Final FY26 Annualized Budget Workbook .xls
XLS spreadsheet 280 KB Posted
- Attached to
- Girls Committed Program
- Solicitation number
- BPM054082
- Issued by
- Baltimore City, Maryland
About this file
This is a Final FY26 Annualized Budget Workbook for a Child Placement Agency Operating Budget submitted to the Maryland Department of Juvenile Services (DJS) for the Girls Committed Program. The Girls Committed Program seeks to establish a staff-secure and therapeutic residential facility with a home-like environment for girls and gender-expansive young people currently involved in the juvenile justice system. This program will replace DJS's existing hardware-secure commitment program for girls. The budget workbook is designed for organizations seeking to operate or expand child placement services under state contract, with forms requiring submission of facility licensing documentation, organizational structure, staffing plans, and operational capacity data.
The budget template encompasses detailed expense allocations across multiple functional areas including management and general administration, direct child services, education, medical services, and clinical services. Key budget components include personnel costs (salaried and contractual/consultant staff), payroll taxes, fringe benefits, staff development, contracted services, facility maintenance, food and clothing allowances, recreation, utilities, insurance, and operational supplies. The workbook requires documentation of actual and projected average daily census, days of operation, and rate computations to determine per-child annual, monthly, and daily costs. All budget submissions must be certified by the organization's Chief Administrative Officer and Chief Financial Officer, with revenue calculations based on government agency fees, grants, private pay sources, and other allowable income offsets against operational expenses to establish the final approved rate structure.
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Text version
FRM A
| Budget Form A - Child Placement Agency Operating Budget | Annualized Budget | ||||||
| Fill In Bule Fields Only | |||||||
| SECTION I: General | |||||||
| (Enter data beginning in column G) | |||||||
| Federal ID Number: | |||||||
| Parent Organization: | |||||||
| Program Name: | |||||||
| Program Location: | Attach one copy of the license issued to each facility/location. | ||||||
| Mailing Address - Street Address: | |||||||
| Mailing Address - P.O. Box, Suite or Floor (if applicable): | |||||||
| Mailing Address - City: | |||||||
| Mailing Address - State: | |||||||
| Mailing Address - Zip Code: | |||||||
| Telephone Number : | |||||||
| Fax Number: | |||||||
| Chief Administrative Officer: | Email address: | ||||||
| Chief Financial Officer: | Email address: | ||||||
| Budget Preparer: | |||||||
| Type of Organization: | |||||||
| Licensing Agency/Approval Agency (If applicable): | |||||||
| SECTION II: Census Information | |||||||
| (Enter Data Beginning in Column G) | |||||||
| **CAPACITY: (ATTACH DOCUMENTATION): | |||||||
| Actual Census (Budget Form C - Line 10 Total): | 0.00 | ||||||
| If the program operates less than a full year, | |||||||
| enter the dates of operation from (month/year) to month/year) | |||||||
| Projected Average Daily Census (Budget Form C - Line 6): | 0.00 | 0.00% | Occupancy | ||||
| Number of Days School is in Session: | |||||||
| (For educational programs only) | |||||||
| SECTION III: Rates | |||||||
| Rates Data: | Per Year | Per Month | Per Day | ||||
| Year 1 Current Approved Rate (Form C, Item # 9): | $ - | $ - 0 | $ - 0 | ||||
| Year 2 Approved Rate (Form C, Item #8): | $ - 0 | $ - 0 | $ - 0 | ||||
| % Change | 0.00% | ||||||
| I hereby certify that the revenue and expenses identified herein are correct and justified in the amounts | |||||||
| stated and represent actual and necessary costs associated with the administration of the program. | |||||||
| Person authorized by the Corporation to sign on its behalf: | Title, Signature and Date |
&LRev 08/11 IRCFORM#1&RPage 1 of 12 Will populate once Form C is completed.
FRM B-1
| Budget Form B 1 - Operating Statement - INCOME | Annualized Budget | |||
| $ Variance | % Variance | |||
| Year 1 | Year 2 | Year 1/Year 2 | Year 1/Year 2 | |
| Budget | Budget | |||
| Budgeted Revenue | Col 2 | Col 3 | Col 4 | Col 5 |
| 01 Fee for Service: | ||||
| a. Fees from Government Agencies | $ - | N/A | ||
| b. Grants | $ - | N/A | ||
| c. Private Pay | $ - | N/A | ||
| Subtotal 01 | $ - | $ - | $ - | N/A |
| USE SECTION 02 TO REPORT OTHER INCOME THAT IS APPLIED TO EXPENSES INCLUDED IN THE RATE (SEE INSTRUCTIONS) | ||||
| 02 Other Income: | ||||
| a. Contributions | $ - | N/A | ||
| b. Donated Materials | $ - | N/A | ||
| c. Donated Services | $ - | N/A | ||
| d. Food Service Sales | $ - | N/A | ||
| e. Medicaid Payments | $ - | N/A | ||
| f. Miscellaneous Income | $ - | N/A | ||
| g. MSDE/USDA Breakfast/Lunch | $ - | N/A | ||
| h. Operating Fund Grants | $ - | N/A | ||
| i. Operating Fund Investment Income | $ - | N/A | ||
| j. Other (specify) | $ - | N/A | ||
| k. Transfer From Other Agency Funds | $ - | N/A | ||
| l. United Way Allocations | $ - | N/A | ||
| Subtotal 02 | $ - | $ - | $ - | N/A |
| Total Income All Sources | $ - | $ - | $ - | N/A |
| USE SECTION 03 TO REPORT OTHER INCOME THAT IS NOT APPLIED TO EXPENSES INCLUDED IN THE RATE (SEE INSTRUCTIONS) | ||||
| 03 Other Income: | ||||
| a. Contributions | $ - | N/A | ||
| b. Donated Materials | $ - | N/A | ||
| c. Donated Services | $ - | N/A | ||
| d. Food Service Sales | $ - | N/A | ||
| e. Medicaid Payments | $ - | N/A | ||
| f. Miscellaneous Income | $ - | N/A | ||
| g. MSDE/USDA Breakfast/Lunch | $ - | N/A | ||
| h. Operating Fund Grants | $ - | N/A | ||
| i. Operating Fund Investment Income | $ - | N/A | ||
| j. Other (specify) | $ - | N/A | ||
| k. Transfer From Other Agency Funds | $ - | N/A | ||
| l. United Way Allocations | $ - | N/A | ||
| Subtotal 03 | $ - | $ - | $ - | N/A |
&RPage 2 of 12
FRM B-2
| Budget Form B 2 - Operating Statement - EXPENSES | Annualized Budget | |||
| Year 1 | Year 2 | $ Variance | % Variance | |
| Budget | Budget | Year 1 / Year 2 | Year 1 / Year 2 | |
| Budgeted Expenses | Col 2 | Col 3 | Col 4 | Col 5 |
| 01 Employees | ||||
| a. Salaried | $ - | $ - | N/A | |
| b. Contractual/Consultant | $ - | $ - | N/A | |
| 02 Payroll Taxes | $ - | $ - | N/A | |
| 03 Fringe Benefits | $ - | $ - | N/A | |
| 04 Staff Development Costs | $ - | $ - | N/A | |
| 05 Contracted Services (non-professional) | $ - | $ - | N/A | |
| 06 TFC Difficulty of Care | $ - | $ - | N/A | |
| 07 TFC Board Payment | $ - | $ - | N/A | |
| 08 TFC Respite Care | $ - | $ - | N/A | |
| 09 Publicity | $ - | $ - | N/A | |
| 10 Food | $ - | $ - | N/A | |
| 11 Clothing | $ - | $ - | N/A | |
| 12 Recreation | $ - | $ - | N/A | |
| 13 Personal Needs Allowance | $ - | $ - | N/A | |
| 14 Rent | $ - | $ - | N/A | |
| 15 Utilities | $ - | $ - | N/A | |
| 16 Repairs and Maintenance | $ - | $ - | N/A | |
| 17 Insurance and Taxes | $ - | $ - | N/A | |
| 18 Interest | $ - | $ - | N/A | |
| 19 Supplies | $ - | $ - | N/A | |
| 20 Depreciation/Use Allowance | $ - | $ - | N/A | |
| 21 Equipment Rental/Lease and Repairs | $ - | $ - | N/A | |
| 22 Printing/Copying | $ - | $ - | N/A | |
| 23 Telephone | $ - | $ - | N/A | |
| 24 Postage and Shipping | $ - | $ - | N/A | |
| 25 Memberships and Subscriptions | $ - | $ - | N/A | |
| 26 Conferences and Conventions | $ - | $ - | N/A | |
| 27 Travel and Transportation | $ - | $ - | N/A | |
| 28 Other | $ - | $ - | N/A | |
| 29 Total Expenses | $ - | $ - | $ - | N/A |
&RPage 3 of 12
FRM C
| Budget Form C - RATE COMPUTATION | Annualized Budget | |||
| 1. Income Offset (Form B1, Requested Year 1 Budget - Col 3, Subtotal 02) | $ - | |||
| 2. Unallowable Cost (Form D, Column 02) | $ - | |||
| 3. Unallowable Cost Minus Income Offset (Line 2 Minus Line 1) | $ - | |||
| 4. Total Expenses (Form D, Column 01) | $ - | |||
| 5. Allowable Cost | $ - | |||
| If line 3 is a Positive Number then subtract line 3 from line 4; | ||||
| If line 3 is a Negative Number then add lines 3 and 4; | ||||
| If line 3 Equals Zero then enter the sum from Form D, Column 3. | ||||
| 6. Projected Average Daily Census - Year 2 | ||||
| 7. Days in Operation - Year 2 | ||||
| 8. Year 2 Approved Rate Calculation | ||||
| a. Annual Per Child Rate - Year 2 (Line 5 Divided by Line 6) | $ - 0 | $ - | ||
| b. Monthly Per Child Rate - Year 2 (Line 8a Divided by 12) | $ - 0 | $ - 0 | ||
| c. Daily Per Child Rate - Year 2 (Line 5 Divided by (Line 6 * Line 7) | $ - 0 | $ - 0 | ||
| 9. Year 1 Current Rate (Enter from most current Year 1 Rate) | ||||
| a. Annual Cost Per Child | ||||
| b. Monthly Cost Per Child | ||||
| c. Daily Cost Per Child | ||||
| 10. Average Daily Census for Calendar Year 1: | ||||
| a. Department of Juvenile Services | ||||
| Total | 0.0 | |||
| 11. Number of Billable Days for Calendar Year 1: | ||||
| a. Department of Juvenile Services | ||||
| Total | 0.0 |
&RPage 4 of 12 Will auto populate.
FRM D
| Budget Form D - Allocation of Expenses by Function - SUMMARY | Annualized Budget | |||||||||
| EXPENSES | Year 2 | ALLOCATION OF ALLOWABLE NET EXPENSES (Col 03) | ||||||||
| Total | Unallowable | Allowable | Management, | Direct Child | Education | Medical | Clinical | Allowable | ||
| Expenses | Cost | Net Expenses | Gen'l/Fac Supp | Services | Net Expenses | |||||
| Budgeted Expenses | (col 1) | (col 2) | (col 3) | (col 4) | (col 5) | (col 6) | (col 7) | (col 8) | (col 9) * | |
| 01 Employees | ||||||||||
| a. Salaried | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | 0 | |
| b. Contractual/Consultant | $ - | $ - | $ - | $ - | $ - | $ - | $ - | $ - | 0 | |
| 02 Payroll Taxes | $ - | $ - | 0 | |||||||
| 03 Fringe Benefits | $ - | $ - | 0 | |||||||
| 04 Staff Development Costs | $ - | $ - | 0 | |||||||
| 05 Contracted Services (non-personnel) | $ - | $ - | 0 | |||||||
| 06 TFC Difficulty of Care | $ - | $ - | 0 | |||||||
| 07 TFC Board Payment | $ - | $ - | 0 | |||||||
| 08 TFC Respite Care | $ - | $ - | 0 | |||||||
| 09 Publicity | $ - | $ - | 0 | |||||||
| 10 Food | $ - | $ - | 0 | |||||||
| 11 Clothing | $ - | $ - | 0 | |||||||
| 12 Recreation | $ - | $ - | 0 | |||||||
| 13 Personal Needs Allowance | $ - | $ - | 0 | |||||||
| 14 Rent | $ - | $ - | 0 | |||||||
| 15 Utilities | $ - | $ - | 0 | |||||||
| 16 Repairs and Maintenance | $ - | $ - | 0 | |||||||
| 17 Insurance and Taxes | $ - | $ - | 0 | |||||||
| 18 Interest | $ - | $ - | 0 | |||||||
| 19 Supplies | $ - | $ - | 0 | |||||||
| 20 Depreciation/Use Allowance | $ - | $ - | 0 | |||||||
| 21 Equipment Rental/Lease & Repairs | $ - | $ - | 0 | |||||||
| 22 Printing/Copying | $ - | $ - | 0 | |||||||
| 23 Telephone | $ - | $ - | 0 | |||||||
| 24 Postage and Shipping | $ - | $ - | 0 | |||||||
| 25 Memberships and Subscriptions | $ - | $ - | 0 | |||||||
| 26 Conferences and Conventions | $ - | $ - | 0 | |||||||
| 27 Travel and Transportation | $ - | $ - | 0 | |||||||
| 28 Other | $ - | $ - | 0 | |||||||
| Total Expenses | $ - | $ - | $ - | $ - | 0 | |||||
| Percent Distribution of Total Allowable Expenses | 0 | 0 | 0 | 0 | 0 | 0.00% | ||||
| * Column 09 must equal column 03 |
&RPage 5 of 12
FRM E-1
| Budget Form E 1 - Personnel Cost - SUMMARY | Annualized Budget | ||||||||
| Personnel Category | Year 1 | Year 2 | Change from Previous Year | % Change from Previous Year | |||||
| (col 1) | Budget (col 2) | Budget (col 3) | (col 4) | (col 5) | |||||
| Total Annual | Total Annual | Total Annual | Total Annual | Total Annual | Total Annual | Total Annual | Total Annual | ||
| Hours Worked | Salary | Hours Worked | Salary | Hours Worked | Salary | Hours Worked | Salary | ||
| Mgmt/Genl/Fac Supp | |||||||||
| Staff | $ - | ||||||||
| Cons./Cont. | $ - | ||||||||
| Mgmt & General Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |
| Direct Child Services | |||||||||
| Staff | $ - | ||||||||
| Cons./Cont. | $ - | ||||||||
| Direct Child Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |
| Education | |||||||||
| Staff | $ - | ||||||||
| Cons./Cont. | $ - | ||||||||
| Education Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |
| Medical | |||||||||
| Staff | $ - | ||||||||
| Cons./Cont. | $ - | ||||||||
| Medical Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |
| Clinical | |||||||||
| Staff | $ - | ||||||||
| Cons./Cont. | $ - | ||||||||
| Clinical Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |
| ALL PERSONNEL CATEGORIES | |||||||||
| Staff | $ - | ||||||||
| Consultant | $ - | ||||||||
| Personnel Total | 0 | $ - | 0 | $ - | 0 | $ - | 0.0% | 0.0% |
&RPage 6 of 12
FRM E-2
| Budget Form E 2 - Personnel Cost Detail - MANAGEMENT, GENERAL & FACILITY SUPPORT | Annualized Budget | ||||||||||||
| HHY/John C. Tracey | |||||||||||||
| Position | Position Title (col 2) | Year 1 | Year 2 | Change from Previous Year | % Change from Previous Year | (S) Staff or | |||||||
| Number | Budget (col 3) | Budget (col 4) | (col 5) | (col 6) | (C) Cons/Contr | ||||||||
| (col 1) | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | (col 7) | ||||
| Worked | Salary | Worked | Salary | Worked | Salary | Worked | Salary | $S | $C | ||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | ||||||||
| TOTAL - MANAGEMENT & GENERAL | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | |||||
| Budget $ Staff | $ - | Total count of "Staff" | 0 | 0 | 0 | ||||||||
| Budget $ Consultant | $ - | Total count of "Consultant" | 0 | ||||||||||
| Total Staff + Cons | $ - | ||||||||||||
| 0 | $ - | ||||||||||||
| 0 | 0 |
&RPage 7 of 12 In this Column use ( S ) or( C )
FRM E-3
| Budget Form E 3 - Personnel Cost Detail - DIRECT CHILD SERVICES | Annualized Budget | |||||||||||
| Position | Position Title | Year 1 | Year 2 | Change from Previous Year | % Change from Previous Year | (S) Staff or | ||||||
| Number | (col 2) | Budget (col 3) | Budget (col 4) | (col 5) | (col 6) | (C) Cons/Contr | ||||||
| (col 1) | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | (col 7) | |||
| Worked | Salary | Worked | Salary | Worked | Salary | Worked | Salary | $S | $C | |||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| TOTAL - DIRECT CHILD & FAC. SUPP. | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | ||||
| Budget $ Staff | $ - | Total count of "Staff" | 0 | 0 | 0 | |||||||
| Budget $ Consultant | $ - | Total count of "Consultant" | 0 | |||||||||
| Total Staff + Cons | $ - | |||||||||||
| 0 | $ - | |||||||||||
| 0 | 0 |
&RPage 8 of 12 In this Column use ( S ) or( C )
FRM E-4
| Budget Form E 4 - Personnel Cost Detail - EDUCATION | Annualized Budget | |||||||||||
| Position | Position Title | Year 1 | Year 2 | Change from Prev Yr | % Change from Prev Yr | (S) Staff or | ||||||
| Number | (col 2) | Budget (col 3) | Budget (col 4) | (col 5) | (col 6) | (C) Cons/Contr | ||||||
| (col 1) | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | (col 7) | |||
| Worked | Salary | Worked | Salary | Worked | Salary | Worked | Salary | $S | $C | |||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| TOTAL - EDUCATION | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | ||||
| Budget $ Staff | $ - | Total count of "Staff" | 0 | 0 | 0 | |||||||
| Budget $ Consultant | $ - | Total count of "Consultant" | 0 | |||||||||
| Total Staff + Cons | $ - | |||||||||||
| 0 | $ - | |||||||||||
| 0 | 0 |
&RPage 9 of 12 In this Column use ( S ) or( C )
FRM E-5
| Budget Form E 5 - Personnel Cost Detail - MEDICAL | Annualized Budget | |||||||||||
| Position | Position Title | Year 1 | Year 2 | Change from Previous Year | % Change from Previous Year | (S) Staff or | ||||||
| Number | (col 2) | Budget (col 3) | Budget (col 4) | (col 5) | (col 6) | (C) Cons/Contr | ||||||
| (col 1) | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | (col 7) | |||
| Worked | Salary | Worked | Salary | Worked | Salary | Worked | Salary | $S | $C | |||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| TOTAL - MEDICAL | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | ||||
| Budget $ Staff | $ - | Total count of "Staff" | 0 | 0 | 0 | |||||||
| Budget $ Consultant | $ - | Total count of "Consultant" | 0 | |||||||||
| Total Staff + Cons | $ - | |||||||||||
| 0 | $ - | |||||||||||
| 0 | 0 |
&RPage 10 of 12 In this Column use ( S ) or( C )
FRM E-6
| Budget Form E 6 - Personnel Cost Detail - CLINICAL | Annualized Budget | |||||||||||
| Position | Position Title | Year 1 | Year 2 | Change from Previous Year | % Change from Previous Year | (S) Staff or | ||||||
| Number | (col 2) | Budget (col 3) | Budget (col 4) | (col 5) | (col 6) | (C) Cons/Contr | ||||||
| (col 1) | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | Annual Hours | Annual | (col 7) | |||
| Worked | Salary | Worked | Salary | Worked | Salary | Worked | Salary | $S | $C | |||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| 0 | $ - | 0.00% | 0.00% | 0 | 0 | |||||||
| TOTAL - CLINICAL | 0 | $ - | 0 | $ - | 0 | $ - | 0.00% | 0.00% | ||||
| Budget $ Staff | $ - | Total count of "Staff" | 0 | 0 | 0 | |||||||
| Budget $ Consultant | $ - | Total count of "Consultant" | 0 | |||||||||
| Total Staff + Cons | $ - | |||||||||||
| 0 | $ - | |||||||||||
| 0 | 0 |
&RPage 11 of 12 In this Column use ( S ) or( C )
End
| DO NOT DELETE THIS SHEET | ||||||||||
| DO NOT ENTER DATA DIRECTLY INTO THIS SHEET | ||||||||||
| Summary | Annualized Budget | |||||||||
| Parent Org: | 0 | |||||||||
| Program: | 0 | |||||||||
| Type: | ||||||||||
| Lic Cap: | 0 | |||||||||
| Proj Census: | 0 | |||||||||
| (Form C Line 5b) | ||||||||||
| Child Days: | 0.0 | |||||||||
| (Proj Census x 365) | ||||||||||
| Staff Hours FY 2026 | FTE's | Specific Direct Child Costs (Form D) | ||||||||
| Form E-1, Col 3 | 2080 hr/FTE | |||||||||
| Mgmt & Gen: | 0.0 | 0.0 | Food (item 10) | $ - | ||||||
| Direct Child & Fac.: | 0.0 | 0.0 | Clothing (item 11) | $ - | ||||||
| Edu: | 0.0 | 0.0 | ||||||||
| Med: | 0.0 | 0.0 | ||||||||
| Clinical: | 0.0 | 0.0 | ||||||||
| All Pers: | 0.0 | 0.0 | ||||||||
| Staff Ratios: | Financial Ratios: Form D, Col 3 - Net Allowable | Allowable | ||||||||
| Net Budget | % of Total | |||||||||
| F.T.E./Child | Staff Hr/Child | 01 Employees | ||||||||
| Mgmt & Gen: | 0.00 | 0.00 | a. Salaried | $ - | 0.00% | Salary + Consultants | Salary + Consultants | |||
| Direct Child & Fac.: | 0.00 | 0.00 | b. Consultant | $ - | 0.00% | $ - | 0.00% | |||
| Edu: | 0.00 | 0.00 | 02 Payroll Taxes | $ - | 0.00% | PayTax+Fringe | All | All | ||
| Med: | 0.00 | 0.00 | 03 Fringe Benefits | $ - | 0.00% | $ - | $ - | 0.00% | ||
| Clinical: | 0.00 | 0.00 | 04 Staff Development Costs | $ - | 0.00% | |||||
| All Personnel | 0.00 | 0.00 | 05 Contracted Services (non-personnel) | $ - | 0.00% | |||||
| 06 TFC Difficulty of Care | $ - | 0.00% | ||||||||
| 07 TFC Board Payment | $ - | 0.00% | ||||||||
| Food/Child/Mo: | $ - 0 | 08 TFC Respite Care | $ - | 0.00% | ||||||
| Clothing/Child/Mo: | $ - 0 | 09 Publicity | $ - | 0.00% | ||||||
| 10 Food | $ - | 0.00% | ||||||||
| 11 Clothing | $ - | 0.00% | ||||||||
| 12 Recreation | $ - | 0.00% | ||||||||
| 13 Personal Needs Allowance | $ - | 0.00% | ||||||||
| 14 Rent | $ - | 0.00% | ||||||||
| 15 Utilities | $ - | 0.00% | ||||||||
| 16 Repairs and Maintenance | $ - | 0.00% | ||||||||
| 17 Insurance and Taxes | $ - | 0.00% | ||||||||
| 18 Interest | $ - | 0.00% | ||||||||
| 19 Supplies | $ - | 0.00% | ||||||||
| 20 Depreciation/Use Allowance | $ - | 0.00% | ||||||||
| 21 Equipment Rental/Lease and Repairs | $ - | 0.00% | ||||||||
| 22 Printing/Copying | $ - | 0.00% | ||||||||
| 23 Telephone | $ - | 0.00% | ||||||||
| 24 Postage and Shipping | $ - | 0.00% | ||||||||
| 25 Memberships and Subscriptions | $ - | 0.00% | ||||||||
| 26 Conferences and Conventions | $ - | 0.00% | ||||||||
| 27 Travel and Transportation | $ - | 0.00% | ||||||||
| 28 Other | $ - | 0.00% | ||||||||
| Total | $ - | 0.00% | ||||||||
| % Payroll Tax of Salaried | 0.00% | |||||||||
| % Fringe Benefits of Salaried | 0.00% |
File details come from the government source that posted it. Updated .