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Dk~sion ~ AgOg
<br />Service Cost C~mputation Worksheet 1198
<br /> Service Service Service servi~e 8ervic, e Service Service
<br /> Grand Info & Adult Day IHA Congregate Supple.
<br />,111. Computation of Rates. Total AssisL TransporL Care H.H.I. S '_erv!c~___ Nutrition Nulriflon
<br /> A. Computation of Unit Co~t Rate: ..... IIIi/lllllll/llJ ;111111111111111 IIIIIIIIIIIIIII IIIIIIIIIIIIIII ~lllllllillllll IIIIIIIIIIIIIII IIIIIIII/1111 rllllllllllllll IIIIIIIIIIIIIII
<br /> 1. Total Expenses. (equals line II.J). ~82,786 IIIIIIIIIIII1# 82,300 22t,257 t41,497 73,995 ..69,325 374,898 19,514
<br /> 2. Total Proje~..Unit. s /!11111111111111 ~11111111111111N/A 25,371 5,200 N/A 4 500 72,000 8,50(]
<br /> 3. Total Unit Cost Rats IIIIIIIIIIIIIIIIiiiiiiiiiiiiiiii N/A 8.7209 27.2110 N/A 15.4056 5.2069 2.2958
<br /> B. Computation of Reimbm~eme~ Rata= IIIIIIIIIIIIIIII ¥111111111111111 IIIIIIIIIIIIIIII III1#1111111111 ~111111111111111 IIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIII
<br /> 1. Total Revenues. (equals line I.J) .._9~2,750 ~11111111111111 73,492 220,787 155,531 55,721 50,233 378,195 18,824
<br /> 2. Less: U$DA (equaJs line I.D) 43,502 I////111111/I/I 0 (] 0 0 0 38,909 4,593
<br /> Title V (equals line I.E and II.D) t,300 IIII/1111111111 0 0 . 0 0 0 1,300 0
<br /> Non klal(~h I~lC, ld (equals line I.H an~ IJ.[ 0 IIIIIIIllllllll 0 0 0 0 0 0 0
<br /> 3. Revenues Sul~eot to Unit Reimbursement 937,984 IIIIIIIIIIIIIII 73,492 220,757 '155,'531! 55,72t 80,233 ' 337',989 14,231
<br /> 4. Total..Projected Units (equaJs line.iit.A.2) IIIIIIIIIIIIIII IIIIIIIIII11111N/^ 25,371 5,200: N/A 4,500 72,000 8,50~
<br /> 5. Total ReimbUrsement Rate IIII111111111111 IIIIIII11111111 N/A 8.7023 29.9098 N/A 17.8298 4.6943 1.6742
<br /> C. Units Reimbursed Throu~jh HC~BG IIIIIIIIIIIIIIII IIIIIIIIIIIIIII N/A 11,939 4,531! N/A '2~139 26~914 7~ ..224
<br /> D. Units Reimbursed Th~. oul~h Program Income* 111111111111111 IIIIIIIIIIIIIII N/A 230 699 N/A 303 6,96~ 1,195
<br /> E. IJnits Reimbursed.. Through Remaining Revenues IIII/11111/11111 I1#111111111/I N/^ t3,202 Ol N/A 2~055 39~122 82
<br /> F. Total Units Relmbur-,ed/Total Projected Units IIIIIIIIIIIIIIII IIIIIIIIIIIIII/ ...N/A 25,37t 5,2001 N/A 4,500 7~.050 8,500
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