2023 Quarterly Provider Tax Reports - Quarter 3
| 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 SEPTEMBER 30, 2023 |
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|---|---|---|---|---|
| CODE | NAME OF TAXI ASSESSMENT PROGRAM | ST. CITE | PROVIDER/SERVICE CLASS ( 42 CFR) | AMOUNT |
| 1 | Bad Debt and Charity Care and Capital Statewide Pool Assessment | PHL 2807-c(l 8) | Inpatient Hospital Services | 125,362,141.00 |
| 1 | Bad Debt and Charity Care Regional Allowance | PHL 2807-c(l4) & (16) | Inpatient Hospital Services | 0.00 |
| 1 | Patient Services Payments | PHL 2807-j | Inpatient Hospital Services | 549,892,431.13 |
| 1 | Patient Services Payments | PHL 2807-j | Outpatient Hospital Services | 502,851,551.25 |
| 1 | Patient Services Payments | PHL 2807-j | Ambulatory Surgical Center Services | 21,275,363.43 |
| 1 | Patient Services Payments | PHL 2807-j | Diagnostic and Treatment Centers | 17,143,623.43 |
| 1 | Patient Services Payments | PHL 2807-j | Clinical Laboratories | 0.00 |
| 1 | Patient Services Payments | PHL 2807-s | Inpatient Hospital Services | 892,652.00 |
| 1 | Health Facility Cash Assessment Program | PHL 2807-d | Nursing Facility Services (6.0%) | 139,434,261.11 |
| 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%) | 81,681,460.46 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | Home Health Care Services (.35%) | 1,521,975.00 |
| 1 | Health Facility Cash Assessment Program | PHL 3614-a & b | LT Home Health Care Services (.35%) | 6,409.00 |
| 5 | Health Facility Cash Assessment Program | Social Services Law 367-i | Personal Care Providers (.35%) | 1,893,797.07 |
| 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%) | 18,590,637.18 |
| 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%) | 17,806,651.00 |
| Total | 1,478,361,386.02 | |||
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: 11/18/23 Signature: Emily Hoops-Darling Title: Bureau Director
Codes: 1 - Permissible
