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Service Cost Computation Worksheet 1/98
<br /> Service Service Service Service Service Service Service Service
<br /> Grand Information Adult Day Adult Day IHA Congreg. Supp.
<br />III. Computation of Rates Total & Assist. Transport.. Care Health HH.I. Services Nutrition Nutrition
<br /> A. Computstlon of Unit Coat Rate: IIIIIIIIIIIIIIII IIIIIIIIIIIIIII II/11/111111111 I/lllllllllllll IIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIII ~111111111111, IIIIIIIIIIIIIII IIIIIIIIIIIIIII
<br /> 1. Total Expenses (equals line II.J) 974,973 IIIIIIIIIIIIIII 58,989 219,713 155,531 7,764 55,721 80,233 378,201 18,821
<br /> 2. Total Proiected Units IIIIIIIIIIIIIIII IIIIIIIIIIIIIII NIA 25,371 5,200 202 N/A 4,500 72,000 8,500
<br /> 3. Total Unit Cost Rate IIIIIIIIIIIIIIII IIIIIIIIIIIIIII N/A 8.6600 29.9098 38.4356 N/A 17.8296 5.2528 2.2142
<br /> B. Computetlon of Reimbursement Rate: IIIIIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIIII rlfllllllllll IIIIIIIIIIIIIIII rllllllllllllll
<br /> 1. Total Revenues (equals line I.J) 974,973 IIIIIIIIIIIIIII 58,989 219,713 155,531 7,764 55,721 80,233 378,198 18,824
<br /> 2. Less: USDA lequals line I,D) 43,502 I/I///I//IJ//// 0 0 0 0 (3 0 38,909 4,593
<br /> Title V (equals line I.E and II.D) 1,300 /////////I//I// 0 0 0 0 0 0 1,300 0
<br /> Non Match In-Kind (squals line I.H and I1.~ 0 IIIIIIIIIIIIIII 0 0 0 0 0 0 ~ 0
<br /> 3. Revenues Subiect to Unit Reimbursement 930,171 I////111/11/I// '58,989 219,7t3 155,531 7,764 55,721 80,233 337,989 14,231
<br /> 4. Total Pro~ected Units (equals line III.A,2) ~/////////I/111 IIII//I/111/I/I N/A 25,371 5,200 202 N/A 4,500 72,000 8,500
<br /> 5. Total Reimbursement Rate ~////////////I/I //I//////I///11 N/A 8.6600 29.9098 38.4356 N/A 17.8296 4.6943 1.6742
<br /> C. Units Relmbumed Through HCCBG flllllllllllllll IIIIIIIIIIIIIII N/A 1t,998 4,531 t73 NIA 2,139 26,914 7,224
<br /> D. Units Relmbumed Through Program Income* ~111111111111111 IIIIIIIIIIIIIII NIA 231 669 28 N/A 303 6,966 1,19~
<br /> E: Units Reimbursed Through Remaining Revenues f/1/I/I/1/////// I/I/I/ifil/1/// N/A t3,142 0 3 NIA 2,068 39,122 82
<br /> F. Total Units Relmbumedrrotel Pro~leotsd Units f/I/I/I/I/////// IIIIIIIIIIIIIII N/A 25,37t 5,200 202 N/A 4,600 72,000 8,S00
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