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FOR BHF USELL1
2016
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2016)I.DPH License ID Number:
Facility
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What is oformr specify mgmt?
ofromr specify mgmt is a form used to specify management details.
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Businesses and organizations with specified management roles are required to file oformr specify mgmt.
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What is the purpose of oformr specify mgmt?
The purpose of oformr specify mgmt is to provide a clear record of the management structure within a business or organization.
What information must be reported on oformr specify mgmt?
Information such as names, titles, and responsibilities of key management personnel must be reported on oformr specify mgmt.
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