2024 Quarterly Provider Tax Reports - Quarter 1
| PROVIDER-RELATED DONATIONS AND HEALTH CARE RELATED TAXES, FEES AND ASSESSMENTS RECEIVED UNDER PUBLIC HEALTH LAW 102-334 BY New York State Department of Health (Print or type name of agency) FOR THE QUARTER ENDED MARCH 31, 2024 |
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|---|---|---|---|---|
| CODE | NAME OF TAX/ASSESSMENT PROGRAM | ST. CITE | PROVIDER/SERVICE CLASS (42 CFR) | AMOUNT |
| 1 | Bad Debt and Charity Care and Capital Statewide Pool Assessment |
PHL 2807-c(18) | Inpatient Hospital Services | 131,173,271.00 |
| 1 | Bad Debt and Charity Care Regional Allowance | PHL 2807-c(14) & (16) | Inpatient Hospital Services | 0.00 |
| 1 | Patient Services Payments | PHL 2807-j | Inpatient Hospital Services | 605,375,382.98 |
| 1 | Patient Services Payments | PHL 2807-j | Outpatient Hospital Services | 548,743,519.49 |
| 1 | Patient Services Payments | PHL 2807-j | Ambulatory Surgical Center Services | 21,685,941.02 |
| 1 | Patient Services Payments | PHL 2807-j | Diagnostic and Treatment Centers | 23,047,880.97 |
| 1 | Patient Services Payments | PHL 2807-j | Clinical Laboratories | 0.00 |
| 1 | Patient Services Payments | PHL 2807-s | Inpatient Hospital Services | 632,309.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (6.0%) | 150,716,044.16 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (5.0%) | 16,866.02 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Inpatient Hospital Services (.35%) | 86,127,338.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | Home Health Care Services (.35%) | 1,591,018.18 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | LT Home Health Care Services (.35%) | 3,375.00 |
| 5 | Health Facility Cash Assessment Program | Social Services Law 367-i | Personal Care Providers (.35%) | 1,968,977.39 |
| 1 | Health Facility Cash Assessment Program | Section 90 of Part H of Chapter 59 of the Laws of 2011 |
LT Home Health Care Services (.7%) | 0.00 |
| 1 | Health Facility Cash Assessment Program | Section 90 of Part H of Chapter 59 of the Laws of 2011 |
Nursing Facility Services (.8%) | 20,093,793.11 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-dd | Nursing Facility Services (.4%) | 0.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-dd | Nursing Facility Services (.2%) | 0.00 |
| 1 | Hospital Quality Contribution Report | PHL 2807-d-1 | Inpatient Hospital Services (1.6%) | 16,030,662.00 |
| Total | 1,607,206,378.32 | |||
I certify that this report represents a true and accurate statement of actual cash revenues collected by the above agency during the quarter described above.
Dated: 5/14/2024 Signature: Emily Hoops-Darling Title:
Codes 1 - Permissible
