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Hospital Statement of Castoff Page 1Illinois Department of Public Aid, Office of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPRELIMINARYName of Hospital:
Iroquois
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What is 10-01-05 and ending?
10-01-05 and ending refers to the specific date range October 1, 2005 to the end of that year.
Who is required to file 10-01-05 and ending?
Any individual or entity that falls within the reporting requirements for that time period.
How to fill out 10-01-05 and ending?
The form can be filled out electronically or manually, following the instructions provided by the relevant regulatory body.
What is the purpose of 10-01-05 and ending?
The purpose is to report financial and other relevant information for the specified time period.
What information must be reported on 10-01-05 and ending?
Income, expenses, assets, liabilities, and any other required information.
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