Attachment 5
Nurse-Family Partnership Budget Template
The NFP fees in this budget apply only for an agency that completes its first visit between 12/1/2014 and 11/30/2015
Please enter agency name:
NOTE: This budget is for an implementation to be launched on January 1, 2015 and will complete its first home visit prior to November 30, 2015. If your
agency will launch after 2015, please contact the Nurse-Family Partnership National Office to obtain an updated version of the Budget Template!
Adjust all values in the Yellow and Blue Cells to match your particular situation. Otherwise your budget will be incorrect.
Personnel Costs
Number of Administrators
Use Whole Numbers Only (number of staff positions, not FTE %)
0
Number of Supervisors
1
Number of Nurse Home Visitors
4
Number of Data Entry Personnel
0
Use your own local salary figures, fringe benefits, FTE percentages and anticipated salary increases.
Fringe
Base Salary
Benefits
Total
% Effort
2015
26%
Administrator
$
75,000 $
19,500 $ 94,500
10% $
9,450
Nurse Supervisor 1
$
65,000 $
16,900 $ 81,900
100% $
81,900
Nurse Home Visitor 1
$
50,000 $
13,000 $ 63,000
100% $
63,000
Nurse Home Visitor 2
$
50,000 $
13,000 $ 63,000
100% $
63,000
Nurse Home Visitor 3
$
50,000 $
13,000 $ 63,000
100% $
63,000
Nurse Home Visitor 4
$
50,000 $
13,000 $ 63,000
100% $
63,000
Nurse Home Visitor 5
$
$
$
0% $
Nurse Home Visitor 6
$
$
$
0% $
Nurse Home Visitor 7
$
$
$
0% $
Nurse Home Visitor 8
$
$
$
0% $
Data Entry/Support Person
$
40,000 $
10,400 $ 50,400
50% $
25,200
Sub-Total (Personnel)
$ 368,550
Programmatic Expenses (Please adjust to local costs)
Office Expenses (Rent, Maintenance, Utilities)
per nurse, sup
Office Supplies
Client Support Materials
per family
Copies of forms/facilitators (b&w) per family
Postage
per family
Computers w/ Software
per nurse, sup, data entry
Computer Network Fees
per month
Cellular Phones
per nurse, sup
Cellular Usage Fees
per nurse, sup
Medical & Program Supplies
per NHV Yr 1
Professional Development
per nurse, sup
Mileage (20 trips/family/yr)
mi/trip
Sub-Total (Administrative)
Total Cost Personnel & Administrative
Nurse-Family Partnership Services Fees
Start up fee
Nurse Initial Education Tuition
Per NHV
Supervisor Initial Education Tuition Per Sup
Administrator Orientation
Per Administrator
Number of Administrators who will attend
Nurse Education Materials
Per NHV & Sup
DANCE Education
Per NHV & Sup
Program Support Fee
Per Sup
Nurse Consultation Fee
Per Sup
Total Cost Nurse-Family Partnership Services
Nurse-Family Partnership Travel Costs (Airfare/Hotel/Meals)
Travel: Agency to Administrator Education
Per Administrator
Travel: Agency to Education Unit 2 Per NHV & Sup
Travel: Agency to Education Unit 4 Per Sup
Travel: Agency to DANCE EducationPer NHV & Sup
Travel: Supervisor to Annual Symposium
Total Costs of Travel
Additional Costs
NCAST Materials
See narrative
PIPE Materials
See narrative
ASQ Materials
See narrative
Edinburgh/PHQ-9 Training
See narrative
HOME IT Assessment Materials
See narrative
Total Costs of Additional Materials and Training
TOTAL ANNUAL BUDGET
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
390
55
71
6
1,082
81
973
433
541
10
2015
26,661
4,272
5,043
504
0
543
$
$
7,398
8,869
$
$
$
1,100
1,550
1,050
per year
per year
per year
per year
per year
one time
per month
one time
per year
Half Yrs 2&3
per year
$ 0.560
2016
4,400
5,194
519
$
$
$
4,532
5,350
535
$
$
$
$
559
825
7,620
9,135
$
$
$
$
576
55
7,849
9,409
$
$
$
$
$
2015
1,171
4,037
950
75
1,000
1,100
1,948
5,460
7,140
630
5,408
404
4,867
1,730
2,704
11,200
41,490
410,040
$
$
$
$
2015
26,661
17,088
5,043
-
$
2,715
2017
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2016
1,150
Increase/Year
$
$
$
$
$
$
$
$
$
$
$
$
5.0%
2016
9,923
85,995
66,150
66,150
66,150
66,150
26,460
386,978
$
$
$
$
$
$
$
$
$
$
$
$
5.0%
2017
10,419
90,295
69,458
69,458
69,458
69,458
27,783
406,326
$
$
$
$
$
$
$
$
$
$
$
$
Total
29,791
258,190
198,608
198,608
198,608
198,608
79,443
1,161,854
$
$
$
$
$
$
$
$
$
$
$
$
$
$
6,140
17,213
22,509
1,986
5,408
404
15,342
3,593
8,524
35,308
116,426
1,278,280
$
$
$
$
26,661
17,088
5,043
-
275
7,849
9,409
17,533
$
$
$
$
$
2,715
4,400
22,866
27,414
106,188
1,150
1,150
$
$
$
$
$
$
1,100
7,750
1,050
5,000
2,250
17,150
$
$
$
$
$
$
$
1,171
4,037
950
75
6,233
1,407,851
$
$
$
$
$
2,045
5,733
7,497
662
$
$
$
$
$
2,147
6,020
7,872
695
$
-
$
-
$
$
$
$
$
$
5,110
908
2,839
11,760
36,554
423,532
$
$
$
$
$
$
2016
$
$
$
$
4,125
7,620
9,135
20,880
5,366
954
2,981
12,348
38,382
444,708
2017
$
$
$
$
$
$
$
7,398
8,869
67,774
$
$
$
$
$
7,750
1,050
8,800
$
$
$
$
$
$
$
$
$
$
2015
1,171
4,037
950
75
6,233
492,848
$
$
$
$
$
$
$
450,512
$
$
$
$
$
$
$
Increase/Year
5.0%
5.0%
2016
2017
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
2,016
450,512
$
$
$
$
$
$
$
2017
5,000
1,100
6,100
$
$
2016
2017
$
$
$
$
$
$
$
463,391
Supplemental Costs - Items not included in a standard NFP agency start up (see narrative)
Use your own local salary figures, fringe benefits, FTE percentages and anticipated salary increases.
Base Salary
Fringe
Additional Personnel
Total
% FTE
2015
26%
$
$
$
0% $
$
$
0% $
$
$
0% $
$
$
0% $
$
$
0% $
$
$
0% $
Sub-Total (Personnel)
$
-
Total
-
Additional Costs
See narrative
Data Transmission Set-Up Fee
Annual Transmission Fee
Sub-total (Additional Costs)
TOTAL SUPPLEMENTAL BUDGET
TOTAL ANNUAL AND SUPPLEMENTAL BUDGET
Copy of NFP_IA_BudgetTemplate-2014_Start-Up (1).xlsx
© Copyright 2014 Nurse-Family Partnership. All rights reserved.
$
$
3,439
575
$
$
3,542
588
$
$
3,648
606
$
$
$
$
$
$
$
2,015
492,848
$
$
$
$
$
$
$
2,017
463,391
Total
1,407,851
Printed 1/26/2015 2:15 PM
Attachment 6
Nurse-Family Partnership Budget Template
The NFP fees in this budget apply only for an agency that completes its first visit between 12/1/2014 and 11/30/2015
Please enter agency name:
STAFF REPLACEMENT COSTS- Highly recommended to add additional costs in your budget to account for turnover.
Maximum caseload is 25 clients per NHV. Some implementing agencies have been able to maintain a caseload at this level over a substantial period of time.
However, some agencies experience turnover, on average about 15% per year and when a Nurse Home Visitor leaves, often about half of the clients are lost.
Therefore, we recommend planning to acheive and sustain a caseload of at least 22.5 per NHV FTE. This will leave you an opportunity to exceed the expectations
that you will have set with your funding decision makers.
Personnel Costs
Number of Administrators
Use Whole Numbers Only (number of staff positions, not FTE %)
0
Number of Supervisors
0
Number of Nurse Home Visitors
0
Number of Data Entry Personnel
0
Nurse-Family Partnership Services Fees
2015
2016
2017
2015
2016
2017
Supervisor Replacement Fee
One time per Sup
$
2,902 $ 2,988 $ 3,078 $
$
$
$
Nurse Initial Education Tuition
Per NHV
$
4,272 $ 4,400 $ 4,532 $
$
Supervisor Initial Education Tuition Per Sup
$
5,043 $ 5,194 $ 5,350 $
$
Administrator Orientation
Per Administrator
$
504 $
519 $
535 $
$
Number of Administrators who will attend
0
DANCE Education
Per NHV & Sup
$
825 $
55
$
$
$
Program Support Fee
Per Sup
$
7,398 $ 7,620 $ 7,849 $
$
$
$
Nurse Consultation Fee
Per Sup
$
8,869 $ 9,135 $ 9,409 $
$
$
$
Total Cost Nurse-Family Partnership Services
$
$
$
$
Nurse-Family Partnership Travel Costs (Airfare/Hotel/Meals)
Travel: Agency to Administrator Education
Per Administrator
$
1,100
Travel: Agency to Education Unit 2 Per NHV & Sup
$
1,550
Travel: Agency to Education Unit 4 Per Sup
$
1,050
Travel: Agency to DANCE EducationPer NHV & Sup
$ 1,000
Total Costs of Travel
TOTAL REPLACEMENT BUDGET
TOTAL ANNUAL BUDGET (INCLUDES ORIGINAL, SUPPLEMENTAL & REPLACEMENT)
$
$
$
$
$
$
492,848
$
$
$
$
450,512
$
$
$
$
463,391
$
$
$
$
$
$
$
1,407,851
STAFF EXPANSION COSTS - Only include these costs in your budget, if your agency is planning to expand the NFP program.
Personnel Costs
Number of Administrators
Use Whole Numbers Only (number of staff positions, not FTE %)
0
Number of Supervisors
0
Number of Nurse Home Visitors
0
Number of Data Entry Personnel
0
Use your own local salary figures, fringe benefits, FTE percentages and anticipated salary increases.
Increase/Year
Fringe
Base Salary
5.0%
5.0%
Benefits
Personnel Costs
Total
% Effort
2015
2016
2017
26%
Administrator
$
$
$
0% $
$
$
Nurse Supervisor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Nurse Home Visitor
$
$
$
0% $
$
$
Data Entry/Support Person
$
$
$
0% $
$
$
Sub-Total (Personnel)
$
$
$
-
$
$
$
$
$
$
$
$
$
$
$
$
-
Programmatic Expenses (Please adjust to local costs)
Office Expenses (Rent, Maintenance, Utilities)
per nurse, sup
Office Supplies
Client Support Materials
per family
Copies of forms/facilitators (b&w) per family
Postage
per family
Computers w/ Software
per nurse, sup, data entry
Computer Network Fees
per month
Cellular Phones
per nurse, sup
Cellular Usage Fees
per nurse, sup
Medical & Program Supplies
per NHV Yr 1
Professional Development
per nurse, sup
Mileage (20 trips/family/yr)
mi/trip
Sub-Total (Administrative)
Total Cost Personnel & Administrative
Nurse-Family Partnership Services Fees
Supervisor Expansion Fee
One time per Sup
Nurse Initial Education Tuition
Per NHV
Supervisor Initial Education Tuition Per Sup
Administrator Orientation
Per Administrator
Number of Administrators who will attend
Nurse Education Materials
Per NHV & Sup
DANCE Education
Per NHV & Sup
Program Support Fee
Per Sup
Nurse Consultation Fee
Per Sup
Total Cost Nurse-Family Partnership Services
Nurse-Family Partnership Travel Costs (Airfare/Hotel/Meals)
Travel: Agency to Administrator Education
Per Administrator
Travel: Agency to Education Unit 2 Per NHV & Sup
Travel: Agency to Education Unit 4 Per Sup
Travel: Agency to DANCE EducationPer NHV & Sup
Total Costs of Travel
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
390
55
71
6
1,082
81
per year
per year
per year
per year
per year
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
-
$
$
$
$
$
$
$
$
-
973 per year
433 Half Yrs 2&3
541 per year
10 $ 0.560
$
$
$
$
$
$
-
$
$
$
$
$
$
-
$
$
$
$
$
$
-
$
$
$
$
$
$
-
-
$
-
$
-
$
-
2015
2,902
4,272
5,043
504
0
543
$
$
7,398
8,869
$
$
$
1,100
1,550
1,050
$
$
$
$
2016
2,988
4,400
5,194
519
$
$
$
$
2017
3,078
4,532
5,350
535
$
$
$
$
559
825
7,620
9,135
$
$
$
$
576
55
7,849
9,409
$
1,000
Additional Costs
2015
2016
2017
NCAST Materials
See narrative
$
1,171
PIPE Materials
See narrative
$
4,037
ASQ Materials
See narrative
$
950
Edinburgh/PHQ-9 Training
See narrative
$
HOME IT Assessment Materials
See narrative
$
75
Total Costs of Additional Materials and Training
TOTAL ANNUAL BUDGET (includes Original, Supplemental, Replacement & Expansions)
Copy of NFP_IA_BudgetTemplate-2014_Start-Up (1).xlsx
© Copyright 2014 Nurse-Family Partnership. All rights reserved.
Total
2015
$
$
$
$
2016
$
$
$
-
$
$
$
$
$
-
$
$
492,848
-
$
$
$
$
$
$
2015
2017
-
$
$
2016
$
$
450,512
-
$
$
$
$
-
$
$
-
2017
$
$
463,391
$
$
$
$
$
$
$
1,407,851
Printed 1/26/2015 2:15 PM