**Sample Proposed Budget**

***[(Name)]{.underline}*Healthy Heart Project**

**Grant \# H1D9400(\_\_\_\_)**

*The items and cost included in this sample budget are examples only.
The use of this sample budget is meant to be used as a suggested
template for the budget and budget justification portion of your
Continuation Application.*

**[Personnel:]{.underline} FTE Annual Salary**

Project Director 0.25 inkind

Project Coordinator (RN) 1.00 50,000

Nurse Case Manager (RN) 1.00 42,000

Dietitian (case manager) 0.5 22,000

Data Coordinator 1.0 24.000

**Total personnel: 138,000.00**

**[Fringe Benefits:]{.underline} (Calculated at 18 % of salaries):**
Includes FICA/Medicare, Workman's Comp, SUI, Health and other Benefits
**Fringe Total**

Project Director 0

Project Coordinator 9,000

Nurse Case Manager 7,560

Dietitian (case manager) 3,960

Data Coordinator 4,320

**Total Fringe Benefits 24,840.00**

**[Equipment:]{.underline}**

Desk Top Computers (2) 4,000

Lap Top Computer (1) 2,200

LCD Projector (1) 1,200

Exercise Equipment 4,000

**Total Equipment 11,400.00**

**[Travel:]{.underline}**

Local Personal auto (\_\_\_\_\_\_ per mile) 2,000

[]{.mark}

Out of state (2 staff x 2 trips to Denver meetings x 3 nights)

> Air 1,200

Ground 150

MIE per diem 850

Lodging 1,000

Staff Training (2 staff x 2 trips for training x 2 nights)

Air 1,000

Ground 150

MIE per diem 500

Lodging 500

**Total Travel 7,350.00**

**[Supplies:]{.underline}**

Office Supplies 2,000

Educational Materials 3,000

Outreach Supplies 2,000

Pharmacy medications 10,000

**Total Supplies 17,000.00**

**[Contractual:]{.underline}**

Outside lab 3,000

Consulting Physician 21,120

Motivational Speaker 880

**Total Contractual 25,000.00**

**[Construction:]{.underline}**

**[Other:]{.underline}**

Incentives 4,500

Storage Facility 700

Postage 100

Printing and copying 2,500

Training conference fees 1,000

**Total Other 8,800.00**

**Total Direct Costs 232,390.00**

**Total Indirect Costs --** 28.34% negotiated Indirect Rate
**91,910.00**

**Total Budget Expense [324,300.00]{.underline}**

**Sample Budget Justification-HH**

***[(Name)]{.underline}*Healthy Heart Project**

**Grant \# H1D9400(\_\_\_\_)**

**[Personnel:]{.underline} \$138,000.00**

[Project Director:]{.underline} In kind to the Healthy Heart grant and
provides administrative over site to the project.

[Project Coordinator:]{.underline} Full-time employee responsible for
the daily activities of the Healthy Heart Program and patient education.
(\$50,000/yr x 1.0 FTE = \$50,000)

[Nurse Case Manager]{.underline}: Full-time employee responsible for
overseeing the case management and education of the Healthy Heart
participants. The Nurse Case Manager is a Registered Nurse who is a
Certified Diabetes Education with knowledge and skill for providing
diabetes education and care. (\$42,000/yr x 1.0 FTE = \$42,000)

[Dietitian (case manager):]{.underline} Full-time employee responsible
for providing Healthy Heart participants with medical nutritional
therapy, assisting with case management and daily activities of the
diabetes program. (\$44,000/yr x 0.5 FTE = \$22,000)

[Data Coordinator/Administrative:]{.underline} Full-time employee will
assist with monitoring program activities and evaluation of objectives,
along with compiling and submitting data to the Coordinating Center.

(\$24,000/yr x 1.0 FTE = \$24,000)

**[Fringe Benefits:]{.underline} \$24,840.00**

Fringe benefits are calculated at 18% of salaries. Fringe is composed of
for each employee:

FICA/Medicare, Workman's Compensation, State Unemployment Insurance
(SUI), Health Benefits, and other benefits.

Project Director 0

Project Coordinator 9,000

Nurse Case Manager 7,560

Dietitian (case manager) 3,960

Data Coordinator 4,320

(\$138,000 x 18% = \$24,840.00)

**[Travel:]{.underline} \$7350.00**

Expenses in this category are for travel and training of staff personnel
in order to attend conferences that help support the Healthy Heart
project goals and objectivess for diabetes care and education and case
management. Auto mileage will be reimbursed at the federally approved
rate. Local travel expenses, include mileage cost to help support
patient transport, attendance at project meetings and community
outreach. Out of state travel include travel expenses for attendance to
two SDPI CGP meeting in Denver and professional DM and/or CVD
conferences.

**Local** Personal Auto (\$\_\_\_\_/mile) \$2,000.00

**Out of State** (2 staff x 2 trips to Denver x 3 nights)

Air \$1,200.00

Ground \$ 150.00

MIE per diem \$ 850.00

Lodging (x3 nights) \$1,000.00

**Staff training** (2 staff x 2 trips x 2 nights)

Air \$1,000.00

Ground \$ 150.00

MIE per diem \$ 500.00

Lodging \$ 500.00

**[Equipment:]{.underline} \$11,400**

The equipment listed in this category include the purchase of two PCs,
these computers will replace the old computers that are now in place for
staff. The systems we now have in place are slow and outdated. The
laptop will be utilized by the Nurse Case Manager when she goes on home
visits a part of her monthly case management encounters. The exercise
equipment will be used to upgrade current equipment in our exercise
facility. The exercise equipment will be utilized by participants of the
Healthy Heart Program as a part of their physical activity in order to
meet goals for weight reduction and improvement in blood sugar, blood
pressure and cholesterol control. The LCD Project will be used in the
classes offered for participants.

Desk Top Computers (2) (\$2000 x 2 computers) \$4,000

Lap Top (1) \$2,200

LCD Projector (1) \$1,200

Exercise equipment \$4,000

Treadmill (1) (1,200 x 1 = 1,200)

Eliptical Trainer (1) (2,000 x 1 = 2,000)

Dumbbell weights (8) (50.00 x 8 = 400)

Exercise Balls (2) (40.00 x 2 = 80)

Exercise Videos (4) (80.00 x 4 = 320)

**[Supplies:]{.underline} \$17,000**

The items in this category will be used for day to day usage for
promotion of the Healthy Heart Program for classes, case management and
other programmatic use. Medications purchased will be use for
participants that are actively enrolled as a participant in the Healthy
Heart Project to help the clinic offset costs for intensive case
management.

[Office Supplies]{.underline}

paper, pens, binders, computer disks, tone, etc. \$2,000

[Educational Materials]{.underline} \$3,000

Journals/log books (5.00 x 200 = 1000.00)

Plate method nutrition handout (2.00 x 150 = 300.00)

Exchange system books (5.00 x 200 = 1000.00)

ADA 101 Tips for Blood sugar control (20.00 x 35 = 700.00)

[Outreach Supplies]{.underline} \$2,000

Printed literature, pamphlets, pens, water bottles

[Pharmacy medications]{.underline} \$10,000

Lipid medications Zocor

ACE inhibitors Lisinopril

Diabetes Metformin

Insulin

Avandia

**[Contractual:]{.underline} \$25,000**

[Outside lab]{.underline}

Funds are budgeted to pay for lipid profiles (\$5.00/test) ordered by
the clinic physicians for management of health conditions directly
related to DM/CVD. Outside diagnostic lab expenses will be incurred when
the physician orders lipid profiles of patients with high cholesterol.

Lipid tests (HDL,LDL TC, Trig.) (5.00 x 600 tests/yr. = 3,000.00)

[Consulting Physician]{.underline}

A medical doctor is contracted to provide medical care to our
participants of the Healthy Heart Project. The primary purpose of this
contractual medical provider is to provide additional services for
physical exams for baseline and other follow up for case management as
needed.

(16 hrs/month x 12 months x 110.00/hr = 21,120.00)

[Motivational Speaker]{.underline}

The motivational speaker will be used at two events for participants of
the Healthy Heart program and their families. (2 events x 440.00/each
event = 880.00)

**[Constuction:]{.underline}** NOT ALLOWED

**[Other:]{.underline}**

[Incentives]{.underline} 4,500

Incentives will be used in order to facilitate motivation for attendance
and participation in the various activities for the Healthy Heart
Program for recruitment, screening, baseline, intensive activities for
case management. All incentives used will be less than \$30.00/per
person/event.

Incentives that will be used include:

Water bottles (150 x 2.00 = 300.00)

Gym bags (150 x 8.00 = 1,200.00)

Exercise garment with logo (150 x 7.00 = 1,050.00)

Pedometers (100 x 15.00 = 1,500.00)

Exercise bands (90 x 5.00 = 450.00)

[Storage Facility]{.underline} 700

The storage facility will be utilized to store excess supplies/materials
when not being used by the Healthy Heart Program.

[Postage]{.underline} 100

Postage will be used for mailings to participants and community partners
related to program activities.

[Printing and copying]{.underline} 2,500

Printing and copying will be for printing of wellness & preventative
health brochures, educational materials, flyers, etc. to clinical
services and community support services.

[Training conference fees]{.underline} 1,000

Registration fees will be expended to attend diabetes and/or
cardiovascular disease conferences/workshops. (2 conferences x 500.00
each = 1,000)