Annual statements.

(a) At the time the annual disclosure statement is filed, each provider shall submit to the Department an annual statement detailing its financial status as of the close of business on the last day of the provider’s fiscal year.

(b) Providers holding one or more certificates of authority to operate facilities organized as separate and distinct legal entities from the provider shall file an annual statement for each separate facility.

(c) Annual statements shall be filed on a prescribed form, which is available from the Department.

(d) Providers may be requested to submit additional information to the Department to supplement their annual statement.