2024 Quarterly Provider Tax Reports - Quarter 4
- 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 B New York State Department of Health (Print or type name of agency) FOR THE QUARTER ENDED DECEMBER 31, 2024 |
||||
|---|---|---|---|---|
| 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 | 146,660,396.00 |
| 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 | 633,676,324.06 |
| 1 | Patient Services Payments | PHL 2807-j | Outpatient Hospital Services | 620,730,148.25 |
| 1 | Patient Services Payments | PHL 2807-j | Ambulatory Surgical Center Services | 33,433,499.29 |
| 1 | Patient Services Payments | PHL 2807-j | Diagnostic and Treatment Centers | 19,834,796.09 |
| 1 | Patient Services Payments | PHL 2807-j | Clinical Laboratories | 0.00 |
| 1 | Patient Services Payments | PHL 2807-s | Inpatient Hospital Services | 989,542.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (6.0%) | 159,895,491.42 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (5.0%) | 8,433.01 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Inpatient Hospital Services (.35%) | 92,099,025.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | Home Health Care Services (.35%) | 1,701,284.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | LT Home Health Care Services (.35%) | 2,796.00 |
| 5 | Health Facility Cash Assessment Program | Social Services Law 367-i | Personal Care Providers (.35%) | 1,968,479.19 |
| 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%) | 21,309,171.87 |
| 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%) | 17,113,149.00 |
| Total | 1,749,422,535.18 | |||
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
