77 Ill. Adm. Code 350.210
Filing an Annual Attested Financial Statement
Section 350
Section 350.210Â Filing an
Annual Attested Financial Statement
a)
Each licensee shall
file annually, or more often as
the Director shall prescribe, an attested financial statement. The Director may
order an audited financial statement of a particular facility by an auditor of
the Director's choice
. The Department will pay the cost of extra audits
ordered by the Director
.
The time period covered in the financial
statement shall be a period determined by the Department for the initial
filing, and after the initial filing shall coincide with the facility's fiscal
year or the calendar year. (Section 3-208(a) of the Act)
b)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. 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.
c)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 costs, insurance,
travel, clerical costs, 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 shops.
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.
d)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.
e)Â Â Â Â Â Â Â Â The new owner or new lessee of a facility that is licensed for
the first time (a newly constructed facility) shall file a projection of
capital costs.
f)Â Â Â Â Â Â Â Â The owner or lessee in subsections (d) and (e) shall file a
full cost report within nine months after acquisition (covering the first six
months of operation). Each shall also file a cost report within 90 days after
the close of its first complete fiscal year.
g)
No public funds shall be expended for the maintenance of
any resident in a facility which has failed to file the financial statement,
and no public funds shall be paid to, or on behalf of a facility which has
failed to file a statement.
(Section 3-208(b) of the Act)