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HCCBG Budges <br />Page 3 <br />Service Cost Computation Workeneel <br />Division a Apirp <br />Grand <br />III. Coro flora of Rates ToWI Houstgl Hans <br />A. Com utation of Unit Cost Rate: lI111111I11/U/I urnirnurm rnumsanr <br />1. Total Expenses (equals line ILJ) as,oss urnrrnunn aa,os3 <br />2. Total Projected Units llill/!/!p!/I!7 !!!/1!!I o <br />3. Total Unit Cost Rate lll/!/!l1I111111 llilllllll aoNrOt <br />8. Com utation of Reimbursement Rate: 1/lU1I111llUll lfIllUlll 1!/11!!!1! <br />1. Total Revenues (e uals line LJ) as,os~ nuarmurn aa.os3 <br />2. less: USDA a uals line LD) o nnnanurr~ o <br />Tille V uals line LE and ILD o nurimiran o <br />Hon Match In•Kind uals line o nnurnrrxs o <br />3. Revenues Sub'ect to Unft Reimburseme ae,oss murrrrnrrrr ta,os3 <br />4. Total Pro acted Units (equals line IILA.2) umanrnm arrnrrunrn o <br />5. Total Rembursement Rate rHrerurnOrr mxanrrrrs mrvrot <br />. Units Reimbursed hrou h HCCBG #VALUE! rueirsrrrrrr 9DNlOI <br />. Units Reimbursed Throu h Pro ram In #VALUE! rnnruunrrr #DN/01 <br />. Units Reimbursed Throu h Remainin ifVAIUE! unrrnrrnnr #DNI01 <br />F. Total Units Reimbursed/TOtal Projected iNALUE! rauenrnm MDNlO! <br />a9os3 <br />0 <br />aDIVrO! <br />49953 <br />aDNr9i <br />ODIWDI <br />The Division of Aging ARMS deducts reported program <br />income Iran rcdnbursament paid to provi0ers. Line 111.0 <br />indicates Dro number d units that vnt have to be Produced <br />in addition to Nose statee on rum DI.C In oMa to eam the <br />net revenues stated on fine I.C. <br />Repai <br />Attachment number 1 <br />F-1 Page 93 of 627 <br />