EXHIBIT F

INDIAN HEALTH SERVICE

**Health Services**

SUMMARY OF CHANGES

<table style="width:100%;">
<colgroup>
<col style="width: 0%" />
<col style="width: 40%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 17%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 19%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td></td>
<td colspan="4"><p>2003 President’s Budget Request..........</p>
<p>Total estimated budget authority...
(Obligations)........................</p>
<p>2004 Estimate............................</p>
<p>(Obligations).......................</p>
<p>Net Change..........................</p>
<p>(Obligations).......................</p></td>
<td colspan="4"><p>$2,453,835,000</p>
<p>$2,453,835,000</p>
<p>($2,453,835,000)</p>
<p>$2,502,393,000</p>
<p><u>($2,502,393,000)</u></p>
<p>+$48,558,000</p>
<p>(+$48,558,000)</p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="4"><h2 id="presidents">2003 President’s</h2>
<h2 id="budget-base">Budget Base</h2></td>
<td colspan="4"><h2 id="section"></h2>
<h2 id="change-from-base__">Change from Base__</h2></td>
</tr>
<tr class="odd">
<td colspan="2"><u>INCREASES:</u></td>
<td><u>FTE</u></td>
<td colspan="3"><h1 id="ba-__"> BA __ </h1></td>
<td><u>FTE</u></td>
<td colspan="3"><h1 id="ba____"> BA____</h1></td>
</tr>
<tr class="even">
<td colspan="2">A. <u>Built In:</u></td>
<td></td>
<td colspan="3"></td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"><p>1. Annualization of FY 2003 CS Pay Raise at 3.1% (3
mos)..</p>
<p>2. Annualization of FY 2003 CO</p>
<p>Pay Raise at 4.7% (3 mos)..</p>
<p>3. FY 2004 CS Pay Raise at</p>
<p>2.0% (9 months)</p>
<p>4. Tribal Pay Cost............</p>
<p>5. Within Grade Increase</p>
<p>6. One Day Pay................</p>
<p>7. Increased Cost of Travel</p>
<p>8. Increased Trans of Things</p>
<p>9. Increased cost of Printing</p>
<p>10. Increased Cost of Rents,</p>
<p>Comm., &amp; Utilities</p>
<p>11. Increased Cost of Health Care Provided Under</p>
<p>Contracts &amp; Grants.........</p>
<p>12. Increased Cost of Supplies</p>
<p>13. Increased Cost of Medical or Other Equipment</p>
<p>14. Increased Cost of Land</p>
<p>Structure</p>
<p>15. Increased Cost of Grants</p>
<p>16. Increased Cost of Insurance</p>
<p>/Indemnities</p>
<p>17. Increased Cost of Interest</p>
<p>/Dividents.................</p>
<p>18. Increased Cost of Service</p>
<p>And Supply Fund...........</p>
<p>19. Population Growth.........</p>
<p>20. Add’l Medical Inflation...</p>
<p>Subtotal Built-In.........</p></td>
<td><p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p></td>
<td colspan="3"><p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>26,524,000 8,298,000</p>
<p>1,489,000</p>
<p>32,038,000</p>
<p>320,982,000</p>
<p>128,458,000</p>
<p>9,134,000</p>
<p>3,154,000</p>
<p>1,320,441,000</p>
<p>3,617,000</p>
<p>170,000</p>
<p>N/A</p>
<p>N/A</p>
<p><u>N/A</u></p>
<p>N/A</p></td>
<td><p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p></td>
<td colspan="3"><p>$3,454,000</p>
<p>1,203,000</p>
<p>8,740,000</p>
<p>22,693,000</p>
<p>9,823,000</p>
<p>2,231,000</p>
<p>397,000</p>
<p>123,000</p>
<p>59,000</p>
<p>512,000</p>
<p>11,789,000</p>
<p>3,909,000</p>
<p>280,000</p>
<p>48,000</p>
<p>48,974,000</p>
<p>54,000</p>
<p>2,000</p>
<p>1,487,000</p>
<p>12,712,000</p>
<p><u>10,921,000</u></p>
<p>139,411,000</p></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td></td>
<td colspan="3"></td>
<td></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="4"><p>2003 President’s</p>
<p><u>Budget Base</u></p></td>
<td colspan="4"><u>Change from Base</u></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="2"><u>FTE</u></td>
<td colspan="2"><u>BA___</u></td>
<td colspan="2"><u>FTE</u></td>
<td colspan="2"><u>BA___</u></td>
</tr>
<tr class="odd">
<td colspan="2"><p>B. <u>Phasing In of Staff and</u></p>
<p><u>Operating Cost of New Fac:</u></p>
<p>Pawnee, OK Hlth Ctr</p>
<p>Winnebago, NE Hospital.....</p>
<p>Ft. Defiance, AZ Hospital</p>
<p>Subtotal Staffing</p>
<p>C. <u>Program:</u></p>
<p>Contract Health Services....</p>
<p>Subtotal Program............</p>
<p>TOTAL INCREASES................</p></td>
<td colspan="2"><p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p></td>
<td colspan="2"><p>N/A</p>
<p>N/A</p>
<p><u>N/A</u></p>
<p>N/A</p>
<h2 id="na">N/A</h2>
<p>N/A</p>
<p>N/A</p></td>
<td colspan="2"><p>60</p>
<p>81</p>
<p><u>86</u></p>
<p>+227</p>
<p><u>--</u></p>
<p>--</p>
<p>+227</p></td>
<td colspan="2"><p>$5,298,000</p>
<p>8,755,000</p>
<p><u>7,680,000</u></p>
<p>+$21,733,000</p>
<p>$<u>24,916,000</u></p>
<p>+$24,916,000</p>
<p>+$186,060,000</p></td>
</tr>
<tr class="even">
<td colspan="2"><p><u>DECREASES:</u></p>
<p>A. <u>Built In:</u></p>
<p>Absorption of Built-In:</p>
<p>Inflation Increases.......</p>
<p>B. Program Decreases:</p>
<p>Right Sizing...............</p>
<p>Info Tech Savings..........</p>
<p>Subtotal Program Decreases.</p>
<p>TOTAL DECREASES</p>
<p>NET CHANGE</p></td>
<td colspan="2"><p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p>
<p>--</p></td>
<td colspan="2"><p>N/A</p>
<p>N/A</p>
<h2 id="na-1">N/A</h2>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p></td>
<td colspan="2"><p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p>
<p>+227</p></td>
<td colspan="2"><p>-$106,886,000</p>
<p>-$21,334,000</p>
<p><u>-9,282,000</u></p>
<p>-$30,616,000</p>
<p>-$137,502,000</p>
<p>+$44,558,000</p></td>
</tr>
</tbody>
</table>

**Clinical Services**

<table>
<colgroup>
<col style="width: 0%" />
<col style="width: 42%" />
<col style="width: 7%" />
<col style="width: 16%" />
<col style="width: 4%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 14%" />
<col style="width: 1%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td></td>
<td colspan="3"><p>2003 President’s Budget Request.........</p>
<p>Total estimated budget authority ...</p>
<p>(Obligations)......................</p>
<p>2004 Estimate...........................</p>
<p>(Obligations)......................</p>
<p>Net Change.........................</p>
<p>(Obligations)......................</p></td>
<td colspan="4"><p>$1,945,125,000</p>
<p>$1,945,125,000</p>
<p>($1,945,125,000)</p>
<p>$1,987,146,000</p>
<p><u>($1,987,146,000)</u></p>
<p>+$42,021,000</p>
<p>(+$42,021,000)</p></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="3"><p>2003 President’s</p>
<p><u>Budget Base___</u></p></td>
<td colspan="4"><u>Change from Base</u></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><u>INCREASES:</u></td>
<td><u>FTE</u></td>
<td colspan="2"><u>BA___</u></td>
<td><u>FTE</u></td>
<td colspan="3"><u>BA___</u></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">A. <u>Built In:</u></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td colspan="3"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><p>1. Annualization of FY 2003 CS Pay Raise at 3.1% (3
mos)..</p>
<p>2. Annualization of FY 2003 CO</p>
<p>Pay Raise at 4.7% (3 mos)..</p>
<p>3. FY 2004 Pay Raise at 2.0% (9 months)</p>
<p>4. Within Grade Increase</p>
<p>5. One Day Pay................</p>
<p>6. Tribal Pay Cost............</p>
<p>7. Increased Cost of Travel .</p>
<p>8. Increased Trans of Things..</p>
<p>9. Increased cost of Printing.</p>
<p>10. Increased Cost of Rents,</p>
<p>Comm., &amp; Utilities</p>
<p>11. Increased Cost of Health Care Provided Under</p>
<p>Contracts &amp; Grants.........</p>
<p>12. Increased Cost of Supplies.</p>
<p>13. Increased Cost of Medical or Other Equipment</p>
<p>14. Increased Cost of Land</p>
<p>Structure</p>
<p>15. Increased Cost of Grants</p>
<p>16. Increased Cost of Insurance</p>
<p>/Indemnities</p>
<p>17. Increased Cost of Interest</p>
<p>Dividents..................</p>
<p>18. Increased Cost of Service</p>
<p>And Supply Fund............</p>
<p>19. Add’l Medical Inflation....</p>
<p>20. Population Growth..........</p>
<p>Subtotal Built In..........</p></td>
<td><p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p></td>
<td colspan="2"><p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>N/A</p>
<p>25,300,000</p>
<p>7,055,000</p>
<p>1,314,000</p>
<p>31,258,000</p>
<p>311,940,000</p>
<p>124,880,000</p>
<p>8,593,000</p>
<p>3,101,000</p>
<p>897,371,000</p>
<p>3,603,000</p>
<p>170,000</p>
<p>N/A</p>
<p>N/A</p>
<h2 id="na-2"> N/A</h2>
<p>N/A</p></td>
<td><p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p></td>
<td colspan="3"><p>$3,081,000</p>
<p>1,073,000</p>
<p>7,837,000</p>
<p>8,763,000</p>
<p>2,002,000</p>
<p>19,897,000</p>
<p>379,000</p>
<p>106,000</p>
<p>52,000</p>
<p>501,000</p>
<p>11,456,000</p>
<p>3,885,000</p>
<p>272,000</p>
<p>47,000</p>
<p>33,503,000</p>
<p>54,000</p>
<p>2,000</p>
<p>1,487,000</p>
<p>8,626,000</p>
<p><u>10,006,000</u></p>
<p>$113,029,000</p></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"></td>
<td colspan="3"><p>2003 President’s</p>
<p><u>Budget Base__</u></p></td>
<td colspan="5"><u>Change from Base</u></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td><u>FTE</u></td>
<td colspan="2"><u>BA___</u></td>
<td colspan="2"><u>FTE</u></td>
<td colspan="3"><u>BA___</u></td>
</tr>
<tr class="odd">
<td colspan="2"><p>B. <u>Phasing In of Staff and</u></p>
<p><u>Operating Cost of New Fac:</u></p>
<p>Pawnee, OK Hlth Ctr</p>
<p>Winnebago, NE Hospital.....</p>
<p>Ft. Defiance, AZ Hospital</p>
<p>Subtotal Staffing</p>
<p>C. <u>Program:</u></p>
<p>Contract Health Services....</p>
<p>Subtotal Program............</p>
<p>TOTAL INCREASES</p></td>
<td><p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p></td>
<td colspan="2"><p>N/A</p>
<p>N/A</p>
<p><u>N/A__</u></p>
<p>N/A</p>
<h2 id="na__"> N/A__</h2>
<p>N/A</p>
<p>N/A__</p></td>
<td colspan="2"><p>48</p>
<p>81 <u>76</u></p>
<p>+205</p>
<p><u>--</u></p>
<p>--</p>
<p>+205</p></td>
<td colspan="3"><p>$4,140,000</p>
<p>7,453,000</p>
<p><u>6,741,000</u></p>
<p>+$18,334,000</p>
<p><u>24,916,000</u></p>
<p>+$24,916,000</p>
<p>+$156,279,000</p></td>
</tr>
<tr class="even">
<td colspan="2"><p><u>DECREASES:</u></p>
<p>A. <u>Built In:</u></p>
<p>Absorption of Built-In:</p>
<p>Inflation Increases.........</p>
<p>Subtotal Built In...........</p>
<p>B. <u>Program:</u></p>
<p>Right Sizing................</p>
<p>Info Tech Savings...........</p>
<p>Subtotal Program............</p>
<p>TOTAL DECREASES</p>
<p>NET CHANGE</p></td>
<td><p><u>--</u></p>
<p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p>
<p>--</p></td>
<td colspan="2"><p><u>N/A__</u></p>
<p>N/A</p>
<p>N/A</p>
<p><u>N/A__</u></p>
<p>N/A</p>
<p>N/A__</p>
<p>N/A__</p></td>
<td colspan="2"><p><u>--</u></p>
<p>--</p>
<p>--</p>
<p><u>--</u></p>
<p>--</p>
<p>--</p>
<p>+205</p></td>
<td colspan="3"><p><u>$84,088,000</u> -$84,087,000</p>
<p>-$20,888,000</p>
<p><u>-$9,282,000</u></p>
<p>-$30,170,000</p>
<p>-$114,258,000</p>
<p>+$42,021,000</p></td>
</tr>
</tbody>
</table>

**Hospitals and Health Clinics**

+-----------------------------------------------+----------------------+
| 2003 President Budget                         | \$1,188,540,000      |
|                                               |                      |
| Total estimated budget authority              | \$1,188,540,000      |
|                                               |                      |
| (Obligations)                                 | (\$1,188,540,000)    |
|                                               |                      |
| 2004 Estimate                                 | \$1,194,600,000      |
|                                               |                      |
| (Obligations)                                 | [(\$1,194,6          |
|                                               | 00,000)]{.underline} |
| Net Change                                    |                      |
|                                               | +\$6,060,000         |
| (Obligations)                                 |                      |
|                                               | (+\$6,060,000)       |
+-----------------------------------------------+----------------------+

+------------------------------+-----+--------------+----+------------+
|                              | 2   |              | [  |            |
|                              | 003 |              | Ch |            |
|                              | Pr  |              | an |            |
|                              | esi |              | ge |            |
|                              | den |              | fr |            |
|                              | t's |              | om |            |
|                              |     |              | B  |            |
|                              | [   |              | as |            |
|                              | Bud |              | e] |            |
|                              | get |              | {. |            |
|                              | Bas |              | un |            |
|                              | e\_ |              | de |            |
|                              | \_] |              | rl |            |
|                              | {.u |              | in |            |
|                              | nde |              | e} |            |
|                              | rli |              |    |            |
|                              | ne} |              |    |            |
+------------------------------+-----+--------------+----+------------+
| [INCREASES:]{.underline}     | [F  | [BA\_\_\_]   | [  | [B         |
|                              | TE] | {.underline} | FT | A\_\_\_]{. |
|                              | {.u |              | E] | underline} |
|                              | nde |              | {. |            |
|                              | rli |              | un |            |
|                              | ne} |              | de |            |
|                              |     |              | rl |            |
|                              |     |              | in |            |
|                              |     |              | e} |            |
+------------------------------+-----+--------------+----+------------+
| A. [Built In:]{.underline}   |     |              |    |            |
+------------------------------+-----+--------------+----+------------+
| 1\. Annualization of FY 2003 | \-- | N/A          | \  | \          |
| CS Pay Raise at 3.1% (3      |     |              | -- | $2,648,000 |
| mos)..                       | \-- | N/A          |    |            |
|                              |     |              | \  | 821,000    |
| 2\. Annualization of FY 2003 | \-- | N/A          | -- |            |
| CO                           |     |              |    | 6,578,000  |
|                              | \-- | N/A          | \  |            |
| Pay Raise at 4.7% (3 mos)..  |     |              | -- | 7,322,000  |
|                              | \-- | N/A          |    |            |
| 3\. FY 2004 Pay Raise at     |     |              | \  | 1,680,000  |
| 2.0% (9 months)              | \-- | N/A          | -- |            |
|                              |     |              |    | 15,163,000 |
| 4\. Within Grade             | \-- | 6,453,000    | \  |            |
| Increase\...\...             |     |              | -- | 97,000     |
|                              | \-- | 6,147,000    |    |            |
| 5\. One Day                  |     |              | \  | 92,000     |
| Pay\...\...\...\...\....     | \-- | 1,258,000    | -- |            |
|                              |     |              |    | 50,000     |
| 6\. Tribal Pay               | \-- | 30,393,000   | \  |            |
| Cost\...\...\...\...         |     |              | -- | 488,000    |
|                              | \-- | 78,226,000   |    |            |
| 7\. Increased Cost of        |     |              | \  | 2,774,000  |
| Travel\...                   | \-- | 104,707,000  | -- |            |
|                              |     |              |    | 3,189,000  |
| 8\. Increased Trans of       | \-- | 5,751,000    | \  |            |
| Things..                     |     |              | -- | 200,000    |
|                              | \-- | 3,101,000    |    |            |
| 9\. Increased cost of        |     |              | \  | 47,000     |
| Printing.                    | \-- | 507,994,000  | -- |            |
|                              |     |              |    | 19,046,000 |
| 10\. Increased Cost of       | \-- | 75,000       | \  |            |
| Rents,                       |     |              | -- | 1,000      |
|                              | \-- | N/A          |    |            |
| Comm., & Utilities           |     |              | \  | 1,487,000  |
|                              | \-- | N/A          | -- |            |
| 11\. Increased Cost of       |     |              |    | 1,719,000  |
| Health Care Provided Under   | [\  | ##           | \  |            |
|                              | --] |  N/A {#na-3} | -- | [1,        |
| Contracts &                  | {.u |              |    | 999,000]{. |
| Grants\...\...\...           | nde | N/A          | \  | underline} |
|                              | rli |              | -- |            |
| 12\. Increased Cost of       | ne} |              |    | +\$        |
| Supplies.                    |     |              | \  | 65,401,000 |
|                              | \-- |              | -- |            |
| 13\. Increased Cost of       |     |              |    |            |
| Medical or Other Equipment   |     |              | \  |            |
|                              |     |              | -- |            |
| 14\. Increased Cost of Land  |     |              |    |            |
|                              |     |              | \  |            |
| Structure                    |     |              | -- |            |
|                              |     |              |    |            |
| 15\. Increased Cost of       |     |              | [  |            |
| Grants                       |     |              | \- |            |
|                              |     |              | -] |            |
| 16\. Increased Cost of       |     |              | {. |            |
| Insurance                    |     |              | un |            |
|                              |     |              | de |            |
| /I                           |     |              | rl |            |
| ndemnities\...\...\...\..... |     |              | in |            |
|                              |     |              | e} |            |
| 17\. Increased to Services   |     |              |    |            |
| and                          |     |              | \  |            |
|                              |     |              | -- |            |
| Supply Fund                  |     |              |    |            |
|                              |     |              |    |            |
| 18\. Add'l Medical           |     |              |    |            |
| Inflation\....               |     |              |    |            |
|                              |     |              |    |            |
| 19\. Population              |     |              |    |            |
| Growth\...\...\....          |     |              |    |            |
|                              |     |              |    |            |
| Subtotal Built               |     |              |    |            |
| In\...\...\....              |     |              |    |            |
+------------------------------+-----+--------------+----+------------+

+-----------------------------+-----+--------------+----+-------------+
|                             | 2   |              | [  |             |
|                             | 003 |              | Ch |             |
|                             | Pr  |              | an |             |
|                             | esi |              | ge |             |
|                             | den |              | fr |             |
|                             | t's |              | om |             |
|                             |     |              | B  |             |
|                             | [   |              | as |             |
|                             | Bud |              | e] |             |
|                             | get |              | {. |             |
|                             | Bas |              | un |             |
|                             | e\_ |              | de |             |
|                             | \_] |              | rl |             |
|                             | {.u |              | in |             |
|                             | nde |              | e} |             |
|                             | rli |              |    |             |
|                             | ne} |              |    |             |
+-----------------------------+-----+--------------+----+-------------+
|                             | [F  | [BA\_\_\_]   | [  | [B          |
|                             | TE] | {.underline} | FT | A\_\_\_\_]{ |
|                             | {.u |              | E] | .underline} |
|                             | nde |              | {. |             |
|                             | rli |              | un |             |
|                             | ne} |              | de |             |
|                             |     |              | rl |             |
|                             |     |              | in |             |
|                             |     |              | e} |             |
+-----------------------------+-----+--------------+----+-------------+
| B. [Phasing In of Staff     | \-- | N/A          | 33 | \$2,771,000 |
| and]{.underline}            |     |              |    |             |
|                             | \-- | N/A          | 74 | 6,635,000   |
| [Operating Cost of New      |     |              |    |             |
| Fac:]{.underline}           | [\  | [N/A]        | [4 | [           |
|                             | --] | {.underline} | 1] | 3,443,000]{ |
| Pawnee, OK Hlth Ctr         | {.u |              | {. | .underline} |
|                             | nde | N/A          | un |             |
| Winnebago, NE               | rli |              | de | +\          |
| Hospital\.....              | ne} | N/A          | rl | $12,849,000 |
|                             |     |              | in |             |
| Ft. Defiance, AZ Hospital   | \-- |              | e} | +\          |
|                             |     |              |    | $78,250,000 |
| Subtotal Staffing           | \-- |              | +1 |             |
|                             |     |              | 48 |             |
| TOTAL                       |     |              |    |             |
| INC                         |     |              | +1 |             |
| REASES\...\...\...\...\.... |     |              | 48 |             |
+-----------------------------+-----+--------------+----+-------------+
| [DECREASES:]{.underline}    | [\  | [N/A]        | [  | [-\$4       |
|                             | --] | {.underline} | \- | 2,018,000]{ |
| A. [Built In:]{.underline}  | {.u |              | -] | .underline} |
|                             | nde | N/A          | {. |             |
| Absorption of Built-In:     | rli |              | un | -\          |
|                             | ne} | N/A          | de | $42,018,000 |
| Inflation                   |     |              | rl |             |
| Increases\...\...\...       | \-- | [N/A]        | in | \           |
|                             |     | {.underline} | e} | $20,888,000 |
| Subtotal Built              | \-- |              |    |             |
| In\...\...\.....            |     | N/A          | \  | [-\$        |
|                             | [\  |              | -- | 9,284,000]{ |
| B. [Program:]{.underline}   | --] | N/A          |    | .underline} |
|                             | {.u |              | \  |             |
| Right                       | nde | ######       | -- | -\          |
| Sizing\...\...\...\...\.... | rli |  N/A {#na-4} |    | $30,172,000 |
| Info Tech                   | ne} |              | [  |             |
| Savings\...\...\.....       |     |              | \- | -\          |
|                             | \-- |              | -] | $72,190,000 |
| Subtotal                    |     |              | {. |             |
| Program\...\...\...\...     | \-- |              | un | +           |
|                             |     |              | de | \$6,060,000 |
| TOTAL DECREASES             | \-- |              | rl |             |
|                             |     |              | in |             |
| NET CHANGE                  |     |              | e} |             |
|                             |     |              |    |             |
|                             |     |              | \  |             |
|                             |     |              | -- |             |
|                             |     |              |    |             |
|                             |     |              | \  |             |
|                             |     |              | -- |             |
|                             |     |              |    |             |
|                             |     |              | +1 |             |
|                             |     |              | 48 |             |
+-----------------------------+-----+--------------+----+-------------+

**Dental Health**

+---+--------------------------+-------+-------+---+-----+-------+---+
|   | 2003 President's Budget  |       |       | \ |     |       |   |
|   | Request                  |       |       | $ |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   | Total estimated budget   |       |       | 0 |     |       |   |
|   | authority                |       |       | 0 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   | (Obligations)            |       |       | 0 |     |       |   |
|   |                          |       |       | 8 |     |       |   |
|   | 2004 Estimate            |       |       | 5 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   | (Obligations)            |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   | Net Change               |       |       | 0 |     |       |   |
|   |                          |       |       |   |     |       |   |
|   | (Obligations)            |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 8 |     |       |   |
|   |                          |       |       | 5 |     |       |   |
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|   |                          |       |       | 0 |     |       |   |
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|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       |   |     |       |   |
|   |                          |       |       | ( |     |       |   |
|   |                          |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
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|   |                          |       |       | ) |     |       |   |
|   |                          |       |       |   |     |       |   |
|   |                          |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | , |     |       |   |
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|   |                          |       |       | 6 |     |       |   |
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|   |                          |       |       | 0 |     |       |   |
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|   |                          |       |       |   |     |       |   |
|   |                          |       |       | [ |     |       |   |
|   |                          |       |       | ( |     |       |   |
|   |                          |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | 6 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 0 |     |       |   |
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|   |                          |       |       | ) |     |       |   |
|   |                          |       |       | ] |     |       |   |
|   |                          |       |       | { |     |       |   |
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|   |                          |       |       | u |     |       |   |
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|   |                          |       |       | d |     |       |   |
|   |                          |       |       | e |     |       |   |
|   |                          |       |       | r |     |       |   |
|   |                          |       |       | l |     |       |   |
|   |                          |       |       | i |     |       |   |
|   |                          |       |       | n |     |       |   |
|   |                          |       |       | e |     |       |   |
|   |                          |       |       | } |     |       |   |
|   |                          |       |       |   |     |       |   |
|   |                          |       |       | + |     |       |   |
|   |                          |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 4 |     |       |   |
|   |                          |       |       | 8 |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       |   |     |       |   |
|   |                          |       |       | ( |     |       |   |
|   |                          |       |       | + |     |       |   |
|   |                          |       |       | \ |     |       |   |
|   |                          |       |       | $ |     |       |   |
|   |                          |       |       | 5 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 4 |     |       |   |
|   |                          |       |       | 8 |     |       |   |
|   |                          |       |       | 1 |     |       |   |
|   |                          |       |       | , |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | 0 |     |       |   |
|   |                          |       |       | ) |     |       |   |
+---+--------------------------+-------+-------+---+-----+-------+---+
|   |                          | 2003  |       |   | #   |       |   |
|   |                          | P     |       |   | #   |       |   |
|   |                          | resid |       |   | {#s |       |   |
|   |                          | ent's |       |   | ect |       |   |
|   |                          |       |       |   | ion |       |   |
|   |                          | [B    |       |   | -1} |       |   |
|   |                          | udget |       |   |     |       |   |
|   |                          | Ba    |       |   | #   |       |   |
|   |                          | se]{. |       |   | # C |       |   |
|   |                          | under |       |   | han |       |   |
|   |                          | line} |       |   | ge  |       |   |
|   |                          |       |       |   | fro |       |   |
|   |                          |       |       |   | m B |       |   |
|   |                          |       |       |   | ase |       |   |
+---+--------------------------+-------+-------+---+-----+-------+---+
| [ |                          | [F    | [B    |   | [F  | [B    |   |
| I |                          | TE]{. | A\_\_ |   | TE] | A\_\_ |   |
| N |                          | under | \_]{. |   | {.u | \_]{. |   |
| C |                          | line} | under |   | nde | under |   |
| R |                          |       | line} |   | rli | line} |   |
| E |                          |       |       |   | ne} |       |   |
| A |                          |       |       |   |     |       |   |
| S |                          |       |       |   |     |       |   |
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| { |                          |       |       |   |     |       |   |
| . |                          |       |       |   |     |       |   |
| u |                          |       |       |   |     |       |   |
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| n |                          |       |       |   |     |       |   |
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| } |                          |       |       |   |     |       |   |
+---+--------------------------+-------+-------+---+-----+-------+---+
| A |                          |       |       |   |     |       |   |
| . |                          |       |       |   |     |       |   |
| [ |                          |       |       |   |     |       |   |
| B |                          |       |       |   |     |       |   |
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| u |                          |       |       |   |     |       |   |
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| n |                          |       |       |   |     |       |   |
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| } |                          |       |       |   |     |       |   |
+---+--------------------------+-------+-------+---+-----+-------+---+
| 1 |                          | \--   | N/A   |   | \-- | \$20  |   |
| \ |                          |       |       |   |     | 0,000 |   |
| . |                          | \--   | N/A   |   | \-- |       |   |
| A |                          |       |       |   |     | 22    |   |
| n |                          | \--   | N/A   |   | \-- | 2,000 |   |
| n |                          |       |       |   |     |       |   |
| u |                          | \--   | N/A   |   | \-- | 72    |   |
| a |                          |       |       |   |     | 4,000 |   |
| l |                          | \--   | N/A   |   | \-- |       |   |
| i |                          |       |       |   |     | 18    |   |
| z |                          | \--   | N/A   |   | \-- | 5,000 |   |
| a |                          |       |       |   |     |       |   |
| t |                          | \--   | 76    |   | \-- | 82    |   |
| i |                          |       | 5,000 |   |     | 0,000 |   |
| o |                          | \--   |       |   | \-- |       |   |
| n |                          |       | 54    |   |     | 1,    |   |
| o |                          | \--   | 1,000 |   | \-- | 204,0 |   |
| f |                          |       |       |   |     |       |   |
| F |                          | \--   | 4     |   | \-- | 1     |   |
| Y |                          |       | 5,000 |   |     | 1,000 |   |
| 2 |                          | \--   |       |   | \-- |       |   |
| 0 |                          |       | 16    |   |     | 8,000 |   |
| 0 |                          | \--   | 1,000 |   | \-- |       |   |
| 3 |                          |       |       |   |     | 2,000 |   |
| C |                          | \--   | 6,36  |   | \-- |       |   |
| S |                          |       | 9,000 |   |     | 2,000 |   |
| P |                          | \--   |       |   | \-- |       |   |
| a |                          |       | 5,81  |   |     | 23    |   |
| y |                          | \--   | 8,000 |   | \-- | 3,000 |   |
| R |                          |       |       |   |     |       |   |
| a |                          | \--   | 1,72  |   | \-- | 21    |   |
| i |                          |       | 4,000 |   |     | 0,000 |   |
| s |                          | \--   |       |   | \-- |       |   |
| e |                          |       | 34,80 |   |     | 3     |   |
| a |                          | [\    | 0,000 |   | [\  | 5,000 |   |
| t |                          | --]{. |       |   | --] |       |   |
| 3 |                          | under | 90    |   | {.u | 1,31  |   |
| . |                          | line} | 7,000 |   | nde | 7,000 |   |
| 1 |                          |       |       |   | rli |       |   |
| % |                          | [\    | 6,000 |   | ne} | 1     |   |
| ( |                          | --]{. |       |   |     | 4,000 |   |
| 3 |                          | under | N/A   |   | \-- |       |   |
| m |                          | line} |       |   |     | 0     |   |
| o |                          |       | [N    |   |     |       |   |
| s |                          |       | /A]{. |   |     | 2,00  |   |
| ) |                          |       | under |   |     | 1,000 |   |
| . |                          |       | line} |   |     |       |   |
| . |                          |       |       |   |     | [1,   |   |
|   |                          |       | N/A   |   |     | 729,0 |   |
| 2 |                          |       |       |   |     | 00]{. |   |
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| A |                          |       |       |   |     |       |   |
| n |                          |       |       |   |     | +\    |   |
| n |                          |       |       |   |     | $5,81 |   |
| u |                          |       |       |   |     | 7,000 |   |
| a |                          |       |       |   |     |       |   |
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| b |                          |       |       |   |     |       |   |
| t |                          |       |       |   |     |       |   |
| o |                          |       |       |   |     |       |   |
| t |                          |       |       |   |     |       |   |
| a |                          |       |       |   |     |       |   |
| l |                          |       |       |   |     |       |   |
| B |                          |       |       |   |     |       |   |
| u |                          |       |       |   |     |       |   |
| i |                          |       |       |   |     |       |   |
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+---+--------------------------+-------+-------+---+-----+-------+---+

+-----------------------------+-------+-------------+----+------------+
|                             | 2003  |             | [  |            |
|                             | P     |             | Ch |            |
|                             | resid |             | an |            |
|                             | ent's |             | ge |            |
|                             |       |             | fr |            |
|                             | [B    |             | om |            |
|                             | udget |             | B  |            |
|                             | Base  |             | as |            |
|                             | \_]{. |             | e] |            |
|                             | under |             | {. |            |
|                             | line} |             | un |            |
|                             |       |             | de |            |
|                             |       |             | rl |            |
|                             |       |             | in |            |
|                             |       |             | e} |            |
+-----------------------------+-------+-------------+----+------------+
|                             | [F    | [BA\_\_\_]{ | [  | #  BA      |
|                             | TE]{. | .underline} | FT | \_\_\_\_ { |
|                             | under |             | E] | #ba____-1} |
|                             | line} |             | {. |            |
|                             |       |             | un |            |
|                             |       |             | de |            |
|                             |       |             | rl |            |
|                             |       |             | in |            |
|                             |       |             | e} |            |
+-----------------------------+-------+-------------+----+------------+
| B. [Phasing In of Staff     | \--   | N/A         | 14 | \          |
| and]{.underline}            |       |             |    | $1,269,000 |
|                             | \--   | N/A         | 7  |            |
| [Operating Cost of New      |       |             |    | 620,000    |
| Fac:]{.underline}           | [\    | [N/A]{      | [1 |            |
|                             | --]{. | .underline} | 5] | [1,        |
| Pawnee, OK Hlth Ctr         | under |             | {. | 328,000]{. |
|                             | line} | N/A         | un | underline} |
| Winnebago, NE               |       |             | de |            |
| Hospital\.....              | \--   | N/A         | rl | +\         |
|                             |       |             | in | $3,217,000 |
| Ft Defiance, AZ             | \--   | [N/A]{      | e} |            |
| Hospital\...                |       | .underline} |    | +\$        |
|                             | [\    |             | +  | 12,135,000 |
| Subtotal Staffing           | --]{. | N/A         | 36 |            |
|                             | under |             |    | [-\$6,     |
| TOTAL                       | line} | N/A         | +  | 665,000]{. |
| INC                         |       |             | 36 | underline} |
| REASES\...\...\...\...\.... | \--   | N/A         |    |            |
|                             |       |             | [  | -\         |
| [DECREASES:]{.underline}    | \--   |             | \- | $6,665,000 |
|                             |       |             | -] |            |
| A. [Built In:]{.underline}  | \--   |             | {. | -\         |
|                             |       |             | un | $6,665,000 |
| Absorption of Built-In:     |       |             | de |            |
|                             |       |             | rl | +\         |
| Inflation                   |       |             | in | $5,481,000 |
| Increases\...\...\...       |       |             | e} |            |
|                             |       |             |    |            |
| Subtotal Built              |       |             | \  |            |
| In\...\...\.....            |       |             | -- |            |
|                             |       |             |    |            |
| TOTAL DECREASES             |       |             | \  |            |
|                             |       |             | -\ |            |
| NET CHANGE                  |       |             | -- |            |
|                             |       |             |    |            |
|                             |       |             | +  |            |
|                             |       |             | 36 |            |
+-----------------------------+-------+-------------+----+------------+

**Mental Health**

+--------------------------------------------------+-------------------+
| 2003 President's Budget Request\...\.....        | \$50,626,000      |
|                                                  |                   |
| Total estimated budget authority ..              | \$50,626,000      |
|                                                  |                   |
| (Obligations)\...\...\...\...\...\...\...        | (\$50,626,000)    |
|                                                  |                   |
| 2004 Estimate\...\...\...\...\...\...\...\.....  | \$53,959,000      |
|                                                  |                   |
| (Obligations)\...\...\...\...\...\...\...        | [(\$53,959,       |
|                                                  | 000)]{.underline} |
| Net Change\...\...\...\...\...\...\...\...       |                   |
|                                                  | +\$3,333,000      |
| (Obligations)\...\...\...\...\...\...\...        |                   |
|                                                  | (+\$3,333,000)    |
+--------------------------------------------------+-------------------+

+------------------------------+-------+-------------+-----+-----------+
|                              | 2003  |             | [   |           |
|                              | P     |             | Cha |           |
|                              | resid |             | nge |           |
|                              | ent's |             | f   |           |
|                              |       |             | rom |           |
|                              | [B    |             | Ba  |           |
|                              | udget |             | se] |           |
|                              | Ba    |             | {.u |           |
|                              | se]{. |             | nde |           |
|                              | under |             | rli |           |
|                              | line} |             | ne} |           |
+------------------------------+-------+-------------+-----+-----------+
| [INCREASES:]{.underline}     | [F    | [BA\_\_]{   | [F  | [BA       |
|                              | TE]{. | .underline} | TE] | \_]{.u    |
|                              | under |             | {.u | nderline} |
|                              | line} |             | nde |           |
|                              |       |             | rli |           |
|                              |       |             | ne} |           |
+------------------------------+-------+-------------+-----+-----------+
| A. [Built In:]{.underline}   |       |             |     |           |
+------------------------------+-------+-------------+-----+-----------+
| 1.  Annualization of FY 2003 | \--   | N/A         | \-- | \$135,000 |
|     CS Pay Raise at 3.1%     |       |             |     |           |
|     (3mos)                   | \--   | N/A         | \-- | 21,000    |
|                              |       |             |     |           |
| 2\. Annualization of FY 2003 | \--   | N/A         | \-- | 328,000   |
| CO Pay Raise at 4.7% (3 mos) |       |             |     |           |
|                              | \--   | N/A         | \-- | 84,000    |
| 3\. FY 2003 Pay Raise at     |       |             |     |           |
| 2.0% (9 months)              | \--   | N/A         | \-- | 380,000   |
|                              |       |             |     |           |
| 4\. One Day                  | \--   | N/A         | \-- | 656,000   |
| Pay\...\...\...\...\....     |       |             |     |           |
|                              | \--   | 403,000     | \-- | 6,000     |
| 5\. Within Grade Increase    |       |             |     |           |
| Pay..                        | \--   | 236,000     | \-- | 4,000     |
|                              |       |             |     |           |
| 6\. Tribal Pay Cost          | \--   | 190,000     | \-- | 2,000     |
|                              |       |             |     |           |
| 7\. Increased Cost of        | \--   | 7,000       | \-- | 0         |
| Travel\...                   |       |             |     |           |
|                              | \--   | 3,653,000   | \-- | 137,000   |
| 8\. Increased Trans of       |       |             |     |           |
| Things                       | \--   | 624,000     | \-- | 18,000    |
|                              |       |             |     |           |
| 9\. Increased Cost of Comm   | \--   | 280,000     | \-- | 6,000     |
| Util.                        |       |             |     |           |
|                              | \--   | 22,196,000  | \-- | 832,000   |
| 10\. Increased Cost of       |       |             |     |           |
| Printing..                   | \--   | 906,000     | \-- | 14,000    |
|                              |       |             |     |           |
| 9\. Increased Cost of Health | \--   | N/A         | \-- | 1,999,00  |
| Care Provided Under          |       |             |     |           |
|                              | [\    | [           | [\  | [1,74     |
| Contracts & Grants           | --]{. | N/A\_\_\_]{ | --] | 0,000]{.u |
|                              | under | .underline} | {.u | nderline} |
| 10\. Increased Cost of       | line} |             | nde |           |
| Supplies                     |       | N/A         | rli | +\$       |
|                              | \--   |             | ne} | 6,340,000 |
| 11\. Increased Cost of       |       | N/A         |     |           |
| Medical or Other Equipment   | \--   |             | \-- | \$100,000 |
|                              |       | N/A         |     |           |
| 12\. Increased Cost of       | \--   |             | 1   | 198,000   |
| Grants                       |       | ##  N/A\_\  |     |           |
|                              | [\    | _ {#na__-1} | 0   | [1,97     |
| 13\. Increased Cost of       | --]{. |             |     | 0,000]{.u |
| Insurance/                   | under | N/A         | [   | nderline} |
|                              | line} |             | 20] |           |
| Indem                        |       | N/A\_\_\_   | {.u | +\$       |
| nities\...\...\...\...\..... | \--   |             | nde | 2,268,000 |
|                              |       |             | rli |           |
| 14\. Population              | \--   |             | ne} | +\$       |
| Growth\...\...\.....         |       |             |     | 8,608,000 |
|                              |       |             | +21 |           |
| 15\. Add'l Medical           |       |             |     |           |
| Inflation\.....              |       |             | +21 |           |
|                              |       |             |     |           |
| Subtotal Built               |       |             |     |           |
| In\...\...\.....             |       |             |     |           |
|                              |       |             |     |           |
| B. [Phasing In of Staff      |       |             |     |           |
| and]{.underline}             |       |             |     |           |
|                              |       |             |     |           |
| [Operating Cost of New       |       |             |     |           |
| Fac:]{.underline}            |       |             |     |           |
|                              |       |             |     |           |
| Pawnee, OK Hlth Ctr          |       |             |     |           |
|                              |       |             |     |           |
| Winnebago, NE Hospital\..... |       |             |     |           |
|                              |       |             |     |           |
| Ft Defiance, AZ Hospital\... |       |             |     |           |
|                              |       |             |     |           |
| Subtotal Staffing            |       |             |     |           |
|                              |       |             |     |           |
| TOTAL                        |       |             |     |           |
| I                            |       |             |     |           |
| NCREASES\...\...\...\...\... |       |             |     |           |
+------------------------------+-------+-------------+-----+-----------+

+------------------------------+------+-----------+-----+-------------+
|                              | 2003 |           | [   |             |
|                              | Pre  |           | Cha |             |
|                              | side |           | nge |             |
|                              | nt's |           | f   |             |
|                              |      |           | rom |             |
|                              | [Bu  |           | Ba  |             |
|                              | dget |           | se] |             |
|                              | B    |           | {.u |             |
|                              | ase] |           | nde |             |
|                              | {.un |           | rli |             |
|                              | derl |           | ne} |             |
|                              | ine} |           |     |             |
+------------------------------+------+-----------+-----+-------------+
|                              | [    | [BA\      | [F  | [BA         |
|                              | FTE] | _\_\_]{.u | TE] | \_\_]{      |
|                              | {.un | nderline} | {.u | .underline} |
|                              | derl |           | nde |             |
|                              | ine} |           | rli |             |
|                              |      |           | ne} |             |
+------------------------------+------+-----------+-----+-------------+
| [DECREASES:]{.underline}     | [    | [N/A]{.u  | [\  | [-\$        |
|                              | \--] | nderline} | --] | 5,275,000]{ |
| A. [Built In:]{.underline}   | {.un |           | {.u | .underline} |
|                              | derl | N/A       | nde |             |
| Absorption of Built-In:      | ine} |           | rli | -           |
|                              |      | N/A       | ne} | \$5,275,000 |
| Inflation Increases\...\.... | \--  |           |     |             |
|                              |      | N/A       | \-- | -           |
| Subtotal Built               | \--  |           |     | \$5,275,000 |
| In\...\...\...               |      |           | \-- |             |
|                              | \--  |           |     | +           |
| TOTAL                        |      |           | +21 | \$3,333,000 |
| DECREASES\...\...\...\.....  |      |           |     |             |
|                              |      |           |     |             |
| NET CHANGE                   |      |           |     |             |
+------------------------------+------+-----------+-----+-------------+

**Alcohol & Substance Abuse**

+------------------------------------------------+---------------------+
| 2003 President's Budget .                      | \$137,744,000       |
|                                                |                     |
| Total estimated budget authority .             | \$137,744,000       |
|                                                |                     |
| (Obligations) ..                               | (\$137,744,000)     |
|                                                |                     |
| 2004 Estimate .                                | \$139,975,000       |
|                                                |                     |
| (Obligations) .                                | [(\$139,97          |
|                                                | 5,000)]{.underline} |
| Net Change .                                   |                     |
|                                                | +\$2,231,000        |
| (Obligations) .                                |                     |
|                                                | (+\$2,231,000)      |
+------------------------------------------------+---------------------+

+------------------------------+------+-------------+-----+-----------+
|                              | 2003 |             | [   |           |
|                              | Pre  |             | Cha |           |
|                              | side |             | nge |           |
|                              | nt's |             | f   |           |
|                              |      |             | rom |           |
|                              | [Bu  |             | Ba  |           |
|                              | dget |             | se] |           |
|                              | B    |             | {.u |           |
|                              | ase\ |             | nde |           |
|                              | _\_] |             | rli |           |
|                              | {.un |             | ne} |           |
|                              | derl |             |     |           |
|                              | ine} |             |     |           |
+------------------------------+------+-------------+-----+-----------+
| [INCREASES:]{.underline}     | [    | [BA\_\_]{   | [F  | [B        |
|                              | FTE] | .underline} | TE] | A\_\_]{.u |
|                              | {.un |             | {.u | nderline} |
|                              | derl |             | nde |           |
|                              | ine} |             | rli |           |
|                              |      |             | ne} |           |
+------------------------------+------+-------------+-----+-----------+
| A. [Built In:]{.underline}   | \--  | N/A         | \-- | \$77,000  |
|                              |      |             |     |           |
| 1.  Annualization of FY 2003 | \--  | N/A         | \-- | 9,000     |
|     CS                       |      |             |     |           |
|                              | \--  | N/A         | \-- | 166,000   |
| Pay Raise at 3.1%            |      |             |     |           |
| (3mos)\....                  | \--  | N/A         | \-- | 191,000   |
|                              |      |             |     |           |
| 2\. Annualization of FY 2003 | \--  | N/A         | \-- | 2,867,000 |
| CO Pay Raise at 3.7% (3 mos) |      |             |     |           |
|                              | \--  | 405,000     | \-- | 6,000     |
| 3\. FY 2003 Pay Raise at     |      |             |     |           |
| 2.0% (9 months)              | \--  | 122,000     | \-- | 2,000     |
|                              |      |             |     |           |
| 4\. One Day                  | \--  | 4,000       | \-- | 0         |
| Pay\...\...\...\...\....     |      |             |     |           |
|                              | \--  | 206,000     | \-- | 4,000     |
| 5\. Within Grade Increase    |      |             |     |           |
|                              | \--  | 21,603,000  | \-- | 80022,000 |
| 6\. Tribal Pay               |      |             |     |           |
| Cost\...\...\...\...         | \--  | 1,868,000   | \-- | 29,000    |
|                              |      |             |     |           |
| 7\. Increased Cost of        | \--  | 8,000       | \-- | 0         |
| Travel\...                   |      |             |     |           |
|                              | \--  | 101,412,000 | \-- | 3,758,000 |
| 8\. Increased Trans of       |      |             |     |           |
| Things                       | \--  | 895,000     | \-- | 13,000    |
|                              |      |             |     |           |
| 9\. Increased Cost of        | \--  | 1,000       | \-- | 0         |
| Printing.                    |      |             |     |           |
|                              | \--  | N/A         | \-- | 2,001,000 |
| 10\. Increased Cost of       |      |             |     |           |
| Rents,                       | [    | [N/         | [\  | [4,61     |
|                              | \--] | A\_\_\_\_]{ | --] | 2,000]{.u |
| Comm., & Utilities           | {.un | .underline} | {.u | nderline} |
|                              | derl |             | nde |           |
| 11\. Increased Cost of       | ine} | N/A         | rli | +\$1      |
| Health Care Provided Under   |      |             | ne} | 1,686,000 |
|                              | \--  | #  {        |     |           |
| Contracts & Grants           |      | #section-2} | \-- | +\$1      |
|                              | \--  |             |     | 1,686,000 |
| 12\. Increased Cost of       |      | N/A \_\_    | \-- |           |
| Supplies                     |      |             |     |           |
|                              |      |             |     |           |
| 13\. Increased Cost of       |      |             |     |           |
| Medical or Other Equipment   |      |             |     |           |
|                              |      |             |     |           |
| 14\. Increased Cost of       |      |             |     |           |
| Grants                       |      |             |     |           |
|                              |      |             |     |           |
| 15\. Increased Cost of       |      |             |     |           |
| Insurance/                   |      |             |     |           |
|                              |      |             |     |           |
| Indem                        |      |             |     |           |
| nities\...\...\...\...\..... |      |             |     |           |
|                              |      |             |     |           |
| 16\. Increased Cost of       |      |             |     |           |
| Interest/                    |      |             |     |           |
|                              |      |             |     |           |
| Divide                       |      |             |     |           |
| nds\...\...\...\...\...\.... |      |             |     |           |
|                              |      |             |     |           |
| 17\. Population              |      |             |     |           |
| Growth\...\...\.....         |      |             |     |           |
|                              |      |             |     |           |
| 18\. Add'l Medical           |      |             |     |           |
| Inflation\.....              |      |             |     |           |
|                              |      |             |     |           |
| Subtotal Built In            |      |             |     |           |
|                              |      |             |     |           |
| TOTAL INCREASES              |      |             |     |           |
+------------------------------+------+-------------+-----+-----------+

+---+-----------------------------+--------+-----------+-----+------------+
|   |                             | 2003   |           | [   |            |
|   |                             | Presi  |           | Cha |            |
|   |                             | dent's |           | nge |            |
|   |                             |        |           | f   |            |
|   |                             | [      |           | rom |            |
|   |                             | Budget |           | Ba  |            |
|   |                             | B      |           | se] |            |
|   |                             | ase\_] |           | {.u |            |
|   |                             | {.unde |           | nde |            |
|   |                             | rline} |           | rli |            |
|   |                             |        |           | ne} |            |
+---+-----------------------------+--------+-----------+-----+------------+
|   |                             | [FTE]  | [B        | [F  | [B         |
|   |                             | {.unde | A\_\_]{.u | TE] | A\_\_\_]{. |
|   |                             | rline} | nderline} | {.u | underline} |
|   |                             |        |           | nde |            |
|   |                             |        |           | rli |            |
|   |                             |        |           | ne} |            |
+---+-----------------------------+--------+-----------+-----+------------+
|   | [DECREASES:]{.underline}    | [\--]  | [N/A]{.u  | [\  | [-\$9,     |
|   |                             | {.unde | nderline} | --] | 455,000]{. |
|   | A. [Built In:]{.underline}  | rline} |           | {.u | underline} |
|   |                             |        | N/A       | nde |            |
|   | Absorption of Built-In:     | \--    |           | rli | -\         |
|   |                             |        | N/A       | ne} | $9,455,000 |
|   | Inflation                   | \--    |           |     |            |
|   | Increases\...\.....         |        | N/A       | \-- | -\         |
|   |                             | \--    |           |     | $2,231,000 |
|   | Subtotal Built              |        |           | \-- |            |
|   | In\...\...\....             |        |           |     | +\         |
|   |                             |        |           | \-- | $2,764,000 |
|   | TOTAL DECREASES             |        |           |     |            |
|   |                             |        |           |     |            |
|   | NET CHANGE                  |        |           |     |            |
+---+-----------------------------+--------+-----------+-----+------------+

**Contract Health Services**

+-----------------------------------------------+----------------------+
| 2003 President's Budget                       | \$468,130,000        |
|                                               |                      |
| Total estimated budget authority              | \$468,130,000        |
|                                               |                      |
| (Obligations)                                 | (\$468,130,000)      |
|                                               |                      |
| 2004 Estimate                                 | \$493,046,000        |
|                                               |                      |
| (Obligations)                                 | [(\$493,0            |
|                                               | 46,00O)]{.underline} |
| Net Change                                    |                      |
|                                               | +\$24,916,000        |
| (Obligations)                                 |                      |
|                                               | (+\$24,916,000)      |
+-----------------------------------------------+----------------------+

+-----------------------------+------+-------------+-----+-----------+
|                             | 2003 |             | [   |           |
|                             | Pre  |             | Cha |           |
|                             | side |             | nge |           |
|                             | nt's |             | f   |           |
|                             |      |             | rom |           |
|                             | [Bu  |             | Ba  |           |
|                             | dget |             | se] |           |
|                             | Bas  |             | {.u |           |
|                             | e\_] |             | nde |           |
|                             | {.un |             | rli |           |
|                             | derl |             | ne} |           |
|                             | ine} |             |     |           |
+-----------------------------+------+-------------+-----+-----------+
| [INCREASES:]{.underline}    | [    | [BA\_\_]{   | [F  | [B        |
|                             | FTE] | .underline} | TE] | A\_\_]{.u |
|                             | {.un |             | {.u | nderline} |
|                             | derl |             | nde |           |
|                             | ine} |             | rli |           |
|                             |      |             | ne} |           |
+-----------------------------+------+-------------+-----+-----------+
| A. [Built In:]{.underline}  |      |             |     |           |
+-----------------------------+------+-------------+-----+-----------+
| 1.  Annualization of FY     | \--  | N/A         | \-- | \$21,000  |
|     2003 CS                 |      |             |     |           |
|                             | \--  | N/A         | \-- | 0         |
| > Pay Raise at 3.1% (3      |      |             |     |           |
| > mos)..                    | \--  | N/A         | \-- | 41,000    |
|                             |      |             |     |           |
| 2.  Annualization of FY     | \--  | N/A         | \-- | 11,000    |
|     2003 CO Pay Raise at    |      |             |     |           |
|     4.7% (9 mos)..          | \--  | N/A         | \-- | 50,000    |
|                             |      |             |     |           |
| 3\. FY 2004 Pay CO & CS at  | \--  | 17,274,000  | \-- | 259,000   |
| 2.0%                        |      |             |     |           |
|                             | \--  | 9,000       | \-- | 0         |
| (9                          |      |             |     |           |
| mos                         | \--  | 308,000     | \-- | 5,000     |
| )\...\...\...\...\...\..... |      |             |     |           |
|                             | \--  | 203,013,000 | \-- | 7,512,000 |
| 4\. One Day                 |      |             |     |           |
| Pay\...\...\...\...\....    | \--  | 11,863,000  | \-- | 439,000   |
|                             |      |             |     |           |
| 5\. Within Grade            | \--  | 830,000     | \-- | 31,000    |
| Increase\...\...            |      |             |     |           |
|                             | \--  | 231,047,000 | \-- | 8,550,000 |
| 6\. Increased Cost of       |      |             |     |           |
| Travel .                    | \--  | 895,0000    | \-- | 13,000    |
|                             |      |             |     |           |
| 5\. Increased Trans of      | \--  | 88,000      | \-- | 1,000     |
| Things                      |      |             |     |           |
|                             | \--  | N/A         | [\  | 2,002,000 |
| 6\. Increased Cost of       |      |             | --] |           |
| Rents,                      | [    | [           | {.u | [1,71     |
|                             | \--] | N/A\_\_\_]{ | nde | 7,000]{.u |
| Comm., & Utilities          | {.un | .underline} | rli | nderline} |
|                             | derl |             | ne} |           |
| 7\. Increased Cost of       | ine} | N/A         |     | +\$2      |
| Health Care Provided Under  |      |             | \-- | 0,652,000 |
|                             | \--  | ##          |     |           |
| Contracts & Grants          |      | N/A {#na-5} | [\  | [+\$24,91 |
|                             | [    |             | --] | 6,000]{.u |
| 8\. Increased Cost of       | \--] | N/A         | {.u | nderline} |
| Supplies.                   | {.un |             | nde |           |
|                             | derl | N/A\_\_\_\_ | rli | +\$2      |
| 9\. Increased Cost of       | ine} |             | ne} | 4,916,000 |
| Medical or Other Equipment  |      |             |     |           |
|                             | \--  |             | \-- | +\$4      |
| 10\. Increased Cost of      |      |             |     | 5,568,000 |
| Grants                      | \--  |             | \-- |           |
|                             |      |             |     |           |
| 11\. Increased Cost of      |      |             |     |           |
| Insurance/                  |      |             |     |           |
|                             |      |             |     |           |
| Indemn                      |      |             |     |           |
| ities\...\...\...\...\..... |      |             |     |           |
|                             |      |             |     |           |
| 11\. Increased Cost of      |      |             |     |           |
| Interest/                   |      |             |     |           |
|                             |      |             |     |           |
| Divi                        |      |             |     |           |
| dends\...\...\...\...\..... |      |             |     |           |
|                             |      |             |     |           |
| 12\. Population             |      |             |     |           |
| Growth\...\...\....         |      |             |     |           |
|                             |      |             |     |           |
| 13\. Add'l Medical          |      |             |     |           |
| Inflation\.... Subtotal     |      |             |     |           |
| Built In                    |      |             |     |           |
|                             |      |             |     |           |
| B. [Program:]{.underline}   |      |             |     |           |
|                             |      |             |     |           |
| Contract Health             |      |             |     |           |
| Services\...                |      |             |     |           |
|                             |      |             |     |           |
| Subtotal                    |      |             |     |           |
| Program\...\...\...\...     |      |             |     |           |
|                             |      |             |     |           |
| TOTAL INCREASES             |      |             |     |           |
+-----------------------------+------+-------------+-----+-----------+

+---+-----------------------------+--------+-----------+-----+------------+
|   |                             | 2003   |           | [   |            |
|   |                             | Presi  |           | Cha |            |
|   |                             | dent's |           | nge |            |
|   |                             |        |           | f   |            |
|   |                             | [      |           | rom |            |
|   |                             | Budget |           | Ba  |            |
|   |                             | B      |           | se] |            |
|   |                             | ase\_] |           | {.u |            |
|   |                             | {.unde |           | nde |            |
|   |                             | rline} |           | rli |            |
|   |                             |        |           | ne} |            |
+---+-----------------------------+--------+-----------+-----+------------+
|   |                             | [FTE]  | [B        | [F  | [B         |
|   |                             | {.unde | A\_\_]{.u | TE] | A\_\_\_]{. |
|   |                             | rline} | nderline} | {.u | underline} |
|   |                             |        |           | nde |            |
|   |                             |        |           | rli |            |
|   |                             |        |           | ne} |            |
+---+-----------------------------+--------+-----------+-----+------------+
|   | [DECREASES:]{.underline}    | [\--]  | [N/A]{.u  | [\  | [-\$20,    |
|   |                             | {.unde | nderline} | --] | 652,000]{. |
|   | A. [Built In:]{.underline}  | rline} |           | {.u | underline} |
|   |                             |        | N/A       | nde |            |
|   | Absorption of Built-In:     | \--    |           | rli | -\$        |
|   |                             |        | N/A       | ne} | 20,652,000 |
|   | Inflation                   | \--    |           |     |            |
|   | Increases\...\.....         |        | N/A       | \-- | -\$        |
|   |                             | \--    |           |     | 20,652,000 |
|   | Subtotal Built              |        |           | \-- |            |
|   | In\...\...\....             |        |           |     | +\$        |
|   |                             |        |           | \-- | 24,916,000 |
|   | TOTAL DECREASES             |        |           |     |            |
|   |                             |        |           |     |            |
|   | NET CHANGE                  |        |           |     |            |
+---+-----------------------------+--------+-----------+-----+------------+

Preventive Health

+---+------------------------+------+----------+----+----+---+------+---+
|   | 2003 President's       |      |          | \  |    |   |      |   |
|   | Budget                 |      |          | $1 |    |   |      |   |
|   | Request\...\.....      |      |          | 03 |    |   |      |   |
|   |                        |      |          | ,2 |    |   |      |   |
|   | Total estimated budget |      |          | 68 |    |   |      |   |
|   | authority ..           |      |          | ,0 |    |   |      |   |
|   |                        |      |          | 00 |    |   |      |   |
|   | (Obligations)\...\.    |      |          |    |    |   |      |   |
|   | ..\...\...\...\...\... |      |          | \  |    |   |      |   |
|   |                        |      |          | $1 |    |   |      |   |
|   | 2004                   |      |          | 03 |    |   |      |   |
|   | Estimate\...\...\...   |      |          | ,2 |    |   |      |   |
|   | \...\...\...\...\..... |      |          | 68 |    |   |      |   |
|   |                        |      |          | ,0 |    |   |      |   |
|   | (Obligations)\...\.    |      |          | 00 |    |   |      |   |
|   | ..\...\...\...\...\... |      |          |    |    |   |      |   |
|   |                        |      |          | (  |    |   |      |   |
|   | Net                    |      |          | \$ |    |   |      |   |
|   | Change\...\...\.       |      |          | 10 |    |   |      |   |
|   | ..\...\...\...\...\... |      |          | 3, |    |   |      |   |
|   |                        |      |          | 26 |    |   |      |   |
|   | (Obligations)\...\.    |      |          | 8, |    |   |      |   |
|   | ..\...\...\...\...\... |      |          | 00 |    |   |      |   |
|   |                        |      |          | 0) |    |   |      |   |
|   |                        |      |          |    |    |   |      |   |
|   |                        |      |          | \  |    |   |      |   |
|   |                        |      |          | $1 |    |   |      |   |
|   |                        |      |          | 08 |    |   |      |   |
|   |                        |      |          | ,2 |    |   |      |   |
|   |                        |      |          | 65 |    |   |      |   |
|   |                        |      |          | ,0 |    |   |      |   |
|   |                        |      |          | 00 |    |   |      |   |
|   |                        |      |          |    |    |   |      |   |
|   |                        |      |          | [  |    |   |      |   |
|   |                        |      |          | (\ |    |   |      |   |
|   |                        |      |          | $1 |    |   |      |   |
|   |                        |      |          | 08 |    |   |      |   |
|   |                        |      |          | ,2 |    |   |      |   |
|   |                        |      |          | 65 |    |   |      |   |
|   |                        |      |          | ,0 |    |   |      |   |
|   |                        |      |          | 00 |    |   |      |   |
|   |                        |      |          | )] |    |   |      |   |
|   |                        |      |          | {. |    |   |      |   |
|   |                        |      |          | un |    |   |      |   |
|   |                        |      |          | de |    |   |      |   |
|   |                        |      |          | rl |    |   |      |   |
|   |                        |      |          | in |    |   |      |   |
|   |                        |      |          | e} |    |   |      |   |
|   |                        |      |          |    |    |   |      |   |
|   |                        |      |          | +\ |    |   |      |   |
|   |                        |      |          | $4 |    |   |      |   |
|   |                        |      |          | ,9 |    |   |      |   |
|   |                        |      |          | 97 |    |   |      |   |
|   |                        |      |          | ,0 |    |   |      |   |
|   |                        |      |          | 00 |    |   |      |   |
|   |                        |      |          |    |    |   |      |   |
|   |                        |      |          | (+ |    |   |      |   |
|   |                        |      |          | \$ |    |   |      |   |
|   |                        |      |          | 4, |    |   |      |   |
|   |                        |      |          | 99 |    |   |      |   |
|   |                        |      |          | 7, |    |   |      |   |
|   |                        |      |          | 00 |    |   |      |   |
|   |                        |      |          | 0) |    |   |      |   |
+---+------------------------+------+----------+----+----+---+------+---+
|   |                        | 2003 |          |    | [  |   |      |   |
|   |                        | Pre  |          |    | Ch |   |      |   |
|   |                        | side |          |    | an |   |      |   |
|   |                        | nt's |          |    | ge |   |      |   |
|   |                        |      |          |    | fr |   |      |   |
|   |                        | [Bu  |          |    | om |   |      |   |
|   |                        | dget |          |    | B  |   |      |   |
|   |                        | B    |          |    | as |   |      |   |
|   |                        | ase\ |          |    | e] |   |      |   |
|   |                        | _\_] |          |    | {. |   |      |   |
|   |                        | {.un |          |    | un |   |      |   |
|   |                        | derl |          |    | de |   |      |   |
|   |                        | ine} |          |    | rl |   |      |   |
|   |                        |      |          |    | in |   |      |   |
|   |                        |      |          |    | e} |   |      |   |
+---+------------------------+------+----------+----+----+---+------+---+
|   |                        | [    | [BA\_\   |    | [  |   | [B   |   |
|   |                        | FTE] | _\_]{.un |    | FT |   | A\_\ |   |
|   |                        | {.un | derline} |    | E] |   | _\_] |   |
|   |                        | derl |          |    | {. |   | {.un |   |
|   |                        | ine} |          |    | un |   | derl |   |
|   |                        |      |          |    | de |   | ine} |   |
|   |                        |      |          |    | rl |   |      |   |
|   |                        |      |          |    | in |   |      |   |
|   |                        |      |          |    | e} |   |      |   |
+---+------------------------+------+----------+----+----+---+------+---+
| I |                        |      |          |    |    |   |      |   |
| N |                        |      |          |    |    |   |      |   |
| C |                        |      |          |    |    |   |      |   |
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| T |                        |      |          |    |    |   |      |   |
| A |                        |      |          |    |    |   |      |   |
| L |                        |      |          |    |    |   |      |   |
| D |                        |      |          |    |    |   |      |   |
| E |                        |      |          |    |    |   |      |   |
| C |                        |      |          |    |    |   |      |   |
| R |                        |      |          |    |    |   |      |   |
| E |                        |      |          |    |    |   |      |   |
| A |                        |      |          |    |    |   |      |   |
| S |                        |      |          |    |    |   |      |   |
| E |                        |      |          |    |    |   |      |   |
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|   |                        |      |          |    |    |   |      |   |
| N |                        |      |          |    |    |   |      |   |
| E |                        |      |          |    |    |   |      |   |
| T |                        |      |          |    |    |   |      |   |
| C |                        |      |          |    |    |   |      |   |
| H |                        |      |          |    |    |   |      |   |
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+---+------------------------+------+----------+----+----+---+------+---+

**Public Health Nursing**

+------------------------------------------------+---------------------+
| 2003 President's Budget Request\...\.....      | \$39,875,000        |
|                                                |                     |
| Total estimated budget authority ..            | \$39,875,000        |
|                                                |                     |
| (Obligations)\...\...\...\...\...\...\...      | (\$39,875,000)      |
|                                                |                     |
| 2004                                           | \$43,112,000        |
| Estimate\...\...\...\...\...\...\...\.....     |                     |
|                                                | [(\$43,11           |
| (Obligations)\...\...\...\...\...\...\...      | 2,000)]{.underline} |
|                                                |                     |
| Net Change\...\...\...\...\...\...\.....       | +\$3,237,000        |
|                                                |                     |
| (Obligations)\...\...\...\...\...\.....        | (+\$3,237,000)      |
+------------------------------------------------+---------------------+

+------------------------------+------+-------------+----+---+----------+
|                              | 2003 |             | [  |   |          |
|                              | Pre  |             | Ch |   |          |
|                              | side |             | an |   |          |
|                              | nt's |             | ge |   |          |
|                              |      |             | fr |   |          |
|                              | [Bu  |             | om |   |          |
|                              | dget |             | B  |   |          |
|                              | Bas  |             | as |   |          |
|                              | e\_] |             | e] |   |          |
|                              | {.un |             | {. |   |          |
|                              | derl |             | un |   |          |
|                              | ine} |             | de |   |          |
|                              |      |             | rl |   |          |
|                              |      |             | in |   |          |
|                              |      |             | e} |   |          |
+------------------------------+------+-------------+----+---+----------+
| [INCREASES:]{.underline}     | [    | [BA\_\_]{   | [  |   | [BA\     |
|                              | FTE] | .underline} | FT |   | _\_]{.un |
|                              | {.un |             | E] |   | derline} |
|                              | derl |             | {. |   |          |
|                              | ine} |             | un |   |          |
|                              |      |             | de |   |          |
|                              |      |             | rl |   |          |
|                              |      |             | in |   |          |
|                              |      |             | e} |   |          |
+------------------------------+------+-------------+----+---+----------+
| A. [Built In:]{.underline}   |      |             |    |   |          |
+------------------------------+------+-------------+----+---+----------+
| 1\. Annualization of FY 2003 | \--  | N/A         | \  |   | \        |
| CS                           |      |             | -- |   | $113,000 |
|                              | \--  | N/A         |    |   |          |
| Pay Raise at 3.1% (3mos)\... |      |             | \  |   | 52,000   |
|                              | \--  | N/A         | -- |   |          |
| 2\. Annualization of FY 2003 |      |             |    |   | 314,000  |
| CO Pay Raise at 3.7% (3 mos) | \--  | N/A         | \  |   |          |
|                              |      |             | -- |   | 373,000  |
| 3\. FY 2004 Pay Raise at     | \--  | N/A         |    |   |          |
| 2.0% (9                      |      |             | \  |   | 1,000    |
| month                        | \--  | 228,000     | -- |   |          |
| s)\...\...\...\...\...\..... |      |             |    |   | 3,000    |
|                              | \--  | 883,000     | \  |   |          |
| 4\. One Day                  |      |             | -- |   | 13,000   |
| Pay\...\...\...\...\.....    | \--  | 188,000     |    |   |          |
|                              |      |             | \  |   | 3,000    |
| 5\. Within Grade             | \--  | 41,000      | -- |   |          |
| Increase\...\....            |      |             |    |   | 2,000    |
|                              | \--  | 1,365,000   | \  |   |          |
| 6\. Tribal Pay               |      |             | -- |   | 50,000   |
| Cost\...\...\...\....        | \--  | 791,000     |    |   |          |
|                              |      |             | \  |   | 12,000   |
| 7\. Increase of Cost of      | \--  | 46,000      | -- |   |          |
| Travel..                     |      |             |    |   | 1,000    |
|                              | \--  | 53,000      | \  |   |          |
| 8\. Increase of Trans        |      |             | -- |   | 1,000    |
| Things\....                  | \--  | 15,025,000  |    |   |          |
|                              |      |             | \  |   | 569,000  |
| 9\. Increased Cost of Rent,  | \--  | 3,000       | -- |   |          |
|                              |      |             |    |   | 0        |
| Utilities and                | \--  | N/A         | \  |   |          |
| Comm\...\...\....            |      |             | -- |   | 790,000  |
|                              | [    | [N/         |    |   |          |
| 10\. Increased Cost of       | \--] | A\_\_\_\_]{ | \  |   | [674,    |
| Printing..                   | {.un | .underline} | -- |   | 000]{.un |
|                              | derl |             |    |   | derline} |
| 11\. Increased Cost of       | ine} | N/A         | \  |   |          |
| Health Care Provided Under   |      |             | -- |   | +\$3     |
|                              | \--  |             |    |   | ,053,000 |
| Contracts &                  |      |             | \  |   |          |
| Grants\...\...\....          |      |             | -- |   |          |
|                              |      |             |    |   |          |
| 12\. Increased Cost of       |      |             | \  |   |          |
| Supplies..                   |      |             | -- |   |          |
|                              |      |             |    |   |          |
| 13\. Increased Cost of       |      |             | \  |   |          |
| Medical or Other             |      |             | -- |   |          |
| Equipment\...\...\....       |      |             |    |   |          |
|                              |      |             | [  |   |          |
| 14\. Increased Cost of Land  |      |             | \- |   |          |
| &                            |      |             | -] |   |          |
|                              |      |             | {. |   |          |
| Struct                       |      |             | un |   |          |
| ure\...\...\...\...\...\.... |      |             | de |   |          |
|                              |      |             | rl |   |          |
| 15\. Increased Cost of       |      |             | in |   |          |
| Grants\....                  |      |             | e} |   |          |
|                              |      |             |    |   |          |
| 16\. Increased Cost of       |      |             | \  |   |          |
| Insurance/                   |      |             | -- |   |          |
|                              |      |             |    |   |          |
| Indem                        |      |             |    |   |          |
| nities\...\...\...\...\..... |      |             |    |   |          |
|                              |      |             |    |   |          |
| 17\. Population              |      |             |    |   |          |
| Growth\...\...\.....         |      |             |    |   |          |
|                              |      |             |    |   |          |
| 18\. Add'l Medical           |      |             |    |   |          |
| Inflation\.....              |      |             |    |   |          |
|                              |      |             |    |   |          |
| Subtotal Built               |      |             |    |   |          |
| In\...\...\.....             |      |             |    |   |          |
+------------------------------+------+-------------+----+---+----------+
|                              |      |             |    |   |          |
+------------------------------+------+-------------+----+---+----------+
|                              | 2003 |             | [  |   |          |
|                              | Pre  |             | Ch |   |          |
|                              | side |             | an |   |          |
|                              | nt's |             | ge |   |          |
|                              |      |             | fr |   |          |
|                              | [Bu  |             | om |   |          |
|                              | dget |             | B  |   |          |
|                              | B    |             | as |   |          |
|                              | ase\ |             | e] |   |          |
|                              | _\_] |             | {. |   |          |
|                              | {.un |             | un |   |          |
|                              | derl |             | de |   |          |
|                              | ine} |             | rl |   |          |
|                              |      |             | in |   |          |
|                              |      |             | e} |   |          |
+------------------------------+------+-------------+----+---+----------+
|                              | [    | [BA\_\_\_]{ | [  | [ |          |
|                              | FTE] | .underline} | FT | B |          |
|                              | {.un |             | E] | A |          |
|                              | derl |             | {. | \ |          |
|                              | ine} |             | un | _ |          |
|                              |      |             | de | \ |          |
|                              |      |             | rl | _ |          |
|                              |      |             | in | \ |          |
|                              |      |             | e} | _ |          |
|                              |      |             |    | ] |          |
|                              |      |             |    | { |          |
|                              |      |             |    | . |          |
|                              |      |             |    | u |          |
|                              |      |             |    | n |          |
|                              |      |             |    | d |          |
|                              |      |             |    | e |          |
|                              |      |             |    | r |          |
|                              |      |             |    | l |          |
|                              |      |             |    | i |          |
|                              |      |             |    | n |          |
|                              |      |             |    | e |          |
|                              |      |             |    | } |          |
+------------------------------+------+-------------+----+---+----------+
| B. [Phasing In of Staff      | \--  | N/A         | +8 | \ |          |
| and]{.underline}             |      |             |    | $ |          |
|                              | \--  | N/A         | 0  | 7 |          |
| [Operating Cost of New       |      |             |    | 6 |          |
| Fac:]{.underline}            | [    | ##          | [  | 3 |          |
|                              | \--] | N/A {#na-7} | 9] | , |          |
| Pawnee, OK Health Center\... | {.un |             | {. | 0 |          |
|                              | derl | N/A         | un | 0 |          |
| Winnebago, NE Hospital\..... | ine} |             | de | 0 |          |
|                              |      | N/A         | rl |   |          |
| Ft Defiance, AZ Hospital\... | \--  |             | in | 1 |          |
|                              |      | [N/A]{      | e} | , |          |
| Subtotal Staffing            | \--  | .underline} |    | 0 |          |
|                              |      |             | +  | 2 |          |
| TOTAL                        | [    | N/A         | 17 | 8 |          |
| I                            | \--] |             |    | , |          |
| NCREASES\...\...\...\...\... | {.un | N/A         | +  | 0 |          |
|                              | derl |             | 17 | 0 |          |
| [DECREASES:]{.underline}     | ine} | N/A         |    | 0 |          |
|                              |      |             | [  |   |          |
| A. [Built In:]{.underline}   | \--  |             | \- | \ |          |
|                              |      |             | -] | _ |          |
| Absorption of Built-In:      | \--  |             | {. | [ |          |
|                              |      |             | un | 8 |          |
| Inflation Increase           | \--  |             | de | 4 |          |
|                              |      |             | rl | 3 |          |
| Subtotal Built               |      |             | in | , |          |
| In\...\...\.....             |      |             | e} | 0 |          |
|                              |      |             |    | 0 |          |
| TOTAL DECREASES              |      |             | \  | 0 |          |
|                              |      |             | -- | ] |          |
| NET CHANGE                   |      |             |    | { |          |
|                              |      |             | \  | . |          |
|                              |      |             | -- | u |          |
|                              |      |             |    | n |          |
|                              |      |             | +  | d |          |
|                              |      |             | 17 | e |          |
|                              |      |             |    | r |          |
|                              |      |             |    | l |          |
|                              |      |             |    | i |          |
|                              |      |             |    | n |          |
|                              |      |             |    | e |          |
|                              |      |             |    | } |          |
|                              |      |             |    |   |          |
|                              |      |             |    | + |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 2 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 6 |          |
|                              |      |             |    | 3 |          |
|                              |      |             |    | 4 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    |   |          |
|                              |      |             |    | + |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 5 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 6 |          |
|                              |      |             |    | 8 |          |
|                              |      |             |    | 7 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    |   |          |
|                              |      |             |    | [ |          |
|                              |      |             |    | - |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 2 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 4 |          |
|                              |      |             |    | 5 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | ] |          |
|                              |      |             |    | { |          |
|                              |      |             |    | . |          |
|                              |      |             |    | u |          |
|                              |      |             |    | n |          |
|                              |      |             |    | d |          |
|                              |      |             |    | e |          |
|                              |      |             |    | r |          |
|                              |      |             |    | l |          |
|                              |      |             |    | i |          |
|                              |      |             |    | n |          |
|                              |      |             |    | e |          |
|                              |      |             |    | } |          |
|                              |      |             |    |   |          |
|                              |      |             |    | - |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 2 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 4 |          |
|                              |      |             |    | 5 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    |   |          |
|                              |      |             |    | - |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 2 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 4 |          |
|                              |      |             |    | 5 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    |   |          |
|                              |      |             |    | + |          |
|                              |      |             |    | \ |          |
|                              |      |             |    | $ |          |
|                              |      |             |    | 3 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 2 |          |
|                              |      |             |    | 3 |          |
|                              |      |             |    | 7 |          |
|                              |      |             |    | , |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
|                              |      |             |    | 0 |          |
+------------------------------+------+-------------+----+---+----------+

**Health Education**

+------------------------------------------------+---------------------+
| 2003 President's Budget Request\...\....       | \$11,063,000        |
|                                                |                     |
| Total estimated budget authority.              | \$11,063,000        |
| (Obligations)\...\...\...\...\...\.....        |                     |
|                                                | (\$11,063,000)      |
| 2004 Estimate\...\...\...\...\...\...\...\.... |                     |
|                                                | \$11,940,000        |
| (Obligations)\...\...\...\...\...\.....        |                     |
|                                                | [(\$11,94           |
| Net Change\...\...\...\...\...\...\.....       | 0,000)]{.underline} |
|                                                |                     |
| (Obligations)\...\...\...\...\...\.....        | +\$877,000          |
|                                                |                     |
|                                                | (+\$877,000)        |
+------------------------------------------------+---------------------+

+------------------------------+-----+--------------+----+------------+
|                              | 2   |              | [  |            |
|                              | 003 |              | Ch |            |
|                              | Pr  |              | an |            |
|                              | esi |              | ge |            |
|                              | den |              | fr |            |
|                              | t's |              | om |            |
|                              |     |              | B  |            |
|                              | [   |              | as |            |
|                              | Bud |              | e] |            |
|                              | get |              | {. |            |
|                              | Bas |              | un |            |
|                              | e\_ |              | de |            |
|                              | \_] |              | rl |            |
|                              | {.u |              | in |            |
|                              | nde |              | e} |            |
|                              | rli |              |    |            |
|                              | ne} |              |    |            |
+------------------------------+-----+--------------+----+------------+
| [INCREASES:]{.underline}     | [F  | [BA\_\_\_]   | [  | [B         |
|                              | TE] | {.underline} | FT | A\_\_\_]{. |
|                              | {.u |              | E] | underline} |
|                              | nde |              | {. |            |
|                              | rli |              | un |            |
|                              | ne} |              | de |            |
|                              |     |              | rl |            |
|                              |     |              | in |            |
|                              |     |              | e} |            |
+------------------------------+-----+--------------+----+------------+
| A. [Built In:]{.underline}   |     |              |    |            |
+------------------------------+-----+--------------+----+------------+
| 1.Annualization of FY 2003   | \-- | N/A          | \  | +\$15,000  |
| CS                           |     |              | -- |            |
|                              | \-- | N/A          |    | 5,000      |
| Pay Raise at 3.1% (3mos)\... |     |              | \  |            |
|                              | \-- | N/A          | -- | 40,000     |
| 2\. Annualization of FY 2003 |     |              |    |            |
| CO Pay Raise at 3.7% (3 mos) | \-- | N/A          | \  | 10,000     |
|                              |     |              | -- |            |
| 3\. FY 2004 Pay Raise at     | \-- | N/A          |    | 48,000     |
| 2.0% (9 months)              |     |              | \  |            |
|                              | \-- | N/A          | -- | 174,000    |
| 4\. One Day                  |     |              |    |            |
| Pay\...\...\...\...\....     | \-- | 85,000       | \  | 1,000      |
|                              |     |              | -- |            |
| 5\. Within Grade Increase    | \-- | 54,000       |    | 1,000      |
|                              |     |              | \  |            |
| 6\. Tribal Pay               | \-- | 6,000        | -- | 0          |
| Cost\...\...\...\...         |     |              |    |            |
|                              | \-- | 1,000        | \  | 0          |
| 7\. Increased Cost of Travel |     |              | -- |            |
| .                            | \-- | 314,000      |    | 11,000     |
|                              |     |              | \  |            |
| 8\. Increased Trans of       | \-- | 170,000      | -- | 3,000      |
| Things                       |     |              |    |            |
|                              | \-- | 154,000      | \  | 2,000      |
| 9\. Increased Cost of Comm.  |     |              | -- |            |
| &                            | \-- | 7,573,000    |    | 114,000    |
|                              |     |              | \  |            |
| Util. &                      | \-- | N/A          | -- | 223,000    |
| Misc\...\...\...\...\...     |     |              |    |            |
|                              | [\  | [N/A]        | \  | [8,000]{.  |
| 10\. Increased Cost of       | --] | {.underline} | -- | underline} |
| Printing.                    | {.u |              |    |            |
|                              | nde | N/A          | \  | +\$655,000 |
| 11\. Increased Cost of       | rli |              | -- |            |
| Health Care Provided Under   | ne} | N/A          |    | +\$395,000 |
|                              |     |              | \  |            |
| Contracts & Grants           | \-- | N/A          | -- | 192,000    |
|                              |     |              |    |            |
| 12\. Increased Cost of       | \-- | ##           | \  | [96,000]{. |
| Supplies                     |     |   N/A\_\_\_  | -- | underline} |
|                              | \-- |              |    |            |
| 13\. Increased Cost of       |     | N/A          | \  | +\$683,000 |
| Medical or Other Equipment   | [\  |              | -- |            |
|                              | --] | N/A\_\_\_\_  |    | +\         |
| 14\. Increased Cost of       | {.u |              | [  | $1,338,000 |
| Grants                       | nde |              | \- |            |
|                              | rli |              | -] |            |
| 15\. Population              | ne} |              | {. |            |
| Growth\...\...\....          |     |              | un |            |
|                              | \-- |              | de |            |
| 16\. Add'l Medical           |     |              | rl |            |
| Inflation\....               | \-- |              | in |            |
|                              |     |              | e} |            |
| Subtotal Built               |     |              |    |            |
| In\...\...\....              |     |              | \  |            |
|                              |     |              | -- |            |
| B. [Phasing In of Staff      |     |              |    |            |
| and]{.underline}             |     |              | 4  |            |
|                              |     |              |    |            |
| [Operating Cost of New       |     |              | 0  |            |
| Fac:]{.underline}            |     |              |    |            |
|                              |     |              | [  |            |
| Pawnee, OK Health Center.    |     |              | 1] |            |
|                              |     |              | {. |            |
| Winnebago, NE Hospital.      |     |              | un |            |
|                              |     |              | de |            |
| Ft. Defiance, AZ Hospital.   |     |              | rl |            |
|                              |     |              | in |            |
| Subtotal Staffing            |     |              | e} |            |
|                              |     |              |    |            |
| TOTAL INCREASES              |     |              | +5 |            |
|                              |     |              |    |            |
|                              |     |              | +5 |            |
+------------------------------+-----+--------------+----+------------+

+-----------------------------+--------+---------+------+------------+
|                             | ## 20  |         | ##   |            |
|                             | 03 Pre |         | {#se |            |
|                             | sident |         | ctio |            |
|                             | 's {#p |         | n-3} |            |
|                             | reside |         |      |            |
|                             | nts-1} |         | ##   |            |
|                             |        |         | Chan |            |
|                             | ##     |         | ge f |            |
|                             |   Budg |         | rom  |            |
|                             | et Bas |         | Base |            |
|                             | e {#bu |         |      |            |
|                             | dget-b |         |      |            |
|                             | ase-1} |         |      |            |
+-----------------------------+--------+---------+------+------------+
|                             | ## FTE | ##  B   | ##   | #####      |
|                             |        | A\_\_\_ |  FTE | ##  BA\_\_ |
+-----------------------------+--------+---------+------+------------+
| [DECREASES:]{.underline}    | [\--]  | [N/     | [    | [-\$       |
|                             | {.unde | A]{.und | \--] | 461,000]{. |
| A. [Built In:]{.underline}  | rline} | erline} | {.un | underline} |
|                             |        |         | derl |            |
| Absorption of Built-In:     | \--    | N/A     | ine} | -\$461,000 |
|                             |        |         |      |            |
| Inflation Increase          | \--    | N/A     | \--  | -\$461,000 |
|                             |        |         |      |            |
| Subtotal Built              | \--    | N/A     | \--  | +\$877,000 |
| In\...\...\.....            |        |         |      |            |
|                             |        |         | +5   |            |
| TOTAL DECREASES             |        |         |      |            |
|                             |        |         |      |            |
| NET CHANGE                  |        |         |      |            |
| \...\...\...\...\...\....   |        |         |      |            |
+-----------------------------+--------+---------+------+------------+

**Community Health Representatives**

+-----------------------------------------------+----------------------+
| 2003 President's Budget Request\...\...       | \$50,774,000         |
|                                               |                      |
| Total estimated budget authority              | \$50,774,000         |
|                                               |                      |
| (Obligations)                                 | (\$50,774,000)       |
|                                               |                      |
| 2004 Estimate\...\...\...\...\...\...\...\... | \$51,633,000         |
|                                               |                      |
| (Obligations)                                 | ([\$51,6             |
|                                               | 33,000)]{.underline} |
| Net Change                                    |                      |
|                                               | +\$859,000           |
| (Obligations)                                 |                      |
|                                               | (+\$859,000)         |
+-----------------------------------------------+----------------------+

+-----------------------------+-------+------------+----+------------+
|                             | 2003  |            | [  |            |
|                             | P     |            | Ch |            |
|                             | resid |            | an |            |
|                             | ent's |            | ge |            |
|                             |       |            | fr |            |
|                             | [B    |            | om |            |
|                             | udget |            | B  |            |
|                             | Ba    |            | as |            |
|                             | se]{. |            | e] |            |
|                             | under |            | {. |            |
|                             | line} |            | un |            |
|                             |       |            | de |            |
|                             |       |            | rl |            |
|                             |       |            | in |            |
|                             |       |            | e} |            |
+-----------------------------+-------+------------+----+------------+
| [INCREASES:]{.underline}    | [F    | [B         | [  | [B         |
|                             | TE]{. | A\_\_\_]{. | FT | A\_\_\_]{. |
|                             | under | underline} | E] | underline} |
|                             | line} |            | {. |            |
|                             |       |            | un |            |
|                             |       |            | de |            |
|                             |       |            | rl |            |
|                             |       |            | in |            |
|                             |       |            | e} |            |
+-----------------------------+-------+------------+----+------------+
| A. [Built In:]{.underline}  |       |            |    |            |
+-----------------------------+-------+------------+----+------------+
| 1.Annualization of FY 2003  | \--   | N/A        | \  | \$1,000    |
| CS                          |       |            | -- |            |
|                             | \--   | N/A        |    | 2,000      |
| Pay Raise at 3.1%           |       |            | \  |            |
| (3mos)\...                  | \--   | N/A        | -- | 2,000      |
|                             |       |            |    |            |
| 2\. FY 2004 CS&CO Pay Raise | \--   | N/A        | \  | 1,151,000  |
| at 2.0% (9 months)          |       |            | -- |            |
|                             | \--   | 15,000     |    | 0          |
| 3\. Within Grade            |       |            | \  |            |
| Increase\...\....           | \--   | 439,000    | -- | 16,000     |
|                             |       |            |    |            |
| 4\. Tribal Pay              | \--   | 50,190,000 | \  | 1,857,000  |
| Cost\...\...\...\....       |       |            | -- |            |
|                             | [\    | [          |    | [1,        |
| 5\. Increased Cost of       | --]{. | N/A\_\_]{. | \  | 044,000]{. |
| Travel                      | under | underline} | -- | underline} |
|                             | line} |            |    |            |
| 6\. Increased Cost of       |       | N/A        | \  | +\         |
| Health Care Provided Under  | \--   |            | -- | $4,073,000 |
|                             |       | N/A        |    |            |
| Contracts & Grants          | \--   |            | [  | \$0        |
|                             |       | N/A        | \- |            |
| 7\. Increased Cost of       | \--   |            | -] | 82,000     |
| Grants                      |       | [N/A]{.    | {. |            |
|                             | [\    | underline} | un | [0]{.      |
| 8\. Population              | --]{. |            | de | underline} |
| Growth\...\...\.....        | under | N/A        | rl |            |
|                             | line} |            | in | +\$82,000  |
| Subtotal Built              |       | N/A\_\_\_  | e} |            |
| In\...\...\.....            | \--   |            |    | +\         |
|                             |       |            | \  | $4,155,000 |
| B. [Phasing In of Staff     | \--   |            | -- |            |
| and]{.underline}            |       |            |    |            |
|                             |       |            | \  |            |
| [Operating Cost of New      |       |            | -- |            |
| Fac:]{.underline}           |       |            |    |            |
|                             |       |            | \  |            |
| Pawnee, OK Health Center.   |       |            | -- |            |
|                             |       |            |    |            |
| Winnebago, NE Hospital.     |       |            | [  |            |
|                             |       |            | \- |            |
| Ft. Defiance, AZ Hospital.  |       |            | -] |            |
|                             |       |            | {. |            |
| Subtotal Staffing           |       |            | un |            |
|                             |       |            | de |            |
| TOTAL                       |       |            | rl |            |
| INC                         |       |            | in |            |
| REASES\...\...\...\...\.... |       |            | e} |            |
|                             |       |            |    |            |
|                             |       |            | \  |            |
|                             |       |            | -- |            |
|                             |       |            |    |            |
|                             |       |            | \  |            |
|                             |       |            | -- |            |
+-----------------------------+-------+------------+----+------------+
| [DECREASES:]{.underline}    | [\    | #  \_\_    | [  | [-\$3,     |
|                             | --]{. | N/A\_\_\_  | \- | 296,000]{. |
| A. [Built In:]{.underline}  | under |            | -] | underline} |
|                             | line} | #  N       | {. |            |
| Absorption of Built-In: Pay |       | /A {#na-8} | un | -\         |
|                             | \--   |            | de | $3,296,000 |
| Cost/Inflation Increase     |       | N/A\_\_\_  | rl |            |
|                             | \--   |            | in | -\         |
| Subtotal Built In\...\..... |       | N/A\_\_\_  | e} | $3,296,000 |
|                             | \--   |            |    |            |
| TOTAL DECREASES             |       |            | \  | +\$859,000 |
|                             |       |            | -- |            |
| NET CHANGE                  |       |            |    |            |
|                             |       |            | \  |            |
|                             |       |            | -- |            |
|                             |       |            |    |            |
|                             |       |            | \  |            |
|                             |       |            | -- |            |
+-----------------------------+-------+------------+----+------------+

**Immunization**

+-----------------------------------------------+----------------------+
| 2003 President's Budget Request\...\...       | \$1,556,000          |
|                                               |                      |
| Total estimated budget authority              | \$1,556,000          |
|                                               |                      |
| (Obligations)                                 | (\$1,556,000)        |
|                                               |                      |
| 2004 Estimate                                 | \$1,580,000          |
|                                               |                      |
| (Obligations)                                 | [(\$1,5              |
|                                               | 80,000)]{.underline} |
| Net Change                                    |                      |
|                                               | +\$24,000            |
| (Obligations)                                 |                      |
|                                               | (+\$24,000)          |
+-----------------------------------------------+----------------------+

+-----------------------------+-------+------------+-----+-----------+
|                             | 2002  |            | [   |           |
|                             | P     |            | Cha |           |
|                             | resid |            | nge |           |
|                             | ent's |            | f   |           |
|                             |       |            | rom |           |
|                             | [B    |            | Ba  |           |
|                             | udget |            | se] |           |
|                             | Ba    |            | {.u |           |
|                             | se]{. |            | nde |           |
|                             | under |            | rli |           |
|                             | line} |            | ne} |           |
+-----------------------------+-------+------------+-----+-----------+
| [INCREASES:]{.underline}    | [F    | [BA\_\_]{. | [F  | [B        |
|                             | TE]{. | underline} | TE] | A\_\_]{.u |
|                             | under |            | {.u | nderline} |
|                             | line} |            | nde |           |
|                             |       |            | rli |           |
|                             |       |            | ne} |           |
+-----------------------------+-------+------------+-----+-----------+
| A. [Built In:]{.underline}  |       |            |     |           |
+-----------------------------+-------+------------+-----+-----------+
| 1.  Tribal                  | \--   | N/A        | \-- | +\$36,000 |
|     Pay\...\...\...\...\... |       |            |     |           |
|                             | \--   | 1,556,000  | \-- | 58,000    |
| 2.  Increased Cost of       |       |            |     |           |
|     Grants.                 | \--   | N/A        | \-- | 31,000    |
|                             |       |            |     |           |
| 3.  Population              | [\    | [N/        | [\  | [\$1      |
|     Growth\...\.....        | --]{. | A\_\_\_]{. | --] | 4,000]{.u |
|                             | under | underline} | {.u | nderline} |
| 4.  Add'l Medical           | line} |            | nde |           |
|     Inflation..             |       | N/A        | rli | +         |
|                             | \--   |            | ne} | \$139,000 |
| Subtotal Built              |       | \_\_\      |     |           |
| In\...\...\.....            | \--   | _N/A\_\_\_ | \-- | +         |
|                             |       |            |     | \$139,000 |
| TOTAL INCREASES             |       |            | \-- |           |
+-----------------------------+-------+------------+-----+-----------+

+----------------------------+--------+------------+-----+-----------+
| [DECREASES:]{.underline}   |        |            |     |           |
+----------------------------+--------+------------+-----+-----------+
| A. [Built In:]{.underline} | [\--]  | [\_\_\_N/  | [\  | [\_\$11   |
|                            | {.unde | A\_\_\_]{. | --] | 5,000]{.u |
| Absorption of Built-in:    | rline} | underline} | {.u | nderline} |
|                            |        |            | nde |           |
| Inflation Increases        | \--    | N/A        | rli | -         |
|                            |        |            | ne} | \$115,000 |
| Subtotal Built             | \--    | \_\_\      |     |           |
| In\...\...\....            |        | _N/A\_\_\_ | \-- | -         |
|                            | \--    |            |     | \$115,000 |
| TOTAL DECREASES            |        | \_\_\      | \-- |           |
|                            |        | _N/A\_\_\_ |     | +\$24,000 |
| NET CHANGE                 |        |            | \-- |           |
+----------------------------+--------+------------+-----+-----------+

**Urban Health**

+---+--------------------------+------+--------+----+----+--------+---+
|   | 2003 President's Budget  |      |        | \$ |    |        |   |
|   | Request                  |      |        | 31 |    |        |   |
|   |                          |      |        | ,5 |    |        |   |
|   | Total estimated budget   |      |        | 28 |    |        |   |
|   | authority                |      |        | ,0 |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   | (Obligations)            |      |        |    |    |        |   |
|   |                          |      |        | \$ |    |        |   |
|   | 2004 Estimate            |      |        | 31 |    |        |   |
|   |                          |      |        | ,5 |    |        |   |
|   | (Obligations)            |      |        | 28 |    |        |   |
|   |                          |      |        | ,0 |    |        |   |
|   | Net Change               |      |        | 00 |    |        |   |
|   |                          |      |        |    |    |        |   |
|   | (Obligations)            |      |        | (\ |    |        |   |
|   |                          |      |        | $3 |    |        |   |
|   |                          |      |        | 1, |    |        |   |
|   |                          |      |        | 52 |    |        |   |
|   |                          |      |        | 8, |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   |                          |      |        | 0) |    |        |   |
|   |                          |      |        |    |    |        |   |
|   |                          |      |        | \$ |    |        |   |
|   |                          |      |        | 31 |    |        |   |
|   |                          |      |        | ,5 |    |        |   |
|   |                          |      |        | 68 |    |        |   |
|   |                          |      |        | ,0 |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   |                          |      |        |    |    |        |   |
|   |                          |      |        | [( |    |        |   |
|   |                          |      |        | \$ |    |        |   |
|   |                          |      |        | 31 |    |        |   |
|   |                          |      |        | ,5 |    |        |   |
|   |                          |      |        | 68 |    |        |   |
|   |                          |      |        | ,0 |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   |                          |      |        | )] |    |        |   |
|   |                          |      |        | {. |    |        |   |
|   |                          |      |        | un |    |        |   |
|   |                          |      |        | de |    |        |   |
|   |                          |      |        | rl |    |        |   |
|   |                          |      |        | in |    |        |   |
|   |                          |      |        | e} |    |        |   |
|   |                          |      |        |    |    |        |   |
|   |                          |      |        | +  |    |        |   |
|   |                          |      |        | \$ |    |        |   |
|   |                          |      |        | 40 |    |        |   |
|   |                          |      |        | ,0 |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   |                          |      |        |    |    |        |   |
|   |                          |      |        | (  |    |        |   |
|   |                          |      |        | +\ |    |        |   |
|   |                          |      |        | $4 |    |        |   |
|   |                          |      |        | 0, |    |        |   |
|   |                          |      |        | 00 |    |        |   |
|   |                          |      |        | 0) |    |        |   |
+---+--------------------------+------+--------+----+----+--------+---+
|   |                          | 2003 |        |    | [  |        |   |
|   |                          | Pre  |        |    | Ch |        |   |
|   |                          | side |        |    | an |        |   |
|   |                          | nt's |        |    | ge |        |   |
|   |                          |      |        |    | fr |        |   |
|   |                          | [Bu  |        |    | om |        |   |
|   |                          | dget |        |    | B  |        |   |
|   |                          | B    |        |    | as |        |   |
|   |                          | ase] |        |    | e] |        |   |
|   |                          | {.un |        |    | {. |        |   |
|   |                          | derl |        |    | un |        |   |
|   |                          | ine} |        |    | de |        |   |
|   |                          |      |        |    | rl |        |   |
|   |                          |      |        |    | in |        |   |
|   |                          |      |        |    | e} |        |   |
+---+--------------------------+------+--------+----+----+--------+---+
| [ |                          | [    | [BA\   |    | [  | [BA\   |   |
| I |                          | FTE] | _\_\_] |    | FT | _\_\_] |   |
| N |                          | {.un | {.unde |    | E] | {.unde |   |
| C |                          | derl | rline} |    | {. | rline} |   |
| R |                          | ine} |        |    | un |        |   |
| E |                          |      |        |    | de |        |   |
| A |                          |      |        |    | rl |        |   |
| S |                          |      |        |    | in |        |   |
| E |                          |      |        |    | e} |        |   |
| S |                          |      |        |    |    |        |   |
| : |                          |      |        |    |    |        |   |
| ] |                          |      |        |    |    |        |   |
| { |                          |      |        |    |    |        |   |
| . |                          |      |        |    |    |        |   |
| u |                          |      |        |    |    |        |   |
| n |                          |      |        |    |    |        |   |
| d |                          |      |        |    |    |        |   |
| e |                          |      |        |    |    |        |   |
| r |                          |      |        |    |    |        |   |
| l |                          |      |        |    |    |        |   |
| i |                          |      |        |    |    |        |   |
| n |                          |      |        |    |    |        |   |
| e |                          |      |        |    |    |        |   |
| } |                          |      |        |    |    |        |   |
+---+--------------------------+------+--------+----+----+--------+---+
| A |                          |      |        |    |    |        |   |
| . |                          |      |        |    |    |        |   |
| [ |                          |      |        |    |    |        |   |
| B |                          |      |        |    |    |        |   |
| u |                          |      |        |    |    |        |   |
| i |                          |      |        |    |    |        |   |
| l |                          |      |        |    |    |        |   |
| t |                          |      |        |    |    |        |   |
| I |                          |      |        |    |    |        |   |
| n |                          |      |        |    |    |        |   |
| : |                          |      |        |    |    |        |   |
| ] |                          |      |        |    |    |        |   |
| { |                          |      |        |    |    |        |   |
| . |                          |      |        |    |    |        |   |
| u |                          |      |        |    |    |        |   |
| n |                          |      |        |    |    |        |   |
| d |                          |      |        |    |    |        |   |
| e |                          |      |        |    |    |        |   |
| r |                          |      |        |    |    |        |   |
| l |                          |      |        |    |    |        |   |
| i |                          |      |        |    |    |        |   |
| n |                          |      |        |    |    |        |   |
| e |                          |      |        |    |    |        |   |
| } |                          |      |        |    |    |        |   |
+---+--------------------------+------+--------+----+----+--------+---+
| 1 |                          | \--  | N/A    |    | \  | \      |   |
| \ |                          |      |        |    | -- | $3,000 |   |
| . |                          | \--  | N/A    |    |    |        |   |
| A |                          |      |        |    | \  | 8,000  |   |
| n |                          | \--  | N/A    |    | -- |        |   |
| n |                          |      |        |    |    | 17,000 |   |
| u |                          | \--  | N/A    |    | \  |        |   |
| a |                          |      |        |    | -- | 4,000  |   |
| l |                          | \--  | N/A    |    |    |        |   |
| i |                          |      |        |    | \  | 19,000 |   |
| z |                          | \--  | N/A    |    | -- |        |   |
| a |                          |      |        |    |    | 6      |   |
| t |                          | \--  | 1      |    | \  | 80,000 |   |
| i |                          |      | 26,000 |    | -- |        |   |
| o |                          | \--  |        |    |    | 2,000  |   |
| n |                          |      | 13,000 |    | \  |        |   |
| o |                          | \--  |        |    | -- | 0      |   |
| f |                          |      | 12,000 |    |    |        |   |
| F |                          | \--  |        |    | \  | 0      |   |
| Y |                          |      | 1,5    |    | -- |        |   |
| 2 |                          | \--  | 84,000 |    |    | 67,000 |   |
| 0 |                          |      |        |    | \  |        |   |
| 0 |                          | \--  | 69,000 |    | -- | 2,000  |   |
| 3 |                          |      |        |    |    |        |   |
| C |                          | \--  | 26,3   |    | \  | 1,0    |   |
| S |                          |      | 72,000 |    | -- | 50,000 |   |
| P |                          | [    |        |    |    |        |   |
| a |                          | \--] | N/A    |    | \  | 6      |   |
| y |                          | {.un |        |    | -- | 17,000 |   |
| R |                          | derl | [N/A   |    |    |        |   |
| a |                          | ine} | \_     |    | \  | [1,11  |   |
| i |                          |      | \_]    |    | -- | 6,000] |   |
| s |                          | \--  | {.unde |    |    | {.unde |   |
| e |                          |      | rline} |    | \  | rline} |   |
| a |                          | \--  |        |    | -- |        |   |
| t |                          |      | N/A    |    |    | +\$3,5 |   |
| 3 |                          |      |        |    | \  | 85,000 |   |
| . |                          |      | #      |    | -- |        |   |
| 1 |                          |      | #  N/A |    |    | +\$3,5 |   |
| % |                          |      | \_\_\_ |    | [  | 85,000 |   |
| ( |                          |      |        |    | \- |        |   |
| 3 |                          |      |        |    | -] |        |   |
| m |                          |      |        |    | {. |        |   |
| o |                          |      |        |    | un |        |   |
| s |                          |      |        |    | de |        |   |
| ) |                          |      |        |    | rl |        |   |
| . |                          |      |        |    | in |        |   |
| . |                          |      |        |    | e} |        |   |
|   |                          |      |        |    |    |        |   |
| 2 |                          |      |        |    | \  |        |   |
| \ |                          |      |        |    | -- |        |   |
| . |                          |      |        |    |    |        |   |
| A |                          |      |        |    | \  |        |   |
| n |                          |      |        |    | -- |        |   |
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| a |                          |      |        |    |    |        |   |
| l |                          |      |        |    |    |        |   |
| i |                          |      |        |    |    |        |   |
| z |                          |      |        |    |    |        |   |
| a |                          |      |        |    |    |        |   |
| t |                          |      |        |    |    |        |   |
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+---+--------------------------+------+--------+----+----+--------+---+

**Indian Health Professions**

+---+-------------------------+-----+----------+---+----+--------+---+
|   | 2003 President's Budget |     |          | \ |    |        |   |
|   | Request\...\.....       |     |          | $ |    |        |   |
|   |                         |     |          | 3 |    |        |   |
|   | Total estimated budget  |     |          | 5 |    |        |   |
|   | authority ..            |     |          | , |    |        |   |
|   |                         |     |          | 3 |    |        |   |
|   | (Obligations)\...\      |     |          | 7 |    |        |   |
|   | ...\...\...\...\...\... |     |          | 3 |    |        |   |
|   |                         |     |          | , |    |        |   |
|   | 2004                    |     |          | 0 |    |        |   |
|   | Estimate\...\...\..     |     |          | 0 |    |        |   |
|   | .\...\...\...\...\..... |     |          | 0 |    |        |   |
|   |                         |     |          |   |    |        |   |
|   | (Obligations)\...\      |     |          | \ |    |        |   |
|   | ...\...\...\...\...\... |     |          | $ |    |        |   |
|   |                         |     |          | 3 |    |        |   |
|   | Net                     |     |          | 5 |    |        |   |
|   | Change\...\...\         |     |          | , |    |        |   |
|   | ...\...\...\...\...\... |     |          | 3 |    |        |   |
|   |                         |     |          | 7 |    |        |   |
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+---+-------------------------+-----+----------+---+----+--------+---+
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+---+-------------------------+-----+----------+---+----+--------+---+
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+---+-------------------------+-----+----------+---+----+--------+---+
| 1 |                         | \-- | N/A      |   | \  | \      |   |
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| . |                         | \-- | N/A      |   |    |        |   |
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| S |                         |     | ,505,000 |   | -- | 1,2    |   |
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+---+-------------------------+-----+----------+---+----+--------+---+
| T |                         | \-- | N        |   | \  | +\$1,6 |   |
| O |                         |     | /A\_\_\_ |   | -- | 78,000 |   |
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+---+-------------------------+-----+----------+---+----+--------+---+
| [ |                         | [\  | [        |   | [  | [-     |   |
| D |                         | --] | N/A]{.un |   | \- | \$1,61 |   |
| E |                         | {.u | derline} |   | -] | 3,000] |   |
| C |                         | nde |          |   | {. | {.unde |   |
| R |                         | rli | N/A      |   | un | rline} |   |
| E |                         | ne} |          |   | de |        |   |
| A |                         |     | ##       |   | rl | -\$1,6 |   |
| S |                         | \-- | #### N/A |   | in | 13,000 |   |
| E |                         |     |  {#na-9} |   | e} |        |   |
| S |                         | \-- |          |   |    | -\$1,6 |   |
| : |                         |     | ###      |   | \  | 13,000 |   |
| ] |                         | \-- | ### N/A  |   | -- |        |   |
| { |                         |     | {#na-10} |   |    | +\$    |   |
| . |                         |     |          |   | \  | 44,000 |   |
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| \ |                         |     |          |   |    |        |   |
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| . |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| \ |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| \ |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| . |                         |     |          |   |    |        |   |
| \ |                         |     |          |   |    |        |   |
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| . |                         |     |          |   |    |        |   |
+---+-------------------------+-----+----------+---+----+--------+---+

**Tribal Management**

+------------------------------------------------+---------------------+
| 2003 President's Budget Request\...\.....      | \$2,406,000         |
|                                                |                     |
| Total estimated budget authority ..            | \$2,406,000         |
|                                                |                     |
| (Obligations)\...\...\...\...\...\...\...      | (\$2,406,000)       |
|                                                |                     |
| 2004                                           | \$2,406,000         |
| Estimate\...\...\...\...\...\...\...\.....     |                     |
|                                                | [(\$2,40            |
| (Obligations)\...\...\...\...\...\...\...      | 6,000)]{.underline} |
|                                                |                     |
| Net Change\...\...\...\...\...\...\...\...     | \$0                 |
|                                                |                     |
| (Obligations)\...\...\...\...\...\...\...      | (\$0)               |
+------------------------------------------------+---------------------+

+-----------------------------+-------+------------+-----+------------+
|                             | 2003  |            | [   |            |
|                             | P     |            | Cha |            |
|                             | resid |            | nge |            |
|                             | ent's |            | f   |            |
|                             |       |            | rom |            |
|                             | [B    |            | Ba  |            |
|                             | udget |            | se] |            |
|                             | Ba    |            | {.u |            |
|                             | se]{. |            | nde |            |
|                             | under |            | rli |            |
|                             | line} |            | ne} |            |
+-----------------------------+-------+------------+-----+------------+
| [INCREASES:]{.underline}    | [FT   | [BA\_\_]{. | [FT | [BA\_\_]{. |
|                             | Es]{. | underline} | Es] | underline} |
|                             | under |            | {.u |            |
|                             | line} |            | nde |            |
|                             |       |            | rli |            |
|                             |       |            | ne} |            |
+-----------------------------+-------+------------+-----+------------+
| A. [Built In:]{.underline}  |       |            |     |            |
+-----------------------------+-------+------------+-----+------------+
| 1.  Increased Cost of       | \--   | 74,000     | \-- | 3,000      |
|     Health Care Provided    |       |            |     |            |
|     Under                   | \--   | 2,306,000  | \-- | 35,000     |
|                             |       |            |     |            |
| Contracts & Grants          | [\    | [N/        | [\  | [9,000]{.  |
|                             | --]{. | A\_\_\_]{. | --] | underline} |
| 2.  Increased Cost of       | under | underline} | {.u |            |
|     Grants                  | line} |            | nde | +\$47,000  |
|                             |       | N/A        | rli |            |
| 3.  Add'l Medical           | \--   |            | ne} | +\$47,000  |
|     Inflation..             |       | #####      |     |            |
|                             | \--   |  N/A\_\_\_ | \-- |            |
| Subtotal Built In           |       |            |     |            |
|                             |       |            | \-- |            |
| TOTAL INCREASES             |       |            |     |            |
+-----------------------------+-------+------------+-----+------------+
| [DECREASES:]{.underline}    |       |            |     |            |
+-----------------------------+-------+------------+-----+------------+
| A. [Built In:]{.underline}  | [\    | [N/        | [\  | [-\        |
|                             | --]{. | A\_\_\_]{. | --] | $47,000]{. |
| Absorption of Built-In:     | under | underline} | {.u | underline} |
|                             | line} |            | nde |            |
| Inflation Increases         |       | N/A        | rli | -\$47,000  |
|                             | \--   |            | ne} |            |
| Subtotal                    |       | N/A\_\_\_  |     | +\$47,000  |
| Built-In\...\...\.....      | \--   |            | \-- |            |
|                             |       | N/A\_\_\_  |     | \$0        |
| TOTAL DECREASES             | \--   |            | \-- |            |
|                             |       |            |     |            |
| NET CHANGE                  |       |            | \-- |            |
+-----------------------------+-------+------------+-----+------------+

**Direct Operation**

+---+------------------------+------+----------+---+----+--------+---+
|   | 2003 President's       |      |          | \ |    |        |   |
|   | Budget                 |      |          | $ |    |        |   |
|   | Request\...\.....      |      |          | 5 |    |        |   |
|   |                        |      |          | 5 |    |        |   |
|   | Total estimated budget |      |          | , |    |        |   |
|   | authority..            |      |          | 3 |    |        |   |
|   |                        |      |          | 1 |    |        |   |
|   | (Obligations)\...\.    |      |          | 2 |    |        |   |
|   | ..\...\...\...\...\... |      |          | , |    |        |   |
|   |                        |      |          | 0 |    |        |   |
|   | 2004                   |      |          | 0 |    |        |   |
|   | Estimate\...\...\...   |      |          | 0 |    |        |   |
|   | \...\...\...\...\..... |      |          |   |    |        |   |
|   |                        |      |          | \ |    |        |   |
|   | (Obligations)\...\.    |      |          | $ |    |        |   |
|   | ..\...\...\...\...\... |      |          | 5 |    |        |   |
|   |                        |      |          | 5 |    |        |   |
|   | Net                    |      |          | , |    |        |   |
|   | Change\...\...\.       |      |          | 3 |    |        |   |
|   | ..\...\...\...\...\... |      |          | 1 |    |        |   |
|   |                        |      |          | 2 |    |        |   |
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+---+------------------------+------+----------+---+----+--------+---+

**Self-Governance**

+---+------------------------+------+----------+----+---+--------+---+
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|   | ..\...\...\...\...\... |      |          | 10 |   |        |   |
|   |                        |      |          | ,0 |   |        |   |
|   | 2004                   |      |          | 89 |   |        |   |
|   | Estimate\...\...\...   |      |          | ,0 |   |        |   |
|   | \...\...\...\...\..... |      |          | 00 |   |        |   |
|   |                        |      |          |    |   |        |   |
|   | (Obligations)\...\.    |      |          | (\ |   |        |   |
|   | ..\...\...\...\...\... |      |          | $1 |   |        |   |
|   |                        |      |          | 0, |   |        |   |
|   | Net                    |      |          | 08 |   |        |   |
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|   | ..\...\...\...\...\... |      |          | 00 |   |        |   |
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+---+------------------------+------+----------+----+---+--------+---+
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+---+------------------------+------+----------+----+---+--------+---+
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+---+------------------------+------+----------+----+---+--------+---+
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| } |                        |      |          |    |   |        |   |
+---+------------------------+------+----------+----+---+--------+---+
| 1 |                        | \--  | N/A      |    | \ | \      |   |
| \ |                        |      |          |    | - | $7,000 |   |
| . |                        | \--  | N/A      |    | - |        |   |
| A |                        |      |          |    |   | 1,000  |   |
| n |                        | \--  | N/A      |    | \ |        |   |
| n |                        |      |          |    | - | 1      |   |
| u |                        | \--  | N/A      |    | - | 7,0000 |   |
| a |                        |      |          |    |   |        |   |
| l |                        | \--  | N/A      |    | \ | 4,000  |   |
| i |                        |      |          |    | - |        |   |
| z |                        | \--  | N/A      |    | - | 20,000 |   |
| a |                        |      |          |    |   |        |   |
| t |                        | \--  | 155,000  |    | \ | 1      |   |
| i |                        |      |          |    | - | 95,000 |   |
| o |                        | \--  | 1        |    | - |        |   |
| n |                        |      | ,058,000 |    |   | 2,000  |   |
| o |                        | \--  |          |    | \ |        |   |
| f |                        |      | 7        |    | - | 39,000 |   |
| F |                        | [    | ,650,000 |    | - |        |   |
| Y |                        | \--] |          |    |   | 2      |   |
| 2 |                        | {.un | [N/A\_\  |    | \ | 83,000 |   |
| 0 |                        | derl | _\_]{.un |    | - |        |   |
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| 3 |                        |      |          |    |   | 8,000] |   |
| C |                        | \--  | N/A      |    | \ | {.unde |   |
| S |                        |      |          |    | - | rline} |   |
| P |                        | \--  | N        |    | - |        |   |
| a |                        |      | /A\_\_\_ |    |   | +\$6   |   |
| y |                        | [    |          |    | \ | 46,000 |   |
| R |                        | \--] | [N/A\_\  |    | - |        |   |
| a |                        | {.un | _\_]{.un |    | - | +\$6   |   |
| i |                        | derl | derline} |    |   | 46,000 |   |
| s |                        | ine} |          |    | \ |        |   |
| e |                        |      | N/A      |    | - | [-\$48 |   |
| a |                        | \--  |          |    | - | 5,000] |   |
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| % |                        |      | /A\_\_\_ |    | - | 85,000 |   |
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+---+------------------------+------+----------+----+---+--------+---+

**Contract Support Costs**

+------------------------------------------------+---------------------+
| 2003 President's Budget Request\...\.....      | \$270,734,000       |
|                                                |                     |
| Total estimated budget authority..             | \$270,734,000       |
| (Obligations)\...\...\...\...\...\...\....     |                     |
|                                                | (\$270,734,000)     |
| 2004                                           |                     |
| Estimate\...\...\...\...\...\...\...\.....     | \$270,734,000       |
|                                                |                     |
| (Obligations)\...\...\...\...\...\...\...      | [(\$270,73          |
|                                                | 4,000)]{.underline} |
| Net Change\...\...\...\...\...\...\...\...     |                     |
|                                                | +\$0                |
| (Obligations)                                  |                     |
|                                                | (+\$0)              |
+------------------------------------------------+---------------------+

+-----------------------------+------+--------------+----+------------+
|                             | 2003 |              | [  |            |
|                             | Pre  |              | Ch |            |
|                             | side |              | an |            |
|                             | nt's |              | ge |            |
|                             |      |              | fr |            |
|                             | [Bu  |              | om |            |
|                             | dget |              | B  |            |
|                             | B    |              | as |            |
|                             | ase\ |              | e] |            |
|                             | _\_] |              | {. |            |
|                             | {.un |              | un |            |
|                             | derl |              | de |            |
|                             | ine} |              | rl |            |
|                             |      |              | in |            |
|                             |      |              | e} |            |
+-----------------------------+------+--------------+----+------------+
| [INCREASES:]{.underline}    | [    | [BA\_\_]     | [  | [BA\_\_]{. |
|                             | FTE] | {.underline} | FT | underline} |
|                             | {.un |              | E] |            |
|                             | derl |              | {. |            |
|                             | ine} |              | un |            |
|                             |      |              | de |            |
|                             |      |              | rl |            |
|                             |      |              | in |            |
|                             |      |              | e} |            |
+-----------------------------+------+--------------+----+------------+
| A. [Built-In]{.underline}:  | \--  | #            | \  | 10,016,000 |
|                             |      | {#section-5} | -- |            |
| 1\. Increased Cost of       | [    |              |    | [2,        |
| Grants\....                 | \--] | #            | [  | 500,000]{. |
|                             | {.un | {#section-6} | \- | underline} |
| 2\. Contract Support        | derl |              | -] |            |
| Cost\...\....               | ine} | #            | {. | +\$        |
|                             |      | N/A {#na-11} | un | 12,516,000 |
| > Subtotal                  | \--  |              | de |            |
| > Program\...\...\....      |      | #            | rl | [-12,      |
|                             | [    | N/A {#na-12} | in | 516,000]{. |
| [DECREASES:]{.underline}    | \--] |              | e} | underline} |
|                             | {.un | N/A          |    |            |
| B. [Built In:]{.underline}  | derl |              | \  | -\$        |
|                             | ine} | [N/A]        | -- | 12,516,000 |
| Absorption of Built-In:     |      | {.underline} |    |            |
|                             | \--  |              | [  | +\$        |
| Inflation Increases         |      | N/A          | \- | 12,516,000 |
|                             | \--  |              | -] |            |
| Subtotal Built              |      | ######       | {. | +\$0       |
| In\...\...\....             | \--  | N/A {#na-13} | un |            |
|                             |      |              | de |            |
| TOTAL                       |      | N/A          | rl |            |
| DE                          |      |              | in |            |
| CREASES\...\...\...\...\... |      |              | e} |            |
|                             |      |              |    |            |
| NET                         |      |              | \  |            |
| CHANGE\                     |      |              | -- |            |
| ...\...\...\...\...\...\... |      |              |    |            |
|                             |      |              | \  |            |
|                             |      |              | -- |            |
|                             |      |              |    |            |
|                             |      |              | \  |            |
|                             |      |              | -- |            |
+-----------------------------+------+--------------+----+------------+