77 Ill. Adm. Code 330.210
Filing an Annual Attested Financial Statement
Section 330
Section 330.210Â Filing an
Annual Attested Financial Statement
a)Â Â Â Â Â Â Â Â Filing Requirement
1)
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.
(Section 3-208 of the Act)
2)Â Â Â Â Â Â Â Â 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.
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)Â Â Â Â Â Â Â Â Additional Filing Requirements
1)
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.
2)
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)Â Â Â Â Â Â Â Â Filing Deadline and Completeness
1)Â Â Â Â Â Â Â Â The financial statement shall be filed with the Department
within 90 days following the end of the designated reporting period.
2)Â Â Â Â Â Â Â Â 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)Â Â Â Â Â Â Â Â The information required to be submitted in the financial
statement will include, but is not limited to, the following:
1)Â Â Â Â Â Â Â Â Facility information, including:Â 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)Â Â Â Â Â Â Â Â Resident information, including:Â number and level of care of
residents by source of payment, income from residents by level of care.
3)Â Â Â Â Â Â Â Â Cost information by level of care, including:
A)Â Â Â Â Â Â Â General service costs; such as dietary, food, housekeeping,
laundry, utilities, and plant operation and maintenance.
B)Â Â Â Â Â Â Â Health care costs; such as medical director, nursing,
medications, oxygen, activities, medical records, other medical services,
social services, and utilization reviews.
C)Â Â Â Â Â Â Â General Administration; such as administrative salaries,
professional services, fees, subscriptions, promotional, insurance, travel,
clerical, employee benefits, license fees, and inservice training and
education.
D)Â Â Â Â Â Â Â Ownership; such as depreciation, interest, taxes, rent, and
leasing.
E)Â Â Â Â Â Â Â Special Service cost centers; such as habilitative and
rehabilitative services, therapies, transportation, education, barber and
beauty care, and gift and coffee shop.
4)Â Â Â Â Â Â Â Â Income information, including operating and nonoperating
income.
5)Â Â Â Â Â Â Â Â Ownership information, including balance sheet and payment to
owners.
6)Â Â Â Â Â Â Â Â Personnel information, including the number and type of people
employed and salaries paid.
7)Â Â Â Â Â Â Â Â Related organization information, including related
organizations from which services are purchased.
f)Â Â Â Â Â Â Â Â The new owner or a new lessee of a previously licensed
facility may file a projection of capital costs at the time of closing or
signing of the lease.
1)Â Â Â Â Â Â Â Â A facility which is licensed for the first time (a newly
constructed facility) must file a projection of capital costs.
2)Â Â Â Â Â Â Â Â Each of the above must file a full cost report within nine
months after acquisition (covering the first six months of operation.). Each
must also file a cost report within 90 days of the close of its first complete
fiscal year.
g)
No public funds shall be expended for the maintenance of
any resident in any facility which has failed to file this financial statement,
and no public funds shall be paid to, or on behalf of, a facility which has
failed to file the statement.
(Section 3-208(b) of the Act)