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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:
Facility
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01
Gather all receipts and documentation related to ancillary expenses.
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What is ancillary expense?
Ancillary expense refers to additional expenses or costs that are related to a main expense or cost.
Who is required to file ancillary expense?
Anyone who incurs ancillary expenses related to a main expense may be required to file ancillary expense.
How to fill out ancillary expense?
To fill out ancillary expense, you may need to provide details of the main expense, the related ancillary expenses, and any other required information on the designated form or platform.
What is the purpose of ancillary expense?
The purpose of ancillary expense is to provide a breakdown of additional costs related to a main expense for tracking and reporting purposes.
What information must be reported on ancillary expense?
Information such as the main expense amount, a detailed list of ancillary expenses, dates of expenses, and any relevant receipts or documentation may need to be reported on ancillary expense.
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