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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:Medicare Provider

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What is 16h4016-jrpdf?

16h4016-jrpdf is a form used for reporting certain financial information to the relevant authorities.

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Information related to financial transactions, income, expenses, and assets must be reported on 16h4016-jrpdf.

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