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FOR BHF USELL1 2019STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2019) I.DPH License ID Number:
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It is a form required by the state of Illinois for certain entities to report their financial information.
Entities that meet specific criteria set by the state of Illinois are required to file this form.
The form must be completed with accurate financial information and submitted by the deadline given.
The purpose of the form is to provide the state of Illinois with financial data from certain entities.
Entities must report specific financial information as required by the state of Illinois.
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