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# of beds and occupancy rate ~ this section will collect the following data ~ |
i. Bed inventory ~ the # of beds in the facility |
ii. YTD for the quarter ending (accumulated) ~ similar to 3.36 HPRD reporting in the YTD actuals section, the data to be collected includes YTD # of beds, YTD bed days (ie, 100% occupancy), YTD actual resident days (ie, actual occupancy) for all bed types |
iii. Forecast for the period ending March 31 ~ similar to 3.36 HPRD reporting in the forecast section, the data to be collected includes ….. |
Index
Table
Session
Field Name
Excel position or Column
Field Type
int/ float / string
Calculated Field
(specify formula/calculation)
Dependencies (Internal Sources)
Notes
1
Facility Information
Facility Information
Facility Name
2
Facility Information
Facility Information
Address
3
Facility Information
Facility Information
City
4
Facility Information
Facility Information
Postal Code
5
Facility Information
Facility Information
Telephone
6
Facility Information
Facility Information
FAX
7
Facility Information
Facility Information
Facility's website Address
8
Facility Information
Facility Information
Site ID #
9
Facility Information
Facility Information
Program Type
10
Facility Information
Facility Information
Ownership Type
11
Facility Information
Facility Information
Legislation
12
Facility Information
Facility Information
Accreditation Body
13
Facility Information
Facility Information
Accreditation Date
14
Facility Information
Facility Information
Accreditation Expiry Date
15
Facility Information
Facility Information
Health Authority
16
Facility Information
Facility Information
Local Health Authoriy
17
Facility Information
Owner Information
Site ID #
18
Facility Information
Owner Information
Program Type
19
Facility Information
Owner Information
Ownership Type
20
Facility Information
Owner Information
Legislation
21
Facility Information
Owner Information
Accreditation Body
22
Facility Information
Owner Information
Accreditation Date
23
Facility Information
Owner Information
Accreditation Expiry Date
24
Facility Information
Owner Information
Health Authority
25
Facility Information
Owner Information
Local Health Authority
26
Facility Information
Operator Information
Operator Name
27
Facility Information
Operator Information
Address
28
Facility Information
Operator Information
City
29
Facility Information
Operator Information
Postal Code
30
Facility Information
Operator Information
Telephone
31
Facility Information
Operator Information
FAX
32
Facility Information
Operator Information
(Contact) Name
33
Facility Information
Operator Information
(Contact) Position
34
Facility Information
Operator Information
(Contact) Telephone
35
Facility Information
Operator Information
(Contact) E-mail Address
36
Facility Information
Preparer Contact Information
Name
37
Facility Information
Preparer Contact Information
Position
38
Facility Information
Preparer Contact Information
Telephone
39
Facility Information
Preparer Contact Information
E-mail Address
40
Facility Information
Preparer Contact Information
Fax
41
Facility Information
CFO or VP Finance Contact Information
Name
42
Facility Information
CFO or VP Finance Contact Information
Position
43
Facility Information
CFO or VP Finance Contact Information
Telephone
44
Facility Information
CFO or VP Finance Contact Information
E-mail Address
45
Facility Information
CFO or VP Finance Contact Information
Fax
46
Facility Information
Auditor's Contact Information
Audit Firm
47
Facility Information
Auditor's Contact Information
(Contact) Name
48
Facility Information
Auditor's Contact Information
(Contact) Position
49
Facility Information
Auditor's Contact Information
(Contact) Telephone
50
Facility Information
Auditor's Contact Information
(Contact) E-mail Address
51
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / At April 1
LTC Regular
52
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / At April 1
LTC Temp
53
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / At April 1
Other ~ specify
54
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / At April 1
Subtotal ~ in-scope 3.36 HPRD publicly funded beds
55
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
respite
56
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
end of life
57
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
convalescent
58
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
flex
59
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
other
60
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / At April 1
Subtotal ~ out-of-scope publicly funded beds
61
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / At April 1
Private beds co-located with in-scope publicly funded beds
62
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / At April 1
Private beds located in separate wing/unit
63
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / At April 1
Subtotal ~ private beds
64
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / At April 1
Total Beds
65
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Adjustment
LTC Regular
66
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Adjustment
LTC Temp
67
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Adjustment
Other ~ specify
68
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Adjustment
Subtotal ~ in-scope 3.36 HPRD publicly funded beds
69
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
respite
70
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
end of life
71
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
convalescent
72
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
flex
73
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
other
74
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Adjustment
Subtotal ~ out-of-scope publicly funded beds
75
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Adjustment
Private beds co-located with in-scope publicly funded beds
76
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Adjustment
Private beds located in separate wing/unit
77
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Adjustment
Subtotal ~ private beds
78
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Adjustment
Total Beds
79
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Revised
LTC Regular
80
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Revised
LTC Temp
81
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Revised
Other ~ specify
82
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / In-Scope 3.36 HPRD Publicly Funded Beds / Revised
Subtotal ~ in-scope 3.36 HPRD publicly funded beds
83
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
respite
84
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
end of life
85
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
convalescent
86
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
flex
87
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
other
88
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Out of Scope Publicly Funded Beds / Short Stay Beds / Revised
Subtotal ~ out-of-scope publicly funded beds
89
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Revised
Private beds co-located with in-scope publicly funded beds
90
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Revised
Private beds located in separate wing/unit
91
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Private Beds / Revised
Subtotal ~ private beds
92
# of beds & occupancy rate
Data Collection ~ Bed Inventory / # of beds in the facility / Budget / Revised
Total Beds
93
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / Approved Beds
In- scope 3.36 HPRD publicly funded beds
94
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / Approved Beds
Out of scope publicly funded bed
95
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / Approved Beds
Private Beds
96
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / Approved Beds
Total beds and YTD occupied days
97
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Maximum Days
In- scope 3.36 HPRD publicly funded beds
98
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Maximum Days
Out of scope publicly funded bed
99
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Maximum Days
Private Beds
100
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Maximum Days
Total beds and YTD occupied days
101
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Occupied Days
In- scope 3.36 HPRD publicly funded beds
102
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Occupied Days
Out of scope publicly funded bed
103
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Occupied Days
Private Beds
104
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / YTD Occupied Days
Total beds and YTD occupied days
105
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / % Occupied
In- scope 3.36 HPRD publicly funded beds
106
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / % Occupied
Out of scope publicly funded bed
107
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / % Occupied
Private Beds
108
# of beds & occupancy rate
Data Collection - Year-to-Date (YTD) Resident Bed Days / Bed Types / % Occupied
Total beds and YTD occupied days
109
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
1. In-scope 3.36 HPRD publicly funded beds - at April 1
Time selection based on which quarter is being reported - needs Bonnie’s confirmation
110
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
1. In-scope 3.36 HPRD publicly funded beds - adjustments
111
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
Subtotal
112
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
2. Out-of-scope publicly funded beds - at April 1
Time selection based on which quarter is being reported - needs Bonnie’s confirmation
113
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
2. Out-of-scope publicly funded beds - adjustments
114
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
Subtotal
115
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
3. Private Beds - at April 1
Time selection based on which quarter is being reported - needs Bonnie’s confirmation
116
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
3. Private Beds - adjustments
117
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
Subtotal
118
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of Beds
Total
119
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
1. In-scope 3.36 HPRD publicly funded beds - at April 1
Time selection based on which quarter is being reported - needs Bonnie’s confirmation
120
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
1. In-scope 3.36 HPRD publicly funded beds - adjustments
121
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
2. Out-of-scope publicly funded beds
122
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
2. Out-of-scope publicly funded beds
123
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
3. Private Beds
124
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / Start
3. Private Beds
125
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
1. In-scope 3.36 HPRD publicly funded beds - at April 1
Time selection based on which quarter is being reported - needs Bonnie’s confirmation
126
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
1. In-scope 3.36 HPRD publicly funded beds - adjustments
127
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
2. Out-of-scope publicly funded beds
128
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
2. Out-of-scope publicly funded beds
129
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
3. Private Beds
130
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / End
3. Private Beds
131
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
1. In-scope 3.36 HPRD publicly funded beds - at April 1
132
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
1. In-scope 3.36 HPRD publicly funded beds - adjustments
133
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
2. Out-of-scope publicly funded beds
134
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
2. Out-of-scope publicly funded beds
135
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
3. Private Beds
136
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / # of days
3. Private Beds
137
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
1. In-scope 3.36 HPRD publicly funded beds - at April 1
138
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
1. In-scope 3.36 HPRD publicly funded beds - adjustments
139
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
Subtotal
140
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
2. Out-of-scope publicly funded beds
Field Name to be confirmed
141
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
2. Out-of-scope publicly funded beds
Field Name to be confirmed
142
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
Subtotal
143
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
3. Private Beds
Field Name to be confirmed
144
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
3. Private Beds
Field Name to be confirmed
145
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
Subtotal
146
# of beds & occupancy rate
Data Collection - Details for YTD Maximum Days / Bed Type / YTD Maximum
Total
147
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
April
148
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
May
149
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
June
150
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
Subtotal ~ Q1
151
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
July
152
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
August
153
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
September
154
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
Subtotal ~ Q2
155
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
October
156
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
November
157
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
December
158
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
Subtotal ~ Q3
159
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
January
160
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
February
161
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
March
162
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
Subtotal ~ Q4
163
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / In-Scope 3.36 HPRD Publicly Funded Beds
Total
164
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
April
165
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
May
166
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
June
167
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
Subtotal ~ Q1
168
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
July
169
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
August
170
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
September
171
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
Subtotal ~ Q2
172
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
October
173
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
November
174
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
December
175
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
Subtotal ~ Q3
176
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
January
177
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
February
178
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
March
179
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
Subtotal ~ Q4
180
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Out of Scope Publicly Funded Beds
Total
181
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
April
182
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
May
183
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
June
184
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
Subtotal ~ Q1
185
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
July
186
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
August
187
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
September
188
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
Subtotal ~ Q2
189
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
October
190
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
November
191
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
December
192
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
Subtotal ~ Q3
193
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
January
194
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
February
195
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
March
196
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
Subtotal ~ Q4
197
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Private Beds
Total
198
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
April
199
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
May
200
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
June
201
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
Subtotal ~ Q1
202
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
July
203
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
August
204
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
September
205
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
Subtotal ~ Q2
206
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
October
207
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
November
208
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
December
209
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
Subtotal ~ Q3
210
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
January
211
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
February
212
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
March
213
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
Subtotal ~ Q4
214
# of beds & occupancy rate
Data Collection - Details for YTD Occupied Days / Monthly Activity / Total Days
Total
215
# of beds & occupancy rate
Forecast Bed Days & Resident Days for in-scope 3.36 HPRD publicly funded beds (for 3.36 HPRD reporting) / Bed Types / # of Beds
1. In scope 3.36 HPRD publicly funded beds
216
# of beds & occupancy rate
Forecast Bed Days & Resident Days for in-scope 3.36 HPRD publicly funded beds (for 3.36 HPRD reporting) / Bed Types / Bed days Maximum Days
1. In scope 3.36 HPRD publicly funded beds
217
# of beds & occupancy rate
Forecast Bed Days & Resident Days for in-scope 3.36 HPRD publicly funded beds (for 3.36 HPRD reporting) / Bed Types / Resident Days
1. In scope 3.36 HPRD publicly funded beds
218
# of beds & occupancy rate
Forecast ~ bed days maximum days / # of beds
In-scope 3.36 HPRD publicly funded beds - at April
219
# of beds & occupancy rate
Forecast ~ bed days maximum days / # of beds
In-scope 3.36 HPRD publicly funded beds - adjustment
220
# of beds & occupancy rate
Forecast ~ bed days maximum days / # of beds
Total
221
# of beds & occupancy rate
Forecast ~ bed days maximum days / Start
In-scope 3.36 HPRD publicly funded beds - at April
222
# of beds & occupancy rate
Forecast ~ bed days maximum days / Start
In-scope 3.36 HPRD publicly funded beds - adjustment
223
# of beds & occupancy rate
Forecast ~ bed days maximum days / End
In-scope 3.36 HPRD publicly funded beds - at April
224
# of beds & occupancy rate
Forecast ~ bed days maximum days / End
In-scope 3.36 HPRD publicly funded beds - adjustment
225
# of beds & occupancy rate
Forecast ~ bed days maximum days / # of days
In-scope 3.36 HPRD publicly funded beds - at April
226
# of beds & occupancy rate
Forecast ~ bed days maximum days / # of days
In-scope 3.36 HPRD publicly funded beds - adjustment
227
# of beds & occupancy rate
Forecast ~ bed days maximum days / Max. Days
In-scope 3.36 HPRD publicly funded beds - at April
228
# of beds & occupancy rate
Forecast ~ bed days maximum days / Max. Days
In-scope 3.36 HPRD publicly funded beds - adjustment
229
# of beds & occupancy rate
Forecast ~ bed days maximum days / Max. Days
Total
230
# of beds & occupancy rate
Forecast ~ resident days / Forecast
YTD resident days =
231
# of beds & occupancy rate
Forecast ~ resident days / Forecast
# of days for last qtr ending =
232
# of beds & occupancy rate
Forecast ~ resident days / Forecast
# of days for the fiscal year =
233
# of beds & occupancy rate
Forecast ~ resident days / Forecast
Forecast
234
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236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
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259
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365
Staffing Plan
Direct Care Staffing
Operating Revenue
Surgical & Medical Supplies
Food Services
Laundry Services
Housekeeping Services
Administration
Facility Support Services
Property (Facility) & Amortization
Non-Operating Costs
Deferred Rev - Op & Cap
Rev & Exp Reporting
3.36 HPRD Reporting