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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: Deaconess
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This form is a preliminary filing for the state of Illinois.
All entities that meet the filing requirements set by the state of Illinois.
The form can be filled out online or by submitting a paper form to the Illinois Secretary of State.
The purpose of this form is to provide basic information about the entity filing.
Entities must report basic information such as their name, address, and type of entity.
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