Health Care Tax Prior Years Forms

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Health Care Tax - Prior Year Forms

Broad Based Health Care Tax

HCP-3A For tax periods on or after July 1, 2010

HCP-3A For tax periods on or before June 30, 2010

Rate Schedule Tax Rate Schedule for Broad Based Health Care Related Taxes for July 1, 2010 through September 30, 2015.

Rate Schedule Tax Rate Schedule for Broad Based Health Care Related Taxes for July 1, 2009 through June 30, 2010.

Rate Schedule Tax Rate Schedule for Broad Based Health Care Related Taxes for July 1, 2008 through June 30, 2009.

Health Care Severance Tax

Note: The Health Care Severance Tax is terminated effective July 1, 2016. Final annual return is due August.

Healthcare Severance is an Excise Tax on behavioral health services that provide for the care and treatment of persons with mental illness, mental retardation, developmental disabilities or alcohol or drug abuse problems in an inpatient, residential or outpatient setting, including, but not limited to, habilitative or rehabilitative interventions or services and cooking, cleaning, laundry and personal hygiene services provided for such care.

SEV-400H Monthly Estimate of Severance and Business Privilege Taxes for Providers of Health Care Items and Services

SEV-401H Annual Return of Severance and Business Privilege Taxes for Providers of Health Care Items and Services

Tax Information and Assistance: (304) 558-3333 or (800) 982-8297