- Any other legally protected status
Anti-Harassment
Employees should feel comfortable in the workplace. Harassment includes unwelcome verbal, visual, physical, or other conduct of any kind that creates an intimidating, offensive, or hostile work environment. We seek to create a work environment that is free from harassment of any kind, offensive, or disrespectful conduct. Examples of unacceptable behavior include:
- Sexual harassment
- Offensive language or jokes
- Racial, ethnic, gender, or religious slurs
- Degrading comments
- Intimidating or threatening behavior
- Unwanted physical activities (e.g., touching, hugging, or blocking someone’s path)
- Showing hostility towards others
It’s important to remember that harassment, sexual or otherwise, is determined by how your actions impact others—regardless of intentions.
Company Resources
We rely on you to manage Company resources honestly and efficiently. Company resources are intended for legitimate business purposes. You also have a responsibility to protect our equipment and other resources from theft, loss, damage, waste, or abuse. Protecting Company funds is particularly important if you have spending authority, approve travel and entertainment expenses, or manage budgets and accounts. You must always:
- Ensure Company funds are properly used for their established business-related purpose
- Obtain required approval before incurring an expense
- Accurately record all expenses in Company books and records
- Verify compliance with our policies
Environmental Health and Safety
Maintaining a safe and healthy workplace is everyone’s responsibility. Solaris has expectations that all employees:
- Take an active role in promoting your own safety. Observe safe work practices, obey posted warning signs, and wear personal protective equipment whenever it is required. Follow all applicable regulations and procedures when disposing of waste.
- Immediately report to your supervisor any workplace injury, activity, or condition that could pose a threat to your personal safety or put anyone at our workplace at risk of injury or accident. If an incident requires medical attention or the assistance of law enforcement, seek help immediately.
- Report any known or suspected violations of these policies. Also, report any environmental non-compliance, or other concern or condition that may cause harm.
For a Closer Look:
- The Employee Handbook
- Bloodborne Pathogen Exposure Control Plan and other Laboratory Policies
Corporate Responsibility & Regulatory Requirements
All of our processes, decisions, and actions must be driven by integrity. We are honest and forthright in all our dealings with customers, patients, and each other. We comply with the laws and regulations governing our complex business—not only as a legal obligation but because it is the right thing to do.
You have a responsibility to understand and follow the regulations and policies that apply to your job. This includes laws that pertain to clinical laboratories that seek reimbursement from the Medicare and Medicaid programs and laws that pertain to relationships between our Company and referral sources such as physicians, hospitals, and nursing homes.
There are various laws that apply to our business, including:
- The Anti-Kickback Statute
- The Stark Law
- The False Claims Act
- The Civil Monetary Penalties Statute
- Clinical Laboratory Improvement Amendments (CLIA)
- HIPAA Privacy and Security Regulations
- State False Claims Acts
Our Compliance Policies are based on these laws, but it should not be assumed that a policy violation is a violation of the law, as the company uses them as a basis for high standards aligned with the mission and values.
Quality of Patient Care
Our foremost aim is to redefine precision in diagnostics in every part of the patient care process—from the order, specimen collection, transportation, testing, and results communication. It is crucial to our mission to set the gold standard in patient-centric healthcare diagnostics through precision, compassion, and innovation.
To make sure we maintain the highest quality:
- Follow all policies and procedures. If you think an approved policy doesn’t work well, raise the issue with your Supervisor. Don’t take it upon yourself to modify the way things are done without changing the procedure.
- Understand and follow the CLIA, State, and any Accreditation requirements relevant to your job. Those requirements include but are not limited to:
- Performing tests only with written authorization of a physician or other individual authorized under state law to order laboratory testing.
- Releasing test results only to an authorized person.
- Obtaining the necessary CLIA certificates before performing a test.
- Ensuring adherence to CLIA, State & Accreditation requirements when participating in proficiency testing surveys.
Speak Up
If you see a violation of procedures or anything else that makes you uncomfortable, raise it to your supervisor, manager, or Laboratory Director. The Duty to Report applies to quality and all areas of this Code of Conduct.
For a Closer Look:
- Test Order Policy
- Laboratory Policies
Preventing Fraud, Waste, and Abuse
Interactions with Healthcare Providers
We do not engage in any conduct that is intended to, or has the appearance of, improperly influencing a
healthcare provider’s judgment. We follow all federal and state laws listed above that govern our
relationships with healthcare providers. These laws can be very complicated and strict so it’s vital that our
policies are followed in relationships with current or potential referral sources and that such relationships
are known.
Even if financial relationships with referral sources are appropriate, if a proper agreement is not in place or
the details of that agreement are not being followed, laws could be implicated. Always be cautious in any
situation where we are providing, buying or selling anything other than clinical lab testing from an actual
or potential client.
In-Office Specimen Collectors
The Federal Anti-kickback Statute says that providers cannot offer remuneration of any kind in exchange for referrals of federal health care program beneficiaries. This means when labs supply Collectors, to physician offices, those Collectors must be careful to avoid any situation in which they perform tasks unrelated to the lab’s services or in any way provide a benefit to physicians to induce referrals to the lab.
Solaris may place a Collector in a client’s office when internal criteria are met. The duties of the Collector must be restricted to the collecting and processing of specimens for Solaris and the completion of necessary paperwork or computer work in order to submit specimens, report results, facilitate inquiries, and/or bill tests on behalf of Solaris. Upon employment with Solaris and before the Collector is placed in the client’s office, the Collector signs a Collector Agreement that is maintained in his/her personnel file.
Client Supplies
Solaris furnishes certain laboratory supplies to clients whenever the supplies are used solely for the purpose of collecting, processing, and transporting specimens to Solaris. The quantities of such supplies that are provided to a client must be consistent with the volume of specimens Solaris reasonably expects to receive from the client. Solaris does not offer supplies for use in a client’s own in-house laboratory, or for other functions that are not directly related to the laboratory tests that are performed by Solaris. Solaris may not offer volume discounts that it receives from vendors to clients.
What Should I Do?
Scenario | Answer |
---|---|
You’ve been placed as an In-Office Phlebotomist at a large practice that does some point-of-care testing in their office. They use your supplies and dispose of biohazardous waste in your bio-waste container. Is this permitted? | No. Solaris supplies, equipment, and services should be used for Solaris testing only. This should be reported to your Supervisor or Compliance Officer so they can re-educate the client and put measures in place to better control the supplies. Although disposing of the client’s biohazardous waste would not increase the cost for Solaris, it benefits the client financially by saving them the cost they would normally incur, so it is not permitted. |
Sales has won several clients’ business in a medical plaza, and it would be a great location to lease space and create a Patient Service Center with Phlebotomists to serve the patients of the nearby providers. Someone mentions that a doctor who uses a competing laboratory has a space for rent. It’s not an ideal location, but it is thought that if we rent space from this doctor at a premium price, we could win their business. Is this ok? | No. For several reasons, if one reason for such a business deal is to induce referrals, it could implicate fraud and abuse laws. The best location should be chosen and paid at Fair Market Value (FMV). |
Clients or Potential Clients
Federal and state laws and our policies limit what we may give our clients or potential clients in the way of gifts, entertainment, promotional items, and other hospitalities and courtesies. Our Gifts, Entertainment, and Promotional Items Policy prohibits giving gifts to our customers or potential customers. Modest business meals and entertainment are permissible if:
- It is promoting Solaris services.
- A Solaris representative attends the meal or entertainment with the client or potential client.
- The cost and frequency are moderate.
- New or continued business is not an implicit or explicit condition of the meal or entertainment.
- The value of the entertainment would not exceed the annual dollar limits provided in our policy.
- Prior to sharing a meal or entertainment with a client or potential client, the Stark total spend should be checked to ensure the annual limit has not been reached.
Patients
There are also rules about giving gifts and things of value to patients. Solaris should not influence patients to use our lab or a particular provider by providing gifts, entertainment, cash, or cash equivalents. The company should not routinely waive patient co-pays and deductibles. There are annual dollar limitations that can be permitted in certain circumstances. There are also permitted exceptions such as:
- Items and services tied to medical care for financially needy patients.
- Preventative care services.
Vendors
You must not accept gifts, favors, services, entertainment, cash/cash equivalents, or other things of value if the acceptance influences or creates an impression of influencing decision-making.
You may retain gifts of nominal value from suppliers if you exercise good judgment and discretion in accepting gifts. To the extent possible, these gifts should be shared with co-workers. Solaris does not define a “nominal” value. Rather, you should exercise good judgment in accepting gifts and seek advice from your Manager or Compliance Officer if in doubt.
Meals, refreshments, and entertainment with current or potential vendors are permitted so long as they are infrequent, of nominal value, and in an appropriate setting consistent with Solaris values.
In general, Solaris employees may not accept vendor-sponsored travel. However, there may be times when special training is required, and the cost of travel is included in purchase agreements. Accepting vendor-sponsored travel should be approved in advance by the Compliance Officer.
For a Closer Look:
- Gifts, Entertainment & Services Policy
- Indigent Patient Billing Resources
- Relationships with Referral Sources Policy
- Specimen Collector/Phlebotomy Policy
Conflicts of Interest
A potential conflict of interest exists when you have the opportunity to benefit personally, beyond the standard rewards of employment, from an action you are taking as part of your job duties. Personal conflicts of interest come in many forms. Employees are expected to remain free of actual or potential conflicts of interest and are required to disclose any actual or potential conflicts of interest to the Compliance Officer. A conflict of interest isn’t a violation of this Code, but failing to disclose it would be.
Examples of potential conflicts of interest include:
- A current or proposed client that is a family member (in certain situations, this could also be a Stark violation).
- A Phlebotomist placed at a client’s office who also works for the client.
- A leader choosing a particular vendor because they have a personal relationship or financial interest with the vendor.
- Utilizing company assets for personal benefit or the benefit of others.
- Reporting to, supervising, hiring, or promoting a relative or someone with whom there is a close personal relationship.
Many times, conflicts can be resolved through disclosure and an open and honest discussion. Other conflicts may require reassignment of roles or withdrawal from certain business decisions.
Medical Necessity and Laboratory Testing Services
All employees are expected to only perform those tests appropriately ordered by a physician or authorized provider per Federal and State laws and to only bill for the tests that were performed. Solaris provides systems, policies, and procedures to help ensure that our laboratory services are ordered, performed, and billed in accordance with pertinent laws.
The company’s requisitions and marketing should emphasize provider choice and disclosure to ensure the ordering provider is making an independent medical necessity decision about each lab test that is ordered. Diagnosis information should come directly from the treating provider or their staff and be specific to the patient for that date of service as documentation of the medical necessity of the service and should be reflected in their patient charts.
Solaris prohibits anyone from knowingly presenting, or causing to be presented, claims for payment or approval that are false or fraudulent.
HIPAA and Privacy
Our business requires that we gather a great deal of personal and health information about patients. The Health Insurance Portability and Accountability Act (HIPAA) gives patients specific rights to privacy and limits the use of individually identifiable health information. We must carefully avoid any unnecessary invasion of the patient’s right to privacy.
The inappropriate release of patient information in any form may be harmful to the patient and to Solaris. We must also protect patient information that, if improperly accessed, could be used to illegally obtain goods, services, or cash. This includes health or contact information about a patient or data such as a Social Security number, credit card, or Medicare number.
The inappropriate release of patient information may subject you to civil and criminal prosecution, as well as termination from Solaris.
In order to protect patient information from inappropriate disclosure, you are expected to:
- Limit your access to, and use of, patient information to that required to perform your duties, permitted by law, and authorized by Solaris.
- Use only legitimate and authorized means to collect patient information and, whenever practical, obtain it directly from the patient.
- Not discuss health information about a patient with any person inside or outside Solaris unless it is in connection with your work, permitted by law, and authorized by Solaris.
- Be aware of your surroundings and guard against visitors and third parties needlessly overhearing patient health information.
- Not remove, send, or electronically transmit patient information from a Solaris department or storage facility without the authorization of the Compliance Officer.
Sanction Screening and Exclusions
Solaris will not employ, contract, or otherwise engage with individuals or entities who are excluded, debarred, or otherwise ineligible for participation in federally funded programs. It is Solaris policy to screen potential employees, vendors, and clients to determine whether they are excluded, debarred, or otherwise ineligible for participation in a federally funded healthcare program.
Record Retention and Record Destruction
Solaris is required by various laws and accreditation standards to prepare and retain records in connection with its business. Solaris has adopted policies that address record retention and record destruction. Records are retained in a variety of forms, including hardcopy format and electronic storage. Employees must consult these policies prior to destroying or disposing of any work-related records or files.
Competitive Practices
Solaris strives to have good relationships with other healthcare providers and complies with all applicable laws pertaining to antitrust and competition. Such laws forbid any kind of understanding or agreement, whether written or oral, between competitors to fix or control fees for services, terms or conditions of treatment, or to engage in any other conduct that restrains competition.
Antitrust laws prohibit activities that restrain trade among competitors. Solaris employees may not engage in activities that include, but are not limited to:
- Price fixing with competitors
- Agreeing not to compete with a competitor in certain markets
- Conspiring with a competitor against another competitor
- “Salary fixing” or agreeing with a competitor to pay a certain salary range to certain positions or agreeing not to hire their employees
Charitable and Political Contributions
Charitable contributions may implicate federal and state fraud and abuse laws. If any client or prospective client requires making a charitable contribution as a condition for obtaining or maintaining the business of that client, the request for the contribution must be denied.
An employee of Solaris may not make a charitable or political contribution from his or her personal funds that have been requested by a potential or existing client as a condition of obtaining or maintaining the client’s business.
There are situations where a request by a client to make a charitable contribution would be appropriate. Any such charitable contribution must be made with Company funds and must be approved in advance by the Compliance Officer and business leaders.
In Closing
Integrity
Our goal is to set the gold standard in patient-centric healthcare diagnostics through precision, compassion, and innovation. We will do so with integrity in how we treat each other, how we serve our communities, and how we follow the regulations that pertain to our business—not because it’s required, but because it’s the right thing to do.
Of course, no Code can anticipate every situation that you might encounter. It is up to each of us to ask for help if we find ourselves questioning whether a certain situation or issue is consistent with our values, Code, and policies. We each have a personal responsibility to speak up. This means consulting with management, Human Resources, the Compliance Department, or the Compliance Hotline.
When you are faced with a gray area of integrity, consider the following:
- How does this decision impact our Company both internally and externally?
- Am I confident this decision is something for which I am willing to be held accountable?
- Is this decision consistent with our Code of Conduct?
If you are unclear about something, reach out and let us help. We will thoroughly review your concerns and will take steps to correct any problems. We will never approve or condone unethical or illegal behavior.
The complete set of Compliance Policies is included in a Teams folder called “Company Policies.” It is the expectation that all employees will review them and ask questions if needed to understand how they may pertain to their role.
Acknowledgment Form
Solaris requires all employees to acknowledge that they have received the Code of Conduct. The Code represents mandatory standards of conduct acceptable at Solaris Diagnostics. New employees are required to submit their acknowledgment through the new hire process as a condition of employment.
Responsibility
Violations of this Code of Conduct and Solaris policies and procedures can lead to disciplinary action up to and including termination. Conduct that violates the law also may result in civil and criminal penalties ranging from fines to imprisonment.
Reporting
Individuals affiliated with Solaris—including employees, contractors, or vendors—have a responsibility to report any suspected or actual violation of the Code of Conduct or other policy irregularities to any member of management, the Human Resources Department, or the Compliance Officer. For those who wish to remain anonymous, reports may be submitted by calling the Compliance Hotline at 844.860.8388 or visiting Solaris.ethicspoint.com.
I acknowledge that:
- I have received the Solaris Code of Conduct and understand that it is my responsibility to read and comply with the legal and ethical practices contained in the Code of Conduct.
- I must report potential compliance issues to a supervisor, the Human Resources Department, the Compliance Officer, or the Compliance Hotline.
- I understand that if I supervise others and a potential Code of Conduct violation is reported to me, I will escalate it appropriately to Human Resources or the Compliance Officer.
- I am aware that violations of the Code of Conduct and Solaris policies and procedures may result in action that addresses my behavior.