2025 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, 2025 |
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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 | 133,442,800.00 |
| 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 | 626,034,604.94 |
| 1 | Patient Services Payments | PHL 2807-j | Outpatient Hospital Services | 593,967,513.14 |
| 1 | Patient Services Payments | PHL 2807-j | Ambulatory Surgical Center Services | 25,732,703.88 |
| 1 | Patient Services Payments | PHL 2807-j | Diagnostic and Treatment Centers | 27,750,041.47 |
| 1 | Patient Services Payments | PHL 2807-j | Clinical Laboratories | 0.00 |
| 1 | Patient Services Payments | PHL 2807-s | Inpatient Hospital Services | 747,844.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (6.0%) | 151,219,273.22 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (5.0%) | 0.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Inpatient Hospital Services (.35%) | 88,507,542.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | Home Health Care Services (.35%) | 1,874,431.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | LT Home Health Care Services (.35%) | 3,354.00 |
| 5 | Health Facility Cash Assessment Program | Social Services Law 367-i | Personal Care Providers (.35%) | 1,970,915.98 |
| 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%) | 20,160,892.16 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-dd | Nursing Facility Services (.4%) | 755.62 |
| 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%) | 16,338,150.00 |
| Total | 1,687,750,821.41 | |||
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
