ESBD_383500_1732791533102_2025_Budget Allocation Form_Ryan White.xlsx

XLSX spreadsheet 35 KB Posted

Attached to
STDC Far West Texas RFP No 25-01. 02. 03.
Solicitation number
STDC_FARWEST-TEXAS_RFP-NO_25-01.02.03.
Issued by
Comal County, Texas

About this file

This is a Ryan White budget allocation form template provided by the South Texas Development Council (STDC) for their RFP No. 25-01.02.03. The form is structured to capture detailed budget information across multiple service categories including core medical services (such as Early Intervention Services, Health Insurance Premium Sharing, Medical Case Management, Mental Health Services, and Oral Health Care) and support services (including Child Care Services, Emergency Financial Assistance, Food Bank Services, and Housing Services). The form includes sections for personnel costs calculated on a 5-month basis, fringe benefits, travel, equipment, supplies, contractual services, and other direct costs.

The budget template includes space for detailed cost breakdowns with specific formulas for calculating personnel costs ($/month x % time x 5 months), along with sections for indirect cost calculations. The form is designed to automatically calculate totals and percentages for core medical services and support services, though all fields in the provided document are blank with zero values. The form appears to be part of the larger STDC procurement package for comprehensive HIV care and support services in the El Paso HIV Service Delivery Area, which has a total available funding of approximately $2,401,874 across Ryan White Part B, HIV State Services, and HOPWA funding streams.

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RW Budget Allocation

LEGAL BUSINESS NAMERYAN WHITE BUDGETEarly Intervention ServicesHealth Insurance Premium and Cost SharingHome and Community Based Health ServicesHome Health CareHospice ServicesLocal AIDS Pharmaceutical Assistance/CSAMedical Nutrition TherapyMedical Case MgmtMental Health ServicesOral Health CareOutpatient Ambulatory Health ServicesSubstance Abuse Outpatient CareChild Care ServicesEmergency Financial AssistanceFood Bank/Home-Delivered MealsHealth Education/Risk Reduction (HE/RR)Housing ServicesLinguistics ServicesMedical Transportation ServicesNon-Medical Case MgmtOther Professional ServicesOutreach ServicesPsychosocial Support ServicesReferral for Health Care/ Supportive ServicesRehabilitation ServicesRespite CareSubstance Abuse Services (Residential)Treatment Adherence (Non-Medical)Other ServicesAdmin/
OperatingDifference
DESCRIPTIONTotal
A. PERSONNEL
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
Job Title (Name of Staff) $/month x % time charged to funding source x 5 months =$ - 0- 0- 0
PERSONNEL TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
B. FRINGE BENEFITS
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
FRINGE BENEFITS TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
C. TRAVEL
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
TRAVEL TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
D. EQUIPMENT
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
EQUIPMENT TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
E. SUPPLIES
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
SUPPLIES TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
F. CONTRACTUAL
Description/Justification:$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
CONTRACTUAL TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
G. OTHER
Description/Justification:$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
$ - 0- 0- 0
OTHER TOTAL$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Indirect Cost Rate%%
Total Indirect Cost$ - 0- 0- 0- 0
- 0
TOTAL BUDGET$ - 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
% of Total BudgetERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!ERROR:#DIV/0!

TOTAL OF CORE MEDICAL SERVICES $ - 0 %

TOTAL OF SUPPORT SERVICES $ - 0 %

&"Arial,Bold"

BUDGET ALLOCATION FORM

File details come from the government source that posted it. Updated .