Welcome to SIERA

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The System for Integrated Electronic Reporting and Auditing (SIERA) is a web-based information system that provides health facility employees, home office employees, and consultants the ability to submit and correct annual and quarterly financial reports, request extensions, view past reports, and perform other financial report functions. Submit: Hospital Annual Disclosure Reports, Quarterly Financial and Utilization Reports and Long-Term Care Integrated Disclosure and Medi-Cal Cost Reports.

To submit reports now, or to request an extension:
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  • Hospital Annual Financial Reporting

    Each Hospital is required to submit a Hospital Disclosure Report within four months of the hospital'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 corresponding utilization patient statistics by payer;
    • Balance sheet and income statement;
    • Revenues by payer and revenue center;
    • Expenses by natural classification and cost center; and
    • Productive hours and average hourly rates by employee classification and cost center.
  • Hospital Quarterly Financial and Utilization Reporting Forms and Instructions

    Each Hospital is required to file the Quarterly Financial and Utilization report 45 days after the end of each calendar quarter.  Some data that the report contains are:

    • Patient days;
    • Discharges;
    • Inpatient and Outpatient revenue;
    • Expenses; and
    • Highlighted balance sheet data.
  • LTC Facilities Annual Financial Reporting Forms and Instructions

    Each Long-Term Care (LTC) Facility, (skilled nursing, intermediate care, intermediate care/developmentally disabled, and congregate living health facilities) is required to submit a Long-Term Care Facility 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.

Forms

Instructions and technical letters are provided in PDF format.  Forms are provided in MS Excel (.xls) format. For assistance and information about downloading files, go to the Help Tools.

Annual Disclosure Report Forms:

The following blank reporting forms are for hospital report periods ending on or after June 30th of the year listed.

Hospital Annual Disclosure Report Form Download
2004-Current 2000-2003 1997-1999
Summary of Changes to Hospital Annual Report Forms
2004 2000 1999
Long-Term Care Facility Integrated Disclosure and Medi-Cal Cost Report Forms:
Form Download

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This page was last updated on Friday, May 26, 2017.

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