Form preview

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

Get Form
This document provides financial and statistical reporting for long-term care facilities in Illinois, detailing operational expenses, revenues, and other facility-related financial metrics for the
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.

How to edit 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. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit financial and statistical report. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, it's always easy to work with documents. Check it out!

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
Begin by gathering all financial documents related to the long-term care facility, including income statements, balance sheets, and budgets.
02
Review the reporting requirements specific to your state or regulatory body, ensuring you understand the needed data.
03
Fill in the facility's basic information at the top of the report, including the name and address.
04
Input financial data, including total revenue, expenses, and profit or loss for the reporting period.
05
Provide statistical data such as the number of residents, their demographics, staff-to-resident ratios, and occupancy rates.
06
Include any additional required information specific to your facility's care services and operational metrics.
07
Review all entries for accuracy, and ensure compliance with state and federal guidelines.
08
Sign and date the report, and submit it to the relevant authorities by the specified deadline.

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

01
Long-term care facility administrators and managers.
02
State health departments and regulatory agencies.
03
Investors or stakeholders interested in the financial viability of the facility.
04
Auditors and financial analysts conducting assessments of the facility.
05
Healthcare industry researchers and policymakers examining trends in long-term care.
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
4.3
Satisfied
48 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 document that provides financial data, operating statistics, and other relevant information about long-term care facilities. It is used to assess the financial health and operational performance of these facilities.
Licensed long-term care facilities, including nursing homes, skilled nursing facilities, and other types of care homes, are typically required to file the Financial and Statistical Report.
To fill out the report, facilities must gather financial records, including income statements, balance sheets, and operational data. They should follow the specific guidelines provided by the regulatory body overseeing the report, ensuring accuracy and compliance with reporting standards.
The primary purpose of the Financial and Statistical Report is to provide transparency regarding the financial operations of long-term care facilities. This helps regulators monitor facilities' compliance and sustainability, ultimately ensuring quality care for residents.
The report must include information such as revenue, expenses, patient days, occupancy rates, staffing levels, and other operational statistics. It may also require demographic data about the patients served and any additional compliance-related information.
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.