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Hospital Statement of Cost BHF Page 1Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPreliminaryName of Hospital: St. Alexis
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This form is a tax form used for reporting income and expenses.
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The purpose of this form is to report financial information to the tax authorities.
Income, expenses, deductions, and credits must be reported on this form.
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