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HCCBG Budget <br />Service Cost Computation Worksheet <br />Division of Aging Services: <br />3596 <br />149 <br />1071 701 451 <br />0 3500 <br />48 <br />0 <br />214 0 0 <br />4DIV /0! 11.7351 <br />74.9167 <br />4DIV /0! <br />III. Computation of Rates <br />Grand Total <br />3596 <br />CDS 500- Care Advisor <br />01- Personal As <br />)S 503 - Fiscal 11, <br />Nutrition Sup <br />-Home Deliver <br />ergency ResponEAedical <br />Adaptive E <br />A. Computation of Unit Cost Rate: <br />llllllllllllllll <br />ullllll <br />ulllllllllllu <br />ulllllllllllu <br />ul <br />ul <br />ul <br />ul <br />ullllllll <br />1. Total Expenses (equals line II.J) <br />51,138 <br />/ / / / / / / / / / / / /// <br />4,096 <br />41,073 <br />3,596 <br />149 <br />1,071 <br />701 <br />451 <br />2. Total Projected Units <br />/ / / / / / / / / / / / / /// <br />/ / / / / /// <br />0 <br />3,500 <br />48 <br />0 <br />214 <br />0 <br />0 <br />3. Total Unit Cost Rate <br />/ / / / / / / / / / / / / /// <br />/ / / / / / / /// <br />41DIV /0! <br />11.7353 <br />74.9071 <br />41DIV /0! <br />5.0067 <br />41DIV /0! <br />41DIV /0! <br />B. Computation of Reimbursement Rate: <br />1. Total Revenues (equals line I.J) <br />51,137 <br />/ / / / / / / / / / / / /// <br />4,096 <br />41,073 <br />3,596 <br />149 <br />1,071 <br />701 <br />451 <br />2. Less: USDA (equals line I.D) <br />o <br />/ / / / / / / / / / / / /// <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Title V (equals line LE and II.D) <br />o <br />/ / / / / / / / / / / / /// <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Non Match In -Kind (equals line 1.1 <br />o <br />/ / / / / / / / / / / / /// <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />3. Revenues Subject to Unit Reimbursement <br />51,137 <br />/ / / / / / / / / / / / /// <br />4,096 <br />41,073 <br />3,596 <br />149 <br />1,071 <br />701 <br />451 <br />4. Total Projected Units (equals line III.A.2) <br />/ / / / / / / / / / / / /// <br />0 <br />3,500 <br />48 <br />0 <br />214 <br />01 <br />0 <br />5. Total Reimbursement Rate <br />#DIV /o! <br />11.7351 <br />74.9167 <br />4DIV /0! <br />5.0047 <br />4DIV /0! <br />4DIV /0! <br />C. Units Reimbursed Through HCCBG <br />#DIV /0! <br />a / / / /// <br />#DIV /0! <br />3,500 <br />48 <br />#DIV /0! <br />214 <br />#DIV /0! <br />#DIV /0! <br />D. Units Reimbursed Through Program Inc <br />#DIV /0! <br />a / / / /// <br />I #DIV /0! <br />1 01 <br />01 <br />#DIV /0! <br />0 <br />#DIV /0! <br />#DIV /0! <br />E. Units Reimbursed Through Remaining <br />#DIV /0! <br />a / / / /// <br />I #DIV /0! <br />1 01 <br />01 <br />#DIV /0! <br />0 <br />#DIV /0! <br />#DIV /0! <br />F. Total Units Reimbursed /Total Projected <br />#DIV /0! <br />a / / / /// <br />I #DIV /0! <br />1 3,5001 <br />481 <br />#DIV /0! <br />1 2141 <br />#DIV /0! <br />#DIV /0! <br />4096 41073 <br />3596 <br />149 <br />1071 701 451 <br />0 3500 <br />48 <br />0 <br />214 0 0 <br />4DIV /0! 11.7351 <br />74.9167 <br />4DIV /0! <br />5.0047 4DIV /0! 4DIV /0! <br />4096 41073 <br />3596 <br />149 <br />1071 701 451 <br />4DIV /0! 3500 <br />48 <br />4DIV /0! <br />214 4DIV /0! 4DIV /0! <br />4DIV /0! 11.7351 <br />74.9167 <br />4DIV /0! <br />5.0047 4DIV /0! 4DIV /0! <br />* The Division of Aging ARMS deducts reported program <br />income from reimbursement paid to providers. Line III.D <br />indicates the number of units that will have to be produced <br />in addition to those stated on line III.0 in order to earn the <br />net revenues stated on line I.C. <br />quipment <br />F -3 Page 70 <br />