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This document is a financial and statistical report required by the Illinois Department of Healthcare and Family Services for long-term care facilities to report costs, revenues, and statistics for
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How to fill out financial and statistical report

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

01
Gather all relevant financial data related to the long-term care facility's operations.
02
Organize the data into categories such as revenue, expenses, staffing costs, and capital expenditures.
03
Fill out the report sections step by step, ensuring each entry corresponds to the correct category.
04
Double-check that all figures are accurate and reflect the facility's accounting records.
05
Include any necessary notes or explanations for unusual financial entries.
06
Submit the report by the required deadline to the appropriate regulatory body.

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

01
Long-term care facility administrators
02
State and federal regulatory agencies
03
Financial auditors and accountants
04
Healthcare policymakers
05
Funding organizations and insurers
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Nursing home costs by state StateShared room per dayPrivate room per day California $322 $400 Colorado $282 $320 Connecticut $453 $499 District of Columbia $345 $34547 more rows • Sep 26, 2023
The Centers for Medicare and Medicaid Services (CMS), a component of the U.S. Department of Health and Human Services (HHS), administers Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA), and parts of the Affordable Care Act (ACA) ("Obamacare").
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
Nursing homes and assisted living facilities Nursing homes represent the most expensive long-term care option, with private rooms costing an estimated 10,646 U.S. dollars per month in 2024. Semi-private rooms are slightly more affordable at 9,277 U.S. dollars monthly.
Cost reports are generally prepared by Cost Consultants and sometimes Quantity Surveyors to keep the client informed about the Project Cost. A cost report includes the costs incurred by the time of reporting and all the future costs (Forecast Cost) that is likely to be incurred during the rest of the project.
Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost. The MCR package consists of a variety of cost report materials.
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
A Medicare Cost Report (MCR) is a financial account submitted from Medicare-certified entities, such as skilled nursing facilities, hospitals or hospices, to a Medicare Administrative Contractor (MAC). Each entity updates its report at the end of its fiscal year, and MCRs publish quarterly.

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The FINANCIAL AND STATISTICAL REPORT (COST REPORT) for long-term care facilities is a comprehensive financial document that summarizes the costs associated with operating a long-term care facility, providing details on the facility's revenue, expenses, and statistical data. It is used for reimbursement purposes and regulatory compliance.
Long-term care facilities that receive reimbursement from public programs, such as Medicaid and Medicare, are required to file the FINANCIAL AND STATISTICAL REPORT (COST REPORT). This typically includes nursing homes, skilled nursing facilities, and other similar establishments.
To fill out the FINANCIAL AND STATISTICAL REPORT, facilities must gather financial and operational data, including income statements, balance sheets, and statistical information regarding residents and services. They should follow the guidelines provided by the regulatory authority, ensure accuracy in reporting, and submit the completed report by the specified deadline.
The purpose of the FINANCIAL AND STATISTICAL REPORT is to provide a clear financial overview of the long-term care facility, which helps in determining reimbursement rates from public payers, ensuring compliance with regulations, and supporting effective management of the facility's financial operations.
The FINANCIAL AND STATISTICAL REPORT must include details such as total revenue, expenses categorized by type, statistical data on resident counts, service usage metrics, and any adjustments or allocations necessary for accurate financial representation.
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