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STATE OF ILLINOISHEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST.SPRINGFIELD, ILLINOIS 62761(217)7823516 FAX: (217) 7854111DOCKET NO: H03BOARD MEETING: December 16, 2014PROJECT NO: 14043PROJECT
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H-03 St. Elizabeths Hospital is a form used for reporting financial information related to healthcare services provided by the hospital.
Hospitals and healthcare facilities are required to file the H-03 St. Elizabeths Hospital form.
The H-03 St. Elizabeths Hospital form must be filled out with accurate financial information regarding healthcare services provided.
The purpose of the H-03 St. Elizabeths Hospital form is to report financial data related to healthcare services provided by the hospital.
Information such as the total revenue, expenses, patient numbers, and services provided must be reported on the H-03 St. Elizabeths Hospital form.
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