{"text_format":"1","workbook":"xlsx","n_sheets":49,"sheets":["Setup","Errors","DMH","HOME","Medi-Cal","Non Medi-Cal","MH1900_INFO","MH1901_Schedule_A","LAC CMA","Sheet2","Sheet1","MH1901_Schedule_B","LAC101","LAC102","LAC102_S_MHSA","MH1901_Schedule_C","LAC103","MH1960","MH1961","MH1962","MH1963","MH1964","MH1965","MH1966_HOSPINPT","MH1966_MODE5(OTHR)","MH1966_MODE10","MH1966_MODE15_(1)","MH1966_MODE15_(2)","MH1966_MODE45","MH1966_MODE55","MH1966_MODE60","MH1960_HOSP_COSTS","MH1960_HOSP_05","MH1960_PHYS_05","MH1960_HOSP_05_ADMIN","MH1960_PHYS_05_ADMIN","MH1960_HOSP_10","MH1960_PHYS_10","MH1960_HOSP_15","MH1960_PHYS_15","MH1968","MH1969_INST","MH1969","MH1992_INST","MH1979","MH1991","MH1992","Crosschecks","INPUT DATA"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":12,"defined_names":1337,"comments":1,"pivot_tables":1},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Setup","index":0,"n_rows":39,"n_cols":11,"rows_kept":39,"cut":false,"hidden":true,"merged":[[10,4,10,7],[5,2,5,3],[12,2,12,3],[0,8,0,10],[0,0,0,3]]}
["Do not move any of these cells.  The VBA code references some of these by direct cell reference!",null,null,null,"Index","Type ","Direct Allocation Flag","Program Type Flag","Print Forms"]
[null,null,null,null,1,"CR",0,1,"ID","Worksheet Name","1=Print, 0=Don't"]
["FiscalYear (YYYYYYYY)",20202021,"MH1900_INFO Drop Down Items",null,2,"NR",0,1,1,"HOME",0]
["FiscalYear (YYYY-YYYY)",{"$f":"MID(FiscalYear,1,4)&\" - \"&MID(FiscalYear,5,4)","v":"2020 - 2021"},"Yes",null,3,"TBS",1,2,2,"Medi-Cal",0]
["Rounding Error",5,"No",null,4,"ASO",1,2,3,"Non Medi-Cal",0]
["CurrentProtection","OFF","MH1991 Hospital Admin Periods",null,5,"MAA",1,1,4,"MH1900_INFO",0]
["Medi-Cal?",true,"Period 1 / Period 3","Period 2/ Period 4",6,"MHS",1,2,5,"MH1901_Schedule_A",0]
["Affordable Care Act Period 1",{"$f":"\"07/01/\"&MID(FiscalYear,3,2)&\" - 12/31/\"&MID(FiscalYear,3,2)","v":"07/01/20 - 12/31/20"},{"$f":"\"07/01/\"&MID(FiscalYear,3,2)&\" - 06/30/\"&MID(FiscalYear,7,2)","v":"07/01/20 - 06/30/21"},null,7,"ISA",0,1,6,"MH1901_Schedule_B",0]
["Affordable Care Act Period 2",{"$f":"\"01/01/\"&MID(FiscalYear,7,2)&\" - 06/30/\"&MID(FiscalYear,7,2)","v":"01/01/21 - 06/30/21"},null,null,8,"FBG",1,2,7,"MH1901_Schedule_C",1]
["MCAP Period 1",{"$f":"\"07/01/\"&MID(FiscalYear,3,2)&\" - 09/30/\"&MID(FiscalYear,3,2)","v":"07/01/20 - 09/30/20"},"MH1992 Rollover Period",null,9,"HOSP","0","1",8,"MH1960",0]
["Entire Fiscal Year",{"$f":"\"07/01/\"&MID(FiscalYear,3,2)&\" - 06/30/\"&MID(FiscalYear,7,2)","v":"07/01/20 - 06/30/21"},{"$f":"TEXT(VALUE(MID(FiscalYear,3,2))-1,\"00\")&\"-\"&TEXT(VALUE(MID(FiscalYear,7,2))-1,\"00\")","v":"19-20"},null,"Settlement Type for MH1901_Schedule_C",null,null,null,9,"MH1960_HOSP_COSTS",0]
["Date Detail Template Last Revised","(Rev. 02/2019)",null,null,null,null,null,null,10,"MH1960_HOSP_05",0]
["SD/MC Sharing Ratio FFP",0.5,"MH1991 Hospital Admin Rates",null,null,null,null,null,11,"MH1961",0]
["MCAP Period 2",{"$f":"\"10/01/\"&MID(FiscalYear,3,2)&\" - 02/29/\"&MID(FiscalYear,7,2)","v":"10/01/20 - 02/29/21"},"07/01/18-06/30/19",514.95000000000005,null,null,null,null,12,"MH1962",0]
[null,null,null,null,null,null,null,null,13,"MH1963",0]
["CurrentReCalcMode","ON",null,null,null,null,null,null,14,"MH1964",0]
[null,null,null,null,null,null,null,null,15,"MH1965",0]
["Healthy Family Ratio FFP",0.65,null,null,null,null,null,null,16,"MH1966_HOSPINPT",0]
[null,null,null,null,null,null,null,null,17,"MH1966_MODE5(OTHR)",0]
["Healthy Family Admin FFP",0.65,null,null,null,null,null,null,18,"MH1966_MODE10",1]
[null,null,null,null,null,null,null,null,19,"MH1966_MODE15_(1)",0]
["SD/MC Admin/UR",0.5,null,null,null,null,null,null,20,"MH1966_MODE15_(2)",0]
["SD/MC Skilled UR & MAA",0.75,null,null,null,null,null,null,21,"MH1966_MODE45",0]
["Enhanced SDMC Ratio FMAP",0.65,null,null,null,null,null,null,22,"MH1966_MODE55",0]
["Refugee FMAP",1,null,null,null,null,null,null,23,"MH1966_MODE60",0]
["Affordable Care Act FMAP - 07/01/18 - 12/31/18",0.93,null,null,null,null,null,null,24,"MH1968",0]
["Affordable Care Act FMAP - 01/01 /19 - 06/30/19",0.9,null,null,null,null,null,null,25,"MH1969",0]
["SB75 SGF",1,null,null,null,null,null,null,26,"MH1979",0]
["Enhanced Childern Ratio",0.88,null,null,null,null,null,null,27,"MH1979B",0]
["ACA 6% SGF - 07/01/18 - 12/31/18",7.0000000000000007E-2,null,null,null,null,null,null,28,"MH1991",0]
["ACA 7% SGF - 01/01/19 - 06/30/19",0.1,null,null,null,null,null,null,"29","MH1992_INST",0]
["Enhanced Childern Ratio- E2, E4, E5",0.65,null,null,null,null,null,null,"30","MH1992",0]
[null,null,null,null,null,null,null,null,"31","MH1960_PHYS_05",0]
[null,null,null,null,null,null,null,null,"32","MH1960_HOSP_10",0]
[null,null,null,null,null,null,null,null,"33","MH1960_PHYS_10",0]
[null,null,null,null,null,null,null,null,"34","MH1960_HOSP_15",0]
[null,null,null,null,null,null,null,null,"35","MH1960_PHYS_15",0]
[null,null,null,null,null,null,null,null,"36","MH1960_PHYS_05_ADMIN",0]
[null,null,null,null,null,null,null,null,"37","MH1960_HOSP_05_ADMIN",0]

{"sheet":"Errors","index":1,"n_rows":185,"n_cols":7,"rows_kept":185,"cut":false,"hidden":true,"merged":[]}
[null,"# of Data",{"$f":"COUNT(A:A)","v":183}]
["Date","Number","SheetName","Cell","Error #","Error Msg","Procedure Name"]
["2015-08-05",1,"MH1900_INFO","$C$44",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",2,"MH1900_INFO","$B$6",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",3,"MH1900_INFO","$E$19",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",4,"MH1900_INFO","$E$19",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",5,"MH1900_INFO","$E$19",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",6,"MH1900_INFO","$B$43",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",7,"MH1900_INFO","$B$43",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2015-08-05",8,"MH1969_INST","$D$3",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","MH1969InstCheckBoxClick"]
["2015-08-07",9,"HOME","$B$40",13,"Type mismatch","formIsRelevant"]
["2015-08-07",10,"HOME","$B$40",13,"Type mismatch","formIsRelevant"]
["2015-08-07",11,"HOME","$B$40",13,"Type mismatch","formIsRelevant"]
["2015-08-07",12,"HOME","$B$40",13,"Type mismatch","formIsRelevant"]
["2016-02-19",13,"MH1979","$B$74",0,null,"ShowEverything"]
["2016-02-19",14,"MH1979","$B$74",20,"Resume without error","ShowEverything"]
["2016-02-19",15,"MH1979","$B$74",0,null,"ShowEverything"]
["2016-02-19",16,"MH1979","$B$74",20,"Resume without error","ShowEverything"]
["2016-02-19",17,"MH1979","$B$74",0,null,"ShowEverything"]
["2016-02-19",18,"MH1979","$B$74",20,"Resume without error","ShowEverything"]
["2016-02-19",19,"MH1979","$B$74",0,null,"ShowEverything"]
["2016-02-19",20,"MH1979","$B$74",20,"Resume without error","ShowEverything"]
["2016-02-19",21,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",22,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",23,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",24,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",25,"MH1979","$B$74",0,null,"Fix Passords"]
["2016-02-19",26,"MH1979","$B$74",20,"Resume without error","Fix Passords"]
["2016-02-19",27,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",28,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",29,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",30,"MH1979","$B$74",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Fix Passords"]
["2016-02-19",31,"MH1979","$B$74",0,null,"Fix Passords"]
["2016-02-19",32,"MH1979","$B$74",20,"Resume without error","Fix Passords"]
["2016-02-19",33,"MH1979","$B$74",0,null,"Fix Passords"]
["2016-02-19",34,"MH1979","$B$74",20,"Resume without error","Fix Passords"]
["2016-05-26",35,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",36,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",37,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",38,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",39,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",40,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",41,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",42,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",43,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",44,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",45,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",46,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",47,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",48,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",49,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",50,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",51,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",52,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",53,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",54,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",55,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",56,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",57,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",58,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",59,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-05-26",60,"Crosschecks","$D$12",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",61,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",62,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",63,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",64,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",65,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-16",66,"MH1968","$B$4",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-20",67,"MH1968","$K$28",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-29",68,"MH1968","$J$49",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2016-09-29",69,"MH1968","$J$50",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","UnProtectAll"]
["2017-03-23",70,"HOME","$L$12",0,null,"Fix Passords"]
["2017-03-23",71,"HOME","$L$12",20,"Resume without error","Fix Passords"]
["2017-11-17",72,"DMH","$F$15",0,null,"ShowEverything"]
["2017-11-17",73,"DMH","$F$15",20,"Resume without error","ShowEverything"]
["2017-11-17",74,"DMH","$F$15",0,null,"ShowEverything"]
["2017-11-17",75,"DMH","$F$15",20,"Resume without error","ShowEverything"]
["2017-11-17",76,"DMH","$F$15",0,null,"ShowEverything"]
["2017-11-17",77,"DMH","$F$15",20,"Resume without error","ShowEverything"]
["2017-11-17",78,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",79,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",80,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",81,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",82,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",83,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",84,"DMH","$K$12",0,null,"ShowEverything"]
["2017-11-17",85,"DMH","$K$12",20,"Resume without error","ShowEverything"]
["2017-11-17",86,"DMH","$K$12",0,null,"ShowEverything"]
["2017-11-17",87,"DMH","$K$12",20,"Resume without error","ShowEverything"]
["2017-11-17",88,"DMH","$K$12",0,null,"ShowEverything"]
["2017-11-17",89,"DMH","$K$12",20,"Resume without error","ShowEverything"]
["2017-11-17",90,"DMH","$D$16",0,null,"ShowEverything"]
["2017-11-17",91,"DMH","$D$16",20,"Resume without error","ShowEverything"]
["2017-11-17",92,"DMH","$D$16",0,null,"ShowEverything"]
["2017-11-17",93,"DMH","$D$16",20,"Resume without error","ShowEverything"]
["2017-11-17",94,"DMH","$D$16",0,null,"ShowEverything"]
["2017-11-17",95,"DMH","$D$16",20,"Resume without error","ShowEverything"]
["2017-11-17",96,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",97,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",98,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",99,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",100,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",101,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",102,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",103,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",104,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",105,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",106,"DMH","$A$1",0,null,"ShowEverything"]
["2017-11-17",107,"DMH","$A$1",20,"Resume without error","ShowEverything"]
["2017-11-17",108,"DMH","$B$15",0,null,"ShowEverything"]
["2017-11-17",109,"DMH","$B$15",20,"Resume without error","ShowEverything"]
["2017-11-17"]
["2017-11-17",1,"DMH","$E$15",0,null,"ShowEverything"]
["2017-11-17",2,"DMH","$E$15",20,"Resume without error","ShowEverything"]
["2017-11-17",3,"DMH","$E$15",0,null,"ShowEverything"]
["2017-12-20",4,"MH1900_INFO","$B$11",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2017-12-20",5,"MH1900_INFO","$B$11",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2017-12-20",6,"MH1900_INFO","$B$11",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2017-12-20",7,"MH1900_INFO","$D$12",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2017-12-28",8,"MH1900_INFO","$B$52",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2017-12-28",9,"MH1900_INFO","$B$52",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2017-12-28",10,"MH1900_INFO","$B$11",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2017-12-28",11,"MH1900_INFO","$B$11",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2018-01-02",12,"MH1900_INFO","$B$46",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2018-01-02",13,"MH1900_INFO","$B$46",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2018-01-02",14,"MH1900_INFO","$B$46",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2018-01-02",15,"MH1900_INFO","$B$46",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2018-01-02",16,"MH1900_INFO","$E$29",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2018-01-02",17,"MH1900_INFO","$B$12",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2018-01-02",18,"MH1900_INFO","$B$11",1004,"We can't do that to a merged cell.","cboYN1_Change"]
["2018-01-02",19,"MH1900_INFO","$B$11",1004,"Unable to set the Locked property of the Range class","cboYN1_Change"]
["2018-04-24",20,"MH1963","$B$15",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","InsertMH1963_Rows"]
["2018-04-24",21,"MH1991","$I$24",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Clear (New)"]
["2018-04-24",22,"HOME","$G$30",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Clear (New)"]
["2018-04-24",23,"MH1979","$E$34",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Clear (New)"]
["2018-04-24",24,"MH1979","$E$34",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","Clear (New)"]
["2018-12-21",25,"DMH","$H$20",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2018-12-21",26,"DMH","$H$20",0,null,"ShowEverything"]
["2018-12-21",27,"DMH","$H$20",20,"Resume without error","ShowEverything"]
["2018-12-21",28,"DMH","$H$20",0,null,"ShowEverything"]
["2018-12-21",29,"DMH","$H$20",20,"Resume without error","ShowEverything"]
["2018-12-21",30,"DMH","$H$20",0,null,"ShowEverything"]
["2018-12-21",31,"DMH","$H$20",20,"Resume without error","ShowEverything"]
["2018-12-21",32,"DMH","$H$20",0,null,"ShowEverything"]
["2018-12-21",33,"DMH","$H$20",20,"Resume without error","ShowEverything"]
["2019-03-21",34,"Setup","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-03-21",35,"MH1992","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-04-19",36,"DMH","$I$21",0,null,"ShowEverything"]
["2019-04-19",37,"DMH","$I$21",20,"Resume without error","ShowEverything"]
["2019-04-19",38,"DMH","$I$21",0,null,"ShowEverything"]
["2019-04-19",39,"DMH","$I$21",20,"Resume without error","ShowEverything"]
["2019-04-19",40,"DMH","$I$21",0,null,"ShowEverything"]
["2019-04-19",41,"DMH","$I$21",20,"Resume without error","ShowEverything"]
["2019-04-19",42,"Medi-Cal","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-04-23",43,"Medi-Cal","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-04-23",44,"Medi-Cal","$F$69",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-04-30",45,"Medi-Cal","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2019-05-16",46,"DMH","$A$34",0,null,"ShowEverything"]
["2019-05-16",47,"DMH","$A$34",20,"Resume without error","ShowEverything"]
["2019-05-16",48,"DMH","$A$34",0,null,"ShowEverything"]
["2019-05-16",49,"DMH","$A$34",20,"Resume without error","ShowEverything"]
["2019-05-16",50,"DMH","$A$34",0,null,"ShowEverything"]
["2019-05-16",51,"DMH","$A$34",20,"Resume without error","ShowEverything"]
["2019-05-16",52,"Medi-Cal","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-04-13",53,"Medi-Cal","$A$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-04-13",54,"MH1969","$H$1",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-04-13",55,"Errors","$A$16",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-06-16",56,"DMH","$A$57",0,null,"ShowEverything"]
["2020-06-16",57,"DMH","$A$57",20,"Resume without error","ShowEverything"]
["2020-06-16",58,"DMH","$A$57",0,null,"ShowEverything"]
["2020-06-16",59,"DMH","$A$57",20,"Resume without error","ShowEverything"]
["2020-06-16",60,"DMH","$A$57",0,null,"ShowEverything"]
["2020-06-16",61,"DMH","$A$57",20,"Resume without error","ShowEverything"]
["2020-06-22",62,"Medi-Cal","$A$57",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-06-22",63,"Medi-Cal","$A$57",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","ProtectUnProtect_Toggle"]
["2020-07-08",64,"MH1963","$AB$11",1004,"The password you supplied is not correct. Verify that the CAPS LOCK key is off and be sure to use the correct capitalization.","InsertMH1963_Rows"]
["2020-07-31",65,"MH1900_INFO","$F$72",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2020-08-03",66,"MH1900_INFO","$F$72",1004,"Application-defined or object-defined error","cboYN1_Change"]
["2021-06-10",67,"DMH","$N$6",0,null,"ShowEverything"]
["2021-06-10",68,"DMH","$N$6",20,"Resume without error","ShowEverything"]
["2021-06-10",69,"DMH","$N$6",0,null,"ShowEverything"]
["2021-06-10",70,"DMH","$N$6",20,"Resume without error","ShowEverything"]
["2021-06-10",71,"DMH","$N$6",0,null,"ShowEverything"]
["2021-06-10",72,"DMH","$N$6",20,"Resume without error","ShowEverything"]
["2021-10-21",73,"MH1900_INFO","$B$5",1004,"Application-defined or object-defined error","cboYN1_Change"]

{"sheet":"DMH","index":2,"n_rows":6,"n_cols":11,"rows_kept":6,"cut":false,"hidden":true,"merged":[]}
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"Protection"]
[null,null,null,null,null,null,null,null,null,null,{"$f":" ProtectionStatus","v":"OFF"}]

{"sheet":"HOME","index":3,"n_rows":1,"n_cols":1,"rows_kept":1,"cut":false,"hidden":false,"merged":[[0,0,0,10]]}
["DETAIL COST AND FINANCIAL REPORT (FY2020-2021)"]

{"sheet":"Medi-Cal","index":4,"n_rows":42,"n_cols":5,"rows_kept":42,"cut":false,"hidden":false,"merged":[[0,0,0,11]]}
["DETAIL COST AND FINANCIAL REPORT (FY2020-2021)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"YES"]

{"sheet":"Non Medi-Cal","index":5,"n_rows":1,"n_cols":1,"rows_kept":1,"cut":false,"hidden":false,"merged":[[0,0,2,10]]}
["DETAIL COST AND FINANCIAL REPORT (FY2020-2021)"]

{"sheet":"MH1900_INFO","index":6,"n_rows":69,"n_cols":6,"rows_kept":69,"cut":false,"hidden":false,"merged":[[54,3,54,5],[53,0,53,5],[1,4,1,5],[20,0,21,0],[45,4,45,5],[31,0,31,1],[44,0,44,1],[35,0,35,1],[23,0,23,5],[27,0,27,6]]}
["State of California Health and Human Services Agency",null,null,null,null,"Department of Health Care Services"]
[{"$f":"\"DETAIL COST REPORT \"&CHAR(10)&\"INFORMATION SHEET\"&CHAR(10)&\"MH1900 \"&Revision_Date","v":"DETAIL COST REPORT \nINFORMATION SHEET\nMH1900 (Rev. 02/2019)"},null,null,null,"FISCAL YEAR 2020-2021"]
["SECTION I : ALL LEGAL ENTITIES :"]
["All Legal Entities are to complete Section I."]
["Name of Preparer:","John Doe"]
["Date:","2021-08-05"]
["Legal Entity Name:","Vermont Mental Health"]
["Legal Entity Number:","00055"]
["County:","Los Angeles"]
["County Code:","19"]
["Is this a County Legal Entity Report?\n(Yes or No)",2]
["Are you reporting SD/MC?\n(Yes or No)",1]
["SECTION II:COUNTY LEGALENTITY ONLY:"]
[]
["Only County Legal Entities are to Complete Section II."]
[]
["Address:"]
[]
[]
["Phone Number:"]
["County Population : Over 125,000?\n(Yes or No):",1]
[]
[]
["Contract Provider Other Medi-Cal Direct Service Gross Reimbursement (Used to populate MH1979 Line2 (07/01/2020 - 06/30/2021)"]
["Inpatient Services - 07/01/20 - 06/30/21"]
["Outpatient Services - 07/01/20 - 06/30/21"]
[]
["Contract Provider SD/MC Enhanced (Children) Direct Service Gross Reimbursement ( Used to populate MH1979 Line 10 (07/01/2020 - 09/30/2020) and MH 1979 Line 16 (10/01/2020 - 06/30/2021)"]
["Inpatient Services - 07/01/19 - 09/30/20",null,null,null,"Inpatient Services - 10/01/20 - 06/30/21"]
["Outpatient Services - 07/01/19 - 09/30/20",null,null,null,"Outpatient Services - 10/01/20 - 06/30/21"]
[]
["Contract Provider Healthy Families Direct Service Gross Reimbursement (Used to populate MH1979 Line8)"]
["Inpatient Services"]
["Outpatient Services"]
[]
["Contract Providers Affordable Care  Act (New Adult Group Service (Reimbursement Used to populate MH1979 Line2)"]
["InpatientServices (07/01/16-12/31/16)"]
["OutpatientServices (07/01/16-12/31/16)"]
["InpatientServices (01/01/17-06/30/17)"]
["OutpatientServices (01/01/17-06/30/17)"]
["TotalStateShareofSD/MCCost:"]
[]
[null,{"$f":"'MH1979'!T65","v":0}]
[]
["Fee For Service - Mental Health Specialty \nProvider Numbers For Individual and Group"]
["Legal Entity Number (FFS):"]
["Psychiatrist:"]
["Psychologist:"]
["Mixed Specialty Group:"]
["RN:"]
["LCSW:"]
["MFCC (MFT):"]
[]
["Adjust Medi-Cal FFP Due to Costs in Excess of FFP"]
[null,null,null,"Adjustments by Settlement Group (Used to Populate Col.I - MH1979)"]
["Mode of Services","SD/MC",null,null,"Settlement Group","AdjustmentstoFFP"]
["Mode 05 - Hospital Inpatient Services",null,null,null,"SD/MC 07/01/20 - 6/30/21"]
["Mode 05 - Other 24 Hour Services",null,null,null,"SD/MC Non CHIP Children - 07/01/20 - 06/30/21"]
["Mode10 - Day Services",null,null,null,"SD/MC Enhanced Children 07/01/20 - 09/30/20"]
["Mode15 - Outpatient Services",null,null,null,"SD/MC Enhanced Children 10/01/20 - 06/30/21"]
["MAA",null,null,{"$f":"IF(B61=SUM(F65:F66),\"\",\"ERROR\")","v":""},"SD/MC Enhanced-BCCTP-07/01/20 - 06/30/21"]
["Total Adjustments to FFP",{"$f":"SUM(B57:B61)","v":0},null,null,"SD/MC Enhanced Pregnancy 07/01/20 - 06/30/21"]
["Cross Checks",{"$f":"IF(B62=F69,\"OK\",\"ERROR\")","v":"OK"},null,null,"SD/MC Enhanced-Refugee-07/01/20 - 06/30/21"]
[null,null,null,null,"Affordable Care Act 07/01/20 - 06/30/21"]
["DisableMH1992\nLine11&12Macro",2,null,null,"MAASFC01-09"]
[null,null,null,null,"MAASFC11-19,31-39"]
[null,null,null,null,"MCAP 07/01/20 - 09/30/21"]
[null,null,null,null,"MCAP 10/01/20 - 06/30/21"]
[null,null,null,null,"Total Adjustments to FFP",{"$f":"SUM(F57:F68)","v":0}]

{"sheet":"MH1901_Schedule_A","index":7,"n_rows":73,"n_cols":10,"rows_kept":73,"cut":false,"hidden":false,"merged":[[37,4,38,4],[34,4,35,4],[12,6,13,6],[12,5,13,5],[12,7,12,9],[34,5,34,6],[63,0,64,0],[56,6,61,9],[49,6,50,7],[49,5,50,5],[56,5,61,5],[62,5,64,5],[62,6,64,6],[28,0,29,0],[34,0,35,0],[37,0,38,0],[34,3,35,3],[37,3,38,3]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["SCHEDULE OF STATEWIDE MAXIMUM ALLOWANCES AND PUBLISHED CHARGES"]
[{"$f":"\"MH1901 SCHEDULE A \"&Revision_Date","v":"MH1901 SCHEDULE A (Rev. 02/2019)"},null,null,null,null,null,null,null,"               FISCAL YEAR 2020-2021"]
[null,{"$f":"\"Entity Name:\"&Legal_Entity_Name","v":"Entity Name:Vermont Mental Health"},null,null,null,null,null,null,null,{"$f":"\"Entity Number: \"&Legal_Entity_Number","v":"Entity Number: 00055"}]
[]
[]
[]
[null,null,null,"A","B","C","D","E","F","G"]
[null,null,null,null,"SERVICE",null,"STATE",null,"COUNTY","RATE"]
[null,null,null,null,"FUNCTION",null,"APPROVED","PUBLISHED","NONM/C","FOR"]
[null,"SERVICE FUNCTION",null,"MODE","CODE","SMA","(NR)","CHARGE","CONTRACTRATE","ALLOCATION"]
[null,"A. 24-HOUR SERVICES"]
[1,"Hospital Inpatient",null,"05","10-18",null,null,null,null,{"$f":"IF(H14>0,H14,I14)","v":0}]
[2,"Hospital Administrative Day",null,"05","19",569.54,null,null,null,{"$f":"IF(H15>0,H15,I15)","v":0}]
[3,"Psychiatric Health Facility (PHF)",null,"05","20-29",null,null,790.9,null,790.9]
[4,"SNF Intensive",null,"05","30-34",null,null,null,null,0]
[5,"IMD Basic (No Patch)",null,"05","35",null,null,null,null,0]
[6,"IMD (With Patch)",null,"05","36-39",null,null,null,null,0]
[7,"Adult Crisis Residential",null,"05","40-49",null,null,396.57,null,396.57]
[8,"Jail Inpatient",null,"05","50-59",null,null,null,null,0]
[9,"Residential Other",null,"05","60-64",null,null,null,null,0]
[10,"Adult Residential",null,"05","65-79",null,null,null,null,0]
[11,"Semi-Supervised Living",null,"05","80-84",null,null,null,null,0]
[12,"Independent Living",null,"05","85-89",null,null,null,null,0]
[13,"MH Rehab Centers",null,"05","90-94",null,null,null,null,0]
[14,"Therapeutic Foster Care",null,"05","95-98",null,null,null,null,0]
[null,"B. DAY SERVICES",null," "," "]
[15,"Crisis Stabilization",null," "," "]
[null,"Emergency Room",null,"10","20-24",null,null,null,null,{"$f":"IF(H30>0,H30,I30)","v":0}]
[16,"Urgent Care",null,"10","25-29",null,null,119.74,null,{"$f":"IF(H31>0,H31,I31)","v":119.74}]
[17,"Vocational Services",null,"10","30-39",null,null,null,null,{"$f":"IF(H32>0,H32,I32)","v":0}]
[18,"Socialization",null,"10","40-49",null,null,null,null,{"$f":"IF(H33>0,H33,I33)","v":0}]
[19,"SNF Augmentation",null,"10","60-69",null,null,null,null,{"$f":"IF(H34>0,H34,I34)","v":0}]
[20,"Day Treatment Intensive",null,"10","81-84"]
[null,"Half Day",null,null,null,null,null,null,null,{"$f":"IF(H35>0,H35,I35)","v":0}]
[21,"Full Day",null,"10","85-89",null,null,null,null,{"$f":"IF(H37>0,H37,I37)","v":0}]
[22,"Day Rehabilitation",null,"10","91-94"]
[null,"Half Day",null,null,null,null,null,null,null,{"$f":"IF(H38>0,H38,I39)","v":0}]
[23,"Full Day",null,"10","95-99",null,null,null,null,{"$f":"IF(H40>0,H40,I40)","v":0}]
[null,"C. OUTPATIENT SERVICES",null," "," "]
[24,"Case Management , Brokerage",null,"15","01-09",null,null,3,null,{"$f":"IF(H42>0,H42,I42)","v":3}]
[25,"Mental Health Services",null,"15","10-19",null,null,4,null,{"$f":"IF(H43>0,H43,I43)","v":4}]
[26,"Mental Health Services",null,"15","30-59",null,null,4,null,4]
[27,"Medication Support",null,"15","60-69",null,null,6,null,6]
[28,"Crisis Intervention",null,"15","70-79",null,null,5,null,5]
[null," ",null," "," "]
[29,"Mental Health Promotion",null,"45","10-19",null,null,50,null,50]
[30,"Community Client Services",null,"45","20-29",null,null,50,null,50]
[null,"E. MEDI-CAL ADMINISTRATIVE ACTIVITIES",null," "," "]
[31,"Medi-Cal Outreach",null,55,"01-03"]
[32,"Medi-Cal Eligibility Intake",null,55,"04-06",null,null,null,"Quarter1"]
[33,"Medi-Cal Contract Administration",null,55,"07-08",null,null,null,"Quarter2"]
[34,"MAA Coordination and Claims Administration",null,55,"09",null,null,null,"Quarter3"]
[35,"Referral-Crisis,Non-Open Case",null,55,"11-13",null,null,null,"Quarter4"]
[36,"MH Services Contract Administration",null,55,"14-16",null,null,{"$f":"IF(SUM(H52:H55)=0,\"\",AVERAGE(H52:H55))","v":""},"Average"]
[]
[38,"SPMP Case Management,Non-Open Case",null,55,"21-23"]
[39,"SPMP Program Planning and Development",null,55,"24-26"]
[]
[41,"Non-SPMP Case Management , Non-Open Case",null,55,"31-34"]
[42,"Non-SPMP Program Planning and Development",null,55,"35-39"]
[null,"F. SUPPORT SERVICES",null," "," "]
[43,"Conservatorship",null," "," "]
[null,"Investigation",null,"60","20-29",null,null,null,null,{"$f":"IF(H65>0,H65,I65)","v":0}]
[44,"Administration",null,"60","30-39",null,null,null,null,0]
[45,"Life Support / Board & Care",null,"60","40-49",null,null,null,null,0]
[46,"Case Management Support",null,"60","60-69",null,null,null,null,0]
[47,"Client Housing Support Expenditures",null,"60","70",null,null,null,null,0]
[48,"Client Housing Operating Expenditures",null,"60","71",null,null,null,null,0]
[49,"Client Flexible Support Expenditures",null,"60","72",null,null,null,null,0]
[50,"Non Medi-Cal Capital Assets",null,"60","75",null,null,null,null,0]
[51,"Other Non Medi-Cal Client Support Expenditures",null,"60","78",null,null,null,null,0]

{"sheet":"LAC CMA","index":8,"n_rows":325,"n_cols":13,"rows_kept":325,"cut":false,"hidden":false,"merged":[[288,8,293,12],[295,0,296,0],[161,9,162,9],[161,10,162,10],[161,11,162,11],[161,12,162,12],[173,0,174,0],[173,3,174,3],[173,4,174,4],[173,7,174,7],[173,8,174,8],[173,9,174,9],[161,8,162,8],[173,10,174,10],[173,11,174,11],[173,12,174,12],[281,8,282,9],[115,0,116,0],[161,0,162,0],[161,3,162,3],[161,4,162,4],[161,7,162,7]]}
["COUNTY OF LOS ANGELES",null,null,null,null,null,null,null,null,null,null,null,"Department of Mental Health"]
["DETAIL COST REPORT"]
["SCHEDULE OF COUNTYWIDE MAXIMUM ALLOWANCES "]
["LAC CMA",null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,"Entity Name: ",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"}]
[null,"Entity Number: ",{"$f":"IF(MH1900_INFO!B8=\"\",\"\",MH1900_INFO!B8)","v":"00055"}]
[]
[]
[null,null,null,"A","B","B","B","C","D","D","E","F","G"]
[null,null,null,null,"SERVICE","SERVICE",null,null,"STATE",null,null,null,"RATE"]
[null,null,null,null,"FUNCTION","FUNCTION","MHS",null,"APPROVED","PUBLISHED","COUNTY",null,"FOR"]
[null,"SERVICE FUNCTION",null,"MODE","CODE","CODE","Type","CMA","( NR )","CHARGE","CONTRACT RATE","SMA","ALLOCATION"]
[null,"A.  24 - HOUR SERVICES"]
[1,"Hospital Inpatient",null,"05","10 - 18",null,null,1349.67,null,{"$f":"MH1901_Schedule_A!H14","v":0},{"$f":"MH1901_Schedule_A!I14","v":0},null,{"$f":"IF(I14>0, I14, K14)","v":0}]
[1,"Hospital Inpatient",null,"05","10",{"$f":"CONCATENATE(D15,E15)","v":"0510"},"IP",{"$f":"$H$14","v":1349.67},null,{"$f":"J$14","v":0},0,null,0]
[1,"Hospital Inpatient",null,"05","11",{"$f":"CONCATENATE(D16,E16)","v":"0511"},"IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","12","0512","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","13","0513","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","14","0514","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","15","0515","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","16","0516","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","17","0517","IP",1349.67,null,0,0,null,0]
[1,"Hospital Inpatient",null,"05","18","0518","IP",1349.67,null,0,0,null,0]
[2,"Hospital Administrative Day",null,"05","19","0519","IPADM",455.34,null,{"$f":"MH1901_Schedule_A!H15","v":0},{"$f":"MH1901_Schedule_A!I15","v":0},{"$f":"HADPeriod1Rate_New1415","v":569.54},0]
[3,"Psychiatric Health Facility (PHF)",null,"05","20 - 29",null,null,681.06,null,{"$f":"MH1901_Schedule_A!H16","v":790.9},{"$f":"MH1901_Schedule_A!I16","v":0},null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","20",{"$f":"CONCATENATE(D26,E26)","v":"0520"},"OP",{"$f":"$H$25","v":681.06},null,{"$f":"J$25","v":790.9},0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","21","0521","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","22","0522","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","23","0523","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","24","0524","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","25","0525","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","26","0526","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","27","0527","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","28","0528","OP",681.06,null,790.9,0,null,0]
[3,"Psychiatric Health Facility (PHF)",null,"05","29","0529","OP",681.06,null,790.9,0,null,0]
[4,"SNF Intensive",null,"05","30 -34",null,null,null,null,{"$f":"MH1901_Schedule_A!H17","v":0},{"$f":"MH1901_Schedule_A!I17","v":0},null,0]
[4,"SNF Intensive",null,"05","30","0530","IMD",null,null,{"$f":"J$36","v":0},0,null,0]
[4,"SNF Intensive",null,"05","31","0531","IMD",null,null,0,0,null,0]
[4,"SNF Intensive",null,"05","32","0532","IMD",null,null,0,0,null,0]
[4,"SNF Intensive",null,"05","33","0533","IMD",null,null,0,0,null,0]
[4,"SNF Intensive",null,"05","34","0534","IMD",null,null,{"$f":"J$36","v":0},{"$f":"K$36","v":0},null,0]
[5,"IMD Basic (No Patch)",null,"05","35","0535","IMD",null,null,{"$f":"MH1901_Schedule_A!H18","v":0},{"$f":"MH1901_Schedule_A!I18","v":0},null,0]
[6,"IMD (With Patch)",null,"05","36 - 39",null,null,null,null,{"$f":"MH1901_Schedule_A!H19","v":0},{"$f":"MH1901_Schedule_A!I19","v":0},null,0]
[6,"IMD (With Patch)",null,"05","36",{"$f":"CONCATENATE(D44,E44)","v":"0536"},"IMD",null,null,{"$f":"J$43","v":0},{"$f":"K$43","v":0},null,0]
[6,"IMD (With Patch)",null,"05","37","0537","IMD",null,null,{"$f":"J$43","v":0},{"$f":"K$43","v":0},null,0]
[6,"IMD (With Patch)",null,"05","38","0538","IMD",null,null,0,0,null,0]
[6,"IMD (With Patch)",null,"05","39","0539","IMD",null,null,{"$f":"J$43","v":0},{"$f":"K$43","v":0},null,0]
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[7,"Adult Crisis Residential",null,"05","42","0542","OP",384.05,null,396.57,0,null,0]
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[7,"Adult Crisis Residential",null,"05","46","0546","OP",384.05,null,396.57,0,null,0]
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[9,"Residential Other",null,"05","61","0561","OP",null,null,0,0,null,0]
[9,"Residential Other",null,"05","62","0562","OP",null,null,0,0,null,0]
[9,"Residential Other",null,"05","63","0563","OP",null,null,0,0,null,0]
[9,"Residential Other",null,"05","64","0564","OP",null,null,0,0,null,0]
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[10,"Adult Residential",null,"05","67","0567","OP",187.32,null,0,0,null,0]
[10,"Adult Residential",null,"05","68","0568","OP",187.32,null,0,0,null,0]
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[10,"Adult Residential",null,"05","74","0574","OP",187.32,null,0,0,null,0]
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[10,"Adult Residential",null,"05","76","0576","OP",187.32,null,0,0,null,0]
[10,"Adult Residential",null,"05","77","0577","OP",187.32,null,0,0,null,0]
[10,"Adult Residential",null,"05","78","0578","OP",187.32,null,0,0,null,0]
[10,"Adult Residential",null,"05","79","0579","OP",187.32,null,0,0,null,0]
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[11,"Semi - Supervised Living",null,"05","80","0580","OP",null,null,{"$f":"J$92","v":0},0,null,0]
[11,"Semi - Supervised Living",null,"05","81","0581","OP",null,null,0,0,null,0]
[11,"Semi - Supervised Living",null,"05","82","0582","OP",null,null,0,0,null,0]
[11,"Semi - Supervised Living",null,"05","83","0583","OP",null,null,0,0,null,0]
[11,"Semi - Supervised Living",null,"05","84","0584","OP",null,null,0,0,null,0]
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[12,"Independent Living",null,"05","85","0585","OP",null,null,{"$f":"J$98","v":0},0,null,0]
[12,"Independent Living",null,"05","86","0586","OP",null,null,0,0,null,0]
[12,"Independent Living",null,"05","87","0587","OP",null,null,0,0,null,0]
[12,"Independent Living",null,"05","88","0588","OP",null,null,0,0,null,0]
[12,"Independent Living",null,"05","89","0589","OP",null,null,0,0,null,0]
[13,"MH Rehab Centers",null,"05","90 - 94",null,null,null,null,{"$f":"MH1901_Schedule_A!H26","v":0},{"$f":"MH1901_Schedule_A!I26","v":0},null,0]
[13,"MH Rehab Centers",null,"05","90","0590","IMD",null,null,{"$f":"J$104","v":0},0,null,0]
[13,"MH Rehab Centers",null,"05","91","0591","IMD",null,null,0,0,null,{"$f":"IF(I106>0, I106, K106)","v":0}]
[13,"MH Rehab Centers",null,"05","92","0592","IMD",null,null,0,0,null,0]
[13,"MH Rehab Centers",null,"05","93","0593","IMD",null,null,0,0,null,0]
[13,"MH Rehab Centers",null,"05","94","0594","IMD",null,null,0,0,null,0]
[14,"Therapeutic Foster Care",null,"05","95 - 98",null,null,null,null,{"$f":"MH1901_Schedule_A!H27","v":0},{"$f":"MH1901_Schedule_A!I27","v":0},null,0]
[14,"Therapeutic Foster Care",null,"05","95","0595","IMD",null,null,{"$f":"J$110","v":0},0,null,0]
[14,"Therapeutic Foster Care",null,"05","96","0596","IMD",null,null,0,0,null,0]
[14,"Therapeutic Foster Care",null,"05","97","0597","IMD",null,null,0,0,null,0]
[14,"Therapeutic Foster Care",null,"05","98","0598","IMD",null,null,0,0,null,0]
[null,"B.  DAY SERVICES"]
[15,"Crisis Stabilization"]
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[15,"    Emergency Room",null,"10","21","1021","OP",{"$f":"$H$117","v":113.45},null,0,0,null,0]
[15,"    Emergency Room",null,"10","22","1022","OP",{"$f":"$H$117","v":113.45},null,0,0,null,0]
[15,"    Emergency Room",null,"10","23","1023","OP",{"$f":"$H$117","v":113.45},null,0,0,null,0]
[15,"    Emergency Room",null,"10","24","1024","OP",{"$f":"$H$117","v":113.45},null,0,0,null,0]
[16,"    Urgent Care",null,"10","25 - 29",null,null,113.45,null,{"$f":"MH1901_Schedule_A!H31","v":119.74},{"$f":"MH1901_Schedule_A!I31","v":0},null,0]
[16,"    Urgent Care",null,"10","25","1025","UCC",{"$f":"$H$123","v":113.45},null,{"$f":"J$123","v":119.74},0,null,0]
[16,"    Urgent Care",null,"10","26","1026","UCC",{"$f":"$H$123","v":113.45},null,119.74,0,null,0]
[16,"    Urgent Care",null,"10","27","1027","UCC",{"$f":"$H$123","v":113.45},null,119.74,0,null,0]
[16,"    Urgent Care",null,"10","28","1028","UCC",{"$f":"$H$123","v":113.45},null,119.74,0,null,0]
[16,"    Urgent Care",null,"10","29","1029","UCC",{"$f":"$H$123","v":113.45},null,119.74,0,null,0]
[17,"Vocational Services",null,"10","30 - 39",null,null,null,null,{"$f":"MH1901_Schedule_A!H32","v":0},{"$f":"MH1901_Schedule_A!I32","v":0},null,0]
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[17,"Vocational Services",null,"10","31","1031","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","32","1032","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","33","1033","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","34","1034","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","35","1035","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","36","1036","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","37","1037","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","38","1038","OP",null,null,0,0,null,0]
[17,"Vocational Services",null,"10","39","1039","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","40 - 49",null,null,null,null,{"$f":"MH1901_Schedule_A!H33","v":0},{"$f":"MH1901_Schedule_A!I33","v":0},null,0]
[18,"Socialization",null,"10","40","1040","OP",null,null,{"$f":"J$140","v":0},0,null,0]
[18,"Socialization",null,"10","41","1041","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","42","1042","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","43","1043","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","44","1044","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","45","1045","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","46","1046","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","47","1047","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","48","1048","OP",null,null,0,0,null,0]
[18,"Socialization",null,"10","49","1049","OP",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","60 - 69",null,null,null,null,{"$f":"MH1901_Schedule_A!H34","v":0},{"$f":"MH1901_Schedule_A!I34","v":0},null,0]
[19,"SNF Augmentation",null,"10","60","1060","IMD",null,null,{"$f":"J$151","v":0},0,null,0]
[19,"SNF Augmentation",null,"10","61","1061","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","62","1062","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","63","1063","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","64","1064","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","65","1065","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","66","1066","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","67","1067","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","68","1068","IMD",null,null,0,0,null,0]
[19,"SNF Augmentation",null,"10","69","1069","IMD",null,null,0,0,null,0]
[20,"Day Treatment Intensive",null,"10","81 - 84",null,null,169.26,null,{"$f":"MH1901_Schedule_A!H36","v":0},{"$f":"MH1901_Schedule_A!I36","v":0},null,0]
[null,"     Half Day"]
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[20,"     Half Day",null,"10","82","1082","OP",{"$f":"$H$162","v":169.26},null,0,0]
[20,"     Half Day",null,"10","83","1083","OP",{"$f":"$H$162","v":169.26},null,0,0]
[20,"     Half Day",null,"10","84","1084","OP",{"$f":"$H$162","v":169.26},null,0,0]
[21,"     Full Day",null,"10","85 - 89",null,null,237.72,null,{"$f":"MH1901_Schedule_A!H37","v":0},{"$f":"MH1901_Schedule_A!I37","v":0},null,{"$f":"IF(I168>0, I168, K168)","v":0}]
[21,"     Full Day",null,"10","85","1085","OP",{"$f":"$H$168","v":237.72},null,{"$f":"J$168","v":0},0,null,0]
[21,"     Full Day",null,"10","86","1086","OP",{"$f":"$H$168","v":237.72},null,0,0,null,0]
[21,"     Full Day",null,"10","87","1087","OP",{"$f":"$H$168","v":237.72},null,0,0,null,0]
[21,"     Full Day",null,"10","88","1088","OP",{"$f":"$H$168","v":237.72},null,0,0,null,0]
[21,"     Full Day",null,"10","89","1089","OP",{"$f":"$H$168","v":237.72},null,0,0,null,0]
[22,"Day Rehabilitation",null,"10","91 - 94",null,null,100.91,null,{"$f":"MH1901_Schedule_A!H38","v":0},{"$f":"MH1901_Schedule_A!I38","v":0},null,0]
[null,"     Half Day"]
[22,"     Half Day",null,"10","91",{"$f":"CONCATENATE(D176,E176)","v":"1091"},"OP",{"$f":"$H$174","v":100.91},null,{"$f":"J$174","v":0},0]
[22,"     Half Day",null,"10","92","1092","OP",{"$f":"$H$174","v":100.91},null,0,0]
[22,"     Half Day",null,"10","93","1093","OP",{"$f":"$H$174","v":100.91},null,0,0]
[22,"     Half Day",null,"10","94","1094","OP",{"$f":"$H$174","v":100.91},null,0,0]
[23,"     Full Day",null,"10","95 - 99",null,null,157.49,null,{"$f":"MH1901_Schedule_A!H40","v":0},{"$f":"MH1901_Schedule_A!I40","v":0},null,{"$f":"IF(I180>0, I180, K180)","v":0}]
[23,"     Full Day",null,"10","95","1095","OP",{"$f":"$H$180","v":157.49},null,{"$f":"J$180","v":0},0,null,0]
[23,"     Full Day",null,"10","96","1096","OP",{"$f":"$H$180","v":157.49},null,0,0,null,0]
[23,"     Full Day",null,"10","97","1097","OP",{"$f":"$H$180","v":157.49},null,0,0,null,0]
[23,"     Full Day",null,"10","98","1098","OP",{"$f":"$H$180","v":157.49},null,0,0,null,0]
[23,"     Full Day",null,"10","99","1099","OP",{"$f":"$H$180","v":157.49},null,0,0,null,0]
[null,"C.  OUTPATIENT SERVICES"]
[24,"Case Management, Brokerage",null,"15","01 - 09",null,null,2.42,null,{"$f":"MH1901_Schedule_A!H42","v":3},{"$f":"MH1901_Schedule_A!I42","v":0},null,{"$f":"IF(I187>0, I187, K187)","v":0}]
[24,"Case Management, Brokerage",null,"15","01",{"$f":"CONCATENATE(D188,E188)","v":"1501"},"OP",{"$f":"$H$187","v":2.42},null,{"$f":"J$187","v":3},0,null,0]
[24,"Case Management, Brokerage",null,"15","02","1502","OP",{"$f":"$H$187","v":2.42},null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","03","1503","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","04","1504","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","05","1505","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","06","1506","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","07","1507","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","08","1508","OP",2.42,null,3,0,null,0]
[24,"Case Management, Brokerage",null,"15","09","1509","OP",2.42,null,3,0,null,0]
[25,"Mental Health Services",null,"15","10 - 19",null,null,3.14,null,{"$f":"MH1901_Schedule_A!H43","v":4},{"$f":"MH1901_Schedule_A!I43","v":0},null,0]
[25,"Mental Health Services",null,"15","10","1510","OP",{"$f":"$H$197","v":3.14},null,{"$f":"J$197","v":4},0,null,0]
[25,"Mental Health Services",null,"15","11","1511","OP",{"$f":"$H$197","v":3.14},null,4,0,null,0]
[25,"Mental Health Services",null,"15","12","1512","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","13","1513","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","14","1514","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","15","1515","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","16","1516","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","17","1517","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","18","1518","OP",3.14,null,4,0,null,0]
[25,"Mental Health Services",null,"15","19","1519","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","30 - 59",null,null,3.14,null,{"$f":"MH1901_Schedule_A!H44","v":4},{"$f":"MH1901_Schedule_A!I44","v":0},null,0]
[26,"Mental Health Services",null,"15","30","1530","OP",{"$f":"$H$208","v":3.14},null,{"$f":"J$208","v":4},0,null,0]
[26,"Mental Health Services",null,"15","31","1531","OP",{"$f":"$H$208","v":3.14},null,4,0,null,0]
[26,"Mental Health Services",null,"15","32","1532","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","33","1533","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","34","1534","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","35","1535","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","36","1536","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","37","1537","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","38","1538","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","39","1539","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","40","1540","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","41","1541","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","42","1542","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","43","1543","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","44","1544","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","45","1545","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","46","1546","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","47","1547","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","48","1548","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","49","1549","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","50","1550","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","51","1551","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","52","1552","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","53","1553","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","54","1554","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","55","1555","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","56","1556","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","57","1557","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","58","1558","OP",3.14,null,4,0,null,0]
[26,"Mental Health Services",null,"15","59","1559","OP",3.14,null,4,0,null,0]
[27,"Medication Support",null,"15","60 - 69",null,null,5.78,null,{"$f":"MH1901_Schedule_A!H45","v":6},{"$f":"MH1901_Schedule_A!I45","v":0},null,0]
[27,"Medication Support",null,"15","60","1560","OP",{"$f":"$H$239","v":5.78},null,{"$f":"J$239","v":6},0,null,0]
[27,"Medication Support",null,"15","61","1561","OP",{"$f":"$H$239","v":5.78},null,6,0,null,0]
[27,"Medication Support",null,"15","62","1562","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","63","1563","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","64","1564","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","65","1565","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","66","1566","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","67","1567","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","68","1568","OP",5.78,null,6,0,null,0]
[27,"Medication Support",null,"15","69","1569","OP",5.78,null,6,0,null,0]
[28,"Crisis Intervention",null,"15","70 - 79",null,null,4.66,null,{"$f":"MH1901_Schedule_A!H46","v":5},{"$f":"MH1901_Schedule_A!I46","v":0},null,0]
[28,"Crisis Intervention",null,"15","70","1570","OP",{"$f":"$H$250","v":4.66},null,{"$f":"J$250","v":5},0,null,0]
[28,"Crisis Intervention",null,"15","71",{"$f":"CONCATENATE(D252,E252)","v":"1571"},"OP",{"$f":"$H$250","v":4.66},null,5,0,null,0]
[28,"Crisis Intervention",null,"15","72","1572","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","73","1573","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","74","1574","OP",4.66,null,5,0,null,{"$f":"IF(I255>0, I255, K255)","v":0}]
[28,"Crisis Intervention",null,"15","75","1575","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","76","1576","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","77","1577","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","78","1578","OP",4.66,null,5,0,null,0]
[28,"Crisis Intervention",null,"15","79","1579","OP",4.66,null,5,0,null,0]
[null,"D.  OUTREACH SERVICES"]
[29,"Mental Health Promotion",null,"45","10 - 19",{"$f":"CONCATENATE(D262,\"10\")","v":"4510"},"COS",null,null,{"$f":"MH1901_Schedule_A!H48","v":50},{"$f":"MH1901_Schedule_A!I48","v":0},null,{"$f":"IF(I262>0, I262, K262)","v":0}]
[29,"Mental Health Promotion",null,"45","11",{"$f":"CONCATENATE(D263,E263)","v":"4511"},"COS",null,null,{"$f":"$J$262","v":50},{"$f":"$K$262","v":0},null,{"$f":"IF(I263>0, I263, K263)","v":0}]
[29,"Mental Health Promotion",null,"45","12",{"$f":"CONCATENATE(D264,E264)","v":"4512"},"COS",null,null,{"$f":"$J$262","v":50},{"$f":"$K$262","v":0},null,0]
[29,"Mental Health Promotion",null,"45","13","4513","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","14","4514","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","15","4515","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","16","4516","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","17","4517","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","18","4518","COS",null,null,50,0,null,0]
[29,"Mental Health Promotion",null,"45","19","4519","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","20 - 29",{"$f":"CONCATENATE(D272,\"20\")","v":"4520"},"COS",null,null,{"$f":"MH1901_Schedule_A!H49","v":50},{"$f":"MH1901_Schedule_A!I49","v":0},null,{"$f":"IF(I272>0, I272, K272)","v":0}]
[30,"Community Client Services",null,"45","21",{"$f":"CONCATENATE(D273,E273)","v":"4521"},"COS",null,null,{"$f":"$J$272","v":50},{"$f":"$K$272","v":0},null,{"$f":"IF(I273>0, I273, K273)","v":0}]
[30,"Community Client Services",null,"45","22",{"$f":"CONCATENATE(D274,E274)","v":"4522"},"COS",null,null,{"$f":"$J$272","v":50},{"$f":"$K$272","v":0},null,0]
[30,"Community Client Services",null,"45","23","4523","COS",null,null,{"$f":"$J$272","v":50},{"$f":"$K$272","v":0},null,0]
[30,"Community Client Services",null,"45","24","4524","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","25","4525","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","26","4526","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","27","4527","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","28","4528","COS",null,null,50,0,null,0]
[30,"Community Client Services",null,"45","29","4529","COS",null,null,50,{"$f":"$K$272","v":0},null,0]
[null,"E.  MEDI-CAL ADMINISTRATIVE ACTIVITIES",null,null,null,null,null,null,"MEDI-CAL ELIGIBILITY FACTOR"]
[31,"Medi-Cal Outreach",null,55,"01 - 03","01 - 03","MAA"]
[32,"Medi-Cal Eligibility Intake",null,55,"04 - 06","04 - 06","MAA",null,"Quarter 1",{"$f":"MH1901_Schedule_A!H52","v":0},"Quarter 1"]
[33,"Medi-Cal Contract Administration",null,55,"07 - 08","07 - 08","MAA",null,"Quarter 2",{"$f":"MH1901_Schedule_A!H53","v":0},"Quarter 2"]
[34,"MAA Coordination and Claims Administration",null,55,"09","09","MAA",null,"Quarter 3",{"$f":"MH1901_Schedule_A!H54","v":0},"Quarter 3"]
[35,"Referral - Crisis, Non-Open Case",null,55,"11 - 13","11 - 13","MAA",null,"Quarter 4",{"$f":"MH1901_Schedule_A!H55","v":0},"Quarter 4"]
[36,"MH Services Contract Administration",null,55,"14 - 16","14 - 16","MAA",null,"Average",{"$f":"IF(SUM(J284:J287)=0,\"\",AVERAGE(J284:J287))","v":""},"Average"]
[37,"Discounted Mental Health Outreach",null,55,"17 - 19","17 - 19","MAA"]
[38,"SPMP Case Management, Non-Open Case",null,55,"21 - 23","21 - 23","MAA"]
[39,"SPMP Program Planning and Development",null,55,"24 - 26","24 - 26","MAA"]
[40,"SPMP MAA Training",null,55,"27 - 29","27 - 29","MAA"]
[41,"Non-SPMP Case Management, Non-Open Case",null,55,"31 - 34","31 - 34","MAA"]
[42,"Non-SPMP Program Planning and Development",null,55,"35 - 39","35 - 39","MAA"]
[null,"F.  SUPPORT SERVICES"]
[43,"Conservatorship"]
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[44,"    Administration",null,"60","30 - 39","30 - 39","PG",null,null,{"$f":"MH1901_Schedule_A!H66","v":0},{"$f":"MH1901_Schedule_A!I66","v":0},null,0]
[45,"Life Support/Board & Care",null,"60","40 - 49",null,null,null,null,{"$f":"MH1901_Schedule_A!H67","v":0},{"$f":"MH1901_Schedule_A!I67","v":0},null,0]
[45,"Life Support/Board & Care",null,"60","40",{"$f":"CONCATENATE(D300,E300)","v":"6040"},"LS",null,null,{"$f":"J$299","v":0},{"$f":"$K$299","v":0}]
[45,"Life Support/Board & Care",null,"60","41","6041","LS",null,null,{"$f":"J$299","v":0},{"$f":"$K$299","v":0}]
[45,"Life Support/Board & Care",null,"60","42","6042","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","43","6043","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","44","6044","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","45","6045","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","46","6046","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","47","6047","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","48","6048","LS",null,null,0,0]
[45,"Life Support/Board & Care",null,"60","49","6049","LS",null,null,0,0]
[46,"Case Management Support",null,"60","60 - 69","60 - 69",null,null,null,{"$f":"MH1901_Schedule_A!H68","v":0},{"$f":"MH1901_Schedule_A!I68","v":0},null,0]
[46,"Case Management Support",null,"60","60",{"$f":"CONCATENATE(D311,E311)","v":"6060"},"CMS",null,null,{"$f":"J$310","v":0},{"$f":"$K$310","v":0}]
[46,"Case Management Support",null,"60","61","6061","CMS",null,null,{"$f":"J$310","v":0},{"$f":"$K$310","v":0}]
[46,"Case Management Support",null,"60","62","6062","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","63","6063","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","64","6064","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","65","6065","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","66","6066","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","67","6067","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","68","6068","CMS",null,null,0,0]
[46,"Case Management Support",null,"60","69","6069","CMS",null,null,0,{"$f":"$K$310","v":0}]
[47,"Client Housing Support Expenditures",null,"60","70",{"$f":"CONCATENATE(D321,E321)","v":"6070"},"INV",null,null,{"$f":"MH1901_Schedule_A!H69","v":0},{"$f":"MH1901_Schedule_A!I69","v":0},null,0]
[48,"Client Housing Operating Expenditures",null,"60","71",{"$f":"CONCATENATE(D322,E322)","v":"6071"},"INV",null,null,{"$f":"MH1901_Schedule_A!H70","v":0},{"$f":"MH1901_Schedule_A!I70","v":0},null,0]
[49,"Client Flexible Support Expenditures",null,"60","72",{"$f":"CONCATENATE(D323,E323)","v":"6072"},"INV",null,null,{"$f":"MH1901_Schedule_A!H71","v":0},{"$f":"MH1901_Schedule_A!I71","v":0},null,0]
[50,"Non Medi-Cal Capital Assets",null,"60","75",{"$f":"CONCATENATE(D324,E324)","v":"6075"},"INV",null,null,{"$f":"MH1901_Schedule_A!H72","v":0},{"$f":"MH1901_Schedule_A!I72","v":0},null,0]
[51,"Other Non Medi-Cal Client Support Expenditures",null,"60","78",{"$f":"CONCATENATE(D325,E325)","v":"6078"},"INV",null,null,{"$f":"MH1901_Schedule_A!H73","v":0},{"$f":"MH1901_Schedule_A!I73","v":0},null,{"$f":"IF(I325>0, I325, K325)","v":0}]

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[]
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["(blank)"]
["Grand Total"]

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{"sheet":"MH1901_Schedule_B","index":11,"n_rows":117,"n_cols":29,"rows_kept":117,"cut":false,"hidden":false,"merged":[[10,9,10,12],[11,9,11,12],[12,9,12,12],[13,9,13,12],[11,2,11,5],[12,2,12,5],[13,2,13,5],[17,1,17,4],[17,5,17,6],[10,1,13,1],[10,2,10,5],[10,6,10,8],[11,6,11,8],[12,6,12,8],[13,6,13,8],[17,7,17,8],[17,27,18,27],[17,19,17,20],[17,17,17,18],[17,25,17,26],[17,23,17,24],[17,9,17,10],[17,21,17,22],[17,11,17,12],[17,13,17,14],[17,15,17,16]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DepartmentofHealthCareServices"]
["DETAIL COST REPORT"]
["WORKSHEET FOR UNITS OF SERVICE AND REVENUE BY MODE AND SERVICE FUNCTION"]
["MH1901 SCHEDULE B 07/01/20 - 06/30/21",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[]
[null,{"$f":"\"Entity Name : \"&Legal_Entity_Name","v":"Entity Name : Vermont Mental Health"}]
[]
[]
[]
[null,"Settlement Types","MAA-Medi-Cal Administrative Activities",null,null,null,"CR-Cost Reimbursement",null,null,"CAW-California Work Opportunity and Responsilbility to Kids (CalWORKS)"]
[null,null,"TBS-Therapeutic Behavioral Services",null,null,null,"MHS-Mental Health Specialty"]
[null,null,"ISA-Integrated Service Agency",null,null,null,"HOSP-Hospital"]
[null,null,"ASO-Administrative Services Organization",null,null,null,"CCR - Continuum of Care Reform"]
[]
[]
[null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N","O","P","Q","R","S","T","U","V","W","X","Y","Z","AA"]
[null,"ALL UNITS  07/01/20 - 06/30/21",null,null,null,"REGULAR FMAP SHORT/DOYLE MEDI-CAL               07/01/20 - 06/30/21",null,"ENHANCED FMAP                              NON CHIP BENEFICIARIES                  07/01/20-06/30/21",null,"ENHANCED FMAP                              CHIP BENEFICIARIES                  07/01/20-09/30/20",null,"ENHANCED FMAP                              CHIP BENEFICIARIES                  10/01/20-06/30/21",null,"ENHANCED FMAP                              BCCTP BENEFICIARIES                  07/01/20-06/30/21",null,"ENHANCED FMAP                              PREGNANCY BENEFICIARIES                  07/01/20-06/30/21",null,"REFUGEE BENEFICIARIES              07/01/20 - 06/30/21",null,"Affordable Care Act                   07/01/20 - 06/30/21",null,"Medi-Cal  Access Program (MCAP) 07/01/20 - 09/30/20",null,"Medi-Cal  Access Program (MCAP) 10/01/20 - 06/30/21",null,"State Funded Beneficiaries                             07/01/20 - 06/30/21",null,"Non Medi-Cal Units"]
[null,"Settlement Type","Mode","SF","Total Units of Service","SD/MC Units","SD/MC 3rd Party Revenue","Non CHIP Units","Non CHIP 3rd Party Revenue","CHIP Units","CHIP 3rd Party Revenue","CHIP Units","CHIP 3rd Party Revenue","BCCTP Units","BCCTP 3rd Party Revenue","Pregnancy Units","Pregnancy 3rd Party Revenue","Refugee Units","Refugee 3rd Party Revenue","Affordable Care Act Units","3rd Party Revenue","MCAP Units","3rd Party Revenue","MCAP Units","3rd Party Revenue","Units","3rd Party Revenue"]
[1,"CR","05","20",5869,3248,null,null,null,null,null,null,null,null,null,null,null,null,null,2459,null,null,null,null,null,24,null,{"$f":"E20-SUM(F20,H20,J20,L20,N20,P20,R20,T20,V20,X20,Z20)","v":138},{"$f":"IF(OR(D20=\"10\",D20=\"11\",D20=\"12\",D20=\"13\",D20=\"14\",D20=\"15\",D20=\"16\",D20=\"17\",D20=\"18\"),1,0)","v":0}]
[2,"CR","05","21",533,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"E21-SUM(F21,H21,J21,L21,N21,P21,R21,T21,V21,X21,Z21)","v":533},{"$f":"IF(OR(D21=\"10\",D21=\"11\",D21=\"12\",D21=\"13\",D21=\"14\",D21=\"15\",D21=\"16\",D21=\"17\",D21=\"18\"),1,0)","v":0}]
[3,"CR","05","43",2201,606,null,null,null,null,null,null,null,null,null,14,null,null,null,1543,null,null,null,null,null,28,null,10,0]
[4,"CR","05","44",1096,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1096,0]
[5,"CR","10","25",241692,76579,null,null,null,582,null,1329,null,null,null,7,null,null,null,75300,null,null,null,null,null,521,null,87374,0]
[6,"CR","15","04",774186,399040,null,null,null,null,null,309,null,null,null,647,null,null,null,367975,null,null,null,null,null,1174,null,5041,0]
[7,"CR","15","05",102899,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,102899,0]
[8,"CR","15","10",162537,84711,null,null,null,null,null,null,null,null,null,null,null,null,null,76840,null,null,null,null,null,66,null,920,1]
[9,"CR","15","42",2295719,1250641,5000,null,null,null,null,215,null,null,null,2705,null,null,null,1008049,650,null,null,null,null,10140,null,23969,0]
[10,"CR","15","44",230003,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,230003,0]
[11,"CR","15","52",362149,237213,4000,null,null,null,null,null,3000,null,null,null,null,null,null,115958,null,null,null,null,null,2628,null,6350,0]
[12,"CR","15","62",693670,375510,null,null,null,null,null,null,null,null,null,819,null,null,null,298994,null,null,null,null,null,3942,null,14405,0]
[13,"CR","15","63",98054,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,98054,0]
[14,"CR","15","77",162041,81108,null,null,null,null,null,null,null,null,null,null,null,null,null,77833,null,null,null,null,null,123,null,2977,0]
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{"sheet":"LAC101","index":12,"n_rows":42,"n_cols":10,"rows_kept":42,"cut":false,"hidden":false,"merged":[[36,0,39,5]]}
["COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH"]
[]
["SUPPLEMENTAL DETAIL TO MH 1960"]
["LAC 101 - (06/21)"]
[]
[null,null,"Entity Name",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,null,null,"Fiscal Year","2020 - 2021"]
[]
[null,null,"Entity Number",{"$f":"MH1900_INFO!B8","v":"00055"}]
[]
[]
[null,null,null,null,null,null,"1","2","3"]
[null,null,null,null,null,null,"Salaries",null,"Total"]
[null,"NON HOSPITAL LEGAL ENTITIES",null,null,null,null,"and ","Other","Cost"]
[null,null,null,null,null,null,"Benefits"]
[null," Distribution of Total Cost "]
[1," Total Agency Costs per Trial Balance",null,null,null,null,27488000,31975000,{"$f":"SUM(G16:H16)","v":59463000}]
[2," LESS: Administrative Costs",null,null,null,null,90959,8109426,{"$f":"SUM(G17:H17)","v":8200385}]
[3," LESS: Unallowable Costs ",null,null,null,null,null,null,{"$f":"SUM(G18:H18)","v":0}]
[4," LESS: Program Costs Not Applicable to DMH Contracted Svcs.",null,null,null,null,null,null,{"$f":"SUM(G19:H19)","v":0}]
[5,"Program Costs Applicable to DMH Contracted Services (Line 1 minus Lines 2 thru 4)",null,null,null,null,{"$f":"G16-SUM(G17:G19)","v":27397041},{"$f":"H16-SUM(H17:H19)","v":23865574},{"$f":"SUM(G20:H20)","v":51262615}]
[null," Allocation of Administrative Costs "]
[6,"Total Administrative Costs (From Line 2)",null,null,null,null,{"$f":"G17","v":90959},{"$f":"H17","v":8109426},{"$f":"SUM(G22:H22)","v":8200385}]
[7,"LESS: Unallowable Admin. Costs ",null,null,null,null,null,null,{"$f":"SUM(G23:H23)","v":0}]
[8,"LESS: Admin. Costs Not Applicable to DMH Contracted Services",null,null,null,null,null,null,{"$f":"SUM(G24:H24)","v":0}]
[9,"Total Admin. Costs Applicable to DMH Contracted Srvcs. (Line 6 minus Lines 7 & 8)",null,null,null,null,{"$f":"G22-SUM(G23:G24)","v":90959},{"$f":"H22-SUM(H23:H24)","v":8109426},{"$f":"SUM(G25:H25)","v":8200385}]
[null," Total Cost after Administrative Cost Allocation"]
[10," Total Agency Costs Per Trial Balance (From Line 1)",null,null,null,null,{"$f":"G16","v":27488000},{"$f":"H16","v":31975000},{"$f":"SUM(G27:H27)","v":59463000}]
[11,"LESS: Unallowable Costs (Line 3 plus Line 7)",null,null,null,null,{"$f":"G18+G23","v":0},{"$f":"H18+H23","v":0},0]
[12,"LESS: Costs Not Applicable to DMH Contracted Svcs. (Line 4 plus Line 8)",null,null,null,null,{"$f":"G19+G24","v":0},{"$f":"H19+H24","v":0},0]
[13,"Total Costs Applicable to DMH Contracted Services (Line 10 minus Lines 11 & 12)",null,null,null,null,{"$f":"G27-G28-G29","v":27488000},{"$f":"H27-H28-H29","v":31975000},59463000]
[14,"PLUS: SD/MC Adjustments (Tie to MH 1961)",null,null,null,null,-10000,null,{"$f":"'MH1961'!E30","v":-10000},{"$f":"IF(ABS(G31+H31-I31)>1, \"Error, please check MH1961\",\"\")","v":""}]
[15,"Allowable Costs to be Allocated to Modes/SFC (Line 13 plus Line 14)",null,null,null,null,{"$f":"G31+G30","v":27478000},{"$f":"H31+H30","v":31975000},59453000,{"$f":"IF(ABS(I32-MH1901_Schedule_C!L11)>2, \"Error, please check MH1901 Schedule C Total Non-Hospital Costs\",\"\")","v":""}]
[]
[]
[]
[]
["HOSPITAL LEGAL ENTITIES",null,null,null,null,null,1,2,3]
[null,null,null,null,null,null,"Salaries",null,"Total"]
[null,null,null,null,null,null,"and ","Other","Cost"]
[null,null,null,null,null,null,"Benefits"]
[]
[null,"Hospital Modes Costs (MH 1901 Schedule C Total Hospital Costs)",null,null,null,null,null,null,{"$f":"MH1901_Schedule_C!K118","v":0}]

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Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP 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[null,"0","1","2","3","Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)",null,"Non Medi-Cal Units","Non Medi-Cal Units","Non Medi-Cal Units","Non Medi-Cal Units","Regular FMAP Medi-Cal Units (including: SD/MC, Crossover)","Enhanced FMAP Non CHIP Beneficiaries","Enhanced FMAP CHIP Beneficiaries",null,"Enhanced FMAP Medi-Cal Units (BCCTP, Pregnancy)","Enhanced FMAP Medi-Cal Units (Refugee)","Affordable Care Act (ACA)","State Funded Beneficiaries","Non Medi-Cal Units","MediCal Access Program (MCAP)"]
[null,"0","Settlement Type","Mode","SF","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21"]
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["CR1510",8,{"$f":"MH1901_Schedule_B!B27","v":"CR"},{"$f":"MH1901_Schedule_B!C27","v":"15"},{"$f":"MH1901_Schedule_B!D27","v":"10"},73692,null,null,null,null,null,72016,66,467,null,null,9846,null,null,null,null,null,3338,0,387,null,null,1173,null,null,null,null,null,1152,null,66,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,84711,0,0,0,0,0,76506,66,920,0,0]
["CR1542",9,{"$f":"MH1901_Schedule_B!B28","v":"CR"},{"$f":"MH1901_Schedule_B!C28","v":"15"},{"$f":"MH1901_Schedule_B!D28","v":"42"},917933,null,null,null,2705,null,755516,9323,14103,null,null,283385,null,null,null,null,null,198959,817,9004,null,null,46396,null,null,215,null,null,37258,null,862,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1247714,0,0,215,2705,0,991733,10140,23969,0,0]
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["CR1562",12,{"$f":"MH1901_Schedule_B!B31","v":"CR"},{"$f":"MH1901_Schedule_B!C31","v":"15"},{"$f":"MH1901_Schedule_B!D31","v":"62"},220091,null,null,null,null,null,154395,2992,5557,null,null,114121,null,null,null,null,null,65963,388,5720,null,null,40797,null,null,null,819,null,77135,562,3128,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,375009,0,0,0,819,0,297493,3942,14405,0,0]
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{"sheet":"MH1901_Schedule_C","index":15,"n_rows":118,"n_cols":14,"rows_kept":118,"cut":false,"hidden":false,"merged":[[2,0,2,10],[110,6,113,6],[108,10,108,11],[6,8,6,9],[17,8,17,9],[108,4,108,5],[108,7,108,8],[107,7,107,8],[12,8,12,11]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["SUPPORTING DOCUMENTATION FOR THE METHOD USED TO ALLOCATE \nTOTALS TO MODE OF SERVICE & SERVICE FUNCTION"]
[{"$f":"\"MH1901 SCHEDULE C \"&Revision_Date","v":"MH1901 SCHEDULE C (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[]
[null,null,null,{"$f":"\"Entity Name : \"&Legal_Entity_Name","v":"Entity Name : Vermont Mental Health"},null,null,null,null,null,null,null,{"$f":"\"Entity Number : \"&Legal_Entity_Number","v":"Entity Number : 00055"}]
[]
[null,null,"Fiscal Year:",{"$f":"Setup!B4","v":"2020 - 2021"}]
[null,null,null,null,null,null,null,null,"COSTS TO BE ALLOCATED"]
[null,null,null,null,null,null,null,null,"Allowable Non-Hospital Mode Costs (MH1960 Line44,Col.J)",null,null,{"$f":"'MH1960'!N59","v":59453000}]
[]
[null,null,null,null,3,null,null,null,{"$f":"IF(ABS($L$11-SUM(E118,I114))>Rounding,\"AllowableNon-HospitalModeCostsNotEntirelyAllocated.\",\"OK\")","v":"OK"}]
[]
[]
[]
[null,null,null,"A","B","C","D","E","F","G","H","I"]
[null,null,null,null,null,null,null,null,"Allocation Basis"]
[null,null,null,"Settlement Type","Mode","SF","Total\nUnits","Eligible Direct Cost","Directly Allocated Data","Relative Value","Allocation %","Allocated Cost"]
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[null,{"$f":"TRIM(D104&\"_\" & E104 & \"_\" &F104& \"_\" &RIGHT(C104,1))","v":"___"},null,null,null,null,{"$f":"SUM(G20:G103)","v":5162556.55},{"$f":"SUM(H20:H103)","v":1623500},57829500.000000037,0,0,59453000.000099994]
[null,null,null,null,null,null,null,{"$f":"H104-SUMIF($D$20:$D$103,\"=HOSP\",H20:H103)","v":1623500},{"$f":"I104-SUMIF($D$20:$D$103,\"=HOSP\",I20:I103)","v":57829500.000000037},{"$f":"J104-SUMIF($D$20:$D$103,\"=HOSP\",J20:J103)","v":0}]
[]
[null,null,null,"Summary"]
[null,null,null,"."]
[null,null,null,".","Non-Hospital Costs",null,null,"Non-Hospital Costs",null,null,"Hospital Costs"]
[null,null,null,"Mode","Allocated Cost","Allocated %",null,"Settlement Type","Allocated Cost",null,"Allocated Cost","Allocated %"]
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[null,null,null,"5 Other",{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"05\",IF($F$20:$F$103>\"19\",$L$20:$L$103,0),0),0))","v":2329590.3217000002},3.9183730370142493E-2,null,"ASO",{"$f":"SUM(IF(UPPER($D$20:$D$103)=H112,$L$20:$L$103,0))","v":0},"5 Other",{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"05\",IF($F$20:$F$103>\"19\",$L$20:$L$103,0),0),0))","v":0},{"$f":"IF($K$118=0,0,K112/$K$118)","v":0}]
[null,null,null,10,{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"10\",$L$20:$L$103,0),0))","v":31418437.591699999},0.52845840565904412,null,"MHS",{"$f":"SUM(IF(UPPER($D$20:$D$103)=H113,$L$20:$L$103,0))","v":0},10,{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"10\",$L$20:$L$103,0),0))","v":0},0]
[null,null,null,"15 Program_1",{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"15\",IF($D$20:$D$103<>\"TBS\",IF($D$20:$D$103<>\"ASO\",IF($D$20:$D$103<>\"MHS\",$L$20:$L$103,0),0),0),0),0))","v":23409588.515900001},0.39374949146150112,null,"Total",{"$f":"SUM(I111:I113)","v":0},"15 Program_1",{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"15\",IF($D$20:$D$103<>\"TBS\",IF($D$20:$D$103<>\"ASO\",IF($D$20:$D$103<>\"MHS\",$L$20:$L$103,0),0),0),0),0))","v":0},0]
[null,null,null,45,{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"45\",$L$20:$L$103,0),0))","v":349471.9926},5.8781220897080409E-3,null,null,null,45,{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"45\",$L$20:$L$103,0),0))","v":0},0]
[null,null,null,55,{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"55\",$L$20:$L$103,0),0))","v":0},0,null,null,null,55,{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"55\",$L$20:$L$103,0),0))","v":0},0]
[null,null,null,60,{"$f":"SUM(IF($D$20:$D$103<>\"HOSP\",IF($E$20:$E$103=\"60\",$L$20:$L$103,0),0))","v":1945911.5781999999},3.2730250419604173E-2,null,null,null,60,{"$f":"SUM(IF($D$20:$D$103=\"HOSP\",IF($E$20:$E$103=\"60\",$L$20:$L$103,0),0))","v":0},0]
[null,null,null,"Total",{"$f":"SUM(E111:E117)","v":59453000.000100002},{"$f":"SUM(F111:F117)","v":1},null,null,null,"Total",{"$f":"SUM(K111:K117)","v":0},{"$f":"SUM(L111:L117)","v":0}]

{"sheet":"LAC103","index":16,"n_rows":106,"n_cols":26,"rows_kept":106,"cut":false,"hidden":false,"merged":[[12,28,12,30],[5,3,5,4],[7,3,7,4],[11,18,11,24],[11,25,13,25],[12,15,13,15],[12,21,12,23],[12,24,13,24]]}
[null,null,null,"COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Fiscal Year",null,{"$f":"'LAC101'!I6","v":"2020 - 2021"}]
[null,null,null,"SUPPLEMENTAL DETAIL TO MH 1901 SCHEDULES A, B, & C"]
[null,null,null,"LAC 103 (07/01/20-06/30/21)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Entity's Fiscal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Period Ending",null,"2021-06-30"]
[null,null,null,"Entity Name",null,{"$f":"IF(MH1900_INFO!B7=\"\",\"\",MH1900_INFO!B7)","v":"Vermont Mental Health"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"For Less than Fiscal"]
[null,null,null,"Entity Number",null,{"$f":"IF(MH1900_INFO!B8=\"\",\"\",MH1900_INFO!B8)","v":"00055"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Year in County"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"___Entry or ___Exit Date",null,0]
[]
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[null,null,null,"A","A","A","A",null,null,null,null,null,null,null,null,null,null,null,"Third Party Revenues (For Medi-Cal and Non Medi-Cal Clients)",null,null,null,null,null,null,"Claimable Amount Before Contract Limit Comparison"]
[null,null,null,"A","A","A","A",null,null,null,null,null,null,null,null,"Reimb. Rate (Lower of Cost, PC, or SMA, or County Contracted Rate)",null,null,null,null,null,"Other: (Please specify below)",null,null,"Total Patient and Other Payor Revenues"]
[null,null,null,"Settlement Type","Mode","SF","Cost of DMH Units of Service","Total DMH Units of Service (Billable Unit)","Cost per Billable Unit","CMA","Published Charge","County Contracted Rate","SMA","MH1968 (Settlement Type)","Reimbursable Rate per MH1968",null,"Ancilinary Costs","Billable Units  x  Reimbursable Rate","Patient Fees","Patient Insurance","Medicare","Interest & Other","SSI"]
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[null,null,null,"aa","TOTAL","aa",{"$f":"SUM(G15:G98)","v":59453000.000099994},{"$f":"SUM(H15:H98)","v":5162556.55},null,null,null,null,null,null,null,null,{"$f":"SUM(Q15:Q98)","v":0},{"$f":"SUM(R15:R98)","v":59453000.000099994},{"$f":"SUM(S15:S98)","v":0},{"$f":"SUM(T15:T98)","v":12849},0,750,0,0,{"$f":"SUM(Y15:Y98)","v":13599},59439401.000099994]
[]
[null,"NOTE:  Due to contract and funding source limitation, the claimable amount for reimbursement on Column 19 is not always equal to the maximum cost subject to reimbursement."]
[]
[null,"Complete this form for the Entity Level before proceeding to the next step."]
[null,"NEXT STEP:"]
[null,null,null,null," 1.  Providers with any SD/MC adjustments complete MH 1961."]
[null,null,null,null," 2.  All other providers: you have completed all the required data input.  Please print each one of the cost report forms and review the information.  "]

{"sheet":"MH1960","index":17,"n_rows":60,"n_cols":15,"rows_kept":60,"cut":false,"hidden":false,"merged":[[49,1,49,3],[44,1,44,3],[45,1,45,3],[46,1,46,3],[47,1,47,3],[48,1,48,3],[42,1,42,3],[43,1,43,3],[36,1,36,2],[38,1,38,3],[39,1,39,3],[40,1,40,3],[41,1,41,3]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,"'Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF PROGRAM COSTS"]
["NON HOSPITAL LEGAL ENTITIES",null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[{"$f":"\"MH 1960 \"&Revision_Date","v":"MH 1960 (Rev. 02/2019)"}]
[null,{"$f":"MAX(A:A)-1","v":44},"County:",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[null,null,"Legal Entity:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},"A","B","C","D","E","F","G","H","I","J"]
[null,null,"Legal Entity Number:",{"$f":"MH1900_INFO!B8","v":"00055"},"Salaries",null,"Total Costs","Medi-Cal Adjustments","Other Adjustments","Provider Adjustments","Net Costs for Allocation","Cost Allocation - ","Reclasses","Net Costs"]
[null,null,null,null," and Benefits","Other","(Sum Cols. A and B)","(From MH1961)","(From 1962)","(From 1963)","(Sum Cols. C-F)","Indirect Costs","(From MH1965)","(Sum Cols. G - I)"]
[null,"Indirect Cost Centers"]
[1,"Land",null,null,null,null,{"$f":"SUM(E13:F13)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A13,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A13,'MH1962'!$E$11:$E$29)","v":0},null,{"$f":"SUM(G13:J13)","v":0},{"$f":"-K13","v":0},{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A13,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A13,'MH1965'!$I$13:$I$47)","v":0}]
[{"$f":"A13+1","v":2},"Buildings and Improvements",null,null,null,null,{"$f":"SUM(E14:F14)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A14,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A14,'MH1962'!$E$11:$E$29)","v":0},null,0,{"$f":"-K14","v":0},{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A14,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A14,'MH1965'!$I$13:$I$47)","v":0}]
[{"$f":"A14+1","v":3},"Equipment",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A15,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A15,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A15,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A15,'MH1965'!$I$13:$I$47)","v":0}]
[4,"Rents and Leases - Equipment",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A16,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A16,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A16,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A16,'MH1965'!$I$13:$I$47)","v":0}]
[5,"Rents and Leases - Buildings and Improvements",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A17,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A17,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A17,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A17,'MH1965'!$I$13:$I$47)","v":0}]
[6,"Taxes and Assessments",null,null,null,null,{"$f":"SUM(E18:F18)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A18,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A18,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A18,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A18,'MH1965'!$I$13:$I$47)","v":0}]
[7,"Insurance",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A19,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A19,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A19,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A19,'MH1965'!$I$13:$I$47)","v":0}]
[8,"Maintenance - Equipment",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A20,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A20,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A20,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A20,'MH1965'!$I$13:$I$47)","v":0}]
[9,"Maintenance - Buildings and Improvements",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A21,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A21,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A21,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A21,'MH1965'!$I$13:$I$47)","v":0}]
[10,"Utilities",null,null,null,null,{"$f":"SUM(E22:F22)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A22,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A22,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A22,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A22,'MH1965'!$I$13:$I$47)","v":0}]
[11,"Household Expense",null,null,null,null,{"$f":"SUM(E23:F23)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A23,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A23,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A23,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A23,'MH1965'!$I$13:$I$47)","v":0}]
[12,"Interest in Bonds",null,null,null,null,{"$f":"SUM(E24:F24)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A24,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A24,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A24,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A24,'MH1965'!$I$13:$I$47)","v":0}]
[13,"Interest on Other Long-Term Debt",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A25,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A25,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A25,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A25,'MH1965'!$I$13:$I$47)","v":0}]
[14,"Contracts Administration",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A26,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A26,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A26,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A26,'MH1965'!$I$13:$I$47)","v":0}]
[15,"Legal and Accounting",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A27,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A27,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A27,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A27,'MH1965'!$I$13:$I$47)","v":0}]
[16,"Data Processing",null,null,null,null,{"$f":"SUM(E28:F28)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A28,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A28,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A28,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A28,'MH1965'!$I$13:$I$47)","v":0}]
[17,"Personnel Administration",null,null,null,null,{"$f":"SUM(E29:F29)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A29,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A29,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A29,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A29,'MH1965'!$I$13:$I$47)","v":0}]
[18,"Medical Records",null,null,null,null,{"$f":"SUM(E30:F30)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A30,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A30,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A30,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A30,'MH1965'!$I$13:$I$47)","v":0}]
[19,"Professional and Specialized Services",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A31,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A31,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A31,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A31,'MH1965'!$I$13:$I$47)","v":0}]
[20,"Transportation and Travel",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A32,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A32,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A32,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A32,'MH1965'!$I$13:$I$47)","v":0}]
[21,"Communications",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A33,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A33,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A33,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A33,'MH1965'!$I$13:$I$47)","v":0}]
[22,"Other",null,null,null,null,0,{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A34,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A34,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A34,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A34,'MH1965'!$I$13:$I$47)","v":0}]
[23,"A-87 Allocation",null,null,null,null,{"$f":"SUM(E35:F35)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A35,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A35,'MH1962'!$E$11:$E$29)","v":0},null,0,0,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A35,'MH1965'!$F$13:$F$47)+SUMIF('MH1965'!$H$13:$H$47,'MH1960'!A35,'MH1965'!$I$13:$I$47)","v":0}]
[null,"Total Indirect Costs",null,null,{"$f":"SUM(E13:E35)","v":0},{"$f":"SUM(F13:F35)","v":0},{"$f":"SUM(G13:G35)","v":0},0,0,null,0,0,{"$f":"SUM(M13:M35)","v":0}]
[]
[null,"Direct Cost Centers"]
[{"$f":"A35+1","v":24},"Administrative Costs (County Only): 07/01/20 - 09/30/20",null,null,null,null,{"$f":"SUM(E39:F39)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A39,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A39,'MH1962'!$E$11:$E$29)","v":0},null,{"$f":"SUM(G39:I39)","v":0},null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A39,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A39,'MH1965'!$I$13:$I$47)","v":0},null,{"$f":"IF((K39+L39) =  SUM(M40:M44),\"OK\",\"ERROR: Not all administrative costs reclassified.\")","v":"OK"}]
[{"$f":"A39+1","v":25},"SD/MC Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A40,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A40,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M40)","v":0}]
[{"$f":"A40+1","v":26},"MCHIP Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A41,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A41,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M41)","v":0}]
[27,"Non-SD/MC Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A42,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A42,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M42)","v":0}]
[28,"Proposition 30 Administration - State Required",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A43,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A43,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M43)","v":0}]
[29,"Proposition 30 Administration - Federally Required",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A44,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A44,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M44)","v":0}]
[30,"Administrative Costs (County Only): 10/01/20 - 06/30/21",null,null,null,null,{"$f":"SUM(E45:F45)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A45,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A45,'MH1962'!$E$11:$E$29)","v":0},null,{"$f":"SUM(G45:I45)","v":0},null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A45,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A45,'MH1965'!$I$13:$I$47)","v":0},null,{"$f":"IF((K45+L45) =  SUM(M46:M50),\"OK\",\"ERROR: Not all administrative costs reclassified.\")","v":"OK"}]
[{"$f":"A45+1","v":31},"SD/MC Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A46,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A46,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M46)","v":0}]
[32,"MCHIP Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A47,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A47,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M47)","v":0}]
[33,"Non-SD/MC Administration",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A48,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A48,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M48)","v":0}]
[34,"Proposition 30 Administration - State Required",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A49,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A49,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M49)","v":0}]
[35,"Proposition 30 Administration - Federally Required",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A50,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A50,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M50)","v":0}]
[36,"Utilization Review Costs (County Only)",null,null,null,null,{"$f":"SUM(E51:F51)","v":0},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A51,'MH1961'!$E$11:$E$29)","v":0},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A51,'MH1962'!$E$11:$E$29)","v":0},null,{"$f":"SUM(G51:I51)","v":0},null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A51,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A51,'MH1965'!$I$13:$I$47)","v":0},null,{"$f":"IF((K51+L51) =  SUM(M52:M58),\"OK\",\"ERROR: Not all UR/QA costs reclassified.\")","v":"OK"}]
[37,"Skilled Professional Medical Personnel",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A52,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A52,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(M52)","v":0}]
[38,"Other SD/MC Utilization Review",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A53,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A53,'MH1965'!$I$13:$I$47)","v":0},0]
[39," Proposition 30 - Federally Required - SPMP",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A54,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A54,'MH1965'!$I$13:$I$47)","v":0},0]
[40," Proposition 30 - Federally Required - Other UR",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A55,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A55,'MH1965'!$I$13:$I$47)","v":0},0]
[41," Proposition 30 - State Required - SPMP",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A56,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A56,'MH1965'!$I$13:$I$47)","v":0},0]
[42," Proposition 30 - State Required - Other UR",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A57,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A57,'MH1965'!$I$13:$I$47)","v":0},0]
[43,"Non-SD/MC Utilization Review",null,null,null,null,null,null,null,null,null,null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A58,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A58,'MH1965'!$I$13:$I$47)","v":0},0]
[44,"Non-Hospital Mode Costs (Direct Service and MAA)",null,null,{"$f":"'LAC101'!G16","v":27488000},{"$f":"'LAC101'!H16","v":31975000},{"$f":"SUM(E59:F59)","v":59463000},{"$f":"SUMIF('MH1961'!$F$11:$F$29,'MH1960'!A59,'MH1961'!$E$11:$E$29)","v":-10000},{"$f":"SUMIF('MH1962'!$F$11:$F$29,'MH1960'!A59,'MH1962'!$E$11:$E$29)","v":0},{"$f":"TotalPaymentContractProviders","v":0},{"$f":"SUM(G59:J59)","v":59453000},null,{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A59,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A59,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(K59:M59)","v":59453000}]
[45,"Total Direct Costs",null,null,{"$f":"SUM(E39,E45,E51,E59)","v":27488000},{"$f":"SUM(F39,F45,F51,F59)","v":31975000},{"$f":"SUM(G39,G45,G51,G59)","v":59463000},{"$f":"SUM(H39,H45,H51,H59)","v":-10000},{"$f":"SUM(I39,I45,I51,I59)","v":0},{"$f":"SUM(J59)","v":0},{"$f":"SUM(K39,K45,K51,K59)","v":59453000},{"$f":"SUM(L39,L45,L51,L59)","v":0},{"$f":"SUMIF('MH1965'!$E$13:$E$47,'MH1960'!A60,'MH1965'!$F$13:$F$47)+\nSUMIF('MH1965'!$H$13:$H$47,'MH1960'!A60,'MH1965'!$I$13:$I$47)","v":0},{"$f":"SUM(N40:N43,N52:N59)","v":59453000}]

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["State of California Health and Human Services Agency",null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["MEDI-CAL ADJUSTMENTS TO COSTS"]
[{"$f":"\"MH 1961 \"&Revision_Date","v":"MH 1961 (Rev. 02/2019)"},null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,null,"County:  ",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code: ",{"$f":"County_Code","v":"19"}]
[]
[null,null,"Legal Entity:",{"$f":"Legal_Entity_Name","v":"Vermont Mental Health"},"A","B","C"]
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[4,null,null,null,null,null,{"$f":"IF(ISNUMBER(F14),VLOOKUP(F14,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[5,null,null,null,null,null,{"$f":"IF(ISNUMBER(F15),VLOOKUP(F15,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[6,null,null,null,null,null,{"$f":"IF(ISNUMBER(F16),VLOOKUP(F16,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[7,null,null,null,null,null,{"$f":"IF(ISNUMBER(F17),VLOOKUP(F17,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[8,null,null,null,null,null,{"$f":"IF(ISNUMBER(F18),VLOOKUP(F18,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[9,null,null,null,null,null,{"$f":"IF(ISNUMBER(F19),VLOOKUP(F19,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[10,null,null,null,null,null,{"$f":"IF(ISNUMBER(F20),VLOOKUP(F20,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[11,null,null,null,null,null,{"$f":"IF(ISNUMBER(F21),VLOOKUP(F21,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[12,null,null,null,null,null,{"$f":"IF(ISNUMBER(F22),VLOOKUP(F22,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[13,null,null,null,null,null,{"$f":"IF(ISNUMBER(F23),VLOOKUP(F23,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[14,null,null,null,null,null,{"$f":"IF(ISNUMBER(F24),VLOOKUP(F24,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[15,null,null,null,null,null,{"$f":"IF(ISNUMBER(F25),VLOOKUP(F25,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[16,null,null,null,null,null,{"$f":"IF(ISNUMBER(F26),VLOOKUP(F26,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[17,null,null,null,null,null,{"$f":"IF(ISNUMBER(F27),VLOOKUP(F27,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[18,null,null,null,null,null,{"$f":"IF(ISNUMBER(F28),VLOOKUP(F28,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[19,null,null,null,null,null,{"$f":"IF(ISNUMBER(F29),VLOOKUP(F29,'MH1960'!$A$13:$D$59,2,FALSE),\"\")","v":""}]
[20,"Total Adjustments",null,null,{"$f":"SUM(E11:E29)","v":-10000}]

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["State of California Health and Human Services Agency",null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["OTHER ADJUSTMENTS TO COSTS"]
[{"$f":"\"MH 1962 \"&Revision_Date","v":"MH 1962 (Rev. 02/2019)"},null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,null,"County:  ",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code: ",{"$f":"County_Code","v":"19"}]
[]
[null,null,"Legal Entity:",{"$f":"Legal_Entity_Name","v":"Vermont Mental Health"},"A","B","C"]
[null,null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"},"Amount","MH1960 Line Number","MH 1960 Description"]
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[2,"Cost not applicable to DMH contracted service",null,null,{"$f":"'LAC101'!I29","v":0},44,{"$f":"IF(ISNUMBER(F12),VLOOKUP(F12,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":"Non-Hospital Mode Costs (Direct Service and MAA)"}]
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[4,null,null,null,null,null,{"$f":"IF(ISNUMBER(F14),VLOOKUP(F14,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[5,null,null,null,null,null,{"$f":"IF(ISNUMBER(F15),VLOOKUP(F15,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
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[9,null,null,null,null,null,{"$f":"IF(ISNUMBER(F19),VLOOKUP(F19,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[10,null,null,null,null,null,{"$f":"IF(ISNUMBER(F20),VLOOKUP(F20,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
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[13,null,null,null,null,null,{"$f":"IF(ISNUMBER(F23),VLOOKUP(F23,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[14,null,null,null,null,null,{"$f":"IF(ISNUMBER(F24),VLOOKUP(F24,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[15,null,null,null,null,null,{"$f":"IF(ISNUMBER(F25),VLOOKUP(F25,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[16,null,null,null,null,null,{"$f":"IF(ISNUMBER(F26),VLOOKUP(F26,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[17,null,null,null,null,null,{"$f":"IF(ISNUMBER(F27),VLOOKUP(F27,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
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[19,null,null,null,null,null,{"$f":"IF(ISNUMBER(F29),VLOOKUP(F29,'MH1960'!$A$13:$B$60,2,FALSE),\"\")","v":""}]
[20,"Total Adjustments",null,null,{"$f":"SUM(E11:E29)","v":0},0,0]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'Department of Health Care Services"]
["DETAIL COST REPORT"]
["PAYMENTS TO CONTRACT PROVIDERS"]
[{"$f":"\"MH 1963 \"&Revision_Date","v":"MH 1963 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,null,"County:  ",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code: ",{"$f":"County_Code","v":"19"}]
[]
["A","B",null,null,"C","D","E","F","G","H","I","J","K","L","M","N","O","P","Q"]
["Item","Legal Entity Name",null,null,"Legal Entity Number","Total Payments           ","SD/MC Payments","Enhanced FMAP Non Chip Children ","Enhanced SD/MC Payments - Children","Enhanced SD/MC Payments - Children","Enhanced FMAP - BCCTP","Enhanced FMAP - Pregnancy","Enhanced FMAP - Refugee","Medi-Cal  Access Program (MCAP) Payments","Medi-Cal  Access Program (MCAP) Payments","Affordable Care Act ","State Funded Beneficiaries","Medi-Cal Administrative Activities - 50%","Medi-Cal Administrative Activities - 75%"]
[]
[null,null,null,null,null,"07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20- 06/30/21","7/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 09/30/20","10/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21","07/01/20 - 06/30/21"]
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[null,"Total Payments to Contract Providers",null,null,null,{"$f":"SUM(F12:F187)","v":0},{"$f":"SUM(G12:G187)","v":0},{"$f":"SUM(H12:H187)","v":0},{"$f":"SUM(I12:I187)","v":0},0,{"$f":"SUM(K12:K187)","v":0},{"$f":"SUM(L12:L187)","v":0},{"$f":"SUM(M12:M187)","v":0},{"$f":"SUM(N12:N187)","v":0},0,0,{"$f":"SUM(Q12:Q187)","v":0},{"$f":"SUM(R12:R187)","v":0},{"$f":"SUM(S12:S187)","v":0}]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["ALLOCATION OF COSTS TO MODES OF SERVICE"]
[{"$f":"\"MH 1964 \"&Revision_Date","v":"MH 1964 (Rev. 02/2019)"},null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,null,"County:",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[null,null,"Legal Entity:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A"]
[null,null,"Legal Entity Number:",{"$f":"MH1900_INFO!B8","v":"00055"},null,"Total Costs"]
[]
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[null,"Modes"]
[2,null,"Hospital Inpatient Services (Mode 05-SFC 10-19)",null,null,{"$f":"MH1901_Schedule_C!K111","v":0}]
[3,null,"Other 24 Hour Services (Mode 05-All Other SFC)",null,null,{"$f":"SUM(MH1901_Schedule_C!E112:E112)+MH1901_Schedule_C!K112","v":2329590.3217000002}]
[4,null,"Day Services (Mode 10)",null,null,{"$f":"MH1901_Schedule_C!E113+MH1901_Schedule_C!K113","v":31418437.591699999}]
[5,null,"Outpatient Services (Mode 15 Program 1 + Program 2)",null,null,{"$f":"MH1901_Schedule_C!E114+MH1901_Schedule_C!I114+MH1901_Schedule_C!K114","v":23409588.515900001}]
[6,null,"Outreach Services (Mode 45)",null,null,{"$f":"MH1901_Schedule_C!E115+MH1901_Schedule_C!K115","v":349471.9926}]
[7,null,"Medi-Cal Administrative Activities (Mode 55)",null,null,{"$f":"MH1901_Schedule_C!E116+MH1901_Schedule_C!K116","v":0}]
[8,null,"Support Services (Mode 60)",null,null,{"$f":"MH1901_Schedule_C!E117+MH1901_Schedule_C!K117","v":1945911.5781999999},null,null,"Crosscheck"]
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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["RECLASSIFICATION(S) OF PROGRAM COSTS"]
[{"$f":"\"MH 1965 \"&Revision_Date","v":"MH 1965 (Rev. 02/2019)"},null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,{"$f":"\"County: \"&County_Name","v":"County: Los Angeles"}]
[null,{"$f":"\"County Code: \"&County_Code","v":"County Code: 19"}]
[]
[{"$f":"\"Legal Entity: \"&Legal_Entity_Name","v":"Legal Entity: Vermont Mental Health"},null,null,"Increases",null,null,"Decreases"]
[{"$f":"\"Legal Entity Number: \"&TEXT(Legal_Entity_Number,\"00000\")","v":"Legal Entity Number: 00055"},null,"Code","Cost Center","MH1960 Line #","Costs","Cost Center","MH1960 Line #","Costs"]
["Explanation of Reclassification(s)",null,"(1)"]
[null,null,"A","B","C","D","E","F","G"]
[1,null,null,null,null,null,null,null,{"$f":"-F13","v":0}]
[2,null,null,null,null,null,null,null,0]
[3,null,null,null,null,null,null,null,0]
[4,null,null,null,null,null,null,null,0]
[5,null,null,null,null,null,null,null,0]
[6,null,null,null,null,null,null,null,0]
[7,null,null,null,null,null,null,null,0]
[8,null,null,null,null,null,null,null,0]
[9,null,null,null,null,null,null,null,0]
[10,null,null,null,null,null,null,null,{"$f":"-F22","v":0}]
[11,null,null,null,null,null,null,null,{"$f":"-F23","v":0}]
[12,null,null,null,null,null,null,null,0]
[13,null,null,null,null,null,null,null,0]
[14,null,null,null,null,null,null,null,0]
[15,null,null,null,null,null,null,null,0]
[16,null,null,null,null,null,null,null,0]
[17,null,null,null,null,null,null,null,0]
[18,null,null,null,null,null,null,null,0]
[19,null,null,null,null,null,null,null,0]
[20,null,null,null,null,null,null,null,0]
[21,null,null,null,null,null,null,null,0]
[22,null,null,null,null,null,null,null,0]
[23,null,null,null,null,null,null,null,0]
[24,null,null,null,null,null,null,null,0]
[25,null,null,null,null,null,null,null,0]
[26,null,null,null,null,null,null,null,0]
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[28,null,null,null,null,null,null,null,0]
[29,null,null,null,null,null,null,null,0]
[30,null,null,null,null,null,null,null,0]
[31,null,null,null,null,null,null,null,0]
[32,null,null,null,null,null,null,null,0]
[33,null,null,null,null,null,null,null,0]
[34,null,null,null,null,null,null,null,0]
[35,null,null,null,null,null,null,null,0]
[null,"Total reclassifications (sum of column D must equal the sum of column G)",null,null,null,{"$f":"SUM(F13:F47)","v":0},null,null,{"$f":"SUM(I13:I47)","v":0}]
[null,null,null,null,null,"Total Increases",null,null,"Total Decreases"]
[" (1) A letter (A, B, etc.) must be entered on each line to identify each reclassification entry."]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["ALLOCATION OF COSTS TO SERVICE\nFUNCTIONS - MODE TOTAL",null,null,null,null,null,null,null,null,null,{"$f":"IF(M12<>\"\",\"PAGE 1 OF 2\",\"PAGE 1 OF 1\")","v":"PAGE 1 OF 1"},null,null,null,null,null,null,null,"PAGE 2 OF 2"]
[{"$f":"\"MH 1966_HOSPINPT \"&Revision_Date","v":"MH 1966_HOSPINPT (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021",null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,null,null,null,null,{"$f":"SUM(G5:S5)","v":0},{"$f":"IF(G7=\"NR\",1,0)","v":0},{"$f":"IF(H7=\"NR\",1,0)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[null,"County:",{"$f":"County_Name","v":"Los Angeles"},null,null,19,{"$f":"GetIndex(F6)","v":0},{"$f":"GetIndex(G6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[null,"County Code:",{"$f":"County_Code","v":"19"},null,null,null,{"$f":"GetInfo(\"Settlement Type\", G6)","v":""},{"$f":"GetInfo(\"Settlement Type\", H6)","v":""},"","","","","","","","","","",""]
[]
[null,"Legal Entity:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N","O"]
[null,"Legal Entity Number:",{"$f":"MH1900_INFO!B8","v":"00055"},null,"Mode Total\nAdmin","Mode Total \nNon-Admin","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service"]
[null,"Mode:","05 - Hospital Inpatient Services (SFC 10-19)",null,null,null,"Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function"]
[null,null,null,null,null,null,{"$f":"GetInfo(\"Service Function\", G6)","v":""},{"$f":"GetInfo(\"Service Function\", H6)","v":""},"","","","","","","","","","",""]
[1,"Allocation Percentage",null,null,{"$f":"SUMIF($G$12:$S$12,\"19\",G13:S13)","v":0},{"$f":"SUM(G13:S13) - E13","v":0},{"$f":"IF(G12=\"19\",G15/$E$15,IF($F$15>0,G15/$F$15,0))","v":0},{"$f":"IF(H12=\"19\",H15/$E$15,IF($F$15>0,H15/$F$15,0))","v":0},0,0,0,0,0,0,0,0,0,0,0]
[2,"Total Units",null,null,null,null,{"$f":"GetInfo(\"Total Units\",G6)","v":0},{"$f":"GetInfo(\"Total Units\",H6)","v":0},{"$f":"GetInfo(\"Total Units\",I6)","v":0},0,0,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"SUMIF($G$12:$S$12,\"19\",G15:S15)","v":0},{"$f":"SUM(G15:S15) -E15","v":0},{"$f":"GetInfo(\"Gross Cost\",G6)","v":0},{"$f":"GetInfo(\"Gross Cost\",H6)","v":0},{"$f":"GetInfo(\"Gross Cost\",I6)","v":0},0,0,0,0,0,0,0,0,0,0]
[]
[{"$f":"A15+1","v":4},"Cost per Unit",null,null,null,null,{"$f":"IF(G6=0,0,G15/G14)","v":0},{"$f":"IF(H6=0,0,H15/H14)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A17+1","v":5},"Published Charge per Unit",null,null,null,null,{"$f":"GetRate(\"05\",G12,\"PC\")","v":0},0,0,0,0,0,0,0,0,0,0,0,0]
[]
[{"$f":"A18+1","v":6},"Medi-Cal Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",G$6)","v":0},{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A20+1","v":7},"Enhanced Non CHIP (Children) Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",G$6)","v":0},{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A21+1","v":8},"Enhanced CHIP (Children) Units",null,"07/01/20 - 09/30/20",null,null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",G$6)","v":0},{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[9,"Enhanced CHIP (Children) Units",null,"10/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",G$6)","v":0},{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[10,"Enhanced BCCTP",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"BCCTP Units A\",G$6)","v":0},{"$f":"GetInfo(\"BCCTP Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[11,"Enhanced Pregnancy",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Pregnancy Units A\",G$6)","v":0},{"$f":"GetInfo(\"Pregnancy Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[12,"Enhanced SD/MC (Refugees) Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Refugee Units\",G$6)","v":0},{"$f":"GetInfo(\"Refugee Units\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[13,"Affordable Care Act Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"Affordable Care Act Units A\",G$6)","v":0},{"$f":"GetInfo(\"Affordable Care Act Units A\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[14,"State Funded Beneficiaries Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"SB75 Units\",G$6)","v":0},{"$f":"GetInfo(\"SB75 Units\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[15,"Medi-Cal Access Program (MCAP)",null,"07/01/20 - 09/30/20",null,null,{"$f":"GetInfo(\"MCAP Units\",G$6)","v":0},{"$f":"GetInfo(\"MCAP Units\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[16,"Medi-Cal Access Program (MCAP)",null,"10/01/20 - 06/30/21",null,null,{"$f":"GetInfo(\"MCAP Units D\",G$6)","v":0},{"$f":"GetInfo(\"MCAP Units D\",H$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[17,"Non-Medi-Cal Units",null,"07/01/20 - 06/30/21",null,null,{"$f":"IF(G14=\"\",\"\",G14-SUM(G20:G30))","v":0},0,0,0,0,0,0,0,0,0,0,0,0]
[]
[{"$f":"A31+1","v":18},"Medi-Cal Costs ",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G33:S33)","v":0},{"$f":"SUM(G33:S33) -E33","v":0},{"$f":"G20*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G33:S33,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G33:S33)-T33","v":0}]
[{"$f":"A33+1","v":19},"Medi-Cal Published Charges ",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G34:S34)","v":0},{"$f":"SUM(G34:S34) -E34","v":0},{"$f":"G20*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G34:S34,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G34:S34)-T34","v":0}]
[]
[{"$f":"A34+1","v":20},"Enhanced Non CHIP (Children) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G36:S36)","v":0},{"$f":"SUM(G36:S36) - E36","v":0},{"$f":"G21*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G36:S36,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G36:S36)-T36","v":0}]
[{"$f":"A36+1","v":21},"Enhanced Non CHIP (Children) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G37:S37)","v":0},{"$f":"SUM(G37:S37) - E37","v":0},{"$f":"G21*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G37:S37,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G37:S37)-T37","v":0}]
[]
[{"$f":"A37+1","v":22},"Enhanced SD/MC (Children) Costs",null,"07/01/20 - 09/30/20",{"$f":"SUMIF($G$12:$S$12,\"19\",G39:S39)","v":0},{"$f":"SUM(G39:S39) - E39","v":0},{"$f":"G22*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G39:S39,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G39:S39)-T39","v":0}]
[{"$f":"A39+1","v":23},"Enhanced SD/MC (Children) Published Charges",null,"07/01/20 - 09/30/20",{"$f":"SUMIF($G$12:$S$12,\"19\",G40:S40)","v":0},{"$f":"SUM(G40:S40) - E40","v":0},{"$f":"G22*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G40:S40,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G40:S40)-T40","v":0}]
[]
[{"$f":"A40+1","v":24},"Enhanced SD/MC (Children) Costs",null,"10/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G42:S42)","v":0},{"$f":"SUM(G42:S42) - E42","v":0},{"$f":"G23*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G42:S42,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G42:S42)-T42","v":0}]
[{"$f":"A42+1","v":25},"Enhanced SD/MC (Children) Published Charges",null,"10/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G43:S43)","v":0},{"$f":"SUM(G43:S43) - E43","v":0},{"$f":"G23*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G43:S43,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G43:S43)-T43","v":0}]
[]
[{"$f":"A43+1","v":26},"Enhanced SD/MC (BCCTP) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G45:S45)","v":0},{"$f":"SUM(G45:S45) - E45","v":0},{"$f":"G24*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G45:S45,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G45:S45)-T45","v":0}]
[{"$f":"A45+1","v":27},"Enhanced SD/MC (BCCTP) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G46:S46)","v":0},{"$f":"SUM(G46:S46) - E46","v":0},{"$f":"G24*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G46:S46,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G46:S46)-T46","v":0}]
[]
[{"$f":"A46+1","v":28},"Enhanced SD/MC (Pregnancy) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G48:S48)","v":0},{"$f":"SUM(G48:S48) - E48","v":0},{"$f":"G25*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G48:S48,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G48:S48)-T48","v":0}]
[{"$f":"A48+1","v":29},"Enhanced SD/MC (Pregnancy) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G49:S49)","v":0},{"$f":"SUM(G49:S49) - E49","v":0},{"$f":"G25*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G49:S49,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G49:S49)-T49","v":0}]
[]
[{"$f":"A49+1","v":30},"Enhanced SD/MC (Refugees) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G51:S51)","v":0},{"$f":"SUM(G51:S51) - E51","v":0},{"$f":"G26*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G51:S51,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G51:S51)-T51","v":0}]
[{"$f":"A51+1","v":31},"Enhanced SD/MC (Refugees) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G52:S52)","v":0},{"$f":"SUM(G52:S52) - E52","v":0},{"$f":"G26*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G52:S52,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G52:S52)-T52","v":0}]
[]
[{"$f":"A52+1","v":32},"Affordable Care Act Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G54:S54)","v":0},{"$f":"SUM(G54:S54) - E54","v":0},{"$f":"G27*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G54:S54,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G54:S54)-T54","v":0}]
[{"$f":"A54+1","v":33},"Affordable Care Act Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G55:S55)","v":0},{"$f":"SUM(G55:S55) - E55","v":0},{"$f":"G27*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G55:S55,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G55:S55)-T55","v":0}]
[]
[{"$f":"A55+1","v":34},"State Funded Beneficiaries Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G57:S57)","v":0},{"$f":"SUM(G57:S57) - E57","v":0},{"$f":"G28*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G57:S57,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G57:S57)-T57","v":0}]
[{"$f":"A57+1","v":35},"State Funded Beneficiaries Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G58:S58)","v":0},{"$f":"SUM(G58:S58) - E58","v":0},{"$f":"G28*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G58:S58,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G58:S58)-T58","v":0}]
[]
[{"$f":"A58+1","v":36},"Medi-Cal  Access Program (MCAP) Costs",null,"07/01/20 - 09/30/20",{"$f":"SUMIF($G$12:$S$12,\"19\",G60:S60)","v":0},{"$f":"SUM(G60:S60) - E60","v":0},{"$f":"G29*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G60:S60,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G60:S60)-T60","v":0}]
[{"$f":"A60+1","v":37},"Medi-Cal  Access Program (MCAP) Published Charges",null,"07/01/20 - 09/30/20",{"$f":"SUMIF($G$12:$S$12,\"19\",G61:S61)","v":0},{"$f":"SUM(G61:S61) - E61","v":0},{"$f":"G29*G$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G61:S61,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G61:S61)-T61","v":0}]
[]
[{"$f":"A61+1","v":38},"Medi-Cal  Access Program (MCAP) Costs",null,"10/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G63:S63)","v":0},{"$f":"SUM(G63:S63) - E63","v":0},{"$f":"G30*G$17","v":0},{"$f":"H30*H$17","v":0},0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G63:S63,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G63:S63)-T63","v":0}]
[{"$f":"A63+1","v":39},"Medi-Cal  Access Program (MCAP) Published Charges",null,"10/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G64:S64)","v":0},{"$f":"SUM(G64:S64) - E64","v":0},{"$f":"G30*G$18","v":0},{"$f":"H30*H$18","v":0},0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G64:S64,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G64:S64)-T64","v":0}]
[]
[{"$f":"A64+1","v":40},"Non-Medi-Cal Costs",null,"07/01/20 - 06/30/21",{"$f":"SUMIF($G$12:$S$12,\"19\",G66:S66)","v":0},{"$f":"SUM(G66:S66) - E66","v":0},{"$f":"G17*G31","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIFS(G66:S66,$G$7:$S$7,\"CCR\",$G$12:$S$12,\"19\")","v":0},{"$f":"SUMIF($G$7:$S$7,\"CCR\",G66:S66)-T66","v":0}]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["ALLOCATION OF COSTS TO SERVICE\nFUNCTIONS - MODE TOTAL",null,null,null,null,null,null,null,null,null,{"$f":"IF(L12<>\"\",\"PAGE 1 OF 2\",\"PAGE 1 OF 1\")","v":"PAGE 1 OF 1"},null,null,null,null,null,null,"PAGE 2 OF 2"]
[{"$f":"\"MH1966 \"&Revision_Date","v":"MH1966 (Rev. 02/2019)"},null,null,null,{"$f":"E5+MH1966_MODE10!G5+'MH1966_MODE15_(1)'!G5","v":0},null,null,null,null,null,"FISCAL YEAR 2020-2021",null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[null,null,null,null,{"$f":"SUM(F5:R5)","v":0},{"$f":"IF(F7=\"NR\",1,0)","v":0},{"$f":"IF(G7=\"NR\",1,0)","v":0},0,0,0,0,0,0,0,0,0,0,0]
["County:",null,{"$f":"County_Name","v":"Los Angeles"},null,19,{"$f":"GetIndex(E6)","v":20},{"$f":"GetIndex(F6)","v":21},22,23,0,0,{"$f":"GetIndex(K6)","v":0},0,0,0,0,0,0]
["County Code:",null,{"$f":"County_Code","v":"19"},null,null,{"$f":"GetInfo(\"Settlement Type\",F6)","v":"CR"},{"$f":"GetInfo(\"Settlement Type\",G6)","v":"CR"},"CR","CR","","","","","","","","",""]
[]
["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,"Mode Total","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction","Service \nFunction"]
["Mode:",null,"05 - Other 24 Hour Services (All Other SFC)"]
[null,null,null,null,null,{"$f":"GetInfo(\"Service Function\",F6)","v":"20"},"21","43","44","","","","","","","","",""]
[1,"Allocation Percentage",null,null,{"$f":"SUM(F13:K13,L13:R13)","v":1},{"$f":"IF($E$15>0,F15/$E$15,0)","v":0.19397781068657499},0.19651264144415251,0.40689430234595053,0.20261524552332191,0,0,{"$f":"IF($E$15>0,L15/$E$15,0)","v":0},0,0,0,0,0,0]
[2,"Total Units ",null,null,null,{"$f":"GetInfo(\"Total Units\", F6)","v":5869},{"$f":"GetInfo(\"Total Units\", G6)","v":533},2201,1096,0,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"'MH1964'!F15","v":2329590.3217000002},{"$f":"GetInfo(\"Gross Cost\", F6)","v":451888.83039999998},{"$f":"GetInfo(\"Gross Cost\", G6)","v":457793.94760000001},947897.02870000002,472010.51500000001,0,0,0,0,0,0,0,0,0]
[]
[4,"Cost per Unit",null,null,null,{"$f":"IF(F14=0,0,F15/F14)","v":76.995881819730783},{"$f":"IF(G14=0,0,G15/G14)","v":858.90046454033779},430.66652825988189,430.66652828467153,0,0,0,0,0,0,0,0,0]
[5,"Published Charge per Unit",null,null,null,{"$f":"GetRate(\"05\",F12,\"PC\")","v":790.9},790.9,396.57,396.57,0,0,0,0,0,0,0,0,0]
[]
[{"$f":"A18+1","v":6},"Medi-Cal Units",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",F$6)","v":3248},{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",G$6)","v":0},606,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A20+1","v":7},"Enhanced Non CHIP (Children) Units",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",F$6)","v":0},{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A21+1","v":8},"Enhanced CHIP (Children) Units",null,"07/01/20 - 09/30/20",null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",F$6)","v":0},{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[9,"Enhanced CHIP (Children) Units",null,"10/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",F$6)","v":0},{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[10,"Enhanced BCCTP",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"BCCTP Units A\",F$6)","v":0},{"$f":"GetInfo(\"BCCTP Units A\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[11,"Enhanced Pregnancy",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Pregnancy Units A\",F$6)","v":0},{"$f":"GetInfo(\"Pregnancy Units A\",G$6)","v":0},14,0,0,0,0,0,0,0,0,0,0]
[12,"Enhanced SD/MC (Refugees) Units",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Refugee Units\",F$6)","v":0},{"$f":"GetInfo(\"Refugee Units\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[13,"Affordable Care Act Units",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"Affordable Care Act Units A\",F$6)","v":2459},{"$f":"GetInfo(\"Affordable Care Act Units A\",G$6)","v":0},1543,0,0,0,0,0,0,0,0,0,0]
[14,"State Funded Beneficiaries Units",null,"07/01/20 - 06/30/21",null,{"$f":"GetInfo(\"SB75 Units\",F$6)","v":24},{"$f":"GetInfo(\"SB75 Units\",G$6)","v":0},28,0,0,0,0,0,0,0,0,0,0]
[15,"Medi-Cal Access Program (MCAP)",null,"07/01/20 - 09/30/20",null,{"$f":"GetInfo(\"MCAP Units\",F$6)","v":0},{"$f":"GetInfo(\"MCAP Units\",G$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
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[{"$f":"A46+1","v":28},"Enhanced SD/MC (Pregnancy) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUM(F48:R48)","v":6029.3313956383463},{"$f":"F25*F$17","v":0},0,6029.3313956383463,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F48:R48)","v":0}]
[{"$f":"A48+1","v":29},"Enhanced SD/MC (Pregnancy) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUM(F49:R49)","v":5551.98},{"$f":"F25*F$18","v":0},0,5551.98,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F49:R49)","v":0}]
[]
[{"$f":"A49+1","v":30},"Enhanced SD/MC (Refugees) Costs",null,"07/01/20 - 06/30/21",{"$f":"SUM(F51:R51)","v":0},{"$f":"F26*F$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F51:R51)","v":0}]
[{"$f":"A51+1","v":31},"Enhanced SD/MC (Refugees) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUM(F52:R52)","v":0},{"$f":"F26*F$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F52:R52)","v":0}]
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[{"$f":"A52+1","v":32},"Affordable Care Act Costs",null,"07/01/20 - 06/30/21",{"$f":"SUM(F54:R54)","v":853851.32649971568},{"$f":"F27*F$17","v":189332.87339471799},0,664518.45310499775,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F54:R54)","v":0}]
[{"$f":"A54+1","v":33},"Affordable Care Act Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUM(F55:R55)","v":2556730.61},{"$f":"F27*F$18","v":1944823.0999999999},0,611907.51,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F55:R55)","v":0}]
[]
[{"$f":"A55+1","v":34},"State Funded Beneficiaries Costs",null,"07/01/20 - 06/30/21",{"$f":"SUM(F57:R57)","v":13906.563954950232},{"$f":"F28*F$17","v":1847.9011636735388},0,12058.662791276693,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F57:R57)","v":0}]
[{"$f":"A57+1","v":35},"State Funded Beneficiaries Published Charges",null,"07/01/20 - 06/30/21",{"$f":"SUM(F58:R58)","v":30085.559999999998},{"$f":"F28*F$18","v":18981.599999999999},0,11103.96,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F58:R58)","v":0}]
[]
[{"$f":"A58+1","v":36},"Medi-Cal  Access Program (MCAP) Costs",null,"07/01/20 - 09/30/20",{"$f":"SUM(F60:R60)","v":0},{"$f":"F29*F$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F60:R60)","v":0}]
[{"$f":"A60+1","v":37},"Medi-Cal  Access Program (MCAP) Published Charges",null,"07/01/20 - 09/30/20",{"$f":"SUM(F61:R61)","v":0},{"$f":"F29*F$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F61:R61)","v":0}]
[]
[{"$f":"A61+1","v":38},"Medi-Cal  Access Program (MCAP) Costs",null,"10/01/20 - 06/30/21",{"$f":"SUM(F63:R63)","v":0},{"$f":"F30*F$17","v":0},{"$f":"G30*G$17","v":0},0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F63:R63)","v":0}]
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[]
[{"$f":"A64+1","v":40},"Non-Medi-Cal Costs",null,"07/01/20 - 06/30/21",{"$f":"SUM(F66:R66)","v":944736.55957372172},{"$f":"F17*F31","v":10625.431691122849},457793.94760000007,4306.6652825988185,472010.51500000001,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($F$7:$R$7,\"CCR\",F66:R66)","v":0}]
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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["ALLOCATION OF COSTS TO SERVICE\nFUNCTIONS - MODE TOTAL",null,null,null,null,null,null,null,null,null,{"$f":"IF(N12<>\"\",\"PAGE 1 OF 2\",\"PAGE 1 OF 1\")","v":"PAGE 1 OF 1"},null,null,null,null,null,null,null,null,"PAGE 2 OF 2"]
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["County:",null,{"$f":"County_Name","v":"Los Angeles"},null,null,null,19,{"$f":"GetIndex(G6)","v":24},{"$f":"GetIndex(H6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
["County Code:",null,{"$f":"County_Code","v":"19"},null,null,null,null,{"$f":"GetInfo(\"Settlement Type\", H6)","v":"CR"},{"$f":"GetInfo(\"Settlement Type\", I6)","v":""},"","","","","","","","","","",""]
[]
["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N","O","P"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,"Non-Hospital\nMode Total","Hospital\nMode Total","Mode Total","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service"]
[null,"Mode:","10 - Day Services",null,null,null,null,"Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function"]
[null,null,null,null,null,null,null,{"$f":"GetInfo(\"Service Function\", H6)","v":"25"},{"$f":"GetInfo(\"Service Function\", I6)","v":""},"","","","","","","","","","",""]
[1,"Allocation Percentage",null,null,{"$f":"G13-F13","v":1},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H13:T13)","v":0},{"$f":"SUM(H13:M13,N13:T13)","v":1},{"$f":"IF($G$15>0,H15/$G$15,0)","v":1},0,0,0,0,0,{"$f":"IF($G$15>0,N15/$G$15,0)","v":0},0,0,0,0,0,0]
[2,"Total Units ",null,null,null,null,null,{"$f":"GetInfo(\"Total Units\", H6)","v":241692},{"$f":"GetInfo(\"Total Units\", I6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"G15-F15","v":31418437.591699999},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H15:T15)","v":0},{"$f":"SUM(H15:T15)","v":31418437.591699999},{"$f":"GetInfo(\"Gross Cost\", H6)","v":31418437.591699999},{"$f":"GetInfo(\"Gross Cost\", I6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
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[4,"Cost per Unit",null,null,null,null,null,{"$f":"IF(H14=0,0,H15/H14)","v":129.99370103975306},{"$f":"IF(I14=0,0,I15/I14)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[5,"Published Charge per Unit",null,null,null,null,null,{"$f":"GetRate(\"10\", H12, \"PC\")","v":119.74},0,0,0,0,0,0,0,0,0,0,0,0]
[]
[{"$f":"A18+1","v":6},"Medi-Cal Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",H$6)","v":76579},{"$f":"GetInfo(\"Short Doyle Medi-Cal Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A20+1","v":7},"Enhanced Non CHIP (Children) Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",H$6)","v":0},{"$f":"GetInfo(\"Enhanced Non CHIP Children Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[{"$f":"A21+1","v":8},"Enhanced CHIP (Children) Units",null,"07/01/20 - 09/30/20",null,null,null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",H$6)","v":582},{"$f":"GetInfo(\"Enhanced SD/MC Children Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[9,"Enhanced CHIP (Children) Units",null,"10/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",H$6)","v":1329},{"$f":"GetInfo(\"Enhanced SD/MC Children Units D\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[10,"Enhanced BCCTP",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"BCCTP Units A\",H$6)","v":0},{"$f":"GetInfo(\"BCCTP Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[11,"Enhanced Pregnancy",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Pregnancy Units A\",H$6)","v":7},{"$f":"GetInfo(\"Pregnancy Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[12,"Enhanced SD/MC (Refugees) Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Refugee Units\",H$6)","v":0},{"$f":"GetInfo(\"Refugee Units\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[13,"Affordable Care Act Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"Affordable Care Act Units A\",H$6)","v":75300},{"$f":"GetInfo(\"Affordable Care Act Units A\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[14,"State Funded Beneficiaries Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"SB75 Units\",H$6)","v":521},{"$f":"GetInfo(\"SB75 Units\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[15,"Medi-Cal Access Program (MCAP)",null,"07/01/20 - 09/30/20",null,null,null,{"$f":"GetInfo(\"MCAP Units\",H$6)","v":0},{"$f":"GetInfo(\"MCAP Units\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[16,"Medi-Cal Access Program (MCAP)",null,"10/01/20 - 06/30/21",null,null,null,{"$f":"GetInfo(\"MCAP Units D\",H$6)","v":0},{"$f":"GetInfo(\"MCAP Units D\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[17,"Non-Medi-Cal Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"IF(H14=\"\",\"\",H14-SUM(H20:H30))","v":87374},{"$f":"IF(I14=\"\",\"\",I14-SUM(I20:I30))","v":0},0,0,0,0,0,0,0,0,0,0,0]
[]
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[{"$f":"A33+1","v":19},"Medi-Cal Published Charges ",null,"07/01/20 - 06/30/21",{"$f":"G34-F34","v":9169569.459999999},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H34:T34)","v":0},{"$f":"SUM(H34:T34)","v":9169569.459999999},{"$f":"H20*H$18","v":9169569.459999999},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H34:T34)","v":0}]
[]
[{"$f":"A34+1","v":20},"Enhanced Non CHIP (Children) Costs",null,"07/01/20 - 06/30/21",{"$f":"G36-F36","v":0},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H36:T36)","v":0},{"$f":"SUM(H36:T36)","v":0},{"$f":"H21*H$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H36:T36)","v":0}]
[{"$f":"A36+1","v":21},"Enhanced Non CHIP (Children) Published Charges",null,"07/01/20 - 06/30/21",{"$f":"G37-F37","v":0},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H37:T37)","v":0},{"$f":"SUM(H37:T37)","v":0},{"$f":"H21*H$18","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H37:T37)","v":0}]
[]
[{"$f":"A37+1","v":22},"Enhanced SD/MC (Children) Costs",null,"07/01/20 - 09/30/20",{"$f":"G39-F39","v":75656.334005136276},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H39:T39)","v":0},{"$f":"SUM(H39:T39)","v":75656.334005136276},{"$f":"H22*H$17","v":75656.334005136276},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H39:T39)","v":0}]
[{"$f":"A39+1","v":23},"Enhanced SD/MC (Children) Published Charges",null,"07/01/20 - 09/30/20",{"$f":"G40-F40","v":69688.679999999993},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H40:T40)","v":0},{"$f":"SUM(H40:T40)","v":69688.679999999993},{"$f":"H22*H$18","v":69688.679999999993},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H40:T40)","v":0}]
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[{"$f":"A55+1","v":34},"State Funded Beneficiaries Costs",null,"07/01/20 - 06/30/21",{"$f":"G57-F57","v":67726.718241711351},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H57:T57)","v":0},{"$f":"SUM(H57:T57)","v":67726.718241711351},{"$f":"H28*H$17","v":67726.718241711351},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H57:T57)","v":0}]
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[{"$f":"A58+1","v":36},"Medi-Cal  Access Program (MCAP) Costs",null,"07/01/20 - 09/30/20",{"$f":"G60-F60","v":0},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H60:T60)","v":0},{"$f":"SUM(H60:T60)","v":0},{"$f":"H29*H$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H60:T60)","v":0}]
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[]
[{"$f":"A64+1","v":40},"Non-Medi-Cal Costs",null,"07/01/20 - 06/30/21",{"$f":"G66-F66","v":11358069.634647384},{"$f":"SUMIF($H$7:$T$7,\"=HOSP\",H66:T66)","v":0},{"$f":"SUM(H66:T66)","v":11358069.634647384},{"$f":"H17*H31","v":11358069.634647384},0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUMIF($H$7:$T$7,\"CCR\",H66:T66)","v":0}]
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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["ALLOCATION OF COSTS TO SERVICE\nFUNCTIONS - MODE TOTAL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"PAGE 1 OF \" & MH1966_MODE15_1_Page_Count","v":"PAGE 1 OF 1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"PAGE 2 OF \"& MH1966_MODE15_1_Page_Count","v":"PAGE 2 OF 1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"PAGE 3 OF \"& MH1966_MODE15_1_Page_Count","v":"PAGE 3 OF 1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"PAGE 4 OF \"& MH1966_MODE15_1_Page_Count","v":"PAGE 4 OF 1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"\"PAGE 5 OF \"& MH1966_MODE15_1_Page_Count","v":"PAGE 5 OF 1"}]
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[null,"Legal Entity:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F","G","H","I","J","K","L","M","N","O","P","Q","R","S","T","U","V","W","X","Y","Z","AA","AB","AC","AD","AE","AF","AG","AH","AI","AJ","AK","AL","AM","AN","AO","AP","AQ","AR","AS","AT","AU","AV","AW","AX","AY","AZ","BA","BB","BC","BD","BE","BF","BG","BH","BI","BJ","BK","BL","BM","BN","BO","BP","BQ","BR","BS","BT","BU","BV","BW","BX","BY","BZ","CA"]
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[1,"Allocation Percentage",null,null,{"$f":"G13-F13","v":1},{"$f":"SUMIF($H$7:$CE$7,\"=HOSP\",H13:CE13)","v":0},{"$f":"SUM(H13:CE13)","v":1},{"$f":"IF($G$15>0,H15/$G$15,0)","v":0.10918082691475012},{"$f":"IF($G$15>0,I15/$G$15,0)","v":1.4511497118766833E-2},2.9557370042196076E-2,0.41747673449117312,4.1826069028721519E-2,6.5856832615954625E-2,0.23812890466287995,3.366080646247982E-2,4.4802129451683707E-2,4.9833905077299448E-3,6.3461986911515104E-6,9.0925049731407785E-6,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF($G$15>0,AW15/$G$15,0)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[2,"Total Units ",null,null,null,null,null,{"$f":"GetInfo(\"Total Units\", H6)","v":774186},{"$f":"GetInfo(\"Total Units\", I6)","v":102899},162537,2295719,230003,362149,693670,98054,162041,18024,45,50,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"GetInfo(\"Total Units\", AW6)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"G15-F15","v":23409588.515900001},{"$f":"SUMIF($H$7:$CE$7,\"=HOSP\",H15:CE15)","v":0},{"$f":"MH1901_Schedule_C!E114+MH1901_Schedule_C!K114","v":23409588.515900001},{"$f":"GetInfo(\"Gross Cost\", H6)","v":2555878.2319},{"$f":"GetInfo(\"Gross Cost\", I6)","v":339708.17629999999},691925.87029999995,9772958.5693999995,979131.06519999995,1541681.3525,5574499.6719000004,787985.62840000005,1048799.4151000001,116659.12119999999,148.56190000000001,212.8518,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"GetInfo(\"Gross Cost\", AW6)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[]
[4,"Cost per Unit",null,null,null,null,null,{"$f":"IF(H14=0,0,H15/H14)","v":3.3013749046094865},{"$f":"IF(I14=0,0,I15/I14)","v":3.3013749045180223},4.2570360613275744,4.2570360612078391,4.2570360612687654,4.2570360611240128,8.0362415441059873,8.0362415444550965,6.4724323788423925,6.4724323790501552,3.301375555555556,4.2570360000000003,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(AW14=0,0,AW15/AW14)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[5,"Published Charge per Unit",null,null,null,null,null,{"$f":"GetRate(\"15\", H12, \"PC\")","v":3},{"$f":"GetRate(\"15\", I12, \"PC\")","v":3},4,4,4,4,6,6,5,5,3,4,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"GetRate(\"15\", AN12, \"PC\")","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"GetRate(\"15\", BT12, \"PC\")","v":0},0,0,0,0,0,0,0,0,0,0,0]
[]
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[15,"Medi-Cal Access Program (MCAP) Units",null,"07/01/20 - 09/30/20",null,null,null,{"$f":"GetInfo(\"MCAP Units\",H$6)","v":0},{"$f":"GetInfo(\"MCAP Units\",I$6)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"GetInfo(\"MCAP Units\",BU$6)","v":0},0,0,0,0,0,0,0,0,0,0]
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[17,"Non-Medi-Cal Units",null,"07/01/20 - 06/30/21",null,null,null,{"$f":"IF(H14=\"\",\"\",H14-SUM(H20:H30))","v":5041},{"$f":"IF(I14=\"\",\"\",I14-SUM(I20:I30))","v":102899},920,23969,230003,6350,14405,98054,2977,18024,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"IF(BU14=\"\",\"\",BU14-SUM(BU20:BU30))","v":0},0,0,0,0,0,0,0,0,0,0]
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[{"$f":"A34+1","v":20},"Enhanced Non CHIP (Children) Costs",null,"07/01/20 - 06/30/21",{"$f":"G36-F36","v":0},{"$f":"SUMIF($H$7:$CE$7,\"=HOSP\",H36:CE36)","v":0},{"$f":"SUM(H36:CE36)","v":0},{"$f":"H21*H$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"AN21*AN$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"BT21*BT$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0]
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[{"$f":"A37+1","v":22},"Enhanced SD/MC (Children) Costs",null,"07/01/20 - 09/30/20",{"$f":"G39-F39","v":106.42590000000001},{"$f":"SUMIF($H$7:$CE$7,\"=HOSP\",H39:CE39)","v":0},{"$f":"SUM(H39:CE39)","v":106.42590000000001},{"$f":"H22*H$17","v":0},0,0,0,0,0,0,0,0,0,0,106.42590000000001,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"AN22*AN$17","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"BT22*BT$17","v":0},0,0,0,0,0,0,0,0,0,0,0,106.42590000000001]
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["DETAIL COST REPORT"]
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[4,"Cost per Unit",null,null,null,{"$f":"IF(F14=0,0,F15/F14)","v":0},{"$f":"IF(G14=0,0,G15/G14)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[5,"Published Charge per Unit"]
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[1,"Allocation Percentage",null,null,{"$f":"SUM(F13:K13,L13:R13)","v":1},{"$f":"IF($E$15>0,F15/$E$15,0)","v":0.23737323635816876},0.76262676364183124,0,0,0,0,0,0,0,0,0,0,0]
[2,"Total Units ",null,null,null,{"$f":"GetInfo(\"Total Units\", F6)","v":837.58333333333337},{"$f":"GetInfo(\"Total Units\", G6)","v":2690.9666666666667},0,0,0,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"'MH1964'!F18","v":349471.9926},{"$f":"GetInfo(\"Gross Cost\", F6)","v":82955.297900000005},{"$f":"GetInfo(\"Gross Cost\", G6)","v":266516.69469999999},0,0,0,0,0,0,0,0,0,0,0]
[]
[4,"Cost per Unit",null,null,null,{"$f":"IF(F14=0,0,F15/F14)","v":99.041247119689586},{"$f":"IF(G14=0,0,G15/G14)","v":99.041247147865079},0,0,0,0,0,0,0,0,0,0,0]
[5,"Non-Medi-Cal Units",null,null,null,{"$f":"F14","v":837.58333333333337},2690.9666666666667,0,0,0,0,0,0,0,0,0,0,0]
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[6,"Non-Medi-Cal Costs (Same as Line 3)",null,null,{"$f":"SUM(F20:R20)","v":349471.9926},{"$f":"F15","v":82955.297900000005},266516.69469999999,0,0,0,0,0,0,0,0,0,0,0]

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["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F ","G","H","I","J","K","L","M","N"]
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[2,"Total Units ",null,null,null,{"$f":"GetInfo(\"Total Units\", F6)","v":0},{"$f":"GetInfo(\"Total Units\", G6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[3,"Total Expenditures",null,null,{"$f":"'MH1964'!F19","v":0},{"$f":"GetInfo(\"Gross Cost\", F6)","v":0},{"$f":"GetInfo(\"Gross Cost\", G6)","v":0},0,0,0,0,0,0,0,0,0,0,0]
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[4,"Cost per Unit",null,null,null,{"$f":"IF(F14=0,0,F15/F14)","v":0},{"$f":"IF(G14=0,0,G15/G14)","v":0},0,0,0,0,0,0,0,0,0,0,0]
[]
[5,"Non-Medi-Cal Costs",null,null,{"$f":"'MH1968'!H81-'MH1968'!H83","v":0}]

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["DETAIL COST REPORT"]
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["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F ","G","H","I","J","K","L","M","N"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,null,"Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service","Service"]
["Mode:",null,"60 - Support Services",null,"Mode Total","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function","Function"]
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[1,"Allocation Percentage",null,null,{"$f":"SUM(F13:K13,L13:R13)","v":1},{"$f":"IF($E$15>0,F15/$E$15,0)","v":0.16568665391170342},0.51326792604003224,0.14343663048563901,9.2712331855737351E-2,8.4896457706888015E-2,0,0,0,0,0,0,0,0]
[2,"Total Units ",null,null,null,{"$f":"GetInfo(\"Total Units\", F6)","v":8256},{"$f":"GetInfo(\"Total Units\", G6)","v":1},1,1,1,0,0,0,0,0,0,0,0]
[3,"Gross Cost",null,null,{"$f":"'MH1964'!F20","v":1945911.5781999999},{"$f":"GetInfo(\"Gross Cost\", F6)","v":322411.57819999999},{"$f":"GetInfo(\"Gross Cost\", G6)","v":998774},279115,180410,165201,0,0,0,0,0,0,0,0]
[]
[4,"Cost per Unit",null,null,null,{"$f":"IF(F14=0,0,F15/F14)","v":39.05178999515504},{"$f":"IF(G14=0,0,G15/G14)","v":998774},279115,180410,165201,0,0,0,0,0,0,0,0]
[5,"Non-Medi-Cal Units (Same as Line 2)",null,null,null,{"$f":"F14","v":8256},1,1,1,1,0,0,0,0,0,0,0,0]
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[6,"Non-Medi-Cal Costs (Same as Line 3)",null,null,{"$f":"SUM(F20:R20)","v":1945911.5781999999},{"$f":"F15","v":322411.57819999999},998774,279115,180410,165201,0,0,0,0,0,0,0,0]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF COST PER DAY AND COST TO CHARGE RATIOS - HOSPITAL LEGAL ENTITIES"]
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[]
[]
[]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21]
[null,null,"Total Costs per \nW/S B, Part I, Column 27","Total GME Costs W/S B, Part, Column 26","Total Costs           (Cols 1 + 2)","Total Medi-Cal Days/Charges","Cost per Day/Cost to Charge Ratio","Physician Professional Component Costs (From WS A-8-2 col 4)","Phyisician and Non-Physician Practitioner Professional Costs (From WS A-8)","Physician Professional Component Related Administrative, Data Processing, and Patient Business Office Costs         (From WS A-8)","Total Physician Professional Component Related Costs (Sum columns 6-8)","Total Physician Billed Professional Charges/RVU               (From Provider Records)","Ratio of Physician Professional Costs to Billed Professional Charges                  (Col 9 / Col 10)","Medi-Cal SMHS Mode 05 Hospital Costs","Medi-Cal SMHS Mode 05 Physician Costs","Medi-Cal SMHS Mode 05 Total Costs                      (Col 12 + Col 13)","Medi-Cal SMHS Mode 10 Hospital Costs","Medi-Cal SMHS Mode 10 Physician Costs","Medi-Cal SMHS Mode 10 Total Costs                     (cols 15 + 16)","Medi-Cal SMHS Mode 15 Hospital Costs","Medi-Cal SMHS Mode 15 Physician Costs","Medi-Cal SMHS Mode 15 Total Costs                   (Cols 18 + 19)","Medi-Cal SMHS Total Costs           (Cols 14 + 17 + 20)"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)",null,null,{"$f":"SUM(C16:D16)","v":0},null,{"$f":"IF(F16>0,E16/F16,0)","v":0},null,null,null,{"$f":"SUM(H16:J16)","v":0},null,{"$f":"IF(L16>0,K16/L16,0)","v":0},{"$f":"MH1960_HOSP_05!Z17+MH1960_HOSP_05_ADMIN!Z17","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z17+MH1960_PHYS_05!Z17","v":0},{"$f":"SUM(N16:O16)","v":0},null,null,null,null,null,null,{"$f":"SUM(P16,S16,V16)","v":0}]
[null,"Intensive Care Unit",null,null,{"$f":"SUM(C17:D17)","v":0},null,{"$f":"IF(F17>0,E17/F17,0)","v":0},null,null,null,{"$f":"SUM(H17:J17)","v":0},null,{"$f":"IF(L17>0,K17/L17,0)","v":0},{"$f":"MH1960_HOSP_05!Z18+MH1960_HOSP_05_ADMIN!Z18","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z18+MH1960_PHYS_05!Z18","v":0},{"$f":"SUM(N17:O17)","v":0},null,null,null,null,null,null,0]
[null,"Coronary Care Unit",null,null,0,null,0,null,null,null,{"$f":"SUM(H18:J18)","v":0},null,{"$f":"IF(L18>0,K18/L18,0)","v":0},{"$f":"MH1960_HOSP_05!Z19+MH1960_HOSP_05_ADMIN!Z19","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z19+MH1960_PHYS_05!Z19","v":0},0,null,null,null,null,null,null,0]
[null,"Burn Intensive Care Unit",null,null,0,null,0,null,null,null,0,null,{"$f":"IF(L19>0,K19/L19,0)","v":0},{"$f":"MH1960_HOSP_05!Z20+MH1960_HOSP_05_ADMIN!Z20","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z20+MH1960_PHYS_05!Z20","v":0},0,null,null,null,null,null,null,0]
[null,"Surgical Intensive Care Unit",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z21+MH1960_HOSP_05_ADMIN!Z21","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z21+MH1960_PHYS_05!Z21","v":0},0,null,null,null,null,null,null,0]
[null,"Other Special Care Unit (specify)",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z22+MH1960_HOSP_05_ADMIN!Z22","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z22+MH1960_PHYS_05!Z22","v":0},0,null,null,null,null,null,null,0]
[null,"Psychiatric Ward",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z23+MH1960_HOSP_05_ADMIN!Z23","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z23+MH1960_PHYS_05!Z23","v":0},{"$f":"SUM(N22:O22)","v":0},null,null,null,null,null,null,0]
[null,"Subprovider (specify)",null,null,0,null,0,null,null,null,{"$f":"SUM(H23:J23)","v":0},null,0,{"$f":"MH1960_HOSP_05!Z24+MH1960_HOSP_05_ADMIN!Z24","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z24+MH1960_PHYS_05!Z24","v":0},{"$f":"SUM(N23:O23)","v":0},null,null,null,null,null,null,0]
[null,"Subprovider (specify)",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z25+MH1960_HOSP_05_ADMIN!Z25","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z25+MH1960_PHYS_05!Z25","v":0},{"$f":"SUM(N24:O24)","v":0},null,null,null,null,null,null,0]
[null,"Nursery",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z26+MH1960_HOSP_05_ADMIN!Z26","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z26+MH1960_PHYS_05!Z26","v":0},{"$f":"SUM(N25:O25)","v":0},null,null,null,null,null,null,0]
[null,"Skilled Nursing Facility",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z27+MH1960_HOSP_05_ADMIN!Z27","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z27+MH1960_PHYS_05!Z27","v":0},0,null,null,null,null,null,null,0]
[null,"Nursing Facility",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z28+MH1960_HOSP_05_ADMIN!Z28","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z28+MH1960_PHYS_05!Z28","v":0},0,null,null,null,null,null,null,0]
[null,"Other Long Term Care",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z29+MH1960_HOSP_05_ADMIN!Z29","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z29+MH1960_PHYS_05!Z29","v":0},0,null,null,null,null,null,null,0]
["Ancillary Service Cost Centers"]
[null,"Operating Room",null,null,{"$f":"SUM(C30:D30)","v":0},null,{"$f":"IF(F30>0,E30/F30,0)","v":0},null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z31+MH1960_HOSP_05_ADMIN!Z31","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z31+MH1960_PHYS_05!Z31","v":0},0,{"$f":"MH1960_HOSP_10!Z31","v":0},{"$f":"MH1960_PHYS_10!Z31","v":0},{"$f":"SUM(Q30:R30)","v":0},{"$f":"MH1960_HOSP_15!Z31","v":0},{"$f":"MH1960_PHYS_15!Z31","v":0},{"$f":"SUM(T30:U30)","v":0},{"$f":"SUM(P30,S30,V30)","v":0}]
[null,"Recovery Room",null,null,{"$f":"SUM(C31:D31)","v":0},null,{"$f":"IF(F31>0,E31/F31,0)","v":0},null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z32+MH1960_HOSP_05_ADMIN!Z32","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z32+MH1960_PHYS_05!Z32","v":0},0,{"$f":"MH1960_HOSP_10!Z32","v":0},{"$f":"MH1960_PHYS_10!Z32","v":0},{"$f":"SUM(Q31:R31)","v":0},{"$f":"MH1960_HOSP_15!Z32","v":0},{"$f":"MH1960_PHYS_15!Z32","v":0},0,0]
[null,"Delivery Room and Labor Room",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z33+MH1960_HOSP_05_ADMIN!Z33","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z33+MH1960_PHYS_05!Z33","v":0},0,{"$f":"MH1960_HOSP_10!Z33","v":0},{"$f":"MH1960_PHYS_10!Z33","v":0},0,{"$f":"MH1960_HOSP_15!Z33","v":0},{"$f":"MH1960_PHYS_15!Z33","v":0},0,0]
[null,"Anesthesiology",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z34+MH1960_HOSP_05_ADMIN!Z34","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z34+MH1960_PHYS_05!Z34","v":0},0,{"$f":"MH1960_HOSP_10!Z34","v":0},{"$f":"MH1960_PHYS_10!Z34","v":0},0,{"$f":"MH1960_HOSP_15!Z34","v":0},{"$f":"MH1960_PHYS_15!Z34","v":0},0,0]
[null,"Radiology-Diagnostic",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z35+MH1960_HOSP_05_ADMIN!Z35","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z35+MH1960_PHYS_05!Z35","v":0},0,{"$f":"MH1960_HOSP_10!Z35","v":0},{"$f":"MH1960_PHYS_10!Z35","v":0},0,{"$f":"MH1960_HOSP_15!Z35","v":0},{"$f":"MH1960_PHYS_15!Z35","v":0},0,0]
[null,"Radiology-Therapeutic",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z36+MH1960_HOSP_05_ADMIN!Z36","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z36+MH1960_PHYS_05!Z36","v":0},0,{"$f":"MH1960_HOSP_10!Z36","v":0},{"$f":"MH1960_PHYS_10!Z36","v":0},0,{"$f":"MH1960_HOSP_15!Z36","v":0},{"$f":"MH1960_PHYS_15!Z36","v":0},0,0]
[null,"Radioisotope",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z37+MH1960_HOSP_05_ADMIN!Z37","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z37+MH1960_PHYS_05!Z37","v":0},0,{"$f":"MH1960_HOSP_10!Z37","v":0},{"$f":"MH1960_PHYS_10!Z37","v":0},0,{"$f":"MH1960_HOSP_15!Z37","v":0},{"$f":"MH1960_PHYS_15!Z37","v":0},0,0]
[null,"Computed Tomography (CT) Scan",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z38+MH1960_HOSP_05_ADMIN!Z38","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z38+MH1960_PHYS_05!Z38","v":0},{"$f":"SUM(N37:O37)","v":0},{"$f":"MH1960_HOSP_10!Z38","v":0},{"$f":"MH1960_PHYS_10!Z38","v":0},{"$f":"SUM(Q37:R37)","v":0},{"$f":"MH1960_HOSP_15!Z38","v":0},{"$f":"MH1960_PHYS_15!Z38","v":0},0,0]
[null,"Magnetic Resonance Imaging",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z39+MH1960_HOSP_05_ADMIN!Z39","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z39+MH1960_PHYS_05!Z39","v":0},{"$f":"SUM(N38:O38)","v":0},{"$f":"MH1960_HOSP_10!Z39","v":0},{"$f":"MH1960_PHYS_10!Z39","v":0},{"$f":"SUM(Q38:R38)","v":0},{"$f":"MH1960_HOSP_15!Z39","v":0},{"$f":"MH1960_PHYS_15!Z39","v":0},0,0]
[null,"Laboratory",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z40+MH1960_HOSP_05_ADMIN!Z40","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z40+MH1960_PHYS_05!Z40","v":0},0,{"$f":"MH1960_HOSP_10!Z40","v":0},{"$f":"MH1960_PHYS_10!Z40","v":0},0,{"$f":"MH1960_HOSP_15!Z40","v":0},{"$f":"MH1960_PHYS_15!Z40","v":0},0,0]
[null,"PBP Clinical Laboratory Services-Program Only",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z41+MH1960_HOSP_05_ADMIN!Z41","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z41+MH1960_PHYS_05!Z41","v":0},0,{"$f":"MH1960_HOSP_10!Z41","v":0},{"$f":"MH1960_PHYS_10!Z41","v":0},0,{"$f":"MH1960_HOSP_15!Z41","v":0},{"$f":"MH1960_PHYS_15!Z41","v":0},0,0]
[null,"Whole Blood & Packed Red Blood Cells",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z42+MH1960_HOSP_05_ADMIN!Z42","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z42+MH1960_PHYS_05!Z42","v":0},0,{"$f":"MH1960_HOSP_10!Z42","v":0},{"$f":"MH1960_PHYS_10!Z42","v":0},0,{"$f":"MH1960_HOSP_15!Z42","v":0},{"$f":"MH1960_PHYS_15!Z42","v":0},0,0]
[null,"Blood Storing, Processing, & Trans.",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z43+MH1960_HOSP_05_ADMIN!Z43","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z43+MH1960_PHYS_05!Z43","v":0},0,{"$f":"MH1960_HOSP_10!Z43","v":0},{"$f":"MH1960_PHYS_10!Z43","v":0},0,{"$f":"MH1960_HOSP_15!Z43","v":0},{"$f":"MH1960_PHYS_15!Z43","v":0},0,0]
[null,"Intravenous Therapy",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z44+MH1960_HOSP_05_ADMIN!Z44","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z44+MH1960_PHYS_05!Z44","v":0},0,{"$f":"MH1960_HOSP_10!Z44","v":0},{"$f":"MH1960_PHYS_10!Z44","v":0},0,{"$f":"MH1960_HOSP_15!Z44","v":0},{"$f":"MH1960_PHYS_15!Z44","v":0},0,0]
[null,"Respiratory Therapy",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z45+MH1960_HOSP_05_ADMIN!Z45","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z45+MH1960_PHYS_05!Z45","v":0},0,{"$f":"MH1960_HOSP_10!Z45","v":0},{"$f":"MH1960_PHYS_10!Z45","v":0},0,{"$f":"MH1960_HOSP_15!Z45","v":0},{"$f":"MH1960_PHYS_15!Z45","v":0},0,0]
[null,"Physical Therapy",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z46+MH1960_HOSP_05_ADMIN!Z46","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z46+MH1960_PHYS_05!Z46","v":0},0,{"$f":"MH1960_HOSP_10!Z46","v":0},{"$f":"MH1960_PHYS_10!Z46","v":0},0,{"$f":"MH1960_HOSP_15!Z46","v":0},{"$f":"MH1960_PHYS_15!Z46","v":0},0,0]
[null,"Occupational Therapy",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z47+MH1960_HOSP_05_ADMIN!Z47","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z47+MH1960_PHYS_05!Z47","v":0},0,{"$f":"MH1960_HOSP_10!Z47","v":0},{"$f":"MH1960_PHYS_10!Z47","v":0},0,{"$f":"MH1960_HOSP_15!Z47","v":0},{"$f":"MH1960_PHYS_15!Z47","v":0},0,0]
[null,"Recreational Therapy",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z48+MH1960_HOSP_05_ADMIN!Z48","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z48+MH1960_PHYS_05!Z48","v":0},{"$f":"SUM(N47:O47)","v":0},{"$f":"MH1960_HOSP_10!Z48","v":0},{"$f":"MH1960_PHYS_10!Z48","v":0},{"$f":"SUM(Q47:R47)","v":0},{"$f":"MH1960_HOSP_15!Z48","v":0},{"$f":"MH1960_PHYS_15!Z48","v":0},0,0]
[null,"Speech Pathology",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z49+MH1960_HOSP_05_ADMIN!Z49","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z49+MH1960_PHYS_05!Z49","v":0},{"$f":"SUM(N48:O48)","v":0},{"$f":"MH1960_HOSP_10!Z49","v":0},{"$f":"MH1960_PHYS_10!Z49","v":0},{"$f":"SUM(Q48:R48)","v":0},{"$f":"MH1960_HOSP_15!Z49","v":0},{"$f":"MH1960_PHYS_15!Z49","v":0},0,0]
[null,"Electrocardiology",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z50+MH1960_HOSP_05_ADMIN!Z50","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z50+MH1960_PHYS_05!Z50","v":0},0,{"$f":"MH1960_HOSP_10!Z50","v":0},{"$f":"MH1960_PHYS_10!Z50","v":0},0,{"$f":"MH1960_HOSP_15!Z50","v":0},{"$f":"MH1960_PHYS_15!Z50","v":0},0,0]
[null,"Electroencephalography",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z51+MH1960_HOSP_05_ADMIN!Z51","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z51+MH1960_PHYS_05!Z51","v":0},0,{"$f":"MH1960_HOSP_10!Z51","v":0},{"$f":"MH1960_PHYS_10!Z51","v":0},0,{"$f":"MH1960_HOSP_15!Z51","v":0},{"$f":"MH1960_PHYS_15!Z51","v":0},0,0]
[null,"Medical Supplies Charged to Patients",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z52+MH1960_HOSP_05_ADMIN!Z52","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z52+MH1960_PHYS_05!Z52","v":0},0,{"$f":"MH1960_HOSP_10!Z52","v":0},{"$f":"MH1960_PHYS_10!Z52","v":0},0,{"$f":"MH1960_HOSP_15!Z52","v":0},{"$f":"MH1960_PHYS_15!Z52","v":0},0,0]
[null,"Implantable Devices Charged to Patients",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z53+MH1960_HOSP_05_ADMIN!Z53","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z53+MH1960_PHYS_05!Z53","v":0},0,{"$f":"MH1960_HOSP_10!Z53","v":0},{"$f":"MH1960_PHYS_10!Z53","v":0},0,{"$f":"MH1960_HOSP_15!Z53","v":0},{"$f":"MH1960_PHYS_15!Z53","v":0},0,0]
[null,"Drugs Charged to Patients",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z54+MH1960_HOSP_05_ADMIN!Z54","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z54+MH1960_PHYS_05!Z54","v":0},0,{"$f":"MH1960_HOSP_10!Z54","v":0},{"$f":"MH1960_PHYS_10!Z54","v":0},0,{"$f":"MH1960_HOSP_15!Z54","v":0},{"$f":"MH1960_PHYS_15!Z54","v":0},0,0]
[null,"Renal Dialysis",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z55+MH1960_HOSP_05_ADMIN!Z55","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z55+MH1960_PHYS_05!Z55","v":0},0,{"$f":"MH1960_HOSP_10!Z55","v":0},{"$f":"MH1960_PHYS_10!Z55","v":0},0,{"$f":"MH1960_HOSP_15!Z55","v":0},{"$f":"MH1960_PHYS_15!Z55","v":0},0,0]
[null,"ASC (Non-Distinct Part)",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z56+MH1960_HOSP_05_ADMIN!Z56","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z56+MH1960_PHYS_05!Z56","v":0},0,{"$f":"MH1960_HOSP_10!Z56","v":0},{"$f":"MH1960_PHYS_10!Z56","v":0},0,{"$f":"MH1960_HOSP_15!Z56","v":0},{"$f":"MH1960_PHYS_15!Z56","v":0},0,0]
[null,"Audiology",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z57+MH1960_HOSP_05_ADMIN!Z57","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z57+MH1960_PHYS_05!Z57","v":0},{"$f":"SUM(N56:O56)","v":0},{"$f":"MH1960_HOSP_10!Z57","v":0},{"$f":"MH1960_PHYS_10!Z57","v":0},{"$f":"SUM(Q56:R56)","v":0},{"$f":"MH1960_HOSP_15!Z57","v":0},{"$f":"MH1960_PHYS_15!Z57","v":0},0,0]
[null,"Pulmonary Function",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z58+MH1960_HOSP_05_ADMIN!Z58","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z58+MH1960_PHYS_05!Z58","v":0},{"$f":"SUM(N57:O57)","v":0},{"$f":"MH1960_HOSP_10!Z58","v":0},{"$f":"MH1960_PHYS_10!Z58","v":0},{"$f":"SUM(Q57:R57)","v":0},{"$f":"MH1960_HOSP_15!Z58","v":0},{"$f":"MH1960_PHYS_15!Z58","v":0},0,0]
[null,"Cast Room",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z59+MH1960_HOSP_05_ADMIN!Z59","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z59+MH1960_PHYS_05!Z59","v":0},{"$f":"SUM(N58:O58)","v":0},{"$f":"MH1960_HOSP_10!Z59","v":0},{"$f":"MH1960_PHYS_10!Z59","v":0},{"$f":"SUM(Q58:R58)","v":0},{"$f":"MH1960_HOSP_15!Z59","v":0},{"$f":"MH1960_PHYS_15!Z59","v":0},0,0]
[null,"Consult & Liaison",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z60+MH1960_HOSP_05_ADMIN!Z60","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z60+MH1960_PHYS_05!Z60","v":0},{"$f":"SUM(N59:O59)","v":0},{"$f":"MH1960_HOSP_10!Z60","v":0},{"$f":"MH1960_PHYS_10!Z60","v":0},{"$f":"SUM(Q59:R59)","v":0},{"$f":"MH1960_HOSP_15!Z60","v":0},{"$f":"MH1960_PHYS_15!Z60","v":0},0,0]
[null,"Electromyography",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z61+MH1960_HOSP_05_ADMIN!Z61","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z61+MH1960_PHYS_05!Z61","v":0},{"$f":"SUM(N60:O60)","v":0},{"$f":"MH1960_HOSP_10!Z61","v":0},{"$f":"MH1960_PHYS_10!Z61","v":0},{"$f":"SUM(Q60:R60)","v":0},{"$f":"MH1960_HOSP_15!Z61","v":0},{"$f":"MH1960_PHYS_15!Z61","v":0},0,0]
[null,"Other Ancillary (specify)",null,null,0,null,0,null,null,null,0,null,0,{"$f":"MH1960_HOSP_05!Z62+MH1960_HOSP_05_ADMIN!Z62","v":0},{"$f":"MH1960_PHYS_05_ADMIN!Z62+MH1960_PHYS_05!Z62","v":0},0,{"$f":"MH1960_HOSP_10!Z62","v":0},{"$f":"MH1960_PHYS_10!Z62","v":0},0,{"$f":"MH1960_HOSP_15!Z62","v":0},{"$f":"MH1960_PHYS_15!Z62","v":0},0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic",null,null,{"$f":"SUM(C63:D63)","v":0},null,{"$f":"IF(F63>0,E63/F63,0)","v":0},null,null,null,{"$f":"SUM(H63:J63)","v":0},null,0,null,null,null,{"$f":"MH1960_HOSP_10!Z64","v":0},{"$f":"MH1960_PHYS_10!Z64","v":0},0,{"$f":"MH1960_HOSP_15!Z64","v":0},{"$f":"MH1960_PHYS_15!Z64","v":0},{"$f":"SUM(T63:U63)","v":0},{"$f":"SUM(P63,S63,V63)","v":0}]
[null,"Psych Clinic",null,null,0,null,{"$f":"IF(F64>0,E64/F64,0)","v":0},null,null,null,{"$f":"SUM(H64:J64)","v":0},null,0,null,null,null,{"$f":"MH1960_HOSP_10!Z65","v":0},{"$f":"MH1960_PHYS_10!Z65","v":0},{"$f":"SUM(Q64:R64)","v":0},{"$f":"MH1960_HOSP_15!Z65","v":0},{"$f":"MH1960_PHYS_15!Z65","v":0},{"$f":"SUM(T64:U64)","v":0},{"$f":"SUM(P64,S64,V64)","v":0}]
[null,"Emergency",null,null,0,null,{"$f":"IF(F65>0,E65/F65,0)","v":0},null,null,null,{"$f":"SUM(H65:J65)","v":0},null,0,null,null,null,{"$f":"MH1960_HOSP_10!Z66","v":0},{"$f":"MH1960_PHYS_10!Z66","v":0},{"$f":"SUM(Q65:R65)","v":0},{"$f":"MH1960_HOSP_15!Z66","v":0},{"$f":"MH1960_PHYS_15!Z66","v":0},{"$f":"SUM(T65:U65)","v":0},{"$f":"SUM(P65,S65,V65)","v":0}]
[null,"Psych Emergency",null,null,0,null,{"$f":"IF(F66>0,E66/F66,0)","v":0},null,null,null,{"$f":"SUM(H66:J66)","v":0},null,0,null,null,null,{"$f":"MH1960_HOSP_10!Z67","v":0},{"$f":"MH1960_PHYS_10!Z67","v":0},{"$f":"SUM(Q66:R66)","v":0},{"$f":"MH1960_HOSP_15!Z67","v":0},{"$f":"MH1960_PHYS_15!Z67","v":0},{"$f":"SUM(T66:U66)","v":0},{"$f":"SUM(P66,S66,V66)","v":0}]
[null,"Crisis Stabilization Unit - ER)",null,null,0,null,{"$f":"IF(F67>0,E67/F67,0)","v":0},null,null,null,{"$f":"SUM(H67:J67)","v":0},null,0,null,null,null,{"$f":"MH1960_HOSP_10!Z68","v":0},{"$f":"MH1960_PHYS_10!Z68","v":0},{"$f":"SUM(Q67:R67)","v":0},{"$f":"MH1960_HOSP_15!Z68","v":0},{"$f":"MH1960_PHYS_15!Z68","v":0},{"$f":"SUM(T67:U67)","v":0},{"$f":"SUM(P67,S67,V67)","v":0}]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS",null,null,0,null,{"$f":"IF(F69>0,E69/F69,0)","v":0},null,null,null,{"$f":"SUM(H69:J69)","v":0},null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z70+MH1960_PHYS_05!Z70","v":0},{"$f":"SUM(N69:O69)","v":0},null,{"$f":"MH1960_PHYS_10!Z70","v":0},0,null,{"$f":"MH1960_PHYS_15!Z70","v":0},{"$f":"SUM(T69:U69)","v":0},{"$f":"SUM(P69,S69,V69)","v":0}]
[null,"NURSE PRACTITIONERS",null,null,0,null,{"$f":"IF(F70>0,E70/F70,0)","v":0},null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z71+MH1960_PHYS_05!Z71","v":0},{"$f":"SUM(N70:O70)","v":0},null,{"$f":"MH1960_PHYS_10!Z71","v":0},0,null,{"$f":"MH1960_PHYS_15!Z71","v":0},0,0]
[null,"PHYSICIAN ASSISTANTS",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z72+MH1960_PHYS_05!Z72","v":0},0,null,{"$f":"MH1960_PHYS_10!Z72","v":0},0,null,{"$f":"MH1960_PHYS_15!Z72","v":0},0,0]
[null,"DENTISTS",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z73+MH1960_PHYS_05!Z73","v":0},0,null,{"$f":"MH1960_PHYS_10!Z73","v":0},0,null,{"$f":"MH1960_PHYS_15!Z73","v":0},0,0]
[null,"CERTIFIED NURSE MIDWIFERY",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z74+MH1960_PHYS_05!Z74","v":0},0,null,{"$f":"MH1960_PHYS_10!Z74","v":0},0,null,{"$f":"MH1960_PHYS_15!Z74","v":0},0,0]
[null,"CLINICAL SOCIAL WORKERS",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z75+MH1960_PHYS_05!Z75","v":0},0,null,{"$f":"MH1960_PHYS_10!Z75","v":0},0,null,{"$f":"MH1960_PHYS_15!Z75","v":0},0,0]
[null,"CLINICAL PSYCHOLOGISTS",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z76+MH1960_PHYS_05!Z76","v":0},0,null,{"$f":"MH1960_PHYS_10!Z76","v":0},0,null,{"$f":"MH1960_PHYS_15!Z76","v":0},0,0]
[null,"OPTOMETRISTS",null,null,0,null,0,null,null,null,0,null,0,null,{"$f":"MH1960_PHYS_05_ADMIN!Z77+MH1960_PHYS_05!Z77","v":0},0,null,{"$f":"MH1960_PHYS_10!Z77","v":0},0,null,{"$f":"MH1960_PHYS_15!Z77","v":0},0,0]
["Other Reimburseable Cost Centers",null,null,null,0,null,0]
["Special Purpose Cost Centers",null,null,null,0,null,0]
["Total Nonreimburseable Cost Centers",null,null,null,0,null,0]
["Total",null,{"$f":"SUM(C16:C28,C30:C61,C63:C79)","v":0},{"$f":"SUM(D16:D28,D30:D61,D63:D79)","v":0},{"$f":"SUM(E16:E28,E30:E61,E63:E79)","v":0},null,null,{"$f":"SUM(H16:H28,H30:H61,H63:H79)","v":0},{"$f":"SUM(I16:I28,I30:I61,I63:I79)","v":0},{"$f":"SUM(J16:J28,J30:J61,J63:J79)","v":0},{"$f":"SUM(K16:K28,K30:K61,K63:K79)","v":0},null,null,{"$f":"SUM(N16:N28,N30:N61,N63:N79)","v":0},0,0,0,0,0,0,0,0,0]

{"sheet":"MH1960_HOSP_05","index":32,"n_rows":83,"n_cols":26,"rows_kept":83,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 05 (HOSPITAL PSYCHIATRIC INPATIENT) PROGRAM COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_HOSP_05 \"&Revision_Date","v":"MH 1960_HOSP_05 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Cost per Day/Cost to Charge Ratio","SD/MC \nDays/Charges/RVU ","SD/MC \nCosts ","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (BCCTP) Days/Charges/RVU ","SD/MC Enhanced (BCCTP)\n Costs","SD/MC Enhanced (Pregnancy) Days/Charges/RVU","SD/MC Enhanced (Pregnancy)\nCosts","SD/MC Enhanced (Refugee) Days/Charges/RVU","SD/MC Enhanced (Refugee) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act Days/Charges/RVU","Affordable Care Act Costs","State Funded Beneficiaries Days/Charges/RVU","State Funded Beneficiaries Costs","Total Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)",{"$f":"MH1960_HOSP_COSTS!G16","v":0},null,{"$f":"$C17*D17","v":0},null,{"$f":"$C17*F17","v":0},null,{"$f":"$C17*H17","v":0},null,{"$f":"$C17*J17","v":0},null,{"$f":"$C17*L17","v":0},null,{"$f":"$C17*N17","v":0},null,{"$f":"$C17*P17","v":0},null,{"$f":"$C17*R17","v":0},null,{"$f":"$C17*T17","v":0},null,{"$f":"$C17*V17","v":0},null,{"$f":"$C17*X17","v":0},{"$f":"SUM(E17,G17,I17,K17,M17,O17,Q17,S17,U17,W17,Y17)","v":0}]
[null,"Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G17","v":0},null,0,null,{"$f":"$C18*F18","v":0},null,{"$f":"$C18*H18","v":0},null,0,null,{"$f":"$C18*L18","v":0},null,{"$f":"$C18*N18","v":0},null,0,null,0,null,0,null,{"$f":"$C18*V18","v":0},null,{"$f":"$C18*X18","v":0},{"$f":"SUM(E18,G18,I18,K18,M18,O18,Q18,S18,U18,W18,Y18)","v":0}]
[null,"Coronary Care Unit",{"$f":"MH1960_HOSP_COSTS!G18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Burn Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G19","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Surgical Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G20","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"},{"$f":"MH1960_HOSP_COSTS!G21","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"},{"$f":"MH1960_HOSP_COSTS!G22","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!G23","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!G24","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursery",{"$f":"MH1960_HOSP_COSTS!G25","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Skilled Nursing Facility",{"$f":"MH1960_HOSP_COSTS!G26","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursing Facility",{"$f":"MH1960_HOSP_COSTS!G27","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Other Long Term Care",{"$f":"MH1960_HOSP_COSTS!G28","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!G30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,0,null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},0]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!G31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,{"$f":"$C32*V32","v":0},null,0,0]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!G32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!G33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!G34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!G35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!G36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!G37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!G38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!G39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!G40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!G41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!G42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!G43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!G44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!G45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!G46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!G47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!G48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!G49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!G50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!G54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!G55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!G56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E57,G57,I57,K57,M57,O57,Q57,S57,U57,W57,Y57)","v":0}]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!G57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!G58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!G59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!G60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!G61","v":0},null,0,null,0,null,{"$f":"$C62*H62","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic"]
[null,"Psych Clinic"]
[null,"Emergency"]
[null,"Psych Emergency"]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"}]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS"]
[null,"NURSE PRACTITIONERS"]
[null,"PHYSICIAN ASSISTANTS"]
[null,"DENTISTS"]
[null,"CERTIFIED NURSE MIDWIFERY"]
[null,"CLINICAL SOCIAL WORKERS"]
[null,"CLINICAL PSYCHOLOGISTS"]
[null,"OPTOMETRISTS"]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E17:E29,E31:E62)","v":0},null,{"$f":"SUM(G17:G29,G31:G62)","v":0},null,{"$f":"SUM(I17:I29,I31:I62)","v":0},null,{"$f":"SUM(K17:K29,K31:K62)","v":0},null,{"$f":"SUM(M17:M29,M31:M62)","v":0},null,{"$f":"SUM(O17:O29,O31:O62)","v":0},null,{"$f":"SUM(Q17:Q29,Q31:Q62)","v":0},null,{"$f":"SUM(S17:S29,S31:S62)","v":0},null,{"$f":"SUM(U17:U29,U31:U62)","v":0},null,{"$f":"SUM(W17:W29,W31:W62)","v":0},null,{"$f":"SUM(Y17:Y29,Y31:Y62)","v":0},{"$f":"SUM(Z17:Z29,Z31:Z62)","v":0}]
[]
[null,"Schedule B Validation",null,{"$f":"IF(SUM(D17:D29)=MH1901_Schedule_B!F116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(F17:F29)=MH1901_Schedule_B!H116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(H17:H29)=MH1901_Schedule_B!J116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(J17:J29)=MH1901_Schedule_B!L116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(L17:L29)=MH1901_Schedule_B!N116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(N17:N29)=MH1901_Schedule_B!P116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(P17:P29)=MH1901_Schedule_B!R116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(R17:R29)=MH1901_Schedule_B!V116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(T17:T29)=MH1901_Schedule_B!X116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(V17:V29)=MH1901_Schedule_B!T116,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(X17:X29)=MH1901_Schedule_B!Z116,\"OK\",\"ERROR\")","v":"OK"}]

{"sheet":"MH1960_PHYS_05","index":33,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[[2,0,2,1]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 05 (HOSPITAL PSYCHIATRIC INPATIENT) PHYSICIAN COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_PHYS_05 \"& Revision_Date","v":"MH 1960_PHYS_05 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Ratio of Physician Professional Costs to Billed Professional Charges","SD/MC Physician Charges/RVU","SD/MC Physician Costs","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (BCCTP) Physician Charges/RVU","SD/MC Enhanced (BCCTP) Physician Costs","SD/MC Enhanced (Pregnancy) Physician Charges/RVU ","SD/MC Enhanced (Pregnancy) Physician Costs","SD/MC Enhanced (Refugee) Physician Charges/RVU","SD/MC Enhanced (Refugee) Physician Costs","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act \n Physician Charges/RVU","Affordable Care Act \n Physician Cost","State Funded Beneficiaries\n Physician Charges/RVU","State Funded Beneficiaries\n Physician Cost","Total Medi-Cal Physician Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)",{"$f":"MH1960_HOSP_COSTS!M16","v":0},null,{"$f":"C17*D17","v":0},null,{"$f":"$C17*F17","v":0},null,{"$f":"$C17*H17","v":0},null,{"$f":"$C17*J17","v":0},null,{"$f":"$C17*L17","v":0},null,{"$f":"$C17*N17","v":0},null,{"$f":"$C17*P17","v":0},null,{"$f":"$C17*R17","v":0},null,{"$f":"$C17*T17","v":0},null,{"$f":"$C17*V17","v":0},null,{"$f":"$C17*X17","v":0},{"$f":"SUM(E17,G17,I17,K17,M17,O17,Q17,S17,U17,W17,Y17)","v":0}]
[null,"Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M17","v":0},null,{"$f":"C18*D18","v":0},null,{"$f":"$C18*F18","v":0},null,{"$f":"$C18*H18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E18,G18,I18,K18,M18,O18,Q18,S18,U18,W18,Y18)","v":0}]
[null,"Coronary Care Unit",{"$f":"MH1960_HOSP_COSTS!M18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Burn Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M19","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Surgical Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M20","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"},{"$f":"MH1960_HOSP_COSTS!M21","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"},{"$f":"MH1960_HOSP_COSTS!M22","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!M23","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!M24","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursery",{"$f":"MH1960_HOSP_COSTS!M25","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Skilled Nursing Facility",{"$f":"MH1960_HOSP_COSTS!M26","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursing Facility",{"$f":"MH1960_HOSP_COSTS!M27","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Other Long Term Care",{"$f":"MH1960_HOSP_COSTS!M28","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!M30","v":0},null,0,null,{"$f":"$C31*F31","v":0},null,0,null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},{"$f":"SUM(E31,G31,I31,K31,M31,O31,Q31,S31,U31,W31,Y31)","v":0}]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!M31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E32,G32,I32,K32,M32,O32,Q32,S32,U32,W32,Y32)","v":0}]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!M32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!M33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!M34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!M35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!M36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!M37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!M38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!M39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!M40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!M41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!M42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!M43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!M44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!M45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!M46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!M47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!M48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!M49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!M50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!M54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!M55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!M56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!M57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!M58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!M59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!M60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!M61","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic"]
[null,"Psych Clinic"]
[null,"Emergency"]
[null,"Psych Emergency"]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"}]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS",{"$f":"MH1960_HOSP_COSTS!M69","v":0},null,{"$f":"C70*D70","v":0},null,{"$f":"$C70*F70","v":0},null,{"$f":"$C70*H70","v":0},null,{"$f":"$C70*J70","v":0},null,{"$f":"$C70*L70","v":0},null,{"$f":"$C70*N70","v":0},null,{"$f":"$C70*P70","v":0},null,{"$f":"$C70*R70","v":0},null,{"$f":"$C70*T70","v":0},null,{"$f":"$C70*V70","v":0},null,{"$f":"$C70*X70","v":0},{"$f":"SUM(E70,G70,I70,K70,M70,O70,Q70,S70,U70,W70,Y70)","v":0}]
[null,"NURSE PRACTITIONERS",{"$f":"MH1960_HOSP_COSTS!M70","v":0},null,0,null,0,null,{"$f":"$C71*H71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E71,G71,I71,K71,M71,O71,Q71,S71,U71,W71,Y71)","v":0}]
[null,"PHYSICIAN ASSISTANTS",{"$f":"MH1960_HOSP_COSTS!M71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"DENTISTS",{"$f":"MH1960_HOSP_COSTS!M72","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CERTIFIED NURSE MIDWIFERY",{"$f":"MH1960_HOSP_COSTS!M73","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL SOCIAL WORKERS",{"$f":"MH1960_HOSP_COSTS!M74","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL PSYCHOLOGISTS",{"$f":"MH1960_HOSP_COSTS!M75","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"OPTOMETRISTS",{"$f":"MH1960_HOSP_COSTS!M76","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E17:E29,E31:E62,E70:E77)","v":0},null,{"$f":"SUM(G17:G29,G31:G62,G70:G77)","v":0},null,{"$f":"SUM(I17:I29,I31:I62,I70:I77)","v":0},null,{"$f":"SUM(K17:K29,K31:K62,K70:K77)","v":0},null,{"$f":"SUM(M17:M29,M31:M62,M70:M77)","v":0},null,{"$f":"SUM(O17:O29,O31:O62,O70:O77)","v":0},null,{"$f":"SUM(Q17:Q29,Q31:Q62,Q70:Q77)","v":0},null,{"$f":"SUM(S17:S29,S31:S62,S70:S77)","v":0},null,{"$f":"SUM(U17:U29,U31:U62,U70:U77)","v":0},null,{"$f":"SUM(W17:W29,W31:W62,W70:W77)","v":0},null,{"$f":"SUM(Y17:Y29,Y31:Y62,Y70:Y77)","v":0},{"$f":"SUM(Z17:Z29,Z31:Z62,Z70:Z77)","v":0}]

{"sheet":"MH1960_HOSP_05_ADMIN","index":34,"n_rows":83,"n_cols":26,"rows_kept":83,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 05 (HOSPITAL ADMINISTRATIVE DAYS) PROGRAM COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_HOSP_05_ADMIN \"&Revision_Date","v":"MH 1960_HOSP_05_ADMIN (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Cost per Day/Cost to Charge Ratio","SD/MC \nDays/Charges/RVU ","SD/MC \nCosts ","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (BCCTP) Days/Charges/RVU ","SD/MC Enhanced (BCCTP)\n Costs","SD/MC Enhanced (Pregnancy) Days/Charges/RVU","SD/MC Enhanced (Pregnancy)\nCosts","SD/MC Enhanced (Refugee) Days/Charges/RVU","SD/MC Enhanced (Refugee) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act Days/Charges/RVU","Affordable Care Act Costs","State Funded Beneficiaries Days/Charges/RVU","State Funded Beneficiaries Costs","Total Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)",{"$f":"MH1960_HOSP_COSTS!G16","v":0},null,{"$f":"$C17*D17","v":0},null,{"$f":"$C17*F17","v":0},null,{"$f":"$C17*H17","v":0},null,{"$f":"$C17*J17","v":0},null,{"$f":"$C17*L17","v":0},null,{"$f":"$C17*N17","v":0},null,{"$f":"$C17*P17","v":0},null,{"$f":"$C17*R17","v":0},null,{"$f":"$C17*T17","v":0},null,{"$f":"$C17*V17","v":0},null,{"$f":"$C17*X17","v":0},{"$f":"SUM(E17,G17,I17,K17,M17,O17,Q17,S17,U17,W17,Y17)","v":0}]
[null,"Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G17","v":0},null,0,null,{"$f":"$C18*F18","v":0},null,{"$f":"$C18*H18","v":0},null,0,null,{"$f":"$C18*L18","v":0},null,{"$f":"$C18*N18","v":0},null,0,null,0,null,0,null,{"$f":"$C18*V18","v":0},null,{"$f":"$C18*X18","v":0},{"$f":"SUM(E18,G18,I18,K18,M18,O18,Q18,S18,U18,W18,Y18)","v":0}]
[null,"Coronary Care Unit",{"$f":"MH1960_HOSP_COSTS!G18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Burn Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G19","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Surgical Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!G20","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"},{"$f":"MH1960_HOSP_COSTS!G21","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"},{"$f":"MH1960_HOSP_COSTS!G22","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!G23","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!G24","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursery",{"$f":"MH1960_HOSP_COSTS!G25","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Skilled Nursing Facility",{"$f":"MH1960_HOSP_COSTS!G26","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursing Facility",{"$f":"MH1960_HOSP_COSTS!G27","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Other Long Term Care",{"$f":"MH1960_HOSP_COSTS!G28","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!G30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,0,null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},0]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!G31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,{"$f":"$C32*V32","v":0},null,0,0]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!G32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!G33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!G34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!G35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!G36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!G37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!G38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!G39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!G40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!G41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!G42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!G43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!G44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!G45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!G46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!G47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!G48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!G49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!G50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!G54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!G55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!G56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!G57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!G58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!G59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!G60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!G61","v":0},null,0,null,0,null,{"$f":"$C62*H62","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic"]
[null,"Psych Clinic"]
[null,"Emergency"]
[null,"Psych Emergency"]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"}]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS"]
[null,"NURSE PRACTITIONERS"]
[null,"PHYSICIAN ASSISTANTS"]
[null,"DENTISTS"]
[null,"CERTIFIED NURSE MIDWIFERY"]
[null,"CLINICAL SOCIAL WORKERS"]
[null,"CLINICAL PSYCHOLOGISTS"]
[null,"OPTOMETRISTS"]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E17:E29,E31:E62)","v":0},null,{"$f":"SUM(G17:G29,G31:G62)","v":0},null,{"$f":"SUM(I17:I29,I31:I62)","v":0},null,{"$f":"SUM(K17:K29,K31:K62)","v":0},null,{"$f":"SUM(M17:M29,M31:M62)","v":0},null,{"$f":"SUM(O17:O29,O31:O62)","v":0},null,{"$f":"SUM(Q17:Q29,Q31:Q62)","v":0},null,{"$f":"SUM(S17:S29,S31:S62)","v":0},null,{"$f":"SUM(U17:U29,U31:U62)","v":0},null,{"$f":"SUM(W17:W29,W31:W62)","v":0},null,{"$f":"SUM(Y17:Y29,Y31:Y62)","v":0},{"$f":"SUM(Z17:Z29,Z31:Z62)","v":0}]
[]
[null,"Schedule B Validation",null,{"$f":"IF(SUM(D17:D29)=MH1901_Schedule_B!F117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(F17:F29)=MH1901_Schedule_B!H117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(H17:H29)=MH1901_Schedule_B!J117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(J17:J29)=MH1901_Schedule_B!L117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(L17:L29)=MH1901_Schedule_B!N117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(N17:N29)=MH1901_Schedule_B!P117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(P17:P29)=MH1901_Schedule_B!R117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(R17:R29)=MH1901_Schedule_B!V117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(T17:T29)=MH1901_Schedule_B!X117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(V17:V29)=MH1901_Schedule_B!T117,\"OK\",\"ERROR\")","v":"OK"},null,{"$f":"IF(SUM(X17:X29)=MH1901_Schedule_B!Z117,\"OK\",\"ERROR\")","v":"OK"}]

{"sheet":"MH1960_PHYS_05_ADMIN","index":35,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 05 (HOSPITAL ADMINISTRATIVE DAYS) PHYSICIAN COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_PHYS_05_ADMIN \"& Revision_Date","v":"MH 1960_PHYS_05_ADMIN (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Ratio of Physician Professional Costs to Billed Professional Charges","SD/MC Physician Charges/RVU","SD/MC Physician Costs","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (BCCTP) Physician Charges/RVU","SD/MC Enhanced (BCCTP) Physician Costs","SD/MC Enhanced (Pregnancy) Physician Charges/RVU ","SD/MC Enhanced (Pregnancy) Physician Costs","SD/MC Enhanced (Refugee) Physician Charges/RVU","SD/MC Enhanced (Refugee) Physician Costs","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act \n Physician Charges/RVU","Affordable Care Act \n Physician Cost","State Funded Beneficiaries \n Physician Charges/RVU","State Funded Beneficiaries \n Physician Cost","Total Medi-Cal Physician Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)",{"$f":"MH1960_HOSP_COSTS!M16","v":0},null,{"$f":"C17*D17","v":0},null,{"$f":"$C17*F17","v":0},null,{"$f":"$C17*H17","v":0},null,{"$f":"$C17*J17","v":0},null,{"$f":"$C17*L17","v":0},null,{"$f":"$C17*N17","v":0},null,{"$f":"$C17*P17","v":0},null,{"$f":"$C17*R17","v":0},null,{"$f":"$C17*T17","v":0},null,{"$f":"$C17*V17","v":0},null,{"$f":"$C17*X17","v":0},{"$f":"SUM(E17,G17,I17,K17,M17,O17,Q17,S17,U17,W17,Y17)","v":0}]
[null,"Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M17","v":0},null,{"$f":"C18*D18","v":0},null,{"$f":"$C18*F18","v":0},null,{"$f":"$C18*H18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E18,G18,I18,K18,M18,O18,Q18,S18,U18,W18,Y18)","v":0}]
[null,"Coronary Care Unit",{"$f":"MH1960_HOSP_COSTS!M18","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Burn Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M19","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Surgical Intensive Care Unit",{"$f":"MH1960_HOSP_COSTS!M20","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"},{"$f":"MH1960_HOSP_COSTS!M21","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"},{"$f":"MH1960_HOSP_COSTS!M22","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!M23","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"},{"$f":"MH1960_HOSP_COSTS!M24","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursery",{"$f":"MH1960_HOSP_COSTS!M25","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Skilled Nursing Facility",{"$f":"MH1960_HOSP_COSTS!M26","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Nursing Facility",{"$f":"MH1960_HOSP_COSTS!M27","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Other Long Term Care",{"$f":"MH1960_HOSP_COSTS!M28","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!M30","v":0},null,0,null,{"$f":"$C31*F31","v":0},null,0,null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},0]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!M31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!M32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!M33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!M34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!M35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!M36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!M37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!M38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!M39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!M40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!M41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!M42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!M43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!M44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!M45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!M46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!M47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!M48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!M49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!M50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!M54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!M55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!M56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!M57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!M58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!M59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!M60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!M61","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic"]
[null,"Psych Clinic"]
[null,"Emergency"]
[null,"Psych Emergency"]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"}]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS",{"$f":"MH1960_HOSP_COSTS!M69","v":0},null,{"$f":"C70*D70","v":0},null,{"$f":"$C70*F70","v":0},null,{"$f":"$C70*H70","v":0},null,{"$f":"$C70*J70","v":0},null,{"$f":"$C70*L70","v":0},null,{"$f":"$C70*N70","v":0},null,{"$f":"$C70*P70","v":0},null,{"$f":"$C70*R70","v":0},null,{"$f":"$C70*T70","v":0},null,{"$f":"$C70*V70","v":0},null,{"$f":"$C70*X70","v":0},{"$f":"SUM(E70,G70,I70,K70,M70,O70,Q70,S70,U70,W70,Y70)","v":0}]
[null,"NURSE PRACTITIONERS",{"$f":"MH1960_HOSP_COSTS!M70","v":0},null,0,null,0,null,{"$f":"$C71*H71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PHYSICIAN ASSISTANTS",{"$f":"MH1960_HOSP_COSTS!M71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"DENTISTS",{"$f":"MH1960_HOSP_COSTS!M72","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CERTIFIED NURSE MIDWIFERY",{"$f":"MH1960_HOSP_COSTS!M73","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL SOCIAL WORKERS",{"$f":"MH1960_HOSP_COSTS!M74","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL PSYCHOLOGISTS",{"$f":"MH1960_HOSP_COSTS!M75","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"OPTOMETRISTS",{"$f":"MH1960_HOSP_COSTS!M76","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E17:E29,E31:E62,E70:E77)","v":0},null,{"$f":"SUM(G17:G29,G31:G62,G70:G77)","v":0},null,{"$f":"SUM(I17:I29,I31:I62,I70:I77)","v":0},null,{"$f":"SUM(K17:K29,K31:K62,K70:K77)","v":0},null,{"$f":"SUM(M17:M29,M31:M62,M70:M77)","v":0},null,{"$f":"SUM(O17:O29,O31:O62,O70:O77)","v":0},null,{"$f":"SUM(Q17:Q29,Q31:Q62,Q70:Q77)","v":0},null,{"$f":"SUM(S17:S29,S31:S62,S70:S77)","v":0},null,{"$f":"SUM(U17:U29,U31:U62,U70:U77)","v":0},null,{"$f":"SUM(W17:W29,W31:W62,W70:W77)","v":0},null,{"$f":"SUM(Y17:Y29,Y31:Y62,Y70:Y77)","v":0},{"$f":"SUM(Z17:Z29,Z31:Z62,Z70:Z77)","v":0}]

{"sheet":"MH1960_HOSP_10","index":36,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 10 (DAY SERVICES) PROGRAM COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_HOSP_05_ADMIN \"&Revision_Date","v":"MH 1960_HOSP_05_ADMIN (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Cost per Day/Cost to Charge Ratio","SD/MC \nDays/Charges/RVU ","SD/MC \nCosts ","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (BCCTP) Days/Charges/RVU ","SD/MC Enhanced (BCCTP)\n Costs","SD/MC Enhanced (Pregnancy) Days/Charges/RVU","SD/MC Enhanced (Pregnancy)\nCosts","SD/MC Enhanced (Refugee) Days/Charges/RVU","SD/MC Enhanced (Refugee) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act Days/Charges/RVU","Affordable Care Act Costs","State Funded Beneficiaries Days/Charges/RVU","State Funded Beneficiaries Costs","Total Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)"]
[null,"Intensive Care Unit"]
[null,"Coronary Care Unit"]
[null,"Burn Intensive Care Unit"]
[null,"Surgical Intensive Care Unit"]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"}]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"}]
[null,"Nursery"]
[null,"Skilled Nursing Facility"]
[null,"Nursing Facility"]
[null,"Other Long Term Care"]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!G30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,{"$f":"$C31*H31","v":0},null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},{"$f":"SUM(E31,G31,I31,K31,M31,O31,Q31,S31,U31,W31,Y31)","v":0}]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!G31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E32,G32,I32,K32,M32,O32,Q32,S32,U32,W32,Y32)","v":0}]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!G32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!G33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!G34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!G35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!G36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!G37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!G38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!G39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!G40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!G41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!G42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!G43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!G44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!G45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!G46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!G47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!G48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!G49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!G50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!G54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!G55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!G56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!G57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!G58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!G59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!G60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!G61","v":0},null,0,null,0,null,{"$f":"$C62*H62","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic",{"$f":"MH1960_HOSP_COSTS!G63","v":0},null,{"$f":"$C64*D64","v":0},null,{"$f":"$C64*F64","v":0},null,{"$f":"$C64*H64","v":0},null,{"$f":"$C64*J64","v":0},null,{"$f":"$C64*L64","v":0},null,{"$f":"$C64*N64","v":0},null,{"$f":"$C64*P64","v":0},null,{"$f":"$C64*R64","v":0},null,{"$f":"$C64*T64","v":0},null,{"$f":"$C64*V64","v":0},null,{"$f":"$C64*X64","v":0},0]
[null,"Psych Clinic",{"$f":"MH1960_HOSP_COSTS!G64","v":0},null,{"$f":"$C65*D65","v":0},null,{"$f":"$C65*F65","v":0},null,{"$f":"$C65*H65","v":0},null,{"$f":"$C65*J65","v":0},null,{"$f":"$C65*L65","v":0},null,{"$f":"$C65*N65","v":0},null,{"$f":"$C65*P65","v":0},null,{"$f":"$C65*R65","v":0},null,{"$f":"$C65*T65","v":0},null,{"$f":"$C65*V65","v":0},null,{"$f":"$C65*X65","v":0},0]
[null,"Emergency",{"$f":"MH1960_HOSP_COSTS!G65","v":0},null,{"$f":"$C66*D66","v":0},null,{"$f":"$C66*F66","v":0},null,{"$f":"$C66*H66","v":0},null,{"$f":"$C66*J66","v":0},null,{"$f":"$C66*L66","v":0},null,{"$f":"$C66*N66","v":0},null,{"$f":"$C66*P66","v":0},null,{"$f":"$C66*R66","v":0},null,{"$f":"$C66*T66","v":0},null,{"$f":"$C66*V66","v":0},null,{"$f":"$C66*X66","v":0},0]
[null,"Psych Emergency",{"$f":"MH1960_HOSP_COSTS!G66","v":0},null,{"$f":"$C67*D67","v":0},null,{"$f":"$C67*F67","v":0},null,{"$f":"$C67*H67","v":0},null,{"$f":"$C67*J67","v":0},null,{"$f":"$C67*L67","v":0},null,{"$f":"$C67*N67","v":0},null,{"$f":"$C67*P67","v":0},null,{"$f":"$C67*R67","v":0},null,{"$f":"$C67*T67","v":0},null,{"$f":"$C67*V67","v":0},null,{"$f":"$C67*X67","v":0},0]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"},{"$f":"MH1960_HOSP_COSTS!G67","v":0},null,{"$f":"$C68*D68","v":0},null,{"$f":"$C68*F68","v":0},null,{"$f":"$C68*H68","v":0},null,{"$f":"$C68*J68","v":0},null,{"$f":"$C68*L68","v":0},null,{"$f":"$C68*N68","v":0},null,{"$f":"$C68*P68","v":0},null,{"$f":"$C68*R68","v":0},null,{"$f":"$C68*T68","v":0},null,{"$f":"$C68*V68","v":0},null,{"$f":"$C68*X68","v":0},0]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS"]
[null,"NURSE PRACTITIONERS"]
[null,"PHYSICIAN ASSISTANTS"]
[null,"DENTISTS"]
[null,"CERTIFIED NURSE MIDWIFERY"]
[null,"CLINICAL SOCIAL WORKERS"]
[null,"CLINICAL PSYCHOLOGISTS"]
[null,"OPTOMETRISTS"]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E31:E68)","v":0},null,{"$f":"SUM(G31:G68)","v":0},null,{"$f":"SUM(I31:I68)","v":0},null,{"$f":"SUM(K31:K68)","v":0},null,{"$f":"SUM(M31:M68)","v":0},null,{"$f":"SUM(O31:O68)","v":0},null,{"$f":"SUM(Q31:Q68)","v":0},null,{"$f":"SUM(S31:S68)","v":0},null,{"$f":"SUM(U31:U68)","v":0},null,{"$f":"SUM(W31:W68)","v":0},null,{"$f":"SUM(Y31:Y68)","v":0},{"$f":"SUM(Z31:Z68)","v":0}]

{"sheet":"MH1960_PHYS_10","index":37,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 10 (DAY SERVICES) PHYSICIAN COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_PHYS_05_ADMIN \"& Revision_Date","v":"MH 1960_PHYS_05_ADMIN (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Ratio of Physician Professional Costs to Billed Professional Charges","SD/MC Physician Charges/RVU","SD/MC Physician Costs","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (BCCTP) Physician Charges/RVU","SD/MC Enhanced (BCCTP) Physician Costs","SD/MC Enhanced (Pregnancy) Physician Charges/RVU ","SD/MC Enhanced (Pregnancy) Physician Costs","SD/MC Enhanced (Refugee) Physician Charges/RVU","SD/MC Enhanced (Refugee) Physician Costs","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act \n Physician Charges/RVU","Affordable Care Act \n Physician Cost","State Funded Beneficiaries\n Physician Charges/RVU","State Funded Beneficiaries\n Physician Cost","Total Medi-Cal Physician Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)"]
[null,"Intensive Care Unit"]
[null,"Coronary Care Unit"]
[null,"Burn Intensive Care Unit"]
[null,"Surgical Intensive Care Unit"]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"}]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"}]
[null,"Nursery"]
[null,"Skilled Nursing Facility"]
[null,"Nursing Facility"]
[null,"Other Long Term Care"]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!M30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,{"$f":"$C31*H31","v":0},null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,0,null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},{"$f":"SUM(E31,G31,I31,K31,M31,O31,Q31,S31,U31,W31,Y31)","v":0}]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!M31","v":0},null,0,null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E32,G32,I32,K32,M32,O32,Q32,S32,U32,W32,Y32)","v":0}]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!M32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!M33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!M34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!M35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!M36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!M37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!M38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!M39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!M40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!M41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!M42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!M43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!M44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!M45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!M46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!M47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!M48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!M49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!M50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!M54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!M55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!M56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!M57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!M58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!M59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!M60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!M61","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic",{"$f":"MH1960_HOSP_COSTS!M63","v":0},null,{"$f":"$C64*D64","v":0},null,{"$f":"$C64*F64","v":0},null,{"$f":"$C64*H64","v":0},null,{"$f":"$C64*J64","v":0},null,{"$f":"$C64*L64","v":0},null,{"$f":"$C64*N64","v":0},null,0,null,{"$f":"$C64*R64","v":0},null,{"$f":"$C64*T64","v":0},null,{"$f":"$C64*V64","v":0},null,{"$f":"$C64*X64","v":0},0]
[null,"Psych Clinic",{"$f":"MH1960_HOSP_COSTS!M64","v":0},null,{"$f":"$C65*D65","v":0},null,{"$f":"$C65*F65","v":0},null,{"$f":"$C65*H65","v":0},null,{"$f":"$C65*J65","v":0},null,{"$f":"$C65*L65","v":0},null,{"$f":"$C65*N65","v":0},null,0,null,{"$f":"$C65*R65","v":0},null,{"$f":"$C65*T65","v":0},null,{"$f":"$C65*V65","v":0},null,{"$f":"$C65*X65","v":0},0]
[null,"Emergency",{"$f":"MH1960_HOSP_COSTS!M65","v":0},null,{"$f":"$C66*D66","v":0},null,{"$f":"$C66*F66","v":0},null,{"$f":"$C66*H66","v":0},null,{"$f":"$C66*J66","v":0},null,{"$f":"$C66*L66","v":0},null,{"$f":"$C66*N66","v":0},null,{"$f":"$C66*P66","v":0},null,{"$f":"$C66*R66","v":0},null,{"$f":"$C66*T66","v":0},null,{"$f":"$C66*V66","v":0},null,{"$f":"$C66*X66","v":0},0]
[null,"Psych Emergency",{"$f":"MH1960_HOSP_COSTS!M66","v":0},null,{"$f":"$C67*D67","v":0},null,{"$f":"$C67*F67","v":0},null,{"$f":"$C67*H67","v":0},null,{"$f":"$C67*J67","v":0},null,{"$f":"$C67*L67","v":0},null,{"$f":"$C67*N67","v":0},null,0,null,{"$f":"$C67*R67","v":0},null,{"$f":"$C67*T67","v":0},null,{"$f":"$C67*V67","v":0},null,{"$f":"$C67*X67","v":0},0]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"},{"$f":"MH1960_HOSP_COSTS!M67","v":0},null,{"$f":"$C68*D68","v":0},null,{"$f":"$C68*F68","v":0},null,{"$f":"$C68*H68","v":0},null,{"$f":"$C68*J68","v":0},null,{"$f":"$C68*L68","v":0},null,{"$f":"$C68*N68","v":0},null,0,null,{"$f":"$C68*R68","v":0},null,{"$f":"$C68*T68","v":0},null,{"$f":"$C68*V68","v":0},null,{"$f":"$C68*X68","v":0},0]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS",{"$f":"MH1960_HOSP_COSTS!M69","v":0},null,{"$f":"$C70*D70","v":0},null,{"$f":"$C70*F70","v":0},null,{"$f":"$C70*H70","v":0},null,{"$f":"$C70*J70","v":0},null,{"$f":"$C70*L70","v":0},null,{"$f":"$C70*N70","v":0},null,0,null,{"$f":"$C70*R70","v":0},null,{"$f":"$C70*T70","v":0},null,{"$f":"$C70*V70","v":0},null,{"$f":"$C70*X70","v":0},{"$f":"SUM(E70,G70,I70,K70,M70,O70,Q70,S70,U70,W70,Y70)","v":0}]
[null,"NURSE PRACTITIONERS",{"$f":"MH1960_HOSP_COSTS!M70","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PHYSICIAN ASSISTANTS",{"$f":"MH1960_HOSP_COSTS!M71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"DENTISTS",{"$f":"MH1960_HOSP_COSTS!M72","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CERTIFIED NURSE MIDWIFERY",{"$f":"MH1960_HOSP_COSTS!M73","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL SOCIAL WORKERS",{"$f":"MH1960_HOSP_COSTS!M74","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL PSYCHOLOGISTS",{"$f":"MH1960_HOSP_COSTS!M75","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"OPTOMETRISTS",{"$f":"MH1960_HOSP_COSTS!M76","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E31:E62,E64:E68,E70:E77)","v":0},null,{"$f":"SUM(G31:G62,G64:G68,G70:G77)","v":0},null,{"$f":"SUM(I31:I62,I64:I68,I70:I77)","v":0},null,{"$f":"SUM(K31:K62,K64:K68,K70:K77)","v":0},null,{"$f":"SUM(M31:M62,M64:M68,M70:M77)","v":0},null,{"$f":"SUM(O31:O62,O64:O68,O70:O77)","v":0},null,{"$f":"SUM(Q31:Q62,Q64:Q68,Q70:Q77)","v":0},null,{"$f":"SUM(S31:S62,S64:S68,S70:S77)","v":0},null,{"$f":"SUM(U31:U62,U64:U68,U70:U77)","v":0},null,{"$f":"SUM(W31:W62,W64:W68,W70:W77)","v":0},null,{"$f":"SUM(Y31:Y62,Y64:Y68,Y70:Y77)","v":0},{"$f":"SUM(Z31:Z62,Z64:Z68,Z70:Z77)","v":0}]

{"sheet":"MH1960_HOSP_15","index":38,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 15 (OUTPATIENT SERVICES) PROGRAM COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_HOSP_05 \"&Revision_Date","v":"MH 1960_HOSP_05 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Cost per Day/Cost to Charge Ratio","SD/MC \nDays/Charges/RVU ","SD/MC \nCosts ","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (Children) Days/Charges/RVU       ","SD/MC Enhanced (Children)\n Costs ","SD/MC Enhanced (BCCTP) Days/Charges/RVU ","SD/MC Enhanced (BCCTP)\n Costs","SD/MC Enhanced (Pregnancy) Days/Charges/RVU","SD/MC Enhanced (Pregnancy)\nCosts","SD/MC Enhanced (Refugee) Days/Charges/RVU","SD/MC Enhanced (Refugee) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act Days/Charges/RVU","Affordable Care Act Costs","State Funded Beneficiaries Days/Charges/RVU","State Funded Beneficiaries Costs","Total Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)"]
[null,"Intensive Care Unit"]
[null,"Coronary Care Unit"]
[null,"Burn Intensive Care Unit"]
[null,"Surgical Intensive Care Unit"]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"}]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"}]
[null,"Nursery"]
[null,"Skilled Nursing Facility"]
[null,"Nursing Facility"]
[null,"Other Long Term Care"]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!G30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,{"$f":"$C31*H31","v":0},null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},{"$f":"SUM(E31,G31,I31,K31,M31,O31,Q31,S31,U31,W31,Y31)","v":0}]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!G31","v":0},null,{"$f":"$C32*D32","v":0},null,{"$f":"$C32*F32","v":0},null,{"$f":"$C32*H32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E32,G32,I32,K32,M32,O32,Q32,S32,U32,W32,Y32)","v":0}]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!G32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!G33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!G34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!G35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!G36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!G37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!G38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!G39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!G40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!G41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!G42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!G43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!G44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!G45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!G46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!G47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!G48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!G49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!G50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!G53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!G54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!G55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!G56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!G57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!G58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!G59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!G60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!G61","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic",{"$f":"MH1960_HOSP_COSTS!G63","v":0},null,{"$f":"$C64*D64","v":0},null,{"$f":"$C64*F64","v":0},null,{"$f":"$C64*H64","v":0},null,{"$f":"$C64*J64","v":0},null,{"$f":"$C64*L64","v":0},null,{"$f":"$C64*N64","v":0},null,{"$f":"$C64*P64","v":0},null,{"$f":"$C64*R64","v":0},null,{"$f":"$C64*T64","v":0},null,{"$f":"$C64*V64","v":0},null,{"$f":"$C64*X64","v":0},0]
[null,"Psych Clinic",{"$f":"MH1960_HOSP_COSTS!G64","v":0},null,{"$f":"$C65*D65","v":0},null,{"$f":"$C65*F65","v":0},null,{"$f":"$C65*H65","v":0},null,{"$f":"$C65*J65","v":0},null,{"$f":"$C65*L65","v":0},null,{"$f":"$C65*N65","v":0},null,{"$f":"$C65*P65","v":0},null,{"$f":"$C65*R65","v":0},null,{"$f":"$C65*T65","v":0},null,{"$f":"$C65*V65","v":0},null,{"$f":"$C65*X65","v":0},0]
[null,"Emergency",{"$f":"MH1960_HOSP_COSTS!G65","v":0},null,{"$f":"$C66*D66","v":0},null,{"$f":"$C66*F66","v":0},null,{"$f":"$C66*H66","v":0},null,{"$f":"$C66*J66","v":0},null,{"$f":"$C66*L66","v":0},null,{"$f":"$C66*N66","v":0},null,{"$f":"$C66*P66","v":0},null,{"$f":"$C66*R66","v":0},null,{"$f":"$C66*T66","v":0},null,{"$f":"$C66*V66","v":0},null,{"$f":"$C66*X66","v":0},0]
[null,"Psych Emergency",{"$f":"MH1960_HOSP_COSTS!G66","v":0},null,{"$f":"$C67*D67","v":0},null,{"$f":"$C67*F67","v":0},null,{"$f":"$C67*H67","v":0},null,{"$f":"$C67*J67","v":0},null,{"$f":"$C67*L67","v":0},null,{"$f":"$C67*N67","v":0},null,{"$f":"$C67*P67","v":0},null,{"$f":"$C67*R67","v":0},null,{"$f":"$C67*T67","v":0},null,{"$f":"$C67*V67","v":0},null,{"$f":"$C67*X67","v":0},0]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"},{"$f":"MH1960_HOSP_COSTS!G67","v":0},null,{"$f":"$C68*D68","v":0},null,{"$f":"$C68*F68","v":0},null,{"$f":"$C68*H68","v":0},null,{"$f":"$C68*J68","v":0},null,{"$f":"$C68*L68","v":0},null,{"$f":"$C68*N68","v":0},null,{"$f":"$C68*P68","v":0},null,{"$f":"$C68*R68","v":0},null,{"$f":"$C68*T68","v":0},null,{"$f":"$C68*V68","v":0},null,{"$f":"$C68*X68","v":0},0]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS"]
[null,"NURSE PRACTITIONERS"]
[null,"PHYSICIAN ASSISTANTS"]
[null,"DENTISTS"]
[null,"CERTIFIED NURSE MIDWIFERY"]
[null,"CLINICAL SOCIAL WORKERS"]
[null,"CLINICAL PSYCHOLOGISTS"]
[null,"OPTOMETRISTS"]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E31:E62,E64:E68)","v":0},null,{"$f":"SUM(G31:G62,G64:G68)","v":0},null,{"$f":"SUM(I31:I62,I64:I68)","v":0},null,{"$f":"SUM(K31:K62,K64:K68)","v":0},null,{"$f":"SUM(M31:M62,M64:M68)","v":0},null,{"$f":"SUM(O31:O62,O64:O68)","v":0},null,{"$f":"SUM(Q31:Q62,Q64:Q68)","v":0},null,{"$f":"SUM(S31:S62,S64:S68)","v":0},null,{"$f":"SUM(U31:U62,U64:U68)","v":0},null,{"$f":"SUM(W31:W62,W64:W68)","v":0},null,{"$f":"SUM(Y31:Y62,Y64:Y68)","v":0},{"$f":"SUM(Z31:Z62,Z64:Z68)","v":0}]

{"sheet":"MH1960_PHYS_15","index":39,"n_rows":81,"n_cols":26,"rows_kept":81,"cut":false,"hidden":false,"merged":[]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF MODE 15 (OUTPATIENT SERVICES) PHYSICIAN COSTS - HOSPITAL LEGAL ENTITIES"]
[{"$f":"\"MH 1960_PHYS_05_ADMIN \"& Revision_Date","v":"MH 1960_PHYS_05_ADMIN (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[]
[null,"Legal Entity Number:",{"$f":"Legal_Entity_Number","v":"00055"}]
[]
[]
[]
[null,null,1,{"$f":"C13+1","v":2},3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,null,"Ratio of Physician Professional Costs to Billed Professional Charges","SD/MC Physician Charges/RVU","SD/MC Physician Costs","Enhanced Non CHIP (Children) Days/Charges/RVU","Enhanced Non CHIP (Children)\n Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (Children) Physician Charges/RVU         ","SD/MC Enhanced (Children) Physician Costs","SD/MC Enhanced (BCCTP) Physician Charges/RVU","SD/MC Enhanced (BCCTP) Physician Costs","SD/MC Enhanced (Pregnancy) Physician Charges/RVU ","SD/MC Enhanced (Pregnancy) Physician Costs","SD/MC Enhanced (Refugee) Physician Charges/RVU","SD/MC Enhanced (Refugee) Physician Costs","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Medi-Cal  Access Program (MCAP)\nDays/Charges/RVU","Medi-Cal  Access Program (MCAP) \nCosts","Affordable Care Act \n Physician Charges/RVU","Affordable Care Act \n Physician Cost","State Funded Beneficiaries \n Physician Charges/RVU","State Funded Beneficiaries \n Physician Cost","Total Medi-Cal Physician Costs"]
[null,null,null,"07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 09/30/2020","07/01/2020 - 09/30/2020","10/01/2020 - 06/30/2021","10/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021","07/01/2020 - 06/30/2021"]
["Inpatient Routine Cost Centers"]
[null,"Adults and Pediatrics (General Routine Care)"]
[null,"Intensive Care Unit"]
[null,"Coronary Care Unit"]
[null,"Burn Intensive Care Unit"]
[null,"Surgical Intensive Care Unit"]
[null,{"$f":"MH1960_HOSP_COSTS!B21","v":"Other Special Care Unit (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B22","v":"Psychiatric Ward"}]
[null,{"$f":"MH1960_HOSP_COSTS!B23","v":"Subprovider (specify)"}]
[null,{"$f":"MH1960_HOSP_COSTS!B24","v":"Subprovider (specify)"}]
[null,"Nursery"]
[null,"Skilled Nursing Facility"]
[null,"Nursing Facility"]
[null,"Other Long Term Care"]
["Ancillary Service Cost Centers"]
[null,"Operating Room",{"$f":"MH1960_HOSP_COSTS!M30","v":0},null,{"$f":"$C31*D31","v":0},null,{"$f":"$C31*F31","v":0},null,{"$f":"$C31*H31","v":0},null,{"$f":"$C31*J31","v":0},null,{"$f":"$C31*L31","v":0},null,{"$f":"$C31*N31","v":0},null,{"$f":"$C31*P31","v":0},null,{"$f":"$C31*R31","v":0},null,{"$f":"$C31*T31","v":0},null,{"$f":"$C31*V31","v":0},null,{"$f":"$C31*X31","v":0},{"$f":"SUM(E31,G31,I31,K31,M31,O31,Q31,S31,U31,W31,Y31)","v":0}]
[null,"Recovery Room",{"$f":"MH1960_HOSP_COSTS!M31","v":0},null,{"$f":"$C32*D32","v":0},null,{"$f":"$C32*F32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,{"$f":"SUM(E32,G32,I32,K32,M32,O32,Q32,S32,U32,W32,Y32)","v":0}]
[null,"Delivery Room and Labor Room",{"$f":"MH1960_HOSP_COSTS!M32","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Anesthesiology",{"$f":"MH1960_HOSP_COSTS!M33","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Diagnostic",{"$f":"MH1960_HOSP_COSTS!M34","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radiology-Therapeutic",{"$f":"MH1960_HOSP_COSTS!M35","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Radioisotope",{"$f":"MH1960_HOSP_COSTS!M36","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Computed Tomography (CT) Scan",{"$f":"MH1960_HOSP_COSTS!M37","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Magnetic Resonance Imaging",{"$f":"MH1960_HOSP_COSTS!M38","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Laboratory",{"$f":"MH1960_HOSP_COSTS!M39","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PBP Clinical Laboratory Services-Program Only",{"$f":"MH1960_HOSP_COSTS!M40","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Whole Blood & Packed Red Blood Cells",{"$f":"MH1960_HOSP_COSTS!M41","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Blood Storing, Processing, & Trans.",{"$f":"MH1960_HOSP_COSTS!M42","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Intravenous Therapy",{"$f":"MH1960_HOSP_COSTS!M43","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Respiratory Therapy",{"$f":"MH1960_HOSP_COSTS!M44","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Physical Therapy",{"$f":"MH1960_HOSP_COSTS!M45","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Occupational Therapy",{"$f":"MH1960_HOSP_COSTS!M46","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Recreational Therapy",{"$f":"MH1960_HOSP_COSTS!M47","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Speech Pathology",{"$f":"MH1960_HOSP_COSTS!M48","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electrocardiology",{"$f":"MH1960_HOSP_COSTS!M49","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electroencephalography",{"$f":"MH1960_HOSP_COSTS!M50","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Medical Supplies Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M51","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Implantable Devices Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M52","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Drugs Charged to Patients",{"$f":"MH1960_HOSP_COSTS!M53","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Renal Dialysis",{"$f":"MH1960_HOSP_COSTS!M54","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"ASC (Non-Distinct Part)",{"$f":"MH1960_HOSP_COSTS!M55","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Audiology",{"$f":"MH1960_HOSP_COSTS!M56","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Pulmonary Function",{"$f":"MH1960_HOSP_COSTS!M57","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Cast Room",{"$f":"MH1960_HOSP_COSTS!M58","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Consult & Liaison",{"$f":"MH1960_HOSP_COSTS!M59","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"Electromyography",{"$f":"MH1960_HOSP_COSTS!M60","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,{"$f":"MH1960_HOSP_COSTS!B61","v":"Other Ancillary (specify)"},{"$f":"MH1960_HOSP_COSTS!M61","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Outpatient Service Cost Centers"]
[null,"Clinic",{"$f":"MH1960_HOSP_COSTS!M63","v":0},null,{"$f":"$C64*D64","v":0},null,{"$f":"$C64*F64","v":0},null,{"$f":"$C64*H64","v":0},null,{"$f":"$C64*J64","v":0},null,{"$f":"$C64*L64","v":0},null,{"$f":"$C64*N64","v":0},null,{"$f":"$C64*P64","v":0},null,{"$f":"$C64*R64","v":0},null,{"$f":"$C64*T64","v":0},null,{"$f":"$C64*V64","v":0},null,{"$f":"$C64*X64","v":0},0]
[null,"Psych Clinic",{"$f":"MH1960_HOSP_COSTS!M64","v":0},null,{"$f":"$C65*D65","v":0},null,{"$f":"$C65*F65","v":0},null,{"$f":"$C65*H65","v":0},null,{"$f":"$C65*J65","v":0},null,{"$f":"$C65*L65","v":0},null,{"$f":"$C65*N65","v":0},null,{"$f":"$C65*P65","v":0},null,{"$f":"$C65*R65","v":0},null,{"$f":"$C65*T65","v":0},null,{"$f":"$C65*V65","v":0},null,{"$f":"$C65*X65","v":0},0]
[null,"Emergency",{"$f":"MH1960_HOSP_COSTS!M65","v":0},null,{"$f":"$C66*D66","v":0},null,{"$f":"$C66*F66","v":0},null,{"$f":"$C66*H66","v":0},null,{"$f":"$C66*J66","v":0},null,{"$f":"$C66*L66","v":0},null,{"$f":"$C66*N66","v":0},null,{"$f":"$C66*P66","v":0},null,0,null,{"$f":"$C66*T66","v":0},null,{"$f":"$C66*V66","v":0},null,{"$f":"$C66*X66","v":0},0]
[null,"Psych Emergency",{"$f":"MH1960_HOSP_COSTS!M66","v":0},null,{"$f":"$C67*D67","v":0},null,{"$f":"$C67*F67","v":0},null,{"$f":"$C67*H67","v":0},null,{"$f":"$C67*J67","v":0},null,{"$f":"$C67*L67","v":0},null,{"$f":"$C67*N67","v":0},null,{"$f":"$C67*P67","v":0},null,0,null,{"$f":"$C67*T67","v":0},null,{"$f":"$C67*V67","v":0},null,{"$f":"$C67*X67","v":0},0]
[null,{"$f":"MH1960_HOSP_COSTS!B67","v":"Crisis Stabilization Unit - ER)"},{"$f":"MH1960_HOSP_COSTS!M67","v":0},null,{"$f":"$C68*D68","v":0},null,{"$f":"$C68*F68","v":0},null,{"$f":"$C68*H68","v":0},null,{"$f":"$C68*J68","v":0},null,{"$f":"$C68*L68","v":0},null,{"$f":"$C68*N68","v":0},null,{"$f":"$C68*P68","v":0},null,0,null,{"$f":"$C68*T68","v":0},null,{"$f":"$C68*V68","v":0},null,{"$f":"$C68*X68","v":0},0]
["Non-Physician Practitioner Costs"]
[null,"CERTIFIED REGISTERED NURSE ANESTHETISTS",{"$f":"MH1960_HOSP_COSTS!M69","v":0},null,{"$f":"$C70*D70","v":0},null,{"$f":"$C70*F70","v":0},null,{"$f":"$C70*H70","v":0},null,{"$f":"$C70*J70","v":0},null,{"$f":"$C70*L70","v":0},null,{"$f":"$C70*N70","v":0},null,{"$f":"$C70*P70","v":0},null,0,null,{"$f":"$C70*T70","v":0},null,{"$f":"$C70*V70","v":0},null,{"$f":"$C70*X70","v":0},{"$f":"SUM(E70,G70,I70,K70,M70,O70,Q70,S70,U70,W70,Y70)","v":0}]
[null,"NURSE PRACTITIONERS",{"$f":"MH1960_HOSP_COSTS!M70","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"PHYSICIAN ASSISTANTS",{"$f":"MH1960_HOSP_COSTS!M71","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"DENTISTS",{"$f":"MH1960_HOSP_COSTS!M72","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CERTIFIED NURSE MIDWIFERY",{"$f":"MH1960_HOSP_COSTS!M73","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL SOCIAL WORKERS",{"$f":"MH1960_HOSP_COSTS!M74","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"CLINICAL PSYCHOLOGISTS",{"$f":"MH1960_HOSP_COSTS!M75","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
[null,"OPTOMETRISTS",{"$f":"MH1960_HOSP_COSTS!M76","v":0},null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,null,0,0]
["Other Reimburseable Cost Centers"]
["Special Purpose Cost Centers"]
["Total Nonreimburseable Cost Centers"]
["Total",null,null,null,{"$f":"SUM(E31:E62,E64:E68,E70:E77)","v":0},null,{"$f":"SUM(G31:G62,G64:G68,G70:G77)","v":0},null,{"$f":"SUM(I31:I62,I64:I68,I70:I77)","v":0},null,{"$f":"SUM(K31:K62,K64:K68,K70:K77)","v":0},null,{"$f":"SUM(M31:M62,M64:M68,M70:M77)","v":0},null,{"$f":"SUM(O31:O62,O64:O68,O70:O77)","v":0},null,{"$f":"SUM(Q31:Q62,Q64:Q68,Q70:Q77)","v":0},null,{"$f":"SUM(S31:S62,S64:S68,S70:S77)","v":0},null,{"$f":"SUM(U31:U62,U64:U68,U70:U77)","v":0},null,{"$f":"SUM(W31:W62,W64:W68,W70:W77)","v":0},null,{"$f":"SUM(Y31:Y62,Y64:Y68,Y70:Y77)","v":0},{"$f":"SUM(Z31:Z62,Z64:Z68,Z70:Z77)","v":0}]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["DETERMINATION OF SD/MC DIRECT SERVICES AND MAA REIMBURSEMENT"]
[{"$f":"\"MH 1968 \"&Revision_Date","v":"MH 1968 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
["County:",null,{"$f":"County_Name","v":"Los Angeles"}]
["County Code:",null,{"$f":"County_Code","v":"19"},null,"REIMBURSEMENT TYPE",null,null,null,{"$f":"IF('MH1969'!E30=\"X\",\"COSTS\",IF('MH1968'!S9<='MH1968'!S10,\"COSTS\",\"PC\"))","v":"COSTS"},{"$f":"IF(AND('MH1969'!E30=\"X\",'MH1968'!W9<='MH1968'!W10),\"COSTS\",IF(AND('MH1968'!W9<='MH1968'!W10,'MH1968'!W9<='MH1968'!W11),\"COSTS\",IF(AND('MH1968'!W10<'MH1968'!W9,'MH1968'!W10<'MH1968'!W11),\"SMA\",IF(AND('MH1968'!W11<'MH1968'!W10,'MH1968'!W11<'MH1968'!W9),\"PC\",\"\"))))","v":"COSTS"},null,"COSTS",null,null,null,"COSTS",null,null,"Totals",null,null,null,"Totals",null,null,null,"Totals"]
[]
["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F","G","H","I","J","K","L","M","Inpatient\nService",{"$f":"SUM(I13,I18,I23,I28,I33,I38,I43,I48,I53,I58,I63)","v":0},"COSTS",null,"Inpatient\nAdmininistration",{"$f":"SUM(J13,J18,J23,J28,J33,J38,J43,J48,J53,J58,J63)","v":0},"COSTS",null,"Outpatient 1",{"$f":"SUM(O13,O18,O23,O28,O33,O38,O43,O48,O53,O58,O63)","v":42346667.972934447},"COSTS"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,null,null,null,null,null,null,"Total Mode 05\nHospital Inpatient\nServices",null,null,null,"Total Outpatient Excluding Program (2)"," Mode 15\nOutpatient\nServices\nProgram (2)","Total Outpatient\n(Col. K + Col. L)",null,{"$f":"SUM(I15,I20,I25,I30,I35,I40,I45,I50,I55,I60,I65)","v":0},"P.C.",null,null,{"$f":"SUM(J14,J19,J24,J29,J34,J39,J44,J49,J54,J59,J64)","v":0},"SMA",null,null,{"$f":"SUM(O15,O20,O25,O30,O35,O40,O45,O50,O55,O60,O65)","v":42214914.089999996},"P.C."]
[null,null,null,null,"Mode 55",null,null,"Total",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(J15,J20,J25,J30,J35,J40,J45,J50,J55,J60,J65)","v":0},"P.C."]
[null,null,null,null,"SF 01-09","SF 11-19, 31-39","SF  21-29","MAA","Mode 05\nHospital Inpatient\nServices (SF 10-18)","Mode 05 \nHospital Inpatient \nAdministration (SF 19)",null,"Mode 05\nOther 24 Hour Services","Mode 10\nDay Services","Mode 15\nOutpatient\nServices\nProgram (1)"]
[1,"Medi-Cal Costs",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!E81+MH1960_PHYS_05!E81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!E81+MH1960_PHYS_05_ADMIN!E81","v":0},{"$f":"SUM(I13:J13)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E33","v":511066.54027597397},{"$f":"MH1966_MODE10!E33+MH1960_HOSP_10!E81+MH1960_PHYS_10!E81","v":9954787.631923249},{"$f":"'MH1966_MODE15_(1)'!E33+MH1960_HOSP_15!E81+MH1960_PHYS_15!E81","v":11554756.650929321},{"$f":"SUM(L13:N13)","v":22020610.823128544},{"$f":"'MH1966_MODE15_(2)'!E33","v":0},{"$f":"SUM(O13:P13)","v":22020610.823128544}]
[{"$f":"A13+1","v":2},"Medi-Cal SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M18","v":0},{"$f":"SUM(I14:J14)","v":0}]
[{"$f":"A14+1","v":3},"Medi-Cal Published Charges",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$D$17:$D$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$D$17:$D$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I15:J15)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E34","v":2809164.6199999996},{"$f":"MH1966_MODE10!G34","v":9169569.459999999},{"$f":"'MH1966_MODE15_(1)'!G34","v":10146215},{"$f":"SUM(L15:N15)","v":22124949.079999998},null,{"$f":"SUM(O15:P15)","v":22124949.079999998}]
[{"$f":"A15+1","v":4},"Medi-Cal Gross Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I13,IF($I$7=\"SMA\",I14,I15))","v":0},{"$f":"IF($J$7=\"COSTS\",J13,IF($J$7=\"SMA\",J14,J15))","v":0},{"$f":"SUM(I16:J16)","v":0},{"$f":"IF($L$7=\"COSTS\",L13,L15)","v":511066.54027597397},{"$f":"IF($L$7=\"COSTS\",M13,M15)","v":9954787.631923249},{"$f":"IF($L$7=\"COSTS\",N13,N15)","v":11554756.650929321},{"$f":"SUM(L16:N16)","v":22020610.823128544},{"$f":"IF($P$7=\"COSTS\",P13,P15)","v":0},{"$f":"SUM(O16:P16)","v":22020610.823128544}]
[]
[{"$f":"A16+1","v":5}," Enhanced Non CHIP (Children) Costs",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!G81+MH1960_PHYS_05!G81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!G81+MH1960_PHYS_05_ADMIN!G81","v":0},{"$f":"SUM(I18:J18)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E36","v":0},{"$f":"MH1966_MODE10!E36+MH1960_HOSP_10!G81+MH1960_PHYS_10!G81","v":0},{"$f":"'MH1966_MODE15_(1)'!E36+MH1960_HOSP_15!G81+MH1960_PHYS_15!G81","v":0},{"$f":"SUM(L18:N18)","v":0},{"$f":"'MH1966_MODE15_(2)'!E36","v":0},{"$f":"SUM(O18:P18)","v":0}]
[{"$f":"A18+1","v":6},"Enhanced Non CHIP (Children) SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M19","v":0},{"$f":"SUM(I19:J19)","v":0},null,null,null,{"$f":"SUM(L19:N19)","v":0},null,{"$f":"SUM(O19:P19)","v":0}]
[{"$f":"A19+1","v":7},"Enhanced Non CHIP (Children) Published Charges",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$F$17:$F$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$F$17:$F$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I20:J20)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E37","v":0},{"$f":"MH1966_MODE10!G37","v":0},{"$f":"'MH1966_MODE15_(1)'!G37","v":0},{"$f":"SUM(L20:N20)","v":0},null,{"$f":"SUM(O20:P20)","v":0}]
[{"$f":"A20+1","v":8},"Enhanced Non CHIP (Children) Gross Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I18,IF($I$7=\"SMA\",I19,I20))","v":0},{"$f":"IF($J$7=\"COSTS\",J18,IF($J$7=\"SMA\",J19,J20))","v":0},{"$f":"SUM(I21:J21)","v":0},{"$f":"IF($L$7=\"COSTS\",L18,L20)","v":0},{"$f":"IF($L$7=\"COSTS\",M18,M20)","v":0},{"$f":"IF($L$7=\"COSTS\",N18,N20)","v":0},{"$f":"SUM(L21:N21)","v":0},{"$f":"IF($P$7=\"COSTS\",P18,P20)","v":0},{"$f":"SUM(O21:P21)","v":0}]
[]
[{"$f":"A21+1","v":9},"Enhanced SD/MC (Children) Cost",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"MH1960_HOSP_05!I81+MH1960_PHYS_05!I81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!I81+MH1960_PHYS_05_ADMIN!I81","v":0},{"$f":"SUM(I23:J23)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E39","v":0},{"$f":"MH1966_MODE10!E39+MH1960_HOSP_10!I81+MH1960_PHYS_10!I81","v":75656.334005136276},{"$f":"'MH1966_MODE15_(1)'!E39+MH1960_HOSP_15!I81+MH1960_PHYS_15!I81","v":106.42590000000001},{"$f":"SUM(L23:N23)","v":75762.759905136278},{"$f":"'MH1966_MODE15_(2)'!E39","v":0},{"$f":"SUM(O23:P23)","v":75762.759905136278}]
[{"$f":"A23+1","v":10},"Enhanced SD/MC (Children) SMA Upper Limits",null,"7/1/20 - 9/30/20",null,null,null,null,null,{"$f":"'MH1991'!M20","v":0},{"$f":"SUM(I24:J24)","v":0}]
[{"$f":"A24+1","v":11},"Enhanced SD/MC (Children) Published Charges",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$H$17:$H$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$H$17:$H$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I25:J25)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E40","v":0},{"$f":"MH1966_MODE10!G40","v":69688.679999999993},{"$f":"'MH1966_MODE15_(1)'!G40","v":100},{"$f":"SUM(L25:N25)","v":69788.679999999993},null,{"$f":"SUM(O25:P25)","v":69788.679999999993}]
[{"$f":"A25+1","v":12},"Enhanced SD/MC (Children) Gross Reimbursement",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I23,IF($I$7=\"SMA\",I24,I25))","v":0},{"$f":"IF($J$7=\"COSTS\",J23,IF($J$7=\"SMA\",J24,J25))","v":0},{"$f":"SUM(I26:J26)","v":0},{"$f":"IF($L$7=\"COSTS\",L23,L25)","v":0},{"$f":"IF($L$7=\"COSTS\",M23,M25)","v":75656.334005136276},{"$f":"IF($L$7=\"COSTS\",N23,N25)","v":106.42590000000001},{"$f":"SUM(L26:N26)","v":75762.759905136278},{"$f":"IF($P$7=\"COSTS\",P23,P25)","v":0},{"$f":"SUM(O26:P26)","v":75762.759905136278}]
[]
[{"$f":"A26+1","v":13},"Enhanced SD/MC (Children) Cost",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!K81+MH1960_PHYS_05!K81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!K81+MH1960_PHYS_05_ADMIN!K81","v":0},{"$f":"SUM(I28:J28)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E42","v":0},{"$f":"MH1966_MODE10!E42+MH1960_HOSP_10!K81+MH1960_PHYS_10!K81","v":172761.62868183182},{"$f":"'MH1966_MODE15_(1)'!E42+MH1960_HOSP_15!K81+MH1960_PHYS_15!K81","v":1935.3875986840167},{"$f":"SUM(L28:N28)","v":174697.01628051585},{"$f":"'MH1966_MODE15_(2)'!E42","v":0},{"$f":"SUM(O28:P28)","v":174697.01628051585}]
[{"$f":"A28+1","v":14},"Enhanced SD/MC (Children) SMA Upper Limits",null,"10/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M21","v":0},{"$f":"SUM(I29:J29)","v":0},null,null,null,{"$f":"SUM(L29:N29)","v":0},null,{"$f":"SUM(O29:P29)","v":0}]
[{"$f":"A29+1","v":15},"Enhanced SD/MC (Children) Published Charges",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$J$17:$J$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$J$17:$J$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I30:J30)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E43","v":0},{"$f":"MH1966_MODE10!G43","v":159134.46},{"$f":"'MH1966_MODE15_(1)'!G43","v":1787},{"$f":"SUM(L30:N30)","v":160921.46},null,{"$f":"SUM(O30:P30)","v":160921.46}]
[{"$f":"A30+1","v":16},"Enhanced SD/MC (Children) Gross Reimbursement",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I28,IF($I$7=\"SMA\",I29,I30))","v":0},{"$f":"IF($J$7=\"COSTS\",J28,IF($J$7=\"SMA\",J29,J30))","v":0},{"$f":"SUM(I31:J31)","v":0},{"$f":"L28","v":0},{"$f":"M28","v":172761.62868183182},{"$f":"N28","v":1935.3875986840167},{"$f":"SUM(L31:N31)","v":174697.01628051585},{"$f":"IF($P$7=\"COSTS\",P28,P30)","v":0},{"$f":"SUM(O31:P31)","v":174697.01628051585}]
[]
[{"$f":"A31+1","v":17},"Enhanced SD/MC (BCCTP) Cost",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!M81+MH1960_PHYS_05!M81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!M81+MH1960_PHYS_05_ADMIN!M81","v":0},{"$f":"SUM(I33:J33)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E45","v":0},{"$f":"MH1966_MODE10!E45+MH1960_HOSP_10!M81+MH1960_PHYS_10!M81","v":0},{"$f":"'MH1966_MODE15_(1)'!E45+MH1960_HOSP_15!M81+MH1960_PHYS_15!M81","v":0},{"$f":"SUM(L33:N33)","v":0},{"$f":"'MH1966_MODE15_(2)'!E45","v":0},{"$f":"SUM(O33:P33)","v":0}]
[{"$f":"A33+1","v":18},"Enhanced SD/MC (BCCTP) SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M22","v":0},{"$f":"SUM(I34:J34)","v":0}]
[{"$f":"A34+1","v":19},"Enhanced SD/MC (BCCTP) Published Charges",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$L$17:$L$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$L$17:$L$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I35:J35)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E46","v":0},{"$f":"MH1966_MODE10!G46","v":0},{"$f":"'MH1966_MODE15_(1)'!G46","v":0},{"$f":"SUM(L35:N35)","v":0},null,{"$f":"SUM(O35:P35)","v":0}]
[{"$f":"A35+1","v":20},"Enhanced SD/MC (BCCTP) Gross Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I33,IF($I$7=\"SMA\",I34,I35))","v":0},{"$f":"IF($J$7=\"COSTS\",J33,IF($J$7=\"SMA\",J34,J35))","v":0},{"$f":"SUM(I36:J36)","v":0},{"$f":"IF($L$7=\"COSTS\",L33,L35)","v":0},{"$f":"IF($L$7=\"COSTS\",M33,M35)","v":0},{"$f":"IF($L$7=\"COSTS\",N33,N35)","v":0},{"$f":"SUM(L36:N36)","v":0},{"$f":"IF($P$7=\"COSTS\",P33,P35)","v":0},{"$f":"SUM(O36:P36)","v":0}]
[]
[{"$f":"A36+1","v":21},"Enhanced SD/MC (Pregnancy) Cost",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!O81+MH1960_PHYS_05!O81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!O81+MH1960_PHYS_05_ADMIN!O81","v":0},{"$f":"SUM(I38:J38)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E48","v":6029.3313956383463},{"$f":"MH1966_MODE10!E48+MH1960_HOSP_10!O81+MH1960_PHYS_10!O81","v":909.95590727827141},{"$f":"'MH1966_MODE15_(1)'!E48+MH1960_HOSP_15!O81+MH1960_PHYS_15!O81","v":20232.953933472345},{"$f":"SUM(L38:N38)","v":27172.241236388963},{"$f":"'MH1966_MODE15_(2)'!E48","v":0},{"$f":"SUM(O38:P38)","v":27172.241236388963}]
[{"$f":"A38+1","v":22},"Enhanced SD/MC (Pregnancy) SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M23","v":0},{"$f":"SUM(I39:J39)","v":0}]
[{"$f":"A39+1","v":23},"Enhanced SD/MC (Pregnancy) Published Charges",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$N$17:$N$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$N$17:$N$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I40:J40)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E49","v":5551.98},{"$f":"MH1966_MODE10!G49","v":838.18},{"$f":"'MH1966_MODE15_(1)'!G49","v":17675},{"$f":"SUM(L40:N40)","v":24065.16},null,{"$f":"SUM(O40:P40)","v":24065.16}]
[{"$f":"A40+1","v":24},"Enhanced SD/MC (Pregnancy) Gross Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I38,IF($I$7=\"SMA\",I39,I40))","v":0},{"$f":"IF($J$7=\"COSTS\",J38,IF($J$7=\"SMA\",J39,J40))","v":0},{"$f":"SUM(I41:J41)","v":0},{"$f":"L38","v":6029.3313956383463},{"$f":"M38","v":909.95590727827141},{"$f":"N38","v":20232.953933472345},{"$f":"SUM(L41:N41)","v":27172.241236388963},{"$f":"IF($P$7=\"COSTS\",P38,P40)","v":0},{"$f":"SUM(O41:P41)","v":27172.241236388963}]
[]
[{"$f":"A41+1","v":25},"Affordable Care Act New Adult Group Cost",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!W81+MH1960_PHYS_05!W81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!W81+MH1960_PHYS_05_ADMIN!W81","v":0},{"$f":"SUM(I43:J43)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E54","v":853851.32649971568},{"$f":"MH1966_MODE10!E54+MH1960_HOSP_10!W81+MH1960_PHYS_10!W81","v":9788525.6882934049},{"$f":"'MH1966_MODE15_(1)'!E54+MH1960_HOSP_15!W81+MH1960_PHYS_15!W81","v":9233429.2470972724},{"$f":"SUM(L43:N43)","v":19875806.261890393},{"$f":"'MH1966_MODE15_(2)'!E54","v":0},{"$f":"SUM(O43:P43)","v":19875806.261890393}]
[{"$f":"A43+1","v":26},"Affordable Care Act SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M24","v":0},{"$f":"SUM(I44:J44)","v":0}]
[{"$f":"A44+1","v":27},"Affordable Care Act Published Charge",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$V$17:$V$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$V$17:$V$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I45:J45)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E55","v":2556730.61},{"$f":"MH1966_MODE10!G55","v":9016422},{"$f":"'MH1966_MODE15_(1)'!G55","v":8090442},{"$f":"SUM(L45:N45)","v":19663594.609999999},null,{"$f":"SUM(O45:P45)","v":19663594.609999999}]
[{"$f":"A45+1","v":28},"Affordable Care Act Gross Cost Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I43,IF($I$7=\"SMA\",I44,I45))","v":0},{"$f":"IF($J$7=\"COSTS\",J43,IF($J$7=\"SMA\",J44,J45))","v":0},{"$f":"SUM(I46:J46)","v":0},{"$f":"IF($L$7=\"COSTS\",L43,L45)","v":853851.32649971568},{"$f":"IF($L$7=\"COSTS\",M43,M45)","v":9788525.6882934049},{"$f":"IF($L$7=\"COSTS\",N43,N45)","v":9233429.2470972724},{"$f":"SUM(L46:N46)","v":19875806.261890393},{"$f":"IF($P$7=\"COSTS\",P43,P45)","v":0},{"$f":"SUM(O46:P46)","v":19875806.261890393}]
[]
[{"$f":"A46+1","v":29},"State Funded Beneficiaries Cost",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!Y81+MH1960_PHYS_05!Y81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!Y81+MH1960_PHYS_05_ADMIN!Y81","v":0},{"$f":"SUM(I48:J48)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E57","v":13906.563954950232},{"$f":"MH1966_MODE10!E57+MH1960_HOSP_10!Y81+MH1960_PHYS_10!Y81","v":67726.718241711351},{"$f":"'MH1966_MODE15_(1)'!E57+MH1960_HOSP_15!Y81+MH1960_PHYS_15!Y81","v":90985.58829680398},{"$f":"SUM(L48:N48)","v":172618.87049346557},{"$f":"'MH1966_MODE15_(2)'!E57","v":0},{"$f":"SUM(O48:P48)","v":172618.87049346557}]
[{"$f":"A48+1","v":30},"State Funded Beneficiaries SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M25","v":0},{"$f":"SUM(I49:J49)","v":0}]
[{"$f":"A49+1","v":31},"State Funded Beneficiaries Published Charge",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$X$17:$X$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$X$17:$X$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I50:J50)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E58","v":30085.559999999998},{"$f":"MH1966_MODE10!G58","v":62384.54},{"$f":"'MH1966_MODE15_(1)'!G58","v":79125},{"$f":"SUM(L50:N50)","v":171595.1},null,{"$f":"SUM(O50:P50)","v":171595.1}]
[{"$f":"A50+1","v":32},"State Funded Beneficiaries Gross Cost Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I48,IF($I$7=\"SMA\",I49,I50))","v":0},{"$f":"IF($J$7=\"COSTS\",J48,IF($J$7=\"SMA\",J49,J50))","v":0},{"$f":"SUM(I51:J51)","v":0},{"$f":"L48","v":13906.563954950232},{"$f":"M48","v":67726.718241711351},{"$f":"N48","v":90985.58829680398},{"$f":"SUM(L51:N51)","v":172618.87049346557},{"$f":"P48","v":0},{"$f":"SUM(O51:P51)","v":172618.87049346557}]
[]
[{"$f":"A51+1","v":33},"Enhanced SD/MC (Refugees) Cost",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!Q81+MH1960_PHYS_05!Q81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!Q81+MH1960_PHYS_05_ADMIN!Q81","v":0},{"$f":"SUM(I53:J53)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E51","v":0},{"$f":"MH1966_MODE10!E51+MH1960_HOSP_10!Q81+MH1960_PHYS_10!Q81","v":0},{"$f":"'MH1966_MODE15_(1)'!E51+MH1960_HOSP_15!Q81+MH1960_PHYS_15!Q81","v":0},{"$f":"SUM(L53:N53)","v":0},{"$f":"'MH1966_MODE15_(2)'!E51","v":0},{"$f":"SUM(O53:P53)","v":0}]
[{"$f":"A53+1","v":34},"Enhanced SD/MC (Refugees) SMA Upper Limits",null,"7/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M26","v":0},{"$f":"SUM(I54:J54)","v":0}]
[{"$f":"A54+1","v":35},"Enhanced SD/MC (Refugees) Published Charges",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$P$17:$P$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$P$17:$P$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I55:J55)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E52","v":0},{"$f":"MH1966_MODE10!G52","v":0},{"$f":"'MH1966_MODE15_(1)'!G52","v":0},{"$f":"SUM(L55:N55)","v":0},null,{"$f":"SUM(O55:P55)","v":0}]
[{"$f":"A55+1","v":36},"Enhanced SD/MC (Refugees) Gross Reimbursement",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I53,IF($I$7=\"SMA\",I54,I55))","v":0},{"$f":"IF($J$7=\"COSTS\",J53,IF($J$7=\"SMA\",J54,J55))","v":0},{"$f":"SUM(I56:J56)","v":0},{"$f":"IF($L$7=\"COSTS\",L53,L55)","v":0},{"$f":"IF($L$7=\"COSTS\",M53,M55)","v":0},{"$f":"IF($L$7=\"COSTS\",N53,N55)","v":0},{"$f":"SUM(L56:N56)","v":0},{"$f":"IF($P$7=\"COSTS\",P53,P55)","v":0},{"$f":"SUM(O56:P56)","v":0}]
[]
[{"$f":"A56+1","v":37},"Medi-Cal  Access Program (MCAP) Cost",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"MH1960_HOSP_05!S81+MH1960_PHYS_05!S81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!S81+MH1960_PHYS_05_ADMIN!S81","v":0},{"$f":"SUM(I58:J58)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E60","v":0},{"$f":"MH1966_MODE10!E60+MH1960_HOSP_10!S81+MH1960_PHYS_10!S81","v":0},{"$f":"'MH1966_MODE15_(1)'!E60+MH1960_HOSP_15!S81+MH1960_PHYS_15!S81","v":0},{"$f":"SUM(L58:N58)","v":0},{"$f":"'MH1966_MODE15_(2)'!E60","v":0},{"$f":"SUM(O58:P58)","v":0}]
[{"$f":"A58+1","v":38},"Medi-Cal  Access Program (MCAP) SMA Upper Limits",null,"7/1/20 - 9/30/20",null,null,null,null,null,{"$f":"'MH1991'!M27","v":0},{"$f":"SUM(I59:J59)","v":0}]
[{"$f":"A59+1","v":39},"Medi-Cal  Access Program (MCAP) Published Charges",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$R$17:$R$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$R$17:$R$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I60:J60)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E61","v":0},{"$f":"MH1966_MODE10!G61","v":0},{"$f":"'MH1966_MODE15_(1)'!G61","v":0},{"$f":"SUM(L60:N60)","v":0},null,{"$f":"SUM(O60:P60)","v":0}]
[{"$f":"A60+1","v":40},"Medi-Cal  Access Program (MCAP) Gross Reimbursement",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I58,IF($I$7=\"SMA\",I59,I60))","v":0},{"$f":"IF($J$7=\"COSTS\",J58,IF($J$7=\"SMA\",J59,J60))","v":0},{"$f":"SUM(I61:J61)","v":0},{"$f":"IF($L$7=\"COSTS\",L58,L60)","v":0},{"$f":"IF($L$7=\"COSTS\",M58,M60)","v":0},{"$f":"IF($L$7=\"COSTS\",N58,N60)","v":0},{"$f":"SUM(L61:N61)","v":0},{"$f":"IF($P$7=\"COSTS\",P58,P60)","v":0},{"$f":"SUM(O61:P61)","v":0}]
[]
[{"$f":"A61+1","v":41},"Medi-Cal  Access Program (MCAP) Cost",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"MH1960_HOSP_05!U81+MH1960_PHYS_05!U81","v":0},{"$f":"MH1960_HOSP_05_ADMIN!U81+MH1960_PHYS_05_ADMIN!U81","v":0},{"$f":"SUM(I63:J63)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E63","v":0},{"$f":"MH1966_MODE10!E63+MH1960_HOSP_10!U81+MH1960_PHYS_10!U81","v":0},{"$f":"'MH1966_MODE15_(1)'!E63+MH1960_HOSP_15!U81+MH1960_PHYS_15!U81","v":0},{"$f":"SUM(L63:N63)","v":0},{"$f":"'MH1966_MODE15_(2)'!E63","v":0},{"$f":"SUM(O63:P63)","v":0}]
[{"$f":"A63+1","v":42},"Medi-Cal  Access Program (MCAP) SMA Upper Limits",null,"10/1/20 - 6/30/21",null,null,null,null,null,{"$f":"'MH1991'!M28","v":0},{"$f":"SUM(I64:J64)","v":0}]
[{"$f":"A64+1","v":43},"Medi-Cal  Access Program (MCAP) Published Charges",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(MH1960_HOSP_05!$T$17:$T$29)*MH1901_Schedule_A!$H$14","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$T$17:$T$29)*MH1901_Schedule_A!$H$15","v":0},{"$f":"SUM(I65:J65)","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E64","v":0},{"$f":"MH1966_MODE10!G64","v":0},{"$f":"'MH1966_MODE15_(1)'!G64","v":0},{"$f":"SUM(L65:N65)","v":0},null,{"$f":"SUM(O65:P65)","v":0}]
[{"$f":"A65+1","v":44},"Medi-Cal  Access Program (MCAP) Gross Reimbursement",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"IF($I$7=\"COSTS\",I63,IF($I$7=\"SMA\",I64,I65))","v":0},{"$f":"IF($J$7=\"COSTS\",J63,IF($J$7=\"SMA\",J64,J65))","v":0},{"$f":"SUM(I66:J66)","v":0},{"$f":"L63","v":0},{"$f":"M63","v":0},{"$f":"N63","v":0},{"$f":"SUM(L66:N66)","v":0},{"$f":"IF($P$7=\"COSTS\",P63,P65)","v":0},{"$f":"SUM(O66:P66)","v":0}]
[]
[null,"Less:  Patient and Other Payor Revenue"]
[{"$f":"A66+1","v":45},"     Medi-Cal Revenue",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$G$20:$G$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$G$20:$G$103,0),0))","v":0},{"$f":"SUM(I69:J69)","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$G$20:$G$103,0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"10\",MH1901_Schedule_B!$G$20:$G$103,0))","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103),0))","v":9000},{"$f":"SUM(L69:N69)","v":9000},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$G$20:$G$103,0))-N69","v":0},{"$f":"SUM(O69:P69)","v":9000}]
[{"$f":"A69+1","v":46},"     Enhanced Non CHIP (Children) Revenue",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$I$20:$I$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$I$20:$I$103,0),0))","v":0},{"$f":"SUM(I70:J70)","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$I$20:$I$103,0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"10\",MH1901_Schedule_B!$I$20:$I$103,0))","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103),0))","v":0},{"$f":"SUM(L70:N70)","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$I$20:$I$103,0))-N70","v":0},{"$f":"SUM(O70:P70)","v":0}]
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[{"$f":"A73+1","v":50},"     Enhanced SD/MC (Pregnancy) Revenue",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$Q$20:$Q$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$Q$20:$Q$103,0),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$Q$20:$Q$103,0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"10\",MH1901_Schedule_B!$Q$20:$Q$103,0))","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Q$20:$Q$103,0))-N74","v":0},0]
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[{"$f":"A75+1","v":52},"     Affordable Care Act (ACA) Revenue 90%",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$U$20:$U$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$U$20:$U$103,0),0))","v":0},{"$f":"SUM(I76:J76)","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$U$20:$U$103,0),0))","v":0},{"$f":"SUMIF(MH1901_Schedule_B!$C$20:$C$103, 10,MH1901_Schedule_B!$U$20:$U$103)","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103),0))","v":650},{"$f":"SUM(L76:N76)","v":650},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$U$20:$U$103,0))-N76","v":0},{"$f":"SUM(O76:P76)","v":650}]
[53,"     State Funded Beneficiaries Revenue",null,"7/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$AA$20:$AA$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$AA20:$AA$103,0),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$AA$20:$AA$103,0),0))","v":0},{"$f":"SUMIF(MH1901_Schedule_B!$C$20:$C$103, 10,MH1901_Schedule_B!$AA$20:$AA$103)","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$AA$20:$AA$103,0))-N77","v":0},0]
[{"$f":"A77+1","v":54},"     Medi-Cal  Access Program (MCAP) Revenue",null,"7/1/20 - 9/30/20",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$W$20:$W$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$W$20:$W$103,0),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$W$20:$W$103,0),0))","v":0},{"$f":"SUMIF(MH1901_Schedule_B!$C$20:$C$103, 10,MH1901_Schedule_B!$W$20:$W$103)","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$W$20:$W$103,0))-N78","v":0},0]
[{"$f":"A78+1","v":55},"     Medi-Cal Access Program (MCAP) Revenue",null,"10/1/20 - 6/30/21",null,null,null,null,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>=\"10\",IF(MH1901_Schedule_B!$D$20:$D$103<\"19\",MH1901_Schedule_B!$Y$20:$Y$103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103=\"19\",MH1901_Schedule_B!$Y$20:$Y$103,0),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"05\",IF(MH1901_Schedule_B!$D$20:$D$103>\"19\",MH1901_Schedule_B!$Y$20:$Y$103,0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"10\",MH1901_Schedule_B!$Y$20:$Y$103,0))","v":0},{"$f":"SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"HOSP\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103,0),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"ISA\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CAW\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103),0))+SUM(IF(UPPER(MH1901_Schedule_B!$B$20:$B$103)=\"CCR\",IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103),0))","v":0},0,{"$f":"SUM(IF(MH1901_Schedule_B!$C$20:$C$103=\"15\",MH1901_Schedule_B!$Y$20:$Y$103,0))-N79","v":0},0]
[]
[{"$f":"A79+1","v":56},"Total Expenditures from MAA (Mode 55)",null,"7/1/20 - 6/30/21",{"$f":"SUM(IF(MH1901_Schedule_C!E20:E103=\"55\",IF(MH1901_Schedule_C!F20:F103>=\"01\",IF(MH1901_Schedule_C!F20:F103<=\"09\",MH1901_Schedule_C!L20:L103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_C!E20:E103=\"55\",IF(MH1901_Schedule_C!F20:F103>=\"11\",IF(MH1901_Schedule_C!F20:F103<=\"19\",MH1901_Schedule_C!L20:L103,0),0),0)) + SUM(IF(MH1901_Schedule_C!E20:E103=\"55\",IF(MH1901_Schedule_C!F20:F103>=\"31\",IF(MH1901_Schedule_C!F20:F103<=\"39\",MH1901_Schedule_C!L20:L103,0),0),0))","v":0},{"$f":"SUM(IF(MH1901_Schedule_C!E20:E103=\"55\",IF(MH1901_Schedule_C!F20:F103>=\"21\",IF(MH1901_Schedule_C!F20:F103<=\"29\",MH1901_Schedule_C!L20:L103,0),0),0))","v":0},{"$f":"MH1966_MODE55!E15","v":0}]
[{"$f":"A81+1","v":57},"Medi-Cal Eligibility Factor (Average)",null,null,null,{"$f":"MH1901_Schedule_A!H56","v":""}]
[{"$f":"A82+1","v":58},"SD/MC Net Reimbursement for MAA",null,null,{"$f":"E81","v":0},{"$f":"IF(F$82=\"\",0,F81*F82)","v":0},{"$f":"IF(F$82=\"\",0,G81*F82)","v":0},{"$f":"SUM(E83:G83)","v":0}]

{"sheet":"MH1969_INST","index":41,"n_rows":6,"n_cols":4,"rows_kept":6,"cut":false,"hidden":false,"merged":[[5,3,5,10],[0,0,0,10],[2,3,2,10],[3,3,3,10],[4,3,4,10],[1,2,1,10]]}
["Nominal Fee Provider determination\nPlease answer the following questions."]
["Yes","No"]
[null,null,"1.","Does your legal entity have a published schedule of its full (non-discounted) charges?"]
[null,null,"2.","Are your legal entity's revenue for patient care based on application of published charge schedule?"]
[null,null,"3.","Does your legal entity maintain written policies for its process of making patient indigence determinations?"]
[null,null,"4.","Does your legal entity maintain sufficient documentation to support the amount of  “indigence allowances” written off in accordance with the above procedures?"]

{"sheet":"MH1969","index":42,"n_rows":32,"n_cols":9,"rows_kept":32,"cut":false,"hidden":false,"merged":[[13,1,13,3],[14,1,14,3],[12,1,12,3],[5,0,5,1],[6,0,6,1],[8,0,8,1],[9,0,9,1],[10,0,11,3],[15,1,15,3],[16,1,16,3],[19,1,19,3],[20,1,20,3],[17,1,17,3],[18,1,18,3],[25,1,25,3],[26,1,26,3],[21,1,21,3],[22,1,22,3],[23,1,23,3],[24,1,24,3]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["LOWER OF COSTS OR CHARGES EXEMPTION DETERMINATION (Optional)"]
[{"$f":"\"MH 1969 \"&Revision_Date","v":"MH 1969 (Rev. 02/2019)"},null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
["County:",null,{"$f":"County_Name","v":"Los Angeles"}]
["County Code:",null,{"$f":"County_Code","v":"19"}]
[]
["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,"Total"]
[null,null,null,null,"Inpatient",null,null,null,"Total"]
[null,null,null,null,"Mode 05\nHospital\nInpatient","Mode 05\nOther 24 Hour Services","Mode 10\nDay Services","Mode 15\nOutpatient\nServices","Outpatient"]
[1,"Amount billed to Medi-Cal",null,null,null,null,null,null,{"$f":"SUM(F13:H13)","v":0}]
[]
[null,"Non-Medicare/Medi-Cal Actual Charges"]
[2,"Non-Medicare/Medi-Cal Patient Revenue"]
[3,"Non-Medicare/Medi-Cal Patient Insurance"]
[4,"Subtotal",null,null,{"$f":"SUM(E16:E17)","v":0},null,null,null,{"$f":"SUM(I16:I17)","v":0}]
[]
[5,"Non-Medicare/Medi-Cal Published Charges",null,null,null,null,null,null,{"$f":"SUM(F20:H20)","v":0}]
[]
[6,"Ratio of Actual to Published Charges",null,null,{"$f":"IF(AND(E18>0,E20>0),E18/E20,0)","v":0},null,null,null,{"$f":"IF(AND(I18>0,I20>0),I18/I20,0)","v":0}]
[]
[7,"Medi-Cal Adjusted Customary Charges",null,null,{"$f":"E13*E22","v":0},null,null,null,{"$f":"I13*I22","v":0}]
[]
[8,"Medi-Cal Costs",null,null,{"$f":"SUM('MH1968'!I13+'MH1968'!I18+'MH1968'!I23+'MH1968'!I28+'MH1968'!I33+'MH1968'!I38+'MH1968'!I43+'MH1968'!I48+'MH1968'!I53+'MH1968'!I58+'MH1968'!I63)","v":0},null,null,null,{"$f":"'MH1968'!O13+'MH1968'!O23+'MH1968'!O18+'MH1968'!O28+'MH1968'!O43+'MH1968'!O48+'MH1968'!O33+'MH1968'!O38+'MH1968'!O53+'MH1968'!O58+'MH1968'!O63","v":42346667.972934447}]
[9,"60 Percent of Medi-Cal Costs",null,null,{"$f":"E26*0.6","v":0},null,null,null,{"$f":"I26*0.6","v":25408000.783760667}]
[]
["MHSD use only",null,null,null,"Inpatient",null,null,null,"Outpatient"]
[null,null,null,"Line 9 greater than line 7.",{"$f":"IF(AND(E27>E24,E24>0),\"X\",\" \")","v":" "},"Exempt",null,null,{"$f":"IF(AND(I27>I24,I24>0),\"X\",\" \")","v":" "}]
[]
[null,null,null,"Line 7 greater than line 9.",{"$f":"IF(OR(E24>E27,E24=0),\"X\",\" \")","v":"X"},"Not Exempt",null,null,{"$f":"IF(OR(I24>I27,I24=0),\"X\",\" \")","v":"X"}]

{"sheet":"MH1992_INST","index":43,"n_rows":24,"n_cols":6,"rows_kept":24,"cut":false,"hidden":true,"merged":[[19,3,19,4],[22,3,22,4],[23,3,23,4],[14,3,14,4],[15,3,15,4],[16,3,16,4],[17,3,17,4],[18,3,18,4],[21,3,21,4],[20,3,20,4],[0,0,0,5],[5,3,5,4],[6,3,6,4],[7,3,7,4],[2,3,2,4],[3,3,3,4],[4,3,4,4],[12,3,12,4],[13,3,13,4],[8,3,8,4],[9,3,9,4],[10,3,10,4],[11,3,11,4]]}
["Identification of Funding Sources\nPlease check all that apply."]
["Yes","No",null,"Funding Sources",null,"MH1992"]
[null,null,"1.","SAMHSA Grants",null,"(Line 4) "]
[null,null,"2.","PATH Grants",null,"(Line 5)"]
[null,null,"3.","RWJ Grants",null,"(Line 6)"]
[null,null,"4.","Other Grants",null,"(Line 7)"]
[null,null,"5.","Patient Fees",null,"(Line 9)"]
[null,null,"6.","Patient Insurance",null,"(Line 10)"]
[null,null,"7.","Regular SD/MC (FFP only)",null,"(Line 11)"]
[null,null,"8.","Healthy Family - Fed share",null,"(Line 12)"]
[null,null,"9.","Medicare - Fed. Share",null,"(Line 13)"]
[null,null,"10.","Conservatorship Admin. Fees",null,"(Line 14)"]
[null,null,"11.","State General Fund-State Share",null,"(Line 15)"]
[null,null,12,"State General Fund-County Match",null,"(Line 16)"]
[null,null,13,"SGF-Managed Care - Outpatient",null,"(Line 17)"]
[null,null,14,"05-06 Rollover - Managed Care-Other",null,"(Line 18)"]
[null,null,"15.","EPSDT SD/MC - State Share Est.",null,"(Line 19)"]
[null,null,"16.","05-06 SGF Rollover",null,"(Line 20A)"]
[null,null,"17.","Other Revenue",null,"(Line 20B)"]
[null,null,"18.","Realignment Funds/MOE",null,"(Line 21)"]
[null,null,"19.","Prior Years MHSA",null,"(Line 22)"]
[null,null,"20","MHSA",null,"(Line 23)"]
[null,null,"21","County Overmatch",null,"(Line 24)"]
[null,null,"22","CALWORKS",null,"(Line 25)"]

{"sheet":"MH1979","index":44,"n_rows":70,"n_cols":15,"rows_kept":70,"cut":false,"hidden":false,"merged":[[40,1,40,3],[53,1,53,3],[54,1,54,3],[56,1,56,2],[57,1,57,2],[46,1,46,3],[49,1,49,3],[50,1,50,3],[5,0,5,1],[6,0,6,1],[8,0,8,1],[9,0,9,1],[10,0,10,3],[17,1,17,3],[18,1,18,3],[19,1,19,3],[21,1,21,3],[11,1,11,3],[12,1,12,3],[13,1,13,3],[14,1,14,3],[15,1,15,3],[16,1,16,3],[23,1,23,3],[24,1,24,3],[25,1,25,3],[26,1,26,3],[34,1,34,3],[27,1,27,3],[29,1,29,3],[30,1,30,3],[31,1,31,3],[32,1,32,3],[33,1,33,3],[37,1,37,3],[38,1,38,3],[39,1,39,3],[22,1,22,3],[72,1,72,2],[60,1,60,2],[59,1,59,2],[61,1,61,2],[65,1,65,2],[58,1,58,2],[69,1,69,2],[62,1,62,2],[63,1,63,2],[64,1,64,2],[67,1,67,2],[35,1,35,3],[73,1,73,2],[74,1,74,2],[52,1,52,3],[41,1,41,3],[42,1,42,3],[43,1,43,3],[44,1,44,3],[45,1,45,3],[47,1,47,3],[48,1,48,3]]}
["State of California Health and Human Services Agency"]
["DETAIL COST REPORT"]
["SD/MC PRELIMINARY DESK SETTLEMENT"]
[{"$f":"\"MH 1979 \"&Revision_Date","v":"MH 1979 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
["County:",null,{"$f":"County_Name","v":"Los Angeles"}]
["County Code:",null,{"$f":"County_Code","v":"19"}]
[]
["Legal Entity:",null,{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,"A","B","C","D","E","F ","G","H","I","J","K"]
["Legal Entity Number:",null,{"$f":"MH1900_INFO!B8","v":"00055"},null,"Total","Total","Total",null,{"$f":"SDMC_Admin_UR","v":0.5},{"$f":"0.562","v":0.56200000000000006},"1Variable %",{"$f":"SDMC_Skilled_UR_MAA","v":0.75},"Adjustments","Total","Total"]
[null,null,null,null,"MAA","Inpatient","Outpatient","Total","FFP","FFP","FFP","FFP","to FFP","FFP","SGF"]
[null,"SD/MC Other Administrative Reimbursement (County Only) 07/01/20 - 06/30/21"]
[1,"County SD/MC Other Direct Service Gross Reimbursement",null,null,null,{"$f":"SUM('MH1968'!K16,'MH1968'!K21,'MH1968'!K36,'MH1968'!K41,'MH1968'!K46,'MH1968'!K51,'MH1968'!K56)","v":0},{"$f":"SUM('MH1968'!Q16,'MH1968'!Q21,'MH1968'!Q36,'MH1968'!Q41,'MH1968'!Q46,'MH1968'!K51,'MH1968'!Q56)","v":41923589.326255322},{"$f":"F13+G13","v":41923589.326255322}]
[{"$f":"A13+1","v":2},"Contract Providers Other Medi-Cal Direct Service Gross Reimbursement",null,null,null,{"$f":"MH1900_INFO!B25","v":0},{"$f":"MH1900_INFO!B26","v":0},{"$f":"F14+G14","v":0}]
[{"$f":"A14+1","v":3},"Total Medi-Cal Direct Service Gross Reimbursement",null,null,null,null,null,{"$f":"H13+H14","v":41923589.326255322}]
[4,"Medi-Cal Administrative Reimbursement Limit ",null,null,null,null,null,{"$f":"0.15*(H13+H14)","v":6288538.3989382982}]
[5,"Medi-Cal Administration ",null,null,null,null,null,{"$f":"'MH1960'!N40+'MH1960'!N46","v":0}]
[6,"Proposition 30 Medi-Cal Administration",null,null,null,null,null,{"$f":"SUM(H39:H40)","v":0}]
[7,"Total Medi-Cal Administration (5+6)",null,null,null,null,null,{"$f":"SUM(H17:H18)","v":0}]
[8,"Medi-Cal Administrative Reimbursement ",null,null,null,null,null,{"$f":"IF(H19<H16,H17,H16)","v":0},{"$f":"(H20)*I$10","v":0},null,null,null,null,{"$f":"I20","v":0}]
[]
[null,"SD/MC Enhanced (Children) Administrative Reimbursement (County Only): 07/01/20 - 09/30/20"]
["9","County SD/MC Enhanced (Children) Direct Service Gross Reimbursement",null,null,null,{"$f":"'MH1968'!K26+'MH1968'!K61","v":0},{"$f":"'MH1968'!Q26+'MH1968'!Q61","v":75762.759905136278},{"$f":"F23+G23","v":75762.759905136278}]
[{"$f":"A23+1","v":10},"Contract Providers SD/MC Enhanced (Children) Direct Service Gross Reim",null,null,null,{"$f":"MH1900_INFO!B29","v":0},{"$f":"MH1900_INFO!B30","v":0},{"$f":"F24+G24","v":0}]
[{"$f":"A24+1","v":11},"Total SD/MC Enhanced (Children) Direct Service Gross Reimbursement",null,null,null,null,null,{"$f":"H23+H24","v":75762.759905136278}]
[{"$f":"A25+1","v":12},"SD/MC Enhanced (Children) Administrative Reimbursement Limit",null,null,null,null,null,{"$f":"H25*0.1","v":7576.2759905136281}]
[{"$f":"A26+1","v":13},"SD/MC Enhanced (Children) Administration",null,null,null,null,null,{"$f":"'MH1960'!N41","v":0}]
[{"$f":"A27+1","v":14},"SD/MC Enhanced (Children) Administrative Reimbursement",null,null,null,null,null,{"$f":"IF(H26<H27,H26,H27)","v":0},null,null,{"$f":"H28*0.8084","v":0},null,null,{"$f":"K28","v":0}]
[]
[null,"SD/MC Enhanced (Children) Administrative Reimbursement (County Only): 10/01/20 - 06/30/21"]
[{"$f":"A28+1","v":15},"County SD/MC Enhanced (Children) Direct Service Gross Reimbursement",null,null,null,{"$f":"'MH1968'!K31+'MH1968'!K66","v":0},{"$f":"'MH1968'!Q31+'MH1968'!Q66","v":174697.01628051585},{"$f":"F31+G31","v":174697.01628051585}]
[{"$f":"A31+1","v":16},"Contract Providers SD/MC Enhanced (Children) Direct Service Gross Reim",null,null,null,{"$f":"MH1900_INFO!F29","v":0},{"$f":"MH1900_INFO!F30","v":0},{"$f":"F32+G32","v":0}]
[{"$f":"A32+1","v":17},"Total SD/MC Enhanced (Children) Direct Service Gross Reimbursement",null,null,null,null,null,{"$f":"H31+H32","v":174697.01628051585}]
[{"$f":"A33+1","v":18},"SD/MC Enhanced (Children) Administrative Reimbursement Limit",null,null,null,null,null,{"$f":"H33*0.1","v":17469.701628051585}]
[{"$f":"A34+1","v":19},"SD/MC Enhanced (Children) Administration",null,null,null,null,null,{"$f":"'MH1960'!N47","v":0}]
[{"$f":"A35+1","v":20},"SD/MC Enhanced (Children) Administrative Reimbursement",null,null,null,null,null,{"$f":"IF(H34<H35,H34,H35)","v":0},null,null,{"$f":"H36*0.6934","v":0},null,null,{"$f":"K36","v":0}]
[]
[" ","County - Administrative Cost  - Proposition 30: 07/01/20 - 06/30/21"]
["21","Proposition 30 - State Required",null,null,null,null,null,{"$f":"'MH1960'!N43+'MH1960'!N49","v":0},null,null,null,null,null,null,{"$f":"H39*0.5","v":0}]
[{"$f":"A39+1","v":22},"Proposition 30 - Federally Required",null,null,null,null,null,{"$f":"'MH1960'!N44+'MH1960'!N50","v":0},null,null,null,null,null,null,{"$f":"H40*0.25","v":0}]
[]
[null,"Utilization Review and Quality Assurance - Proposition 30"]
["23","Proposition 30 - Federally Required- SPMP",null,null,null,null,null,{"$f":"'MH1960'!N54","v":0},null,null,{"$f":"H43*0.75","v":0},null,null,{"$f":"K43","v":0},{"$f":"H43*0.125","v":0}]
[{"$f":"A43+1","v":24},"Proposition 30 - Federally Required - Other",null,null,null,null,null,{"$f":"'MH1960'!N55","v":0},{"$f":"H44*0.5","v":0},null,null,null,null,{"$f":"I44","v":0},{"$f":"H44*0.25","v":0}]
[{"$f":"A44+1","v":25},"Proposition 30 - State Required - SPMP",null,null,null,null,null,{"$f":"'MH1960'!N56","v":0},null,null,{"$f":"H45*0.75","v":0},null,null,{"$f":"K45","v":0},{"$f":"H45*0.25","v":0}]
[{"$f":"A45+1","v":26},"Proposition 30 - State Required - Other",null,null,null,null,null,{"$f":"'MH1960'!N57","v":0},{"$f":"H46*0.5","v":0},null,null,null,null,{"$f":"I46","v":0},{"$f":"H46*0.5","v":0}]
[]
[null,"SD/MC Net Reimbursement for MAA"]
[{"$f":"A46+1","v":27},"Medi-Cal Admin. Activities Svc Functions 01 - 09 ",null,null,{"$f":"'MH1968'!E83","v":0},null,null,{"$f":"E49","v":0},{"$f":"H49*I10","v":0},null,null,null,{"$f":"MH1900_INFO!F65","v":0},{"$f":"IF(OR(I49=\"\",I49=0),0,I49-M49)","v":0}]
[{"$f":"A49+1","v":28},"Medi-Cal Admin. Activities Svc Functions 11 - 19, 31 - 39 ",null,null,{"$f":"'MH1968'!F83","v":0},null,null,{"$f":"E50","v":0},{"$f":"H50*I10","v":0},null,null,null,{"$f":"MH1900_INFO!F66","v":0},{"$f":"IF(OR(I50=\"\",I50=0),0,I50-M50)","v":0}]
[{"$f":"A50+1","v":29},"Medi-Cal Admin. Activities Svc Functions 21 - 29 (County Only)",null,null,{"$f":"'MH1968'!G83","v":0},null,null,{"$f":"E51","v":0},null,null,null,{"$f":"H51*L10","v":0},null,{"$f":"L51","v":0}]
[]
[null,"Utilization Review and Quality Assurance"]
[{"$f":"A51+1","v":30},"Utilization Review-Skilled Prof. Med. Personnel (County Only)",null,null,null,null,null,{"$f":"'MH1960'!N52","v":0},null,null,null,{"$f":"H54*L10","v":0},null,{"$f":"L54","v":0}]
[{"$f":"A54+1","v":31},"Other SD/MC Utilization Review (County Only)",null,null,null,null,null,{"$f":"'MH1960'!N53","v":0},{"$f":"H55*I10","v":0},null,null,null,null,{"$f":"I55","v":0}]
[]
[{"$f":"A55+1","v":32},"SD/MC Net Reimbursement for Direct Services",null,"07/01/20 - 06/30/21",null,{"$f":"SUM('MH1968'!K16)-'MH1968'!K69","v":0},{"$f":"'MH1968'!Q16-'MH1968'!Q69","v":22011610.823128544},{"$f":"SUM(F57:G57)","v":22011610.823128544},null,{"$f":"H57*$J$10","v":12370525.282598242},null,null,{"$f":"MH1900_INFO!F57","v":0},{"$f":"IF(OR(J57=\"\",J57=0),0,J57-M57)","v":12370525.282598242},{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF33+MH1966_MODE10!U33+'MH1966_MODE5(OTHR)'!S33-MH1901_Schedule_B!G105)*(1-0.562),('MH1966_MODE15_(1)'!CF34+MH1966_MODE10!U34+'MH1966_MODE5(OTHR)'!S34-MH1901_Schedule_B!G105)*(1-0.562))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U33-MH1901_Schedule_B!$G$107)*(1-0.562),((MH1901_Schedule_B!$F$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$G$107)*(1-0.562))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T33-MH1901_Schedule_B!$G$106)*(1-0.562),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$F$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$G$106)*(1-0.562),((MH1901_Schedule_B!$F$106*569.54)-MH1901_Schedule_B!$G$106)*(1-0.562)))","v":111.68465639999999}]
["33","Enhanced Non CHIP Children",null,"07/01/20 - 06/30/21",null,{"$f":"'MH1968'!K21-'MH1968'!K70","v":0},{"$f":"'MH1968'!Q21-'MH1968'!Q70","v":0},{"$f":"SUM(F58:G58)","v":0},null,null,{"$f":"H58*0.6934","v":0},null,{"$f":"MH1900_INFO!F58","v":0},{"$f":"IF(OR(K58=\"\",K58=0),0,K58-M58)","v":0},{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF36+MH1966_MODE10!U36+'MH1966_MODE5(OTHR)'!S36-MH1901_Schedule_B!I105)*(1-0.6934),('MH1966_MODE15_(1)'!CF37+MH1966_MODE10!U37+'MH1966_MODE5(OTHR)'!S37-MH1901_Schedule_B!I105)*(1-0.6934))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U36-MH1901_Schedule_B!$I$107)*(1-0.6934),((MH1901_Schedule_B!$H$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$I$107)*(1-0.6934))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T36-MH1901_Schedule_B!$I$106)*(1-0.6934),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$H$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$I$106)*(1-0.6934),((MH1901_Schedule_B!$H$106*569.54)-MH1901_Schedule_B!$I$106)*(1-0.6934)))","v":0}]
["34","Enhanced SD/MC (Children)",null,"07/01/20 - 09/30/20",null,{"$f":"'MH1968'!K26-'MH1968'!K71","v":0},{"$f":"'MH1968'!Q26-'MH1968'!Q71","v":75762.759905136278},75762.759905136278,null,null,{"$f":"H59*0.8084","v":61246.615107312165},null,{"$f":"MH1900_INFO!F59","v":0},61246.615107312165,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF39+MH1966_MODE10!U39+'MH1966_MODE5(OTHR)'!S39-MH1901_Schedule_B!K105)*(1-0.8084),('MH1966_MODE15_(1)'!CF40+MH1966_MODE10!U40+'MH1966_MODE5(OTHR)'!S40-MH1901_Schedule_B!K105)*(1-0.8084))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U39-MH1901_Schedule_B!$K$107)*(1-0.8084),((MH1901_Schedule_B!$J$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$K$107)*(1-0.8084))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T39-MH1901_Schedule_B!$K$106)*(1-0.8084),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$J$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$K$106)*(1-0.8084),((MH1901_Schedule_B!$J$106*569.54)-MH1901_Schedule_B!$K$106)*(1-0.8084)))","v":20.391202440000001}]
["35","Enhanced SD/MC (Children)",null,"10/01/20 - 06/30/21",null,{"$f":"'MH1968'!K31-'MH1968'!K72","v":0},{"$f":"'MH1968'!Q31-'MH1968'!Q72","v":171697.01628051585},171697.01628051585,null,null,{"$f":"H60*0.6934","v":119054.71108890969},null,{"$f":"MH1900_INFO!F60","v":0},119054.71108890969,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF42+MH1966_MODE10!U42+'MH1966_MODE5(OTHR)'!S42-MH1901_Schedule_B!M105)*(1-0.6934),('MH1966_MODE15_(1)'!CF43+MH1966_MODE10!U43+'MH1966_MODE5(OTHR)'!S43-MH1901_Schedule_B!M105)*(1-0.6934))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U42-MH1901_Schedule_B!$M$107)*(1-0.6934),((MH1901_Schedule_B!$L$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$M$107)*(1-0.6934))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T42-MH1901_Schedule_B!$M$106)*(1-0.6934),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$L$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$M$106)*(1-0.6934),((MH1901_Schedule_B!$L$106*569.54)-MH1901_Schedule_B!$M$106)*(1-0.6934)))","v":0}]
["36","Enhanced SD/MC Net Reimb. (BCCTP)",null,"07/01/20 - 06/30/21",null,{"$f":"'MH1968'!K36-'MH1968'!K73","v":0},{"$f":"'MH1968'!Q36-'MH1968'!Q73","v":0},0,null,null,{"$f":"H61*0.6934","v":0},null,{"$f":"MH1900_INFO!F61","v":0},0,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF45+MH1966_MODE10!U45+'MH1966_MODE5(OTHR)'!S45-MH1901_Schedule_B!O105)*(1-0.6934),('MH1966_MODE15_(1)'!CF46+MH1966_MODE10!U46+'MH1966_MODE5(OTHR)'!S46-MH1901_Schedule_B!O105)*(1-0.6934))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U45-MH1901_Schedule_B!$O$107)*(1-0.6934),((MH1901_Schedule_B!$N$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$O$107)*(1-0.6934))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T45-MH1901_Schedule_B!$O$106)*(1-0.6934),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$N$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$O$106)*(1-0.6934),((MH1901_Schedule_B!$N$106*569.54)-MH1901_Schedule_B!$O$106)*(1-0.6934)))","v":0}]
["37","Enhanced SD/MC Net Reimb. (Pregnancy)",null,"07/01/20 - 06/30/21",null,{"$f":"'MH1968'!K41-'MH1968'!K74","v":0},{"$f":"'MH1968'!Q41-'MH1968'!Q74","v":27172.241236388963},27172.241236388963,null,null,{"$f":"H62*0.6934","v":18841.232073312109},null,{"$f":"MH1900_INFO!F62","v":0},18841.232073312109,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF48+MH1966_MODE10!U48+'MH1966_MODE5(OTHR)'!S48-MH1901_Schedule_B!Q105)*(1-0.6934),('MH1966_MODE15_(1)'!CF49+MH1966_MODE10!U49+'MH1966_MODE5(OTHR)'!S49-MH1901_Schedule_B!Q105)*(1-0.6934))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U48-MH1901_Schedule_B!$Q107)*(1-0.6934),((MH1901_Schedule_B!$P$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$Q$107)*(1-0.6934))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T48-MH1901_Schedule_B!$Q$106)*(1-0.6934),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$P$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$Q$106)*(1-0.6934),((MH1901_Schedule_B!$P$106*569.54)-MH1901_Schedule_B!$Q$106)*(1-0.6934)))","v":0}]
["38","Enhanced SD/MC Net Reimb. (Refugees)",null,"07/01/20 - 06/30/21",null,{"$f":"'MH1968'!K56-'MH1968'!K75","v":0},{"$f":"'MH1968'!Q56-'MH1968'!Q75","v":0},0,null,null,{"$f":"H63*1","v":0},null,{"$f":"MH1900_INFO!F63","v":0},0]
["39","Affordable Care Act (ACA) Net Reimbursement",null,"07/01/20 - 06/30/21",null,{"$f":"'MH1968'!K46-'MH1968'!K76","v":0},{"$f":"'MH1968'!Q46-'MH1968'!Q76","v":19875156.261890393},19875156.261890393,null,null,{"$f":"H64*0.9","v":17887640.635701355},null,{"$f":"MH1900_INFO!F64","v":0},{"$f":"IF(OR(K64=\"\",K64=0),0,K64-M64)","v":17887640.635701355},{"$f":"(H64-K64)","v":1987515.6261890382}]
["40","MCAP Net Reimbursement",null,"07/01/20 - 09/30/20",null,{"$f":"'MH1968'!K61-'MH1968'!K78","v":0},{"$f":"'MH1968'!Q61-'MH1968'!Q78","v":0},0,null,null,{"$f":"H65*0.8084","v":0},null,{"$f":"MH1900_INFO!F67","v":0},0,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF60+MH1966_MODE10!U60+'MH1966_MODE5(OTHR)'!S60-MH1901_Schedule_B!W105)*(1-0.8084),('MH1966_MODE15_(1)'!CF61+MH1966_MODE10!U61+'MH1966_MODE5(OTHR)'!S61-MH1901_Schedule_B!W105)*(1-0.8084))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U60-MH1901_Schedule_B!$W$107)*(1-0.8084),((MH1901_Schedule_B!$V$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$W$107)*(1-0.8084))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T60-MH1901_Schedule_B!$W$106)*(1-0.8084),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$V$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$W$106)*(1-0.8084),((MH1901_Schedule_B!$V$106*569.54)-MH1901_Schedule_B!$W$106)*(1-0.8084)))","v":0}]
["41","MCAP Net Reimbursement",null,"10/01/20 - 06/30/21",null,{"$f":"'MH1968'!K66-'MH1968'!K79","v":0},{"$f":"'MH1968'!Q66-'MH1968'!Q79","v":0},0,null,null,{"$f":"H66*0.6934","v":0},null,{"$f":"MH1900_INFO!F68","v":0},0,{"$f":"IF('MH1968'!L7=\"COSTS\",('MH1966_MODE15_(1)'!CF63+MH1966_MODE10!U63+'MH1966_MODE5(OTHR)'!S63-MH1901_Schedule_B!Y105)*(1-0.6934),('MH1966_MODE15_(1)'!CF64+MH1966_MODE10!U64+'MH1966_MODE5(OTHR)'!S64-MH1901_Schedule_B!Y105)*(1-0.6934))+IF('MH1968'!$I$7=\"COSTS\",(MH1966_HOSPINPT!U63-MH1901_Schedule_B!$Y$107)*(1-0.6934),((MH1901_Schedule_B!$X$107*MH1901_Schedule_A!$H$14)-MH1901_Schedule_B!$Y$107)*(1-0.6934))+IF('MH1968'!$J$7=\"COSTS\",(MH1966_HOSPINPT!T63-MH1901_Schedule_B!$Y$106)*(1-0.6934),IF('MH1968'!$J$7=\"PC\",((MH1901_Schedule_B!$X$106*MH1901_Schedule_A!$H$15)-MH1901_Schedule_B!$Y$106)*(1-0.6934),((MH1901_Schedule_B!$X$106*569.54)-MH1901_Schedule_B!$Y$106)*(1-0.6934)))","v":0}]
[]
["42","Total SD/MC Reimbursement Before Excess FFP",null,"07/01/20 - 06/30/21",null,null,null,null,null,null,null,null,null,{"$f":"SUM(N20,N28,N36,N43:N46,N49:N51,N54:N55,N57:N66)","v":30457308.476569131}]
[]
[{"$f":"A68+1","v":43},"State Funded Beneficiaries",null,"07/01/20 - 06/30/21",null,{"$f":"('MH1968'!K51)-('MH1968'!K77)","v":0},{"$f":"('MH1968'!Q51)-('MH1968'!Q77)","v":172618.87049346557},{"$f":"F70+G70","v":172618.87049346557},null,null,null,null,null,null,{"$f":"H70","v":172618.87049346557}]

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["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["CALCULATION OF SHORT-DOYLE/MEDI-CAL HOSPITAL ADMINISTRATIVE DAYS"]
[{"$f":"\"MH 1991 \"&Revision_Date","v":"MH 1991 (Rev. 02/2019)"},null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[]
[]
[]
[]
[null,"COUNTY NAME:",null,{"$f":"MH1900_INFO!B9","v":"Los Angeles"},null,null,"LEGAL ENTITY",null,null,"NAME:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"}]
[]
[null,"COUNTY CODE:",null,{"$f":"MH1900_INFO!B10","v":"19"},null,null,null,null,null,"NUMBER:",{"$f":"MH1900_INFO!B8","v":"00055"}]
[]
[null,"A",null,null,null,null,"B","C","D","E","F","G","H"]
[null,"Settlement Group",null,null,null,null,"SMA RATE","PERIOD OF SERVICE","ADMIN DAYS","SUBTOTAL AMOUNT","PHYSICIAN COSTS","ANCILLARY COSTS","TOTAL AMOUNT"]
[]
[]
[1,"SD/MC",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$D$17:$D$29)+SUM(MH1960_HOSP_05_ADMIN!$D$31:$D$62)","v":0},{"$f":"G18*I18","v":0},{"$f":"SUM(MH1960_PHYS_05_ADMIN!$E$17:$E$29)+SUM(MH1960_PHYS_05_ADMIN!$E$31:$E$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$E$17:$E$29)+SUM(MH1960_HOSP_05_ADMIN!$E$31:$E$62)","v":0},{"$f":"IF(I18=\"\",\"\",J18+K18+L18)","v":0}]
["2","Enhanced Non CHIP - Children",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$F$17:$F$29) + SUM(MH1960_HOSP_05_ADMIN!$F$31:$F$62)","v":0},{"$f":"G19*I19","v":0},{"$f":"SUM(MH1960_PHYS_05_ADMIN!$G$17:$G$29)+SUM(MH1960_PHYS_05_ADMIN!$G$31:$G$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$G$17:$G$29)+SUM(MH1960_HOSP_05_ADMIN!$G$31:$G$62)","v":0},{"$f":"IF(I19=\"\",\"\",J19+K19+L19)","v":0}]
["3","Enhanced SD/MC - Children",null,null,null,null,569.54,"7/1/20 - 9/30/20",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$H$17:$H$29) + SUM(MH1960_HOSP_05_ADMIN!$H$31:$H$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$I$17:$I$29)+SUM(MH1960_PHYS_05_ADMIN!$I$31:$I$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$I$17:$I$29)+SUM(MH1960_HOSP_05_ADMIN!$I$31:$I$62)","v":0},0]
["4","Enhanced SD/MC - Children",null,null,null,null,569.54,"10/1/20 - 6/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$J$17:$J$29) + SUM(MH1960_HOSP_05_ADMIN!$J$31:$J$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$K$17:$K$29)+SUM(MH1960_PHYS_05_ADMIN!$K$31:$K$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$K$17:$K$29)+SUM(MH1960_HOSP_05_ADMIN!$K$31:$K$62)","v":0},0]
[{"$f":"A21+1","v":5},"Enhanced SD/MC - BCCTP",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$L$17:$L$29) + SUM(MH1960_HOSP_05_ADMIN!$L$31:$L$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$M$17:$M$29)+SUM(MH1960_PHYS_05_ADMIN!$M$31:$M$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$M$17:$M$29)+SUM(MH1960_HOSP_05_ADMIN!$M$31:$M$62)","v":0},0]
["6","Enhanced SD/MC - Pregnancy",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$N$17:$N$29) + SUM(MH1960_HOSP_05_ADMIN!$N$31:$N$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$O$17:$O$29)+SUM(MH1960_PHYS_05_ADMIN!$O$31:$O$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$O$17:$O$29)+SUM(MH1960_HOSP_05_ADMIN!$O$31:$O$62)","v":0},0]
["7","Affordable Care Act (ACA)",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$V$17:$V$29) + SUM(MH1960_HOSP_05_ADMIN!$V$31:$V$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$W$17:$W$29)+SUM(MH1960_PHYS_05_ADMIN!$W$31:$W$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$W$17:$W$29)+SUM(MH1960_HOSP_05_ADMIN!$W$31:$W$62)","v":0},0]
["8","State Funded Beneficiaries",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$X$17:$X$29) + SUM(MH1960_HOSP_05_ADMIN!$X$31:$X$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$Y$17:$Y$29)+SUM(MH1960_PHYS_05_ADMIN!$Y$31:$Y$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$Y$17:$Y$29)+SUM(MH1960_HOSP_05_ADMIN!$Y$31:$Y$62)","v":0},0]
["9","Enhanced SD/MC - Refugee",null,null,null,null,569.54,"7/1/20 - 06/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$P$17:$P$29) + SUM(MH1960_HOSP_05_ADMIN!$P$31:$P$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$Q$17:$Q$29)+SUM(MH1960_PHYS_05_ADMIN!$Q$31:$Q$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$Q$17:$Q$29)+SUM(MH1960_HOSP_05_ADMIN!$Q$31:$Q$62)","v":0},0]
["10","Medi-Cal  Access Program (MCAP)",null,null,null,null,569.54,"7/1/20 - 9/30/20",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$R$17:$R$29) + SUM(MH1960_HOSP_05_ADMIN!$R$31:$R$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$S$17:$S$29)+SUM(MH1960_PHYS_05_ADMIN!$S$31:$S$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$S$17:$S$29)+SUM(MH1960_HOSP_05_ADMIN!$S$31:$S$62)","v":0},0]
["11","Medi-Cal  Access Program (MCAP)",null,null,null,null,569.54,"10/1/20 - 6/30/21",{"$f":"SUM(MH1960_HOSP_05_ADMIN!$T$17:$T$29) + SUM(MH1960_HOSP_05_ADMIN!$T$31:$T$62)","v":0},0,{"$f":"SUM(MH1960_PHYS_05_ADMIN!$U$17:$U$29)+SUM(MH1960_PHYS_05_ADMIN!$U$31:$U$62)","v":0},{"$f":"SUM(MH1960_HOSP_05_ADMIN!$U$17:$U$29)+SUM(MH1960_HOSP_05_ADMIN!$U$31:$U$62)","v":0},0]
[null,null,null,null,null,null,null,null,"GRAND TOTAL",{"$f":"SUM(J18:J28)","v":0},{"$f":"SUM(K18:K28)","v":0},{"$f":"SUM(L18:L28)","v":0},{"$f":"SUM(M18:M28)","v":0}]

{"sheet":"MH1992","index":46,"n_rows":42,"n_cols":18,"rows_kept":42,"cut":false,"hidden":false,"merged":[[9,4,11,4],[10,5,11,5],[12,1,12,3],[17,2,17,3],[18,2,18,3],[16,1,16,3],[14,1,14,3],[23,2,23,3],[26,2,26,3],[21,2,21,3],[32,2,32,3],[35,2,35,3],[22,2,22,3],[39,1,39,3],[36,2,36,3],[38,2,38,3],[9,13,11,13],[37,2,37,3],[31,2,31,3],[33,2,33,3],[13,1,13,3],[19,2,19,3],[20,2,20,3],[34,2,34,3],[24,2,24,3],[28,2,28,3],[27,2,27,3],[29,2,29,3],[30,2,30,3]]}
["State of California Health and Human Services Agency",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Department of Health Care Services"]
["DETAIL COST REPORT"]
["FUNDING SOURCES"]
["MH 1992 (Rev. 4/18)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FISCAL YEAR 2020-2021"]
[]
[null,null,"County:",{"$f":"County_Name","v":"Los Angeles"}]
[null,null,"County Code:",{"$f":"County_Code","v":"19"}]
[]
[null,null,"Legal Entity:",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},"A ","B","C","D","E","F","G","H","I","J"]
[null,null,"Legal Entity No.:",{"$f":"MH1900_INFO!B8","v":"00055"},"Administration",null,"Direct Services/MAA",null,null,null,null,null,null,"Total \nLegal \nEntity"]
[null,null,null,null,null,"Utilization\nReview","Mode 05","Mode 05","Mode 10","Mode 15","Mode 45","Mode 55","Mode 60"]
[null,null,null,null,null,null,"Hospital Inpatient","Other 24 Hour Services","Day \nServices","Outpatient\nServices","Outreach\nServices","MAA","Support\nServices",null,null,"CROSSCHECKS"]
[1,"Gross Cost",null,null,{"$f":"SUM('MH1960'!N40:N44,'MH1960'!N46:N50)","v":0},{"$f":"SUM('MH1960'!N52:N58)","v":0},{"$f":"MH1966_HOSPINPT!E15+MH1966_HOSPINPT!F15","v":0},{"$f":"'MH1966_MODE5(OTHR)'!E15","v":2329590.3217000002},{"$f":"MH1966_MODE10!G15","v":31418437.591699999},{"$f":"'MH1966_MODE15_(1)'!G15+'MH1966_MODE15_(2)'!E15","v":23409588.515900001},{"$f":"'MH1964'!F18","v":349471.9926},{"$f":"MH1966_MODE55!E15","v":0},{"$f":"MH1966_MODE60!E15","v":1945911.5781999999},{"$f":"SUM(E13:M13)","v":59453000.000100002}]
["2","Adjustments ",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(E14:M14)","v":0}]
[3,"Adjusted Gross Cost",null,null,{"$f":"E13","v":0},{"$f":"F13","v":0},{"$f":"G13+G14","v":0},{"$f":"H13+H14","v":2329590.3217000002},{"$f":"I13+I14","v":31418437.591699999},{"$f":"J13+J14","v":23409588.515900001},{"$f":"K13+K14","v":349471.9926},{"$f":"L13","v":0},{"$f":"M13+M14","v":1945911.5781999999},{"$f":"SUM(E15:M15)","v":59453000.000100002},null,{"$f":"IF(ABS(N15-(N13+N14))<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"}]
[]
[null,"Funding Sources"]
[null,null,"Grants"]
[4,null,"    SAMHSA Grants",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(E19:M19)","v":0}]
[5,null,"    PATH Grants",null,null,null,null,null,null,null,null,null,null,0]
[6,null,"    RWJ Grants",null,null,null,null,null,null,null,null,null,null,0]
[7,null,"    Other Grants",null,null,null,null,null,null,null,null,null,null,0]
[8,null,"Total Grants Accrued",null,{"$f":"SUM(E19:E22)","v":0},{"$f":"SUM(F19:F22)","v":0},0,0,0,0,0,null,{"$f":"SUM(M19:M22)","v":0},0,null,{"$f":"IF(ABS(N23-SUM(N19:N22))<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"}]
[9,null,"Patient Fees",null,null,null,null,null,null,null,null,null,null,0]
[10,null,"Patient Insurance",null,null,null,null,null,null,null,null,null,null,0]
["11",null,"Federal IDEA funds",null,null,null,null,null,null,null,null,null,null,0]
["12",null,"Low Income Health Program (LIHP) FFP",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(E27:M27)","v":0}]
["13",null,"Regular/Enhanced SD/MC (FFP only)",null,{"$f":"SUM('MH1979'!N20,'MH1979'!N28,'MH1979'!N36)","v":0},{"$f":"SUM('MH1979'!N43,'MH1979'!N44,'MH1979'!N45,'MH1979'!N46,'MH1979'!N54,'MH1979'!N55)","v":0},{"$f":"SUM('MH1979'!F57*0.562)+('MH1979'!F58*0.6934)+('MH1979'!F59*0.8084)+('MH1979'!F60*0.6934)+('MH1979'!F61*0.6934)+('MH1979'!F62*0.6934)+('MH1979'!F63)+('MH1979'!F64*0.9)+('MH1979'!F65*0.8084)+('MH1979'!F66*0.6934)-MH1900_INFO!B57","v":0},{"$f":"(('MH1968'!L16-'MH1968'!L69)*0.562)+(('MH1968'!L21-'MH1968'!L70)*0.6934)+(('MH1968'!L26-'MH1968'!L71)*0.8084)+(('MH1968'!L31-'MH1968'!L72)*0.6934)+(('MH1968'!L36-'MH1968'!L73)*0.6934)+(('MH1968'!L41-'MH1968'!L74)*0.6934)+(('MH1968'!L56-'MH1968'!L75))+(('MH1968'!L46-'MH1968'!L76)*0.9)+(('MH1968'!L61-'MH1968'!L78)*0.8084)+(('MH1968'!L66-'MH1968'!L79)*0.6934)-MH1900_INFO!B58","v":1059866.3278745771},{"$f":"SUM((('MH1968'!$M$16-'MH1968'!$M$69)*0.562)+(('MH1968'!$M$21-'MH1968'!M70)*0.6934)+(('MH1968'!$M$26-'MH1968'!$M$71)*0.8084)+(('MH1968'!M31-'MH1968'!M72)*0.6934)+(('MH1968'!$M$36-'MH1968'!$M$73)*0.6934)+(('MH1968'!M41-'MH1968'!$M$74)*0.6934)+(('MH1968'!$M$46-'MH1968'!M76)*0.9)+('MH1968'!$M$56-'MH1968'!$M$75)+(('MH1968'!M61-'MH1968'!M78)*0.8084)+(('MH1968'!$M$66-'MH1968'!$M$79)*0.6934)-MH1900_INFO!B59)","v":14585848.225768771},{"$f":"SUM((('MH1968'!$N$16-'MH1968'!$N$69+'MH1968'!$P$16-'MH1968'!$P$69)*0.562)+(('MH1968'!$N$21-'MH1968'!N70+'MH1968'!$P$21-'MH1968'!P70)*0.6934)+(('MH1968'!$N$26-'MH1968'!$N$71+'MH1968'!$P$26-'MH1968'!$P$71)*0.8084)+(('MH1968'!N31-'MH1968'!N72+'MH1968'!P31-'MH1968'!P72)*0.6934)+(('MH1968'!$N$36-'MH1968'!$N$73+'MH1968'!$P$36-'MH1968'!$P$73)*0.6934)+(('MH1968'!N41-'MH1968'!$N$74+'MH1968'!P41-'MH1968'!$P$74)*0.6934)+(('MH1968'!N46-'MH1968'!N76+'MH1968'!P46-'MH1968'!P76)*0.9)+('MH1968'!$N$56-'MH1968'!$N$75+'MH1968'!$P$56-'MH1968'!$P$75)+(('MH1968'!N61-'MH1968'!$N$78+'MH1968'!P61-'MH1968'!$P$78)*0.8084)+(('MH1968'!$N$66-'MH1968'!N79+'MH1968'!$P$66-'MH1968'!P79)*0.6934))-MH1900_INFO!B60","v":14811593.922925781},null,{"$f":"'MH1979'!N49+'MH1979'!N50+'MH1979'!N51","v":0},null,{"$f":"SUM(E28:M28)","v":30457308.476569131},null,{"$f":"IF(ABS('MH1979'!$N$68-N28) <= 20, \"OK MH1979 SDMC MATCH\", \"ERROR MH1979 SDMC NO MATCH\")","v":"OK MH1979 SDMC MATCH"},null,{"$f":"'MH1979'!N68","v":30457308.476569131}]
["14",null,"Medicare - Fed. Share",null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(E29:M29)","v":0},null,null,null,{"$f":"R28-N28","v":0}]
["15",null,"Conservatorship Admin. Fees",null,null,null,null,null,null,null,null,null,null,0]
["16",null,"Other Revenue",null,null,null,null,null,null,null,null,null,null,0]
["17",null,"19-20 SGF Rollover",null,null,null,null,null,null,null,null,null,null,0]
["18",null,"2011 Realignment",null,null,null,null,null,null,null,null,null,null,0]
["19",null,"1991 Realignment Funds and MOE",null,null,null,null,null,null,null,null,null,null,0]
["20",null,"Prior Years MHSA",null,null,null,null,null,null,null,null,null,null,0]
["21",null,"MHSA",null,null,null,null,null,null,null,null,null,null,0]
["22",null,"County Overmatch",null,null,null,null,null,null,null,null,null,null,0]
["23",null,"CALWORKS",null,null,null,null,null,null,null,null,null,null,0]
["24",null,"State General Fund",null,{"$f":"SUM('MH1979'!O39:O40)","v":0},{"$f":"SUM('MH1979'!O43:O46)","v":0},{"$f":"('MH1979'!F64*0.1)+('MH1979'!F70)","v":0},{"$f":"SUM((('MH1968'!$L$46-'MH1968'!L76)*0.1)+('MH1968'!$L$51-'MH1968'!L77))","v":99291.696604921817},{"$f":"SUM((('MH1968'!$M$46-'MH1968'!M76)*0.1)+('MH1968'!$M$51-'MH1968'!M77))","v":1046579.2870710519},{"$f":"((('MH1968'!$N$46-'MH1968'!$N$76)*0.1)+('MH1968'!$N$51-'MH1968'!N77)+(('MH1968'!$P$46-'MH1968'!$P$76)*0.1)+('MH1968'!$P$51-'MH1968'!P77))+SUM('MH1979'!O57:O62,'MH1979'!O65:O66)","v":1014395.5888653713},null,null,null,2160266.5725413449,null,{"$f":"IF(ABS(SUM('MH1979'!O39,'MH1979'!O40,'MH1979'!O43,'MH1979'!O44,'MH1979'!O45,'MH1979'!O46,'MH1979'!O57:O62,'MH1979'!O64:O66,'MH1979'!O70)-N39) <= 20, \"OK MH1979 SDMC MATCH\", \"ERROR MH1979 SDMC NO MATCH\")","v":"OK MH1979 SDMC MATCH"}]
["25","Total Funding Sources",null,null,{"$f":"SUM(E23:E39)","v":0},0,0,1159158.0244794989,15632427.512839822,15825989.511791153,0,0,0,32617575.049110476,null,{"$f":"IF(ABS(N40-SUM(N23:N39))<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"}]
["CROSSCHECKS",null,null,{"$f":"\"Line \" & A15 & \" = Line \" & A40","v":"Line 3 = Line 25"},{"$f":"IF(ABS(E40-E15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"},{"$f":"IF(ABS(F40-F15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"},{"$f":"IF(ABS(G40-G15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"},{"$f":"IF(ABS(H40-H15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"},{"$f":"IF(ABS(I40-I15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"},{"$f":"IF(ABS(J40-J15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"},{"$f":"IF(ABS(K40-K15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"},{"$f":"IF(ABS(L40-L15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"OK"},{"$f":"IF(ABS(M40-M15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"},{"$f":"IF(ABS(N40-N15)<=Setup!$B$5,\"OK\",\"ERROR\")","v":"ERROR"}]
[null,null,null,{"$f":"\"Amt. to Balance to Line \" & A15 & \":\"","v":"Amt. to Balance to Line 3:"},{"$f":"E15-SUM(E23:E39)","v":0},0,0,1170432.2972205014,15786010.078860177,7583599.0041088481,349471.9926,0,1945911.5781999999,26835424.950989526]

{"sheet":"Crosschecks","index":47,"n_rows":23,"n_cols":3,"rows_kept":23,"cut":false,"hidden":false,"merged":[]}
["Worksheet ","Cell ","Crosscheck Status"]
["MH1900_INFO","B65",{"$f":"INDIRECT(A2&\"!\"&B2)","v":2}]
["MH1900_INFO","C65",{"$f":"INDIRECT(A3&\"!\"&B3)","v":0}]
["MH1901_Schedule_C","I13",{"$f":"INDIRECT(A4&\"!\"&B4)","v":"OK"}]
["MH1964","I21",{"$f":"INDIRECT(A5&\"!\"&B5)","v":"OK"}]
["MH1992","P15","OK"]
["MH1992","P23","OK"]
["MH1992","P28","OK MH1979 SDMC MATCH"]
["MH1992","P29",0]
["MH1992","P43",0]
["MH1992","E45",0]
["MH1992","F45",0]
["MH1992","G45",0]
["MH1992","H45",0]
["MH1992","I45",0]
["MH1992","J45",0]
["MH1992","K45",0]
["MH1992","L45",0]
["MH1992","M45",0]
["MH1992","N45",0]
["MH1960","E39:J47",{"$f":"IF(AND(isCountyLegalEntity=2,(COUNTIF('MH1960'!E39:I58,\"<0\")+COUNTIF('MH1960'!E39:I58,\">0\")>0)),\"Non-county entity has reclassifications/adjustments\",\"OK\")","v":"OK"}]
["MH1960","O39","OK"]
["MH1960","O45","OK"]

{"sheet":"INPUT DATA","index":48,"n_rows":1028,"n_cols":19,"rows_kept":1028,"cut":false,"hidden":false,"merged":[[5,2,5,5],[15,3,15,8],[15,9,15,14],[15,15,15,16],[6,8,6,10],[7,8,7,10],[8,8,8,10],[9,8,9,10],[10,8,10,10],[11,8,11,10],[5,8,5,10],[13,2,13,4],[0,8,0,10],[1,8,1,10],[2,8,2,10],[3,8,3,10],[4,8,4,10]]}
["FY 2020-21 COST REPORT INPUT DATA",null,null,null,null,null,null,null,"Settlement Group",null,null,"FFP/SGF\nPer MH 1979","FFP/SGF\nPer Input Data","CHECK",null,"Mode Type","Reimb. Costs","3rd Party Revenue","Net Reimb. Costs"]
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[null,"Entity Name :",{"$f":"MH1900_INFO!B7","v":"Vermont Mental Health"},null,null,null,null,null,"Enhanced Non CHIP Children",null,null,{"$f":"SUM('MH1979'!J58:L58)","v":0},{"$f":"(SUMIF($G$18:$G$1025,\"02\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"02\",$R$18:$R$1025))*0.6934","v":0},"OK",null,"IP_Admin",{"$f":"SUMIF($C$18:$C$1025,\"IPADM\",$P$18:$P$1025)","v":0},{"$f":"SUMIF($C$18:$C$1025,\"IPADM\",$R$18:$R$1025)","v":0},{"$f":"Q3-R3","v":0}]
[null,"Entity Number :",{"$f":"MH1900_INFO!B8","v":"00055"},null,null,null,null,null,"Enhanced SD/MC (Children): 07/01/20-09/30/20",null,null,{"$f":"SUM('MH1979'!J59:L59)","v":61246.615107312165},{"$f":"(SUMIF($G$18:$G$1025,\"03\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"03\",$R$18:$R$1025))*0.8084","v":61246.615107312165},"OK",null,"IMD",{"$f":"SUMIF($C$18:$C$1025,\"IMD\",$P$18:$P$1025)","v":0},{"$f":"SUMIF($C$18:$C$1025,\"IMD\",$R$18:$R$1025)","v":0},0]
[null,null,null,null,null,null,null,null,"Enhanced SD/MC (Children): 10/01/20-06/30/21",null,null,{"$f":"SUM('MH1979'!J60:L60)","v":119054.71108890969},{"$f":"(SUMIF($G$18:$G$1025,\"04\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"04\",$R$18:$R$1025))*0.6934","v":119054.71108890967},"OK",null,"OP",{"$f":"SUMIF($C$18:$C$1025,\"OP\",$P$18:$P$1025)","v":25739178.8376},{"$f":"SUMIF($C$18:$C$1025,\"OP\",$R$18:$R$1025)","v":13599},25725579.8376]
[null,null,"MH 1968",null,null,null,"Per",null,"Enhanced SD/MC Net Reimb. (BCCTP)",null,null,{"$f":"SUM('MH1979'!J61:L61)","v":0},{"$f":"(SUMIF($G$18:$G$1025,\"05\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"05\",$R$18:$R$1025))*0.6934","v":0},"OK",null,"UCC",{"$f":"SUMIF($C$18:$C$1025,\"UCC\",$P$18:$P$1025)","v":31418437.591699991},{"$f":"SUMIF($C$18:$C$1025,\"UCC\",$R$18:$R$1025)","v":0},{"$f":"Q6-R6","v":31418437.591699991}]
[null,null,"Mode","MHS Tyoe","Reimb. Type","Reimb. Amt","Input Data","CHECK","Enhanced SD/MC Net Reimb. (Pregnancy)",null,null,{"$f":"SUM('MH1979'!J62:L62)","v":18841.232073312109},{"$f":"(SUMIF($G$18:$G$1025,\"06\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"06\",$R$18:$R$1025))*0.6934","v":18841.232073312109},"OK",null,"COS",{"$f":"SUMIF($C$18:$C$1025,\"COS\",$P$18:$P$1025)","v":349471.9926},{"$f":"SUMIF($C$18:$C$1025,\"COS\",$R$18:$R$1025)","v":0},{"$f":"Q7-R7","v":349471.9926}]
[null,null,"05","Hosp IP",{"$f":"SUM","v":"COSTS"},{"$f":"'MH1968'!$I$16+'MH1968'!$I$21+'MH1968'!$I$26+'MH1968'!$I$31+'MH1968'!$I$36+'MH1968'!$I$41+'MH1968'!$I$46+'MH1968'!$I$51+'MH1968'!$I$56+'MH1968'!$I$61+'MH1968'!$I$66","v":0},{"$f":"SUMIFS($Q$18:$Q$941,$C$18:$C$941,\"IP\",$E$18:$E$941,\"05\")","v":0},{"$f":"IF(F8=G8,\"OK\",\"Error\")","v":"OK"},"Enhanced SD/MC Net Reimb. (Refugees)",null,null,{"$f":"SUM('MH1979'!J63:L63)","v":0},{"$f":"(SUMIF($G$18:$G$1025,\"07\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"07\",$R$18:$R$1025))*1","v":0},"OK",null,"CMS",{"$f":"SUMIF($C$18:$C$1025,\"CmS\",$P$18:$P$1025)","v":0},{"$f":"SUMIF($C$18:$C$1025,\"CmS\",$R$18:$R$1025)","v":0},{"$f":"Q8-R8","v":0}]
[null,null,"05","IP_Adm",{"$f":"'MH1968'!J7","v":"COSTS"},{"$f":"'MH1968'!$J$16+'MH1968'!$J$21+'MH1968'!$J$26+'MH1968'!$J$31+'MH1968'!$J$36+'MH1968'!$J$41+'MH1968'!$J$46+'MH1968'!$J$51+'MH1968'!$J$56+'MH1968'!$J$61+'MH1968'!$J$66","v":0},{"$f":"SUMIFS($Q$18:$Q$941,$C$18:$C$941,\"IPadm\",$E$18:$E$941,\"05\")","v":0},{"$f":"IF(F9=G9,\"OK\",\"Error\")","v":"OK"},"Affordable Care Act (ACA) Net Reimbursement",null,null,{"$f":"SUM('MH1979'!J64:L64)","v":17887640.635701355},{"$f":"(SUMIF($G$18:$G$1025,\"08\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"08\",$R$18:$R$1025))*0.9","v":17887640.635701355},"OK",null,"LS",{"$f":"SUMIF($C$18:$C$1025,\"LS\",$P$18:$P$1025)","v":322411.57819999999},{"$f":"SUMIF($C$18:$C$1025,\"LS\",$R$18:$R$1025)","v":0},{"$f":"Q9-R9","v":322411.57819999999}]
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[null,null,"10","Day",{"$f":"E10","v":"COSTS"},{"$f":"'MH1968'!$M$16+'MH1968'!$M$21+'MH1968'!$M$26+'MH1968'!$M$31+'MH1968'!$M$36+'MH1968'!$M$41+'MH1968'!$M$46+'MH1968'!$M$51+'MH1968'!$M$56+'MH1968'!$M$61+'MH1968'!$M$66","v":20060367.957052607},{"$f":"SUMIFS($Q$18:$Q$941,$C$18:$C$941,\"OP\",$E$18:$E$941,\"10\")+SUMIFS($Q$18:$Q$941,$C$18:$C$941,\"UCC\",$E$18:$E$941,\"10\")","v":20060367.957052607},"OK","MCAP Net Reimbursement 10/01/20-06/30/21",null,null,{"$f":"SUM('MH1979'!J66:L66)","v":0},{"$f":"(SUMIF($G$18:$G$1025,\"10\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"10\",$R$18:$R$1025))*0.6934","v":0},"OK",null,"Total",{"$f":"SUM(Q2:Q10)","v":59453000.000099994},{"$f":"SUM(R2:R10)","v":13599},{"$f":"SUM(S2:S10)","v":59439401.000099994}]
[null,null,"15","OP",{"$f":"E10","v":"COSTS"},{"$f":"'MH1968'!$N$16+'MH1968'!$N$21+'MH1968'!$N$26+'MH1968'!$N$31+'MH1968'!$N$36+'MH1968'!$N$41+'MH1968'!$N$46+'MH1968'!$N$51+'MH1968'!$N$56+'MH1968'!$N$61+'MH1968'!$N$66","v":20901446.253755551},{"$f":"SUMIFS($Q$18:$Q$941,$C$18:$C$941,\"OP\",$E$18:$E$941,\"15\")","v":20901446.253755555},"OK","State Funded Beneficiaries",null,null,{"$f":"SUM('MH1979'!O70)","v":172618.87049346557},{"$f":"(SUMIF($G$18:$G$1025,\"11\",$Q$18:$Q$1025)-SUMIF($G$18:$G$1025,\"11\",$R$18:$R$1025))","v":172618.87049346554},"OK",null,null,{"$f":"Q11='LAC103'!$R$99","v":true},{"$f":"R11='LAC103'!$Y$99","v":true},{"$f":"S11='LAC103'!$Z$99","v":true}]
[null,null,null,null,null,"Per MH 1979","Per Input Data"]
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[]
[null,null,null,"ALL UNITS  07/01/20 - 06/30/21",null,null,null,null,null,"Rates(s)",null,null,null,null,null,"Gross Costs based on ",null,"Less:"]
["#","Key","Type","Settlement Type","Mode","SF","Payor Code","Settlement Group","Units of Service","Costs","CMA","Published Charge","Contracted Rate","SMA","Reimb. Rate","Costs","Reimbursable \nRate","3rd Party Revenue","Adjustment"]
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[11,"00055^11",{"$f":"'LAC103'!$C$25","v":"OP"},{"$f":"IF(MH1901_Schedule_B!$B$30=0,\"\",MH1901_Schedule_B!$B$30)","v":"CR"},{"$f":"IF(MH1901_Schedule_B!$C$30=0,\"\",MH1901_Schedule_B!$C$30)","v":"15"},{"$f":"IF(MH1901_Schedule_B!$D$30=0,\"\",MH1901_Schedule_B!$D$30)","v":"52"},"01","SD/MC Units",{"$f":"MH1901_Schedule_B!$F$30","v":237213},{"$f":"'LAC103'!$I$25","v":4.2570360611240128},{"$f":"'LAC103'!$J$25","v":3.14},{"$f":"'LAC103'!$K$25","v":4},{"$f":"'LAC103'!$L$25","v":0},{"$f":"'LAC103'!$M$25","v":0},{"$f":"'LAC103'!$P$25","v":4.2570360611240128},1009824.2951674104,1009824.2951674104,{"$f":"MH1901_Schedule_B!$G$30","v":4000},0]
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