Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 300.210 - Filing an Annual Attested Financial Statement

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each licensee shall submit an annual
				attested financial statement to the Department. This financial statement shall
				be filed in a prescribed format on forms supplied by the Department. The forms
				will be developed in conjunction with the Illinois Department of Public Aid.
				The time period covered in the financial statement shall be a period determined
				by the Department for the initial filing, and shall thereafter coincide with
				the facility's fiscal year or the calendar year. (Section 3-208 of the
				Act)
b) The Department may require
				any facility to file an audited financial statement, if the Department
				determines that such a statement is needed. (Section 3-208 of the
				Act)
c) The Department may require
				any or all facilities to submit attested or audited financial statements more
				frequently than annually, if the Department determines that more frequent
				financial statements are needed. The frequency and time period of such filings
				shall be as determined by the Department for each individual facility. (Section
				3-208 of the Act)
d) The financial
				statement shall be filed with the Department within 90 days following the end
				of the designated reporting period. The financial statement will not be
				considered as having been filed unless all sections of the prescribed forms
				have been properly completed. Those sections which do not apply to a particular
				facility shall be noted "not applicable" on the forms.
e) The information required to be submitted
				in the financial statement will include at a minimum the following:
1) Facility information, including: facility
				name and address, licensure information, type of ownership, licensed bed
				capacity, date and cost of building construction and additions, date and cost
				of acquisition of buildings, building sizes, equipment costs and dates of
				acquisition.
2) Resident
				information, including: number and level of care of residents by source of
				payment, income from residents by level of care.
3) Cost information by level of care,
				including:
A) General service costs; such as
				dietary, food, housekeeping, laundry, utilities, and plant operation and
				maintenance.
B) Health care costs;
				such as medical director, nursing, medications, oxygen, activities, medical
				records, other medical services, social services, and utilization
				reviews.
C) General Administration;
				such as administrative salaries, professional services, fees, subscriptions,
				promotional, insurance, travel, clerical, employee benefits, license fees, and
				inservice training and education.
D) Ownership; such as depreciation, interest,
				taxes, rent, and leasing.
E)
				Special Service cost centers; such as habilitative and rehabilitative services,
				therapies, transportation, education, barber and beauty care, and gift and
				coffee shop.
4) Income
				information, including operating and nonoperating income.
5) Ownership information, including balance
				sheet and payment to owners.
6)
				Personnel information, including the number and type of people employed and
				salaries paid.
7) Related
				organization information, including related organizations from which services
				are purchased.