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Healthcare Information Division - LTC Facilities Annual Financial Reporting Forms and Instructions
Long-Term Care (LTC) Facilities , (skilled nursing, intermediate care, intermediate care/developmentally disabled, and congregate living health facilities) are required to submit an Integrated Disclosure and Medi-Cal Cost Report within four months of the facility's fiscal year end. The report contains detailed financial and utilization information about the facility such as: Type of ownership and inventory of provided services; Number of beds and utilization statistics by payer; Balance sheet and income statement; Revenue by payer and by revenue center; Expenses by natural classification and by cost center and Productive hours and hourly rates by employee classification and by cost center.
The following information is available for LTC Facilities Integrated Disclosure and Medi-Cal Cost Reporting. Forms and instructions are provided in PDF format. For assistance and information about downloading files, go to the "Tool Box"
LTC Facilities Integrated Disclosure and Medi-Cal Cost Report Forms
Blank reporting forms for LTC Facilities report periods ending on or after December 31, 2000. Each report page is a separate Excel worksheet.Extension Request Form
Reporting Manual
Attention Data Users: Please exercise caution when interpreting OSHPD data. The use of improper assumptions and analytical methods may result in erroneous or misleading conclusions. Conclusions drawn from OSHPD data are the sole responsibility of the user. Users should be aware that financial and utilization data products are based on a dynamic database that is constantly being updated. As a result, the same data item for a facility may change over time or be different between products.
If you are unable to download ZIP or EXE files, please e-mail the OSHPDWebmaster.
Extracted files can be e-mailed to users at no charge.