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Business and License

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Entity Registration

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Human Resources

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Income Tax

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Legal

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Motor Vehicle

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Property Tax

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Tax Incentives

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Tax Policy

Hospital Assessment Fee

Hospital Assessment Fee is an assessment imposed on each privately-operated hospital in the State of Alabama. Privately operated hospitals in the state of Alabama that are funded through the Alabama Medicaid program are taxed according to their net patient revenue. The assessment is a cost of doing business as a privately-operated hospital in the State of Alabama.

A private hospital in Alabama is a hospital other than:

  • Any hospital that is owned and operated by the federal government;
  • Any state-owned hospital;
  • Any publicly owned hospital;
  • A hospital that limits services to patients primarily to rehabilitation services; or
  • A hospital granted a certificate of need as a long- term acute care hospital.

The authority for collecting the hospital assessment fee is provided in Sections 40-26B-70 through 40-26B-88, Code of Alabama 1975.

The rate is 6.0 % of the hospital’s net patient revenue. Assessment amounts are to be paid in equal quarterly installments by the fifteenth business day of each quarter. Note: If paying via EFT, the EFT payment information must be transmitted by 4:00 p.m. (Central Standard Time) on or before the due date, to be considered timely paid.

Related FAQs in Taxes Administered

The ONE SPOT system will allow returns to be filed with ACH Debit and ACH Credit method payments only. The system will not allow an ACH Debit taxpayer to complete their return filing without completing the necessary information to authorize the ACH Debit payment. The ACH Credit payment is separate from the ONE SPOT system and must be initiated by the taxpayer through their banking institution. Returns successfully submitted for ACH Debit and ACH Credit taxpayers will be exported to the local government.

Upon the completion of the Third Party Designation Form, ALDOR can provide the returns, payments and payment data files to the authorized third party administrator.

When an electronic payment is received by ALDOR in error, the payment will post to the taxpayer’s ALDOR local tax account. ALDOR will not be able to automatically transfer these payments to the non-administered local government due to the possibility the taxpayer’s payment will reject after ALDOR has transferred the payment, causing complicated collection issues. ALDOR will need the taxpayer to advise the Department with what to do with that payment.

The only non-administered local government taxes to be processed through ALDOR will be payments received as the result of legal action, such as final assessment, garnishments, and liens, entered into when the local government was state administered. Payment data for these payments will be available during the first week (5-10 working days) of the month following the tax collection period through the ALDOR website.