Index

B

Bad Debt, Medicare, & Collection Practices, Part III. Bad Debt, Medicare, & Collection Practices
Worksheet (optional),

C

Community Building Activities, Part II. Community Building Activities
Disregarded entity, Line 9.
Group return, Line 9.

F

Facility Information
CHNA, Section B.
Community Health Needs Assessment, Section B.
Facility Policies & Practices, Section B.
Billing and Collections, Section B.
Charges for Medical Care, Section B.
Financial Assistance Policy, Section B.
Policy Relating to Emergency Medical Care, Section B.
Hospital facilities, Part V. Facility Information
Other Health Care Facilities (Non-Hospitals), Section D.
Financial Assistance and Certain Other Community Benefits at Cost, Part I. Financial Assistance and Certain Other Community Benefits at Cost
Contributions for community benefit, Lines 7a through 7k.

P

Patient Protection and Affordable Care Act
Hospital facilities, Future Developments
Section 501(r) of the Code, Future Developments

S

Supplemental Information,

W

Worksheets
2-Ratio of Patient Care Cost to Charges, Worksheet 2. Ratio of Patient Care Cost to Charges
3-Unreimbursed Medicaid and Other Means-Tested Government Programs, Worksheet 3. Medicaid and Other Means-Tested Government Health Programs (Part I, lines 7b and 7c)
4-Community Health Improvement Services and Community Benefit Operations, Lines 3a through 3d, column (A).
6-Subsidized Health Services, Worksheet 6. Subsidized Health Services (Part I, Line 7g)
7-Research, Worksheet 7. Research (Part I, Line 7h)
8-Cash and In-Kind Contributions for Community Benefit, Worksheet 8. Cash and In-Kind Contributions for Community Benefit (Part I, Line 7i)

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