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FOR BHF USELL1 2015 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2015)I.DPH License ID Number: Facility

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Step 1: Obtain a copy of the Heritage Health Robinson form.

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Heritage Health Robinson is a form used for reporting information about heritage health.

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