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<br />Program information Page 6 of 11 <br />Total 290 247 340 340 <br />Age <br />0-5 years 5 2 5 5 <br />6-18 years 95 99 95 168 <br />19-50 years 100 86 100 148 <br />51+ years 20 11 20 19 <br />Not tracked 70 49 120 <br />Total 290 247 340 340 <br />Geographic Location <br />Town of Chapel Hill 80 58 80 80 <br />Town of Carrboro 30 29 30 30 <br />Orange County ( Outside of Chapel Hill/Carrboro) 110 111 110 230 <br />Outside of Orange County 0 0 0 <br />Not tracked** 70 49 120 <br />Total 290 247 340 340 <br />Income <br />Low-income – Not tracked* <br />Total 0 0 0 0 <br />*Consistently more than 95% of our clients fall below 200% <br />of poverty; however, we do not collect income data at levels <br />other than that. <br />**Previously we did not track the demographic <br />characteristics of participants at psycho-education groups or <br />prevention seminars / webinars. We will begin tracking that <br />data in FY22. <br /> <br />8. Cost Per Individual <br /> <br />This cost per individual must reflect the total program budget divided by the total number of program <br />individuals in this application. <br /> <br /> Actual 2019-20 Projected 2020-21** Projected 2021-22* <br />Total Cost of Program $238,393 $264,959 $347,593 <br />Total # of Individuals 247 340 340 <br />Cost Per Individual $965.15 $779.29 $1,022.33 <br />*Increasing costs projected for FY22 relate to a number of <br />trends: a) Market-rate salary increases approved by the <br />board two years ago but put on hold due to COVID - FY22 <br />will be the first year in which salaries are at their full rates for <br />the whole year; b) additional personnel dedicated to client <br />outreach and engagement in Orange Co due to continued <br />need for telehealth delivery and therefore more engagement <br />activities needed - increases overall cost of service. <br /> <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATIONDocuSign Envelope ID: 632D5DCD-C75A-47B6-A24A-296BD1CD5165