Table of Contents

• Future Developments
  • General Instructions
  • Purpose of Schedule
    • Who Must File
• Specific Instructions
  • Part I. Financial Assistance and Certain Other Community Benefits at Cost
    • Line 6a.
    • Line 6b.
    • Column (a).
    • Column (b).
    • Column (c).
    • Column (d).
  • Optional Worksheets for Part I, Line 7 (Financial Assistance and Certain Other Community Benefits At Cost)
  • Part II. Community Building Activities
  • Part III. Bad Debt, Medicare, & Collection Practices
  • • Line 1.
    • Line 2.
  • • Line 3.
    • Line 4.
  • • Line 5.
    • Line 6.
    • Line 7.
    • Line 8.
    • Line 9a.
    • Line 9b.
  • Part IV. Management Companies and Joint Ventures owned 10% or more by officers, directors, trustees, key employees, and physicians
  • Part V. Facility Information
  • Part VI. Supplemental Information
  • Worksheet 1. Financial Assistance at Cost (Part I, Line 7a)
  • Worksheet 2. Ratio of Patient Care Cost to Charges
  • Worksheet 3. Medicaid and Other Means-Tested Government Health Programs (Part I, lines 7b and 7c)
  • Worksheet 4. Community Health Improvement Services and Community Benefit Operations (Part I, Line 7e)
  • Worksheet 5. Health Professions Education (Part I, Line 7f)
  • Worksheet 6. Subsidized Health Services (Part I, Line 7g)
  • Worksheet 7. Research (Part I, Line 7h)
  • Worksheet 8. Cash and In-Kind Contributions for Community Benefit (Part I, Line 7i)
• Instructions for Schedule H (Form 990) - Additional Material
  • Index