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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:
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Complete all sections of the application form, providing accurate and relevant information about the patient who needs admission to Heartland of Peoria.
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Heartland of Peoria is a facility that provides comprehensive healthcare services and specialized care for individuals who require skilled nursing, rehabilitation, or long-term care.
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The Heartland of Peoria is a tax form that certain individuals or businesses in Peoria are required to file.
Individuals or businesses that meet certain criteria set by the city of Peoria are required to file the Heartland of Peoria form.
The Heartland of Peoria form can be filled out online or submitted in person at the city offices. It requires information about income, expenses, and other financial details.
The purpose of the Heartland of Peoria form is to help the city accurately assess and collect taxes from individuals and businesses operating in Peoria.
Information such as income, expenses, assets, and liabilities must be reported on the Heartland of Peoria form.
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