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 for long-term care facilities in Illinois, detailing the facilities' operations, financial performance, and compliance with state regulations
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
Use the instructions below to start using our professional PDF editor:
1
Log in to your account. Click on Start Free Trial and sign up a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit financial and statistical report. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
The use of pdfFiller makes dealing with documents straightforward. Try it now!

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 financial records required for the reporting period, including income statements and expense reports.
02
Identify the required fields in the Financial and Statistical Report form. These typically include revenue sources, operating expenses, and capital expenditures.
03
Carefully input data into the form, ensuring that all financial figures are accurate and correspond to the collected records.
04
Fill out the statistical sections, which may require data on resident counts, staff numbers, and service utilization statistics.
05
Review the completed report for accuracy and completeness, ensuring that all necessary documentation is attached.
06
Submit the report by the specified deadline to the appropriate regulatory agency.

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

01
Long-term care facilities that receive funding from government programs or need to comply with regulatory requirements.
02
Administrators and financial officers of these facilities for budgeting, planning, and compliance purposes.
03
Policy makers and oversight agencies that monitor the performance and financial health of long-term care services.
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
23 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 document that provides financial data and operational statistics of long-term care facilities, helping regulators and stakeholders assess the facility's performance and financial health.
Long-term care facilities that receive state or federal funding are typically required to file the Financial and Statistical Report, which includes nursing homes, assisted living facilities, and other similar establishments.
To fill out the Financial and Statistical Report, facilities must gather relevant financial documents, follow the provided guidelines including reporting periods, and input data into the required fields accurately, ensuring all required information is included.
The purpose of the Financial and Statistical Report is to ensure transparency in financial management, facilitate funding allocation, improve facility operations, and provide essential data for regulatory oversight.
The report must include information such as revenue sources, expenses, patient care statistics, staffing levels, occupancy rates, financial performance metrics, and other relevant operational data.
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.