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1-Salaries 1st year Start Up
| Schedule 1 | | | Prepared by: Dan Idell |
| Provider Name: Casa de Esperanza RFP Proposal | | Date Prepared: 10/22/2015 |
| Salary and Benefits Schedule 1st Year (3 month period) | | |
| | Year 1- October 1, 2026- December 31, 2026 | |
| | | | | Budget | | | Budget | | | | | | | |
| | | Total | Total Payroll | | | Ventura County BH Casa de Esperanza RFP | | | | Ventura County BH Prog C | | | | |
| Ref | Position | Hours | FTE | Salary | Benefits | Total S&B | % | Total FTE | Salary | Benefits | % | Total FTE | Billable FTE | Salary | Benefits |
| 1 | Sample | | | | | - | | - 0 | - 0 | - | 0% | | | - | - |
| 2 | Program Director | | | | | - | | - 0 | - 0 | - | 10% | | | 1,500 | 500 |
| 3 | Clinician - Licensed | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 4 | | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 5 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 6 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 7 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 8 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 9 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 10 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 11 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 12 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 13 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 14 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 15 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 16 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 17 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 18 | | | | | | | | - 0 | - 0 | - | | | | - | - |
| | - | -0 | - | | - | | - 0 | - 0 | - 0 | | - | - | 7,900 | 1,300 |
| Total Should tie to Schedule 2 | 0 |
| Variance (Error - PLS Correct) | 0 |
&Z&F
1-Salaries 1st Year Operational
| Schedule 1 | | | Prepared by: Dan Idell |
| Provider Name: Casa de Esperanza RFP Proposal | | Date Prepared: 10/22/2015 |
| Salary and Benefits Schedule 1st Year (9 month period) | | |
| | Year 1- January 1, 2027- December 31, 2027 | |
| | | | | Budget | | | Budget | | | | | | | |
| | | Total | Total Payroll | | | Ventura County BH Casa de Esperanza RFP | | | | Ventura County BH Prog C | | | | |
| Ref | Position | Hours | FTE | Salary | Benefits | Total S&B | % | Total FTE | Salary | Benefits | % | Total FTE | Billable FTE | Salary | Benefits |
| 1 | Sample | | | | | - | | - 0 | - 0 | - | 0% | | | - | - |
| 2 | Program Director | | | | | - | | - 0 | - 0 | - | 10% | | | 1,500 | 500 |
| 3 | Clinician - Licensed | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 4 | | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 5 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 6 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 7 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 8 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 9 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 10 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 11 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 12 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 13 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 14 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 15 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 16 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 17 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 18 | | | | | | | | - 0 | - 0 | - | | | | - | - |
| | - | -0 | - | | - | | - 0 | - 0 | - 0 | | - | - | 7,900 | 1,300 |
| Total Should tie to Schedule 2 | 0 |
| Variance (Error - PLS Correct) | 0 |
1-Salaries 2nd year
| Schedule 1 | | | Prepared by: Dan Idell |
| Provider Name: Casa de Esperanza RFP Proposal | | Date Prepared: 10/22/2015 |
| Salary and Benefits Schedule 1st Year (12 month period) | | |
| | Year 2- January 1, 2028 to December 31, 2028 | |
| | Projection | | | Budget | | | Budget | | | | | | | |
| | | Total | Total Payroll | | | Ventura County BH Casa de Esperanza RFP | | | | Ventura County BH Prog C | | | | |
| Ref | Position | Hours | FTE | Salary | Benefits | Total S&B | % | Total FTE | Salary | Benefits | % | Total FTE | Billable FTE | Salary | Benefits |
| 1 | Sample | | | | | - | | - 0 | - 0 | - | 0% | | | - | - |
| 2 | Program Director | | | | | - | | - 0 | - 0 | - | 10% | | | 1,500 | 500 |
| 3 | Clinician - Licensed | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 4 | | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 5 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 6 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 7 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 8 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 9 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 10 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 11 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 12 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 13 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 14 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 15 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 16 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 17 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 18 | | | | | | | | - 0 | - 0 | - | | | | - | - |
| | - | -0 | - | | - | | - 0 | - 0 | - 0 | | - | - | 7,900 | 1,300 |
| Total Should tie to Schedule 2 | 0 |
| Variance (Error - PLS Correct) | 0 |
&Z&F
1-Salaries 3rd year
| Schedule 1 | | | Prepared by: Dan Idell |
| Provider Name: Casa de Esperanza RFP Proposal | | Date Prepared: 10/22/2015 |
| Salary and Benefits Schedule 1st Year (12 month period) | | |
| | Year 3-January 1, 2029 to December 31, 2029 | |
| | Projection | | | Budget | | | Budget | | | | | | | |
| | | Total | Total Payroll | | | Ventura County BH Casa de Esperanza RFP | | | | Ventura County BH Prog C | | | | |
| Ref | Position | Hours | FTE | Salary | Benefits | Total S&B | % | Total FTE | Salary | Benefits | % | Total FTE | Billable FTE | Salary | Benefits |
| 1 | Sample | | | | | - | | - 0 | - 0 | - | 0% | | | - | - |
| 2 | Program Director | | | | | - | | - 0 | - 0 | - | 10% | | | 1,500 | 500 |
| 3 | Clinician - Licensed | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 4 | | | | | | - | | - 0 | - 0 | - | 20% | | | 3,200 | 400 |
| 5 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 6 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 7 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 8 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 9 | | | | | | - | | - 0 | - 0 | - | | | | | |
| 10 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 11 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 12 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 13 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 14 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 15 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 16 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 17 | | | | | | - | | - 0 | - 0 | - | | | | - | - |
| 18 | | | | | | | | - 0 | - 0 | - | | | | - | - |
| | - | -0 | - | | - | | - 0 | - 0 | - 0 | | - | - | 7,900 | 1,300 |
| Total Should tie to Schedule 2 | 0 |
| Variance (Error - PLS Correct) | 0 |
&Z&F
Budget
| SCHEDULE 2 | |
| Prepared by: |
| Date Prepared: |
Provider Name: Casa de Esperanza RFP Proposal
REVENUE Year 1- January 1, 2027- December 31,2027 Year 2- January 1, 2028- December 31,2028 Year 3- January 1, 2029- December 31,2029 Total 1st Year Budget -Detailed Explanation 2nd Year Budget -Detailed Explanation 3rd Year Budget -Detailed Explanation
| Net Patient Service Revenue | | | | $0 |
| Total Operating Grants and Contracts | | | | |
| Contributions/Fundraising Income | | | | |
| Donated Goods and Services | | | | |
| Net Assets Released from Restriction | | | | |
| Other Operating Revenue (Realignment/NCC) | $0 | $0 | $0 | $0 |
| Total Operating Revenue | $0 | $0 | $0 | $0 |
| EXPENSES | | | | |
| Salaries and Related Expenses | | | | $0 |
| Benefits | | | | $0 |
| Payroll Taxes | | | | $0 |
| Rent | | | | $0 |
| Debt Service/Mortgage Payments | | | | $0 |
| Professional Contracted/Consultant Fees | | | | $0 |
| Supplies | | | | $0 |
| Insurance | | | | $0 |
| Travel and Training | | | | $0 |
| Licensing and Permits | | | | $0 |
| General Administration | | | | $0 |
| Facility Operation and Maintenance | | | | $0 |
| Printing/Postage | | | | $0 |
| Property Taxes/Local Fees | | | | $0 |
| Technology (Computers and Other Equipment) | | | | $0 |
| Telephone/Internet | | | | $0 |
| Utilities | | | | $0 |
| Other () | | | | $0 |
| Other (Specify) | | | | $0 |
| TOTAL DIRECT OPERATING EXPENSES | $0 | $0 | $0 | $0 |
| Indirect Expenditures: Paid By Provider | | | | |
| Salaries | | | | $0 |
| Benefits | | | | $0 |
| Accounting, Audit, and Legal | | | | $0 |
| Vehicle Expense | | | | $0 |
| Staff Expenses | | | | $0 |
| Other Indirect Expenditures: | | | | $0 |
| Total Indirect Expenditures | $0 | $0 | $0 | $0 |
Total Expenditure $0 $0 $0 $0
| Notes: |
| 1) Area highlighted in green for data entry. |
| 2) Explain basis of projection for salaries & benefits and other significant services & supplies such as lease, other professional expenses, etc. |
| 3) Insert lines as needed. |
| 4)Maximum total Indirect expenses is 15% of direct expenses. |
Start Up Costs
| Prepared by: |
| Date Prepared: |
| Provider Name: Casa de Esperanza RFP Proposal |
| 3 Months Start-up period- October 1, 2026 to December 31, 2026 |
| Start-up Costs and Items |
| Description of Items | Cost | Supporting Justification and Calculations |
| Amount ($) | |
| IT Equipment and Services | | |
| Recruitment | | |
| Travel | | |
| Corporate Staff | | |
| Orientation-related expenses | | |
| Office Supplies | | |
| WRAP and LEAP training | | |
| Program Leadership Staff | | |
| Program Nursing, Clinicial, Rehab and Social Staff | | |
| Indirect expenditures | | 15% Indirect expenditures from direct expenses |
TOTAL - 0