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FOR BHF USELL1 2017 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2017)I.DPH License ID Number: Facility

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It is necessary to provide all required information accurately.

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Individuals, businesses, or organizations that meet the criteria set by the authorities are required to file.

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Information such as income, expenses, assets, liabilities, and other relevant financial details must be reported.

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