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This document serves as a financial and statistical report required by the State of Illinois for long-term care facilities, outlining financial performance, expenses, and related data for the fiscal
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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 necessary financial data including revenue, expenses, and payroll.
02
Ensure you have accurate patient census data for the reporting period.
03
Access the Financial and Statistical Report template provided by the relevant regulatory body.
04
Input total revenue information in the designated fields on the report.
05
Document all operational expenses, including direct care and administrative costs.
06
Break down payroll expenses by department or category as required.
07
Fill in patient days, bed occupancy rates, and other statistical data.
08
Review all entries for accuracy and completeness.
09
Submit the completed report by the specified deadline to the appropriate agency.

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

01
Long-term care facility administrators.
02
Financial officers or accountants within the facility.
03
State and federal regulatory agencies for compliance purposes.
04
Investors or stakeholders interested in the facility's financial health.
05
Auditors looking to evaluate the facility's financial operations.
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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
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The Financial and Statistical Report (Cost Report) for Long-Term Care Facilities is a comprehensive document that summarizes the financial and operational statistics of a long-term care facility, including costs of services provided, revenue, staffing, and resident care metrics.
All licensed long-term care facilities that participate in Medicare and Medicaid programs are required to file the Financial and Statistical Report (Cost Report) annually.
To fill out the Financial and Statistical Report, facilities should gather financial data, adhere to the specific guidelines set forth by Medicare and Medicaid, and use the standardized forms provided. The report should be completed accurately, reflecting all costs and resources used in providing care.
The purpose of the Financial and Statistical Report is to assess the financial performance of long-term care facilities, ensure compliance with federal reimbursement guidelines, and support the calculation of payments from Medicare and Medicaid.
Facilities must report information including total costs, revenue details, patient days, direct and indirect costs, staffing levels, and any other pertinent data that reflects the operational and financial status of the facility.
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