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This document is a financial and statistical report for long-term care facilities in Illinois, detailing costs, revenue, and operational information for the fiscal year 2011.
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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
Obtain the latest version of the Financial and Statistical Report template.
02
Gather all relevant financial data including income, expenses, and assets.
03
Complete Section A by entering basic information about the facility such as name, address, and license number.
04
Fill out Section B by entering total revenue, including governmental and private pay sources.
05
Proceed to Section C to list all operating expenses, categorized by type (e.g., staff wages, medical supplies, administrative costs).
06
In Section D, provide information on patient care statistics, including average daily census and occupancy rates.
07
Complete Section E by detailing any capital expenditures and long-term liabilities.
08
Review all entries for accuracy and completeness before submission.
09
Submit the completed report to the relevant regulatory authority by the specified deadline.

Who needs FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES?

01
Long-term care facilities are required to submit the report for compliance with federal and state regulations.
02
Facility administrators use the report for financial planning and management.
03
Stakeholders, including investors and local government agencies, utilize the report to assess the facility’s financial health.
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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
The Centers for Medicare and Medicaid Services (CMS), a component of the U.S. Department of Health and Human Services (HHS), administers Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA), and parts of the Affordable Care Act (ACA) ("Obamacare").
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
Nursing homes and assisted living facilities Nursing homes represent the most expensive long-term care option, with private rooms costing an estimated 10,646 U.S. dollars per month in 2024. Semi-private rooms are slightly more affordable at 9,277 U.S. dollars monthly.
Cost reports are generally prepared by Cost Consultants and sometimes Quantity Surveyors to keep the client informed about the Project Cost. A cost report includes the costs incurred by the time of reporting and all the future costs (Forecast Cost) that is likely to be incurred during the rest of the project.
Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost. The MCR package consists of a variety of cost report materials.
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
A Medicare Cost Report (MCR) is a financial account submitted from Medicare-certified entities, such as skilled nursing facilities, hospitals or hospices, to a Medicare Administrative Contractor (MAC). Each entity updates its report at the end of its fiscal year, and MCRs publish quarterly.

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The FINANCIAL AND STATISTICAL REPORT (COST REPORT) for Long-Term Care Facilities is a detailed document that long-term care facilities must complete to report their financial operations and statistical information. It is used to assess the cost of providing care and to ensure compliance with state and federal regulations.
All long-term care facilities that receive reimbursement from Medicare and Medicaid programs are required to file the FINANCIAL AND STATISTICAL REPORT (COST REPORT). This includes nursing homes and skilled nursing facilities.
To fill out the FINANCIAL AND STATISTICAL REPORT, facilities must gather financial records, operational statistics, and patient data. They should follow the specific guidelines provided by the Centers for Medicare & Medicaid Services (CMS) and use the prescribed forms to accurately document their financial information and care statistics.
The purpose of the FINANCIAL AND STATISTICAL REPORT is to provide a comprehensive financial summary of the facility's operations, to facilitate the reimbursement process for services provided, and to ensure compliance with regulations. It aids in evaluating the efficiency and quality of care provided.
The information that must be reported includes total costs, revenue sources, patient days, staffing details, financial accounts, and any specific cost allocations. Facilities must also report on various quality measures and operational metrics that reflect their service delivery.
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