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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:
H07BOARD MEETING:
September 26, 2017PROJECT
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How to fill out 17-017 provident hospital of
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Start by obtaining the 17-017 form from the Provident Hospital.
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17-017 provident hospital is a form used for reporting financial information related to Provident Hospital.
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Any entity or organization that operates Provident Hospital is required to file form 17-017.
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The purpose of form 17-017 is to provide transparency and accountability regarding the financial operations of Provident Hospital.
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Information such as revenue, expenses, assets, liabilities, and any other financial data related to Provident Hospital must be reported on form 17-017.
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