As used in this chapter:

1. (1) The cost and the incidental and related costs of the acquisition, repair, restoration, reconditioning, refinancing, or installation of health facility property.
2. (2) The cost of any property interest in health facility property, including an option to purchase a leasehold interest.
3. (3) The cost of constructing health facility property, or an addition to health facility property, acquiring health facility property, or remodeling health facility property.
4. (4) The cost of architectural, engineering, legal, trustee, underwriting, and related services; the cost of the preparation of plans, specifications, studies, surveys, and estimates of cost and of revenue; and all other expenses necessary or incident to planning, providing, or determining the need for or the feasibility and practicability of health facility property.
5. (5) The cost of financing charges, including premiums or prepayment penalties and interest accrued during the construction of health facility property or before the acquisition and installation or refinancing of such health facility property for up to two (2) years after such construction, acquisition, and installation or refinancing and startup costs related to health facility property for up to two (2) years after such construction, acquisition, and installation or refinancing.
6. (6) The costs paid or incurred in connection with the financing of health facility property, including out-of-pocket expenses, the cost of any policy of insurance; the cost of printing, engraving, and reproduction services; and the cost of the initial or acceptance fee of any trustee or paying agent.
7. (7) The costs of the authority, incurred in connection with providing health facility property, including reasonable sums to reimburse the authority for time spent by its agents or employees in providing and financing health facility property.

8. (8) The cost paid or incurred for the administration of any program for the purchase or lease of or the making of loans for health facility property, by the authority and any program for the sale or lease of or making of loans for health facility property to any participating provider.

   "County" means any county in the state that owns and operates a county hospital.

   "Health facility property" means any tangible or intangible property or asset owned or used by a participating provider and which:

9. (1) is determined by the authority to be necessary or helpful, directly or indirectly, to provide:

   1. (A) health care;
   2. (B) medical research;
   3. (C) training or teaching of health care personnel;
   4. (D) habilitation, rehabilitation, or therapeutic services; or

   5. (E) any related supporting services;

      regardless of whether such property is in existence at the time of, or is to be provided after the making of, such finding;

10. (2) is a residential facility for:

    1. (A) individuals with a physical, mental, or emotional disability;
    2. (B) individuals with a physical or mental illness; or
    3. (C) the elderly; or

11. (3) is a licensed child caring institution providing residential care described in IC 12-7-2-29 (1) or corresponding provisions of the laws of the state in which the property is located.

    "Health facility" means any facility or building that is:

12. (1) owned or used by a participating provider;

13. (2) located:

    1. (A) in Indiana; or
    2. (B) outside Indiana, if the participating provider that operates the facility or building, or an affiliate of the participating provider, also operates a substantial health facility or facilities, as determined by the authority, in Indiana; and

14. (3) utilized, directly or indirectly:

    1. (A) in:

       1. (i) health care;
       2. (ii) habilitation, rehabilitation, or therapeutic services;
       3. (iii) medical research;
       4. (iv) the training or teaching of health care personnel; or
       5. (v) any related supporting services;

    2. (B) to provide a residential facility for:

       1. (i) individuals with a physical, mental, or emotional disability;
       2. (ii) individuals with a physical or mental illness; or
       3. (iii) the elderly; or

    3. (C) as a child caring institution and provides residential care described in IC 12-7-2-29 (1) or corresponding provisions of the laws of the state in which the facility or building is located.

       "Net revenues" means the revenues of a hospital remaining after provision for proper and reasonable expenses of operation, repair, replacement, and maintenance of the hospital.

       "Participating provider" means a person, corporation, municipal corporation, political subdivision, or other entity, public or private, which:

    4. (1) is located in Indiana or outside Indiana;

    5. (2) contracts with the authority for the financing or refinancing of, or the lease or other acquisition of, health facility property that is located:

       1. (A) in Indiana; or
       2. (B) outside Indiana, if the financing, refinancing, lease, or other acquisition also includes a substantial component, as determined by the authority, for the benefit of a health facility or facilities located in Indiana;

    6. (3) is:

       1. (A) licensed under IC 12-25 , IC 16-21 , IC 16-28 , or corresponding laws of the state in which the property is located;
       2. (B) a regional blood center;
       3. (C) a community mental health center or community intellectual disability and other developmental disabilities center (as defined in IC 12-7-2-38 and IC 12-7-2-39 or corresponding provisions of laws of the state in which the property is located);

       4. (D) an entity that:

          1. (i) contracts with the division of disability and rehabilitative services or the division of mental health and addiction to provide the program described in IC 12-11-1.1-1 (e) or IC 12-22-2 ; or
          2. (ii) provides a similar program under the laws of the state in which the entity is located;
       5. (E) a vocational rehabilitation center established under IC 12-12-1-4.1 (a)(1) or corresponding provisions of the laws of the state in which the property is located;
       6. (F) the owner or operator of a facility that is utilized, directly or indirectly, to provide health care, habilitation, rehabilitation, therapeutic services, medical research, the training or teaching of health care personnel, or any related supporting services, or of a residential facility for individuals with a physical, mental, or emotional disability, individuals with a physical or mental illness, or the elderly;
       7. (G) a licensed child caring institution providing residential care described in IC 12-7-2-29 (1) or corresponding provisions of the laws of the state in which the property is located;
       8. (H) an integrated health care system between or among providers, a health care purchasing alliance, a health insurer or third party administrator that is a participant in an integrated health care system, a health maintenance or preferred provider organization, or a foundation that supports a health care provider; or
       9. (I) an individual, a business entity, or a governmental entity that owns an equity or membership interest in any of the organizations described in clauses (A) through (H); and

    7. (4) in the case of a person, corporation, municipal corporation, political subdivision, or other entity located outside Indiana, is owned or controlled by, under common control with, affiliated with, or part of an obligated group that includes an entity that provides one (1) or more of the following services or facilities in Indiana:

       1. (A) A facility that provides:

          1. (i) health care;
          2. (ii) habilitation, rehabilitation, or therapeutic services;
          3. (iii) medical research;
          4. (iv) training or teaching of health care personnel; or
          5. (v) any related supporting services.

       2. (B) A residential facility for:

          1. (i) individuals with a physical, mental, or emotional disability;
          2. (ii) individuals with a physical or mental illness; or
          3. (iii) the elderly.

       3. (C) A child caring institution providing residential care described in IC 12-7-2-29 (1).

          "Regional blood center" means a nonprofit corporation or corporation created under 36 U.S.C. 1 that:

       4. (1) is:

          1. (A) accredited by the American Association of Blood Banks; or
          2. (B) registered or licensed by the Food and Drug Administration of the Department of Health and Human Services; and

       5. (2) owns and operates a health facility that is primarily engaged in:

          1. (A) drawing, testing, processing, and storing human blood and providing blood units or components to hospitals; or
          2. (B) harvesting, testing, typing, processing, and storing human body tissue and providing this tissue to hospitals.

"Authority" refers to the Indiana finance authority.

"Bonds" includes bonds, refunding bonds, notes, interim certificates, bond anticipation notes, and other evidences of indebtedness of the authority, issued under this chapter.

"Building" or "buildings" or similar words mean any building or part of a building or addition to a building for health care purposes. The term includes the site for the building (if a site is to be acquired), equipment, heating facilities, sewage disposal facilities, landscaping, walks, drives, parking facilities, and other structures, facilities, appurtenances, materials, and supplies that may be considered necessary to render a building suitable for use and occupancy for health care purposes.

"Cost" includes the following:

As added by P.L.45-1983, SEC.1. Amended by P.L.41-1985, SEC.1; P.L.28-1986, SEC.1; P.L.45-1987, SEC.1; P.L.39-1988, SEC.1; P.L.11-1990, SEC.104; P.L.2-1992, SEC.44; P.L.27-1992, SEC.1; P.L.2-1993, SEC.40; P.L.43-1993, SEC.1; P.L.56-1995, SEC.1; P.L.272-1999, SEC.3; P.L.5-2001, SEC.1; P.L.215-2001, SEC.7; P.L.64-2002, SEC.1; P.L.235-2005, SEC.62; P.L.141-2006, SEC.7; P.L.162-2007, SEC.15; P.L.99-2007, SEC.11; P.L.117-2015, SEC.1.