Free Budget Template

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This is an example of free budget template. This document is useful for creating budget template.

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Definitions of Terms for the Agency Annual Budget Template State Per Capita or PHN Contract: This is support for local public health services that is distributed to health departments and public health nursing services through the "Per Capita" Contracts and Public Health Nursing Contracts respectively. Local Health Services Portion of State Per Capita or PHN Contract (85%): This is the amount of the “State Per Capita or PHN Contract” that in accordance with 25-1-516 C.R.S. is designated for local health services within the jurisdiction. It is 85% of the total distribution and is automatically calculated in the spreadsheet. Regional Health Services Services (15%): This is the amount of the “State Per Capita or PHN Contract” that in accordance with 25-1-516 C.R.S. is designated for regional health services. "Regional health services" means two or more local county or district health departments or county boards of health providing joint services. This could be either through formal or informal arrangements. It is 15% of the total distribution and is automatically calculated in the spreadsheet. State Other (Including Federal Pass-through): This amount is all funding that comes from or through state agencies minus the “State Per Capita or Public Health Nursing Contract”. These funds would come to local agencies in the form of state contracts or grants. This includes federal pass-through funds such as MCH, EPR, etc. Local Contribution (City and County): The total, gross annual amount that the local public health agency receives from local government to meet the statutory requirements of C.R.S. 25-1516(1)(b). This amount does not include, among other things, fees for services, in-kind services, rent-free office space, etc. This amount is the gross amount, not net. Net amount would be subtracting factors such as rent away from gross amount. In-Kind Local Contribution: This amount includes in-kind services provided by the county(ies) such as rent-free office space, etc. These contributions are not included in the amount provided in the “Local Contribution (City and County)” column. Fees: This is the amount that is collected for specific services from users. This is also referred to as “fees for services”. It includes clinic patient charges, permit fees, hourly charges for specific services, registrations, etc. Local Other: This amount includes other funds that are received through the direct efforts of the local agency. These funds could include foundation grants and private funding. Total Agency Budget: This is the total of all the above-mentioned funding sources. (This column calculates automatically. Do not enter data in this column.) Total Agency FTE: This amount is the total number of employees and portions thereof employed by the agency. Due to the variability of this number throughout the year, estimate the maximum staffing level for the agency for the year.

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