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 required by the Department of Public Aid for long-term care facilities in Illinois, documenting revenues, expenses, and operational statistics
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 the professional PDF editor, follow these steps below:
1
Log into your account. In case you're new, 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.
Dealing with documents is simple using pdfFiller. Now is the time to try it!

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 necessary financial documents including revenue, expenses, and balance sheets.
02
Collect statistical data, such as the number of residents, staff ratios, and occupancy rates.
03
Complete the financial section by inputting total revenues, total expenses, and calculating net income.
04
Enter statistical information in the designated fields, ensuring accuracy and compliance with reporting guidelines.
05
Review all data entries for errors or omissions.
06
Confirm the format of the report adheres to the required guidelines for long-term care facilities.
07
Submit the completed report to the appropriate regulatory agency or governing body.

Who needs Financial and Statistical Report for Long-Term Care Facilities?

01
Long-term care facilities to comply with regulatory requirements.
02
State and federal agencies for monitoring and funding purposes.
03
Healthcare organizations for quality improvement efforts.
04
Investors or stakeholders interested in the facility's financial health.
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
28 Votes

People Also Ask about

ing to their national study of long-term care providers: 38.6% of nursing home residents are older than 85. 26.7% of residents are between 75 and 84.
So, 35% will use their coverage and 65% will not. As you might assume, the decline is because during those first 90 days, some people will recover and some will die.
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.
ing to Genworth's estimates, the median cost of a private room in a nursing home is $339 per day or $10,326 per month in 2025. Semiprivate rooms are more affordable, with a median cost of $302 per day or $9,197 monthly.
Homemaker Services Costs By State StateHome Care Median Hourly RateHome Care Daily Rate / 8 hours California $38.19 $240 Colorado $37.13 $233 Connecticut $32.89 $207 Delaware $25.46 $16048 more rows
Consider the national median costs for long-term care services²: $255 a day(or $7,756 per month) for a semi-private room in a nursing home. $290 a day (or $8,821 per month) for a private room in a nursing home. $141 a day (or $4,300 per month) in an assisted living facility.
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.
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).

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 collects financial and operational data from long-term care facilities to assess their performance, funding needs, and compliance with regulatory requirements.
Long-term care facilities that receive Medicaid or Medicare funding are generally required to file the Financial and Statistical Report. This includes nursing homes, assisted living facilities, and other similar establishments.
To fill out the Financial and Statistical Report, facilities must gather financial data, operational metrics, and resident information, and complete the form according to the provided guidelines. It typically involves calculations of expenses, revenues, occupancy rates, and staffing levels.
The purpose of the Financial and Statistical Report is to provide transparency and accountability for public funding and resources used in long-term care facilities, to ensure compliance with health care regulations, and to assist in planning and evaluation of services.
The report must include financial data such as revenue and expenses, statistical data including occupancy rates, staffing levels, and resident demographics, as well as any other relevant operational metrics required by regulatory authorities.
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.