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  • Fillable Form 3 Income Analysis Hrsa

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OMB No.: 0915-0285. Expiration Date: 08/31/2010 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration FORM 3 - INCOME ANALYSIS FORM YEAR 1 ? Y EAR 2 ? Payor Category.

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Funding Sources HRSA receives its discretionary appropriation through the Labor, Health and Human Services, and Education appropriations act.

The Health Resources & Services Administration (HRSA) provides equitable health care to the nation's highest-need communities. Our programs support people with low incomes, people with HIV, pregnant people, children, parents, rural communities, transplant patients, and the health workforce.

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary Federal agency for improving health care to people who are geographically isolated, economically or medically vulnerable.

HRSA funds nearly 1,400 health centers and more than 100 Health Center Program look-alike (LAL) organizations. These health centers and LALs operate more than 15,000 service delivery sites in communities across the country. In 2022, more than 30.5 million people relied on HRSA-funded health centers for care.

Form 3 income is divided into two parts: (1) Patient Service Revenue - Program Income and (2) Other Income - Other Federal, State, Local, and Other Income. Patient service revenue is income directly tied to the provision of services to the health center's patients.

Tens of millions of Americans receive quality, affordable health care and other services through HRSA's 90-plus programs and more than 3,000 grantees. HRSA programs provide equitable health care to people who are geographically isolated and economically or medically vulnerable.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232