(i) The hospital shall be at substantial risk of financial failure, using a combination of generally accepted standard measures of financial viability and which is: A. a federally designated sole community hospital or a rural referral center and is both a federally designated rural hospital and is classified as a state rural hospital; B. a federally designated sole community hospital or a rural referral center and is a federally designated rural hospital; C. both a federally designated rural hospital and is classified as a state rural hospital, but is not a sole community hospital or a rural referral center; D. either a federally designated rural hospital or is classified as a state rural hospital; or E. the hospital is either a federally defined sole community hospital or rural referral center.

(ii) The hospital is a sole community hospital or a rural referral center and is both a federally designated rural hospital and is classified as a state rural hospital;

(iii) The hospital is a sole community hospital or a rural referral center and is a federally designated rural hospital, but is not classified as a state rural hospital;

(iv) The hospital is both a federally designated rural hospital and is classified as a state rural hospital but is not a sole community hospital or a rural referral center;

(v) The hospital is either a federally designated rural hospital or is classified as a state rural hospital; or

(vi) The hospital is either a federally defined sole community hospital or a rural referral center. c. The commissioner may include in regulation a factor to enhance the distribution to those hospitals that have taken actions in accordance with the goals specified in paragraph b of this subdivision to be applied effective January first, two thousand one, except, however, in no event shall the distribution of the funds be delayed because of the development of the factor pursuant to this paragraph. 3. The commissioner shall cause reports to be prepared and submitted by rural hospitals at such times and in such manner as are consistent with the purposes of this section.