Form preview

Get the free Financial and Statistical Report for Long-Term Care Facilities - www2 illinois

Get Form
This document serves as a financial and statistical report for long-term care facilities in the state of Illinois for the fiscal year 2004, detailing ownership, operational statistics, expenses, and
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
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit financial and statistical report. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to deal with documents. Try it right 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 necessary financial data, including revenue, expenses, and assets.
02
Determine the reporting period for the financial and statistical report.
03
Access the required templates or forms for the report, often provided by regulatory agencies.
04
Input total revenue figures, breaking them down into categories such as patient fees, government aid, and other income.
05
Document total expenses, including salaries, operational costs, and supplies.
06
Calculate the net income by subtracting total expenses from total revenue.
07
Fill out statistical data on resident demographics, including the number of residents, length of stay, and service utilization.
08
Verify all submitted data for accuracy and completeness.
09
Submit the report by the designated deadline to the appropriate regulatory agency or oversight body.

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

01
Long-term care facilities such as nursing homes and assisted living facilities.
02
Regulatory agencies that oversee compliance and funding.
03
Healthcare policymakers and researchers analyzing long-term care trends.
04
Financial institutions assessing the viability of long-term care facilities.
05
Insurance companies requiring financial data for patient claims.
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
4.3
Satisfied
33 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 comprehensive document that collects financial and operational data from long-term care institutions, including nursing homes and assisted living facilities, to assess their performance and financial health.
Long-term care facilities that receive funding from government sources, such as Medicaid and Medicare, are typically required to file the Financial and Statistical Report to ensure compliance with federal and state regulations.
To fill out the Financial and Statistical Report, facilities must gather data regarding their finances, patient statistics, staffing levels, and operational efficiency, and then input this information into the designated reporting forms, often guided by specific software tools or templates provided by regulatory agencies.
The purpose of the Financial and Statistical Report is to ensure accountability and transparency in the financial operations of long-term care facilities while providing essential data for regulatory oversight, funding decisions, and performance evaluation.
Information that must be reported includes revenue and expenses, occupancy rates, patient demographics, staffing levels, quality of care metrics, and other operational statistics that reflect the facility's performance.
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.