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Organization Name Hurtt <br />FISCAL YEAR 2022-2023 <br />PROGRAM BUDGET <br />Health Clinic <br />Program Name Hurtt Santa Ana Mental Health <br />EXPENDITURES <br />Enter budget categories and projected expenditures for the proposed program: <br />Category a yul <br />xpen i ures <br />Funded By <br />Santa Ana <br />CDBG <br />Expenditures <br />Funded By <br />Other Sources <br />Program <br />Budget <br />Total <br />Organization <br />Budget <br />Administrative Staff Salarie <br />$0 <br />$ 25,986 <br />$25,986 <br />$ 25,986 <br />Program Staff Salaries <br />$24,381 <br />$ 1,247,646 <br />$1,272,027 <br />$ 1,274,736 <br />Contractual/Professi nal S rvices <br />$0 <br />$0 <br />$0 <br />$0 <br />0 <br />$0 <br />$0 <br />0 <br />$0 <br />$0 <br />0 <br />$0 <br />TO <br />0 <br />$0 <br />$0 <br />0 <br />$0 <br />$0 <br />0 <br />$0 <br />TO <br />TOTAL Direct Costs <br />$24,381 <br />$1,273,632 <br />$1,298,013 <br />$1,300,722 <br />Indirect Costs 10% <br />$2,709 <br />$2,709 <br />TOTAL BUDGET <br />$27,090 <br />$1,273,632 <br />$1,300,722 <br />$1,3001722 <br />* Indirect cost rate: 10% Non -Federal entity without federaly recognized negotiated indirect <br />cost rate, will charge a de minimis rate of 10% of modified total direct <br />costs. <br />PROGRAM RESOURCES <br />LIST ALL OTHER PROGRAM RESOURCES FOR 2022-2023 <br />FUNDING SOURCE <br />AMOUNT <br />Santa Ana CDBG <br />$ <br />27,090 <br />Net Insurance <br />$ <br />593,175.00 <br />FQHC Income (see exhibit F) <br />$ <br />411,676.00 <br />Sierra Health Foundation <br />$ <br />248,781.00 <br />Kiger Foundation <br />$ <br />10,00F00 <br />Croul Foundation <br />$ <br />10,000.00 <br />TOTAL <br />$ <br />1,300,722 <br />EXHIBIT B <br />