
Get the free Financial and Statistical Report for Long-Term Care Facilities - hfs illinois
Show details
This document provides a comprehensive financial and statistical report required by the Illinois Department of Healthcare and Family Services for long-term care facilities, detailing operational data,
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.
Editing financial and statistical report online
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit financial and statistical report. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
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.
With pdfFiller, it's always easy to work with documents.
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 all required financial documents, including balance sheets and income statements.
02
Review the previous year's report to understand the format and requirements.
03
Fill out each section of the report accurately, including revenues, expenses, and occupancy rates.
04
Ensure all financial data aligns with supporting documents and is up-to-date.
05
Include statistical data about the number of residents, staffing levels, and services provided.
06
Cross-check numerical entries for accuracy and completeness.
07
Submit the report to the appropriate regulatory body by the deadline.
Who needs Financial and Statistical Report for Long-Term Care Facilities?
01
Long-term care facilities are required to submit this report to government agencies for compliance.
02
Facility owners and administrators need this report for budgeting and financial planning.
03
State and federal regulators use the report to assess the quality and efficiency of care provided.
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 comprehensive document that provides financial and operational data for long-term care institutions. It is used to assess the financial health and performance of these facilities.
Who is required to file Financial and Statistical Report for Long-Term Care Facilities?
Long-term care facilities that participate in Medicare or Medicaid programs are generally required to file the Financial and Statistical Report. This includes nursing homes, assisted living facilities, and other relevant care providers.
How to fill out Financial and Statistical Report for Long-Term Care Facilities?
To fill out the Financial and Statistical Report, facilities must gather accurate financial data, including revenue, expenses, patient census, and staffing levels. They should follow the specific guidelines and instructions provided by the reporting agency, ensuring all information is complete and accurate.
What is the purpose of Financial and Statistical Report for Long-Term Care Facilities?
The purpose of the Financial and Statistical Report is to provide government agencies, regulators, and stakeholders with essential data to evaluate the financial viability and operational effectiveness of long-term care facilities.
What information must be reported on Financial and Statistical Report for Long-Term Care Facilities?
The report typically requires information on revenue, expenses, patient demographics, staffing details, occupancy rates, and other relevant operational metrics necessary for comprehensive analysis.
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.