Conflict of Interest Policy for Officers and Board Members

Policy #: 
ADM 205.001
Executive Owner: 
Chairman of the Board
Scope: 

This policy applies to the officers and members of the AdventHealth University Board of Trustees.

Purpose: 

AdventHealth University (the “University”) understands that its board must be free of inappropriate influence, or even the appearance of inappropriate influence, in order to operate effectively. The purpose of the Conflict of Interest policy is to assist board members and University officers to understand, identify, manage and appropriately disclose actual, potential, or perceived conflicts of interest, and to protect the University’s interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer of the University or member of its Board of Trustees, or any of their family members. This policy is intended to supplement, but not replace, any applicable state laws governing conflicts of interest applicable to nonprofit and charitable corporations.

Policy: 

This policy also exists to ensure a board or committee with board-delegated powers has approved a transaction/ arrangement involving a potential Conflict of Interest with a board member or University officer, prior to its implementation.  In addition, the purpose of this policy is to set guidelines for board candidates that may have a Conflict of Interest.

Procedures

Appointment to the Board. Prior to appointment, an individual shall disclose the existence of any potential Conflict of Interest.

Determining Whether a Conflict of Interest Exists. After disclosure of a potential Conflict of Interest or appearance thereof and all material facts, and after any discussion with the Interested Person, he/she shall leave the board or committee meeting while the potential Conflict of Interest is discussed and voted upon.

  1. An interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion if the board or committee will vote on the transaction or arrangement.
  2. The chair of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement.
  3. After exercising due diligence, the board or committee shall determine whether the University can obtain a more advantageous transaction or arrangement with reasonable efforts from another person or entity.
  4. If a more advantageous transaction or arrangement is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested members of the board or committee whether the transaction or arrangement is in the University’s best interest, and for its own benefit, and whether the transaction is fair and reasonable to the University, and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination.

Violations of the Conflict of Interest Policy

If the board or committee has reasonable cause to believe that a board member or University officer has failed to disclose a potential Conflict of Interest, it shall inform the individual of the basis for such belief and afford the individual an opportunity to explain the alleged failure to disclose.

If an individual board member has reasonable cause to believe that a board member or University officer has failed to disclose a potential Conflict of Interest, that board member shall inform the board chair.

If, after hearing the response of the board member/University officer and making such further investigation as may be warranted in the circumstance, the board or committee determines that the board member/University office has in fact failed to disclose a potential Conflict of Interest, it shall take appropriate disciplinary and corrective action.

Record of Proceedings

The minutes of the board and all committees with board-delegated powers shall contain:

  1. The names of the persons who disclosed or otherwise were found to have a Conflict of Interest, and the nature of the Conflict of Interest.
  2. The names of the person who were present for discussions and votes relating to any Conflict of Interest, the content of the discussion, including any alternatives to the proposed transactions or arrangement, and a record of the board or committee decision.

Compensation
A voting member of the Board of Trustees, or any committee thereof, who receives Compensation, directly or indirectly, from the University for services is precluded from voting on matters pertaining to that member’s Compensation.

Annual Statements
Each board member and University officer shall annually sign a statement called Board of Directors Related Party Questionnaire, which affirms that such person:

  1. Has received a copy of the Conflict of Interest policy;
  2. Has read and understands the policy;
  3. Has agreed to comply with the policy; and
  4. Understands that the University is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish on or more of its tax-exempt purposes.

A copy of the Board of Directors Related Party Questionnaire is available upon request.

Periodic Reviews

To ensure that the University operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted of any Financial Interest with University officers or board members consistent with AdventHealth Policy CW CR 133.

In conducting the periodic reviews referenced above the University may use internal personnel or outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted.

This policy is not intended to be inconsistent with AdventHealth Policy CW CR 102.

Definition(s): 

Conflict of Interest. A Conflict of Interest is considered to exist in those instances where a relationship, responsibility or interest that an individual has or had might influence the individual’s actions on a matter which is, or might be, contrary to the best interest of the University.

Interested Person. Any board member or University officer who has a direct or indirect Financial Interest, or any other potential Conflict of Interest, is an Interested Person.

Financial Interest. A person has a Financial Interest if the person has, directly or indirectly, through business, investment, or family member:

  1. An ownership or investment interest in any entity with which the University or AdventHealth has a transaction or arrangement; or
  2. A compensation arrangement with the University or AdventHealth, or with any entity or individual with which the University or AdventHealth has a transaction or arrangement; or
  3.  A potential ownership or investment interest in, or compensation arrangement with, any entity or individual with which the University or AdventHealth is negotiating a transaction or arrangement.

A Financial Interest may result in a Conflict of Interest and must be disclosed.

Family Member. Includes the person’s spouse, ancestors, brothers and sisters, children, grandchildren, great-grandchildren and spouses of brothers, sisters, children, grandchildren, and great-grandchildren.

Compensation. Compensation is limited to sums reported on IRS Form W-2, Box 5 (which is FICA wages) and/or IRS Form 1099 – Misc., Box 7 (which is non-employee compensation).

Duty to Disclose. In connection with any actual or possible transaction or arrangement involving the University or AdventHealth, an Interested Person must disclose the existence of a potential Conflict of Interest, or even the potential appearance of a Conflict of Interest, and must be given the opportunity to disclose all material facts to the board members and members of committees with board delegated powers considering the proposed transaction or arrangement.

Committees

CommitteeDate VotedMinutes Code
Board of TrusteesWednesday, October 16, 201919:12
Board of TrusteesWednesday, July 15, 202020:02
Approved by: 
Approval Date: 
Wednesday, October 16, 2019
Review Date: 
Wednesday, July 15, 2020
Monday, July 10, 2023