77 Ill. Adm. Code 390.210
Filing an Annual Attested Financial Statement
Section 390
Section 390.210Â Filing an
Annual Attested Financial Statement
a)
Each licensee shall
file annually 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 that
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 shall include, but is not limited to, 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)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 costs such as administrative salaries,
professional services, fees, subscriptions, promotional, insurance, travel,
clerical, employee benefits, license fees, and in-service training and
education.
D)Â Â Â Â Â Â Â Ownership costs 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 non-operating
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
that
has failed to file the financial
statement, and no public funds shall be paid to, or on behalf of, a facility that
has failed to file a statement.
(Section 3-208(b) of the Act)