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FOR BHF USELL1
2022STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2022)
I.DPH License ID Number:
Facility
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1401 N California refers to a specific legal form used in California for reporting certain financial information.
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The purpose of Form 1401 N is to facilitate the reporting and compliance of financial information to ensure adherence to California tax regulations.
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Form 1401 N generally requires information such as amounts of income, expenses, and any relevant details pertaining to the financial activity being reported.
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