Freestanding Nursing Facility

Freestanding Cost Report changes

  • Moved the General Liability and Professional Liability (GL-PL) Supplemental Report into the Cost Report template.
  • Added a separate Cost Report checklist document.


  • No notable changes have been made.

NOTE: Clicking on the documents may open them in a new browser window. To download the files to your hard drive, right-click the file (Control-click on Macintosh) and choose "Save Target As..."

Please download all documents to complete the reports. To view PDF documents, you will need the free Acrobat Reader application.

Due to the Public Health Emergency enacted during FYE June 30, 2020, an additional schedule has been created to assist the Office of Reimbursement in identifying possible revenue and expenditures related to COVID-19.  Please complete and submit the schedule along with the FYE 2021 Cost Report and any additional supporting documentation.

Download this xls file. FY 2021 COVID-19 Schedule