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FOR BHF USELL1
2019STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2019)
I.DPH License ID Number:
Facility
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Gather all the necessary financial documents and data related to the project or business.
02
Organize the data according to the specific categories required in the cost report form.
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Carefully fill out each section of the cost report form with accurate information.
04
Ensure all calculations are correct and double-check the entries for any errors.
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Submit the completed cost report form to the relevant authorities or stakeholders as required.
Who needs cost report data?
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Government agencies for project funding and oversight purposes.
02
Business owners for analyzing and managing their expenses.
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Auditors for financial review and compliance purposes.
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What is cost report data?
Cost report data is financial information submitted by healthcare facilities to demonstrate the costs incurred in providing services to patients. It includes expenses related to patient care, overhead costs, and revenue received.
Who is required to file cost report data?
Healthcare facilities such as hospitals, nursing homes, and home health agencies that receive Medicare or Medicaid reimbursement are required to file cost report data.
How to fill out cost report data?
Cost report data is filled out using specific forms provided by the Centers for Medicare and Medicaid Services (CMS). Facilities must report detailed financial information, including expenses, revenue, and patient statistics.
What is the purpose of cost report data?
The purpose of cost report data is to ensure that healthcare facilities are using Medicare and Medicaid funds appropriately and to calculate reimbursement rates for services provided.
What information must be reported on cost report data?
Facilities must report expenses related to patient care, administrative costs, and overhead expenses. They must also report revenue received from Medicare, Medicaid, and other payers.
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