What Type and Size of Buildings Are Receiving 421-a Property Tax Exemptions in 2013?

New York State real property tax law establishes the 421-a property tax exemption for the construction of new multifamily housing in the city. The length of the exemption is 10, 15, 20, or 25 years, which is determined by the location of the new development and whether it includes the construction of affordable housing.

The 421-a exemption is New York City’s most expensive real estate tax break. In 2013, there are 150,000 units of housing receiving 421-a tax exemptions that cost the city $1.1 billion in forgone tax revenue.

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Will New York City Hospitals That Treat Many Low-Income Patients Face The Heaviest Penalties Under New Federal Reimbursement Policies?

Two new federal policies tying Medicare reimbursements to quality of care took effect in October 2012. Hospitals are now penalized for excess readmissions. An additional penalty or bonus can be awarded, based on adherence to clinical standards and ratings on patient surveys.

Hospitals that serve the city’s poor−public hospitals and private safety-net hospitals−generally face heavier penalties than other hospitals. Penalties for 8 out of 12 public hospitals and 4 out of 6 safety-net hospitals exceed the citywide average of 0.97 percent of reimbursements.

Medicare accounts for $777 million of expected inpatient revenues in 2013 at Health & Hospitals Corporation facilities, about 30 percent of all anticipated inpatient revenues, ranging from $21 million at North Central Bronx Hospital to $112 million at Bellevue.

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SOURCES: United Hospital Fund; U.S. Centers for Medicare & Medicaid Services
NOTES: Some hospitals have more than one campus, but penalties/bonuses are systemwide. Private safety-net hospitals, as defined by the United Hospital Fund (UHF), are those where Medicaid and uninsured patients comprised more than 50 percent of admissions, other than births, in 2008.

Prepared by Christina Fiorentini
New York City Independent Budget Office

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