Form preview

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

Get Form
This document outlines the financial and statistical data required by the Illinois Department of Public Aid from long-term care facilities for the fiscal year 2002, including details on facility operation,
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
To use our professional PDF editor, follow these steps:
1
Log in to your account. Click Start Free Trial and sign up a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
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
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
Dealing with documents is simple using pdfFiller.

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 all relevant financial documents and data related to the long-term care facility.
02
Review the reporting period for which the statistics are being compiled.
03
Fill out basic facility information, such as name, address, and contact details.
04
Input total resident days and average daily census for the reporting period.
05
Document revenue sources, including Medicaid, Medicare, private pay, and other income.
06
List all expenses categorized by operational costs, staffing, and other relevant expenditures.
07
Calculate and report on any key financial metrics required by the report.
08
Double-check all entries for accuracy and completeness.
09
Sign and date the report, and ensure all necessary approvals are obtained before submission.
10
Submit the completed report by the specified deadline.

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

01
Long-term care facilities that provide services to elderly or disabled residents.
02
Regulatory agencies that oversee long-term care operations and funding.
03
Financial institutions that assess the financial health of these facilities.
04
Management teams within the facilities for internal financial assessments.
05
Stakeholders who require data on operational performance and funding.
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
23 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 comprehensive document that details the financial performance and operational statistics of long-term care facilities. It is used for regulatory compliance, funding assessment, and evaluating the quality of care provided.
Long-term care facilities that receive state or federal funding, including nursing homes and assisted living facilities, are required to file the FINANCIAL AND STATISTICAL REPORT. This requirement typically applies to facilities seeking reimbursement from Medicare, Medicaid, or other government programs.
To fill out the FINANCIAL AND STATISTICAL REPORT, facilities must gather pertinent financial data and operational statistics. The report usually consists of sections on revenue, expenditures, occupancy rates, staffing levels, and patient demographics. Facilities should ensure accuracy and completeness, following the specific guidelines provided by regulatory authorities.
The purpose of the FINANCIAL AND STATISTICAL REPORT is to provide a transparent account of the financial health and operational efficiency of long-term care facilities. It aids in ensuring accountability, facilitates funding distribution, and helps in policy formulation and quality assessment.
The information required on the FINANCIAL AND STATISTICAL REPORT includes total revenue, total expenses, patient admission statistics, average daily occupancy, staff-to-patient ratios, and data on the types of services provided. Additional demographic information about the patient population may also be required.
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.