Form preview

Get the free FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES - hfs illinois

Get Form
This document serves as a financial and statistical report for long-term care facilities in Illinois, detailing ownership, services, bed occupancy, costs, revenues, and compliance with relevant regulations
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign financial and statistical report

Edit
Edit your financial and statistical report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your financial and statistical report form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing financial and statistical report online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Check your account. It's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit financial and statistical report. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out financial and statistical report

Illustration

How to fill out FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES

01
Gather necessary financial data, including revenue, expenses, payroll, and operational costs.
02
Compile statistical data on resident demographics, occupancy rates, and services provided.
03
Download or obtain the FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES template from the relevant authority.
04
Fill in the report sections accurately using the gathered data, ensuring all numbers align with your records.
05
Review the report for completeness and accuracy before submission.
06
Submit the completed report by the specified deadline to the appropriate regulatory body.

Who needs FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES?

01
Long-term care facility administrators and managers.
02
State and federal regulatory agencies monitoring healthcare facilities.
03
Researchers and analysts studying healthcare funding and resources.
04
Investors and stakeholders interested in long-term care market performance.
05
Insurance companies evaluating facility compliance and resource utilization.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
55 Votes

People Also Ask about

In the U.S., long-term care costs individuals and their families thousands of dollars annually, with nursing home care often costing more than $100,000 a year (Exhibit 1). Given that many who use these services will need it for at least one year, costs can quickly become burdensome.
Medicaid — a government program that helps cover medical costs for people with limited income and assets — is the major source of funding for LTC in the United States.
Cost of care trends and insights Type of service and rate type2024 national median values2023 national median values Adult day health care Daily $100 $95 Assisted living community Monthly $5,900 $5,350 Nursing home semi-private room Monthly $9,277 $8,669 Nursing home private room Monthly $10,646 $9,7332 more rows
How much is long-term care insurance? ing to the 2024 American Association for Long-Term Care Insurance (AALTCI) annual Price Index survey, the average annual premium for a $165,000-benefit policy with no inflation protection is $950 for a single male (age 55) and $1,500 for a single female (age 55).
Cost of care trends and insights Type of service and rate type2024 national median values2023 national median values Adult day health care Daily $100 $95 Assisted living community Monthly $5,900 $5,350 Nursing home semi-private room Monthly $9,277 $8,669 Nursing home private room Monthly $10,646 $9,7332 more rows
In the United States, long-term care costs between $35,000 and $108,000 a year in 2021. Out of the three different types of long-term care we compared, private rooms in nursing homes are the most costly, with an average of $108,405 a year.
Long-term care Long-term supports and services can be provided at home, in the community, in assisted living, or in nursing homes. Individuals may need long-term supports and services at any age. Medicare and most health insurance plans don't pay for long-term care.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES is a standardized document used to collect and report financial and operational data from long-term care facilities. It provides essential information for assessing facility performance and compliance with financial regulations.
Long-term care facilities, including nursing homes and assisted living facilities, that participate in Medicare and Medicaid programs are required to file the FINANCIAL AND STATISTICAL REPORT. This ensures transparency and accountability in the management of federal funds.
To fill out the FINANCIAL AND STATISTICAL REPORT, facilities need to gather financial records, operational data, and statistics related to services provided. The form typically includes sections for revenue, expenses, patient demographics, and care outcomes. Accurate and detailed information must be reported to comply with regulatory standards.
The purpose of the FINANCIAL AND STATISTICAL REPORT is to evaluate the financial health and quality of care in long-term care facilities. It aids regulators, policymakers, and stakeholders in monitoring facilities, allocating resources, and improving care standards.
The report must include information on total revenue, total expenses, patient care days, staffing levels, occupancy rates, demographics of residents, and other operational statistics pertinent to the facility's performance and compliance with health care regulations.
Fill out your financial and statistical report online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.