Page 66 - 2021 MHA Start-up Guide
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Use these templates as starting points for your own documentation, and customize to fit your needs
where necessary . For more tools and resources, visit the Mobile Healthcare Association at mobilehca .org .
BUDGET
Insert Activity Name
Insert Activity Date(s)
Income Category Projected Actual Variance Description/Comments
Registration Fees
50 Participants @ $10 .00 $500 .00 $475 .00 $ (25 .00) Sliding fee visit charge
1000 # Participants @ $50 .00 $50,000 .00 $48,500 .00 $ (1,500 .00) Paid by benefactor
# Participants @ $ $ -
Subtotal - Registration Fees $50,500.00 $48,975.00 $ (1,525.00)
Grant Support (unrestricted grants)
Contributions $50,000 .00 $50,000 .00 $ - Individual contributions
Ongoing grant funding Grant #1 $100,000 .00 $89,000 .00 $ (11,000 .00) From United Way
Ongoing Funding Grant #2 $150,000 .00 $150,000 .00 $ - Healthy People Foundation
$ -
$ -
$ -
$ -
$ -
Subtotal -
Commercial Support $300,000.00 $289,000.00 $ (11,000.00)
In-kind Contributions
Office space $12,000 .00 $12,000 .00 $ - market cost of $1000/ month
$ -
Subtotal - $12,000.00 $12,000.00
In-kind Contributions $ -
Exhibits
Note: please provide explantion if exhibitors will be charged different amounts; i.e., 3 ft table fee $250/day; 6 ft table fee $500/day.
$ -
$ -
$ -
$ -
$ -
Subtotal - Exhibits $ - $ - $ -
Other, specify
$ -
$ -
Subtotal - Other $ - $ - $ -
Total Income $362,500.00 $349,975.00 $12,525.00
64 MOBILE HEALTH CARE PROGRAM STAR T-UP GUIDE