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					Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Medically Indigent Administration       Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                     (2)           (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                          -            -          783           806             23        2.97%
Employee Development Costs                   -            -          125           125           -           0.00%
Professional Services                        -            -        1,166         3,912         2,746       235.51%
Administrative Services                      -            -            96            84          (12)      -12.77%
Employee Travel Costs                        -            -        1,863           592        (1,271)      -68.22%
Administrative Supplies                      -            -          289           327             38       13.22%
Computer Supplies                            -            -          -             594           594     #DIV/0!
Miscellaneous Expenditures                   -            -          347           -            (347)     -100.00%
Total                                        -            -        4,670         6,440         1,771        37.92%
FundSource
General                                      -            -          -             -             -       #DIV/0!
Dedicated                                    -            -        4,670         6,440         1,771       37.92%
Federal                                      -            -          -             -             -       #DIV/0!
Total                                        -            -        4,670         6,440         1,771        37.92%



              (11)                    (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                    FY 2012                                 FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                          -          -            -               -             -     #DIV/0!
Employee Development Costs                   -          -            -               -             -     #DIV/0!
Professional Services                        -          -            -               -             -     #DIV/0!
Administrative Services                      -          -            -               -             -     #DIV/0!
Employee Travel Costs                        -          -            -               -             -     #DIV/0!
Administrative Supplies                      -          -            -               -             -     #DIV/0!
Computer Supplies                            -          -            -               -             -     #DIV/0!
Miscellaneous Expenditures                   -          -            -               -             -     #DIV/0!
Total                                        -          -            -               -             -     #DIV/0!
FundSource
General                                15,100             -            -        15,100           -           0.00%
Dedicated                                 -               -            -           -             -       #DIV/0!
Federal                                   -               -            -           -             -       #DIV/0!
Total                                  15,100             -            -        15,100           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


          15,100              -       15,100
             -                -          -
             -                -          -
          15,100              -       15,100



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -       15,100
               -              -          -
               -              -          -
               -              -       15,100
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Mental Health Grants                   Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                       -      644,034      503,517       721,787       218,270        43.35%
Non Federal Payments To Subgrantees         -    1,263,266      888,854       548,810      (340,044)      -38.26%
Total                                       -    1,907,300    1,392,370     1,270,597      (121,774)       -8.75%
FundSource
General                                     -          -            -             -             -       #DIV/0!
Dedicated                                   -    1,907,300    1,392,370     1,270,597      (121,774)       -8.75%
Federal                                     -          -            -             -             -       #DIV/0!
Total                                       -    1,907,300    1,392,370     1,270,597      (121,774)       -8.75%



            (11)                 (12)             (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                               FY 2012                                     FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                              Est. Exp                                      Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                 -                -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -     #DIV/0!
Total                                 -                -            -               -             -     #DIV/0!
FundSource
General                               -                  -            -             -           -       #DIV/0!
Dedicated                             -                  -            -             -           -       #DIV/0!
Federal                               -                  -            -             -           -       #DIV/0!
Total                                 -                  -            -             -           -       #DIV/0!
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


               -              -             -
               -              -             -
               -              -             -
               -              -             -



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -             -
               -              -             -
               -              -             -
               -              -             -
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                       Agency Number: 270
Function: Foster & Assistance Payments         Function/Activity Number:____________
Activity: ______________________________                                                                      Original Submission _

             (1)                      (2)        (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008   FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual    Actual        Actual       Actual        Change       % Change

Awards Contr & Claims           22,878,712    23,427,363   21,621,567    21,750,616       129,049         0.60%
Education & Training Assistance    894,141       824,740      906,643     1,154,928       248,285       27.39%
Pension Payments                       -             265          -             -             -       #DIV/0!
Federal Payments To Subgrantees 2,192,310      2,085,641    1,741,969     1,740,769        (1,200)       -0.07%
Miscellaneous Payments As Agent        -             320          -               60            60    #DIV/0!
Non Federal Payments To Subgrantees213,566       134,820      133,678       136,471         2,793         2.09%
Total                           26,178,728    26,473,149   24,403,857    24,782,844       378,987         1.55%
FundSource
General                                -             -            -             -             -       #DIV/0!
Dedicated                       26,178,728    26,473,149   24,403,857    24,782,844       378,987         1.55%
Federal                                -             -            -             -             -       #DIV/0!
Total                           26,178,728    26,473,149   24,403,857    24,782,844       378,987         1.55%



             (11)                  (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                       Remove       SWCAP,                       General
                                 FY 2012                                 FY 2013
Trustee/Benefit                               One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                  Base
Summary Object                                Funding        Rent                      (DU 10.21)
Awards Contr & Claims                   -            -            -               -             -     #DIV/0!
Education & Training Assistance         -            -            -               -             -     #DIV/0!
Pension Payments                        -            -            -               -             -     #DIV/0!
Federal Payments To Subgrantees         -            -            -               -             -     #DIV/0!
Miscellaneous Payments As Agent         -            -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                -            -               -             -     #DIV/0!
Total                                   -            -            -               -             -     #DIV/0!
FundSource
General                         11,383,700             -            -    11,383,700           -           0.00%
Dedicated                          955,400             -            -       955,400           -           0.00%
Federal                         12,866,200             -            -    12,866,200           -           0.00%
Total                           25,205,300             -            -    25,205,300           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


      11,383,700              -    11,383,700
         955,400              -       955,400
      12,866,200              -    12,866,200
      25,205,300              -    25,205,300



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -    11,383,700
               -              -       955,400
               -              -    12,866,200
               -              -    25,205,300
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                           Agency Number: 270
Function: Service Integration                      Function/Activity Number:____________
Activity: ______________________________                                                                          Original Submission _

              (1)                        (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures                 FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                          Actual     Actual        Actual       Actual        Change       % Change

Communication Costs                      45,133      49,672        29,055       34,600          5,545        19.08%
Employee Development Costs                1,916       1,194         3,251        2,712           (538)      -16.56%
General Services                          8,036       7,477         9,487       23,327         13,840       145.88%
Professional Services                       576         327         5,434        3,860         (1,573)      -28.95%
Repair & Maintenance Services             4,462           45          893        4,378          3,485       390.13%
Administrative Services                     386         134           902        2,615          1,713       190.01%
Computer Services                             6           72        4,000        8,184          4,184       104.61%
Employee Travel Costs                    17,306      12,207         8,674        6,713         (1,961)      -22.61%
Administrative Supplies                  24,733      21,186        33,727       19,395        (14,332)      -42.49%
Fuel & Lubricant Costs                   10,110       8,030         5,804        9,050          3,246        55.92%
Computer Supplies                           906       3,037         4,748       10,089          5,341       112.48%
Repair & Maintenance Supplies               117         -             -            131            131     #DIV/0!
Institutional & Residential Supplies        -              2          -            -              -       #DIV/0!
Specific Use Supplies                       -           -             -              81             81    #DIV/0!
Insurance                                 5,263       5,077         2,421          717         (1,704)      -70.38%
Utility Charges                           2,771       3,360         3,719        3,287           (433)      -11.63%
Rentals & Operating Leases               97,163     101,484       112,203       95,907        (16,296)      -14.52%
Miscellaneous Expenditures                  343         179          (157)       3,383          3,539     -2259.59%
Total                                   219,228     213,483       224,163      228,430          4,267         1.90%
FundSource
General                                     -           -             -            -              -       #DIV/0!
Dedicated                               219,228     213,483       224,163      228,430          4,267         1.90%
Federal                                     -           -             -            -              -       #DIV/0!
Total                                   219,228     213,483       224,163      228,430          4,267         1.90%



               (11)                    (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                           Remove       SWCAP,                       General
                                     FY 2012                                 FY 2013
Operating Expenditures                            One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                  Base
Summary Object                                    Funding        Rent                      (DU 10.21)
Communication Costs                         -            -            -               -             -     #DIV/0!
Employee Development Costs                  -            -            -               -             -     #DIV/0!
General Services                            -            -            -               -             -     #DIV/0!
Professional Services                       -            -            -               -             -     #DIV/0!
Repair & Maintenance Services               -            -            -               -             -     #DIV/0!
Administrative Services                     -            -            -               -             -     #DIV/0!
Computer Services                           -            -            -               -             -     #DIV/0!
Employee Travel Costs                       -            -            -               -             -     #DIV/0!
Administrative Supplies                     -            -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -            -            -               -             -     #DIV/0!
Computer Supplies                           -            -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -            -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -            -            -               -             -     #DIV/0!
Specific Use Supplies            -     -   -       -     -   #DIV/0!
Insurance                        -     -   -       -     -   #DIV/0!
Utility Charges                  -     -   -       -     -   #DIV/0!
Rentals & Operating Leases       -     -   -       -     -   #DIV/0!
Miscellaneous Expenditures       -     -   -       -     -   #DIV/0!
Total                            -     -   -       -     -   #DIV/0!
FundSource
 General                     125,300   -   -   125,300   -       0.00%
 Dedicated                       -     -   -       -     -   #DIV/0!
 Federal                     166,000   -   -   166,000   -       0.00%
Total                        291,300   -   -   291,300   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         125,300              -      125,300
             -                -          -
         166,000              -      166,000
         291,300              -      291,300



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -       -
-   -       -
-   -       -
-   -       -
-   -       -
-   -       -

-   -   125,300
-   -       -
-   -   166,000
-   -   291,300
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: Service Integration                   Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

              (1)                     (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual     Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                224,225     267,255       533,493       536,401         2,908         0.55%
Education & Training Assistance      525,563     482,808     1,000,671       891,741      (108,930)      -10.89%
Federal Payments To Subgrantees          -           -             -       1,427,793     1,427,793     #DIV/0!
Total                                749,788     750,063     1,534,164     2,855,935     1,321,771        86.16%
FundSource
General                                  -           -             -             -             -       #DIV/0!
Dedicated                            749,788     750,063     1,534,164     2,855,935     1,321,771       86.16%
Federal                                  -           -             -             -             -       #DIV/0!
Total                                749,788     750,063     1,534,164     2,855,935     1,321,771        86.16%



             (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                        Remove       SWCAP,                       General
                                FY 2012                                   FY 2013
Trustee/Benefit                                One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                   Base
Summary Object                                 Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -              -            -               -             -     #DIV/0!
Education & Training Assistance        -              -            -               -             -     #DIV/0!
Federal Payments To Subgrantees        -              -            -               -             -     #DIV/0!
Total                                  -              -            -               -             -     #DIV/0!
FundSource
General                                -                -            -           -             -       #DIV/0!
Dedicated                           50,000              -            -        50,000           -           0.00%
Federal                         2,200,000               -            -     2,200,000           -           0.00%
Total                           2,250,000               -            -     2,250,000           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -


             -                -           -
          50,000              -        50,000
       2,200,000              -     2,200,000
       2,250,000              -     2,250,000



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -           -
               -              -        50,000
               -              -     2,200,000
               -              -     2,250,000
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: Enhanced Medicaid Plan                Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)         (3)           (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008    FY 2009       FY 2010       FY 2011         (6)            (7)
Summary Object                       Actual     Actual        Actual        Actual       Change        % Change

Awards Contr & Claims        538,885,004      565,541,011   566,171,173   996,145,944   429,974,771        75.94%
Federal Payments To Subgrantees 2,524,109       2,725,076     2,139,365     1,655,911      (483,454)      -22.60%
Total                        541,409,113      568,266,088   568,310,538   997,801,855   429,491,317        75.57%
FundSource
General                                -              -             -             -             -       #DIV/0!
Dedicated                      541,409,113    568,266,088   568,310,538   997,801,855   429,491,317       75.57%
Federal                                -              -             -             -             -       #DIV/0!
Total                          541,409,113    568,266,088   568,310,538   997,801,855   429,491,317        75.57%



            (11)                 (12)           (13)           (14)          (15)           (16)         (17)
Part B:                                       Remove         SWCAP,                      General
                               FY 2012                                     FY 2013
Trustee/Benefit                               One Time       Nondisc.,                   Inflation     % Change
                               Est. Exp                                     Base
Summary Object                                Funding          Rent                     (DU 10.21)
Awards Contr & Claims                 -              -              -               -            -      #DIV/0!
Federal Payments To Subgrantees       -              -              -               -            -      #DIV/0!
Total                                 -              -              -               -            -      #DIV/0!
FundSource
General                      192,155,900                -             -   192,155,900           -           0.00%
Dedicated                     58,669,900                -             -    58,669,900           -           0.00%
Federal                      463,600,100                -             -   463,600,100           -           0.00%
Total                        714,425,900                -             -   714,425,900           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


     192,155,900              -   192,155,900
      58,669,900              -    58,669,900
     463,600,100              -   463,600,100
     714,425,900              -   714,425,900



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -   192,155,900
               -              -    58,669,900
               -              -   463,600,100
               -              -   714,425,900
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                           Agency Number: 270
Function: Coordinated Medicaid Plan                Function/Activity Number:____________
Activity: ______________________________                                                                          Original Submission _

             (1)                      (2)            (3)           (4)           (5)         FY 2010 to FY 2011
Trustee/Benefit                     FY 2008       FY 2009       FY 2010       FY 2011         (6)          (7)
Summary Object                       Actual        Actual        Actual        Actual       Change      % Change

Awards Contr & Claims          374,824,200       411,561,200   445,676,353   340,541,859   ##########      -23.59%
Total                          374,824,200       411,561,200   445,676,353   340,541,859   ##########      -23.59%
FundSource
General                                -                 -             -             -            -      #DIV/0!
Dedicated                      374,824,200       411,561,200   445,676,353   340,541,859   ##########      -23.59%
Federal                                -                 -             -             -            -      #DIV/0!
Total                          374,824,200       411,561,200   445,676,353   340,541,859   ##########      -23.59%



            (11)                      (12)         (13)           (14)          (15)           (16)       (17)
Part B:                                          Remove         SWCAP,                      General
                                    FY 2012                                   FY 2013
Trustee/Benefit                                  One Time       Nondisc.,                   Inflation   % Change
                                    Est. Exp                                   Base
Summary Object                                   Funding          Rent                     (DU 10.21)
Awards Contr & Claims                        -          -              -               -            -    #DIV/0!
Total                                        -          -              -               -            -    #DIV/0!
FundSource
General                        136,341,600                 -             -   136,341,600          -          0.00%
Dedicated                       41,677,100                 -             -    41,677,100          -          0.00%
Federal                        370,883,100                 -             -   370,883,100          -          0.00%
Total                          548,901,800                 -             -   548,901,800          -          0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -


     136,341,600              -   136,341,600
      41,677,100              -    41,677,100
     370,883,100              -   370,883,100
     548,901,800              -   548,901,800



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -

               -              -   136,341,600
               -              -    41,677,100
               -              -   370,883,100
               -              -   548,901,800
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                           Agency Number: 270
Function: Basic Medicaid Plan                      Function/Activity Number:____________
Activity: ______________________________                                                                           Original Submission _

             (1)                      (2)            (3)           (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008       FY 2009       FY 2010       FY 2011         (6)           (7)
Summary Object                       Actual        Actual        Actual        Actual       Change       % Change

Awards Contr & Claims           342,360,227      395,737,893   394,647,631   495,615,366   100,967,735       25.58%
Total                           342,360,227      395,737,893   394,647,631   495,615,366   100,967,735       25.58%
FundSource
General                                 -                -             -             -             -      #DIV/0!
Dedicated                       342,360,227      395,737,893   394,647,631   495,615,366   100,967,735      25.58%
Federal                                 -                -             -             -             -      #DIV/0!
Total                           342,360,227      395,737,893   394,647,631   495,615,366   100,967,735       25.58%



            (11)                      (12)         (13)           (14)          (15)           (16)        (17)
Part B:                                          Remove         SWCAP,                      General
                                    FY 2012                                   FY 2013
Trustee/Benefit                                  One Time       Nondisc.,                   Inflation    % Change
                                    Est. Exp                                   Base
Summary Object                                   Funding          Rent                     (DU 10.21)
Awards Contr & Claims                        -          -              -               -            -     #DIV/0!
Total                                        -          -              -               -            -     #DIV/0!
FundSource
General                          92,614,600                -             -    92,614,600           -          0.00%
Dedicated                        68,499,700                -             -    68,499,700           -          0.00%
Federal                         325,902,500                -             -   325,902,500           -          0.00%
Total                           487,016,800                -             -   487,016,800           -          0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -


      92,614,600              -    92,614,600
      68,499,700              -    68,499,700
     325,902,500              -   325,902,500
     487,016,800              -   487,016,800



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -

               -              -    92,614,600
               -              -    68,499,700
               -              -   325,902,500
               -              -   487,016,800
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Community Hospitalization              Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims               3,652,147    4,463,975    2,893,745     2,054,144      (839,601)      -29.01%
Education & Training Assistance           -            -            -             500           500     #DIV/0!
Total                               3,652,147    4,463,975    2,893,745     2,054,644      (839,101)      -29.00%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           3,652,147    4,463,975    2,893,745     2,054,644      (839,101)      -29.00%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               3,652,147    4,463,975    2,893,745     2,054,644      (839,101)      -29.00%



             (11)                 (12)            (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -               -            -               -             -     #DIV/0!
Education & Training Assistance        -               -            -               -             -     #DIV/0!
Total                                  -               -            -               -             -     #DIV/0!
FundSource
General                         2,790,000                -            -     2,790,000           -           0.00%
Dedicated                              -                 -            -           -             -       #DIV/0!
Federal                                -                 -            -           -             -       #DIV/0!
Total                           2,790,000                -            -     2,790,000           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


       2,790,000              -     2,790,000
             -                -           -
             -                -           -
       2,790,000              -     2,790,000



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -     2,790,000
               -              -           -
               -              -           -
               -              -     2,790,000
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Childrens Mental Health                 Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                     75,339       79,442       54,710       57,999          3,289        6.01%
Employee Development Costs              40,494       14,824        6,237       56,827         50,590      811.14%
General Services                        97,394       56,201       29,950       24,750         (5,200)     -17.36%
Professional Services                1,125,661      900,911      653,450      134,178       (519,272)     -79.47%
Repair & Maintenance Services            1,032          492        7,739        6,423         (1,316)     -17.01%
Administrative Services                 30,384        2,677        1,718        2,743          1,025       59.68%
Computer Services                      276,067      176,893      175,867      193,878         18,011       10.24%
Employee Travel Costs                  143,505       56,589       30,722       33,122          2,400        7.81%
Administrative Supplies                105,930       79,528       59,468       48,498        (10,971)     -18.45%
Fuel & Lubricant Costs                  44,566       42,036       32,993       35,712          2,719        8.24%
Computer Supplies                       52,553        7,936       12,285       40,007         27,723      225.66%
Repair & Maintenance Supplies               90           95          234          159            (75)     -31.99%
Institutional & Residential Supplies     1,254          947          962        1,385            423       43.99%
Specific Use Supplies                   18,527       14,165        8,910        5,442         (3,468)     -38.93%
Insurance                               17,423       16,776        7,674        2,242         (5,433)     -70.79%
Utility Charges                          9,212       11,124       10,276        9,221         (1,055)     -10.27%
Rentals & Operating Leases             329,869      354,521      297,672      266,110        (31,562)     -10.60%
Miscellaneous Expenditures             100,530       40,352       12,976        5,933         (7,043)     -54.28%
Total                                2,469,830    1,855,510    1,403,842      924,627       (479,215)     -34.14%
FundSource
General                                   -             -            -            -              -       #DIV/0!
Dedicated                           2,469,830     1,855,510    1,403,842      924,627       (479,215)      -34.14%
Federal                                   -             -            -            -              -       #DIV/0!
Total                               2,469,830     1,855,510    1,403,842      924,627       (479,215)      -34.14%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                       633,600   -   -     633,600   -       0.00%
 Dedicated                         -     -   -         -     -   #DIV/0!
 Federal                     1,358,000   -   -   1,358,000   -       0.00%
Total                        1,991,600   -   -   1,991,600   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         633,600              -       633,600
             -                -           -
       1,358,000              -     1,358,000
       1,991,600              -     1,991,600



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     633,600
-   -         -
-   -   1,358,000
-   -   1,991,600
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Childrens Mental Health                Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims           3,696,190        3,006,558    2,310,115     2,458,580       148,465         6.43%
Education & Training Assistance   355,360          121,095       66,849        85,276        18,427        27.57%
Federal Payments To Subgrantees 1,297,301        1,109,175      245,214       241,192        (4,023)       -1.64%
Miscellaneous Payments As Agent    19,942              675          -             -             -       #DIV/0!
                                1,247,268
Non Federal Payments To Subgrantees              1,225,354    1,414,696       627,739      (786,957)      -55.63%
Total                           6,616,061        5,462,858    4,036,875     3,412,787      (624,087)      -15.46%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           6,616,061    5,462,858    4,036,875     3,412,787      (624,087)      -15.46%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               6,616,061    5,462,858    4,036,875     3,412,787      (624,087)      -15.46%



             (11)                 (12)            (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -               -            -               -             -     #DIV/0!
Education & Training Assistance        -               -            -               -             -     #DIV/0!
Federal Payments To Subgrantees        -               -            -               -             -     #DIV/0!
Miscellaneous Payments As Agent        -               -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -     #DIV/0!
Total                                  -               -            -               -             -     #DIV/0!
FundSource
General                         3,304,000                -            -     3,304,000           -           0.00%
Dedicated                         164,500                -            -       164,500           -           0.00%
Federal                         1,117,600                -            -     1,117,600           -           0.00%
Total                           4,586,100                -            -     4,586,100           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       3,304,000              -     3,304,000
         164,500              -       164,500
       1,117,600              -     1,117,600
       4,586,100              -     4,586,100



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -     3,304,000
               -              -       164,500
               -              -     1,117,600
               -              -     4,586,100
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: State Hospital South                   Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Communication Costs                    81,708       88,124       68,531        37,374       (31,157)     -45.46%
Employee Development Costs             58,571       44,371       25,449        25,822           372        1.46%
General Services                      533,921      447,953      184,322        99,878       (84,444)     -45.81%
Professional Services                  74,468       32,614       52,389        65,811        13,422       25.62%
Repair & Maintenance Services          98,126      399,339      186,583        98,520       (88,063)     -47.20%
Administrative Services                24,124       23,562        9,964        17,532         7,568       75.95%
Computer Services                      17,122       19,140       11,151         7,986        (3,165)     -28.39%
Employee Travel Costs                  37,937       35,519       12,213         9,910        (2,303)     -18.86%
Administrative Supplies                55,475       54,791       53,046        43,070        (9,976)     -18.81%
Fuel & Lubricant Costs                 30,783       29,844       29,487        31,348         1,861        6.31%
Computer Supplies                     191,101       62,229       40,881        87,149        46,268      113.18%
Repair & Maintenance Supplies         107,645      106,027       64,836        69,257         4,421        6.82%
Institutional & Residential Supplies 525,969       535,396      531,393       512,608       (18,784)      -3.53%
Specific Use Supplies               1,296,958    1,263,122    1,131,108     1,010,064      (121,043)     -10.70%
Insurance                              70,062       76,510       38,944        26,618       (12,325)     -31.65%
Utility Charges                       444,421      426,284      409,246       347,297       (61,949)     -15.14%
Rentals & Operating Leases             47,257       60,569       64,733        60,190        (4,543)      -7.02%
Miscellaneous Expenditures          1,586,325       21,394       11,090        10,629          (461)      -4.16%
Total                               5,281,971    3,726,789    2,925,364     2,561,063      (364,301)     -12.45%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           5,281,971    3,726,789    2,925,364     2,561,063      (364,301)      -12.45%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               5,281,971    3,726,789    2,925,364     2,561,063      (364,301)      -12.45%



               (11)                    (12)       (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                     FY 2012                               FY 2013
Operating Expenditures                          One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Communication Costs                         -          -            -               -             -     #DIV/0!
Employee Development Costs                  -          -            -               -             -     #DIV/0!
General Services                            -          -            -               -             -     #DIV/0!
Professional Services                       -          -            -               -             -     #DIV/0!
Repair & Maintenance Services               -          -            -               -             -     #DIV/0!
Administrative Services                     -          -            -               -             -     #DIV/0!
Computer Services                           -          -            -               -             -     #DIV/0!
Employee Travel Costs                       -          -            -               -             -     #DIV/0!
Administrative Supplies                     -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -          -            -               -             -     #DIV/0!
Computer Supplies                           -          -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -          -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -          -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                       689,900   -   -     689,900   -       0.00%
 Dedicated                   1,140,300   -   -   1,140,300   -       0.00%
 Federal                     1,043,800   -   -   1,043,800   -       0.00%
Total                        2,874,000   -   -   2,874,000   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         689,900              -       689,900
       1,140,300              -     1,140,300
       1,043,800              -     1,043,800
       2,874,000              -     2,874,000



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     689,900
-   -   1,140,300
-   -   1,043,800
-   -   2,874,000
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: State Hospital South                  Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

              (1)                     (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual     Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                238,861     175,585       164,169      200,883         36,714        22.36%
Education & Training Assistance       83,972      63,100        68,848       22,821        (46,027)      -66.85%
Total                                322,833     238,685       233,017      223,704         (9,313)       -4.00%
FundSource
General                                  -           -             -            -              -       #DIV/0!
Dedicated                            322,833     238,685       233,017      223,704         (9,313)       -4.00%
Federal                                  -           -             -            -              -       #DIV/0!
Total                                322,833     238,685       233,017      223,704         (9,313)       -4.00%



             (11)                 (12)           (13)         (14)          (15)            (16)        (17)
Part B:                                        Remove       SWCAP,                       General
                                FY 2012                                   FY 2013
Trustee/Benefit                                One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                   Base
Summary Object                                 Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -              -            -               -             -     #DIV/0!
Education & Training Assistance        -              -            -               -             -     #DIV/0!
Total                                  -              -            -               -             -     #DIV/0!
FundSource
General                           208,700               -            -      208,700            -           0.00%
Dedicated                              900              -            -          900            -           0.00%
Federal                             24,200              -            -       24,200            -           0.00%
Total                             233,800               -            -      233,800            -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


         208,700              -      208,700
             900              -          900
          24,200              -       24,200
         233,800              -      233,800



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -      208,700
               -              -          900
               -              -       24,200
               -              -      233,800
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: State Hospital North                   Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Communication Costs                    35,179       37,162       32,362        50,144        17,782        54.95%
Employee Development Costs             25,140       18,618        6,440         9,779         3,339        51.85%
General Services                       59,873      133,255      161,505       166,042         4,537         2.81%
Professional Services                  16,698       62,466        1,092        47,107        46,015     4215.62%
Repair & Maintenance Services          99,351      199,858       88,388        42,491       (45,896)      -51.93%
Administrative Services                 2,215        3,336        1,398         1,922           523        37.43%
Computer Services                          26          288          -             -             -       #DIV/0!
Employee Travel Costs                  33,322       31,705        9,016        (7,165)      (16,181)     -179.47%
Administrative Supplies                28,284       22,017       11,557         9,898        (1,660)      -14.36%
Fuel & Lubricant Costs                  7,951        9,136       10,016        10,825           809         8.08%
Computer Supplies                       9,907       33,789       12,663        18,377         5,713        45.12%
Repair & Maintenance Supplies         122,508       35,574       18,718        19,494           777         4.15%
Institutional & Residential Supplies 246,104       259,558      243,476       256,904        13,428         5.52%
Specific Use Supplies                 675,826      657,019      392,762       424,820        32,058         8.16%
Insurance                              40,537       43,651       19,626         9,837        (9,788)      -49.87%
Utility Charges                       112,963      131,152      122,674       133,698        11,024         8.99%
Rentals & Operating Leases             17,041       21,231       16,337        15,880          (457)       -2.80%
Miscellaneous Expenditures              2,479        6,820        4,296         7,230         2,934        68.30%
Total                               1,535,406    1,706,637    1,152,326     1,217,283        64,957         5.64%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           1,535,406    1,706,637    1,152,326     1,217,283        64,957         5.64%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               1,535,406    1,706,637    1,152,326     1,217,283        64,957         5.64%



               (11)                    (12)       (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                     FY 2012                               FY 2013
Operating Expenditures                          One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Communication Costs                         -          -            -               -             -     #DIV/0!
Employee Development Costs                  -          -            -               -             -     #DIV/0!
General Services                            -          -            -               -             -     #DIV/0!
Professional Services                       -          -            -               -             -     #DIV/0!
Repair & Maintenance Services               -          -            -               -             -     #DIV/0!
Administrative Services                     -          -            -               -             -     #DIV/0!
Computer Services                           -          -            -               -             -     #DIV/0!
Employee Travel Costs                       -          -            -               -             -     #DIV/0!
Administrative Supplies                     -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -          -            -               -             -     #DIV/0!
Computer Supplies                           -          -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -          -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -          -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                       475,900   -   -     475,900   -       0.00%
 Dedicated                     526,800   -   -     526,800   -       0.00%
 Federal                           -     -   -         -     -   #DIV/0!
Total                        1,002,700   -   -   1,002,700   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         475,900              -       475,900
         526,800              -       526,800
             -                -           -
       1,002,700              -     1,002,700



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     475,900
-   -     526,800
-   -         -
-   -   1,002,700
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: State Hospital North                   Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                     (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                  71,463      94,957        65,233        62,189        (3,044)       -4.67%
Education & Training Assistance            48         -             -             -             -       #DIV/0!
Total                                  71,511      94,957        65,233        62,189        (3,044)       -4.67%
FundSource
General                                   -           -             -             -             -       #DIV/0!
Dedicated                              71,511      94,957        65,233        62,189        (3,044)       -4.67%
Federal                                   -           -             -             -             -       #DIV/0!
Total                                  71,511      94,957        65,233        62,189        (3,044)       -4.67%



             (11)                 (12)            (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -               -            -               -             -     #DIV/0!
Education & Training Assistance        -               -            -               -             -     #DIV/0!
Total                                  -               -            -               -             -     #DIV/0!
FundSource
General                             17,700               -            -        17,700           -           0.00%
Dedicated                           44,500               -            -        44,500           -           0.00%
Federal                                -                 -            -           -             -       #DIV/0!
Total                               62,200               -            -        62,200           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


          17,700              -       17,700
          44,500              -       44,500
             -                -          -
          62,200              -       62,200



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -       17,700
               -              -       44,500
               -              -          -
               -              -       62,200
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: ISSH                                   Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Communication Costs                    51,102       58,737       39,302        35,268        (4,034)      -10.26%
Employee Development Costs             34,198       25,842       15,942        13,801        (2,141)      -13.43%
General Services                      121,225       64,976       23,654        17,204        (6,450)      -27.27%
Professional Services                  12,905       10,185       13,773           -         (13,773)     -100.00%
Repair & Maintenance Services         186,799      163,951       55,778        80,798        25,020        44.86%
Administrative Services                 2,611        1,716        1,279           115        (1,164)      -91.00%
Computer Services                      37,623       30,286       34,567             14      (34,554)      -99.96%
Employee Travel Costs                  16,157       20,240        8,840         2,598        (6,242)      -70.61%
Administrative Supplies                60,138       45,741       25,725        17,467        (8,258)      -32.10%
Fuel & Lubricant Costs                 61,027       42,231       31,552        34,699         3,147         9.97%
Computer Supplies                      10,350       48,039       16,415        39,448        23,032       140.31%
Repair & Maintenance Supplies         144,092      133,085      114,922       128,194        13,272        11.55%
Institutional & Residential Supplies 563,812       459,327      395,242       333,338       (61,904)      -15.66%
Specific Use Supplies               1,187,505      939,936      183,745        49,289      (134,457)      -73.18%
Insurance                              66,831       74,207       41,515        24,505       (17,010)      -40.97%
Utility Charges                       703,914      611,709      543,621       440,618      (103,003)      -18.95%
Rentals & Operating Leases            690,205      694,282      702,374       680,003       (22,372)       -3.19%
Miscellaneous Expenditures             21,349       13,112       16,354         3,145       (13,209)      -80.77%
Total                               3,971,844    3,437,603    2,264,602     1,900,503      (364,099)      -16.08%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           3,971,844    3,437,603    2,264,602     1,900,503      (364,099)      -16.08%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               3,971,844    3,437,603    2,264,602     1,900,503      (364,099)      -16.08%



               (11)                    (12)       (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                     FY 2012                               FY 2013
Operating Expenditures                          One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Communication Costs                         -          -            -               -             -     #DIV/0!
Employee Development Costs                  -          -            -               -             -     #DIV/0!
General Services                            -          -            -               -             -     #DIV/0!
Professional Services                       -          -            -               -             -     #DIV/0!
Repair & Maintenance Services               -          -            -               -             -     #DIV/0!
Administrative Services                     -          -            -               -             -     #DIV/0!
Computer Services                           -          -            -               -             -     #DIV/0!
Employee Travel Costs                       -          -            -               -             -     #DIV/0!
Administrative Supplies                     -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -          -            -               -             -     #DIV/0!
Computer Supplies                           -          -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -          -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -          -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                       368,500   -   -     368,500   -       0.00%
 Dedicated                     141,300   -   -     141,300   -       0.00%
 Federal                     2,347,000   -   -   2,347,000   -       0.00%
Total                        2,856,800   -   -   2,856,800   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         368,500              -       368,500
         141,300              -       141,300
       2,347,000              -     2,347,000
       2,856,800              -     2,856,800



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     368,500
-   -     141,300
-   -   2,347,000
-   -   2,856,800
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: ISSH                                  Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

             (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual     Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                310,794     244,112       212,187      195,498        (16,689)       -7.87%
Education & Training Assistance       47,575         -             -            -              -       #DIV/0!
Pension Payments                      23,832      31,105         9,620        4,243         (5,376)      -55.89%
Total                                382,201     275,218       221,806      199,741        (22,065)       -9.95%
FundSource
General                                  -           -             -            -              -       #DIV/0!
Dedicated                            382,201     275,218       221,806      199,741        (22,065)       -9.95%
Federal                                  -           -             -            -              -       #DIV/0!
Total                                382,201     275,218       221,806      199,741        (22,065)       -9.95%



             (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                        Remove       SWCAP,                       General
                                FY 2012                                   FY 2013
Trustee/Benefit                                One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                   Base
Summary Object                                 Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -              -            -               -             -     #DIV/0!
Education & Training Assistance        -              -            -               -             -     #DIV/0!
Pension Payments                       -              -            -               -             -     #DIV/0!
Total                                  -              -            -               -             -     #DIV/0!
FundSource
General                             80,600              -            -       80,600            -           0.00%
Dedicated                           10,600              -            -       10,600            -           0.00%
Federal                           189,900               -            -      189,900            -           0.00%
Total                             281,100               -            -      281,100            -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -


          80,600              -       80,600
          10,600              -       10,600
         189,900              -      189,900
         281,100              -      281,100



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -       80,600
               -              -       10,600
               -              -      189,900
               -              -      281,100
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Medicaid Admin & Medical Mgmt           Function/Activity Number:____________
Activity: ______________________________                                                                          Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)            (7)
Summary Object                       Actual       Actual        Actual       Actual        Change        % Change

Communication Costs                    208,793      416,000      803,940       132,732       (671,208)      -83.49%
Employee Development Costs              52,230       42,536       22,359        21,493           (866)       -3.87%
General Services                       669,042      990,633      979,085       719,938       (259,147)      -26.47%
Professional Services                7,711,513    8,966,789    8,393,995     9,150,027        756,031         9.01%
Repair & Maintenance Services           84,680       45,642       18,772         9,839         (8,933)      -47.59%
Administrative Services                 66,721       59,120       30,759        41,672         10,913        35.48%
Computer Services                  13,405,951    29,551,317   29,566,590    19,846,563     (9,720,027)      -32.88%
Employee Travel Costs                  443,837      370,691      312,973       324,352         11,379         3.64%
Administrative Supplies                193,393      161,174      135,036       105,806        (29,229)      -21.65%
Fuel & Lubricant Costs                  94,934       96,014       80,124        94,491         14,367        17.93%
Computer Supplies                       44,658       62,188       99,595       109,340          9,745         9.78%
Repair & Maintenance Supplies              835       13,286          600           264           (336)      -56.02%
Institutional & Residential Supplies         8           19           48           -              (48)     -100.00%
Specific Use Supplies                    5,604       42,970        5,735         4,433         (1,302)      -22.71%
Insurance                               24,278       23,928       13,954         4,872         (9,082)      -65.08%
Utility Charges                         12,428       15,750       15,007        13,679         (1,328)       -8.85%
Rentals & Operating Leases           1,603,627    1,321,341    1,294,880       440,989       (853,891)      -65.94%
Miscellaneous Expenditures              97,438       46,437       63,368        35,851        (27,517)      -43.42%
Total                              24,719,967    42,225,835   41,836,818    31,056,340    (10,780,478)      -25.77%
FundSource
General                                   -             -            -             -              -       #DIV/0!
Dedicated                          24,719,967    42,225,835   41,836,818    31,056,340    (10,780,478)      -25.77%
Federal                                   -             -            -             -              -       #DIV/0!
Total                              24,719,967    42,225,835   41,836,818    31,056,340    (10,780,478)      -25.77%



               (11)                    (12)        (13)         (14)          (15)            (16)         (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation     % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -      #DIV/0!
Employee Development Costs                  -           -            -               -             -      #DIV/0!
General Services                            -           -            -               -             -      #DIV/0!
Professional Services                       -           -            -               -             -      #DIV/0!
Repair & Maintenance Services               -           -            -               -             -      #DIV/0!
Administrative Services                     -           -            -               -             -      #DIV/0!
Computer Services                           -           -            -               -             -      #DIV/0!
Employee Travel Costs                       -           -            -               -             -      #DIV/0!
Administrative Supplies                     -           -            -               -             -      #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -      #DIV/0!
Computer Supplies                           -           -            -               -             -      #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -      #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -      #DIV/0!
Specific Use Supplies               -     -   -          -     -   #DIV/0!
Insurance                           -     -   -          -     -   #DIV/0!
Utility Charges                     -     -   -          -     -   #DIV/0!
Rentals & Operating Leases          -     -   -          -     -   #DIV/0!
Miscellaneous Expenditures          -     -   -          -     -   #DIV/0!
Total                               -     -   -          -     -   #DIV/0!
FundSource
 General                      7,704,800   -   -    7,704,800   -       0.00%
 Dedicated                    9,248,000   -   -    9,248,000   -       0.00%
 Federal                     19,566,900   -   -   19,566,900   -       0.00%
Total                        36,519,700   -   -   36,519,700   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       7,704,800              -     7,704,800
       9,248,000              -     9,248,000
      19,566,900              -    19,566,900
      36,519,700              -    36,519,700



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -

-   -    7,704,800
-   -    9,248,000
-   -   19,566,900
-   -   36,519,700
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: Medicaid Admin & Medical Mgmt         Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

             (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual     Actual        Actual       Actual        Change       % Change

Awards Contr & Claims            345,558         353,273       205,775      277,053         71,278        34.64%
Federal Payments To Subgrantees 585,060          565,554       728,397      233,076       (495,321)      -68.00%
Non Federal Payments To Subgrantees -                -             -            -              -       #DIV/0!
Total                            930,618         918,828       934,172      510,129       (424,043)      -45.39%
FundSource
General                                  -           -             -            -              -       #DIV/0!
Dedicated                            930,618     918,828       934,172      510,129       (424,043)      -45.39%
Federal                                  -           -             -            -              -       #DIV/0!
Total                                930,618     918,828       934,172      510,129       (424,043)      -45.39%



             (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                        Remove       SWCAP,                       General
                               FY 2012                                    FY 2013
Trustee/Benefit                                One Time     Nondisc.,                    Inflation    % Change
                               Est. Exp                                    Base
Summary Object                                 Funding        Rent                      (DU 10.21)
Awards Contr & Claims                 -               -            -               -             -     #DIV/0!
Federal Payments To Subgrantees       -               -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                 -            -               -             -     #DIV/0!
Total                                 -               -            -               -             -     #DIV/0!
FundSource
General                         1,219,200               -            -     1,219,200           -           0.00%
Dedicated                             -                 -            -           -             -       #DIV/0!
Federal                         1,638,600               -            -     1,638,600           -           0.00%
Total                           2,857,800               -            -     2,857,800           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,219,200              -     1,219,200
             -                -           -
       1,638,600              -     1,638,600
       2,857,800              -     2,857,800



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -     1,219,200
               -              -           -
               -              -     1,638,600
               -              -     2,857,800
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Developmental Disab. Council            Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

             (1)                      (2)           (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                    10,620        9,434        10,446        8,880         (1,566)      -14.99%
Employee Development Costs              2,854        1,622         1,828        1,599           (228)      -12.49%
General Services                       12,438       19,707        14,666       17,398          2,732        18.63%
Professional Services                  29,714       63,345       125,930       69,311        (56,618)      -44.96%
Repair & Maintenance Services             -            -             650        6,140          5,490      844.60%
Administrative Services                 5,496        8,116         3,759        4,388            628        16.72%
Computer Services                       1,350        1,236           618          103           (515)      -83.33%
Employee Travel Costs                  14,870       29,643        34,584       31,111         (3,473)      -10.04%
Administrative Supplies                 8,273        3,619         4,748       10,539          5,792      121.99%
Fuel & Lubricant Costs                    -            701           299          542            242        81.02%
Computer Supplies                       2,156        1,896           140          798            658      470.47%
Repair & Maintenance Supplies             192          -             -            -              -       #DIV/0!
Specific Use Supplies                   4,576          420           605        1,534            929      153.47%
Rentals & Operating Leases             44,757       50,252        23,891       32,785          8,894        37.23%
Miscellaneous Expenditures             46,928       67,715        76,009       52,145        (23,863)      -31.40%
Total                                 184,224      257,705       298,172      237,274        (60,898)      -20.42%
FundSource
General                                   -            -             -            -              -       #DIV/0!
Dedicated                             184,224      257,705       298,172      237,274        (60,898)      -20.42%
Federal                                   -            -             -            -              -       #DIV/0!
Total                                 184,224      257,705       298,172      237,274        (60,898)      -20.42%



              (11)                    (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                    FY 2012                                 FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                          -          -            -               -             -     #DIV/0!
Employee Development Costs                   -          -            -               -             -     #DIV/0!
General Services                             -          -            -               -             -     #DIV/0!
Professional Services                        -          -            -               -             -     #DIV/0!
Repair & Maintenance Services                -          -            -               -             -     #DIV/0!
Administrative Services                      -          -            -               -             -     #DIV/0!
Computer Services                            -          -            -               -             -     #DIV/0!
Employee Travel Costs                        -          -            -               -             -     #DIV/0!
Administrative Supplies                      -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                       -          -            -               -             -     #DIV/0!
Computer Supplies                            -          -            -               -             -     #DIV/0!
Repair & Maintenance Supplies                -          -            -               -             -     #DIV/0!
Specific Use Supplies                        -          -            -               -             -     #DIV/0!
Rentals & Operating Leases                   -          -            -               -             -     #DIV/0!
Miscellaneous Expenditures                   -          -            -               -             -     #DIV/0!
Total                                        -          -            -               -             -     #DIV/0!
FundSource
General       11,800   -   -    11,800   -   0.00%
Dedicated     15,000   -   -    15,000   -   0.00%
Federal      196,600   -   -   196,600   -   0.00%
Total        223,400   -   -   223,400   -   0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


          11,800              -       11,800
          15,000              -       15,000
         196,600              -      196,600
         223,400              -      223,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -    11,800
-   -    15,000
-   -   196,600
-   -   223,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Developmental Disab. Council           Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Federal Payments To Subgrantees   45,400          158,928       126,544        95,745       (30,799)      -24.34%
Non Federal Payments To Subgrantees 313               -             -             -             -       #DIV/0!
Total                             45,713          158,928       126,544        95,745       (30,799)      -24.34%
FundSource
General                                   -           -             -             -             -       #DIV/0!
Dedicated                              45,713     158,928       126,544        95,745       (30,799)      -24.34%
Federal                                   -           -             -             -             -       #DIV/0!
Total                                  45,713     158,928       126,544        95,745       (30,799)      -24.34%



            (11)                 (12)             (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                               FY 2012                                     FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                               Est. Exp                                     Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Federal Payments To Subgrantees       -                -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -     #DIV/0!
Total                                 -                -            -               -             -     #DIV/0!
FundSource
General                               -                  -            -           -             -       #DIV/0!
Dedicated                             -                  -            -           -             -       #DIV/0!
Federal                            31,600                -            -        31,600           -           0.00%
Total                              31,600                -            -        31,600           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


             -                -          -
             -                -          -
          31,600              -       31,600
          31,600              -       31,600



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -          -
               -              -          -
               -              -       31,600
               -              -       31,600
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Domestic Violence Council               Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

             (1)                      (2)           (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                     1,360        1,479         1,564        1,419           (145)       -9.25%
Employee Development Costs                578          743           785        1,732            947       120.65%
General Services                       13,672       14,823        15,987       18,667          2,679        16.76%
Professional Services                  18,948       29,801        35,014       13,470        (21,544)      -61.53%
Repair & Maintenance Services             -          2,407           462          -             (462)     -100.00%
Administrative Services                 5,174       11,577         6,423       11,672          5,248        81.71%
Computer Services                      11,140        5,540         4,407        5,130            723        16.41%
Employee Travel Costs                  20,180       23,265        27,458       26,891           (566)       -2.06%
Administrative Supplies                 7,193       17,649         5,883        1,089         (4,794)      -81.49%
Fuel & Lubricant Costs                      75          43             49         -              (49)     -100.00%
Computer Supplies                         558          523         1,505        4,732          3,227       214.44%
Specific Use Supplies                     -             36           -            -              -       #DIV/0!
Rentals & Operating Leases             22,824       21,506        17,322       21,217          3,895        22.49%
Miscellaneous Expenditures             36,890       33,781        54,491       21,229        (33,262)      -61.04%
Total                                 138,592      163,174       171,349      127,247        (44,102)      -25.74%
FundSource
General                                   -            -             -            -              -       #DIV/0!
Dedicated                             138,592      163,174       171,349      127,247        (44,102)      -25.74%
Federal                                   -            -             -            -              -       #DIV/0!
Total                                 138,592      163,174       171,349      127,247        (44,102)      -25.74%



              (11)                    (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                    FY 2012                                 FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                          -          -            -               -             -     #DIV/0!
Employee Development Costs                   -          -            -               -             -     #DIV/0!
General Services                             -          -            -               -             -     #DIV/0!
Professional Services                        -          -            -               -             -     #DIV/0!
Repair & Maintenance Services                -          -            -               -             -     #DIV/0!
Administrative Services                      -          -            -               -             -     #DIV/0!
Computer Services                            -          -            -               -             -     #DIV/0!
Employee Travel Costs                        -          -            -               -             -     #DIV/0!
Administrative Supplies                      -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                       -          -            -               -             -     #DIV/0!
Computer Supplies                            -          -            -               -             -     #DIV/0!
Specific Use Supplies                        -          -            -               -             -     #DIV/0!
Rentals & Operating Leases                   -          -            -               -             -     #DIV/0!
Miscellaneous Expenditures                   -          -            -               -             -     #DIV/0!
Total                                        -          -            -               -             -     #DIV/0!
FundSource
General                                 1,300             -            -         1,300           -           0.00%
Dedicated   203,200   -   -   203,200   -   0.00%
Federal      66,900   -   -    66,900   -   0.00%
Total       271,400   -   -   271,400   -   0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


           1,300              -        1,300
         203,200              -      203,200
          66,900              -       66,900
         271,400              -      271,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -         1,300
-   -   203,200
-   -    66,900
-   -   271,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Domestic Violence Council              Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)          (7)
Summary Object                       Actual      Actual        Actual       Actual        Change      % Change

Federal Payments To Subgrantees 2,333,561        2,501,959    2,730,680     3,349,945       619,265       22.68%
                                  146,060
Non Federal Payments To Subgrantees                167,364      171,021       183,297        12,276        7.18%
Total                           2,479,621        2,669,323    2,901,701     3,533,242       631,541       21.76%
FundSource
General                                   -            -            -             -             -      #DIV/0!
Dedicated                           2,479,621    2,669,323    2,901,701     3,533,242       631,541      21.76%
Federal                                   -            -            -             -             -      #DIV/0!
Total                               2,479,621    2,669,323    2,901,701     3,533,242       631,541       21.76%



            (11)                  (12)            (13)         (14)          (15)            (16)       (17)
Part B:                                         Remove       SWCAP,                       General
                               FY 2012                                     FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation   % Change
                               Est. Exp                                     Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Federal Payments To Subgrantees        -               -            -               -             -    #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -    #DIV/0!
Total                                  -               -            -               -             -    #DIV/0!
FundSource
General                                -                 -            -           -             -      #DIV/0!
Dedicated                         171,800                -            -       171,800           -          0.00%
Federal                         3,415,400                -            -     3,415,400           -          0.00%
Total                           3,587,200                -            -     3,587,200           -          0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -


             -                -           -
         171,800              -       171,800
       3,415,400              -     3,415,400
       3,587,200              -     3,587,200



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -

               -              -           -
               -              -       171,800
               -              -     3,415,400
               -              -     3,587,200
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Adult Mental Health                     Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                    283,872      307,992      274,477       198,214       (76,263)     -27.78%
Employee Development Costs              62,914       24,559       19,906        22,074         2,167       10.89%
General Services                       190,392      153,880      103,230       114,790        11,559       11.20%
Professional Services                  286,056      317,393      465,464       326,488      (138,976)     -29.86%
Repair & Maintenance Services           47,235       14,649      287,479        63,807      (223,672)     -77.80%
Administrative Services                 12,270       13,531        7,469         3,461        (4,009)     -53.67%
Computer Services                      119,322      887,063       85,725       445,265       359,540      419.41%
Employee Travel Costs                  184,252       59,719       27,020        39,299        12,279       45.45%
Administrative Supplies                276,108      205,221      176,246       139,092       (37,154)     -21.08%
Fuel & Lubricant Costs                 145,850      124,803       81,204        83,237         2,034        2.50%
Computer Supplies                       19,532       38,654       35,396        83,061        47,665      134.66%
Repair & Maintenance Supplies            3,395          166          466         2,495         2,028      435.14%
Institutional & Residential Supplies    14,842        1,644          579           636            57        9.90%
Specific Use Supplies                   47,644       11,284        2,939         7,258         4,319      146.98%
Insurance                               77,508       76,553       32,103         7,719       (24,384)     -75.95%
Utility Charges                         29,646       34,487       30,901        27,513        (3,388)     -10.97%
Rentals & Operating Leases             966,066    1,003,306      878,799       796,358       (82,441)      -9.38%
Miscellaneous Expenditures              31,680       16,046       17,447        22,029         4,582       26.26%
Total                                2,798,583    3,290,953    2,526,851     2,382,796      (144,055)      -5.70%
FundSource
General                                   -             -            -             -             -       #DIV/0!
Dedicated                           2,798,583     3,290,953    2,526,851     2,382,796      (144,055)       -5.70%
Federal                                   -             -            -             -             -       #DIV/0!
Total                               2,798,583     3,290,953    2,526,851     2,382,796      (144,055)       -5.70%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                     1,445,400   -   -   1,445,400   -       0.00%
 Dedicated                      98,000   -   -      98,000   -       0.00%
 Federal                     1,154,700   -   -   1,154,700   -       0.00%
Total                        2,698,100   -   -   2,698,100   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,445,400              -     1,445,400
          98,000              -        98,000
       1,154,700              -     1,154,700
       2,698,100              -     2,698,100



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -   1,445,400
-   -      98,000
-   -   1,154,700
-   -   2,698,100
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Adult Mental Health                    Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                     (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims           1,731,493        1,222,067      774,759       709,053       (65,707)       -8.48%
Education & Training Assistance   618,911          572,366      381,546       424,450        42,904        11.24%
Federal Payments To Subgrantees     3,862              -            -         141,496       141,496     #DIV/0!
Miscellaneous Payments As Agent     1,106              238          -             144           144     #DIV/0!
                                3,246,259
Non Federal Payments To Subgrantees                 10,715       18,495         7,455       (11,040)      -59.69%
Total                           5,601,631        1,805,386    1,174,801     1,282,599       107,798         9.18%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           5,601,631    1,805,386    1,174,801     1,282,599       107,798         9.18%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               5,601,631    1,805,386    1,174,801     1,282,599       107,798         9.18%



             (11)                 (12)            (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -               -            -               -             -     #DIV/0!
Education & Training Assistance        -               -            -               -             -     #DIV/0!
Federal Payments To Subgrantees        -               -            -               -             -     #DIV/0!
Miscellaneous Payments As Agent        -               -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -     #DIV/0!
Total                                  -               -            -               -             -     #DIV/0!
FundSource
General                           627,500                -            -       627,500           -           0.00%
Dedicated                         350,000                -            -       350,000           -           0.00%
Federal                           353,700                -            -       353,700           -           0.00%
Total                           1,331,200                -            -     1,331,200           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         627,500              -       627,500
         350,000              -       350,000
         353,700              -       353,700
       1,331,200              -     1,331,200



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -       627,500
               -              -       350,000
               -              -       353,700
               -              -     1,331,200
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Community DD Services                   Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                    184,100      214,763      196,995       172,462       (24,534)     -12.45%
Employee Development Costs             130,351       48,138       33,728        37,678         3,950       11.71%
General Services                       108,055      116,620      173,413       195,234        21,822       12.58%
Professional Services                  493,299      383,359      266,414       747,343       480,929      180.52%
Repair & Maintenance Services            3,735       21,826       45,024        56,302        11,278       25.05%
Administrative Services                 37,152       30,625       22,479        48,640        26,161      116.38%
Computer Services                       16,924      119,503      226,691       721,191       494,499      218.14%
Employee Travel Costs                  117,841      118,959       99,774       118,346        18,572       18.61%
Administrative Supplies                199,326      178,348      154,498       140,440       (14,058)      -9.10%
Fuel & Lubricant Costs                 112,100       95,080       77,662       109,784        32,122       41.36%
Computer Supplies                       21,244       26,860       39,351       118,077        78,726      200.06%
Repair & Maintenance Supplies              700          125        1,791         1,876            85        4.72%
Institutional & Residential Supplies     1,266          521        1,716           572        (1,144)     -66.68%
Specific Use Supplies                   61,442       53,083       35,901        56,005        20,104       56.00%
Insurance                               32,858       31,636       15,091         4,354       (10,737)     -71.15%
Utility Charges                         17,010       20,650       20,301        25,328         5,027       24.76%
Rentals & Operating Leases             602,692      639,130      603,177       640,479        37,302        6.18%
Miscellaneous Expenditures              40,622       28,807       58,137        35,190       (22,947)     -39.47%
Total                                2,180,717    2,128,034    2,072,144     3,229,301     1,157,156       55.84%
FundSource
General                                   -             -            -             -             -       #DIV/0!
Dedicated                           2,180,717     2,128,034    2,072,144     3,229,301     1,157,156       55.84%
Federal                                   -             -            -             -             -       #DIV/0!
Total                               2,180,717     2,128,034    2,072,144     3,229,301     1,157,156        55.84%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                     1,116,100   -   -   1,116,100   -       0.00%
 Dedicated                      46,300   -   -      46,300   -       0.00%
 Federal                     1,049,700   -   -   1,049,700   -       0.00%
Total                        2,212,100   -   -   2,212,100   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,116,100              -     1,116,100
          46,300              -        46,300
       1,049,700              -     1,049,700
       2,212,100              -     2,212,100



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -   1,116,100
-   -      46,300
-   -   1,049,700
-   -   2,212,100
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Community DD Services                  Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims             472,866          555,576      588,396       655,748        67,352        11.45%
Education & Training Assistance 3,671,703        3,354,685    3,169,480     2,990,544      (178,936)       -5.65%
Federal Payments To Subgrantees 114,545            262,137      303,870       246,389       (57,481)      -18.92%
                                  139,095
Non Federal Payments To Subgrantees                134,138      143,720        24,651      (119,069)      -82.85%
Total                           4,398,210        4,306,535    4,205,467     3,917,333      (288,134)       -6.85%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                           4,398,210    4,306,535    4,205,467     3,917,333      (288,134)       -6.85%
Federal                                   -            -            -             -             -       #DIV/0!
Total                               4,398,210    4,306,535    4,205,467     3,917,333      (288,134)       -6.85%



             (11)                 (12)            (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -               -            -               -             -     #DIV/0!
Education & Training Assistance        -               -            -               -             -     #DIV/0!
Federal Payments To Subgrantees        -               -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -            -               -             -     #DIV/0!
Total                                  -               -            -               -             -     #DIV/0!
FundSource
General                         2,311,000                -            -     2,311,000           -           0.00%
Dedicated                       1,909,800                -            -     1,909,800           -           0.00%
Federal                           945,900                -            -       945,900           -           0.00%
Total                           5,166,700                -            -     5,166,700           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       2,311,000              -     2,311,000
       1,909,800              -     1,909,800
         945,900              -       945,900
       5,166,700              -     5,166,700



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -     2,311,000
               -              -     1,909,800
               -              -       945,900
               -              -     5,166,700
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
                                               F
Function: Substance Abuse Treatment & Preventionunction/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

              (1)                      (2)          (3)          (4)         (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009      FY 2010      FY 2011         (6)           (7)
Summary Object                       Actual       Actual       Actual       Actual       Change       % Change

Communication Costs                     16,084       18,789        9,765       5,360        (4,405)     -45.11%
Employee Development Costs              97,824        8,286        1,673       6,871         5,199      310.83%
General Services                       108,288       36,266       18,041      26,064         8,023       44.47%
Professional Services                3,849,348    4,103,222    3,719,384   4,055,504       336,120        9.04%
Repair & Maintenance Services              136           38          769           30         (739)     -96.10%
Administrative Services                 23,240        6,965        8,995       2,209        (6,786)     -75.44%
Computer Services                       35,502       22,548        6,202     231,112       224,911     3626.67%
Employee Travel Costs                   76,203       40,582       23,795      11,406       (12,390)     -52.07%
Administrative Supplies                 15,365        7,492        4,658       9,243         4,585       98.42%
Fuel & Lubricant Costs                   4,327        3,145        1,333       1,923           590       44.24%
Computer Supplies                        2,253       10,346        1,252       9,476         8,224      657.05%
Institutional & Residential Supplies        38          120        1,817         -          (1,817)    -100.00%
Specific Use Supplies                    2,612        3,532          413       3,015         2,602      630.45%
Insurance                                  772          747          526         180          (346)     -65.82%
Utility Charges                            392          475          453         465            12        2.65%
Rentals & Operating Leases              28,535       23,725       22,832      17,841        (4,991)     -21.86%
Miscellaneous Expenditures              48,704       25,366       19,633      22,101         2,468       12.57%
Total                                4,309,623    4,311,645    3,841,540   4,402,800       561,259       14.61%
FundSource
General                                   -             -            -           -             -       #DIV/0!
Dedicated                           4,309,623     4,311,645    3,841,540   4,402,800       561,259       14.61%
Federal                                   -             -            -           -             -       #DIV/0!
Total                               4,309,623     4,311,645    3,841,540   4,402,800       561,259        14.61%



               (11)                    (12)        (13)         (14)        (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                     General
                                     FY 2012                               FY 2013
Operating Expenditures                           One Time     Nondisc.,                  Inflation    % Change
                                    Est. Exp                                Base
Summary Object                                   Funding        Rent                    (DU 10.21)
Communication Costs                         -           -            -             -             -     #DIV/0!
Employee Development Costs                  -           -            -             -             -     #DIV/0!
General Services                            -           -            -             -             -     #DIV/0!
Professional Services                       -           -            -             -             -     #DIV/0!
Repair & Maintenance Services               -           -            -             -             -     #DIV/0!
Administrative Services                     -           -            -             -             -     #DIV/0!
Computer Services                           -           -            -             -             -     #DIV/0!
Employee Travel Costs                       -           -            -             -             -     #DIV/0!
Administrative Supplies                     -           -            -             -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -             -             -     #DIV/0!
Computer Supplies                           -           -            -             -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -             -             -     #DIV/0!
Specific Use Supplies                       -           -            -             -             -     #DIV/0!
Insurance                                   -           -            -             -             -     #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
General                        573,500   -   -     573,500   -       0.00%
Dedicated                      482,100   -   -     482,100   -       0.00%
Federal                      3,836,300   -   -   3,836,300   -       0.00%
Total                        4,891,900   -   -   4,891,900   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         573,500              -       573,500
         482,100              -       482,100
       3,836,300              -     3,836,300
       4,891,900              -     4,891,900



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     573,500
-   -     482,100
-   -   3,836,300
-   -   4,891,900
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                       Agency Number: 270
                                               F
Function: Substance Abuse Treatment & Preventionunction/Activity Number:____________
Activity: ______________________________                                                                      Original Submission _

             (1)                      (2)        (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008   FY 2009      FY 2010       FY 2011          (6)           (7)
Summary Object                       Actual    Actual       Actual        Actual        Change       % Change

Awards Contr & Claims                  910           100          -          5,610          5,610     #DIV/0!
Education & Training Assistance 16,670,113    24,327,111   23,949,067   22,117,213     (1,831,854)       -7.65%
Federal Payments To Subgrantees     33,531       126,228      133,744      181,660         47,916       35.83%
Miscellaneous Payments As Agent        -          31,100          -            -              -       #DIV/0!
Total                           16,704,553    24,484,540   24,082,811   22,304,483     (1,778,327)       -7.38%
FundSource
General                                -             -            -            -              -       #DIV/0!
Dedicated                       16,704,553    24,484,540   24,082,811   22,304,483     (1,778,327)       -7.38%
Federal                                -             -            -            -              -       #DIV/0!
Total                           16,704,553    24,484,540   24,082,811   22,304,483     (1,778,327)       -7.38%



             (11)                  (12)         (13)         (14)          (15)            (16)        (17)
Part B:                                       Remove       SWCAP,                       General
                                 FY 2012                                 FY 2013
Trustee/Benefit                               One Time     Nondisc.,                    Inflation    % Change
                                Est. Exp                                  Base
Summary Object                                Funding        Rent                      (DU 10.21)
Awards Contr & Claims                   -            -            -               -             -     #DIV/0!
Education & Training Assistance         -            -            -               -             -     #DIV/0!
Federal Payments To Subgrantees         -            -            -               -             -     #DIV/0!
Miscellaneous Payments As Agent         -            -            -               -             -     #DIV/0!
Total                                   -            -            -               -             -     #DIV/0!
FundSource
General                          1,455,400             -            -    1,455,400            -           0.00%
Dedicated                          650,000             -            -      650,000            -           0.00%
Federal                          8,698,600             -            -    8,698,600            -           0.00%
Total                           10,804,000             -            -   10,804,000            -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,455,400              -     1,455,400
         650,000              -       650,000
       8,698,600              -     8,698,600
      10,804,000              -    10,804,000



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -     1,455,400
               -              -       650,000
               -              -     8,698,600
               -              -    10,804,000
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                            Agency Number: 270
Function: Child Welfare                             Function/Activity Number:____________
Activity: ______________________________                                                                           Original Submission _

              (1)                        (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures                 FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                          Actual      Actual        Actual       Actual        Change       % Change

Communication Costs                      527,167      589,702      581,223       437,750      (143,473)     -24.68%
Employee Development Costs                48,618       36,552       19,446        21,023         1,577        8.11%
General Services                         333,364      213,464      341,640       333,759        (7,881)      -2.31%
Professional Services                  2,454,055    2,902,046    2,347,778     1,517,770      (830,008)     -35.35%
Repair & Maintenance Services             28,160       25,529       23,652        95,470        71,818      303.65%
Administrative Services                   54,733       35,980       33,055        44,494        11,439       34.61%
Computer Services                      1,180,337      755,063      773,123     1,043,095       269,972       34.92%
Employee Travel Costs                    287,712      283,908      181,881       281,510        99,630       54.78%
Administrative Supplies                  421,604      341,137      301,783       265,108       (36,675)     -12.15%
Fuel & Lubricant Costs                   340,202      314,356      248,204       298,549        50,345       20.28%
Computer Supplies                         41,674       64,479       25,269       121,848        96,580      382.21%
Repair & Maintenance Supplies              1,280        1,033          915         1,372           458       50.02%
Institutional & Residential Supplies         915          786        1,228           204        (1,024)     -83.38%
Specific Use Supplies                     15,653        9,127        9,694        12,154         2,460       25.38%
Insurance                                115,645      114,335       55,158        20,485       (34,673)     -62.86%
Utility Charges                           38,123       48,591       46,592        44,873        (1,720)      -3.69%
Rentals & Operating Leases             1,365,880    1,518,728    1,390,861     1,341,448       (49,413)      -3.55%
Miscellaneous Expenditures                76,358       85,113      148,454        40,714      (107,740)     -72.57%
Total                                  7,331,480    7,339,929    6,529,955     5,921,627      (608,328)      -9.32%
FundSource
General                                      -            -            -             -             -       #DIV/0!
Dedicated                              7,331,480    7,339,929    6,529,955     5,921,627      (608,328)       -9.32%
Federal                                      -            -            -             -             -       #DIV/0!
Total                                  7,331,480    7,339,929    6,529,955     5,921,627      (608,328)       -9.32%



               (11)                    (12)          (13)         (14)          (15)            (16)        (17)
Part B:                                            Remove       SWCAP,                       General
                                     FY 2012                                  FY 2013
Operating Expenditures                             One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                   Base
Summary Object                                     Funding        Rent                      (DU 10.21)
Communication Costs                         -             -            -               -             -     #DIV/0!
Employee Development Costs                  -             -            -               -             -     #DIV/0!
General Services                            -             -            -               -             -     #DIV/0!
Professional Services                       -             -            -               -             -     #DIV/0!
Repair & Maintenance Services               -             -            -               -             -     #DIV/0!
Administrative Services                     -             -            -               -             -     #DIV/0!
Computer Services                           -             -            -               -             -     #DIV/0!
Employee Travel Costs                       -             -            -               -             -     #DIV/0!
Administrative Supplies                     -             -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -             -            -               -             -     #DIV/0!
Computer Supplies                           -             -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -             -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -             -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                     1,573,200   -   -   1,573,200   -       0.00%
 Dedicated                      20,000   -   -      20,000   -       0.00%
 Federal                     4,990,100   -   -   4,990,100   -       0.00%
Total                        6,583,300   -   -   6,583,300   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,573,200              -     1,573,200
          20,000              -        20,000
       4,990,100              -     4,990,100
       6,583,300              -     6,583,300



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -   1,573,200
-   -      20,000
-   -   4,990,100
-   -   6,583,300
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Child Welfare                           Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

             (1)                      (2)           (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008      FY 2009       FY 2010      FY 2011          (6)          (7)
Summary Object                       Actual       Actual        Actual       Actual        Change      % Change

Awards Contr & Claims                 (13,507)            -            -             -           -      #DIV/0!
Total                                 (13,507)            -            -             -           -      #DIV/0!
FundSource
General                                   -               -            -             -           -      #DIV/0!
Dedicated                             (13,507)            -            -             -           -      #DIV/0!
Federal                                   -               -            -             -           -      #DIV/0!
Total                                 (13,507)            -            -             -           -      #DIV/0!



            (11)                      (12)         (13)         (14)          (15)            (16)       (17)
Part B:                                          Remove       SWCAP,                       General
                                    FY 2012                                 FY 2013
Trustee/Benefit                                  One Time     Nondisc.,                    Inflation   % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Awards Contr & Claims                        -          -            -               -             -    #DIV/0!
Total                                        -          -            -               -             -    #DIV/0!
FundSource
General                                      -            -            -             -           -      #DIV/0!
Dedicated                                    -            -            -             -           -      #DIV/0!
Federal                                      -            -            -             -           -      #DIV/0!
Total                                        -            -            -             -           -      #DIV/0!
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -


               -              -             -
               -              -             -
               -              -             -
               -              -             -



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -

               -              -             -
               -              -             -
               -              -             -
               -              -             -
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Self-Reliance Operations                Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                  1,855,692    2,220,790    2,424,604     2,161,397      (263,207)      -10.86%
Employee Development Costs             153,592       75,133       49,373        72,725        23,351        47.30%
General Services                       410,156      323,236      668,685       184,847      (483,839)      -72.36%
Professional Services                6,910,769    8,303,482    6,476,485     6,268,969      (207,516)       -3.20%
Repair & Maintenance Services          738,081      516,673      478,181       749,452       271,270        56.73%
Administrative Services                243,674      240,732      180,703       145,752       (34,951)      -19.34%
Computer Services                    8,817,962   16,896,690    8,922,814     3,849,081    (5,073,733)      -56.86%
Employee Travel Costs                  407,103      298,135      156,592        95,148       (61,444)      -39.24%
Administrative Supplies                749,847      654,812      509,083       448,184       (60,899)      -11.96%
Fuel & Lubricant Costs                  73,025       63,905       33,888        26,836        (7,051)      -20.81%
Computer Supplies                      854,913    1,365,775      139,546       299,143       159,597      114.37%
Repair & Maintenance Supplies            5,517          912          469         1,550         1,081      230.81%
Institutional & Residential Supplies       -             41          -             -             -       #DIV/0!
Specific Use Supplies                    3,866          155          391           899           508      129.82%
Insurance                              108,330      112,583       60,636        18,789       (41,848)      -69.01%
Utility Charges                         56,205       68,158       75,123        69,977        (5,146)       -6.85%
Rentals & Operating Leases           2,067,402    2,154,845    2,229,200     2,034,285      (194,915)       -8.74%
Miscellaneous Expenditures             665,272    1,047,739      122,247       260,932       138,686      113.45%
Total                              24,121,407    34,343,795   22,528,021    16,687,965    (5,840,056)      -25.92%
FundSource
General                                   -             -            -             -             -       #DIV/0!
Dedicated                          24,121,407    34,343,795   22,528,021    16,687,965    (5,840,056)      -25.92%
Federal                                   -             -            -             -             -       #DIV/0!
Total                              24,121,407    34,343,795   22,528,021    16,687,965    (5,840,056)      -25.92%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies               -     -   -          -     -   #DIV/0!
Insurance                           -     -   -          -     -   #DIV/0!
Utility Charges                     -     -   -          -     -   #DIV/0!
Rentals & Operating Leases          -     -   -          -     -   #DIV/0!
Miscellaneous Expenditures          -     -   -          -     -   #DIV/0!
Total                               -     -   -          -     -   #DIV/0!
FundSource
 General                      4,027,800   -   -    4,027,800   -       0.00%
 Dedicated                    2,597,400   -   -    2,597,400   -       0.00%
 Federal                     13,109,700   -   -   13,109,700   -       0.00%
Total                        19,734,900   -   -   19,734,900   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       4,027,800              -     4,027,800
       2,597,400              -     2,597,400
      13,109,700              -    13,109,700
      19,734,900              -    19,734,900



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -

-   -    4,027,800
-   -    2,597,400
-   -   13,109,700
-   -   19,734,900
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                       Agency Number: 270
Function: Benefit Payments                     Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

             (1)                      (2)        (3)           (4)          (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008   FY 2009       FY 2010      FY 2011          (6)            (7)
Summary Object                       Actual    Actual        Actual       Actual        Change        % Change

Awards Contr & Claims           56,681,892    64,269,115    59,321,106   54,606,250     (4,714,856)       -7.95%
Education & Training Assistance       (670)       32,974     2,522,340          -       (2,522,340)     -100.00%
Federal Payments To Subgrantees 15,531,384    20,213,653    41,548,414   32,615,375     (8,933,038)      -21.50%
Non Federal Payments To Subgrantees688,484       605,283       592,423      601,122          8,698         1.47%
Total                           72,901,089    85,121,025   103,984,283   87,822,747    (16,161,536)      -15.54%
FundSource
General                                -             -             -            -              -       #DIV/0!
Dedicated                       72,901,089    85,121,025   103,984,283   87,822,747    (16,161,536)      -15.54%
Federal                                -             -             -            -              -       #DIV/0!
Total                           72,901,089    85,121,025   103,984,283   87,822,747    (16,161,536)      -15.54%



             (11)                  (12)         (13)          (14)         (15)            (16)         (17)
Part B:                                       Remove        SWCAP,                      General
                                 FY 2012                                 FY 2013
Trustee/Benefit                               One Time      Nondisc.,                   Inflation     % Change
                                Est. Exp                                  Base
Summary Object                                Funding         Rent                     (DU 10.21)
Awards Contr & Claims                   -            -             -              -             -      #DIV/0!
Education & Training Assistance         -            -             -              -             -      #DIV/0!
Federal Payments To Subgrantees         -            -             -              -             -      #DIV/0!
Non Federal Payments To Subgrantees -                -             -              -             -      #DIV/0!
Total                                   -            -             -              -             -      #DIV/0!
FundSource
General                         17,976,500             -             -   17,976,500            -           0.00%
Dedicated                           23,500             -             -       23,500            -           0.00%
Federal                         57,967,400             -             -   57,967,400            -           0.00%
Total                           75,967,400             -             -   75,967,400            -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


      17,976,500              -    17,976,500
          23,500              -        23,500
      57,967,400              -    57,967,400
      75,967,400              -    75,967,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -    17,976,500
               -              -        23,500
               -              -    57,967,400
               -              -    75,967,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Laboratory Services                     Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                     34,061       24,497       30,773        12,107       (18,666)      -60.66%
Employee Development Costs              16,433       13,373       21,205        23,178         1,972         9.30%
General Services                        37,437       29,384       24,577        31,509         6,932        28.21%
Professional Services                    5,699       18,382       12,665        22,884        10,219        80.69%
Repair & Maintenance Services           69,146      212,427      119,454       280,957       161,503      135.20%
Administrative Services                  4,262       10,662       12,834         3,973        (8,861)      -69.04%
Computer Services                       31,715       37,514       91,867        79,365       (12,503)      -13.61%
Employee Travel Costs                   39,462       27,579       26,007        29,966         3,959        15.22%
Administrative Supplies                 12,876       20,807       39,344        22,580       (16,764)      -42.61%
Fuel & Lubricant Costs                   2,092        4,302        1,609         1,714           105         6.51%
Computer Supplies                      269,947       22,618       15,258        57,358        42,100      275.92%
Repair & Maintenance Supplies           18,945       15,542       49,961        34,908       (15,052)      -30.13%
Institutional & Residential Supplies       -              3          -             -             -       #DIV/0!
Specific Use Supplies                  561,168      541,286      449,223       455,047         5,824         1.30%
Insurance                               16,627       19,430        9,898         8,911          (987)       -9.97%
Utility Charges                          1,080        5,555        3,176           861        (2,316)      -72.90%
Rentals & Operating Leases             133,985      134,981      137,756       137,083          (673)       -0.49%
Miscellaneous Expenditures              26,998       10,471        7,034         7,048             14        0.20%
Total                                1,281,933    1,148,814    1,052,641     1,209,449       156,808        14.90%
FundSource
General                                   -             -            -             -             -       #DIV/0!
Dedicated                           1,281,933     1,148,814    1,052,641     1,209,449       156,808       14.90%
Federal                                   -             -            -             -             -       #DIV/0!
Total                               1,281,933     1,148,814    1,052,641     1,209,449       156,808        14.90%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                       417,100   -   -     417,100   -       0.00%
 Dedicated                     199,300   -   -     199,300   -       0.00%
 Federal                       949,000   -   -     949,000   -       0.00%
Total                        1,565,400   -   -   1,565,400   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


         417,100              -       417,100
         199,300              -       199,300
         949,000              -       949,000
       1,565,400              -     1,565,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -     417,100
-   -     199,300
-   -     949,000
-   -   1,565,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                          Agency Number: 270
Function: Emergency Medical Services              Function/Activity Number:____________
Activity: ______________________________                                                                         Original Submission _

              (1)                      (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008      FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual       Actual        Actual       Actual        Change       % Change

Communication Costs                     23,736       20,039       29,492       144,797       115,305      390.96%
Employee Development Costs              17,669       11,610        9,393        12,909         3,516        37.44%
General Services                        12,399       33,992       11,223        11,921           698         6.22%
Professional Services                  374,375      447,564      318,566       402,772        84,206        26.43%
Repair & Maintenance Services          269,200      255,394      238,543       232,553        (5,990)       -2.51%
Administrative Services                  9,868        9,596        5,610         3,948        (1,662)      -29.63%
Computer Services                      142,707      130,538      167,468        78,383       (89,084)      -53.19%
Employee Travel Costs                   57,916       49,281       50,891        43,592        (7,299)      -14.34%
Administrative Supplies                 19,369       35,470       15,653        27,501        11,848        75.69%
Fuel & Lubricant Costs                  19,105       17,256       11,996        11,056          (940)       -7.84%
Computer Supplies                       57,709       33,401       36,762        14,252       (22,510)      -61.23%
Repair & Maintenance Supplies              366          655          125           100           (25)      -20.01%
Institutional & Residential Supplies       -              2          -             -             -       #DIV/0!
Specific Use Supplies                    7,212        1,470        1,583           333        (1,250)      -78.97%
Insurance                                  861          430          822           487          (335)      -40.73%
Utility Charges                            336          407          471           266          (206)      -43.62%
Rentals & Operating Leases             115,231      110,520       30,290        60,109        29,819        98.44%
Miscellaneous Expenditures              43,245       25,540       50,035        44,457        (5,578)      -11.15%
Total                                1,171,303    1,183,166      978,924     1,089,436       110,512        11.29%
FundSource
General                                   -             -            -             -             -       #DIV/0!
Dedicated                           1,171,303     1,183,166      978,924     1,089,436       110,512       11.29%
Federal                                   -             -            -             -             -       #DIV/0!
Total                               1,171,303     1,183,166      978,924     1,089,436       110,512        11.29%



               (11)                    (12)        (13)         (14)          (15)            (16)        (17)
Part B:                                          Remove       SWCAP,                       General
                                     FY 2012                                FY 2013
Operating Expenditures                           One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                 Base
Summary Object                                   Funding        Rent                      (DU 10.21)
Communication Costs                         -           -            -               -             -     #DIV/0!
Employee Development Costs                  -           -            -               -             -     #DIV/0!
General Services                            -           -            -               -             -     #DIV/0!
Professional Services                       -           -            -               -             -     #DIV/0!
Repair & Maintenance Services               -           -            -               -             -     #DIV/0!
Administrative Services                     -           -            -               -             -     #DIV/0!
Computer Services                           -           -            -               -             -     #DIV/0!
Employee Travel Costs                       -           -            -               -             -     #DIV/0!
Administrative Supplies                     -           -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -           -            -               -             -     #DIV/0!
Computer Supplies                           -           -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -           -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -           -            -               -             -     #DIV/0!
Specific Use Supplies              -     -   -         -     -   #DIV/0!
Insurance                          -     -   -         -     -   #DIV/0!
Utility Charges                    -     -   -         -     -   #DIV/0!
Rentals & Operating Leases         -     -   -         -     -   #DIV/0!
Miscellaneous Expenditures         -     -   -         -     -   #DIV/0!
Total                              -     -   -         -     -   #DIV/0!
FundSource
 General                           -     -   -         -     -   #DIV/0!
 Dedicated                   1,250,400   -   -   1,250,400   -       0.00%
 Federal                       450,000   -   -     450,000   -       0.00%
Total                        1,700,400   -   -   1,700,400   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


             -                -           -
       1,250,400              -     1,250,400
         450,000              -       450,000
       1,700,400              -     1,700,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -
-   -         -

-   -         -
-   -   1,250,400
-   -     450,000
-   -   1,700,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Emergency Medical Services             Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

             (1)                      (2)          (3)           (4)          (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                       Actual      Actual        Actual       Actual        Change       % Change

Awards Contr & Claims                 -               (225)          -            -             -       #DIV/0!
Education & Training Assistance    13,356              -           2,000        1,725          (275)      -13.75%
Federal Payments To Subgrantees    88,442          377,997        88,203        8,773       (79,430)      -90.05%
Miscellaneous Payments As Agent       -             41,072       172,479       45,568      (126,911)      -73.58%
                                1,696,443
Non Federal Payments To Subgrantees              1,712,104     1,647,888    1,589,974       (57,914)       -3.51%
Total                           1,798,241        2,130,948     1,910,570    1,646,040      (264,530)      -13.85%
FundSource
General                                   -            -             -            -             -       #DIV/0!
Dedicated                           1,798,241    2,130,948     1,910,570    1,646,040      (264,530)      -13.85%
Federal                                   -            -             -            -             -       #DIV/0!
Total                               1,798,241    2,130,948     1,910,570    1,646,040      (264,530)      -13.85%



             (11)                 (12)            (13)          (14)         (15)            (16)        (17)
Part B:                                         Remove        SWCAP,                      General
                                FY 2012                                    FY 2013
Trustee/Benefit                                 One Time      Nondisc.,                   Inflation    % Change
                                Est. Exp                                    Base
Summary Object                                  Funding         Rent                     (DU 10.21)
Awards Contr & Claims                  -               -             -              -             -     #DIV/0!
Education & Training Assistance        -               -             -              -             -     #DIV/0!
Federal Payments To Subgrantees        -               -             -              -             -     #DIV/0!
Miscellaneous Payments As Agent        -               -             -              -             -     #DIV/0!
Non Federal Payments To Subgrantees -                  -             -              -             -     #DIV/0!
Total                                  -               -             -              -             -     #DIV/0!
FundSource
General                                -                 -             -          -             -       #DIV/0!
Dedicated                       1,620,000                -             -    1,620,000           -           0.00%
Federal                           175,000                -             -      175,000           -           0.00%
Total                           1,795,000                -             -    1,795,000           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


             -                -           -
       1,620,000              -     1,620,000
         175,000              -       175,000
       1,795,000              -     1,795,000



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -           -
               -              -     1,620,000
               -              -       175,000
               -              -     1,795,000
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Physical Health Services               Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                      (2)         (3)          (4)           (5)          FY 2010 to FY 2011
Operating Expenditures               FY 2008    FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                        Actual     Actual        Actual       Actual        Change       % Change

Communication Costs                    94,098       84,332      100,600        61,835       (38,765)      -38.53%
Employee Development Costs             83,523       58,994       55,321        50,371        (4,950)       -8.95%
General Services                      257,021      264,827      356,912       296,731       (60,182)      -16.86%
Professional Services               4,040,918    4,286,971    3,231,446     3,834,782       603,336        18.67%
Repair & Maintenance Services         794,827      862,899      727,477     1,218,794       491,317        67.54%
Administrative Services               405,608      420,676      385,524       370,998       (14,526)       -3.77%
Computer Services                     608,471      861,236      811,292     1,431,359       620,067        76.43%
Employee Travel Costs                 240,581      203,980      168,458       209,082        40,623        24.11%
Administrative Supplies               239,985      235,925      252,791       177,906       (74,885)      -29.62%
Fuel & Lubricant Costs                 12,097       11,927        8,254        10,714         2,460        29.80%
Computer Supplies                      72,097      163,650      123,139       277,264       154,126      125.16%
Repair & Maintenance Supplies           1,227        1,409        1,763         2,074           312        17.68%
Institutional & Residential Supplies 275,288       263,108          -             -             -       #DIV/0!
Specific Use Supplies               6,426,111    6,544,888    5,941,330    10,558,117     4,616,787        77.71%
Insurance                              31,388       34,136       14,497         4,114       (10,383)      -71.62%
Rentals & Operating Leases             79,754       71,626       82,858        96,188        13,330        16.09%
Miscellaneous Expenditures            117,345       83,697       81,246        84,691         3,445         4.24%
Total                              13,780,338   14,454,281   12,342,909    18,685,020     6,342,111        51.38%
FundSource
General                                   -            -            -             -             -       #DIV/0!
Dedicated                          13,780,338   14,454,281   12,342,909    18,685,020     6,342,111       51.38%
Federal                                   -            -            -             -             -       #DIV/0!
Total                              13,780,338   14,454,281   12,342,909    18,685,020     6,342,111        51.38%



               (11)                    (12)       (13)         (14)          (15)            (16)        (17)
Part B:                                         Remove       SWCAP,                       General
                                     FY 2012                               FY 2013
Operating Expenditures                          One Time     Nondisc.,                    Inflation    % Change
                                    Est. Exp                                Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Communication Costs                         -          -            -               -             -     #DIV/0!
Employee Development Costs                  -          -            -               -             -     #DIV/0!
General Services                            -          -            -               -             -     #DIV/0!
Professional Services                       -          -            -               -             -     #DIV/0!
Repair & Maintenance Services               -          -            -               -             -     #DIV/0!
Administrative Services                     -          -            -               -             -     #DIV/0!
Computer Services                           -          -            -               -             -     #DIV/0!
Employee Travel Costs                       -          -            -               -             -     #DIV/0!
Administrative Supplies                     -          -            -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -          -            -               -             -     #DIV/0!
Computer Supplies                           -          -            -               -             -     #DIV/0!
Repair & Maintenance Supplies               -          -            -               -             -     #DIV/0!
Institutional & Residential Supplies        -          -            -               -             -     #DIV/0!
Specific Use Supplies                       -          -            -               -             -     #DIV/0!
Insurance                           -     -   -          -     -   #DIV/0!
Rentals & Operating Leases          -     -   -          -     -   #DIV/0!
Miscellaneous Expenditures          -     -   -          -     -   #DIV/0!
Total                               -     -   -          -     -   #DIV/0!
FundSource
 General                      1,548,000   -   -    1,548,000   -       0.00%
 Dedicated                   10,289,900   -   -   10,289,900   -       0.00%
 Federal                      7,757,300   -   -    7,757,300   -       0.00%
Total                        19,595,200   -   -   19,595,200   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,548,000              -     1,548,000
      10,289,900              -    10,289,900
       7,757,300              -     7,757,300
      19,595,200              -    19,595,200



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -          -
-   -          -
-   -          -
-   -          -

-   -    1,548,000
-   -   10,289,900
-   -    7,757,300
-   -   19,595,200
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                        Agency Number: 270
Function: Physical Health Services              Function/Activity Number:____________
Activity: ______________________________                                                                       Original Submission _

             (1)                       (2)        (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                      FY 2008   FY 2009       FY 2010      FY 2011          (6)           (7)
Summary Object                        Actual    Actual        Actual       Actual        Change       % Change

Awards Contr & Claims         27,602,572       30,852,979   29,773,144    27,409,795    (2,363,349)       -7.94%
                              20,156,734
Federal Payments To Subgrantees                20,218,676   25,210,844    21,177,787    (4,033,058)      -16.00%
Miscellaneous Payments As Agent 1,043,291         999,081    1,058,020     1,198,749       140,730        13.30%
                                1,980,073
Non Federal Payments To Subgrantees             2,244,252    1,308,511     1,224,864       (83,647)       -6.39%
Total                         50,782,669       54,314,988   57,350,519    51,011,194    (6,339,325)      -11.05%
FundSource
General                                 -             -            -             -             -       #DIV/0!
Dedicated                        50,782,669    54,314,988   57,350,519    51,011,194    (6,339,325)      -11.05%
Federal                                 -             -            -             -             -       #DIV/0!
Total                            50,782,669    54,314,988   57,350,519    51,011,194    (6,339,325)      -11.05%



            (11)                  (12)           (13)         (14)          (15)            (16)        (17)
Part B:                                        Remove       SWCAP,                       General
                                FY 2012                                   FY 2013
Trustee/Benefit                                One Time     Nondisc.,                    Inflation    % Change
                               Est. Exp                                    Base
Summary Object                                 Funding        Rent                      (DU 10.21)
Awards Contr & Claims                  -              -            -               -             -     #DIV/0!
Federal Payments To Subgrantees        -              -            -               -             -     #DIV/0!
Miscellaneous Payments As Agent        -              -            -               -             -     #DIV/0!
Non Federal Payments To Subgrantees -                 -            -               -             -     #DIV/0!
Total                                  -              -            -               -             -     #DIV/0!
FundSource
General                         1,084,600               -            -     1,084,600           -           0.00%
Dedicated                     10,492,800                -            -    10,492,800           -           0.00%
Federal                       42,997,900                -            -    42,997,900           -           0.00%
Total                         54,575,300                -            -    54,575,300           -           0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       1,084,600              -     1,084,600
      10,492,800              -    10,492,800
      42,997,900              -    42,997,900
      54,575,300              -    54,575,300



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -

               -              -     1,084,600
               -              -    10,492,800
               -              -    42,997,900
               -              -    54,575,300
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                           Agency Number: 270
Function: Indirect Support Services                Function/Activity Number:____________
Activity: ______________________________                                                                           Original Submission _

              (1)                      (2)           (3)           (4)           (5)          FY 2010 to FY 2011
Operating Expenditures              FY 2008       FY 2009       FY 2010       FY 2011          (6)           (7)
Summary Object                       Actual        Actual        Actual        Actual        Change       % Change

Communication Costs                  2,077,058     2,054,312     1,647,811     1,359,366      (288,445)      -17.50%
Employee Development Costs             183,785       187,809       148,740       123,389       (25,351)      -17.04%
General Services                      (282,740)     (216,347)     (369,806)     (295,103)       74,703       -20.20%
Professional Services                4,948,808     4,767,589     5,716,685     5,824,728       108,044         1.89%
Repair & Maintenance Services        1,510,334     1,221,720     1,353,207     1,626,282       273,075        20.18%
Administrative Services                 63,433        51,040        90,922        39,075       (51,847)      -57.02%
Computer Services                    1,642,726     1,452,165     1,185,211     1,036,974      (148,237)      -12.51%
Employee Travel Costs                  199,985       154,427       111,972        87,684       (24,288)      -21.69%
Administrative Supplies               (295,648)     (301,082)     (470,374)     (350,496)      119,878       -25.49%
Fuel & Lubricant Costs                (282,534)     (283,802)     (154,407)     (227,246)      (72,839)       47.17%
Computer Supplies                      233,666       384,429       290,507       363,633        73,127        25.17%
Repair & Maintenance Supplies           73,819        38,893        39,801        33,923        (5,878)      -14.77%
Institutional & Residential Supplies    12,873         9,218        12,704         8,409        (4,295)      -33.81%
Specific Use Supplies                   18,811         6,091         2,912         3,110           197         6.77%
Insurance                               27,130        38,728        21,113         7,722       (13,392)      -63.43%
Utility Charges                         32,957        (8,319)        6,471         3,430        (3,040)      -46.99%
Rentals & Operating Leases           2,579,181     2,229,516     2,038,722     1,862,076      (176,647)       -8.66%
Miscellaneous Expenditures           2,400,240     2,605,831     2,965,413     2,461,161      (504,252)      -17.00%
Total                              15,143,885     14,392,218    14,637,604    13,968,117      (669,486)       -4.57%
FundSource
General                                   -              -             -             -             -       #DIV/0!
Dedicated                          15,143,885     14,392,218    14,637,604    13,968,117      (669,486)       -4.57%
Federal                                   -              -             -             -             -       #DIV/0!
Total                              15,143,885     14,392,218    14,637,604    13,968,117      (669,486)       -4.57%



               (11)                    (12)         (13)          (14)          (15)            (16)        (17)
Part B:                                           Remove        SWCAP,                       General
                                     FY 2012                                  FY 2013
Operating Expenditures                            One Time      Nondisc.,                    Inflation    % Change
                                    Est. Exp                                   Base
Summary Object                                    Funding         Rent                      (DU 10.21)
Communication Costs                         -            -             -               -             -     #DIV/0!
Employee Development Costs                  -            -             -               -             -     #DIV/0!
General Services                            -            -             -               -             -     #DIV/0!
Professional Services                       -            -             -               -             -     #DIV/0!
Repair & Maintenance Services               -            -             -               -             -     #DIV/0!
Administrative Services                     -            -             -               -             -     #DIV/0!
Computer Services                           -            -             -               -             -     #DIV/0!
Employee Travel Costs                       -            -             -               -             -     #DIV/0!
Administrative Supplies                     -            -             -               -             -     #DIV/0!
Fuel & Lubricant Costs                      -            -             -               -             -     #DIV/0!
Computer Supplies                           -            -             -               -             -     #DIV/0!
Repair & Maintenance Supplies               -            -             -               -             -     #DIV/0!
Institutional & Residential Supplies        -            -             -               -             -     #DIV/0!
Specific Use Supplies               -     -   -          -     -   #DIV/0!
Insurance                           -     -   -          -     -   #DIV/0!
Utility Charges                     -     -   -          -     -   #DIV/0!
Rentals & Operating Leases          -     -   -          -     -   #DIV/0!
Miscellaneous Expenditures          -     -   -          -     -   #DIV/0!
Total                               -     -   -          -     -   #DIV/0!
FundSource
 General                      5,955,700   -   -    5,955,700   -       0.00%
 Dedicated                    1,025,400   -   -    1,025,400   -       0.00%
 Federal                      6,969,300   -   -    6,969,300   -       0.00%
Total                        13,950,400   -   -   13,950,400   -       0.00%
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -


       5,955,700              -     5,955,700
       1,025,400              -     1,025,400
       6,969,300              -     6,969,300
      13,950,400              -    13,950,400



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
               -              -             -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -
-   -          -

-   -    5,955,700
-   -    1,025,400
-   -    6,969,300
-   -   13,950,400
Form B4: Inflationary Adjustments
Agency: Health and Welfare, Department of                         Agency Number: 270
Function: Indirect Support Services              Function/Activity Number:____________
Activity: ______________________________                                                                        Original Submission _

              (1)                     (2)          (3)          (4)           (5)          FY 2010 to FY 2011
Trustee/Benefit                     FY 2008     FY 2009       FY 2010      FY 2011          (6)          (7)
Summary Object                       Actual      Actual        Actual       Actual        Change      % Change

Non Federal Payments To Subgrantees         -            -            -             -           -      #DIV/0!
Total                                       -            -            -             -           -      #DIV/0!
FundSource
General                                     -            -            -             -           -      #DIV/0!
Dedicated                                   -            -            -             -           -      #DIV/0!
Federal                                     -            -            -             -           -      #DIV/0!
Total                                       -            -            -             -           -      #DIV/0!



            (11)                 (12)             (13)         (14)          (15)            (16)       (17)
Part B:                                         Remove       SWCAP,                       General
                               FY 2012                                     FY 2013
Trustee/Benefit                                 One Time     Nondisc.,                    Inflation   % Change
                              Est. Exp                                      Base
Summary Object                                  Funding        Rent                      (DU 10.21)
Non Federal Payments To Subgrantees -                  -            -               -             -    #DIV/0!
Total                                 -                -            -               -             -    #DIV/0!
FundSource
General                               -                  -            -             -           -      #DIV/0!
Dedicated                             -                  -            -             -           -      #DIV/0!
Federal                               -                  -            -             -           -      #DIV/0!
Total                                 -                  -            -             -           -      #DIV/0!
                              FY 2013 Request
                       Page _____ of _____
Original Submission ____ or Revision No. ____

         (8)           (9)           (10)
       FY 2012      FY 2012        FY 2012
       Approp       Exp. Adj.      Est. Exp.

               -              -             -
               -              -             -


               -              -             -
               -              -             -
               -              -             -
               -              -             -



          (18)         (19)          (20)
       Medical
                                    FY2013
       Inflation   % Change
                                     Total
      (DU 10.22)
               -              -             -
               -              -             -

               -              -             -
               -              -             -
               -              -             -
               -              -             -

				
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