§ 16-18-2-361.5 — "Unreimbursed costs"; "government sponsored indigent health care"; "nonprofit supporting entity"

Indiana § 16-18-2-361.5

• Jurisdiction: Indiana
• Title 16: HEALTH
• Art. 18: GENERAL PROVISIONS AND DEFINITIONS
• Ch. 2: Definitions

Text

5. (a) "Unreimbursed costs", for
purposes of IC 16-21-6 and IC 16-21-9, means the costs a hospital
incurs for providing services after subtracting payments received from
any source for such services, including the following:
(1) Third party insurance payments.
(2) Medicare payments.
(3) Medicaid payments.
(4) Medicare education reimbursements.
(5) State reimbursements for education.
(6) Payments from drug companies to pursue research.
(7) Grant funds for research.
(8) Disproportionate share payments.
(b) For purposes of this definition, costs must be calculated by
applying the aggregate cost to charge ratios for all hospital services
derived from the hospital's Medicare cost report to billed charges.
Before January 1, 1997, for purposes of this definition, charitable
contributions and grants to a hospital, including transfers from
endowment or other funds controlled by the hospital or the hospital's
nonprofit supporting entities, shall not be subtracted from the costs of
providing services for purposes of determining unreimbursed costs.
Beginning January 1, 1997, for purposes of this definition, charitable
contributions and grants to a hospital, including transfers from
endowment or other funds controlled by the hospital or the hospital's
nonprofit supporting entities, shall not be subtracted from the costs of
providing services for purposes of determining the unreimbursed costs
of charity care and government sponsored indigent health care.
(c) As used in this section, "government sponsored indigent health
care" has the meaning set forth in IC 16-21-9-2.
(d) As used in this section, "nonprofit supporting entity" means a
nonprofit entity that is created by the hospital or the hospital's parent
entity to further the charitable purposes of the hospital and that is
owned or controlled by the hospital or the hospital's parent entity.

Legislative History

As added by P.L.94-1994, SEC.11.