Get Apostolic Christian Timber Ridge 2009 0016220.pdf - State Of Illinois

This guide provides clear, step-by-step instructions for completing the Apostolic Christian Timber Ridge form 2009 0016220. It is designed to assist users of all experiences in navigating the various sections of the form efficiently.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the Apostolic Christian Timber Ridge 2009 0016220.pdf form and open it in your chosen online editor.
2. Begin by entering the IDPH license ID number and facility name in the designated fields. This information can be found at the top of the form.
3. Input the county, city, and zip code where the facility is located. Ensure that the telephone number and HFS ID number are accurately filled in.
4. Complete the section regarding the date of initial license for current owners and the type of ownership. Select from options like proprietary, governmental, charitable corporation, etc.
5. Review the certification statement and provide the date along with the preparer's name and title. Make sure the preparer has all necessary knowledge regarding the contents of the report.
6. Complete the statistical data section, detailing the number of licensed beds and their corresponding licensed bed days during the report period.
7. Fill out sections regarding patient census and payment sources, ensuring to categorize each appropriately.
8. Carefully enter data regarding costs and expenses under the cost center expenses section. Round each figure to the nearest dollar.
9. Complete the balance sheet information accurately, reflecting the total current and long-term assets, liabilities, and equity.
10. Upon completing all sections, review the form thoroughly for any discrepancies or missing information, then save your changes.
11. Finally, download, print, or share the completed form as necessary. Make sure to consult with appropriate personnel if any additional information is required.

Complete your documents online today to ensure timely submission and compliance.