Ind. Code § 16-21-19-4

Sec. 4. If a nonprofit hospital fails to submit the forms required under section 2 of this chapter before October 1 of any year, the state department shall fine the nonprofit hospital system ten thousand dollars ($10,000) per day for which the forms are past due. A fine under this section shall be deposited into the payer affordability penalty fund established by IC 12-15-18.5.