In good faith with the community’s commitment to promote the adoption of electronic health records and enhance the quality and efficiency of health care, HealthTronics Lab Solutions ("HLS") is pleased to sponsor an EHR donation program. Through this program, HLS will make certain contributions towards the acquisition of EHR software licensing, implementation, and training, (the "EHR Technology") and EHR maintenance ("Maintenance") available to Urology physicians who meet specified eligibility criteria in accordance with applicable federal and state laws.
| Traditional for New Electronic Health Record System: HLS will donate up to eighty-five percent (85%) of the combined cost of the purchase for new EHR software licensing, implementation and training |
Up to a maximum of $20,000 per Urology physician | OR, Up to a maximum aggregate of $100,000 per Urology practice of 2 or more physicians |
| Maintenance HLS will donate up to eighty-five percent (85%) of the cost of the annual EHR software support services. **EHR Maintenance can be elected as a standalone Maintenance Only option, contingent upon all HLS Program, terms and conditions as specified on this form are being met and that the intent of this election is for a practice to maintain a CCHIT certified, compliant, and interoperable EHR system. |
Up to a maximum of $2,500 per Urology physician per year | OR, Up to a maximum aggregate of $25,000 per Urology practice of 2 or more physicians per year |
The HLS sponsored EHR Donation program will be offered beginning April 2, 2012 and will run through November 30, 2012, subject to the availability of funds allocated by HLS to the program.
To qualify for an EHR Donation, physicians or physician practices must:
All submitted EHR Donation Program eligibility forms are date and time stamped when received. Qualification for a donation by HLS is based on the satisfaction of all of the criteria specified on the Eligibility Form, HLS’ available funding levels at the time that the submitted eligibility form is reviewed and all other applicable laws and regulations. HLS shall not make any EHR Donation if such an EHR Donation would violate applicable laws, regulations and program guidelines.
NOTICE: The Donation Program is a voluntary program and HLS has no obligation to distribute, review or approve any application for a donation or to extend an EHR donation. All such actions are subject to the sole discretion of HLS. Submission by a practice of an eligibility form is not a guarantee of donation. HLS has the right to terminate the Donation Program at any time and for any reason with or without notice of termination. The sole limitation on HLS’s discretion not to make a donation is that, if HLS has committed in a donation agreement executed by the Senior Vice President of HLS to make a donation to a physician or a practice in a specified amount, and that physician or practice has entered into a binding contract with an EHR vendor in reliance on that commitment, HLS will follow through on that commitment unless that action would violate applicable laws or regulations.
Interested practices will be notified of their qualification status in writing by HLS within 30 days of receipt of a practice’s Eligibility Form. Qualified recipients will have 30 days from notification of qualification to acknowledge their acceptance of HLS’ offer to make a donation by submitting their signed EHR donation program letter of intent together with an executed copy of their EHR Vendor proposal. If these materials are not received by HLS within 30 days from the date of HLS’s issuance of the notification, HLS, in its sole and unilateral discretion, may cancel a practice’s qualification for a donation and rescind its offer to make a donation.
All correspondence with or concerning the HLS EHR Program should be sent to:
HealthTronics Lab Solutions
Attention: EHR Donation Program
100 Endo Boulevard
Chadds Ford, PA 19317
Email: EHRDonationProgram@HLS.com
Fax: 610-459-7460
Interested donation recipients must meet all of the following eligibility criteria to qualify for a donation:
The Donation Program is a voluntary program and HLS has no obligation to distribute, review or approve any application for a donation or to extend an EHR donation. All such actions are subject to the sole discretion of HLS. Submission by a physician or a practice of a properly completed eligibility form is not a guarantee of a donation. HLS has the right to unilaterally modify, supersede, or terminate the Donation Program at any time and for any reason, with or without notice of termination. In addition, there is no obligation to extend the EHR Donation Program or establish any replacement plan in subsequent years. No recipient shall have any right whatsoever (unvested, vested or otherwise) to receive any amount under the Program until such amount is actually paid to such recipient. The sole limitation on HLS’s discretion not to make a donation is that, if HLS has committed in a donation agreement executed by the Senior Vice President of HLS to make a donation to a physician or a practice in a specified amount, and that physician or practice has entered into a binding contract with an EHR vendor in reliance on that commitment, HLS will follow through on that commitment unless that action would violate applicable laws or regulations.