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<br />North Carolina Division of Aging DOA - 732A
<br />Service Cost Computation Worksheet c:732A.xls FY 2015
<br />Provider: Human Services
<br />County: Cabarrus
<br />Budget Period: July 1, 2014 through June 30, 2015
<br />Revision _yes, _X no, revision date
<br />USDA(NSIP) eimb.,,em ti,$.75 /meal Non Unit Services in
<br />These columns
<br />Required Minimum Match - Cash 11111111111111111111111 Illlllllllll Il llll lII1 111411111111111111111IIIIIIIIA( lllllllllalllllllllllllll
<br />1) County General Fund
<br />48,134
<br />/////11111
<br />In -Home
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />Adult
<br />2)
<br />0
<br />1111//////
<br />11-
<br />In -Home III
<br />23,500
<br />01
<br />Adult
<br />Day
<br />3)
<br />Grand
<br />1//////111
<br />Personal
<br />Personal
<br />Congregate
<br />Info &
<br />Day Care
<br />Health
<br />I. Projected Revenues
<br />Total
<br />//////////
<br />Care 042
<br />Care 045
<br />180
<br />Assist 040
<br />030
<br />155
<br />A. Fed /State Funding From the Division of 1
<br />433,206
<br />1111//////
<br />111,297
<br />47,680
<br />96,965
<br />35,821
<br />34,894
<br />106,549
<br />Required Minimum Match - Cash 11111111111111111111111 Illlllllllll Il llll lII1 111411111111111111111IIIIIIIIA( lllllllllalllllllllllllll
<br />1) County General Fund
<br />48,134
<br />/////11111
<br />12,366
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />11,839
<br />2)
<br />0
<br />1111//////
<br />1 01
<br />01
<br />23,500
<br />01
<br />0
<br />0
<br />3)
<br />0
<br />1//////111
<br />1 501
<br />501
<br />27,5001
<br />01
<br />501
<br />50
<br />Total Required Minimum Match - Cash
<br />48,134
<br />//////////
<br />1 12,366
<br />5,2981
<br />10,774
<br />3,9801
<br />3,877
<br />11,839
<br />Required Minimum Match- In -Kind IHIII lllll/A1/llllllll IlllHHIIII II Hlll111111allIHHIHHIJIIIHIIIHI IHIIHIIIJIHHIIIHIIIH
<br />1)
<br />0
<br />//////////
<br />164,396
<br />2)
<br />0
<br />1////111//
<br />1 01
<br />01
<br />23,500
<br />01
<br />0
<br />0
<br />3)
<br />0
<br />1//////111
<br />1 501
<br />501
<br />27,5001
<br />01
<br />501
<br />50
<br />Total Required Minimum Match - In-Kir
<br />0
<br />//////////
<br />0
<br />0
<br />0
<br />0
<br />0
<br />0
<br />B. Total Required Minimum Match (cash+
<br />48,1341//////111
<br />//////////
<br />12,366
<br />5,298
<br />10,774
<br />3,980
<br />3,877
<br />11,839
<br />C. Subtotal, Fed /State /Required Match Re
<br />481,340
<br />1//////111
<br />123,663
<br />52,978
<br />107,739
<br />39,801
<br />38,771
<br />118,388
<br />D. USDA Cash Subsidy /CommodityValuati
<br />12,419/////////
<br />/
<br />1
<br />12,419
<br />E. OAA Title V Worker Wages, Fringe Benel
<br />0
<br />11 1HI / ///
<br />Local Cash, Non -Match 11111111111111111111111 I/////////// I1111 11111111a1111111111111a11111111 111,(1111111111x111111111111111
<br />1) County General Fund
<br />164,396
<br />//////////
<br />164,396
<br />2) Service Contracts (Rowan & Meck)
<br />23,500
<br />//////////
<br />1 01
<br />01
<br />23,500
<br />01
<br />0
<br />0
<br />3)
<br />0
<br />111//1////
<br />1 501
<br />501
<br />27,5001
<br />01
<br />501
<br />50
<br />4)
<br />0
<br />1111//////
<br />1 01
<br />01
<br />01
<br />01
<br />0
<br />0
<br />F. Subtotal, Local Cash, Non -Match
<br />187,896
<br />//////////
<br />0
<br />0
<br />187,896
<br />0
<br />0
<br />0
<br />Other Revenues, Non -Match 1111111111111111111111/ ///////////////////////(///////////// a/////// / / / /( / / / / / / / / / /a / / / / / / / / / / / / ///
<br />1) Donations
<br />0
<br />//////////
<br />2) State In -Home
<br />011H//H///
<br />1 01
<br />01
<br />01
<br />01
<br />0
<br />0
<br />3)
<br />0
<br />1////111//
<br />1 501
<br />501
<br />27,5001
<br />01
<br />501
<br />50
<br />G. Subtotal, Other Revenues, Non -Match
<br />0
<br />//////////
<br />1 01
<br />01
<br />01
<br />01
<br />0
<br />0
<br />Local In -Kind Resources (Includes Volunteei//////////// A///////////////////// J//////////// a///////////// / / / /( / / / / / / / / / /� / / / / / / / / / / / / ///
<br />3)
<br />01//////////
<br />H. Subtotal, Local In -kind Resources, Non-
<br />01//////////
<br />1 01
<br />01
<br />01
<br />01
<br />0
<br />0
<br />I. Client Program Income
<br />27,7001//////////
<br />1 501
<br />501
<br />27,5001
<br />01
<br />501
<br />50
<br />J. Total Projected Revenues (Sum I C,D,E,F,
<br />709,3551//////////
<br />1 123,7131
<br />53,0281
<br />335,5541
<br />39,8011
<br />38,8211
<br />118,438
<br />Percent of Grand Total
<br />100%1
<br />1 17.44%1
<br />7.48%1
<br />47.30%1
<br />5.61%1
<br />5.47%1
<br />16.70%
<br />F -5 Page 281
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