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2025-132A
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2025-132A
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Last modified
9/16/2025 1:26:20 PM
Creation date
9/16/2025 1:23:24 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/17/2025
Control Number
2025-132A
Agenda Item Number
11.C.
Entity Name
State of Florida Agency for Health Care Administration
Subject
Directed Payment Program Letter of Agreement
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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />"YAN L ISOTI_ER, CLERK <br />5. If the source of IGT funding is from taxes, please answer the following questions: <br />a. Is the tax a state, county, city, or hospital district tax? <br />County I <br />It other, please explain <br />b. What entities are taxed? <br />c. WV <br />a. vvr <br />Licensed non-public hospitals in Indian River County <br />3t is the tax structure (i.e. property tax, percentage of revenue assessment etc.)? <br />Special assessment <br />it is the amount or percent of the taV <br />Net Patient Revenuye (inpatient hospital services): 1.36%. Net Patient Revenue (outpatient <br />hospital services): 7.21 % <br />e. Does at least 85% of the burden of the tax revenue fall on health care providers as defined in 42 <br />CFR §433.55? (Provide the total tax revenue and the health care provider tax burden) If so, please <br />answer the following questions: <br />amni int <br />Total Tax Burden $ 24,001,009— <br />Healthcare <br />4001009Healthcare Provider Tax Burden $ 24,001,009 <br />100.00% <br />i) Is the tax broad based? A broad based tax can be defined as a tax that is imposed on at least <br />all health care items or services in the class or providers of such items or services furnished by <br />all non -Federal, non-public providers in the State, and is imposed uniformly, pursuant to 42 <br />CFR § 433.68. <br />Yes <br />It no, please explain <br />
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