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This document serves as the financial and statistical reporting form for long-term care facilities in Illinois for the fiscal year 2011, detailing licensing, services provided, financial statements,
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How to fill out STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES

01
Obtain the latest version of the Cost Report template from the Illinois Department of Healthcare and Family Services website.
02
Gather all necessary financial records for the reporting period, including income, expenses, and patient records.
03
Start by filling out the facility information section, including the name, address, and contact details.
04
Input the financial data for each section of the report, ensuring accuracy in reported income and expenses related to the long-term care operations.
05
Calculate the total costs incurred and ensure all costs are allocated according to guidelines provided by the state.
06
Complete the statistical section, detailing the number of patients, occupancy rates, and relevant operational metrics.
07
Review the report for any inconsistencies or errors, ensuring that all necessary attachments and supporting documentation are included.
08
Submit the completed report through the designated electronic submission portal by the deadline specified by the state.

Who needs STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES?

01
Licensed long-term care facilities operating in Illinois that require state reimbursement for services provided.
02
Facility administrators and financial managers responsible for compliance with state financial reporting requirements.
03
Accountants and financial consultants who assist long-term care facilities in preparing and submitting the Cost Report.
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The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data.

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The STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES is a financial document compiled by long-term care facilities in Illinois. It provides detailed information on the facilities' financial performance, operating costs, and statistical data relevant to the services provided.
All licensed long-term care facilities in the State of Illinois are required to file the FINANCIAL AND STATISTICAL REPORT (COST REPORT) with the Department of Healthcare and Family Services to ensure compliance with state regulations and programs.
To fill out the COST REPORT, facilities must gather their financial documents and statistical data for the reporting period. They should follow the specific guidelines provided by the Illinois Department of Healthcare and Family Services, ensuring accurate data entry into the required sections of the report.
The purpose of the COST REPORT is to assess the financial health of long-term care facilities, enabling the Illinois Department of Healthcare and Family Services to allocate resources, set reimbursement rates, and ensure the sustainability and quality of care provided to residents.
Facilities must report various data including revenues, expenses, bed occupancy rates, staffing levels, and any relevant statistical measures that reflect the operational and financial performance of the facility during the reporting period.
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