Form preview

Get the free FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES - www2 illinois

Get Form
This document is a financial and statistical report submitted by long-term care facilities in Illinois for the fiscal year 2004, detailing various operational aspects including financials, statistics,
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
Follow the guidelines below to take advantage of the professional PDF editor:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
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, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
Dealing with documents is simple using pdfFiller.

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
Collect all financial documents related to the long-term care facility, including income statements and balance sheets.
02
Gather necessary statistical data such as the number of residents, occupancy rates, and staffing levels.
03
Refer to the reporting guidelines provided by the relevant authority to understand the required format and sections.
04
Fill in the facility's basic information, including name, address, and license number.
05
Input financial data into the designated sections, ensuring accuracy in figures and calculations.
06
Enter statistical data in the corresponding areas, ensuring you account for all relevant metrics.
07
Verify all entries for accuracy and completeness before finalizing the report.
08
Submit the completed Financial and Statistical Report by the required deadline to the appropriate authority.

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

01
Long-term care facility administrators and management.
02
Regulatory bodies that oversee long-term care facilities.
03
Stakeholders such as investors and financial institutions.
04
Health departments and agencies monitoring facility performance.
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
4.8
Satisfied
47 Votes

People Also Ask about

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.
Medicaid — a government program that helps cover medical costs for people with limited income and assets — is the major source of funding for LTC in the United States.
Cost of care trends and insights Type of service and rate type2024 national median values2023 national median values Adult day health care Daily $100 $95 Assisted living community Monthly $5,900 $5,350 Nursing home semi-private room Monthly $9,277 $8,669 Nursing home private room Monthly $10,646 $9,7332 more rows
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).
Cost of care trends and insights Type of service and rate type2024 national median values2023 national median values Adult day health care Daily $100 $95 Assisted living community Monthly $5,900 $5,350 Nursing home semi-private room Monthly $9,277 $8,669 Nursing home private room Monthly $10,646 $9,7332 more rows
In the United States, long-term care costs between $35,000 and $108,000 a year in 2021. Out of the three different types of long-term care we compared, private rooms in nursing homes are the most costly, with an average of $108,405 a year.
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.

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 aggregates financial, operational, and statistical data about long-term care services. This report provides insights into the financial performance and operational metrics of these facilities.
Long-term care facilities, including nursing homes and assisted living facilities that receive Medicaid or Medicare funding, are typically required to file the Financial and Statistical Report. The specific requirements may vary by state.
To fill out the report, facilities must gather pertinent financial and operational data, and then accurately complete the designated sections of the report form. This process often includes entering patient statistics, revenue information, and operational costs, ensuring compliance with regulatory standards.
The purpose of the Financial and Statistical Report is to ensure transparency in the financial operations of long-term care facilities, facilitate state and federal oversight, and provide data to help improve the quality and efficiency of care provided to residents.
Key information required in the report includes total patient days, total revenue, expenses broken down by category, number of staff and their roles, occupancy rates, and other operational statistics that reflect the facility's performance and service delivery.
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.