Form preview

Get the free Financial and Statistical Report for Long-Term Care Facilities - hfs illinois

Get Form
This document is a financial and statistical report for long-term care facilities, detailing various operational, financial, and compliance information required by the Illinois Department of Healthcare
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
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit financial and statistical report. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
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 all necessary financial documents, including income statements, balance sheets, and cash flow statements.
02
Collect statistical information related to admissions, discharges, length of stay, and staffing levels.
03
Log onto the reporting platform or system designated for submitting the Financial and Statistical Report.
04
Select the correct reporting period for which the data will be submitted.
05
Enter financial data accurately into the designated fields, ensuring to cross-reference with your gathered documents.
06
Input statistical data diligently, making sure to adhere to any specific definitions or formats required.
07
Review all entries for accuracy and completeness before submitting.
08
Submit the report electronically or through the required method and keep a confirmation for your records.

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

01
Long-term care facilities administrators and managers.
02
State and federal regulatory agencies overseeing the healthcare sector.
03
Healthcare policy makers and researchers analyzing healthcare trends.
04
Insurance companies involved in reimbursement processes for long-term care services.
05
Stakeholders and investors assessing the performance and compliance of long-term care facilities.
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
4.7
Satisfied
40 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 captures the financial and operational data of long-term care facilities. It includes information on revenues, expenses, staffing, resident demographics, and other critical metrics to assess the performance and financial health of these facilities.
All licensed long-term care facilities, including nursing homes and assisted living facilities, are required to file the Financial and Statistical Report. This requirement ensures that the facilities maintain transparency and accountability regarding their financial practices and operational statistics.
To fill out the Financial and Statistical Report, facilities should gather all relevant financial records and operational data according to the guidelines provided by regulatory authorities. This includes compiling data on income sources, expenses, staffing levels, occupancy rates, and resident care statistics. Facilities must adhere to the specified formats and instructions provided in the reporting guidelines.
The purpose of the Financial and Statistical Report is to provide a standardized means of collecting data on the financial operations and quality of care in long-term care facilities. This data is used for regulatory compliance, policy formulation, and improving the quality of care for residents. It also aids in benchmarking and financial analysis within the industry.
The Financial and Statistical Report must include detailed information such as total revenue, total expenses, staffing levels, occupancy rates, average length of stay, average cost per day, and any other relevant operational statistics. Additionally, facilities may have to report on resident demographics and quality of care metrics.
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.