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DocuSign Envelope ID:E522BFFC-A634-4A11-A162-195A3BE957A4
<br /> EXHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Agency Budget
<br /> Operating Budget for Entire Agency
<br /> AGENCY NAME: Duke HomeCare& Hospice
<br /> Actual 11 Estimated Projected 2017 ;;; Percent
<br /> AGENCY REVENUE l''1, '2015-16 ■ 1" '' 2016-17 ., ! 18 ' '1' '',1' Change
<br /> Private Donations $ 593,040 $ 535,300 $ 535,300 0%
<br /> Agency Generated Revenue(fees) $ 11,168,284 $ 12,185,000 $ 12,509,000 3%
<br /> Local Government Grants: i/gWiiitH''IA4sailli#','llilNniQ,r4i'iltj-rAlvj.,;t,:d;qfo.(,MP:tiNili!''linill,V4VAAPllifO41CA
<br /> Human Services-Town of Carrboro S 3,800 $ 3,800 $ 3,800 0%
<br /> Other-Town of Carrboro $ - $ - $ 0
<br /> Human Services-Town of Chapel Hill S 2,900 $ 2,900 $ 2,900 0%
<br /> Other-Town of Chapel Hill $ - $ - $ 0
<br /> Human Services-Orange County $ 1,000 S 1,000 $ 1,000 0%
<br /> Other-Orange County S - $ - $ 0
<br /> Other-Town of Hillsborough $ - $ - $ - 0
<br /> Other Government Grants :IfOlilagalt1100,10MV,4. .grig.k20.112$61,qtelgilV'1172,i1Z.(il.746-14,.0,Zifl,
<br /> Triangle United Way $ $ 0
<br /> State Government $ $ - 0
<br /> Federal Government(CDSG/HOME/etc.) $ ::
<br /> $ - 0
<br /> Private Foundation Grants $ $ - 0
<br /> ViAl1 iPliatilk,IMPOI.VARIVOMIN41;03101.11Vigri4%.413,M4.10
<br /> Other Revenue $ - 1111111111111111111101111111111111111 0
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<br /> 0
<br /> Total Ag6rnpyReveny.9 , $ 11,769,025 $ 12,728,000 $; 13,052,000, ' , 3/a
<br /> 'llaillInt0:9;g0VMSVMMENtrigila AtIllinginalitoutivegoko;;;,ogyulimis,,,,,,,ii,:onfoimmiof,,,iliowniyiripatlitizmy,Fgwiii
<br /> AGENCY EXPENSES ItiNl1;i'',0''f,1F41610.1: 1'Ialilit5Iiikailiptlflaili"nliigallit*fillijklilgisfiriogefotai,l,n1:
<br /> Compensation S 5,588,972 $ 6,205,000 $ 6,443,000 4%
<br /> Rent&Utilities $ 298,220 S 110,000 $ 101,000 -8%
<br /> Supplies& Equipment $ 1,249,425 S 1,172,000 S 1,352,000 15%
<br /> Travel &Training $ 188,768 $ 198,207 $ 203,117 5%
<br /> Other Expenses: S 4,336,227 S 5,099,793 $ 5,133,883 1%
<br /> 1611131rilltellilllillrilni5321111135MVIHIllintrigAllit;;14APSI
<br /> . „., ' ,.. 1... ,,' ■ , , . .
<br /> Total Agency Expenses 1",$ '11,661,612 $ 12,785,000, ,,$„ 13;243,000 4%
<br /> SURPLUS/(DE. .CI.I PI T1
<br /> FOR PERIOD: - $ 107,412 $ (57,000) $ ” (191,000)1 .235%
<br /> FY 2015-16 Comparative Agency Budget
<br /> Revised 9/2912014
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