DHS 120.24 History History: Cr. Register, December, 2000, No. 540, eff. 1-1-01.

DHS 120.25 DHS 120.25 Uncompensated health care services report.

DHS 120.25(1) (1) Data sources. The uncompensated health care services report shall be based on data derived from all of the following sources:

DHS 120.25(1)(a) (a) Annual hospital plans for the provision of uncompensated health care submitted to the department by hospitals.

DHS 120.25(1)(b) (b) Fiscal surveys of hospitals conducted by the department.

DHS 120.25(2) (2) Contents. The uncompensated health care services report shall contain all of the following information:

DHS 120.25(2)(a) (a) For each hospital, the report shall list all of the following:

DHS 120.25(2)(a)1. 1. The city in which the hospital is located.

DHS 120.25(2)(a)2. 2. The type of the hospital.

DHS 120.25(2)(a)3. 3. The dollar amount of charity care provided for the most recent fiscal year.

DHS 120.25(2)(a)4. 4. The proportion of total annual gross patient revenue that constitutes the charity care.

DHS 120.25(2)(a)5. 5. The annual amount of bad debt.

DHS 120.25(2)(a)6. 6. The proportion of total annual gross patient revenue that constitutes the bad debt.

DHS 120.25(2)(a)7. 7. The total annual dollar amount of charity care and bad debt.

DHS 120.25(2)(a)8. 8. The proportion of total annual gross patient revenue that constitutes both charity care and bad debt.

DHS 120.25(2)(a)9. 9. The proportion of total nongovernmental patient revenue that constitutes the charity care.

DHS 120.25(2)(a)10. 10. The proportion of total nongovernmental patient revenue that constitutes the bad debt.

DHS 120.25(2)(a)11. 11. The proportion of total annual nongovernmental patient revenue that constitutes both charity care and bad debt.

DHS 120.25(2)(a)12. 12. The number of patients that received charity care during the most recent fiscal year.

DHS 120.25(2)(a)13. 13. The number of patients projected to receive charity care during the subsequent fiscal year.

DHS 120.25(2)(a)14. 14. The number of bad debt patient accounts during the most recent fiscal year.

DHS 120.25(2)(a)15. 15. The number of bad debt patient accounts projected for the subsequent fiscal year.

DHS 120.25(2)(a)16. 16. The total number of charity care and bad debt cases during the most recent fiscal year.

DHS 120.25(2)(a)17. 17. The total number of charity care and bad debt cases projected for the subsequent fiscal year.

DHS 120.25(2)(a)18. 18. Whether and to what extent the hospital has outstanding obligations on state loan funds, excluding fund proceeds from the Wisconsin health and educational facilities authority, during the most recent fiscal year.

DHS 120.25(2)(b) (b) For each hospital with county general relief revenues greater than $500,000 or 1% of total gross patient revenue for the most recent fiscal year, the report shall list all of the following:

DHS 120.25(2)(b)1. 1. The county in which the hospital is located.

DHS 120.25(2)(b)2. 2. The amount of general relief revenues the hospital received.

DHS 120.25(2)(b)3. 3. The proportion of total gross revenue that the general relief revenue represents.