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In Lines II.Athrough F I!!!I!!1!I/ nlun N JIJUUIJ! llfm I Jlf1
<br />llIl1!lu! I!I!!1r1r1 //I!n!!II�IaI
<br />H. Total Prof Expenses Prior to Admin. Disi
<br />E,840 708
<br />349,625
<br />860,859
<br />631,7G3
<br />I. Distribution of A4mininlstrative Cast
<br />! / / / / / / / /!/
<br />0
<br />190,095
<br />155,531
<br />1. Total Prol• Expenses After Admin. Distrib
<br />1 72..893
<br />Jldll NIJJ.
<br />1,059,954
<br />787,x92
<br />IlIIINIIIlJ
<br />1, Total Expanses (equals_ line 11.11
<br />1,87Z,893
<br />111!11 l/le
<br />1.050,954
<br />HCCBG Budget
<br />Service Cost Computation Worksheet
<br />Division of Aging Services:
<br />III. Computation of Rates
<br />Grand
<br />Total
<br />Trans 250
<br />Medical
<br />Transp
<br />033
<br />A. Computation of unit Cost Rate:
<br />I!/Illpllf
<br />1! /!lllNl!
<br />!!llflllll!
<br />IlIIINIIIlJ
<br />1, Total Expanses (equals_ line 11.11
<br />1,87Z,893
<br />111!11 l/le
<br />1.050,954
<br />787,292
<br />2, Total projected Units
<br />0 11111111h
<br />////////
<br />49,69E
<br />4o,G59
<br />3, Total Unit Cost Rate
<br />lnnl!/fa!
<br />fuu/u /1
<br />21.1476
<br />19.3633
<br />6. Computation of Reimbursement Rate:
<br />JIJJ / /f /I /I
<br />!I / /!!I! /!
<br />JIJJ /JlI /!
<br />/l /lI /l/!II
<br />1_ Total Revenues ( equals trine IJl
<br />1 ,972,893
<br />IlIJ / /INI/.
<br />1,D30,094
<br />842,800
<br />2. less: USDA (equals line I.D)
<br />0
<br />! /fIJ! /! / /I
<br />o
<br />0
<br />Title V (equals line I.f and IhD )
<br />0
<br />!I /I /!! / ///
<br />0
<br />0
<br />Non Match In -Kind ( equals Iln
<br />0!l/
<br />l /111!1
<br />D
<br />0
<br />3, Revenues Subject to Unit Rembwrsen
<br />1,878.8931
<br />/flfllJll!
<br />1,030,094
<br />842,800
<br />4. Total Projected Units(equals line l ILA
<br />lIJ /f / /l Jf1
<br />/!f!I /
<br />49,696
<br />40,659
<br />5. Total Reimbursement Rate
<br />!I /111/1 / / /Jl
<br />l /II /I /ll/I
<br />20,7273
<br />20.7271
<br />C. Units Reimbursed Through HCCBG
<br />4nIV /Dl
<br />lIllllll /!l
<br />4,246
<br />3,474
<br />D. Units Reimbursed Through Program in
<br />#DIV/01
<br />!11/1111 !I
<br />D
<br />0
<br />E. Units Reimbursed Through Remaining
<br />.9DIV/Dl
<br />IIIllllflll
<br />45.4521
<br />37,188
<br />1090094 842800
<br />49696 40659
<br />The Division of Ailing ARMS deducts reported program
<br />Mme r,mm ,mmw,a.m�rm„wwm,mvb4rm wmino
<br />I,al®lec ne m,min., a vnna ma we rwe m a pro&cw.
<br />xl �dOV, b e,mY alilad m Il,w III C m ads w Mn W
<br />net revenues staled on line I.C.
<br />D
<br />m
<br />3
<br />0
<br />m
<br />a
<br />m
<br />20.7279 20.7285
<br />88008 72006
<br />4246 3474
<br />20.7273 20.7271
<br />F -6 Page 126
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