Form ASC-130 Instructions
Ambulatory Surgical Centers (ASC) must use Form ASC-130, Ambulatory Surgical Center Gross Receipts Tax Return, to electronically file and pay the quarterly gross receipts tax.

Gross receipts means the entire amount the entity received from all sources during the calendar quarter, without subtracting any costs or expenses. Gross receipts shall be calculated on a cash basis.

The tax shall not be imposed on:
  • The first million dollars of gross receipts of the ASC in the applicable fiscal year (July 1 through June 30); or
  • The net patient revenue of a hospital that is subject to the tax imposed under Chapter 211a of the Connecticut General Statutes.

Line 1: Enter the entire amount of gross receipts from all sources for the calendar quarter.

Line 2a: Enter the amount reported on Line 2d of your previous quarter’s tax return. Enter “0” if this return is the first quarterly return in the fiscal year.

Line 2b: Subtract the amount on Line 2a from $1,000,000. Enter result.
Line 2c: Enter the lesser of the amount on Line 1 or the amount on Line 2b.
Line 2d: Add Line 2a and Line 2c. Enter result.
Line 2e: Enter the amount of gross receipts from Line 1 that constitutes net patient revenue subject to the Hospital Tax.
Line 2: Add amount on Line 2c and amount on Line 2e. Enter result.
Line 3: Subtract the amount on Line 2 from the amount on Line 1. If the result is zero or less, enter “0”.
Line 4: Tax due: Multiply Line 3 by 6% (.06). Enter result.
Line 5: Enter the amount of Urban and Industrial Site Reinvestment tax credit.

The amount of tax credits otherwise allowable against the ambulatory surgical center gross receipts tax for any calendar quarter shall not exceed a percentage of the amount of tax due prior to the application of the tax credit as set forth below:

Table A - Credit Limits

Calendar Quarters Occurring During Credit Limit

January 1, 2018 – December 31, 2018 ............ 65%

January 1, 2019 and subsequent periods ......... 70%

Line 6: Subtract the amount on Line 5 from the amount on Line 4.
Line 7: Interest and Penalty
Interest: In general, interest applies to any portion of the tax not paid on or before the original due date of the return. If you do not pay the tax when due, you will owe interest at the rate of 1% per month or fraction of a month until the tax is paid in full.
Penalty for Failure to Pay Tax When Due: 10% of the tax due or $50, whichever is greater.
Penalties for Late Electronic Funds Transfer (EFT) Payments:
  • 2% of the tax due for EFT payments not more than 5 days late;
  • 5% for EFT payments more than 5 days but not more than 15 days late; and
  • 10% for EFT payments more than 15 days late.
Line 8: Add the amount on Line 6 and the amount on Line 7, and enter total amount due.