Grant Income

1 Grant Years

Member Year 1 Year 2 Year 3 Year 4 Year 5

Grant 1 $300,000 $300,000 $300,000 $0 $0
Grant 2
GrantAnnual
Total 3 Membership Dues
Income $300,000 $300,000 $300,000 $0 $0

Grant
Mgmt.
Cost
Annual Payroll for Grants Mgmt
Annual Monthly
Direct labor = payroll + benefits FTE % Cost Cost
Executive Director 0.10 $0 $0
2 Program Manager 0.20 $0 $0
Clinical IT Staff 0.00 $0 $0
Program Coordinator 0.00 $0 $0
IT Assistant 0.00 $0 $0
Total Direct Labor and Fringe 0.30 $0 $0
 Notes of
Grant
Total Grant Frequency Revenue
of
Payment
$900,000 Annual
Annual
Annual
$900,000
Membership Dues

Network
Membership Dues
ESTIMATE Annual Dues
1 Member

Subscription $0 $2,000 $20,000

Member 1 $0
Member 2 $2,000
Member 3 $20,000
Member 4 $0
Member 5 $0
Member 6 $2,000
Member COUNT 6 3 2 1
Total Annual Membership Dues
Income $0 $4,000 $20,000
Frequency
Annual
Annual
Annual
Annual
Annual
Annual

$24,000 Considered revenue for the network.

Total Payroll Cost

Cost Assumptions
ESTIMATE Annual Cost
TOTAL Network Cost Data 2
Multiplying Factor

30.0%
Estimate Fringe
Annual Benefit
All Network Positions Payroll Factor Total Payroll + Benefits
1 Executive Director $50,000 $0 $50,000
Program Manager $50,000 $0 $50,000
Clinical IT Staff $40,000 $0 $40,000
Program Coordinator $30,000 $0 $30,000
Adm. Assistant $20,000 $0 $20,000
Total payroll+benefits
Total Network Payroll $190,000 $0 $190,000 overhead to specific p
FTE Count 5
Multiplying Factor

% of payroll to use as a
multiplying factor for benefits.
This rate can be calculated
but for a rough estimate 20-
25% is generally reasonable

Total payroll+benefits used to allocate

overhead to specific products/services
Total Overhead Cost

1 Total Network Overhead Costs Monthly Annual NOTES

Occupancy Costs * 1,500 18,000 Occupancy costs = rent + maintenance + cleanin
Utilities 500 6,000
Insurance 1,000 12,000
Broadband 1,800 21,600 This is related to internet connectivity - high spe
IT Services 500 6,000 Example: document hosting service, software lic
Postage & Delivery 50 600
Professional Fees 500 6,000 Example: marketing materials, website hosting, H
Small Office Equipment 200 2,400 Example: copier maintenance
Lease Equipment 150 1,800 Large equipment that is leased, such as, copy ma
Office Supplies 600 7,200 Example: copy paper, desk supplies, computer so
Depreciation 4,000 48,000 On all equipment such as servers, etc. (>$5k pur
Total Network Overhead COSTS 10,800 129,600 Overhead costs are allocated to products/service
ent + maintenance + cleaning + staff supports

ernet connectivity - high speed, cable, dsl, wireless, satellite

hosting service, software license agreements and upgrade maintenance email service, server hosting service

materials, website hosting, HR support, Financial auditing,

t is leased, such as, copy machines

r, desk supplies, computer software and hardware <$500
ch as servers, etc. (>$5k purchases) Use balance sheet and accounting service to calculate this amount
allocated to products/services based on % of total payroll
Forcast Annual Income

FORECAST Annual Net Income

by Product
with Tier multiplier

Example YEAR 1 Year 2 Forecast

% of Yr Revenue Cost Net % of Yr Revenue

Product
HIE and $257,024 $233,658 $23,366 $257,024
Subscription 1 service A 100% 100%

Product
Shared Data and $153,311 $139,374 $13,937 $153,311
Center service B 100% 100%

Product
Shared clinical and $169,549 $148,426 $21,122 $169,549
IT expertise service C 100% 100%

Product
Grant Writing and $14,965 $14,411 $554 $14,965
Service service D 100% 100%

Grant $0 $19,500 -$19,500 $0

Income
Membership Dues 100% $82,000 $82,000 100% $82,000
TOTAL $676,848 $555,368 $121,480 $676,848
Year 2 Forecast Year 3 Forecast Year 4 Forecast
Cost Net % of Yr Revenue Cost Net % of Yr Revenue Cost

$233,658 $23,366 $257,024 $233,658 $23,366 $257,024 $233,658

100% 100%

$139,374 $13,937 $153,311 $139,374 $13,937 $153,311 $139,374

100% 100%

$148,426 $21,122 $169,549 $148,426 $21,122 $169,549 $148,426

100% 100%

$14,411 $554 $14,965 $14,411 $554 $14,965 $14,411

100% 100%

$19,500 -$19,500 $0 $19,500 -$19,500 $0 $0

$82,000 100% $82,000 $82,000 100% $82,000

$555,368 $121,480 $676,848 $555,368 $121,480 $676,848 $535,868
 5th Year
orecast Year 5 Forecast Viability
Net % of Yr Revenue Cost Net

$23,366 $257,024 $233,658 $23,366 $116,829

100%

$13,937 $153,311 $139,374 $13,937 $69,687

100%

$21,122 $169,549 $148,426 $21,122 $105,611

100%

$554 $14,965 $14,411 $554 $2,771

100%

$0 $0 $0 $0 -$58,500

$82,000 100% $82,000 $82,000 $410,000

$140,980 $676,848 $535,868 $140,980 $646,398