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FOR BHF USELL1 2015 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2015)I.DPH License ID Number: Facility

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How to fill out cost reportshfs

01

Gather all necessary financial documents and receipts.

02

Fill out the cost report form provided by HFS accurately and completely.

03

Double-check all the entries for accuracy and make corrections if necessary.

04

Submit the completed cost report to HFS within the specified deadline.

Who needs cost reportshfs?

01

Healthcare providers and facilities that receive reimbursement from HFS for services provided.

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What is cost reportshfs?

Cost reportshfs is a financial document that outlines the costs incurred by a business or organization for a specific period of time.

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