{"text_format":"1","workbook":"xlsx","n_sheets":12,"sheets":["1. Agency Information","2. SchA - General Information","3. SchB - Program & Operations","4. SchC - Transportation","5. SchD - Staffing Information","6. SchE - Statement of Expenses","7. SchF - Allocation","8. SchG - Statement of Revenue","9. Accuracy of Report","Legend","Raw Data","System Data"],"not_rendered":{"charts":0,"images":4,"macros":1,"external_links":0,"defined_names":418,"comments":0,"pivot_tables":0},"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":"1. Agency Information","index":0,"n_rows":84,"n_cols":6,"rows_kept":84,"cut":false,"hidden":false,"merged":[[9,4,9,5],[10,4,10,5],[11,4,11,5],[7,4,7,5],[0,1,0,5],[1,1,1,5],[3,1,3,5],[2,1,2,4],[8,4,8,5]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 1 - Agency Information"]
[null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,"Organization"]
[null,"Parent Company (if any)",null,null,"NOTE:"]
[null,"Operating Name DBA (Doing Business As)     Required","Select your provider name:",null,"• If your agency name does not appear in the dropdown list,"]
[null,"MassHealth Provider ID",null,null,"you MUST register with CHIA."]
[null,"Mailing Address",null,null,"• Steps to register with CHIA can be found in the cost report instructions."]
[null,"City",null,null,"http://www.chiamass.gov/adult-day-health-cost-reports-2/"]
[null,"State"]
[null,"Zip Code"]
[null,"Is above information accurate?"]
[]
[null,"Cost Report Contact Information"]
[null,"Name "]
[null,"Title"]
[null,"Telephone"]
[null,"E-mail Address"]
[]
[null,"Sites"]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City",null,null," "]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]
[]
[null,"Agency/Site Name "]
[null,"Mailing Address"]
[null,"City"]
[null,"State"]
[null,"Zip Code"]

{"sheet":"2. SchA - General Information","index":1,"n_rows":27,"n_cols":7,"rows_kept":27,"cut":false,"hidden":false,"merged":[[0,1,0,6],[1,1,1,6],[2,1,2,5],[3,1,3,6]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 2 - Schedule A: General Information"]
[null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,"Reporting Period"]
[null,"Data provided in this cost report should reflect activity for the filing year.  "]
[null,"For centers operating on a different fiscal year, the reporting period should be their most recently completed fiscal year. "]
[null,"Please indicate which dates are included in the center's most recently completed fiscal year for which data are reported."]
[]
[null,"From (mm/dd/yyyy):",null,"To (mm/dd/yyyy):"]
[]
[]
[null,"Please describe the Adult Day Health center's legal and financial relationship with any organization with which it is affiliated. Please choose the appropriate affiliation from the drop down lists below:"]
[]
[null,null,"Select Legal Relationship:",null,"Select Financial Relationship:"]
[]
[]
[null,"Please select your program type(s) (or types of clients) your organization offers or services from the drop down list below:"]
[]
[null,null,"Select Program Type(s)/Client Types:"]
[]
[]
[null,"Other type of cost report filed with Center for Health Information and Analysis (CHIA) or Operational Services Division (OSD)"]
[]
[null,null,"Select Other Cost Reports:"]

{"sheet":"3. SchB - Program & Operations","index":2,"n_rows":54,"n_cols":7,"rows_kept":54,"cut":false,"hidden":false,"merged":[[6,2,6,3],[0,1,0,6],[1,1,1,6],[2,1,2,5],[3,1,3,6]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 3 - Schedule B : Program Information"]
[null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[null,null,"Program Unit Information"]
[null,"Patient Census Information","NOTE: Please do not double count the total program units. The full day unit count includes only 6 full hour visits. If a visit is less than 6 hours, then unit count would be the total time spent in the visit divided by 15 minutes unit. If you do not have anything to report, please enter a zero for that line."]
[null,null,"BASIC Level ADH:"]
[null,1,"Total Program Unit Count for the Year - Full Day, MassHealth ONLY "]
[null,2,"Total Program Unit Count for the Year - Full Day, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,3,"Total Program Unit Count for the Year - 15 Minutes, MassHealth ONLY "]
[null,4,"Total Program Unit Count for the Year - 15 Minutes, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,5,"Total Days of Operation for the Year"]
[null,6,"Total Number of Absences for the Year - Full Day, MassHealth ONLY"]
[null,7,"Total Number of Absences for the Year - Full Day, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,8,"Total Number of Absences for the Year - 15 Minutes, MassHealth ONLY"]
[null,9,"Total Number of Absences for the Year - 15 Minutes, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[]
[null,null,"Complex Level ADH:"]
[null,10,"Total Program Unit Count for the Year - Full Day, MassHealth ONLY "]
[null,11,"Total Program Unit Count for the Year - Full Day, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,12,"Total Program Unit Count for the Year - 15 Minutes, MassHealth ONLY "]
[null,13,"Total Program Unit Count for the Year - 15 Minutes, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,14,"Total Days of Operation for the Year"]
[null,15,"Total Number of Absences for the Year - Full Day, MassHealth ONLY"]
[null,16,"Total Number of Absences for the Year - Full Day, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[null,17,"Total Number of Absences for the Year - 15 Minutes, MassHealth ONLY"]
[null,18,"Total Number of Absences for the Year - 15 Minutes, NON-MassHealth ONLY (Example: VA, SCO, private)"]
[]
[null,19,"Total Unplanned Closing for the Year (Days)"]
[null,null,"Note: Unplanned closing days are recorded as a day off. This means there is no unit count, no absence count and no days of operation in \"program days\""]
[]
[]
[null,null,"Statement of Occupancy "]
[null,null,"Program Capacity ",{"$f":"6*'5. SchD - Staffing Information'!J23","v":0}]
[null,null,"Maximum Possible Occupancy ",{"$f":"IF(D13=0,(D24*D35),IF(D24=0,(D13*D35),(D13*D35)))","v":0}]
[null,null,"Actual Census Count for Year",{"$f":"SUM(D9:D12)+SUM(D20:D23)","v":0}]
[null,null,"Total Number of Absences",{"$f":"D14+D16+D25+D27","v":0}]
[]
[null,null,"Operations Information"]
[null,"Operations Information"]
[null,1,"What number of hours per week represents a full-time position in your agency? (ex. 40 hours, 37.5, etc.).","Hours per Week:"]
[null,null,"The hours per year box will fill automatically with the yearly hours total after you have entered your data.","Hours per Year:",{"$f":"E42*52","v":0}]
[]
[null,2,"What are your hours of service? Please specify days open and the hours open for each day of the week. "]
[null,null,null,"Enter time in hh:mm am/pm format (Example: 8:00 AM)"]
[null,null,null,"From","To"]
[null,null,"Monday"]
[null,null,"Tuesday"]
[null,null,"Wednesday"]
[null,null,"Thursday"]
[null,null,"Friday"]
[null,null,"Saturday"]
[null,null,"Sunday"]

{"sheet":"4. SchC - Transportation","index":3,"n_rows":32,"n_cols":5,"rows_kept":32,"cut":false,"hidden":false,"merged":[[0,1,0,4],[1,1,1,4],[3,1,3,4]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 4 - Schedule C: Direct Client Transportation "]
[null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,null,"Direct Client Transportation "]
[null,1,"Total Client Transportation Billed to MassHealth"]
[]
[null,null,"Direct Client Transportation"]
[null,2,"Outside Vendor Expense"]
[null,3,"Agency-Provided Expense",{"$f":"SUM(D16:D21)","v":0}]
[null,4,"Total Direct Client Transportation (see instructions)",{"$f":"SUM(D11:D12)","v":0}]
[]
[null,null,"Agency-Provided Expense Breakdown"]
[null,5,"Drivers"]
[null,6,"Gas"]
[null,7,"Insurance"]
[null,8,"Maintenance"]
[null,9,"Lease or Depreciation"]
[null,10,"Total of Other List Expense (list below)",{"$f":"SUM(D24:D32)","v":0}]
[]
[null,null,"Other Expense List "]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[null,19]

{"sheet":"5. SchD - Staffing Information","index":4,"n_rows":50,"n_cols":21,"rows_kept":50,"cut":false,"hidden":false,"merged":[[0,1,0,8],[1,1,1,8],[2,1,2,7],[3,1,3,8],[0,12,0,19],[1,12,1,19],[2,12,2,18],[3,12,3,19]]}
[null,"Adult Day Health Cost Report",null,null,null,null,null,null,null,null,null,null,"Adult Day Health Cost Report"]
[null,"Tab 5 - Schedule D: Staffing Information",null,null,null,null,null,null,null,null,null,null,"Tab 5 - Schedule D: Staffing Information"]
[null,null,null,null,null,null,null,null,"R.5-0 Industries Inc.",null,null,null,null,null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"},null,null,null,null,null,null,null,null,null,null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[null,null,null,"If you do not have anything to report, leave the cell blank.",null,null,null,null,null,null,null,null,null,null,"If you do not have anything to report, leave the cell blank."]
[null,"Employee Category","Gross Salary(ies)","Employee Benefits","Payroll Tax","Agency Total\nExpense","Total Hours Compensated-Agency","Total Hours Compensated - ADH","FTEs ADH Admin","FTEs ADH Direct","Percent ADH Total\nHours","Agency Total\nExpense","Basis Of Allocation\n(Method)","Agency Admin\nExpense","ADH Admin\n Expense","ADH Direct Care Expense","Total ADH Expense","Total Other Program\nExpense","ADH Expense\nPaid","ADH Expense\nDonated","ADH Donation Source"]
[null,null,1,2,3,4,5,6,"7a","7b",8,9,10,11,12,13,14,15,"Paid 16a","Donated 16b",17]
[1," Program Director(s)",null,null,null,{"$f":"SUM(C9:E9)","v":0},null,null,null,null,{"$f":"IF(AND(G9=0,H9=0),0,IF(AND(G9=0,H9>0),1,H9/G9))","v":0},{"$f":"F9","v":0},"Other",null,null,null,{"$f":"O9+P9","v":0},null,"Yes/No","Yes/No"]
[2," Therapeutic Activity Director",null,null,null,{"$f":"SUM(C10:E10)","v":0},null,null,null,null,{"$f":"IF(AND(G10=0,H10=0),0,IF(AND(G10=0,H10>0),1,H10/G10))","v":0},0,"Method",null,null,null,{"$f":"O10+P10","v":0},null,"Yes/No","Yes/No"]
[3," Registered Nurses (RNs)",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,{"$f":"O11+P11","v":0},null,"Yes/No","Yes/No"]
[4," Licensed P Nurses (LPNs)",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[5," Social Workers - LCSWs or LICSWs",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[6," Social Workers - LSWs",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[7," Aides - Certified Aides",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[8," Aides - Other",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[9," Program Assistants",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[10," Clerical / Secretarial",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[11," Drivers (not direct client transportation)",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,{"$f":"O19+P19","v":0},null,"Yes/No","Yes/No"]
[12," Registered Dietician ",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[13," Qualified cook",null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[14," Other Staffing Info (list below)",{"$f":"SUM(C26:C50)","v":0},0,0,0,0,0,0,0,0,{"$f":"SUM(L26:L50)","v":0},null,{"$f":"SUM(N26:N50)","v":0},{"$f":"SUM(O26:O50)","v":0},{"$f":"SUM(P26:P50)","v":0},{"$f":"SUM(Q26:Q50)","v":0},{"$f":"SUM(R26:R50)","v":0}]
[15," Totals",{"$f":"SUM(C9:C22)","v":0},0,0,0,0,0,{"$f":"SUM(I9:I22)","v":0},0,null,{"$f":"SUM(L9:L22)","v":0},null,{"$f":"SUM(N9:N22)","v":0},{"$f":"SUM(O9:O22)","v":0},{"$f":"SUM(P9:P22)","v":0},{"$f":"SUM(Q9:Q22)","v":0},{"$f":"SUM(R9:R22)","v":0}]
[]
[null,"Other Staffing List"]
[16,null,null,null,null,{"$f":"SUM(C26:E26)","v":0},null,null,null,null,{"$f":"IFERROR((H26/G26),0)","v":0},{"$f":"F26","v":0},"Method",null,null,null,{"$f":"O26+P26","v":0},null,"Yes/No","Yes/No"]
[17,null,null,null,null,0,null,null,null,null,{"$f":"IFERROR((H27/G27),0)","v":0},{"$f":"F27","v":0},"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[18,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[19,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[20,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[21,null,null,null,null,{"$f":"SUM(C31:E31)","v":0},null,null,null,null,{"$f":"IFERROR((H31/G31),0)","v":0},{"$f":"F31","v":0},"Method",null,null,null,{"$f":"O31+P31","v":0},null,"Yes/No","Yes/No"]
[22,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[23,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[24,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[25,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[26,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[27,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[28,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[29,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[30,null,null,null,null,0,null,null,null,null,{"$f":"IFERROR((H40/G40),0)","v":0},0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[31,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[32,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[33,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[34,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[35,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[36,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[37,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[38,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[39,null,null,null,null,0,null,null,null,null,0,0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]
[40,null,null,null,null,0,null,null,null,null,{"$f":"IFERROR((H50/G50),0)","v":0},0,"Method",null,null,null,0,null,"Yes/No","Yes/No"]

{"sheet":"6. SchE - Statement of Expenses","index":5,"n_rows":65,"n_cols":9,"rows_kept":65,"cut":false,"hidden":false,"merged":[[0,1,0,8],[1,1,1,8],[3,1,3,8],[2,1,2,7]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 6 - Schedule E: Statement of Expenses"]
[null,null,null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,null,"Line Items","G.L. Parent\nAgency","Basis Of Allocation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 (Method)","Agency Admin. Expense","Total Adult\nDay Expense","Total Other Agency Expense","Total Outside\nEntity(ies)"]
[null,null,null,1,2,3,4,5,6]
[null,1," Total Staff Expense (Sch D)",{"$f":"'5. SchD - Staffing Information'!L23","v":0},null,{"$f":"'5. SchD - Staffing Information'!N23","v":0},{"$f":"'5. SchD - Staffing Information'!Q23","v":0},{"$f":"'5. SchD - Staffing Information'!R23","v":0}]
[null,2," Legal And Acct Fees",{"$f":"SUM(F10,G10,H10)","v":0},"Method",null,null,null,"XXX"]
[null,3," Purchased Services",{"$f":"SUM(F11,G11,H11)","v":0},"Method",null,null,null,"XXX"]
[null,4," Advert and Recruiting ",0,"Method",null,null,null,"XXX"]
[null,5," Telephone",0,"Method",null,null,null,"XXX"]
[null,6," Office Supplies",0,"Method",null,null,null,"XXX"]
[null,7," Interest (Mort. Only)",0,"Method",null,null,null,"XXX"]
[null,8," Interest Other",0,"Method",null,null,null,"XXX"]
[null,9," Rent",0,"Method",null,null,null,"XXX"]
[null,10," Maintenance",0,"Method",null,null,null,"XXX"]
[null,11," Utilities",0,"Method",null,null,null,"XXX"]
[null,12," Depreciation Auto (not direct client)",0,"Method",null,null,null,"XXX"]
[null,13," Depreciation Bldg",0,"Method",null,null,null,"XXX"]
[null,14," Depreciation Other",0,"Method",null,null,null,"XXX"]
[null,15," Recreation Supplies",{"$f":"SUM(F23,G23,H23)","v":0},"Method",null,null,null,"XXX"]
[null,16," Other Supplies",{"$f":"SUM(F24,G24,H24)","v":0},"Method",null,null,null,"XXX"]
[null,17," Food Supplies",0,"Method",null,null,null,"XXX"]
[null,18," Indirect Purchased Service ",0,"Method",null,null,null,"XXX"]
[null,19," Insurance Expense",0,"Method",null,null,null,"XXX"]
[null,20," Vehicle Expense (not direct client)",0,"Method",null,null,null,"XXX"]
[null,21," Management Fees",0,"Method",null,null,null,"XXX"]
[null,22," Donated Space (Imputed)",0,"Method",null,null,null,"XXX"]
[null,23," Other Donations",0,"Method",null,null,null,"XXX"]
[null,24," Bad Debt",{"$f":"SUM(F32,G32,H32)","v":0},null,null,null,null,"XXX"]
[null,25," Other (Specify)",{"$f":"SUM(F33,G33,H33)","v":0},null,{"$f":"SUM(F41:F65)","v":0},{"$f":"SUM(G41:G65)","v":0},{"$f":"SUM(H41:H65)","v":0},"XXX"]
[null,26," Total Operating Expense",{"$f":"SUM(D9:D33)","v":0},null,{"$f":"SUM(F9:F33)","v":0},{"$f":"SUM(G9:G33)","v":0},{"$f":"SUM(H9:H33)","v":0}]
[null,27," Administrative Alloc. (SchF, Part 3 Basis:O)",null,null,null,{"$f":"'7. SchF - Allocation'!F29","v":0},{"$f":"'7. SchF - Allocation'!F30","v":0},{"$f":"'7. SchF - Allocation'!F31","v":0}]
[null,28," Total Expense",{"$f":"D34","v":0},null,null,{"$f":"SUM(G34:G35)","v":0},{"$f":"SUM(H34:H35)","v":0},{"$f":"SUM(I34:I35)","v":0}]
[null,29," Total Direct Client Transportation",null,null,null,{"$f":"'4. SchC - Transportation'!D13","v":0}]
[null,30,null,null,null,"Total ADH Expense",{"$f":"G34+G35+G37","v":0}]
[]
[null,31,"Specify Other Information "]
[null,null,null,{"$f":"SUM(F41,G41,H41)","v":0},"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,{"$f":"SUM(F45,G45,H45)","v":0},"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,{"$f":"SUM(F53,G53,H53)","v":0},"Method",null,null,null,"XXX"]
[null,null,null,{"$f":"SUM(F54,G54,H54)","v":0},"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]
[null,null,null,{"$f":"SUM(F64,G64,H64)","v":0},"Method",null,null,null,"XXX"]
[null,null,null,0,"Method",null,null,null,"XXX"]

{"sheet":"7. SchF - Allocation","index":6,"n_rows":32,"n_cols":7,"rows_kept":32,"cut":false,"hidden":false,"merged":[[0,1,0,6],[1,1,1,6],[2,1,2,5],[3,1,3,6]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 7 - Schedule  F: Statement of Basis of Allocated Cost "]
[null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[]
[null,null,"Part 1 - Square Footage Basis Of Allocation"]
[null,null,"Cost Center","Square Footage","Percentage"]
[null,1," Agency Administration",null,{"$f":"IFERROR((D10/$D$13),0)","v":0}]
[null,2," Adult Day Program",null,{"$f":"IFERROR((D11/$D$13),0)","v":0}]
[null,3," All Other Programs",null,{"$f":"IFERROR((D12/$D$13),0)","v":0}]
[null,null,"Total",{"$f":"SUM(D10:D12)","v":0},{"$f":"SUM(E10:E12)","v":0}]
[]
[]
[]
[null,null,"Part 2 - Compensation Basis Of Allocation"]
[null,null,"Cost Center","Total Compensation Expense (from Sch E, Line 1)","Percentage"]
[null,1,"Agency Administration (col. 3)",{"$f":"'6. SchE - Statement of Expenses'!F9","v":0},{"$f":"IFERROR((D19/$D$21),0)","v":0}]
[null,2,"Other Programs (col. 5)",{"$f":"'6. SchE - Statement of Expenses'!H9","v":0},{"$f":"IFERROR((D20/$D$21),0)","v":0}]
[null,null,"Total",{"$f":"SUM(D19:D20)","v":0},{"$f":"SUM(E19:E20)","v":0}]
[]
[]
[]
[null,null,"Part 3 - Operating Expense Basis Of Administrative Expense Allocation"]
[null,null,"Cost Center","Total Operating \nExpense (Sch E, Line 26)","Percentage (each item vs total)","Administrative Allocation"]
[null,1," Total Adult Day Program (SchE, line 26, col 4)",{"$f":"'6. SchE - Statement of Expenses'!G34","v":0}]
[null,2,"Total Direct Client Transportation (SchC, Line 4)",{"$f":"'4. SchC - Transportation'!D13","v":0}]
[null,3," Total ADH Expense for Allocation of Administration Costs",{"$f":"SUM(D27:D28)","v":0},{"$f":"IFERROR((D29/$D$32), 0)","v":0},{"$f":"E29*F32","v":0}]
[null,4," Other Programs(Sch E, line 26, col 5)",{"$f":"'6. SchE - Statement of Expenses'!H34","v":0},{"$f":"IFERROR((D30/$D$32),0)","v":0},{"$f":"E30*F32","v":0}]
[null,5," Outside Entities (Sch E,line 26, col 6)",{"$f":"'6. SchE - Statement of Expenses'!I34","v":0},{"$f":"IFERROR((D31/$D$32),0)","v":0},{"$f":"E31*F32","v":0}]
[null,null,"Total",{"$f":"SUM(D29,D30,D31)","v":0},{"$f":"SUM(E27:E31)","v":0},{"$f":"'6. SchE - Statement of Expenses'!F34","v":0}]

{"sheet":"8. SchG - Statement of Revenue","index":7,"n_rows":47,"n_cols":13,"rows_kept":47,"cut":false,"hidden":false,"merged":[[0,1,0,6],[1,1,1,6],[2,1,2,5],[3,1,3,6]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 8 - Schedule G: Statement of Revenue "]
[null,null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[]
[null,null," Direct Third Party Revenues","ADH Program","All Others","Total"]
[null,1," Direct Self - Pay",null,null,{"$f":"SUM(D9:E9)","v":0}]
[null,2," Direct Self - Pay Transport",null,null,0]
[null,3," Department of Education",null,null,0]
[null,4," Executive Office of Elder Affairs",null,null,0]
[null,5," Executive Office of Elder Affairs Transport",null,null,0]
[null,6," Blue Cross",null,null,0]
[null,7," Blue Cross Transport",null,null,0]
[null,8," Other Private Insurance",null,null,0]
[null,9," Other Private Insurance Transport",null,null,0]
[null,10," Medicare",null,null,0]
[null,11," Medicare Transport",null,null,0]
[null,12," MassHealth (Medicaid)",null,null,0]
[null,13," MassHealth (Medicaid) Transport",null,null,0]
[null,14," Other State Agencies",null,null,0]
[null,15," Other Federal Agencies",null,null,{"$f":"SUM(D23:E23)","v":0}]
[null,16," Other Third Party",null,null,{"$f":"SUM(D24:E24)","v":0}]
[null,17," Other Third Party Transport",null,null,{"$f":"SUM(D25:E25)","v":0}]
[null,18," Total Gross Operating Revenue",{"$f":"SUM(D9:D25)","v":0},{"$f":"SUM(E9:E25)","v":0},{"$f":"SUM(F9:F25)","v":0}]
[]
[null,null," Unrestricted Grants, Gifts, and Donations ","ADH Program","All Others","Total "]
[null,19," Federal",null,null,{"$f":"SUM(D29:E29)","v":0}]
[null,20," State",null,null,0]
[null,21," Local",null,null,0]
[null,22," Private Sources",null,null,0]
[null,23," Other Sources",null,null,0]
[null,24," Total Unrestricted Grants, Gifts, and Donations",{"$f":"SUM(D29:D33)","v":0},{"$f":"SUM(E29:E33)","v":0},{"$f":"SUM(F29:F33)","v":0}]
[]
[null,null," Restricted Grants, Gifts, and Donations ","ADH Program","All Others","Total"]
[null,25," Federal",null,null,{"$f":"SUM(D37:E37)","v":0}]
[null,26," State",null,null,{"$f":"SUM(D38:E38)","v":0}]
[null,27," Local",null,null,0]
[null,28," Private Sources",null,null,0,null,null,null,null,null,null," "]
[null,29," Donated Services",null,null,0]
[null,30,"Other Sources",null,null,0]
[null,31,"Total Restricted Grants, Gifts, and Donations",{"$f":"SUM(D37:D42)","v":0},{"$f":"SUM(E37:E42)","v":0},{"$f":"SUM(F37:F42)","v":0}]
[]
[null,null," Other Revenue","ADH Program","All Others","Total"]
[null,32," Non-Operating Revenue",null,null,{"$f":"SUM(D46:E46)","v":0}]
[null,33," Total Revenue From All Sources",{"$f":"SUM(D26,D34,D43,D46)","v":0},{"$f":"SUM(E26,E34,E43,E46)","v":0},{"$f":"SUM(F26+F34+F43+F46)","v":0}]

{"sheet":"9. Accuracy of Report","index":8,"n_rows":74,"n_cols":6,"rows_kept":74,"cut":false,"hidden":false,"merged":[[50,2,50,4],[6,2,6,4],[24,2,24,3],[39,2,39,4],[51,2,51,3],[41,2,43,4],[49,2,49,4],[33,2,33,3],[37,2,37,3],[8,2,8,3],[14,2,14,3],[19,2,19,3],[52,2,52,3],[53,2,53,3],[54,2,54,3],[61,2,61,3],[57,2,57,3],[58,2,58,3],[55,2,55,3],[73,2,73,3],[64,2,64,3],[65,2,65,3],[66,2,66,3],[67,2,67,3],[68,2,68,3],[71,2,71,3],[69,2,69,3],[70,2,70,3],[72,2,72,3],[62,2,62,3],[63,2,63,3],[56,2,56,3],[59,2,59,3],[60,2,60,3],[0,1,0,5],[1,1,1,5],[3,1,3,5],[5,2,5,5],[4,2,4,5],[2,2,2,4]]}
[null,"Adult Day Health Cost Report"]
[null,"Tab 9 - Accuracy of Report"]
[null,null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,null,"RECONCILIATION OF COST REPORT NET INCOME TO FINANCIAL STATEMENT (BOOK) NET INCOME"]
[]
[null,null,"Cost Report Net Income"]
[null,null,"Total Cost Report Revenue",{"$f":"'8. SchG - Statement of Revenue'!D47","v":0}]
[null,null,"Total Cost Report Expenses",{"$f":"'6. SchE - Statement of Expenses'!G38","v":0}]
[null,null,"Net Income (Loss) Cost Report",{"$f":"D10-D11","v":0}]
[null,null,"Profitability",{"$f":"IFERROR(((D10-D11)/D10), \"0\")","v":"0"}]
[]
[null,null,"Financial Statement Net Income"]
[null,null,"Total Financial Statement Revenue"]
[null,null,"Total Financial Statement Expenses"]
[null,null,"Net Income (Loss) Financial Statement",{"$f":"D16-D17","v":0}]
[]
[null,null,"Variance"]
[null,null,"Variance Between Cost Report and Financial Statements: Revenue",{"$f":"D10-D16","v":0}]
[null,null,"Variance Between Cost Report and Financial Statements: Expenses",{"$f":"D11-D17","v":0}]
[null,null,"Variance Between Cost Report and Financial Statements: Net Income",{"$f":"D12-D18","v":0}]
[]
[null,null,"Reconciling Items"]
[null,null,null,"Description","Amount ($)"]
[null,null,"Reconciling Item #1"]
[null,null,"Reconciling Item #2"]
[null,null,"Reconciling Item #3"]
[null,null,"Reconciling Item #4"]
[null,null,"Reconciling Item #5"]
[null,null,null,"Total Reconciling Items",{"$f":"SUM(E27:E31)","v":0}]
[]
[null,null,"Reconciliation"]
[null,null,"Difference Between Total Reconciling Items and Variance Between Cost Report and Financial Statements: Net Income *",{"$f":"D23-E32","v":0}]
[]
[null,null,"Footnote Legend"]
[null,null,"* This should be zero. The variance in the net income should be accounted for by the reconciling items. "]
[]
[null,null,"CERTIFICATION BY PROVIDER"]
[]
[null,null,"I declare and affirm under the penalties of perjury that this report thas been examined by me, and to the best of my knowledge and belief, is true and correct statement. This payment reporting form is subject to audit and verification by the Center for Health Informtion and Analysis. By filling out the boxes below I hereby certify that I am authorized by the provider to submit this information."]
[]
[]
[]
[null,null,"Signature of Authorized Submitter:"]
[null,null,"Date of Submission (mm/dd/yyyy):"]
[null,null,"Submitter's Acknowledgement:"]
[]
[null,null,"VALIDATION"]
[null,"Tab 1","You may submit when each line says \"No Action Required\". You will not be able to successfully submit if you see an \"Error\" message below. "]
[null,"Tab 1","Agency name is chosen ",null,{"$f":"IF(cfProviderSelected,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 2","MassHealth ID is entered ",null,{"$f":"IF(HSDV01,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 2","Reporting period start date is entered ",null,{"$f":"IF(HSDV03,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 2","Reporting period end date is entered ",null,{"$f":"IF(HSDV04,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 2","Reporting period end date should be after start date",null,{"$f":"IF(HSDV05,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 3","Please be sure to select an option from each of the drop down lists",null,{"$f":"IF(HSDV23,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 3","If you report  Basic Program Census, then the Total Days of Operation must be greater than 0",null,{"$f":"IF(HSDV21,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 3","If you report  Complex Program Census, then the Total Days of Operation must be greater than 0",null,{"$f":"IF(HSDV22,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 3","Number of hours per week should be greater than 0",null,{"$f":"IF(HSDV06,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 4","Schedule B should be filled (Zeros Ok)",null,{"$f":"IF(HSDV07,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 5","If Schedule G, MassHealth (Medicaid) Transport for ADH Program is greater than 0, then Schedule C, Total Client Transportation should be greater than 0",null,{"$f":"IF(HSDV20,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","Gross salary for Program Director, Therapeutic Activity Director, Registered Nurse, and Other Staff together should be greater than 0.",null,{"$f":"IF(HSDV08,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 5","Sum of FTEs in column I or J should be reported when Total Hours Compensated - ADH (Column 6) is greater than 0",null,{"$f":"IF(HSDV10,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","Total Hours Compensated - ADH should be reported when FTEs are reported",null,{"$f":"IF(HSDV11,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","ADH Admin FTEs should be greater than 0",null,{"$f":"IF(HSDV12,\"No Action Required \",\"ERROR\")","v":"ERROR"}]
[null,"Tab 5","If Admin FTE is greater than 0, ADH Expense Admin should be greater than 0",null,{"$f":"IF(HSDV13,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","If ADH Expense Admin is greater than 0, Admin FTE should be greater than 0",null,{"$f":"IF(HSDV14,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","If Direct Care FTE  is greater than 0, ADH Expense Direct Care should be greater than 0",null,{"$f":"IF(HSDV15,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 5","If ADH Expense Direct Care is greater than 0, Direct Care FTE should be greater than 0",null,{"$f":"IF(HSDV16,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tabs 5&6","Schedule D Agency Admin Expense (Col.11) + Total ADH Expense (Col.14) + Total Other Program Expense (Col.15) should equal  Agency Total Expense (Col.4) ",null,{"$f":"IF(HSDV17,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 8","If a Multi-service agency, Tabs 5 and 6 must be reported",null,{"$f":"IF(HSDV02,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,"Tab 9","If Schedule C, Total Client Transportation is greater than 0, then Schedule G, MassHealth (Medicaid) Transport for ADH Program should be greater than 0",null,{"$f":"IF(HSDV18,\"No Action Required \",\"ERROR\")","v":"No Action Required "}]
[null,null,"The Provider Certification, in the blue cells of Tab 9, must be filled in",null,{"$f":"IF(HSDV19,\"No Action Required\",\"ERROR\")","v":"ERROR"}]

{"sheet":"Legend","index":9,"n_rows":9,"n_cols":5,"rows_kept":9,"cut":false,"hidden":false,"merged":[[8,2,8,3],[0,1,0,4],[1,1,1,4],[3,1,3,4],[7,2,7,3],[6,2,6,3]]}
[null,"Adult Day Health Cost Report"]
[null,"Legend"]
[null,null,null,null,"R.5-0 Industries Inc."]
[null,{"$f":"ProviderNameHeader","v":"Select your Provider Name in Tab 1, Cell C9"}]
[]
[]
[null,null,"Provider Input"]
[null,null,"Calculated"]
[null,null,"Populated/Linked"]

{"sheet":"Raw Data","index":10,"n_rows":4,"n_cols":1399,"rows_kept":4,"cut":false,"hidden":true,"merged":[]}
["System Data","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 1: Agency Information","Tab 2. 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Sch C","Tab 4. Sch C","Tab 4. Sch C","Tab 4. Sch C","Tab 4. Sch C","Tab 4. Sch C","Tab 4. Sch C","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. 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Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. Sch D","Tab 5. 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Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","G.L. Parent Agency:Other:                             .","Basis Method: Legal And Acct Fees","Basis Method: Purchased Services","Basis Method: Advert and Recruiting ","Basis Method: Telephone","Basis Method: Office Supplies","Basis Method: Interest (Mort. Only)","Basis Method: Interest Other","Basis Method: Rent","Basis Method: Maintenance","Basis Method: Utilities","Basis Method: Depreciation Auto (not direct client)","Basis Method: Depreciation Bldg","Basis Method: Depreciation Other","Basis Method:  Recreation Supplies","Basis Method: Other Supplies","Basis Method: Food Supplies","Basis Method: Indirect Pur. Service ","Basis of Allocation: Insurance Expense","Basis Method: Vehicle Expense (not direct client)","Basis Method: Management Fees","Basis Method: Donated Space (Imputed)","Basis Method: Other Donations","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Basis Method: Other:                             .","Agency Admin Expense: Total Staff Expense (Sch D)","Agency Admin Expense: Legal And Acct Fees","Agency Admin Expense: Purchased Services","Agency Admin Expense: Advert and Recruiting ","Agency Admin Expense: Telephone","Agency Admin Expense: Office Supplies","Agency Admin Expense: Interest (Mort. Only)","Agency Admin Expense: Interest Other","Agency Admin Expense: Rent","Agency Admin Expense: Maintenance","Agency Admin Expense: Utilities","Agency Admin Expense: Depreciation Auto (not direct client)","Agency Admin Expense: Depreciation Bldg","Agency Admin Expense: Depreciation Other","Agency Admin Expense: Recreation Supplies ","Agency Admin Expense: Other Supplies ","Agency Admin Expense: Food Supplies","Agency Admin Expense: Indirect Pur. Service ","Agency Admin Expense: Insurance Expense","Agency Admin Expense: Vehicle Expense (not direct client)","Agency Admin Expense:Management Fees","Agency Admin Expense: Donated Space (Imputed)","Agency Admin Expense: Other Donations","Agency Admin Expense: Bad Debt","Agency Admin Expense: Other (Specify)","Agency Admin Expense: Total Operating Expense","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Agency Admin Expense:Other:                             .","Total Adult Day Expense: Total Staff Expense (Sch D)","Total Adult Day Expense: Legal And Acct Fees","Total Adult Day Expense: Purchased Services","Total Adult Day Expense: Advert and Recruiting ","Total Adult Day Expense: Telephone","Total Adult Day Expense: Office Supplies","Total Adult Day Expense: Interest (Mort. Only)","Total Adult Day Expense: Interest Other","Total Adult Day Expense: Rent","Total Adult Day Expense: Maintenance","Total Adult Day Expense: Utilities","Total Adult Day Expense: Depreciation Auto (not direct client)","Total Adult Day Expense: Depreciation Bldg","Total Adult Day Expense: Depreciation Other","Total Adult Day Expense: Recreation Supplies","Total Adult Day Expense: Other Supplies","Total Adult Day Expense: Food Supplies","Total Adult Day Expense: Indirect Pur. Service ","Total Adult Day Expense: Insurance Expense","Total Adult Day Expense: Vehicle Expense (not direct client)","Total Adult Day Expense:Management Fees","Total Adult Day Expense: Donated Space (Imputed)","Total Adult Day Expense: Other Donations","Total Adult Day Expense: Bad Debt","Total Adult Day Expense: Other (Specify)","Total Adult Day Expense: Total Operating Expense","Total Adult Day Expense: Administrative Alloc. (SchF, Part 3 Basis:O)","Total Adult Day Expense: Total Expense","Total Adult Day Expense: Total Direct Client Transportation","Total Adult Day Expense:Total ADH Expense ","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Adult Day Expense:Other:                             .","Total Other Program Expense: Total Staff Expense (Sch D)","Total Other Program Expense: Legal And Acct Fees","Total Other Program Expense: Purchased Services","Total Other Program Expense: Advert and Recruiting ","Total Other Program Expense: Telephone","Total Other Program Expense: Office Supplies","Total Other Program Expense: Interest (Mort. Only)","Total Other Program Expense: Interest Other","Total Other Program Expense: Rent","Total Other Program Expense: Maintenance","Total Other Program Expense: Utilities","Total Other Program Expense: Depreciation Auto (not direct client)","Total Other Program Expense: Depreciation Bldg","Total Other Program Expense: Depreciation Other","Total Other Program Expense: Recreation Supplies","Total Other Program Expense: Other Supplies","Total Other Program Expense: Food Supplies","Total Other Program Expense: Indirect Pur. Service ","Total Other Program Expense: Insurance Expense","Total Other Program Expense: Vehicle Expense (not direct client)","Total Other Program Expense:Management Fees","Total Other Program Expense: Donated Space (Imputed)","Total Other Program Expense: Other Donations","Total Other Program Expense: Bad Debt","Total Other Program Expense: Other (Specify)","Total Other Program Expense: Total Operating Expense","Total Other Program Expense: Administrative Alloc. (SchF, Part 3 Basis:O)","Total Other Program Expense: Total Expense","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Other Program Expense:Other:                             .","Total Outside Entity: Legal And Acct Fees","Total Outside Entity: Purchased Services","Total Outside Entity: Advert and Recruiting ","Total Outside Entity: Telephone","Total Outside Entity: Office Supplies","Total Outside Entity: Interest (Mort. Only)","Total Outside Entity: Interest Other","Total Outside Entity: Rent","Total Outside Entity: Maintenance","Total Outside Entity: Utilities","Total Outside Entity: Depreciation Auto (not direct client)","Total Outside Entity: Depreciation Bldg","Total Outside Entity: Depreciation Other","Total Outside Entity: Recreation Supplies","Total Outside Entity: Other Supplies","Total Outside Entity: Food Supplies","Total Outside Entity: Indirect Pur. Service ","Total Outside Entity: Insurance Expense","Total Outside Entity: Vehicle Expense (not direct client)","Total Outside Entity:Management Fees","Total Outside Entity: Donated Space (Imputed)","Total Outside Entity: Other Donations","Total Outside Entity: Bad Debt","Total Outside Entity: Other (Specify)","Total Outside Entity: Total Operating Expense","Total Outside Entity: Administrative Alloc. (SchF, Part 3 Basis:O)","Total Outside Entity: Total Expense","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Total Outside Entity:Other:                             .","Part 1: Agency Administration","Part 1: Adult Day Program","Part 1: All Other Programs","Part 1:Total","Part 1: Agency Administration Percentage ","Part 1: Adult Day Program Percentage ","Part 1: All Other Programs Percentage ","Part 1:Total Percentage ","Part 2: Agency Administration (col. 3)","Part 2: Other Programs (col. 5)","Part 2: Total","Part 2: Agency Administration (col. 3) Percentage","Part 2: Other Programs (col. 5) ","Part 2: Total Percentage ","Part 3: Total Adult Day Program (SchE, line 26, col 4)","Part 3: Total Direct Client Transportation (SchC, Line 4)","Part 3: Total ADH Expense for Allocation of Administration Costs","Part 3: Other Programs(Sch E, line 26, col 5)"," Part 3: Outside Entities (Sch E,line 26, col 6)","Part 3: Total Operating Expense ","Part 3:  Total ADH Expense for Allocation of Administration Costs Percentage","Part 3:  Other Programs(Sch E, line 26, col 5) Percentage","Part 3: Outside Entities (Sch E,line 26, col 6) Percentage","Part 3: Total Percentage","Part 3: Total ADH Expense for Allocation of Administration Costs Administrative Allocation","Part 3: Other Programs(Sch E, line 26, col 5) Administrative Allocation","Part 3: Outside Entities (Sch E,line 26, col 6) Administrative Allocation","Part 3: Total Administrative Allocation ","ADH Program: Direct Self - Pay","ADH Program: Direct Self - Pay Transport","ADH Program: DOE","ADH Program: EOEA","ADH Program: EOEA Transport","ADH Program: Blue Cross","ADH Program: Blue Cross Transport","ADH Program: Other Private Insurance","ADH Program: Other Private Insurance Transport","ADH Program: Medicare","ADH Program: Medicare Transport","ADH Program: MassHealth (Medicaid)","ADH Program: MassHealth (Medicaid) Transport","ADH Program: Other State Agencies","ADH Program: Other Federal Agencies","ADH Program: Other Third Party","ADH Program: Other Third Party Transport","ADH Program: Total Gross Operating Revenue","ADH Program: Federal - Unrestricted grants","ADH Program: State - Unrestricted grants","ADH Program: Local - Unrestricted grants","ADH Program: Private Sources - Unrestricted grants","ADH Program: Other Sources - Unrestricted grants","ADH Program: Total Unrestricted Grants, Gifts, and Donations","ADH Program: Federal - Restricted Grants","ADH Program: State - Restricted Grants","ADH Program: Local - Restricted Grants","ADH Program: Private Sources - Restricted Grants","ADH Program: Donated Services - Restricted Grants","ADH Program:Other Sources - Restricted Grants","ADH Program:Total Restricted Grants, Gifts, and Donations","ADH Program: Non-Operating Income","ADH Program: Total Income From All Sources","All Others: Direct Self - Pay","All Others: Direct Self - Pay Transport","All Others: DOE","All Others: EOEA","All Others: EOEA Transport","All Others: Blue Cross","All Others: Blue Cross Transport","All Others: Other Private Insurance","All Others: Other Private Insurance Transport","All Others: Medicare","All Others: Medicare Transport","All Others: MassHealth (Medicaid)","All Others: MassHealth (Medicaid) Transport","All Others: Other State Agencies","All Others: Other Federal Agencies","All Others: Other Third Party","All Others: Other Third Party Transport","All Others: Total Gross Operating Revenue","All Others: Federal - Unrestricted Grants","All Others: State - Unrestricted Grants","All Others: Local - Unrestricted Grants","All Others: Private Sources - Unrestricted Grants","All Others: Other Sources - Unrestricted Grants","All Others: Total Unrestricted Grants, Gifts, and Donations","All others: Federal - Restricted Grants","All others: State - Restricted Grants","All others: Local - Restricted Grants","All others: Private Sources - Restricted Grants","All others: Donated Services - Restricted Grants","All others:Other Sources - Restricted Grants","All others:Total Restricted Grants, Gifts, and Donations","All others: Non-Operating Income","All others: Total Income From All Sources","Total: Direct Self - Pay","Total: Direct Self - Pay Transport","Total: DOE","Total: EOEA","Total: EOEA Transport","Total: Blue Cross","Total: Blue Cross Transport","Total: Other Private Insurance","Total: Other Private Insurance Transport","Total: Medicare","Total: Medicare Transport","Total: MassHealth (Medicaid)","Total: MassHealth (Medicaid) Transport","Total: Other State Agencies","Total: Other Federal Agencies","Total: Other Third Party","Total: Other Third Party Transport","Total: Total Gross Operating Revenue","Total: Federal - Unrestricted Grants","Total: State - Unrestricted Grants","Total: Local - Unrestricted Grants","Total: Private Sources - Unrestricted Grants","Total: Other Sources - Unrestricted Grants","Total: Total Unrestricted Grants, Gifts, and Donations","Total: Federal - Restricted Grants","Total: State - Restricted Grants","Total: Local - Restricted Grants","Total: Private Sources - Restricted Grants","Total: Donated Services - Restricted Grants","Total: Other Sources - Restricted Grants","Total: Total Restricted Grants, Gifts, and Donations","Total: Non-Operating Income","Total: Total Income From All Sources",{"$f":"'9. Accuracy of Report'!C10","v":"Total Cost Report Revenue"},{"$f":"'9. Accuracy of Report'!C11","v":"Total Cost Report Expenses"},{"$f":"'9. Accuracy of Report'!C12","v":"Net Income (Loss) Cost Report"},{"$f":"'9. Accuracy of Report'!C13","v":"Profitability"},{"$f":"'9. Accuracy of Report'!C16","v":"Total Financial Statement Revenue"},{"$f":"'9. Accuracy of Report'!C17","v":"Total Financial Statement Expenses"},{"$f":"'9. Accuracy of Report'!C18","v":"Net Income (Loss) Financial Statement"},{"$f":"'9. Accuracy of Report'!C21","v":"Variance Between Cost Report and Financial Statements: Revenue"},{"$f":"'9. Accuracy of Report'!C22","v":"Variance Between Cost Report and Financial Statements: Expenses"},{"$f":"'9. Accuracy of Report'!C23","v":"Variance Between Cost Report and Financial Statements: Net Income"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C27,\"- \",'9. Accuracy of Report'!$D$26)","v":"Reconciling Item #1- Description"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C28,\"- \",'9. Accuracy of Report'!$D$26)","v":"Reconciling Item #2- Description"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C29,\"- \",'9. Accuracy of Report'!$D$26)","v":"Reconciling Item #3- Description"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C30,\"- \",'9. Accuracy of Report'!$D$26)","v":"Reconciling Item #4- Description"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C31,\"- \",'9. Accuracy of Report'!$D$26)","v":"Reconciling Item #5- Description"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C27,\"- \",'9. Accuracy of Report'!$E$26)","v":"Reconciling Item #1- Amount ($)"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C28,\"- \",'9. Accuracy of Report'!$E$26)","v":"Reconciling Item #2- Amount ($)"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C29,\"- \",'9. Accuracy of Report'!$E$26)","v":"Reconciling Item #3- Amount ($)"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C30,\"- \",'9. Accuracy of Report'!$E$26)","v":"Reconciling Item #4- Amount ($)"},{"$f":"_xlfn.CONCAT('9. Accuracy of Report'!$C31,\"- \",'9. Accuracy of Report'!$E$26)","v":"Reconciling Item #5- Amount ($)"},"Total Reconciling Items",{"$f":"'9. Accuracy of Report'!C35","v":"Difference Between Total Reconciling Items and Variance Between Cost Report and Financial Statements: Net Income *"},{"$f":"'9. Accuracy of Report'!C46","v":"Signature of Authorized Submitter:"},{"$f":"'9. Accuracy of Report'!C47","v":"Date of Submission (mm/dd/yyyy):"},{"$f":"'9. Accuracy of Report'!C48","v":"Submitter's Acknowledgement:"}]
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[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P37))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J37))),TRUE)","v":true},"HSDV16_27",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J38))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P38))),TRUE)","v":true},"HSDV15_28",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O39))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I39))),TRUE)","v":true},"HSDV14_29",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I40))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O40))),TRUE)","v":true},"HSDV13_30",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I42))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J42)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H42))),TRUE)","v":true},"HSDV11_32",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H43))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J43))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_33",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!E54)),IF('3. SchB - Program & Operations'!E54>=0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV07_34","XXX"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P38))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J38))),TRUE)","v":true},"HSDV16_28",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J39))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P39))),TRUE)","v":true},"HSDV15_29",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O40))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I40))),TRUE)","v":true},"HSDV14_30",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I41))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O41))),TRUE)","v":true},"HSDV13_31",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J43)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H43))),TRUE)","v":true},"HSDV11_33",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H44))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I44))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J44))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_34"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P39))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J39))),TRUE)","v":true},"HSDV16_29",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J40))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P40))),TRUE)","v":true},"HSDV15_30",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O41))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I41))),TRUE)","v":true},"HSDV14_31",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I42))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O42))),TRUE)","v":true},"HSDV13_32",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I44))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J44)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H44))),TRUE)","v":true},"HSDV11_34",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H45))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I45))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J45))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_35"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P40))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J40))),TRUE)","v":true},"HSDV16_30",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J41))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P41))),TRUE)","v":true},"HSDV15_31",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O42))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I42))),TRUE)","v":true},"HSDV14_32",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O43))),TRUE)","v":true},"HSDV13_33",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I45))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J45)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H45))),TRUE)","v":true},"HSDV11_35",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H46))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I46))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J46))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_36"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P41))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J41))),TRUE)","v":true},"HSDV16_31",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J42))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P42))),TRUE)","v":true},"HSDV15_32",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I43))),TRUE)","v":true},"HSDV14_33",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I44))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O44))),TRUE)","v":true},"HSDV13_34",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I46))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J46)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H46))),TRUE)","v":true},"HSDV11_36",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H47))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I47))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J47))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_37"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P42))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J42))),TRUE)","v":true},"HSDV16_32",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P43))),TRUE)","v":true},"HSDV15_33",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O44))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I44))),TRUE)","v":true},"HSDV14_34",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I45))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O45))),TRUE)","v":true},"HSDV13_35",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I47))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J47)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H47))),TRUE)","v":true},"HSDV11_37",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H48))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J48))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_38"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P43))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J43))),TRUE)","v":true},"HSDV16_33",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J44))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P44))),TRUE)","v":true},"HSDV15_34",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O45))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I45))),TRUE)","v":true},"HSDV14_35",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I46))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O46))),TRUE)","v":true},"HSDV13_36",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J48)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H48))),TRUE)","v":true},"HSDV11_38",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!H49))),IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I49))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J49))),),TRUE,FALSE),TRUE)","v":true},"HSDV10_39"]
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[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P45))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J45))),TRUE)","v":true},"HSDV16_35",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J46))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P46))),TRUE)","v":true},"HSDV15_36",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O47))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I47))),TRUE)","v":true},"HSDV14_37",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O48))),TRUE)","v":true},"HSDV13_38",{"$f":"IF(OR(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I50))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J50)))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!H50))),TRUE)","v":true},"HSDV11_40"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P46))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J46))),TRUE)","v":true},"HSDV16_36",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J47))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P47))),TRUE)","v":true},"HSDV15_37",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I48))),TRUE)","v":true},"HSDV14_38",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I49))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O49))),TRUE)","v":true},"HSDV13_39"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P47))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J47))),TRUE)","v":true},"HSDV16_37",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P48))),TRUE)","v":true},"HSDV15_38",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O49))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I49))),TRUE)","v":true},"HSDV14_39",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!I50))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!O50))),TRUE)","v":true},"HSDV13_40"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P48))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J48))),TRUE)","v":true},"HSDV16_38",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J49))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P49))),TRUE)","v":true},"HSDV15_39",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!O50))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!I50))),TRUE)","v":true},"HSDV14_40"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P49))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J49))),TRUE)","v":true},"HSDV16_39",{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!J50))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!P50))),TRUE)","v":true},"HSDV15_40"]
[null,null,{"$f":"IF(AND(NOT(ISBLANK('5. SchD - Staffing Information'!P50))),AND(NOT(ISBLANK('5. SchD - Staffing Information'!J50))),TRUE)","v":true},"HSDV16_40"]
[{"$f":"IF(SUM('5. SchD - Staffing Information'!N23,'5. SchD - Staffing Information'!Q23,'5. SchD - Staffing Information'!R23)='5. SchD - Staffing Information'!F23,TRUE,FALSE)","v":true},"HSDV17"]
[{"$f":"IF(AND(NOT(ISBLANK('4. SchC - Transportation'!D8)),IF('4. SchC - Transportation'!D8>0,TRUE,FALSE)),AND(NOT(ISBLANK('8. SchG - Statement of Revenue'!D21)),IF('8. SchG - Statement of Revenue'!D21>0,TRUE,FALSE)),TRUE)","v":true},"HSDV18",null,null,null,null,null,null,{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D9)),IF('3. SchB - Program & Operations'!D9>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV21_1"]
[{"$f":"IF(AND(NOT(ISBLANK('9. Accuracy of Report'!D46)),NOT(ISBLANK('9. Accuracy of Report'!D47)),NOT(ISBLANK('9. Accuracy of Report'!D48))),TRUE,FALSE)","v":false},"HSDV19",null,null,null,null,null,null,{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D10)),IF('3. SchB - Program & Operations'!D10>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV21_2",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D20)),IF('3. SchB - Program & Operations'!D20>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV22_1"]
[{"$f":"IF(AND(NOT(ISBLANK('8. SchG - Statement of Revenue'!D21)),IF('8. SchG - Statement of Revenue'!D21>0,TRUE,FALSE)),AND(NOT(ISBLANK('4. SchC - Transportation'!D8)),IF('4. SchC - Transportation'!D8>0,TRUE,FALSE)),TRUE)","v":true},"HSDV20",null,null,null,null,null,null,{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D11)),IF('3. SchB - Program & Operations'!D11>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV21_3",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D21)),IF('3. SchB - Program & Operations'!D21>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV22_2",{"$f":"IF(LegalRelationship= \"Select Legal Relationship:\",TRUE,FALSE)","v":true},"HSDV23_1"]
[{"$f":"IF(OR(HSDV21_1,HSDV21_2,HSDV21_3,HSDV21_4),AND(NOT(ISBLANK('3. SchB - Program & Operations'!D13)),IF('3. SchB - Program & Operations'!D13>0,TRUE,FALSE)),TRUE)","v":true},"HSDV21","–","–","–","–","–","––––––––>",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D12)),IF('3. SchB - Program & Operations'!D12>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV21_4",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D22)),IF('3. SchB - Program & Operations'!D22>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV22_3",{"$f":"IF(FinancialRelationship= \"Select Financial Relationship:\",TRUE,FALSE)","v":true},"HSDV23_2"]
[{"$f":"IF(OR(HSDV22_1,HSDV22_2,HSDV22_3,HSDV22_4),AND(NOT(ISBLANK('3. SchB - Program & Operations'!D24)),IF('3. SchB - Program & Operations'!D24>0,TRUE,FALSE)),TRUE)","v":true},"HSDV22","–","–","–","–","–","–","–","––––––––>",{"$f":"IF(AND(NOT(ISBLANK('3. SchB - Program & Operations'!D23)),IF('3. SchB - Program & Operations'!D23>0,TRUE,FALSE)),TRUE,FALSE)","v":false},"HSDV22_4",{"$f":"IF(ProgramClientType= \"Select Program Type(s)/Client Types:\",TRUE,FALSE)","v":true},"HSDV23_3"]
[{"$f":"NOT(OR(HSDV23_1,HSDV23_2,HSDV23_3,HSDV23_4))","v":false},"HSDV23","–","–","–","–","–","–","–","–","–","––––––––>",{"$f":"IF(OtherCostReports= \"Select Other Cost Reports:\",TRUE,FALSE)","v":true},"HSDV23_4"]
[{"$f":"AND(HSDV01,HSDV02,HSDV03,HSDV04,HSDV05,HSDV06,HSDV07,HSDV08,HSDV10,HSDV11,HSDV12,HSDV13,HSDV14,HSDV15,HSDV16,HSDV17,HSDV18,HSDV19)","v":false},"vHSDVPassed"]
[{"$f":"AND(IF('9. Accuracy of Report'!E52=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E53=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E72=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E54=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E55=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E56=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E60=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E61=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E63=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E64=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E65=NAR,TRUE,FALSE),IF('9. Accuracy of Report'!E66=NAR,TRUE,FALSE))","v":false},"AoRFields"]
[{"$f":"IF(AND(cfProviderSelected),TRUE,FALSE)","v":false},"vRequiredFieldsSelected"]
[{"$f":"OrgID&\"_\"&ProviderName&\"_ADHCRFY\"&RIGHT(FiscalYear,2)&\".xlsm\"","v":{"$error":"#N/A"}},"vFileName"]
[null,"=IF('[ADHCRabMGC-0004.xlsm]1. Agency Information'!C6='[ADHCRabMGC-0004.xlsm]1. Agency Information'!B84,'[ADHCRabMGC-0004.xlsm]1. Agency Information'!B85,'[ADHCRabMGC-0004.xlsm]1. Agency Information'!C6)"]
[]
[]
[]
["Legal"]
["Select Legal Relationship:"]
["Stand-Alone ADH (Free-Standing)"]
["Nursing Home Affiliated"]
["Multi-Service Agency Affiliated"]
[]
["Financial"]
["Select Financial Relationship:"]
["For Profit"]
["Not-For-Profit"]
[]
["Basis for Allocation"]
["Method"]
["D - Direct Expense"]
["H- Hours of Service"]
["S - Square Footage Occupied"]
["O - Operating Expense"]
["C - Compensation (Staff) Expense"]
["Other"]
[]
["T/F"]
[true]
[false]
[]
["Program Types"]
["Select Program Type(s)/Client Types:"]
["Basic"]
["Complex"]
["Basic and Complex"]
[]
["Other Cost Reports "]
["Select Other Cost Reports:"]
["HCF-1"]
["UFR"]
["HCF-1 and UFR"]
["Neither HCF-1 nor UFR"]
[]
["Yes/No"]
["Yes/No"]
["Yes"]
["No"]
[]
[]
[]
[]
["Agency Name ","OrgID","MassHealthProviderID"]
["Select your provider name:"," "]
["2nd Home Adult Day Health Care ll, LLC",10899]
["2nd Home Adult Day Health Care, LLC",9931]
["41 Capital Adult Care, LLC  DBA - Quality Life Adult Day Services #2",12884]
["A Joyful Adult Healthcare Center LLC",14294]
["Accord Healthcare Management Inc DBA Acoord Day Center",9932]
["Accord Healthcare Management, Inc - DBA Gateway Adult Center",8994]
["Active Day  of New Bedford",4865]
["Active Day of Fairhaven",6775]
["Active Day of Hingham",4814]
["Active Day of Lowell",11877]
["Active Day of Mansfield",20746]
["Active Day of Norwell",11837]
["Active Day of Plymouth",20747]
["Active Day of Taunton",20748]
["Activelife Adult Day Care, Inc",12831]
["Active Life Health Care Management, LLC.",20139]
["Adult Day Health Programs of Community Care Services Inc.",4862]
["Advocate Healthcare of East Boston LLC",18810]
["AgingWell - Polyclinic, LLC",11256]
["All Boston Elder Care, LLC",20105]
["All Care Adult Day Health Center, Inc.",10158]
["AMRIT SABHA ADULT DAY HEALTHCARE, INC",13082]
["Anew Health LLC",18803]
["Arlington Adult Day Health of Cooperative Elder Services, Inc.",4843]
["Associates for Human Services, Inc.",8392]
["Awakening Excellence LLC",12937]
["Bakucare Adult Day Health Center","18789 "]
["Bay Cove Kit Clark - Codman Square",4823]
["Bay Cove Kit Clark - Fields Corner",13201]
["Bella Haven, Inc.",9760]
["Best Choice Adult Day Health Care, Inc.",13028]
["Bethany House Adult Day Health Center",4857]
["Blaire House Adult Day Health in Tewksbury",4803]
["Boston Adult Day Care Inc (SarahCare)",11612]
["Brandon Woods of Dartmouth Adult Day Health",4861]
["Briarcliff Lodge - Day Away",4806]
["Briarcliff Lodge-Adult Day Health",4805]
["Brockton Adult Day Health",10204]
["Brockton Adult Medical Day Care Center",9738]
["Brockton Adult Medical Day care Center II, INC."]
["Burlington Adult Day Health of Cooperative Elder Services, Inc.",4845]
["Buttonwood Place Adult Day Health Center, Inc. (ADH)",6850]
["Cape Verdean Center",10203]
["Capeway Adult Day Health Center, Inc.",4859]
["CarePro Health Services, Inc.",3119]
["Castle Hill Adult Day Health Center",4802]
["Chariot Adult Day Health",4834]
["CHD Hawthorn Chicopee ADH",20143]
["CHD Hawthorn Springfield ADH",20145]
["CHD Hawthorn West Springfield ADH",20144]
["Cheshire Blaire House Adult Day Health in Milford",4795]
["Colonial Adult Day Health",4835]
["Compass Adult Day Health",11700]
["Concord Adult Day Health of Cooperative Elder Services, Inc.",4842]
["Cornerstone Adult Day Health Center",11604]
["Countryside Adult Day Health",11605]
["Cozy Corner",4837]
["Day By Day Adult Care",4810]
["DIA Feliz ADAC LLC",20238]
["Don Orione Adult Day Health Center (ADH)",4825]
["D'Youville Senior Care ADH",4801]
["East Point Adult Day  Health Center, LLC",17760]
["Element Care, Inc.",12798]
["Elizabeth M. White Adult Day Health Center",4856]
["Ellis Memorial & Eldredge House, Inc.",4821]
["Enriched Adult Day Care",18802]
["Evergreen Adult Day Health Center Inc","16584  "]
["Families Together, LLC",13160]
["Fitchburg Adult Day Health Center",8382]
["Forever Young Adult Day Health Center",17688]
["Friendly Harbor Active Day Center",4866]
["Fuente De Vida Adult Day Care Services, LLC",11591]
["Fun Life Adult Day Health",13101]
["Gardner Adult Day Health Center",4782]
["German Centre for Extended Care Adult Day Health",10475]
["Golden Years, LLC (ADH)",6848]
["Greater Boston Center",12604]
["Greater Boston Chinese Golden Age Center - Brighton House",4818]
["Greater Boston Chinese Golden Age Center - Hong Lok House",4819]
["Greater Boston Chinese Golden Age Center - Quincy Tower",4820]
["Greater New Bedford Adult Day Health Care Center,Inc.DBA Project Independence",13131]
["Greenfield Adult Day Services",12094]
["Groton Adult Day Health of Cooperative Elder Services, Inc.",4844]
["Haitian Center",11589]
["Hancock Park Day Health Center",4832]
["Happy Days ADH Program, Inc. - Boston",16638]
["Happy Days ADH Program, Inc. - Chelsea",16639]
["Harbor House Adult Day Health Center",4815]
["Harbor Side Adult Day Health Center",4811]
["Adult Day Health at Springfield",6846]
["Hawthorn Services, Inc. Adult Day Health at Chicopee",4769]
["Hawthorn Services, Inc. Adult Day Health at West Springfield",6799]
["Healthcare Options, Inc. - ADH Harmony",8995]
["HealthCare Options, Inc. - ADH Mansfield",11247]
["HealthCare Options, Inc. - ADH Norwood",4852]
["Highland Adult Day Care",4853]
["Hillside Attleboro (Formorly Arc Of Bristol County)",4863]
["Home Away From Home , Inc.",11472]
["Hopkinton Health Center Corp.",12922]
["Horizon Adult Day Care Center",13142]
["Jivan Adult Day Health Center",20133]
["JML Adult Day Health",4848]
["Joyful Living Center",12848]
["Kernwood ADH, INC.",12608]
["La Alianza Hispana Inc",4822]
["La Bella Vida Adult Day Health Services, LLC",12912]
["Lexington Adult Day Health of Cooperative Elder Services, Inc.",6794]
["LivingWell - Hartwell, LLC",11257]
["Lynn Adult Day Care Center",20131]
["Lynn Zabota Adult Day Care, Inc.",11425]
["Manor-on-The-Hill Adult Day Health",4783]
["Mater Dei Adult Day Health",4840]
["Medford Adult Day Health Care Center, LLC",18777]
["Mercy Adult Day Health",18805]
["MI Adult Day Health Center",4799]
["Mi Adult Day Health II - La Casita",13174]
["MI Adult Day Heath - La Casa De Maria Immaculada",8736]
["Mi Casa Adult Day Health Care Center, LLC",18781]
["Milton Adult Day Health of Cooperative Elder Services, Inc.",4846]
["Mother Teresa of Salem ADHC",21945]
["Nevins Adult Day Health Center",4839]
["New England Community Care",12361]
["North Quabbin Adult Day Health Services",8383]
["North Shore Adult Day Health, LLC",11424]
["North Shore Haitian ADH Lasource",18795]
["Northeast Senior Health - DBA Spectrum Adult Day Health at Beverly",9737]
["Northeast Senior Health DBA Spectrum at North Andover",12068]
["Oasis Community Center",12107]
["Old Colony Adult Day Healthcare, Inc.",8945]
["Otrada Adult Day Health Care, Inc.",9990]
["Our Family Circle, Inc.  DBA - CANAS",12886]
["Pearl ADHC",11378]
["Project Independence Adult Day Health Care Center",4860]
["Rainbow Adult Day Center",4812]
["RAINBOW ADHC of LYNN, LLC ",20115]
["Rainbow ADHC LLC, Brighton",20116]
["Rainbow Adult Day Health Care of Quincy LLC",16593]
["Rainbow Adult Day Health Care of Waltham LLC",12905]
["Rainbow ADHC, LLC",18784]
["Renaissance ADHC LLC",12921]
["Renaissance Adult Day Health Center",12124]
["Revere Adult Day Health Care Center, LLC",12036]
["Riverview Adult Day Care",4854]
["Roger B. Trask Adult Day Health Program",4813]
["Rogerson - Egleston Adult Day Health Program",8859]
["Rogerson Adult Day Health Program",4826]
["Rogerson Brookline Adult Day Health Program",8715]
["Saint Francis Adult Day Health",4791]
["Sancta Marias Adult Day Health",4827]
["Sarah's Place Adult Day Health - Mission Towers",8391]
["Sarah's Place Too",12970]
["Seabreeze Day Health Center",8385]
["Senior Place ADH (under the umbrella of Deutsches Altenheim)",12835]
["Seniority Social and Adult Day Care, Inc.",4777]
["Serenity Care, Inc.",11543]
["Seven Hills Foundation - Adult Day Health",4790]
["Shapiro Rudolph Adult Day Health",4808]
["Sisters of Providence Health System Adult Day Programs",4771]
["Soley Leve Adult Day Health, LLC",20138]
["South Shore Haitian Adult Day Health - Paradi Ayisyen",13245]
["South Street Adult Care, LLC DBA - Quality Life Adult Care #3",12887]
["Southeastern Massachusetts Educational Collaborative(ADH SMEC)",12836]
["St. Camillus Health Center ADH",12609]
["Stay Well Adult Health Center, Inc.",9935]
["Stoughton Adult Medical Day Care Center, Inc. (SAMDCC)",12834]
["Thayercare, Inc. (ADH)",6849]
["The Arc Of Bristol County",13200]
["The Brien Center Adult Day Health in North Adams",6845]
["The Brien Center Adult Day Health in Pittsfield",4779]
["The Community Family, Inc. Adult Day Health - Everett",4831]
["The Community Family, Inc. Adult Day Health Center - Lowell",8390]
["The Community Family, Inc. Buddy Coholan Memory Loss Center",8388]
["The Community Family, Inc. Adult Day Health Center - Dutton",20119]
["The Dream Center Adult Day Health",9933]
["The GenCenter",11606]
["The Highland Adult Day Center",4781]
["Tradewinds Day Health Center",8386]
["United Church Homes of Reading, Inc. dba: Sanborn Day Services",11473]
["Vatra ADHC",18788]
["VCare Holyoke ADHC LLC",20414]
["Vilajlajwa, LLC.",17683]
["V.O.C. Adult Day Health",4772]
["Wernick Adult Day Health Care",4776]
["West Springfield Adult Care, LLC DBA - Quality Life Adult Day Services #1",12885]
["Whitney Place Adult Day Health at Natick",6847]
["Whitney Place Adult Day Health at Northbridge",4785]
["Windsor House Adult Day Health in Cambridge",4828]
["Windsor Nursing and Retirement Home Adult Day Health",4778]
["Winter Garden Adult Day Care Program",12416]
["Worcester ADH LLC (SarahCare)",13206]
["Worcester Adult Daycare center",12075]
["Zabota Community Center",9973]
["Zdorovie Adult Day Health Center, Inc.",11850]
["Zdorovie ADH Needham, LLC",18830]
["Zdorovie Senior Services, Inc. Adult Day Health Center",9710]