Beginning January 1, 2023, each hospital must report to the department, on a quarterly basis, the number of submitted, completed, and approved charity care applications that the hospital received in the prior quarter.
- Quarterly Charity Care Application Reporting form (Excel)
- Completed forms should be submitted to us by email or via managed file transfer (MFT).
- The Reporting Guide provides reporting requirements, form locations, submittal instructions, and additional resources (PDF) needed to complete Hospital Charity Care, Hospital Financial, and Hospital Community Benefit required reporting.
- Data by Year and Quarter and Hospital