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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: I-5 BOARD MEETING: May 10, 2011, PROJECT

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What is illinois hfsrb form?

Illinois HFSRB form is a form used for reporting financial information to the Illinois Health Facilities and Services Review Board.

Who is required to file illinois hfsrb form?

Healthcare facilities and services providers in Illinois are required to file the Illinois HFSRB form.

How to fill out illinois hfsrb form?

The Illinois HFSRB form can be filled out by providing the required financial information of the healthcare facility or service provider.

What is the purpose of illinois hfsrb form?

The purpose of the Illinois HFSRB form is to gather financial data and ensure compliance with healthcare regulations in Illinois.

What information must be reported on illinois hfsrb form?

The Illinois HFSRB form requires reporting of financial information such as revenue, expenses, assets, and liabilities of the healthcare facility or service provider.

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