|
w Im /I A 1 /11wn A /111/11/l/I, w /w/w/ /A 11l/Jll/L nw/III//
<br />H. Total Proj. Expenses Prior to Admin. Di
<br />826,6151
<br />01
<br />170,870
<br />58,599
<br />446,623
<br />22,386
<br />128,737
<br />i. Distribution of Admininistrative Cost
<br />// f///1///
<br />01
<br />01
<br />0
<br />0
<br />01
<br />0
<br />J. Total Proj. Expenses Aker Admin. DIW
<br />826,615
<br />/11111111/1
<br />170,870
<br />58,599
<br />446,023
<br />22,386
<br />[28,737
<br />Budget
<br />Cast Computation Worksheet
<br />i of Agine
<br />II ImHome I!I Ault Day
<br />Grand Personal Personal Congregate br e ealth
<br />II. Computation of Rates Total Care 042 Care 645 180 030 155
<br />1. Total Expenses {equals line IIJ
<br />826,615
<br />/ / / / / / / / ///
<br />170,87D
<br />SS,5991
<br />446,073
<br />22,3861
<br />128,737
<br />2. Total Projected Units _
<br />J/fJ f//JJ/
<br />/1111 /11
<br />9,384
<br />2.,8R0
<br />41,090
<br />578
<br />3,218
<br />3 Tatel Unit Cast Rat?
<br />E. Computation of Reimbursement Rate;
<br />J /// / / / ///
<br />/ / /T / / / / ///
<br />/ / /J / / / ///
<br />/ / /l /l /f //
<br />18.2087
<br />l /11 11 /T /f
<br />20.3467
<br />/T /l /fl / ///
<br />10.8786
<br />w1111111mj
<br />33.0177
<br />/f1 11111f
<br />40.0052
<br />/ ////Will
<br />1. Total Revenges (equals line I.A
<br />826,615
<br />1//1111111/
<br />170,87()
<br />58,589
<br />446,024
<br />22,3x5
<br />12$.737
<br />2. Less: USDA (equals line I.0
<br />28,629
<br />J/f111f l //
<br />a
<br />0
<br />28,1529
<br />0
<br />0
<br />Title V jecivals lire I.E and I.01
<br />0
<br />1181/111110
<br />0
<br />0
<br />0
<br />0
<br />0
<br />Neon Match In -Kind (equals lin
<br />0
<br />/18811/11
<br />0
<br />0
<br />0
<br />0
<br />0
<br />3. Revenues Subject to Unit Reimburse r
<br />797,986
<br />11111111111L
<br />170,87131
<br />58,599
<br />417,395
<br />22,38b
<br />328,737
<br />4. Total Projected Units (equals line III.A
<br />// / /f // I I
<br />flI11111111A
<br />9,3841
<br />2.,880
<br />41,000
<br />678
<br />3,218
<br />5. Total Reimbursement Rate
<br />f l/l //I f/
<br />/ /1 /1J /1 //I,
<br />18.20871
<br />20.3431
<br />10.1804
<br />33.0177
<br />40.0022
<br />C- Units Reimbursed Through HCCBG
<br />ODIV /01
<br />/11/fl /fl/jil
<br />8,610
<br />2,533
<br />11,406
<br />676
<br />3,217
<br />D. Units Reimbursed Through Program In
<br />#DIV /01
<br />!/8!11811
<br />3
<br />2
<br />21357
<br />2
<br />1
<br />E... Units Reimbursed Through Remaining
<br />11DWOF
<br />18111111YA
<br />7711
<br />345
<br />27.236
<br />0
<br />0
<br />170870 58599 417395 22388 128737
<br />9384 2880 41000 678 3218
<br />18.Z087 20.3469 10.1804 33.0177 40.0053
<br />155780 51529 116222 22335 128687
<br />8610 2533 11406 676 3217
<br />18.2091 20.3431 10.1808 33.0414 40.0022 .
<br />the p)Njsion of Aglgl ARMS deducts reported hruuru n
<br />x¢amerrmn,Ymlfvsamenr poitl ra woMtla�-a Lw III L}
<br />1,r,YxrbF or,exl: n,„I wA nwr ra M lirodrm
<br />n affrro^ ro s.we �.ed m uau x.I.0 a vad ramp t>4
<br />net mvenuaes(a(ed on Ind I.C.
<br />D
<br />m
<br />J
<br />0
<br />7
<br />7
<br />C
<br />0
<br />7
<br />F -6 Page 140
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