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FOR BHF USE LL1 2014 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2014) I. DPH License ID Number:
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This form is a financial disclosure report required by the state of Illinois.
Health centers in Illinois are required to file this form.
The form must be filled out online and accurately report financial information.
The purpose of this form is to provide transparency about the financial status of health centers in Illinois.
Financial information such as revenue, expenses, assets, and liabilities must be reported on this form.
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