Bright v. Ball Memorial Hospital Ass'n, Inc.

463 F. Supp. 152, 1979 U.S. Dist. LEXIS 15147
CourtDistrict Court, S.D. Indiana
DecidedJanuary 11, 1979
DocketIP 78-393-C
StatusPublished
Cited by4 cases

This text of 463 F. Supp. 152 (Bright v. Ball Memorial Hospital Ass'n, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bright v. Ball Memorial Hospital Ass'n, Inc., 463 F. Supp. 152, 1979 U.S. Dist. LEXIS 15147 (S.D. Ind. 1979).

Opinion

MEMORANDUM OF DECISION

DILLIN, District Judge.

Background

Plaintiffs allege that defendant Ball Memorial Hospital (defendant or Ball Memorial) has violated certain provisions of the Truth in Lending Act (Act), 15 U.S.C. §§ 1601, et seq., and appurtenant regula *153 tions, 12 CFR 226.1, et seq. Defendant allegedly failed to make proper disclosures regarding additional charges imposed in connection with delinquent accounts of various patients. Plaintiffs ask for damages and attorneys fees as provided for in 15 U.S.C. § 1640(a) and (b), and seek declaratory and injunctive relief.

Ball Memorial is a not-for-profit, charitable hospital. It is the only hospital in Delaware County, Indiana, and it serves four nearby counties in addition to Delaware County. Ball Memorial admits patients without regard to race, color, national origin or ability to pay.

Ball Memorial’s billing procedure operates as follows. Minor differences between the methods by which inpatients and outpatients are billed will be noted.

(a) At the time of admission, inpatients are presented with a document entitled “Initial Credit Disclosure Statement.” It states that payment is due upon discharge from the hospital, and recites the terms under which an additional charge is imposed if the account is not paid within 60 days of discharge.

(b) Four days after the care or service is rendered, the initial bill is sent (IB).

(c) At IB plus 14 days patients are sent a statement of account with the legend, “Your account is now due and payable. Please remit today.”

(d) At IB plus 44 days patients are sent a second statement of account with the legend, “No doubt you have overlooked payment of your account. Please mail your remittance now.”

(e) At IB plus 58 days patients are sent a third statement of account with the legend, “We are surprised that you continue to ignore your past due account. We must insist upon immediate payment.” A coupon book is sent to inpatients with this statement. Patients who begin to use the coupon book receive a monthly billing which details the status of the account.

(f) At IB plus 72 days patients are sent a fourth statement with the legend, “It is apparent that you have ignored all of our previous notices. If there is any reason for delay of your payment, contact this office now.”

(g) At IB plus 86 days patients are sent a fifth statement stamped “Final Notice” with the legend, “Final Notice — unless this account is paid in full by [date] it will be turned over to a collection agency.” Outpatient accounts are delivered to a collection agency 14 days after the fifth statement is sent. Some discretion is exercised regarding whether inpatient accounts are to be turned over to a collection agency.

Ball Memorial considers an account to be delinquent if it is not paid within 30 days after the first statement is mailed. After that time a monthly charge of %% is imposed on the unpaid balance. The charge is waived by the hospital if the account is paid in full within 48 days of the date the services were rendered.

The cause is before the Court on defendant’s motion to dismiss for lack of subject matter jurisdiction. Defendant asserts in this regard that it is not a creditor for purposes of the Act. Plaintiffs put forth the opposing view and move for partial summary judgment on the issue. Plaintiffs also move for determination as a class action. Defendant opposes class action certification.

Discussion

The dispositive question in this case is whether a not-for-profit hospital such as Ball Memorial is a “creditor” within the meaning of the Act. For reasons enumerated below, this Court believes that it is not.

The language in the Act which defines “creditor” reads in pertinent part as follows:

“The term ‘creditor’ refers only to creditors who regularly extend, or arrange for the extension of, credit which is payable by agreement in more than four installments or for which payment of a finance charge is or may be required, whether in connection with loans, sales of property or services, or otherwise. . . . The *154 provisions of this subchapter apply to any such creditor, irrespective of his or its status as a natural person or any type of organization.” 15 U.S.C. § 1602(f).

This definition is refined in a regulation promulgated under authority of the Act:

“ ‘Creditor’ means a person who in the ordinary course of business regularly extends or arranges for the extension of consumer credit, or offers to extend or arrange for the extension of such credit, which is payable by agreement in more than four installments, or for which payment of a finance charge is or may be required whether in connection with loans, sales of property or services, or otherwise. . . .”12 CFR 226.2(s).

The plaintiffs assert that the defendant is described by the terms of these definitions. Plaintiffs also argue that transactions exempted from the Act are listed in 15 U.S.C. § 1603 and that defendant is not among the exemptions. In addition, plaintiffs maintain that nonprofit status does not exempt an entity from the coverage of the Act, and that Ball Memorial was intended to be covered by the Act.

Ball Memorial Hospital does not extend credit “in the ordinary course of business.” Payment for services is due shortly after the services are rendered. The system is designed so that payment over time is the exception rather than the rule. Immediate payment is the standard from which defendant deviates only because of necessity. This is consistent with the hospital’s purpose. Ball Memorial’s “business” is providing health care at the lowest possible cost. Since it is a nonprofit operation, there is no incentive to extend credit other than to encourage payment of debts already due. There is nothing to be gained by profiting from a credit-sale arrangement because the total cost of operating the hospital (less funding from the government, etc.) must be spread among the patient population anyway. Ball Memorial has no profit-related motive for charging more to those who cannot pay for its services than to those who can.

Ball Memorial does not impose a “finance charge” within the meaning of the term as used in the Act. Rather, it is a fee levied for late payment. The difference between a finance charge and a late payment fee has been recognized in cases which have determined what entities are and are not creditors for purposes of the Act. In Garland v. Mobil Oil Corporation, 340 F.Supp.

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463 F. Supp. 152, 1979 U.S. Dist. LEXIS 15147, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bright-v-ball-memorial-hospital-assn-inc-insd-1979.