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2017 Instructions for Schedule H (Form 990)

Userid: CPMS chema: instrxLeadpct: 100%Pt. size: 9 Draft Ok to PrintAH XSL/XMLF ileid: .. s/I990 SCHH/ 2017 /A/XML/Cycle04/source(Init. & Date) _____Page 1 of 24 9:20 - 27-Nov- 2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before for Schedule H (Form 990)HospitalsDepartment of the TreasuryInternal Revenue ServiceSection references are to the Internal Revenue Code unless otherwise of I. Financial Assistance and Certain Other Community Benefits at Worksheets for Part I, Line 7 (Financial Assistance and Certain Other Community Benefits At Cost)..4 Part II. Community Building III. Bad Debt, Medicare, & Collection IV. Management Companies and Joint V. Facility VI. Supplemental 1. Financial Assistance at Cost (Part I, Line 7a)..13 Worksheet 2. Ratio of Patient Care Cost to 3.

Page 2 of 24 Fileid: … s/I990SCHH/2017/A/XML/Cycle04/source 9:20 - 27-Nov-2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before prin

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