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FOR BHF USELL1
2016
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2016)I.DPH License ID Number:
Facility
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What is heaformr health care center?
Heaformr health care center is a form used by health care centers to report certain information to the authorities.
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Health care centers are required to file heaformr health care center.
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What information must be reported on heaformr health care center?
Heaformr health care center requires information such as financial data, patient demographics, services provided, and compliance measures.
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The penalty for late filing of heaformr health care center may include fines or other sanctions imposed by the authorities.
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