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I <br /> <br />Division Of Aging <br />Service Cost Computation Worksheet 1/98 <br /> <br />Service Service Service Service Service Service <br /> <br />IlL Computation of Rates Grand Total Admln. Cost Nutr. In-Home <br /> <br /> 1. To~l Ex~n~s (~ls l~e H.J) 733,268 ~(;~.~.~.;~;~gg~gg~5~:~ 1 ~,956 252,921 ~ 22,976 ~,707 39,380! 138,328 <br /> ....... a.~.~*~:~a ~¥~,~ 9.0016 5.2692 3.1578 23.17 N/A 20.70 <br /> ::::::::::: <br /> 1. Total Rev~ues (~ls I~e I.J) 754,26~ ~z~;~:~ 194,956 252~921 22,976 ~,707 3~,3S0 159,328 <br /> Non Match ~-~d (~ls l~e I.H ~d H.C) <br /> ~. Rev~ues Subject to U~t Re~b~t . .. 386,869 ~i~i~!~:Jl~i~i::}~il~i~?: 90,920 113~707 9,185 ~ 31,739 21,929 { 19,389 <br /> ~?:~:~ ~qg:~4~ 21,658 48~0 7373 3~656 N/A 6~68l <br /> <br /> .......................... ,:~ ................. 216 4,615 0 0 N/A 0 <br />F. Total U~ls Reimbu~e~otal Projected Units ::~ii!:::: ~i!~l~i~li~i~l~i~li~i~i~i3~ii~iiii ~i~ii~l~13~i~i3i~}~i~il 2L6ss 4s,ooo 7,i73 3,656 N/A 6,681 <br /> <br />* The Division of Aging ARMS deducts reported pro.un <br /> income from reimbursement paid to providers. Line III. D <br /> indicates the number of units that will have to be produced in <br /> addition to those stated on line III.C in order to earn the <br /> net revenues stated on line I.C. <br /> <br />Information on this form (DOA-732A) corresponds with <br />information stated on the Prodder Services Summary <br />(DOA-732) as follows: <br /> <br />DOA-732A <br /> <br />Block Grant Funding Line I.A <br />Required Local Match-Cash & M-Kind, Line I.B <br />Net Service Cost Line I.C <br />USDA Subsidy Line I.D <br />Total Funding L.I.C+I.D <br />Projected HCCBG Reimbursed Units Line III.C <br />Total Reimbursement Rate Line III.B,5 <br />Projected Total Service Units Line llI.F <br /> <br />DOA-732 <br /> <br />CoLA <br />Col. B <br />Col. C <br />Col. D <br />Col. E <br />CoL F <br />Col. O <br />CoL I <br /> <br /> <br />