West Virginia Code § 11-27-10

Imposition of tax on providers of intermediate care facility services for
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individuals with an intellectual disability.
(a) Imposition of tax. -- For the privilege of engaging or continuing within this state in the
business of providing intermediate care facility services for individuals with an intellectual
disability, there is levied and shall be collected from every person rendering such service an
annual broad-based health care related tax. e
(b) Rate and measure of tax. -- The tax imposed in subsection (a) of this section is five and
one-half percent of the gross receipts derived by the taxpayer from furnishing intermediate
care facility services in this state to individuals with an intellectuual disability.
(c) Definitions. --
(1) "Gross receipts" means the amount received or recaeivable, whether in cash or in kind,
from patients, third-party payors and others for intermediate care facility services furnished
by the provider, including retroactive adjustments lunder reimbursement agreements with
third-party payors, without any deduction for sany expenses of any kind: Provided, That
accrual basis providers are allowed to reduce gross receipts by their contractual allowances,
to the extent those allowances are includeid therein, and by bad debts, to the extent the
amount of those bad debts was prevgiously included in gross receipts upon which the tax
imposed by this section was paid.
(2) "Contractual allowances" means the difference between revenue (gross receipts) at
established rates and amounts realizable from third-party payors under contractual
agreements.
(3) "Intermediate car e facility services for individuals with an intellectual disability" means
those servicesV that are intermediate care facility services for individuals with an intellectual
disability for purposes of Section 1903(w) of the Social Security Act.
(d) Effective date. -- The tax imposed by this section applies to gross receipts received or
receivable by providers after May 31, 1993.

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