Indiana Code Title 16. Health § 16-21-19-2

(1) Federal form 990, Schedule H, Part I, 7(a), financial assistance at cost, worksheet 1 or other similar documentation, or its successor form or schedule.

(2) Federal form 990, Schedule H, Part I, 7(b), Medicaid, worksheet 3, column a, or its successor form or schedule.

(3) Federal form 990, Schedule H, Part I, 7(c), costs of other means-tested government programs, worksheet 3, column b, or its successor form or schedule.

(4) Federal form 990, Schedule H, Part I, 7(e), community health improvement services and community benefit operations, worksheet 4 or other similar documentation, or its successor form or schedule.

(5) Federal form 990, Schedule H, Part I, 7(f), health professions education, worksheet 5 or other similar documentation, or its successor form or schedule.

(6) Federal form 990, Schedule H, Part I, 7(g), subsidized health services, worksheet 6 or other similar documentation, or its successor form or schedule.

(7) Federal form 990, Schedule H, Part I, 7(h), research, worksheet 7 or other similar documentation, or its successor form or schedule.

(8) Federal form 990, Schedule H, Part I, 7(i), cash and in kind contributions for community benefit, worksheet 8, or its successor form or schedule.

(9) Federal form 990, Schedule H, Part II, community building activities, lines 1 through 9, or its successor form or schedule, and including specific initiatives and related net expenses for each line.

(10) Federal form 990, Schedule H, Part III, section A, bad debt expense, lines 2 through 3, or its successor form or schedule, and including calculations to support the data entered.

(11) Federal form 990, Schedule H, Part III, section B, Medicare, lines 5 through 7, or its successor form or schedule, and including calculations to support the data entered.