Orange County NC Website
DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> n) Program Budget: Client Services <br /> 1 Submit your program budget. You may complete the provided template (separate xis <br /> file) or you may submit your own budget file (as long as it contains the same information, <br /> in the same format, as requested in the provided template). <br /> Program Budgets are required to define budget amounts for the previous program <br /> year, current program year, and next program year. <br /> 2, Program Budget Detail — 1"rovide description of"other" budget items, not defined. <br /> 3. This program budget represents what percent of the agency budget? 50 % <br /> 4 COST PER INDIVIDUAL <br /> This Cost per Individual must reflect the total program budget divided by the total number of <br /> program individuals on this application. <br /> Actual 2015-16 Estimated 2016-17 Projected 2017-18 <br /> Total Cost of Program $317,573,52 $325,316,00 $424,682.00 <br /> Total # of Individuals 546 650 II 675 <br /> Cost Per Individual $581 <br /> $500 $629 <br /> *In the Client Services program, our primary areas of planned growth are through the expansion of <br /> the Support Group program and the addition of the Therapy program. It is unlikely that either of <br /> these efforts will greatly increase the number of individuals we are able to serve, especially <br /> considering that the majority of individuals participating in these programs will already be accessing <br /> other services from the Center such as our 24-Hour Help Line. However, the expansion will provide <br /> much more in-depth, greatly needed services that research shows are more effective at reducing <br /> long-term negative health impacts. <br /> Agency Information 1/30/2017 5:14:05 PM <br />