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 for long-term care facilities in the State of Illinois for the fiscal year 2006, detailing information such as licensure, operational 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.

How to edit 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
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit financial and statistical report. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
Dealing with documents is always simple with 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
Obtain the official FINANCIAL AND STATISTICAL REPORT form from your local regulatory authority or website.
02
Gather required financial records, including income statements, balance sheets, and cash flow statements.
03
Carefully read the instructions provided with the report form to understand the requirements.
04
Fill out the identification section with your facility's name, address, and other necessary identifying information.
05
Report total revenue from all sources in the designated section, including Medicare, Medicaid, and private pay.
06
Document all expenses, categorizing them as operational, administrative, and capital expenses.
07
Include statistical data, such as the number of residents, staff-to-resident ratios, and occupancy rates.
08
Review the completed report for accuracy and completeness.
09
Submit the report by the specified deadline, ensuring to keep a copy for your records.

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

01
Long-term care facility administrators who need to track financial health.
02
State and federal regulatory agencies requiring financial reporting for compliance.
03
Investors or stakeholders assessing the viability of a long-term care facility.
04
Insurance companies evaluating risk and reimbursement rates.
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
4.0
Satisfied
35 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 standardized document used by long-term care providers to report their financial conditions and operational statistics. It is used for regulatory compliance and to ensure transparency in financial reporting within the long-term care sector.
Long-term care facilities that receive state or federal funding, including nursing homes and assisted living facilities, are typically required to file the Financial and Statistical Report. Requirements may vary by state regulations.
To fill out the Financial and Statistical Report, facilities must gather relevant financial data, such as income, expenses, patient statistics, and operational costs. The report should be completed following the format provided by the regulatory authority, ensuring all sections are filled in accurately and submitted by the due date.
The purpose of the Financial and Statistical Report is to provide a comprehensive account of the financial and operational status of long-term care facilities. This information helps regulators assess economic viability, plan for resource allocation, and ensure compliance with funding requirements.
The report must include information such as total revenues, operating expenses, patient census data, staffing levels, and any additional statistics relevant to the facility’s operations. This data is essential for monitoring the facility's performance and regulatory compliance.
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.