Health Care Provider Tax Forms

In accordance with changes signed into law in June of 2022, a larger business registrant will be required to use electronic means to file returns and remit taxes to the State of Rhode Island for tax periods beginning on or after January 1, 2023. Visit our Electronic Filing Mandate page for more information on this requirement.

For those not subject to this electronic filing requirement:

All forms supplied by the Division of Taxation are in Adobe Acrobat (PDF) format

To have forms mailed to you, please call 401.574.8970
Some tax forms now contain a 1D barcode. Please use Microsoft Edge to get the best results when downloading a form. Firefox users will need to change their Portable Document Format to allow the use of Adobe Acrobat Reader.
Forms containing the 1D barcode are available in two ways. You can either print the form out and complete it by hand, or click on the fillable PDF version in order to enter information on the the form itself, and then print your completed form out.

Unless noted otherwise, completed forms should be sent to:

Rhode Island Division of Taxation
One Capitol Hill
Providence, RI 02908

Health Care Provider Tax Forms

HCP-1 Group Homes Return PDF file, less than 1

HCP-2 Nursing Facilities Return PDF file, less than 1

HCP-4 (2023) Hospital Licensing Fee PDF file, less than 1

HCP-4 (2022) Hospital Licensing Fee - Updated 06/10/2022 PDF file, less than 1

HCP-4 (2021) Hospital Licensing Fee - Updated 07/06/2021 PDF file, less than 1