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DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB
<br /> EXHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Program Budget
<br /> Operating Budget for Program
<br /> PROGRAM NAME Freedom Houses Recovery Center Facility Based Crisis/Detox(Urgent Care)
<br /> qua Estimated;01 P oe, ce 201 Percent
<br /> g
<br /> '7 44-44'4:4;i4,0 .PROGRAM REVENUE 205- 6 4:44,-'44-''' -
<br /> Private Donations $ 22,889 $ 23,500 $ 25,000 6%
<br /> Program Generated Revenue $ 151,196 $ 150,000 $ 160,000 7%
<br /> Local Government Grants:
<br /> Human Services-Town of Carrboro $ 4,000 $ 5,000 $ 5,000 0%
<br /> Other-Town of Carrboro $ - $ - $ - 0
<br /> Human Services-Town of Chapel Hill $ 12,000 $ 12,000 $ 14,000 17%
<br /> Other-Town of Chapel Hill $ - $ - $ - 0
<br /> Human Services-Orange County $ 21,750 $ 16,000 $ 16,000 0%
<br /> Other-Orange County $ - $ - $ - 0
<br /> Other-Town of Hillsborough $ - $ - $ - 0
<br /> Other Government Grants
<br /> Triangle United Way $ 15,241.00 $ 14,241.00 $ 43,250.00 $ 2.04
<br /> State Government $ 1,726,291.00 $ 1,629,169.00 $ 1,676,178.00 $ 0.03
<br /> Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0
<br /> Private Foundation Grants $ - $ - 0
<br /> Other Revenue $ 179,000 $ 700,000 $ 600,000 $ 0.14
<br /> Total Program Revenue $ 2,132,367 $ 2,549,910 $ 2,539,428 0%
<br /> PROGRAM EXPENSES
<br /> Compensation $ 1,878,913 $ 2,255,440 $ 2,300,600 2%
<br /> Rent&Utilities $ 84,460 $ 89,997 $ 30,028 -67%
<br /> Supplies&Equipment $ 125,223 $ 131,827 $ 135,200 3%
<br /> Travel&Training $ 10,395 $ 14,668 $ 15,200 4%
<br /> Other Expenses: $ 34,037 $ 57,978 $ 58,400 1%
<br /> Total Program Expenses $ 2,133,028 $ 2,549,910; $ 2,539,428 : 0%
<br /> SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (661)1 $ $ - I 01
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