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["SECTION A: PROGRAM INFORMATION",null,"(You will ONLY be able to fill-in and select from the shaded fields on this worksheet)",null,null,null,null,null,null,null,{"$f":"IF(X19=\"LMW\",\"Locality Served under Vendor Number\",\"Job Position\")","v":"Job Position"},null,null,{"$f":"IF(X19=\"LMW\",\"Previous Minimim Wage\",\"Current Hourly Wage\")","v":"Current Hourly Wage"},{"$f":"IF(X19=\"LMW\",\"Revised Minimum Wage\",\"Proposed Hourly Wage\")","v":"Proposed Hourly Wage"},null,null,"Cost Allocation \nCategory",null,"Manual Entry","Final",{"$f":"CJ24","v":0},null,null,null,null,{"$f":"A17+1","v":16},"Increase of Existing Service","Yes"]
[1,"Type of Health & Safety Request",{"$f":"VLOOKUP(W13,W14:X15,2,FALSE)","v":"Regular Health & Safety"}]
[]
[{"$f":"A2+1","v":2},"Service Provider Name",null,null,null,null,null,null,null,{"$f":"A19+1","v":18},null,null,null,null,null,null,{"$f":"J22+1","v":33},"General Operations",null,null,{"$f":"V4","v":0},{"$f":"IF(T4=\"\",$CJ$24,IF(1<T4>0,T4,$CJ$24))","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Mixed",null,null,null,"actual","month","fy remain"]
[{"$f":"A4+1","v":3},"Vendor Number",null,null,null,null,null,null,null,{"$f":"J4+1","v":19},null,null,null,null,null,null,{"$f":"Q4+1","v":34},"Program Costs",null,null,{"$f":"V5","v":0},{"$f":"IF(T5=\"\",$CJ$24,IF(1<T5>0,T5,$CJ$24))","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,true,null,null,null,null,null,1,6]
[{"$f":"A5+1","v":4},"Vendor Address",null,null,null,null,null,null,null,{"$f":"J5+1","v":20},null,null,null,null,null,null,{"$f":"Q5+1","v":35},"Program Consultants",null,null,{"$f":"V6","v":0},{"$f":"IF(T6=\"\",$CJ$24,IF(1<T6>0,T6,$CJ$24))","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A1)),2)","v":{"$error":"#VALUE!"}},"Hourly","Subcode Specific Distribution"]
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[{"$f":"A7+1","v":6},"Staffing Ratio",null,null,null,null,null,null,null,{"$f":"J7+1","v":22},null,null,null,null,null,null,{"$f":"Q7+1","v":37},"Administrative Staff",null,null,0,{"$f":"IF(T8=\"\",$CJ$24,IF(1<T8>0,T8,$CJ$24))","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"K12","v":0},1,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A4)),2)","v":{"$error":"#VALUE!"}},"Monthly","N/A (Only one subcode used)"]
[7,"Number of Consumers in Program",null,null,null,null,null,null,null,{"$f":"J8+1","v":23},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"K13","v":0},2,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A5)),2)","v":{"$error":"#VALUE!"}},"Per-Ride",null,null,null,null,3,4]
[8,"Number of Consumers in Request",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,{"$f":"K14","v":0},3,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A6)),2)","v":{"$error":"#VALUE!"}},"Yes",null,null,null,null,4,3]
[9,"Other Vendor Numbers and Services Codes",null,null,null,null,null,null,null,null,"Subcode Name","Type",null,"Rate",null,null,null,"Bypass Mgmt.","Bypass Ops.","Bypass Adm.","Bypass All",null,null,"Incremental",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"K15","v":0},4,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A7)),2)","v":{"$error":"#VALUE!"}},"No",null,null,null,{"$f":"MONTH(C14)","v":1},5,2]
[10,"Number of Months in Reporting Period: (3-12)*",null,null,null,null,null,null,null,{"$f":"J9+1","v":24},null,null,null,null,null,null,{"$f":"Q8+1","v":38},null,null,null,null,null,null,"Comprehensive",null,null,null,null,{"$f":"IF(K12=\"\",\"\",IF($C$16=\"\",\"\",IF($C$16=\"Mixed\",\"(\"&L12&\")\",\"(\"&$C$16&\")\")))","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"K16","v":0},5,{"$f":"INDEX($AC$6:$AI$10,SMALL(IF(($AP$5=$AJ$6:$AJ$10),ROW($AJ$6:$AJ$10)-MIN(ROW($AJ$6:$AJ$10))+1,\"\"),ROW($A$1:A8)),2)","v":{"$error":"#VALUE!"}},null,null,null,null,null,6,1]
[11,"Review Period: (Enter Beginning & End)",null,null,null,null,null,null,null,{"$f":"J12+1","v":25},null,null,null,null,null,null,{"$f":"Q12+1","v":39},null,null,null,null,"Reg","Reg",null,null,null,null,null,{"$f":"IF(K13=\"\",\"\",IF($C$16=\"\",\"\",IF($C$16=\"Mixed\",\"(\"&L13&\")\",\"(\"&$C$16&\")\")))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,12]
[12,"Effective Date of Increase",null,null,null,null,null,null,null,{"$f":"J13+1","v":26},null,null,null,null,null,null,{"$f":"Q13+1","v":40},null,null,null,null,null,"Reg","Regular Health & Safety",null,null,null,null,{"$f":"IF(K14=\"\",\"\",IF($C$16=\"\",\"\",IF($C$16=\"Mixed\",\"(\"&L14&\")\",\"(\"&$C$16&\")\")))","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTA(K12:K17)","v":0},null,null,null,null,null,null,null,8,11]
[13,"Temporary Request",null,"End Date:",null,null,null,null,null,{"$f":"J14+1","v":27},null,null,null,null,null,null,{"$f":"Q14+1","v":41},null,null,null,null,null,"LMW","Local Minimum Wage",null,null,null,null,{"$f":"IF(K15=\"\",\"\",IF($C$16=\"\",\"\",IF($C$16=\"Mixed\",\"(\"&L15&\")\",\"(\"&$C$16&\")\")))","v":""},null,null,null,null,null,null,null,null,">1 Subcodes",null,{"$f":"IF(AN17=TRUE,FALSE,IF(AN14>1,TRUE,FALSE))","v":false},{"$f":"IF(AN14>0,TRUE,FALSE)","v":false},null,"Direct Support",null,null,null,null,10,9]
[14,"Rate Type",null,null,null,null,null,null,null,{"$f":"J15+1","v":28},null,null,null,null,null,null,{"$f":"Q15+1","v":42},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(K16=\"\",\"\",IF($C$16=\"\",\"\",IF($C$16=\"Mixed\",\"(\"&L16&\")\",\"(\"&$C$16&\")\")))","v":""},null,null,null,null,null,null,null,null,"Sheet is blank",null,{"$f":"COUNTA(B27:G76)+COUNTA(I27:M76)","v":0},{"$f":"IF(AN16=0,TRUE,FALSE)","v":true},null,"Management",null,null,null,null,11,8]
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[16,"Existing or New Service",{"$f":"IF(AC1=\"Yes\",\"Existing Service\",\"New Service\")","v":"Existing Service"},null,null,null,null,null,null,null,"Variable Position Type",null,null,"User-Defined Position Title",null,null,null,"Worksheet Function",null,"Entry",null,null,"Local Minimum Wage","LMW",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($X$19=\"LMW\",\"N/A\",IF(N19=\"\",\"Other #1\",N19))","v":"Other #1"}]
[17,"Number of Employees Receiving Wage Adjustment",{"$f":"COUNTIF(X27:X77,\">0\")","v":0},null,null,null,null,null,null,{"$f":"J16+1","v":29},"Other #1",null,null,null,null,null,{"$f":"Q16+1","v":43},"Adjustment Distribution Method",null,"Subcode Specific Distribution",null,{"$f":"IF(C2=\"\",W17,C2)","v":"Regular Health & Safety"},"Current Select (Reg = Default)",{"$f":"W13","v":"Reg"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($X$19=\"LMW\",\"N/A\",IF(N20=\"\",\"Other #2\",N20))","v":"Other #2"}]
[null,"* If using reporting period range below 3 months, please give rationale why request is unable to provide 3 months of data.",null,null,null,null,null,null,null,{"$f":"J19+1","v":30},"Other #2",null,null,null,null,null,{"$f":"Q19+1","v":44},"Incremental or Comprehensive",null,"Incremental",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($X$19=\"LMW\",\"N/A\",IF(N21=\"\",\"Other #3\",N21))","v":"Other #3"},null,null,null,{"$f":"VLOOKUP(AU11,AV5:AW20,2,FALSE)","v":6},12,7]
[null,"* For each employee, include either the hourly wage or salary. If both are included, default is salary.",null,null,null,null,null,null,null,{"$f":"J20+1","v":31},"Other #3",null,null,null,null,null,{"$f":"Q20+1","v":45},"Local Min. Wage - Rate Cap",null,"No",null,{"$f":"IF(T21=\"No\",\"No\",\"Yes\")","v":"No"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($X$19=\"LMW\",\"N/A\",IF(N22=\"\",\"Other #4\",N22))","v":"Other #4"}]
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[null,null,null,null,null,null,null,null,null,null,null,"Req.","Total"]
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["Provide justification below for proposed wage increases, staff positions, or hour changes. Explain why these changes are necessary for Health & Safety needs. ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF($AC$1=\"YES\",IFERROR(VLOOKUP(I78,$K$4:$O$10,5,FALSE),0),0)","v":0},null,null,null,{"$f":"SUM(AL27:AL77)","v":0},{"$f":"SUM(AM27:AM77)","v":0},1,null,null,null,{"$f":"SUM(AR27:AR77)","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,{"$f":"SUM(BX27:BX77)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"# of Admin w/ increase",null,{"$f":"COUNTIF(CI27:CI76,\">0\")","v":0}]
[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,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,"Yes/No",null,{"$f":"IF(CI80>0,\"Yes\",\"No\")","v":"No"}]

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["SECTION B: PROGRAM COSTS"]
[null,null,null,null,null,null,null,null,null,"Wages","Benefits"]
[null,"Service Provider Name",{"$f":"IF(A!C4=\"\",\"\",A!C4)","v":""},null,null,null,null,null,"Calculated Direct Support Wages (Original)",{"$f":"A!BM78/A!BO78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,"Vendor Number",{"$f":"IF(A!C5=\"\",\"\",A!C5)","v":""},null,null,null,null,null,"Calculated Direct Support Wages (Revised)",{"$f":"A!BN78/A!BP78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,"Service Code",{"$f":"IF(A!C7=\"\",\"\",A!C7)","v":""},null,null,null,null,null,"Calculated Management Wages (Original)",{"$f":"(A!BY78+A!CC78)/(A!CA78+A!CE78)","v":{"$error":"#DIV/0!"}},{"$f":"C18","v":0}]
[null,"Vendoring Regional Center",{"$f":"IF(A!C17=\"\",\"\",A!C17)","v":""},null,null,null,null,null,"Calculated Management Wages (Revised)",{"$f":"(A!BZ78+A!CD78)/(A!CB78+A!CF78)","v":{"$error":"#DIV/0!"}},{"$f":"C18","v":0}]
[null,null,null,null,null,null,null,null,"Calculated Administrative Wages (Original)",{"$f":"A!CG78/A!CJ78","v":{"$error":"#DIV/0!"}},{"$f":"IFERROR(A!CS78*(1/(A!CJ78/(2080/12))),0)","v":0}]
[null,{"$f":"\"Payroll & Liability Costs (\"&TEXT((SUM(C10:C14)+SUM(H10:H14)),\"0.00%\")&\" Total)\"","v":"Payroll & Liability Costs (8.35% Total)"},null,null,null,null,null,null,"Calculated Administrative Wages (Revised)",{"$f":"A!CH78/A!CK78","v":{"$error":"#DIV/0!"}},{"$f":"IFERROR(A!DA78*(1/(A!CK78/(2080/12))),0)","v":0}]
["Employer Payroll Taxes - Federal",null,null,null,"Employer Payroll Taxes - State",null,null,null,"Administrative Ratio",{"$f":"A!CJ24","v":0}]
[null,"Social Security / FICA",6.2E-2,null,"SUI (CA State Unemployment Ins.)",null,null,null,"Calculated Other1 Wages (Original)",{"$f":"A!AW78/A!AY78","v":{"$error":"#DIV/0!"}},{"$f":"H17","v":0}]
[null,"Medicare Tax",1.4500000000000001E-2,null,"ETT (CA Employment Training Tax)",null,null,1E-3,"Calucalted Other1 Wages (Revised)",{"$f":"A!AX78/A!AZ78","v":{"$error":"#DIV/0!"}},{"$f":"H17","v":0}]
[null,"State & Federal Unemployment Tax",6.0000000000000001E-3,null,null,null,null,null,"Calculated Other2 Wages (Original)",{"$f":"A!BA78/A!BC78","v":{"$error":"#DIV/0!"}},{"$f":"H18","v":0}]
["Misc. Mandated Costs",null,null,null,null,null,null,null,"Calucalted Other2 Wages (Revised)",{"$f":"A!BB78/A!BD78","v":{"$error":"#DIV/0!"}},{"$f":"H18","v":0}]
[null,"Workers Compensation",null,null,null,null,null,null,"Calculated Other3 Wages (Original)",{"$f":"A!BE78/A!BG78","v":{"$error":"#DIV/0!"}},{"$f":"H19","v":0}]
["Mandatory Costs Total %",null,{"$f":"ROUND(SUM(C10:C14)+SUM(H10:H14),4)","v":8.3500000000000005E-2},null,null,null,null,null,"Calucalted Other1 Wages (Revised)"]
[null,{"$f":"\"Benefits per FTE (\"&D!L2&\" Month)\"","v":"Benefits per FTE (3 Month)"},null,null,null,null,null,null,"Calculated Other3 Wages (Revised)",{"$f":"A!BF78/A!BH78","v":{"$error":"#DIV/0!"}},{"$f":"H19","v":0}]
[null,"Direct Support - Benefits",null,null,{"$f":"IF(J24=\"LMW\",\"\",I36&\" Support - Benefits\")","v":"Other #1 Support - Benefits"},null,null,null,"Calculated Other4 Wages (Original)",{"$f":"A!BI78/A!BK78","v":{"$error":"#DIV/0!"}},{"$f":"H20","v":0}]
[null,"Management - Benefits",null,null,{"$f":"IF(J24=\"LMW\",\"\",I37&\" Support - Benefits\")","v":"Other #2 Support - Benefits"},null,null,null,"Calculated Other4 Wages (Revised)",{"$f":"A!BJ78/A!BL78","v":{"$error":"#DIV/0!"}},{"$f":"H20","v":0}]
[null,"Administrative - Benefits",null,null,{"$f":"IF(J24=\"LMW\",\"\",I38&\" Support - Benefits\")","v":"Other #3 Support - Benefits"},null,null,null,"Calculated DSP (Original)-LMW",{"$f":"A!BQ78/A!BS78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,null,null,null,{"$f":"IF(J24=\"LMW\",\"\",I39&\" Support - Benefits\")","v":"Other #4 Support - Benefits"},null,null,null,"Calculated DSP (Revised)-LMW",{"$f":"A!BR78/A!BT78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,null,null,null,null,null,null,null,"Calculated DSP (Original)-Non LMW",{"$f":"A!BU78/A!BW78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,{"$f":"\"Operations Costs (\"&D!L2&\" Month\"&K29&\" - \"&A!C13&\")\"","v":"Operations Costs (3 Months - )"},null,null,null,null,null,null,"Calculated DSP (Revised)-Non LMW",{"$f":"A!BV78/A!BX78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,"Lease/Mortgage",null,null,"Community Care Licence Renewal Costs"]
[null,"Utilities",null,null,"Transportation",null,null,null,"H&S Type",{"$f":"A!W13","v":"Reg"}]
["License Renewal Costs",null,null,null,"Transportation Repair"]
[]
[null,null,null,null,null,null,null,null,"Increase of Existing Service?",{"$f":"A!AC1","v":"Yes"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(J27=\"Yes\",\" Billed\",\"\")","v":" Billed"}]
[null,null,null,null,null,null,null,null,"# of Months",{"$f":"A!W22","v":3},{"$f":"IF(J29=1,\"\",\"s\")","v":"s"}]
[]
[null,{"$f":"\"Program Costs (Describe) - \"&TEXT(J64,\"0.0%\")&\" Allocation\"","v":"Program Costs (Describe) - 0.0% Allocation"},null,null,null,null,"Current Cost","Proposed Cost"]
["1."]
["2."]
["3."]
["4."]
["5.",null,null,null,null,null,null,null,{"$f":"D!K11","v":"Other #1"}]
[null,"Consumer Specific Program Costs (Describe) - 100% Allocation",null,null,null,null,"Current Cost","Proposed Cost",{"$f":"D!K14","v":"Other #2"}]
["1.",null,null,null,null,null,null,null,{"$f":"D!K17","v":"Other #3"}]
["2.",null,null,null,null,null,null,null,{"$f":"D!K20","v":"Other #4"}]
["3.",null,null,null,null,null,null,null,"Yes"]
["4.",null,null,null,null,null,null,null,"No"]
["5."]
[]
[null,{"$f":"\"Program Consultants - \"&TEXT(J65,\"0.0%\")& \" Allocation\"","v":"Program Consultants - 0.0% Allocation"},null,null,null,"Hourly Rate","Current Hours","Proposed Hours","Current Budget Cost","Proposed Budget Cost"]
[null,null,null,null,null,null,{"$f":"\"(\"&D!L2&\" Month\"&K29&\")\"","v":"(3 Months)"},{"$f":"\"(\"&D!L2&\" Month\"&K29&\")\"","v":"(3 Months)"}]
["1.",null,null,null,null,null,null,null,{"$f":"F46*G46*$J$65","v":0},{"$f":"F46*H46*$J$65","v":0}]
["2.",null,null,null,null,null,null,null,{"$f":"F47*G47*$J$65","v":0},{"$f":"F47*H47*$J$65","v":0}]
["3.",null,null,null,null,null,null,null,0,0]
["4.",null,null,null,null,null,null,null,0,0]
["5.",null,null,null,null,null,null,null,0,0]
[null,"Consumer Specific Consultants - 100% Allocation",null,null,null,"Hourly Rate","Current Hours","Proposed Hours"]
[null,null,null,null,null,null,{"$f":"\"(\"&D!L2&\" Month\"&K29&\")\"","v":"(3 Months)"},{"$f":"\"(\"&D!L2&\" Month\"&K29&\")\"","v":"(3 Months)"}]
["1.",null,null,null,null,null,null,null,{"$f":"F53*G53","v":0},{"$f":"F53*H53","v":0}]
["2.",null,null,null,null,null,null,null,{"$f":"F54*G54","v":0},{"$f":"F54*H54","v":0}]
["3.",null,null,null,null,null,null,null,{"$f":"F55*G55","v":0},{"$f":"F55*H55","v":0}]
["4.",null,null,null,null,null,null,null,{"$f":"F56*G56","v":0},{"$f":"F56*H56","v":0}]
["5.",null,null,null,null,null,null,null,{"$f":"F57*G57","v":0},{"$f":"F57*H57","v":0}]
[]
[null,{"$f":"\"Administrative Costs  (\"&D!L2&\" Month\"&K29&\" - \"&A!C13&\") - \" &TEXT(J66,\"0.0%\")& \" Allocation\"","v":"Administrative Costs  (3 Months - ) - 0.0% Allocation"}]
[null,"Taxes",null,null,"Depreciation"]
[null,"Repair & Maintenance",null,null,"Management Services"]
[null,"Depreciation"]
[null,{"$f":"\"Other Administrative Costs (List Below) - \"&TEXT(J66,\"0.00%\")&\" Allocation\"","v":"Other Administrative Costs (List Below) - 0.00% Allocation"},null,null,null,null,"Current","Proposed"]
["1.",null,null,null,null,null,null,null,"Program Costs",{"$f":"A!U5","v":0}]
["2.",null,null,null,null,null,null,null,"Program Consultants",{"$f":"A!U6","v":0}]
["3.",null,null,null,null,null,null,null,"Administrative Costs",{"$f":"A!U7","v":0}]
["4.",null,null,null,null,null,null,null,"Administrative Staff",{"$f":"A!U8","v":0}]
["5."]
[]
["For Regional Center Only",null,{"$f":"D!L2&\" Month Period = \"&A!C13","v":"3 Month Period = "}]
[null,null,"Current Units Billed",null,null,null,"Proposed Billable Units"]
[null,{"$f":"\"Subcode #1 - \"&A!K12","v":"Subcode #1 - "},null,{"$f":"IF(A!L12=\"\",\"\",\"(\"&A!L12&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #2 - \"&A!K13","v":"Subcode #2 - "},null,{"$f":"IF(A!L13=\"\",\"\",\"(\"&A!L13&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #3 - \"&A!K14","v":"Subcode #3 - "},null,{"$f":"IF(A!L14=\"\",\"\",\"(\"&A!L14&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #4 - \"&A!K15","v":"Subcode #4 - "},null,{"$f":"IF(A!L15=\"\",\"\",\"(\"&A!L15&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #5 - \"&A!K16","v":"Subcode #5 - "},null,{"$f":"IF(A!L16=\"\",\"\",\"(\"&A!L16&\" Rate)\")","v":""}]
[null,"Does Agency incur any changes to Administrative Staff Costs due to request?",null,null,null,null,null,{"$f":"A!CI81&\", \"&A!CI80&\" Staff\"","v":"No, 0 Staff"}]
[null,"If there is a change for Administrative Staff or General Administrative Costs, is this necessary for health & safety needs for consumer(s)? If yes, please justify in attached letter.",null,null,null,null,null,"No"]

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["SECTION C: ADDITIONAL PROGRAM COSTS",null,null,null,null,null,null,null,"Calculated Other Wages (Original)",{"$f":"A!AW78/A!AY78","v":{"$error":"#DIV/0!"}},{"$f":"H18","v":0},"[second is benefits]"]
[null,null,null,null,null,null,null,null,"Calucalted Other Wages (Revised)",{"$f":"A!AX78/A!AZ78","v":{"$error":"#DIV/0!"}},{"$f":"H18","v":0}]
[null,"Service Provider Name",{"$f":"IF(A!C4=\"\",\"\",A!C4)","v":""},null,null,null,null,null,"Calculated Direct Support Wages (Original)",{"$f":"A!BM78/A!BO78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,"Vendor Number",{"$f":"IF(A!C5=\"\",\"\",A!C5)","v":""},null,null,null,null,null,"Calculated Direct Support Wages (Revised)",{"$f":"A!BN78/A!BP78","v":{"$error":"#DIV/0!"}},{"$f":"C17","v":0}]
[null,"Service Code",{"$f":"IF(A!C7=\"\",\"\",A!C7)","v":""},null,null,null,null,null,"Calculated Management Wages (Original)",{"$f":"A!BY78/A!CA78","v":{"$error":"#DIV/0!"}},{"$f":"C18","v":0}]
[null,"Vendoring Regional Center",{"$f":"IF(A!C17=\"\",\"\",A!C17)","v":""},null,null,null,null,null,"Calculated Management Wages (Revised)",{"$f":"A!BZ78/A!CB78","v":{"$error":"#DIV/0!"}},{"$f":"C18","v":0}]
[null,null,null,null,null,null,null,null,"Calculated Administrative Wages (Original)",{"$f":"A!CG78/A!CJ78","v":{"$error":"#DIV/0!"}},{"$f":"IFERROR(A!CS78*(1/(A!CJ78/(2080/12))),0)","v":0}]
[null,{"$f":"\"Payroll & Liability Costs (\"&TEXT((SUM(C10:C14)+SUM(H10:H14)),\"0.00%\")&\" Total)\"","v":"Payroll & Liability Costs (10.00% Total)"},null,null,null,null,null,null,"Calculated Administrative Wages (Revised)",{"$f":"A!CH78/A!CK78","v":{"$error":"#DIV/0!"}},{"$f":"IFERROR(A!DA78*(1/(A!CK78/(2080/12))),0)","v":0}]
["Employer Payroll Taxes - Federal",null,null,null,"Employer Payroll Taxes - State",null,null,null,"Administrative Ratio",{"$f":"A!CJ24","v":0}]
["Social Security / FICA",null,6.2E-2,null,"SUI (CA State Unemployment Ins.)"]
["Medicare Tax",null,1.4500000000000001E-2,null,"ETT (CA Employment Training Tax)",null,null,1E-3]
["Federal Unemployment Tax",null,6.0000000000000001E-3,null,null,null,null,null,"Yes"]
["Misc. Mandated Costs",null,null,null,null,null,null,null,"No"]
["Workers Compensation",null,1.6500000000000001E-2]
["Mandatory Costs Total %",null,{"$f":"SUM(C10:C14)+SUM(H10:H14)","v":0.1}]
[null,{"$f":"\"Benefits per FTE (\"&J22&\" Month)\"","v":"Benefits per FTE (0 Month)"}]
["Direct Support - Benefits",null,null,null,"Administrative - Benefits",null,null,null,"Increase of Existing Service?"]
["Management - Benefits",null,null,null,"Other Support - Benefits",null,null,null,{"$f":"A!AC1","v":"Yes"}]
[null,null,null,null,null,null,null,null,{"$f":"IF(I18=\"No\",\"Proposed\",\"\")","v":""}]
[null,{"$f":"\"Operations Costs (\"&A!C13&\")\"","v":"Operations Costs ()"},null,null,null,null,null,null,{"$f":"IF(I18=\"Yes\",\" Billed\",\"\")","v":" Billed"}]
["Lease/Mortgage",null,null,null,"License Renewal Costs"]
["Utilities",null,null,null,"Transportation",null,null,null,"# of Months",{"$f":"A!C12","v":0}]
["License Renewal Costs",null,null,null,"Transportation Repair"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"CURRENT",null,null,null,null,"CURRENT"]
[null,null,null,null,null,null,null,null,null,1,2,3,4,5,1,2,3,4,5]
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["7.",null,null,null,null,null,null,null,"Consumer Specific Program Costs",{"$f":"SUMIF($F41:$F50,J29,$G41:$G50)","v":0},{"$f":"SUMIF($F41:$F50,K29,$G41:$G50)","v":0},{"$f":"SUMIF($F41:$F50,L29,$G41:$G50)","v":0},{"$f":"SUMIF($F41:$F50,M29,$G41:$G50)","v":0},{"$f":"SUMIF($F41:$F50,N29,$G41:$G50)","v":0},{"$f":"IF($J$46=\"LMW\",J31,SUMIF($F41:$F50,J29,$H41:$H50))","v":0},{"$f":"IF($J$46=\"LMW\",K31,SUMIF($F41:$F50,K29,$H41:$H50))","v":0},{"$f":"IF($J$46=\"LMW\",L31,SUMIF($F41:$F50,L29,$H41:$H50))","v":0},{"$f":"IF($J$46=\"LMW\",M31,SUMIF($F41:$F50,M29,$H41:$H50))","v":0},{"$f":"IF($J$46=\"LMW\",N31,SUMIF($F41:$F50,N29,$H41:$H50))","v":0}]
["8.",null,null,null,null,null,null,null,"Program Consultants",{"$f":"IFERROR(SUMIF($F53:$F62,J29,$I53:$I62)/$J$84,0)","v":0},{"$f":"IFERROR(SUMIF($F53:$F62,K29,$I53:$I62)/$J$84,0)","v":0},0,0,0,{"$f":"IF($J$46=\"LMW\",J32,IFERROR(SUMIF($F53:$F62,J29,$J53:$J62)/$J$84,0))","v":0},{"$f":"IF($J$46=\"LMW\",K32,IFERROR(SUMIF($F53:$F62,K29,$J53:$J62)/$J$84,0))","v":0},0,0,0]
["9.",null,null,null,null,null,null,null,"Consumer Specific Program Consultants",{"$f":"SUMIF($F65:$F74,J29,$I65:$I74)","v":0},{"$f":"SUMIF($F65:$F74,K29,$I65:$I74)","v":0},{"$f":"SUMIF($F65:$F74,L29,$I65:$I74)","v":0},{"$f":"SUMIF($F65:$F74,M29,$I65:$I74)","v":0},{"$f":"SUMIF($F65:$F74,N29,$I65:$I74)","v":0},{"$f":"IF($J$46=\"LMW\",J33,SUMIF($F65:$F74,J29,$J65:$J74))","v":0},{"$f":"IF($J$46=\"LMW\",K33,SUMIF($F65:$F74,K29,$J65:$J74))","v":0},{"$f":"IF($J$46=\"LMW\",L33,SUMIF($F65:$F74,L29,$J65:$J74))","v":0},{"$f":"IF($J$46=\"LMW\",M33,SUMIF($F65:$F74,M29,$J65:$J74))","v":0},{"$f":"IF($J$46=\"LMW\",N33,SUMIF($F65:$F74,N29,$J65:$J74))","v":0}]
["10.",null,null,null,null,null,null,null,"Totals",{"$f":"IF($J$48=TRUE,(J30*$J$83)+J31+(J32*$J$84)+J33,0)","v":0},{"$f":"IF($J$48=TRUE,(K30*$J$83)+K31+(K32*$J$84)+K33,0)","v":0},0,0,0,{"$f":"(O30*$J$83)+O31+(O32*$J$84)+O33","v":0},{"$f":"(P30*$J$83)+P31+(P32*$J$84)+P33","v":0},0,0,0]
["11.",null,null,null,null,null,null,null,"Difference",{"$f":"O34-J34","v":0},{"$f":"P34-K34","v":0},0,0,0]
["12."]
["13.",null,null,null,null,null,null,null,"Current Total for Subcode Specific Ops-Monthly",{"$f":"IFERROR(IF(J48=TRUE,SUM(J34:N34)/J22,0),0)","v":0}]
["14.",null,null,null,null,null,null,null,"Proposed Total for Subcode Specific Ops-Monthly",{"$f":"IFERROR(SUM(O34:S34)/J22,0)","v":0}]
["15."]
[null,"Consumer Specific Program Costs (Describe) - 100% Allocation",null,null,null,"Subcode","Current Cost","Proposed Cost","Admin",{"$f":"IF($J48=TRUE,SUMIF($F81:$F90,J29,$G81:$G90),0)","v":0},{"$f":"IF(J48=TRUE,SUMIF($F81:$F90,K29,$G81:$G90),0)","v":0},{"$f":"IF(J48=TRUE,SUMIF($F81:$F90,L29,$G81:$G90),0)","v":0},{"$f":"IF(J48=TRUE,SUMIF($F81:$F90,M29,$G81:$G90),0)","v":0},{"$f":"IF(J48=TRUE,SUMIF($F81:$F90,N29,$G81:$G90),0)","v":0},{"$f":"IF($J$46=\"LMW\",J40,SUMIF($F81:$F90,O29,$H81:$H90))","v":0},{"$f":"IF($J$46=\"LMW\",K40,SUMIF($F81:$F90,P29,$H81:$H90))","v":0},{"$f":"IF($J$46=\"LMW\",L40,SUMIF($F81:$F90,Q29,$H81:$H90))","v":0},{"$f":"IF($J$46=\"LMW\",M40,SUMIF($F81:$F90,R29,$H81:$H90))","v":0},{"$f":"IF($J$46=\"LMW\",N40,SUMIF($F81:$F90,S29,$H81:$H90))","v":0}]
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["7."]
["8.",null,null,null,null,null,null,null,"Current Total for Subcode Specific Admin-Monthly",{"$f":"IFERROR(IF(J48=TRUE,SUM(J40:N40)/J22,0),0)","v":0}]
["9.",null,null,null,null,null,null,null,"Proposed Total for Subcode Specific Admin-Monthly",{"$f":"IFERROR(SUM(O40:S40)/J22,0)","v":0}]
["10."]
["11.",null,null,null,null,null,null,null,"Type",{"$f":"A!X19","v":"Reg"}]
["12.",null,null,null,null,null,null,null,"Program/Admin Ratio",{"$f":"IFERROR(A!C10/A!C9,0)","v":0}]
["13.",null,null,null,null,null,null,null,"Existing Service?",{"$f":"IF(J46=\"LMW\",TRUE,NOT(D!AJ58))","v":true}]
["14."]
["15."]
[null,{"$f":"\"Program Consultants - \"&TEXT(J84,\"0.0%\")& \" Allocation\"","v":"Program Consultants - 0.0% Allocation"},null,"Hourly Rate",null,"Subcode","Current Hours","Proposed Hours","Current Budget Cost","Proposed Budget Cost"]
[null,null,null,null,null,null,{"$f":"\"(\"&D!L2&\" Month\"&B!K29&\")\"","v":"(3 Months)"},{"$f":"\"(\"&D!L2&\" Month\"&B!K29&\")\"","v":"(3 Months)"}]
["6.",null,null,null,null,null,null,null,{"$f":"D53*G53*$J$84","v":0},{"$f":"D53*H53*$J$84","v":0}]
["7.",null,null,null,null,null,null,null,{"$f":"D54*G54*$J$84","v":0},{"$f":"D54*H54*$J$84","v":0}]
["8.",null,null,null,null,null,null,null,0,0]
["9.",null,null,null,null,null,null,null,0,0]
["10.",null,null,null,null,null,null,null,0,0]
["11.",null,null,null,null,null,null,null,0,0]
["12.",null,null,null,null,null,null,null,0,0]
["13.",null,null,null,null,null,null,null,0,0]
["14.",null,null,null,null,null,null,null,0,0]
["15.",null,null,null,null,null,null,null,0,0]
[null,"Consumer Specific Consultants - 100% Allocation",null,"Hourly Rate",null,"Subcode","Current Hours","Proposed Hours"]
[null,null,null,null,null,null,{"$f":"\"(\"&D!L2&\" Month\"&B!K29&\")\"","v":"(3 Months)"},{"$f":"\"(\"&D!L2&\" Month\"&B!K29&\")\"","v":"(3 Months)"}]
["6.",null,null,null,null,null,null,null,{"$f":"D65*G65","v":0},{"$f":"D65*H65","v":0}]
["7.",null,null,null,null,null,null,null,{"$f":"D66*G66","v":0},{"$f":"D66*H66","v":0}]
["8.",null,null,null,null,null,null,null,{"$f":"D67*G67","v":0},0]
["9.",null,null,null,null,null,null,null,{"$f":"D68*G68","v":0},0]
["10.",null,null,null,null,null,null,null,{"$f":"D69*G69","v":0},0]
["11.",null,null,null,null,null,null,null,0,0]
["12.",null,null,null,null,null,null,null,0,0]
["13.",null,null,null,null,null,null,null,0,0]
["14.",null,null,null,null,null,null,null,0,0]
["15.",null,null,null,null,null,null,null,0,0]
[]
[null,{"$f":"\"Subcode Directed Administrative Costs  (\"&D!L2&\" Month\"&B!K29&\" - \"&A!C13&\")\"","v":"Subcode Directed Administrative Costs  (3 Months - )"}]
[null,"Taxes",null,null,"Depreciation"]
[null,"Repair & Maintenance",null,null,"Management Services"]
[null,"Depreciation"]
[null,"Administrative Costs (List Below) - 100% Allocation *",null,null,null,"Subcode","Current Cost","Proposed Cost"]
["6."]
["7."]
["8.",null,null,null,null,null,null,null,"Program Costs",{"$f":"A!U5","v":0}]
["9.",null,null,null,null,null,null,null,"Program Consultants",{"$f":"A!U6","v":0}]
["10.",null,null,null,null,null,null,null,"Administrative Costs",{"$f":"A!U7","v":0}]
["11.",null,null,null,null,null,null,null,"Administrative Staff",{"$f":"A!U8","v":0}]
["12."]
["13."]
["14."]
["15."]
[]
["For Regional Center Only",null,{"$f":"J22&\" Month Period = \"&A!C13","v":"0 Month Period = "}]
[null,null,"Current Units Billed",null,null,"Proposed Billable Units"]
[null,{"$f":"\"Subcode #1 - \"&A!K12","v":"Subcode #1 - "},{"$f":"730*3","v":2190},null,null,{"$f":"C94","v":2190},{"$f":"IF(A!L12=\"\",\"\",\"(\"&A!L12&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #2 - \"&A!K13","v":"Subcode #2 - "},{"$f":"C94/24","v":91.25},null,null,{"$f":"C95","v":91.25},{"$f":"IF(A!L13=\"\",\"\",\"(\"&A!L13&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #3 - \"&A!K14","v":"Subcode #3 - "},3,null,null,{"$f":"C96","v":3},{"$f":"IF(A!L14=\"\",\"\",\"(\"&A!L14&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #4 - \"&A!K15","v":"Subcode #4 - "},null,null,null,null,{"$f":"IF(A!L15=\"\",\"\",\"(\"&A!L15&\" Rate)\")","v":""}]
[null,{"$f":"\"Subcode #5 - \"&A!K16","v":"Subcode #5 - "},null,null,null,null,{"$f":"IF(A!L16=\"\",\"\",\"(\"&A!L16&\" Rate)\")","v":""}]
[null,"Does Agency incur any changes to Administrative Staff Costs due to request?",null,null,null,null,null,{"$f":"A!CI81&\", \"&A!CI80&\" Staff\"","v":"No, 0 Staff"}]
[null,"If there is a change for Administrative Staff or General Administrative Costs, is this necessary for health & safety needs for consumer(s)?",null,null,null,null,null,"No"]
[]
[null,"* Subcode Directed Administrative Costs are always set at 100% Allocation."]

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[]
["Direct Program Costs",null,null,"Current",null,"Proposed",null,"Difference"]
[null,null,"Hours","Rate","Total","Rate","Total","Total","Notes",null,"Name","Same Hours?",null,"Current","Proposed"]
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[null,"Direct Support - Payroll & Liability",null,{"$f":"IF(D8=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E8:E8)*D9,0))","v":0},{"$f":"IF(F8=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G8:G8)*F9,0)","v":0},{"$f":"G9-E9","v":0},null,{"$f":"E9=G9","v":true}]
[null,"Direct Support - Benefits",{"$f":"IF(L1=TRUE,\"\",IF(N8=0,\"\",\"FTE = \"&ROUND((SUM(C8)/(2080/12)),2)))","v":""},{"$f":"IF(N8=0,0,B!C17/L2)","v":0},{"$f":"IF(L1=TRUE,0,IFERROR((SUM(N8)/(2080/12))*D10,0))","v":0},{"$f":"IF(O8=0,0,B!C17/L2)","v":0},{"$f":"(SUM(O8)/(2080/12))*F10","v":0},{"$f":"G10-E10","v":0},{"$f":"\"Proposed FTE = \"&ROUND((SUM(O8)/(2080/12)),2)","v":"Proposed FTE = 0"},true]
[null,{"$f":"M11&\" Support - Wages\"","v":"Other #1 Support - Wages"},{"$f":"IF(L1=TRUE,\"\",IF(N11=0,\"\",IF(AI58=\"no\",O11,N11)))","v":""},{"$f":"IFERROR(IF(L3=\"LMW\",B!J21,B!J10),0)","v":0},{"$f":"IF(L1=TRUE,0,D11*N11)","v":0},{"$f":"IFERROR(IF(L3=\"LMW\",B!J22,B!J11),0)","v":0},{"$f":"F11*O11","v":0},{"$f":"G11-E11","v":0},{"$f":"IF(L11=TRUE,\"\",\"Proposed Hours = \"&TEXT(O11,\"0.00\"))","v":""},{"$f":"E11=G11","v":true},{"$f":"IF(A!N19=\"\",\"Other #1\",A!N19)","v":"Other #1"},{"$f":"N11=O11","v":true},{"$f":"IF(L3=\"LMW\",\"Direct \",K11)","v":"Other #1"},{"$f":"IF(L3=\"LMW\",A!BW78/L2,IF(L1=TRUE,0,A!AY78/L2))","v":0},{"$f":"IF(L3=\"LMW\",A!BX78/L2,A!AZ78/L2)","v":0}]
[null,{"$f":"M11&\" Support - Payroll & Liability\"","v":"Other #1 Support - Payroll & Liability"},null,{"$f":"IF(D11=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E11)*D12,0))","v":0},{"$f":"IF(F11=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G11)*F12,0)","v":0},{"$f":"G12-E12","v":0},null,true]
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[null,{"$f":"K14&\" Support - Benefits\"","v":"Other #2 Support - Benefits"},{"$f":"IF(L1=TRUE,\"\",IF(N14=0,\"\",\"FTE = \"&ROUND((SUM(C14)/(2080/12)),2)))","v":""},{"$f":"IF(N14=0,0,B!H18/L2)","v":0},{"$f":"IF(L1=TRUE,0,(SUM(N14)/(2080/12))*D16)","v":0},{"$f":"IF(O14=0,0,B!H18/L2)","v":0},{"$f":"(SUM(O14)/(2080/12))*F16","v":0},0,{"$f":"\"Proposed FTE = \"&ROUND((SUM(O14)/(2080/12)),2)","v":"Proposed FTE = 0"},true]
[null,{"$f":"K17&\" Support - Wages\"","v":"Other #3 Support - Wages"},{"$f":"IF(L1=TRUE,\"\",IF(N17=0,\"\",IF(AI58=\"no\",O17,N17)))","v":""},{"$f":"IFERROR(B!J14,0)","v":0},{"$f":"IF(L1=TRUE,0,D17*N17)","v":0},{"$f":"IFERROR(B!J16,0)","v":0},{"$f":"F17*O17","v":0},0,{"$f":"IF(L17=TRUE,\"\",\"Proposed Hours = \"&TEXT(O17,\"0.00\"))","v":""},true,{"$f":"IF(A!N21=\"\",\"Other #3\",A!N21)","v":"Other #3"},{"$f":"N17=O17","v":true},null,{"$f":"IF(L1=TRUE,0,A!BG78/L2)","v":0},{"$f":"A!BH78/L2","v":0}]
[null,{"$f":"K17&\" Support - Payroll & Liability\"","v":"Other #3 Support - Payroll & Liability"},null,{"$f":"IF(D17=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E17)*D18,0))","v":0},{"$f":"IF(F17=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G17)*F18,0)","v":0},0,null,true]
[null,{"$f":"K17&\" Support - Benefits\"","v":"Other #3 Support - Benefits"},{"$f":"IF(L1=TRUE,\"\",IF(N17=0,\"\",\"FTE = \"&ROUND((SUM(C17)/(2080/12)),2)))","v":""},{"$f":"IF(N17=0,0,B!H19/L2)","v":0},{"$f":"IF(L1=TRUE,0,(SUM(N17)/(2080/12))*D19)","v":0},{"$f":"IF(O17=0,0,B!H19/L2)","v":0},{"$f":"(SUM(O17)/(2080/12))*F19","v":0},0,{"$f":"\"Proposed FTE = \"&ROUND((SUM(O17)/(2080/12)),2)","v":"Proposed FTE = 0"},true]
[null,{"$f":"K20&\" Support - Wages\"","v":"Other #4 Support - Wages"},{"$f":"IF(L1=TRUE,\"\",IF(N20=0,\"\",IF(AI61=\"no\",O20,N20)))","v":""},{"$f":"IFERROR(B!J17,0)","v":0},{"$f":"IF(L1=TRUE,0,D20*N20)","v":0},{"$f":"IFERROR(B!J18,0)","v":0},{"$f":"F20*O20","v":0},0,{"$f":"IF(L20=TRUE,\"\",\"Proposed Hours = \"&TEXT(O20,\"0.00\"))","v":""},true,{"$f":"IF(A!N22=\"\",\"Other #4\",A!N22)","v":"Other #4"},{"$f":"N20=O20","v":true},null,{"$f":"IF(L1=TRUE,0,A!BK78/L2)","v":0},{"$f":"A!BL78/L2","v":0}]
[null,{"$f":"K20&\" Support - Payroll & Liability\"","v":"Other #4 Support - Payroll & Liability"},null,{"$f":"IF(D20=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E20)*D21,0))","v":0},{"$f":"IF(F20=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G20)*F21,0)","v":0},0,null,true]
[null,{"$f":"K20&\" Support - Benefits\"","v":"Other #4 Support - Benefits"},{"$f":"IF(L1=TRUE,\"\",IF(N20=0,\"\",\"FTE = \"&ROUND((SUM(C20)/(2080/12)),2)))","v":""},{"$f":"IF(N20=0,0,B!H20/L2)","v":0},{"$f":"IF(L1=TRUE,0,(SUM(N20)/(2080/12))*D22)","v":0},{"$f":"IF(O20=0,0,B!H20/L2)","v":0},{"$f":"(SUM(O20)/(2080/12))*F22","v":0},0,{"$f":"\"Proposed FTE = \"&ROUND((SUM(O20)/(2080/12)),2)","v":"Proposed FTE = 0"},true]
[null,"Management - Wages",{"$f":"IF(L1=TRUE,\"\",IF(N23=0,\"\",IF(AI58=\"No\",O23,N23)))","v":""},{"$f":"IFERROR(B!J5,0)","v":0},{"$f":"IF(L1=TRUE,0,IFERROR(C23*D23,0))","v":0},{"$f":"IFERROR(B!J6,0)","v":0},{"$f":"O23*F23","v":0},{"$f":"G23-E23","v":0},{"$f":"IF(L23=TRUE,\"\",\"Proposed Hours = \"&TEXT(O23,\"0.00\"))","v":""},{"$f":"E23=G23","v":true},null,{"$f":"N23=O23","v":true},null,{"$f":"IF(L1=TRUE,0,(A!CA78+A!CE78)/L2)","v":0},{"$f":"(A!CB78+A!CF78)/L2","v":0}]
[null,"Management - Payroll & Liability",null,{"$f":"IF(D23=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E23:E23)*D24,0))","v":0},{"$f":"IF(F23=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G23:G23)*F24,0)","v":0},{"$f":"G24-E24","v":0},null,{"$f":"E24=G24","v":true}]
[null,"Management - Benefits",{"$f":"IF(L1=TRUE,\"\",IF(N23=0,\"\",\"FTE = \"&ROUND((SUM(C23:C23)/(2080/12)),2)))","v":""},{"$f":"IF(N23=0,0,B!C18/L2)","v":0},{"$f":"IF(L1=TRUE,0,(SUM(N23)/(2080/12))*D25)","v":0},{"$f":"IF(O23=0,0,B!C18/L2)","v":0},{"$f":"(SUM(O23)/(2080/12))*F25","v":0},{"$f":"G25-E25","v":0},{"$f":"\"Proposed FTE = \"&ROUND((SUM(O23)/(2080/12)),2)","v":"Proposed FTE = 0"},{"$f":"E25=G25","v":true}]
[null,"Subtotal",null,null,{"$f":"SUM(E8:E25)","v":0},null,{"$f":"SUM(G8:G25)","v":0},{"$f":"SUM(H8:H25)","v":0},{"$f":"TEXT((IFERROR(H26/E26,\"0\")),\"0.00%\")&\" Increase\"","v":"0.00% Increase"}]
[]
["Operations",null,null,"Current",null,"Proposed",null,"Difference"]
[null,null,null,null,"Total",null,"Total","Total","Notes",null,null,null,"Allocation"]
[null,"Lease/Mortgage",null,null,{"$f":"IF(L1=TRUE,0,G30)","v":0},null,{"$f":"(B!C23*A!U4)/L2","v":0},{"$f":"G30-E30","v":0},{"$f":"IF(M30=A!$V$1,\"\",IF(AND(E30=0,G30=0),\"\",\"Allocated at \"&TEXT(M30,\"0.00%\")))","v":""},{"$f":"E30=G30","v":true},null,null,{"$f":"A!U4","v":0}]
[null,"Utilities",null,null,{"$f":"IF(L1=TRUE,0,G31)","v":0},null,{"$f":"(B!C24*A!U4)/L2","v":0},{"$f":"G31-E31","v":0},{"$f":"IF(M31=A!$V$1,\"\",IF(AND(E31=0,G31=0),\"\",\"Allocated at \"&TEXT(M31,\"0.00%\")))","v":""},{"$f":"E31=G31","v":true},null,null,{"$f":"A!U4","v":0}]
[null,"License Renewal Costs",null,null,{"$f":"G32","v":0},null,{"$f":"(B!C25*B!$J$9)/3","v":0},0,{"$f":"IF(M32=A!$V$1,\"\",IF(AND(E32=0,G32=0),\"\",\"Allocated at \"&TEXT(M32,\"0.00%\")))","v":""},true]
[null,"Community Care License Renewal Costs",null,null,{"$f":"IF(L1=TRUE,0,G33)","v":0},null,{"$f":"(B!H23*A!U4)/L2","v":0},0,{"$f":"IF(M33=A!$V$1,\"\",IF(AND(E33=0,G33=0),\"\",\"Allocated at \"&TEXT(M33,\"0.00%\")))","v":""},true,null,null,{"$f":"A!U4","v":0}]
[null,"Transportation",null,null,{"$f":"IF(L1=TRUE,0,G34)","v":0},null,{"$f":"(B!H24*A!U4)/L2","v":0},0,{"$f":"IF(M34=A!$V$1,\"\",IF(AND(E34=0,G34=0),\"\",\"Allocated at \"&TEXT(M34,\"0.00%\")))","v":""},true,null,null,{"$f":"A!U4","v":0}]
[null,"Transportation Repair",null,null,{"$f":"G35","v":0},null,{"$f":"(B!H25*B!$J$9)/3","v":0},0,{"$f":"IF(M35=A!$V$1,\"\",IF(AND(E35=0,G35=0),\"\",\"Allocated at \"&TEXT(M35,\"0.00%\")))","v":""},true]
[null,"Program Costs1",null,null,{"$f":"IF(L1=TRUE,0,((SUM(B!G32:G36))*M36)/L2+((SUM('C'!G30:G39))*M36)/L2)","v":0},null,{"$f":"IF(L3=\"LMW\",E36,((SUM(B!H32:H36))*M36)/L2+((SUM('C'!H30:H39))*M36)/L2)","v":0},0,{"$f":"IF(M36=A!$V$1,\"\",IF(AND(E36=0,G36=0),\"\",\"Allocated at \"&TEXT(M36,\"0.00%\")))","v":""},true,null,null,{"$f":"A!U5","v":0}]
[null,"Consumer Specific Program Costs1",null,null,{"$f":"IF(L3=\"LMW\",0,IF(L1=TRUE,0,SUM(B!G38:G42)/L2+SUM('C'!G41:G50)/L2))","v":0},null,{"$f":"IF(L3=\"LMW\",E37,SUM(B!H38:H42)/L2+SUM('C'!H41:H50)/L2)","v":0},0,null,true]
[null,"Program Consultants1",null,null,{"$f":"IF(L1=TRUE,0,SUM(B!I46:I50)/L2+SUM('C'!I53:I62)/L2)","v":0},null,{"$f":"IF(L3=\"LMW\",E38,SUM(B!J46:J50)/L2+SUM('C'!J53:J62)/L2)","v":0},0,{"$f":"IF(M38=A!$V$1,\"\",IF(AND(E38=0,G38=0),\"\",\"Allocated at \"&TEXT(M38,\"0.00%\")))","v":""},true,null,null,{"$f":"A!U6","v":0}]
[null,"Consumer Specific Consultants1",null,null,{"$f":"IF(L3=\"LMW\",0,IF(L1=TRUE,0,SUM(B!I53:I57)/L2+SUM('C'!I65:I74)/L2))","v":0},null,{"$f":"IF(L3=\"LMW\",E39,SUM(B!J53:J57)/L2+SUM('C'!J65:J74)/L2)","v":0},0,null,true]
[null,"Operations Subtotal",null,null,{"$f":"SUM(E30:E39)","v":0},null,{"$f":"SUM(G30:G39)","v":0},0,{"$f":"TEXT((IFERROR(H40/E40,0)),\"0.00%\")&\" Increase\"","v":"0.00% Increase"},{"$f":"E40=G40","v":true}]
[]
["Administrative2",null,null,"Current",null,"Proposed",null,"Difference"]
[null,null,"Hours","Rate","Total","Rate","Total","Total","Notes",null,null,"Same Hours?",null,"Current","Proposed"]
[null,"Administrative - Wages",{"$f":"IF(L1=TRUE,\"\",IF(N44=0,\"\",IF(AI58=\"no\",O44,N44)))","v":""},{"$f":"IFERROR(B!J7,0)","v":0},{"$f":"IF(L1=TRUE,0,IFERROR(C44*D44,0))","v":0},{"$f":"IF(AI60=\"YES\",IFERROR(B!J8,0),D44)","v":0},{"$f":"O44*F44","v":0},{"$f":"G44-E44","v":0},{"$f":"IF(M44=A!$V$1,\"\",IF(AND(E44=0,G44=0),\"\",\"Allocated at \"&TEXT(M44,\"0.00%\")))","v":""},{"$f":"E44=G44","v":true},null,{"$f":"N44=O44","v":true},{"$f":"A!U8","v":0},{"$f":"IF(L1=TRUE,0,A!CJ78/L2)","v":0},{"$f":"IF(AI60=\"No\",N44,A!CK78/L2)","v":0}]
[null,"Administrative - Payroll & Liability",null,{"$f":"IF(D44=0,\"\",B!C15)","v":""},{"$f":"IF(L1=TRUE,0,IFERROR(SUM(E44:E44)*D45,0))","v":0},{"$f":"IF(F44=0,\"\",B!C15)","v":""},{"$f":"IFERROR(SUM(G44:G44)*F45,0)","v":0},0,null,true]
[null,"Administrative - Benefits",{"$f":"IF(L1=TRUE,\"\",IF(N44=0,\"\",\"FTE = \"&ROUND((SUM(C44:C44)/(2080/12)),2)))","v":""},{"$f":"IF(B!K7=0,0,B!K7/L2)","v":0},{"$f":"IF(L1=TRUE,0,IFERROR((SUM(C44:C44)/(2080/12))*D46,0))","v":0},{"$f":"IF(L3=\"LMW\",D46,IF(B!K8=0,0,B!K8/L2))","v":0},{"$f":"IFERROR((SUM(O44)/(2080/12))*F46,0)","v":0},0,{"$f":"\"Proposed FTE = \"&ROUND((SUM(O44)/(2080/12)),2)","v":"Proposed FTE = 0"},{"$f":"E46=G46","v":true}]
[null,"Taxes",null,null,{"$f":"IF(L1=TRUE,0,G47)","v":0},null,{"$f":"B!C60*B!$J$9/L2","v":0},0,null,true]
[null,"Repair & Maintenance",null,null,{"$f":"IF(L1=TRUE,0,G48)","v":0},null,{"$f":"B!C61*B!$J$9/L2","v":0},0,null,true]
[null,"Depreciation",null,null,{"$f":"IF(L1=TRUE,0,G49)","v":0},null,{"$f":"B!H60*B!$J$9/L2","v":0},0,null,true]
[null,"Management Services",null,null,{"$f":"IF(L1=TRUE,0,G50)","v":0},null,{"$f":"B!H61*B!$J$9/L2","v":0},0,null,true]
[null,"Other Administrative Costs1",null,null,{"$f":"IF(L1=TRUE,0,SUM(B!G64:G68)*B!$J$66/L2+SUM('C'!G81:G90)/L2)","v":0},null,{"$f":"IF(L3=\"LMW\",E51,SUM(B!H64:H68)*B!$J$66/L2+SUM('C'!H81:H90)/L2)","v":0},0,null,true,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Type"]
[null,"Administrative Subtotal",null,null,{"$f":"SUM(E44:E51)","v":0},null,{"$f":"SUM(G44:G51)","v":0},0,{"$f":"TEXT((IFERROR(H52/E52,0)),\"0.00%\")&\" Increase\"","v":"0.00% Increase"},{"$f":"E52=G52","v":true},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"L3","v":"Reg"}]
[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,"Make Whole?"]
["Totals",null,null,"Current",null,"Proposed",null,"Difference",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,{"$f":"IF(AJ52=\"LMW\",FALSE,IF(I76=\"YES\",TRUE,FALSE))","v":false}]
[null,"Direct Program Percentage",null,null,{"$f":"IFERROR(E26/E61,0)","v":0},null,{"$f":"IFERROR(G26/G61,0)","v":0},{"$f":"G55-E55","v":0},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,"Include Proposed Admin?"]
[null,"Operations Percentage",null,null,{"$f":"IFERROR(E40/E61,0)","v":0},null,{"$f":"IFERROR(G40/G61,0)","v":0},0,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,{"$f":"IF(AJ52=\"LMW\",FALSE,OR(AJ58,AJ60))","v":false}]
[null,"Administrative Percentage",null,null,{"$f":"IFERROR(E52/E61,0)","v":0},null,{"$f":"IFERROR(G52/G61,0)","v":0},0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Existing Service?"]
[null,"Direct Program Subtotal",null,null,{"$f":"E26","v":0},null,{"$f":"G26","v":0},0,{"$f":"IF(H58=0,\"\",TEXT((IFERROR(H26/E26,0)),\"0.00%\")&\" Increase\")","v":""},null,null,{"$f":"F65/D65","v":{"$error":"#DIV/0!"}},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"OR(AJ54,AJ58)","v":false},{"$f":"IF(AJ52=\"LMW\",\"Yes\",IF(A!AC1=\"\",\"Yes\",A!AC1))","v":"Yes"},{"$f":"AI58=\"No\"","v":false},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LMW Rate Cap",{"$f":"A!V21","v":"No"}]
[null,"Operations Subtotal",null,null,{"$f":"E40","v":0},null,{"$f":"G40","v":0},0,{"$f":"IF(H59=0,\"\",TEXT((IFERROR(H40/E40,0)),\"0.00%\")&\" Increase\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Admin Justified?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Evenly Distro?",{"$f":"A!AN17","v":false},null,null,null,null,null,null,null,null,null,null,null,null,"Yes",{"$f":"IF(FI61>1,1,IF(FI61<0,0,FI61))","v":{"$error":"#DIV/0!"}},null,null,null,null,"Yes",{"$f":"IF(FO61<0,0,FO61)","v":0}]
[null,"Administrative Subtotal",null,null,{"$f":"E52","v":0},null,{"$f":"G52","v":0},0,{"$f":"IF(H60=0,\"\",TEXT((IFERROR(H52/E52,0)),\"0.00%\")&\" Increase\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AJ52=\"LMW\",\"No\",IF(B!H78=\"\",\"No\",B!H78))","v":"No"},{"$f":"IF(AI58=\"No\",\"Yes\",AH60)","v":"No"},{"$f":"AI60=\"Yes\"","v":false},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ES65/4","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"No",1,null,null,null,null,"No",1]
[null,"Budget Total",null,null,{"$f":"SUM(E58:E60)","v":0},null,{"$f":"SUM(G58:G60)","v":0},0,{"$f":"TEXT((IFERROR(H61/E61,0)),\"0.00%\")&\" Increase\"","v":"0.00% Increase"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"((SUM(H8:H10,H23:H25))-E73)/(SUM(H8:H10,H23:H25))","v":{"$error":"#DIV/0!"}},null,null,null,null,null,{"$f":"IFERROR(-($E$70-$G$61)/$FH$70,0)","v":0},null,1,2,3,4,5,6,7,8,9,10,11,12]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Prorate; Does not include Subcode Specific Ops/Admin",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"*Manager - Subcode specific ONLY",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"*Manager - Subcode specific ONLY",null,null,null,null,null,null,null,null,null,"Subcode Specific Budget Totals",null,null,null,"Subcode Specific Increases",null,null,null,"Ops/Admin","Wage",null,null,null,"RHS",null,null,"Make Whole",null,null,null,"LMW - INC/MW",null,null,null,null,"Adjusted-NoProfit","Adjust-NoProfit","LMW - MW",null,null,null,null,null,"Code = 1","Code = 2","Code 3, 4",null,"Code = 5","Code = 6","Code 7, 8",null,"Code = 9","Code = 10","Code = 11","Code = 12"]
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","v":0},{"$f":"EF69+EG69+EH69","v":0},{"$f":"CI69+('C'!N40+'C'!N34)/L2","v":0},{"$f":"EI69+('C'!S40+'C'!S34)/L2","v":0},{"$f":"IFERROR(EK69/$EK$70,0)","v":0},{"$f":"EK69-EJ69","v":0},{"$f":"EF69-CF69","v":0},{"$f":"EI69-CI69","v":0},{"$f":"'C'!N35/L2","v":0},{"$f":"'C'!N41/L2","v":0},{"$f":"(EH69-CH69)+(EG69-CG69)+EP69+EQ69","v":0},{"$f":"EF69-CF69","v":0},{"$f":"(IFERROR($ES$70/Q69,0)*AA69)*N69+IFERROR((ER69/K69),0)","v":0},{"$f":"IF(A!U16=\"YES\",TRUE,FALSE)","v":false},{"$f":"IF(EU69=TRUE,0,EK69)","v":0},{"$f":"IFERROR(EV69/$EV$70,0)","v":0},{"$f":"IF(EU69=TRUE,EM69,0)","v":0},{"$f":"IF($EU69=TRUE,0,$EX$70*$AA69-$EX69)","v":0},{"$f":"IF(EU69=TRUE,D69*K69,0)","v":0},{"$f":"IF(EU69=TRUE,EJ69-EZ69+EP69+EQ69,0)","v":0},{"$f":"$FA$70*AA69","v":0},null,0,0,{"$f":"IFERROR((FD69-FE69)/FD69,0)","v":0},0,0,0,{"$f":"$FE$65*AA69*$FI$64","v":0},{"$f":"E69","v":0},null,null,{"$f":"AA69","v":0},{"$f":"FH69*$FO$64","v":0},0,{"$f":"IF(EU69=TRUE,D69,IFERROR((ER69+ES69+EY69)/K69,0)+D69)","v":0},{"$f":"IF(EU69=TRUE,D69,IFERROR(((EK69+FB69)/K69),0))","v":0},{"$f":"IF(EU69=TRUE,D69,IF($EU$59=TRUE,IFERROR(ET69,0),IFERROR((ER69+ES69+FB69)/K69,0)))","v":0},0,{"$f":"IFERROR((($ES$70*AA69)+ER69)/K69+D69,0)","v":0},{"$f":"IFERROR(D69+((($G$61-$E$70)/K69)*AC69),0)","v":0},{"$f":"IF(EU69=TRUE,D69,IFERROR(ET69,0))","v":0},0,{"$f":"IF(EU69=TRUE,D69,IFERROR((FI69)/K69,0)+D69)","v":0},{"$f":"IFERROR(((FJ69))/K69+D69,0)","v":0},{"$f":"IF(EU69=TRUE,D69,IFERROR((FO69)/K69,0)+D69)","v":0},{"$f":"IF(EU69=TRUE,D69,IFERROR((FP69)/K69,0)+D69)","v":0}]
[null,"Total Revenue from Regional Center",null,null,{"$f":"SUM(E65:E69)","v":0},null,{"$f":"SUM(G65:G69)","v":0},{"$f":"SUM(H65:H69)","v":0},{"$f":"IF(H70=0,\"\",TEXT((IFERROR(H70/E70,0)),\"0.00%\")&\" Revenue Increase\")","v":""},{"$f":"SUM(J65:J69)","v":0},{"$f":"SUM(K65:K69)","v":0},null,null,null,null,{"$f":"SUM(P65:P69)","v":0},{"$f":"SUM(Q65:Q69)","v":0},null,{"$f":"SUM(S65:S69)","v":0},{"$f":"SUM(T65:T69)","v":0},null,{"$f":"SUM(V65:V69)","v":0},{"$f":"SUM(W65:W69)","v":0},null,{"$f":"SUM(Y65:Y69)","v":0},{"$f":"SUM(Z65:Z69)","v":0},{"$f":"SUM(AA65:AA69)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,{"$f":"SUM(AO65:AO69)","v":0},{"$f":"SUM(AP65:AP69)","v":0},0,0,0,0,0,{"$f":"SUM(AV65:AV69)","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,{"$f":"SUM(BT65:BT69)","v":0},0,0,0,0,0,{"$f":"SUM(BZ65:BZ69)","v":0},0,0,0,0,0,{"$f":"SUM(CF65:CF69)","v":0},0,0,0,0,0,0,{"$f":"SUM(CM65:CM69)","v":0},{"$f":"SUM(CN65:CN69)","v":0},{"$f":"SUM(CO65:CO69)","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,{"$f":"SUM(DN65:DN69)","v":0},0,0,0,0,0,{"$f":"SUM(DT65:DT69)","v":0},0,0,0,0,0,{"$f":"SUM(DZ65:DZ69)","v":0},0,0,0,0,0,{"$f":"SUM(EF65:EF69)","v":0},0,0,0,{"$f":"SUM(EJ65:EJ69)","v":0},{"$f":"SUM(EK65:EK69)","v":0},{"$f":"SUM(EL65:EL69)","v":0},{"$f":"SUM(EM65:EM69)","v":0},0,{"$f":"SUM(EO65:EO69)","v":0},0,0,0,0,{"$f":"SUM(ET65:ET69)","v":0},null,{"$f":"SUM(EV65:EV69)","v":0},null,{"$f":"SUM(EX65:EX69)","v":0},0,0,0,0,null,0,0,null,{"$f":"SUM(FG65:FG69)","v":0},{"$f":"SUM(FH65:FH69)","v":0},{"$f":"SUM(FI65:FI69)","v":0},{"$f":"SUM(FJ65:FJ69)","v":0},{"$f":"SUM(FK65:FK69)","v":0},null,null,null,{"$f":"SUM(FO65:FO69)","v":0},{"$f":"SUM(FP65:FP69)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"Type",{"$f":"L3","v":"Reg"},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,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,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,"* Currently set to distribute to all subcodes;\nRecode from Column R to BT if you want rep\ncurrent budget distribution"]
["Remaining Balance",null,null,"Current",null,"Proposed",null,"Difference",null,null,null,null,"Distro",{"$f":"IF(A!T19=\"\",\"Subcode Specific Distribution\",A!T19)","v":"Subcode Specific Distribution"}]
[null,"Remaining Balance (w/o Rate Adjustment)",null,null,{"$f":"E70-E61","v":0},null,{"$f":"E70-G61","v":0},{"$f":"G73-E73","v":0},null,null,null,null,"Exist Srvc?",{"$f":"AI58","v":"Yes"}]
[null,"Remaining Balance (w/ Rate Adjustment)",null,null,"N/A",null,{"$f":"G70-G61","v":0},null,null,null,null,null,null,null,null,null,null,"Notes"]
[1,"See Itemized List in Costs Datasheet",2,{"$f":"\"Operations and Administrative Costs are allocated at \"&TEXT(A!U7,\"0.00%\")&\" unless otherwise specified\"","v":"Operations and Administrative Costs are allocated at 0.00% unless otherwise specified"},null,null,null,null,{"$f":"\"Code: \"&Q89&\" \"&VLOOKUP(Q89,M75:N86,2,FALSE)","v":"Code: 1 REG-INC-SSD"},null,null,null,1,"REG-INC-SSD","ExistSrvc; INC; Subcode",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"Yes\",I76=\"INC\",N72=\"Subcode Specific Distribution\"),1,0)","v":1},"WORKS"]
[null,null,null,null,null,null,null,null,{"$f":"IFERROR(VLOOKUP(A!T20,D!J84:K86,2,FALSE),K86)","v":"INC"},"Mixed?",{"$f":"IF(A!C16=\"Mixed\",TRUE,FALSE)","v":false},null,2,"REG-COM-SSD","ExistSrvc; Comp; Subcode",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"Yes\",I76=\"Com\",N72=\"Subcode Specific Distribution\"),2,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,null,null,null,3,"REG-NS-SSD","NewSrvc; INC; Subcode",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"No\",I76=\"INC\",N72=\"Subcode Specific Distribution\"),3,0)","v":0},"WORKS","* New Service Does Not Work on Full Bypass; No Need"]
[null,null,null,null,null,null,null,null,null,"Hourly",1,null,4,"REG-NS-SSD","NewServ; Comp; Subcode",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"No\",I76=\"Com\",N72=\"Subcode Specific Distribution\"),4,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,"Daily",24,null,5,"REG-INC-AVE","ExistSrvc; INC; Average",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"Yes\",I76=\"INC\",N72=\"Average Distribution\"),5,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,"Monthly",730,null,6,"REG-COM-AVE","ExistSrvc; Comp; Average",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"Yes\",I76=\"Com\",N72=\"Average Distribution\"),6,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,"Per-Ride",1,null,7,"REG-NS-AVE","NewSrvc; INC; Average",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"No\",I76=\"INC\",N72=\"Average Distribution\"),7,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,0,0,null,8,"REG-NS-AVE","NewSrvc; Comp; Average",null,{"$f":"IF(AND(N71=\"Reg\",N73=\"No\",I76=\"Com\",N72=\"Average Distribution\"),8,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,null,null,null,9,"LMW-INC-SSD",null,null,{"$f":"IF(AND(N71=\"LMW\",N73=\"Yes\",I76=\"INC\",N72=\"Subcode Specific Distribution\"),9,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,{"$f":"A!X11","v":"Incremental"},"INC",null,10,"LMW-INC-AVE",null,null,{"$f":"IF(AND(N71=\"LMW\",N73=\"Yes\",I76=\"INC\",N72=\"Average Distribution\"),10,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,{"$f":"A!X12","v":"Comprehensive"},"COM",null,11,"LMW-COM-SSD",null,null,{"$f":"IF(AND(N71=\"LMW\",N73=\"Yes\",I76=\"Com\",N72=\"Subcode Specific Distribution\"),11,0)","v":0},"WORKS"]
[null,null,null,null,null,null,null,null,null,null,{"$f":"K84","v":"INC"},null,12,"LMW-COM-AVE",null,null,{"$f":"IF(AND(N71=\"LMW\",N73=\"Yes\",I76=\"Com\",N72=\"Average Distribution\"),12,0)","v":0},"WORKS"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Final Code",null,{"$f":"SUM(Q75:Q88)","v":1}]

{"sheet":"E3-Cons","index":4,"n_rows":20,"n_cols":1,"rows_kept":20,"cut":false,"hidden":true,"merged":[]}
["SECTION E: CONSUMER INFORMATION"]
[]
["1. Names (or Initials) of Consumers and UCI #:"]
[]
[]
[]
["2. Provide a detailed description of the health and safety risk(s) and challenges.  Provide a detailed description of what service changes are necessary to protect the consumer's health and safety."]
[]
[]
[]
["3. Provide information regarding the availability of alternative, comparable, and local resources to meet the needs of the consumer(s) at risk."]
[]
[]
[]
[{"$f":"\"4. Within the rate change, does it include a wage increase for staff with administrative duties? \"&B!H78&IF(B!H78=\"YES\",\", \"&A!CI80&\" Staff with Administrative Duties receives wage increases.\",\"\")","v":"4. Within the rate change, does it include a wage increase for staff with administrative duties? No"}]
[" If Yes, please explain why this is necessary to protect the health & safety needs of the consumer(s)."]
[]
[]
[]
["5. If this is a temporary request, please put in the proposed end date:"]

{"sheet":"E","index":5,"n_rows":16,"n_cols":6,"rows_kept":16,"cut":false,"hidden":false,"merged":[]}
["SECTION E: HEALTH AND SAFETY WAIVER REGIONAL CENTER CHECKLIST"]
["* Please include the following documentation with the submission. "]
["* If Not Included or N/A, please explain in the notes why this information was not included."]
[]
[null,null,"Included","Not Included","N/A","Notes"]
[1,"Current IPP and/or Addendums"]
[2,"Behavior Plan (if request is due to behavioral challenges)"]
[3,"Vendor Program Design"]
[4,"Vendor Organizational Chart (includes staffing ratio and service assignments)"]
[5,"Consumer and Staff Monthly Schedule, IHSS Hours, Day Program Hours, etc. (Required for SLS/PA Services)"]
[6,"Staffing Schedule (Required for Residential Services)"]
[7,"Supplemental letter which includes:"]
[null,"a) Names (or Initials) of Consumers and UCI #"]
[null,"b) Detailed description of the health and safety risk(s) and challenges. Proved a detailed description of what service changes are necessary to protect the consumer's health and safety."]
[null,"c) Provide information regarding the availability of alternative, comparable, and local resources to meet the needs of the consumer(s) at risk."]
[null,"d) All other information pertinent to health and safety needs and requested costs."]

{"sheet":"F","index":6,"n_rows":186,"n_cols":18,"rows_kept":186,"cut":false,"hidden":false,"merged":[[9,6,9,7],[10,6,10,7],[12,6,12,7],[28,0,28,3],[14,6,14,15],[15,6,15,15],[16,6,16,15],[18,6,18,15],[19,6,19,15],[20,6,20,15],[21,6,21,15],[17,0,17,15],[22,4,22,5],[22,6,22,7],[22,8,22,9],[22,10,22,11],[22,12,22,13],[22,14,22,15],[23,4,23,5],[42,0,42,14],[32,0,32,8],[32,10,32,15],[33,0,33,15],[34,0,34,15],[35,0,35,15],[39,0,39,15],[40,0,40,8],[40,10,40,15],[41,0,41,8],[30,0,30,15],[36,0,36,15],[28,12,28,13],[3,0,3,8],[3,10,3,15],[4,0,4,8],[4,10,4,15],[2,0,2,15],[24,14,24,15],[25,14,25,15],[26,14,26,15],[24,8,24,9],[27,14,27,15],[24,10,24,11],[25,10,25,11],[26,10,26,11],[27,10,27,11],[24,12,24,13],[25,12,25,13],[26,12,26,13],[27,12,27,13],[23,6,23,7],[23,8,23,9],[23,10,23,11],[23,12,23,13],[23,14,23,15],[37,10,37,15],[38,0,38,8],[38,10,38,15],[24,0,24,3],[25,0,25,3],[26,0,26,3],[27,0,27,3],[29,14,29,15],[29,10,29,11],[31,0,31,8],[31,10,31,15],[24,4,24,5],[25,4,25,5],[26,4,26,5],[27,4,27,5],[28,4,28,5],[5,0,5,8],[5,10,5,15],[6,0,6,8],[6,10,6,15],[7,10,7,15],[7,0,7,8],[8,0,8,15],[41,10,41,15],[28,10,28,11],[28,14,28,15],[26,8,26,9],[27,8,27,9],[28,8,28,9],[24,6,24,7],[25,6,25,7],[26,6,26,7],[27,6,27,7],[28,6,28,7],[25,8,25,9],[29,12,29,13],[13,0,13,15],[37,0,37,8]]}
["SECTION F: HEALTH AND SAFETY WAIVER EXEMPTION REQUEST"]
[]
["A. Regional Center Information"]
[{"$f":"IFERROR(VLOOKUP(Q4,'RC'!A:B,2,FALSE),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(A!C17=\"\",\"\",A!C17)","v":""}]
["1. Contact Name"]
[]
["2. Contact Phone Number                                   ",null,null,null,null,null,null,null,null,null,"3. Contact Email"]
[]
["B. Consumer Information"]
["1. Number of Consumers in Program:",null,null,null,null,null,{"$f":"A!C9","v":0}]
["2. Number of Consumers in Request:",null,null,null,null,null,{"$f":"A!C10","v":0}]
[{"$f":"\"3. Current Service Units per Month (\"&A!C16&\"):\"","v":"3. Current Service Units per Month ():"},null,null,null,null,null,{"$f":"ROUND(SUM(Q25:Q29),2)&\"  (Average over \"&R12&\" Month\"&B!K29&\")\"","v":"0  (Average over 3 Months)"},null,null,null,null,null,null,null,null,null,"# of months",{"$f":"D!L2","v":3}]
["4. Average Service Units per Consumer in Request:",null,null,null,null,null,{"$f":"IFERROR(ROUND(SUM(Q25:Q29)/G11,2),\"\")","v":""}]
["C. Vendor Information"]
["1. Vendor Name",null,null,null,null,null,{"$f":"IF(A!C4=\"\",\"\",A!C4)","v":""}]
["2. Physical Address",null,null,null,null,null,{"$f":"IF(A!C6=\"\",\"\",A!C6)","v":""}]
["3. Vendor Number                                ",null,null,null,null,null,{"$f":"IF(A!C5=\"\",\"\",A!C5)","v":""}]
["D. Rate Detail"]
["1. Service Code Type",null,null,null,null,null,{"$f":"IF(A!C7=\"\",\"\",A!C7)","v":""}]
["2. Unit of Service ",null,null,null,null,null,{"$f":"IF(A!C16=\"\",\"\",A!C16)","v":""}]
["3. Proposed Effective Date",null,null,null,null,null,{"$f":"IF(A!C14=\"\",\"\",A!C14)","v":""}]
["4. Proposed End Date (If any)",null,null,null,null,null,{"$f":"IF(A!C15=\"Yes\",A!E15,\"N/A\")","v":"N/A"}]
["E. Budget Detail",null,null,null,"Current",null,"Proposed",null,{"$f":"G20","v":""},null,"Monthly",null,"Current FY",null,"Full FY"]
[null,null,null,null,{"$f":"A!C16&\" Rate\"","v":" Rate"},null,{"$f":"A!C16&\" Rate\"","v":" Rate"},null," Rate Adj.",null,"Budget Adj.",null,{"$f":"\"Impact (\"&A!AU20&\" Mo)\"","v":"Impact (6 Mo)"},null,"Impact",null,"Current"]
[{"$f":"D!B65","v":"Subcode #1:  "},null,null,null,{"$f":"D!D65","v":0},null,{"$f":"D!F65","v":0},null,{"$f":"G25-E25","v":0},null,{"$f":"IFERROR(D!H65,0)","v":0},null,{"$f":"K25*A!AU$20","v":0},null,{"$f":"K25*12","v":0},null,{"$f":"D!C65","v":0}]
[{"$f":"D!B66","v":"Subcode #2:  "},null,null,null,{"$f":"D!D66","v":0},null,{"$f":"D!F66","v":0},null,{"$f":"G26-E26","v":0},null,{"$f":"IFERROR(D!H66,0)","v":0},null,{"$f":"K26*A!AU$20","v":0},null,{"$f":"K26*12","v":0},null,{"$f":"D!C66","v":0}]
[{"$f":"D!B67","v":"Subcode #3:  "},null,null,null,{"$f":"D!D67","v":0},null,{"$f":"D!F67","v":0},null,{"$f":"G27-E27","v":0},null,{"$f":"IFERROR(D!H67,0)","v":0},null,{"$f":"K27*A!AU$20","v":0},null,{"$f":"K27*12","v":0},null,{"$f":"D!C67","v":0}]
[{"$f":"D!B68","v":"Subcode #4:  "},null,null,null,{"$f":"D!D68","v":0},null,{"$f":"D!F68","v":0},null,{"$f":"G28-E28","v":0},null,{"$f":"IFERROR(D!H68,0)","v":0},null,{"$f":"K28*A!AU$20","v":0},null,{"$f":"K28*12","v":0},null,{"$f":"D!C68","v":0}]
[{"$f":"D!B69","v":"Subcode #5:  "},null,null,null,{"$f":"D!D69","v":0},null,{"$f":"D!F69","v":0},null,{"$f":"G29-E29","v":0},null,{"$f":"IFERROR(D!H69,0)","v":0},null,{"$f":"K29*A!AU$20","v":0},null,{"$f":"K29*12","v":0},null,{"$f":"D!C69","v":0}]
[null,"Total",null,null,null,null,null,null,null,null,{"$f":"SUM(K25:L29)","v":0},null,{"$f":"SUM(M25:N29)","v":0},null,{"$f":"SUM(O25:P29)","v":0}]
["F. Local Minimum Wage Increase Information"]
["1. Number of Cities/Counties Affected by Minimum Wage Increase",null,null,null,null,null,null,null,null,null,{"$f":"A!AJ12","v":0}]
["2. Effective Date of Minimum Wage Increase",null,null,null,null,null,null,null,null,null,{"$f":"IF(A!C14=\"\",\"\",A!C14)","v":""}]
["F. For all Health and Safety Requests, include the following additional information when submitting to DDS:"]
["1. All supporting documentation included in section E.\n2. Completed Checklist from Section E."]
[{"$f":"IF(AND(B!H78=\"YES\",A!CI80>0),\"3. This request includes a wage increase for \"&A!CI80&\" staff with administrative duties. Please explain why this is necessary to protect the health and safety needs of the consumer(s) in supplemental letter.\",\"\")","v":""}]
["G. Signature"]
["1. Regional Center Executive Director Approval (Signature)",null,null,null,null,null,null,null,null,null,"2. Date"]
[]
[]
["Date DDS Received Request (DDS ONLY)"]
["Date Assigned to DDS Liaison (DDS ONLY)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"Hourly"]
[null,null,null,null,"Daily"]
[null,null,null,null,"Monthly"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Alta California Regional Center"]
[null,null,"Central Valley Regional Center"]
[null,null,"East Los Angeles Regional Center"]
[null,null,"Far Northern Regional Center"]
[null,null,"Frank D. Lanterman Regional Center"]
[null,null,"Golden Gate Regional Center"]
[null,null,"Harbor Regional Center"]
[null,null,"Inland Regional Center"]
[null,null,"Kern Regional Center"]
[null,null,"North Bay Regional Center"]
[null,null,"North Los Angeles Regional Center"]
[null,null,"Redwood Coast Regional Center"]
[null,null,"Regional Center of the East Bay"]
[null,null,"Orange County Regional Center"]
[null,null,"San Andreas Regional Center"]
[null,null,"San Diego Regional Center"]
[null,null,"San Gabriel/Pomona Regional Center"]
[null,null,"South Central Regional Center"]
[null,null,"Tri-Counties Regional Center"]
[null,null,"Valley Mountain Regional Center"]
[null,null,"Westside Regional Center"]

{"sheet":"RC","index":7,"n_rows":21,"n_cols":2,"rows_kept":21,"cut":false,"hidden":true,"merged":[]}
["ACRC","Alta California Regional Center"]
["CVRC","Central Valley Regional Center"]
["ELARC","Eastern Los Angeles Regional Center"]
["FNRC","Far Northern Regional Center"]
["FDLRC","Frank D. Lanterman Regional Center"]
["GGRC","Golden Gate Regional Center"]
["HRC","Harbor Regional Center"]
["IRC","Inland Regional Center"]
["KRC","Kern Regional Center"]
["NBRC","North Bay Regional Center"]
["NLACRC","North Los Angeles County Regional Center"]
["RCRC","Redwood Coast Regional Center"]
["RCEB","Regional Center of the East Bay"]
["RCOC","Regional Center of Orange County"]
["SARC","San Andreas Regional Center"]
["SDRC","San Diego Regional Center"]
["SGPRC","San Gabriel/Pomona Regional Center"]
["SCLARC","South Central Los Angeles Regional Center"]
["TCRC","Tri-Counties Regional Center"]
["VMRC","Valley Mountain Regional Center"]
["WRC","Westside Regional Center"]

{"sheet":"H","index":8,"n_rows":48,"n_cols":37,"rows_kept":48,"cut":false,"hidden":true,"merged":[[5,9,7,9],[3,1,3,9],[5,2,7,2],[5,3,7,3],[5,5,7,5],[5,6,7,6],[5,7,7,7],[5,8,7,8],[4,5,4,8]]}
[null,null,null,null,null,null,"Reporting Period Months",{"$f":"IF(A!C12<3,3,A!C12)","v":3}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"[Primary]"]
[null,"Roster of Employees that work under multiple service codes"]
[null,null,null,null,null,"* Only enter 1 pay type (Salary or Hourly) per Staff",null,null,null,null,null,null,"[Worksheet]"]
[null,null,{"$f":"\"Worksheet Hours\"&CHAR(10)&\n\"(\"&M8&\")\"","v":"Worksheet Hours\n()"},{"$f":"\"Worksheet Hourly Wage\"&CHAR(10)&\n\"(\"&M8&\")\"","v":"Worksheet Hourly Wage\n()"},"Calcuated Hours","Monthly\nSalary","Monthly \nSalaried \nHours ","Hourly\nWage",{"$f":"\"Reporting Period \"&CHAR(10)&\n\"Hours (\"&H1&\" Mo.)\"","v":"Reporting Period \nHours (3 Mo.)"},"% of Admin",null,"Total %","Vendor #1","Vendor #2","Vendor #3","Vendor #4","Vendor #5","Vendor #6","Vendor #7","Vendor #8","Vendor #9","Vendor #10","Vendor #11","Vendor #12","Vendor #13","Vendor #14","Vendor #15","Vendor #16","Vendor #17","Vendor #18","Vendor #19","Vendor #20","Vendor #21","Vendor #22","Vendor #23","Vendor #24","Vendor #25"]
[null,null,null,null,null,null,null,null,null,null,null,"Service Code",{"$f":"IF(A!C7=0,\"\",A!C7)","v":""},515]
[null,"Staff",null,null,null,null,null,null,null,null,null,"Vendor Number",{"$f":"IF(A!C5=0,\"\",A!C5)","v":""},"HXXXXX"]
[1,"Sample Employee #1",{"$f":"E9*M9","v":173.33},{"$f":"IF(IF((IFERROR(F9/G9,0))>H9,F9/G9,H9)=0,\"\",IF((IFERROR(F9/G9,0))>H9,F9/G9,H9))","v":57.693417181099633},{"$f":"IF(G9>I9,G9,I9)","v":173.33},10000,173.33,null,null,0.5,null,{"$f":"IF(SUM(M9:AK9)=0,\"\",SUM(M9:AK9))","v":1},1]
[2,"Sample Employee #2",{"$f":"E10*M10","v":260},{"$f":"IF(IF((IFERROR(F10/G10,0))>H10,F10/G10,H10)=0,\"\",IF((IFERROR(F10/G10,0))>H10,F10/G10,H10))","v":25},{"$f":"IF(G10>I10,G10,I10)","v":1040},null,null,25,1040,0.25,null,{"$f":"IF(SUM(M10:AK10)=0,\"\",SUM(M10:AK10))","v":1},0.25,0.75]
[3,null,null,"",null,null,null,null,null,null,null,""]
[4,null,null,"",null,null,null,null,null,null,null,""]
[5,null,null,"",null,null,null,null,null,null,null,""]
[6,null,null,"",null,null,null,null,null,null,null,""]
[7,null,null,"",null,null,null,null,null,null,null,""]
[8,null,null,"",null,null,null,null,null,null,null,""]
[9,null,null,"",null,null,null,null,null,null,null,""]
[10,null,null,"",null,null,null,null,null,null,null,""]
[11,null,null,"",null,null,null,null,null,null,null,""]
[12,null,null,"",null,null,null,null,null,null,null,""]
[13,null,null,"",null,null,null,null,null,null,null,""]
[14,null,null,"",null,null,null,null,null,null,null,""]
[15,null,null,"",null,null,null,null,null,null,null,""]
[16,null,null,"",null,null,null,null,null,null,null,""]
[17,null,null,"",null,null,null,null,null,null,null,""]
[18,null,null,"",null,null,null,null,null,null,null,""]
[19,null,null,"",null,null,null,null,null,null,null,""]
[20,null,null,"",null,null,null,null,null,null,null,""]
[21,null,null,"",null,null,null,null,null,null,null,""]
[22,null,null,"",null,null,null,null,null,null,null,""]
[23,null,null,"",null,null,null,null,null,null,null,""]
[24,null,null,"",null,null,null,null,null,null,null,""]
[25,null,null,"",null,null,null,null,null,null,null,""]
[26,null,null,"",null,null,null,null,null,null,null,""]
[27,null,null,"",null,null,null,null,null,null,null,""]
[28,null,null,"",null,null,null,null,null,null,null,""]
[29,null,null,"",null,null,null,null,null,null,null,""]
[30,null,null,"",null,null,null,null,null,null,null,""]
[31,null,null,"",null,null,null,null,null,null,null,""]
[32,null,null,"",null,null,null,null,null,null,null,""]
[33,null,null,"",null,null,null,null,null,null,null,""]
[34,null,null,"",null,null,null,null,null,null,null,""]
[35,null,null,"",null,null,null,null,null,null,null,""]
[36,null,null,"",null,null,null,null,null,null,null,""]
[37,null,null,"",null,null,null,null,null,null,null,""]
[38,null,null,"",null,null,null,null,null,null,null,""]
[39,null,null,"",null,null,null,null,null,null,null,""]
[40,null,null,"",null,null,null,null,null,null,null,""]

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["SECTION A: AGENCY INFORMATION"]
[1,"Service Provider Name",null,"Toolworks",null,null,null,9,"3 Month Review Period: (Enter Beginning & End)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Hourly"]
[2,"Vendor Number",null,null,null,null,null,10,"City/County Affected by Minimum Wage Increase",null,null,"Berkeley",null,null,null,null,null,null,null,null,null,null,null,null,"Daily"]
[3,"Vendor Address",null,null,null,null,null,11,"Effective Date of Minimum Wage Increase",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Monthly"]
[4,"Service Code",null,896,null,null,null,12,"Previous Local Minimum Wage",null,null,12.53,null,null,null,null,null,null,null,null,null,null,null,null,"Mixed"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D6","v":0},1]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D7","v":0},2]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D8","v":0},3]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D9","v":0},4]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"D10","v":0},5]
[5,"Staffing Ratio",null,null,null,null,null,13,"New Local Minimum Wage",null,null,13.75,null,null,null,null,null,null,null,null,null,null,null,null,"Direct Support",null,"actual","month","fy remain"]
[6,"Number of Consumers in Agency",null,null,null,null,null,14,"Number of Employees Receiving Adjustment",null,null,{"$f":"COUNTIF(J52:J62,\">0\")","v":1},null,null,null,null,null,null,null,null,null,null,null,null,"Management",null,null,1,6]
[7,"Number of Consumers in Request",null,null,null,null,null,15,"Vendoring RC:",null,null,"RCEB",null,null,null,null,null,null,null,null,null,null,null,null,"Administrative"]
[8,"Other Vendor Numbers and Services Codes",null,null,null,null,null,16,"Rate Type:",null,null,"Monthly",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,5]
[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,3,4]
[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,4,3]
[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,{"$f":"VLOOKUP(AA17,AB12:AC24,2,FALSE)","v":6},{"$f":"MONTH(L4)","v":1},5,2]
[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,6,1]
[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,7,12]
[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,8,11]
[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,10,9]
[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,11,8]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Direct Support Wages (Original)",{"$f":"A!BM78/A!BO78","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Direct Support Wages (Revised)",{"$f":"A!BN78/A!BO78","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Management Wages (Original)",{"$f":"A!BY78/A!CA78","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Management Wages (Revised)",{"$f":"A!BZ78/A!CA78","v":{"$error":"#DIV/0!"}}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Administrative Wages (Original)",{"$f":"A!CG78/A!CJ78","v":{"$error":"#DIV/0!"}}]
[null,{"$f":"\"Mandated Costs (\"&TEXT((SUM(C31:C33)+SUM(J31:J32)+SUM(F31:F33)),\"0.00%\")&\" Total)\"","v":"Mandated Costs (12.65% Total)"},null,null,null,null,null,null,null,null,null,null,null,null,null,"Calculated Administrative Wages (Revised)",{"$f":"A!CH78/A!CJ78","v":{"$error":"#DIV/0!"}}]
["Employer Payroll Taxes - Federal",null,null,"Employer Payroll Taxes - State",null,null,"Misc. Costs",null,null,null,null,null,null,null,null,"Administrative Ratio",{"$f":"A!CJ24","v":0}]
["Social Security / FICA",null,6.2E-2,"SUI (CA State Unemployment Ins.)",null,3.4000000000000002E-2,"Workers Compensation"]
["Medicare Tax",null,1.4500000000000001E-2,"SDI (CA State Disability Ins.)",null,8.9999999999999993E-3,"Unemployment Insurance",null,null,null,"* Benefits calculated per Full Time Equivalent (FTE)",null,null,null,null,"Mandated Costs",{"$f":"C31+C32+C33+F31+F32+F33+J31+J32","v":0.1265}]
["Federal Unemployment Tax",null,6.0000000000000001E-3,"ETT (CA Employment Training Tax)",null,1E-3,"Benefits*",null,null,null,null,null,null,null,null,"Non-Mandated Costs",{"$f":"SUM(G36:G38)+SUM(M36:M38)","v":0.1235}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Costs Sum",{"$f":"Q32+Q33","v":0.25}]
[null,"Non-Mandated Costs (Describe)",null,null,null,null,"%",null,"Non-Mandated Costs (Describe)",null,null,null,"%"]
["1","Fringe = 25% Total",null,null,null,null,0.1235,4]
["2",null,null,null,null,null,null,5]
["3",null,null,null,null,null,null,6]
[]
["SECTION B: RATE ADJUSTMENT INFORMATION"]
["*Completed by Regional Center",null,null,null,"Current",null,"Proposed",null,null,"Difference",null,"Fiscal Year Impact"]
[null,"Subcode","Type","Units Billed\n(3 Mo.)","Rate","Revenue from RC (1 Mo.)","Rate","Revenue from RC (1 Mo)",null,"Rate","Revenue from RC (1 Mo.)",{"$f":"\"Current (\"&Z17&\" Mo.)\"","v":"Current (6 Mo.)"},"Full (12 Mo.)",null,null,"Incurred Costs"]
["1","SLS-Monthly","Monthly",3,11135.21,{"$f":"D43*E43/3","v":11135.21},{"$f":"IFERROR((H43*3)/D43,0)","v":11471.97575},{"$f":"F43+P43","v":11471.97575},null,{"$f":"IFERROR(G43-E43,\"\")","v":336.76575000000048},{"$f":"H43-F43","v":336.76575000000048},{"$f":"(K43/3)*$Z$17","v":673.53150000000096},{"$f":"(K43/3)*12","v":1347.0630000000019},null,null,{"$f":"SUMIFS(P$52:P$62,C$52:C$62,B43)","v":336.76574999999985}]
["2",null,null,null,null,{"$f":"D44*E44/3","v":0},{"$f":"IFERROR((H44*3)/D44,0)","v":0},{"$f":"F44+P44","v":0},null,{"$f":"IFERROR(G44-E44,\"\")","v":0},{"$f":"H44-F44","v":0},{"$f":"(K44/3)*$Z$17","v":0},{"$f":"(K44/3)*12","v":0},null,null,{"$f":"SUMIFS(P$52:P$62,C$52:C$62,B44)","v":0}]
["3",null,null,null,null,{"$f":"D45*E45/3","v":0},{"$f":"IFERROR((H45*3)/D45,0)","v":0},{"$f":"F45+P45","v":0},null,{"$f":"IFERROR(G45-E45,\"\")","v":0},{"$f":"H45-F45","v":0},{"$f":"(K45/3)*$Z$17","v":0},{"$f":"(K45/3)*12","v":0},null,null,{"$f":"SUMIFS(P$52:P$62,C$52:C$62,B45)","v":0}]
["4",null,null,null,null,{"$f":"D46*E46/3","v":0},{"$f":"IFERROR((H46*3)/D46,0)","v":0},{"$f":"F46+P46","v":0},null,{"$f":"IFERROR(G46-E46,\"\")","v":0},{"$f":"H46-F46","v":0},{"$f":"(K46/3)*$Z$17","v":0},{"$f":"(K46/3)*12","v":0},null,null,{"$f":"SUMIFS(P$52:P$62,C$52:C$62,B46)","v":0}]
["5",null,null,null,null,{"$f":"D47*E47/3","v":0},{"$f":"IFERROR((H47*3)/D47,0)","v":0},{"$f":"F47+P47","v":0},null,{"$f":"IFERROR(G47-E47,\"\")","v":0},{"$f":"H47-F47","v":0},{"$f":"(K47/3)*$Z$17","v":0},{"$f":"(K47/3)*12","v":0},null,null,{"$f":"SUMIFS(P$52:P$62,C$52:C$62,B47)","v":0}]
[]
["SECTION C: EMPLOYEE WAGE INFORMATION"]
["*Completed by Vendor",null,null,null,"Current",null,"Proposed",null,null,"Difference",null,"Costs Incurred",null,null,null,"Incurred"]
[null,"Staff Name","Subcode","Hours Worked \n(3 Mo.)","Hourly Wage","Wage & Costs","Hourly Wage","Wage & Costs",null,"Hourly Wage","Wage & Costs","Monthly","Annually",null,null,"Costs (3Mo)"]
[1,"TBD","SLS-Monthly",662.49,12.53,{"$f":"IF(E52<$L$5,0,E52*(1+$Q$34)+$J$33/(2080/12))","v":15.6625},{"$f":"IF(E52<$L$5,0,IF(E52<$L$11,$L$11,E52))","v":13.75},{"$f":"IF(G52=0,0,G52*(1+$Q$34)+$J$33/(2080/12))","v":17.1875},null,{"$f":"IF(G52=0,0,G52-E52)","v":1.2200000000000006},{"$f":"H52-F52","v":1.5250000000000004},{"$f":"P52","v":336.76574999999985},{"$f":"L52*12","v":4041.1889999999985},null,null,{"$f":"((H52*D52)-(F52*D52))/3","v":336.76574999999985}]
[{"$f":"A52+1","v":2},null,null,null,null,{"$f":"IF(E53<$L$5,0,E53*(1+$Q$34)+$J$33/(2080/12))","v":0},0,{"$f":"IF(G53=0,0,G53*(1+$Q$34)+$J$33/(2080/12))","v":0},null,{"$f":"IF(G53=0,0,G53-E53)","v":0},0,{"$f":"P53","v":0},{"$f":"L53*12","v":0},null,null,{"$f":"((H53*D53)-(F53*D53))/3","v":0}]
[{"$f":"A53+1","v":3},null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[4,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[5,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[6,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[7,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[8,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[9,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]
[10,null,null,null,null,0,0,0,null,0,0,0,0,null,null,0]

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["SECTION E: HEALTH AND SAFETY WAIVER EXEMPTION REQUEST"]
[]
["Date DDS Received Request (DDS ONLY)"]
["Date Assigned to DDS Liaison (DDS ONLY)"]
["A. Regional Center Information"]
["1. Regional Center "]
["Regional Center of the East Bay"]
["2. Contact Name"]
[]
["3. Contact Phone Number                                   ",null,null,null,null,null,null,null,null,null,"4. Contact Email"]
[]
["5. Executive Director Approval (Signature)",null,null,null,null,null,null,null,null,null,"6. Date"]
[]
["B. Consumer Information"]
["1. Number of Consumers in Program:",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!D12","v":0}]
["2. Number of Consumers in Request:",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!D13","v":0}]
[{"$f":"\"3. Service Units per Month:\"","v":"3. Service Units per Month:"},null,null,null,null,null,null,null,null,null,null,null,"  (Average over 3 Months)"]
["4. Average Service Units per Consumer in Request:",null,null,null,null,null,null,null,null,null,{"$f":"K17/K16","v":{"$error":"#DIV/0!"}}]
["C. Vendor Information"]
["1. Vendor Name",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!D2","v":"Toolworks"}]
["2. Physical Address",null,null,null,null,null,null,null,null,null,{"$f":"IF('C2'!D4=\"\",\"\",'C2'!D4)","v":""}]
["3. Vendor Number                                ",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!D3","v":0}]
["D. Rate Detail"]
["1. Service Code Type",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!D5","v":896}]
["2. Unit of Service ",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!L14","v":"Monthly"}]
["3. Proposed Effective Date",null,null,null,null,null,null,null,null,null,{"$f":"A!C14","v":"00:00:00"}]
["4. Proposed End Date (If any)"]
["E. Budget Detail"]
[null,null,null,null,"Current",null,"Proposed",null,{"$f":"K25","v":"Monthly"},null,"Monthly",null,"Current FY",null,"Full FY"]
[null,null,null,null,{"$f":"K25&\" Rate\"","v":"Monthly Rate"},null,{"$f":"K25&\" Rate\"","v":"Monthly Rate"},null,"Adjustment",null,"Adjustment",null,{"$f":"\"Impact (\"&'C2'!Z17&\" Mo)\"","v":"Impact (6 Mo)"},null,"Impact"]
[null,{"$f":"\"Subcode #1: \"&'C2'!B43","v":"Subcode #1: SLS-Monthly"},null,null,{"$f":"'C2'!E43","v":11135.21},null,{"$f":"'C2'!G43","v":11471.97575},null,{"$f":"G31-E31","v":336.76575000000048},null,{"$f":"'C2'!M43/12","v":112.25525000000016},null,{"$f":"'C2'!L43","v":673.53150000000096},null,{"$f":"K31*12","v":1347.0630000000019},null,{"$f":"D!C65","v":0}]
[null,{"$f":"\"Subcode #2: \"&'C2'!B44","v":"Subcode #2: "},null,null,{"$f":"'C2'!E44","v":0},null,{"$f":"'C2'!G44","v":0},null,{"$f":"G32-E32","v":0},null,{"$f":"'C2'!M44/12","v":0},null,{"$f":"'C2'!L44","v":0},null,{"$f":"K32*12","v":0},null,{"$f":"D!C66","v":0}]
[null,{"$f":"\"Subcode #3: \"&'C2'!B45","v":"Subcode #3: "},null,null,{"$f":"'C2'!E45","v":0},null,{"$f":"'C2'!G45","v":0},null,{"$f":"G33-E33","v":0},null,{"$f":"'C2'!M45/12","v":0},null,{"$f":"'C2'!L45","v":0},null,{"$f":"K33*12","v":0},null,{"$f":"D!C67","v":0}]
[null,{"$f":"\"Subcode #4: \"&'C2'!B46","v":"Subcode #4: "},null,null,{"$f":"'C2'!E46","v":0},null,{"$f":"'C2'!G46","v":0},null,{"$f":"G34-E34","v":0},null,{"$f":"'C2'!M46/12","v":0},null,{"$f":"'C2'!L46","v":0},null,{"$f":"K34*12","v":0},null,{"$f":"D!C68","v":0}]
[null,{"$f":"\"Subcode #5: \"&'C2'!B47","v":"Subcode #5: "},null,null,{"$f":"'C2'!E47","v":0},null,{"$f":"'C2'!G47","v":0},null,{"$f":"G35-E35","v":0},null,{"$f":"'C2'!M47/12","v":0},null,{"$f":"'C2'!L47","v":0},null,{"$f":"K35*12","v":0},null,{"$f":"D!C69","v":0}]
[null,"Total",null,null,null,null,null,null,null,null,{"$f":"SUM(K31:L35)","v":112.25525000000016},null,{"$f":"SUM(M31:N35)","v":673.53150000000096},null,{"$f":"SUM(O31:P35)","v":1347.0630000000019}]
[]
["F. Local Minimum Wage Increase Information"]
["1. City/County Affected by Minimum Wage Increase",null,null,null,null,null,null,null,null,null,{"$f":"IF('C2'!L3=\"\",\"\",'C2'!L3)","v":"Berkeley"}]
["2. Minimum Wage Prior to Mandated Increase",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!L5","v":12.53}]
["3. Mandated Local Minimum Wage",null,null,null,null,null,null,null,null,null,{"$f":"'C2'!L11","v":13.75}]
["4. Effective Date of Minimum Wage Increase",null,null,null,null,null,null,null,null,null,{"$f":"IF('C2'!L4=\"\",\"\",'C2'!L4)","v":""}]
["G. For all Health and Safety Requests, include the following additional information when submitting to DDS"]
["1. Current IPP and/or Addendum (not required for minimum wage requests)\n2. Vendor's Program Design (not required for minimum wage requests)\n3. Vendor's Daily and Monthly Budget (monthly requests only)\n4. For Local Minimum Wage Only - Local Minimum Wage Ordinance\n5. For SLS and PA Only - Consumer and Staff Monthly Schedule, IHSS hours, day program hours, etc.\n6. Behavior Plan (if the request is due to behavioral challenges)\n7. Organizational Chart (Includes staffing ratios)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"Hourly"]
[null,null,null,null,"Daily"]
[null,null,null,null,"Monthly"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Alta California Regional Center"]
[null,null,"Central Valley Regional Center"]
[null,null,"East Los Angeles Regional Center"]
[null,null,"Far Northern Regional Center"]
[null,null,"Frank D. Lanterman Regional Center"]
[null,null,"Golden Gate Regional Center"]
[null,null,"Harbor Regional Center"]
[null,null,"Inland Regional Center"]
[null,null,"Kern Regional Center"]
[null,null,"North Bay Regional Center"]
[null,null,"North Los Angeles Regional Center"]
[null,null,"Redwood Coast Regional Center"]
[null,null,"Regional Center of the East Bay"]
[null,null,"Orange County Regional Center"]
[null,null,"San Andreas Regional Center"]
[null,null,"San Diego Regional Center"]
[null,null,"San Gabriel/Pomona Regional Center"]
[null,null,"South Central Regional Center"]
[null,null,"Tri-Counties Regional Center"]
[null,null,"Valley Mountain Regional Center"]
[null,null,"Westside Regional Center"]