L. Beardsley CPA, PLLC: Accounting & Cost Reports for Healthcare Providers - Medicare, Medicaid & Medi-Cal, Patient Billing

Please use the following Forms/Checklists to provide us with the information we need to prepare and submit your cost reports.

Our checklists usually come in two versions: The long-form for your first submission as a new client, and the short-form for any subsequent years' submission.

Our checklists are PDF fill-in forms which allow you to save and print or e-mail the information you filled in. You can either click on the link to open the file in your browser or right-click to download the file (select "Save Target As" or "Save Link As" in the contextual menu).  

Be sure to use the Save function of Adobe Reader rather than the web browser's "save" menu option when completing a fill-in form.

Once done, please upload your form in your File Cabinet or email it to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

You may download the latest version of Acrobat Reader FREE from the Adobe Reader download page on Adobe's Web site.

Checklists / by Provider type

DB-MD DB-MD Medicaid Cost Report

CLASS CLASS Medicaid Cost Report

Home Health Home Health Medicare Cost Report Home Health Medicare - Low Utilization

Hospices Hospice Medicare Cost Report

Assisted Living / Residential Care AL/RC Medicaid Cost Report

Primary Home Care PHC Medicaid Cost Report

Community Based Alternative CBA Medicaid Cost Report

ICF/MR ICF/MR Medicaid Cost Report

Home & Community Based Services & TxHml HCS & TxHml Medicaid Cost Report

Federally Qualified Health Clinic Federally Qualified Health Clinic Medicare Cost Report

Nursing Homes Nursing Home Medicare Cost Report Nursing Home Medicaid Cost Report Nursing Home Enhanced Staffing Report Nursing Home Medicare and Medi-Cal Cost Report

Community Mental Health Center CMHC Medicare Cost Report

Checklists / by Payer

Medicare Cost Reports Nursing Home Medicare Cost Report Nursing Home Medicare and Medi-Cal Cost Report Home Health Medicare Cost Report Home Health Medicare - Low Utilization Hospice Medicare Cost Report Federally Qualified Health Clinic Medicare Cost Report Community Mental Health Center

Medicaid Cost Reports Nursing Home Medicaid Cost Report AL/RC Medicaid Cost Report PHC Medicaid Cost Report CBA Medicaid Cost Report ICF/MR Medicaid Cost Report HCS Medicaid Cost Report CLASS Medicaid Cost Report DB-MD Medicaid Cost Report

Medi-Cal Cost Reports Nursing Home Medicare and Medi-Cal Cost Report

Enhanced Staffing Reports Nursing Home Enhanced Staffing Report