Hospitals are required to adjust their Medicare cost reports to eliminate the portion of association membership dues related to certain unallowable lobbying expenses, as defined by Medicare. Each year, CHA calculates the unallowable-cost portion of association dues, which differ by geographic region and by tax status.
For calendar year 2023, the percentages of the joint CHA/Regional Association dues that are considered unallowable expenses for Medicare are:
- Southern California: Nonprofit hospitals – 21.61%, investor-owned hospitals – 22.34%
- Central and Northern Region: Nonprofit hospitals – 23.62%, investor-owned hospitals – 24.43%
- San Diego and Imperial Counties Region: Nonprofit hospitals – 19.22%, investor-owned hospitals – 19.87%
For more information, see CHA’s memorandum.