2024 Quarterly Provider Tax Reports - Quarter 3
- Report is also available in Portable Document Format (PDF)
| 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 JUNE 30, 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 | 142,985,210.20 |
| 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 | 671,278,435.42 |
| 1 | Patient Services Payments | PHL 2807-j | Outpatient Hospital Services | 652,467,884.14 |
| 1 | Patient Services Payments | PHL 2807-j | Ambulatory Surgical Center Services | 27,291,171.06 |
| 1 | Patient Services Payments | PHL 2807-j | Diagnostic and Treatment Centers | 17,200,780.59 |
| 1 | Patient Services Payments | PHL 2807-j | Clinical Laboratories | 0.00 |
| 1 | Patient Services Payments | PHL 2807-s | Inpatient Hospital Services | 971,134.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (6.0%) | 152,329,065.62 |
| 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%) | 88,505,325.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | Home Health Care Services (.35%) | 1,696,666.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | LT Home Health Care Services (.35%) | 4,503.00 |
| 5 | Health Facility Cash Assessment Program | Social Services Law 367-i | Personal Care Providers (.35%) | 2,054,667.00 |
| 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%) | 20,301,514.50 |
| 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-l | Inpatient Hospital Services (1.6%) | 16,708,557.00 |
| Total | 1,793,811,779.55 | |||
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: ________________________ Signature: _______________________________________________ Title:
Codes 1 - Permissible
