
Get the free Financial and Statistical Report for Long-Term Care Facilities - hfs illinois
Show details
This document serves as a financial and statistical report for long-term care facilities in Illinois, detailing operational, financial, and statistical data required by the Department of Public Aid.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign financial and statistical report

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 your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

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
Follow the steps below to use a professional PDF editor:
1
Log in to your account. Start Free Trial and register a profile if you don't have one.
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. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You can sign up for an account to 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.
How to fill out financial and statistical report

How to fill out Financial and Statistical Report for Long-Term Care Facilities
01
Gather financial data for the reporting period, including revenue and expenses.
02
Collect statistical data such as resident counts, staffing levels, and occupancy rates.
03
Begin filling out the report forms by entering the financial data in the appropriate sections.
04
Input statistical data in designated areas, ensuring accuracy and consistency with collected data.
05
Review all entries for completeness and accuracy.
06
Validate the data with supporting documents, such as invoices and payroll records.
07
Submit the report as per the guidelines and deadlines specified by regulatory authorities.
Who needs Financial and Statistical Report for Long-Term Care Facilities?
01
Long-term care facilities in compliance with state and federal regulations.
02
Facility administrators and financial managers.
03
Regulatory agencies that oversee long-term care services.
04
Stakeholders and investors interested in the financial health of the facility.
Fill
form
: Try Risk Free
People Also Ask about
What percentage of people age 75 to 84 live in nursing homes?
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.
What percentage of people with long-term care insurance actually use it?
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.
What is the financial impact of long-term care in the United States?
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.
What is the average daily rate for long-term care?
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.
How much does a home nurse cost per day?
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
What does long-term care cost per day?
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.
How much does Medicare pay for long-term nursing home care?
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.
What are typical long-term care premiums?
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.
What is Financial and Statistical Report for Long-Term Care Facilities?
The Financial and Statistical Report for Long-Term Care Facilities is a document that collects data regarding the financial performance and operational statistics of long-term care facilities, such as nursing homes and assisted living facilities.
Who is required to file Financial and Statistical Report for Long-Term Care Facilities?
All licensed long-term care facilities that receive Medi-Cal reimbursement are required to file the Financial and Statistical Report to provide transparency and ensure compliance with state and federal regulations.
How to fill out Financial and Statistical Report for Long-Term Care Facilities?
To fill out the report, facilities must gather financial information from their accounting records, operational data, and statistical metrics, complete each section of the report accurately, and submit it by the deadline set by regulatory authorities.
What is the purpose of Financial and Statistical Report for Long-Term Care Facilities?
The purpose of the report is to assess the financial health of long-term care facilities, to monitor service quality, and to inform state funding decisions and regulatory oversight.
What information must be reported on Financial and Statistical Report for Long-Term Care Facilities?
The report must include details such as revenue and expenditure data, staffing levels, occupancy rates, patient demographics, and other operational statistics relevant to the facility's performance.
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.

Financial And Statistical Report is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
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.