Due 10/28/2022…..please follow all instructions, details, and

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Primary care office/clinic budget, group of up to 5 people. Budget Scenario:You are managing an office that has at least 150 pts visits a day,  one physician is to see on average 4-5 pts per hour, and one NP is too see about 3-4 pts per hour.  Compose a budget proposal that will include personnel and supply cost. Personnel budget includes NPs, CMAs, office manager, secretaries needed in this office, use FTE as the work load distribution. It is recommended that you interview an office manager to get more information.   Please refer to syllabus for more details. If doing a group project, only one group member can submit the assignment with all group member listed in cover page


Project #2 Guidelines

Simplified Primary Care Office/Clinic Budget Assignment

This assignment is to be completed using Microsoft table or Excel format. All group members must be present during the class presentation in order to receive credits for the project. 

A. You are building a new primary care office. You will need to identify practice location, rent cost, furnishing, practice equipment, office supplies, medical/surgical/medicine/vaccine supplies, office supplies etc… Please state your practice vision, mission, values, and goals. Please select the location of your practice, your target population and service offered. 

B. How many FTE MDs, NPs, medical assistants (CMA), secretary and other personnel are needed in your office? One FTE employee is to work 2080 hours per year, which include at least 120 hours of paid vacation time, 80 hours of sick/personal time, and 8 holidays (64) hours.

The following questions will help you figure out how many FTE are needed in an office

1. How many exam rooms are there in the office? At least 1 per provider, 2 will be optimal. 

2. What is the average daily censes? Expected to be 150-200 for this assignment.

3. How many pts is an MD and a NP expected to see? Average 4 pts/hour for MD, 3 pts/hour for NP. 

5. How many providers does the office need each day?

6. Each CMA is to assist 2 providers; how many CMA FTE are needed for the office? Each day?

7. Each secretary is to assist 3 providers; how many secretaries are needed for the office?

8. Other personnel? Biller? Housekeeping? You decide. 

C. Please set salaries for MD, NP, medical assistant, and office secretary based on your research. All personnel working more than 21 hours a week need to have 25% fringe benefit. What is the unit’s budget for the personnel? 

D. Supply and expense budget for the office for a year

The following item must be included: Office supplies with detail item list, medical-surgical supplies, stock drugs include vaccines, fluid etc., equipment include computer with item list, equipment repairs, telephone and phone line cost, staff training and education, recruitment.

All items, amount of items and cost chosen need to base on research and actual cost such as salary from salary survey data; vaccine from CDC or manufacture sites etc.   

Simplified Primary Care Office/Clinic Budget Assignment

Betsy Abramova, Marie Jusay, Katarina Norte, Sharleen Watt

School of Nursing, Long Island University Brooklyn

NUR 630: The Advanced Practice Role

Dr. Amy Ma

July 5, 2021

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Simplified Primary Care Office/Clinic Budget Assignment


Our mission is to improve the health and wellbeing of our patients by providing our

patients with the best and most comprehensive care. We aim to provide a family-centered

environment in which our patients can feel safe and comfortable. We pride ourselves on the

relationships that we build with our patients and their families. As a practice, we are committed

to continuing education so that we can provide care that is centered in evidence-based practice.

We believe in disease prevention and aim to help our patients foster a healthy lifestyle. We aim to

be efficient and cost-efficient while meeting the needs of our patients. Our physicians and nurses

are recognized for their compassion, experience, knowledge, and commitment to our patients.


Our vision is to be the healthcare provider of choice for the community. We will

transform the healthcare experience of our patients by providing care that considers their medical

diagnosis, cultural, and spiritual beliefs. We believe that each patient is an individual and should

be regarded as such and we will go above and beyond to meet the needs of each patient that

walks through the doors of our practice.


Our practice is guided by four core values:

 Compassion: We provide compassionate care to each individual patient and listen

to every detail all while being sensitive to their needs and making sure that they

are treated with optimal care.

 Teamwork: We work in unison as a team at our practice and allow ideas to flow

amongst all healthcare members.

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 Collaboration: Physicians, nurse practitioners, and healthcare staff are always in

communication amongst each other in order to diagnose and treat patients


 Quality: Our health care team provides high quality care by assessing and

treating patients with meticulous detail and educating them on their health based

on their level of understanding.


Our goal is to provide affordable care to a diverse population of patients to ensure their

needs are met and that they are educated on the importance of their health. Some patients have a

language barrier and it is vital to ensure that they have a proper level of understanding regarding

their health. We educate our patients, provide quality health care, and ensure that they are

following up on their visits.


We are a small primary care office named “Medical Associates Plaza PC” located on

Church Avenue in Brooklyn, New York. Our practice services people in the community aged 18

years and older. The patients seen in our practice are diverse, primarily immigrants from the

Caribbean, migrating from countries such as Haiti, Jamaica, Grenada, and St. Vincent. We offer

preventive care and provide services such as: physical examinations, immunizations, pain

management and management of chronic illnesses. On average, our practice sees 150 to 200

patients daily. Our practice consists of six exam rooms, one for each provider. The physicians see

an average of four patients an hour and the nurse practitioners see three patients an hour. We are

open Monday through Friday from 9:00 AM to 5:00 PM and closed on all eleven major holidays.


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Our practice hires eleven full-time employees: two physicians, four nurse practitioners,

two medical assistants, two secretaries, and one medical biller. All primary providers are

expected to be in the clinic on all working days as well as the two full-time medical assistants

and the two secretaries. We employ one part-time medical assistant working 20 hours a week and

one housekeeper working 4 hours per day, after hours.


Based on our research, salaries are obtained from Glassdoor (2021) utilizing location and

employment type. Employees’ expenses are calculated based on 25% of the annual salary of all

full-time employees. Using a medical office square footage calculator, we estimate needing

approximately 2000 sq. ft which would consist of six examination rooms, one office, a break

room, reception, and a waiting area (O’Donnell Commercial Real Estate, Inc., 2021). Prices of

office and medical supplies are obtained from major suppliers and multiple online sources such

as Staples, Best Buy, Medical Device Depot, and Vitality Medical among others. Quest

Diagnostics will provide laboratory supplies as they are our chosen provider to run the clinic’s

lab works.

The biggest expenses of the clinic are the vaccinations. Centers for Disease Control and

Prevention [CDC] (2021) recommended that adults get influenza vaccines annually. Other

vaccines that are recommended to adults and geriatric patients include Td/Tdap, MMR, Varicella,

Zoster, HPV, Pneumococcal, and Hepatitis A&B (CDC, 2021). The tables below show the

breakdown of our primary care office’s expenses and revenue.

Total Employee Salary $ 1,042,500.00
Total Employee Expenses $ 237,500.00
Office Space $ 480,000.00
Office Equipment $ 29,328.16
Office Monthly Subscriptions $ 26,278.56
Medical Supplies $ 17,106.86

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Medical Office Equipment $ 55,529.93
Vaccinations $ 117,071.30
Medications $ 2,252.97

Overall Total Cost: $ 2,007,569.78


Absolute Medical Inc. (2021). Medical Equipment. Retrieved from



Amazon (2021). Eye Charts. Retrieved from




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Best Buy (2021). Refrigerators. Retrieved from



Centers for Disease Control and Prevention. (2021). Immunization Schedules. U. S. Department

of Health and Human Services.


Contec Medical Systems Co. (2021). Home Care Products. Retrieved from

Home Care

Glassdoor. (2021). Explore salaries. Retrieved from


Lighting Specialties (2021). Examination Lighting. Retrieved from





Medical Device Depot Inc. (2021). All Products. Retrieved from


MFI Medical (2021). All Products. Retrieved from


Microsoft (2021). Microsoft 365. Retrieved from


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National Business Furniture (2021). Office Furniture. Retrieved from


O’Donnell Commercial Real Estate, Inc. (2021). Medical Office Calculator.

Save Rite Medical (2021). All Products. Retrieved from


Staples (2021). Office Supplies. Retrieved from


Vitality Medical (2021). Hospital Supplies. Retrieved from


Wholesale Point (2021). Medical Scales. Retrieved from


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We Care Primary Care Office – Budget

Lachan Band, Suzanne Chirayil, Gurpreet Kaur, Phara Pierre

Harriet Rothkopf Heilbrunn School of Nursing, Long Island University

Advanced Practice Role: NUR 630.001

Dr. Amy Ma

Location and Target Population

Canarsie, Brooklyn, NY – 9504 Glenwood Rd, Brooklyn, NY 11236 (Ground and 1st floor)


Ground Floor (4,600 sq. Ft): 5 private offices, 2-bathroom, reception area for maximum of 17 people (option for outside waiting area in the back)

4 Examination rooms and 1 triage room.

1st Floor (4,200 sq. ft): 4 private offices, 2-bathroom, reception area (options for clinic to rent out space for specialists)

3 examination room and 1 lab room

Rent: $22,000/month ($30/sq.ft/yr)

Target population: Age 18 years and older, Low income and

persons with disabilities.

Hours of operation: Monday – Sunday 8:00AM – 5:00PM

According to the New York City Community Health profile, 9% of adults in canarsie are without health insurance, which is one of the lowes rates when comparing to NYC rate of 12% (Hinterland et al., 2018). Moreover, avoidable hospitalization among adults in Canarsie is at a high of 1,342 per 100,000 adults, when compared to 1,033 per 100,00 adults in NYC (Hinterland et al., 2018).. To be clear, avoidable hospitalization are considered ones that are preventable if access to primary care was available. In addition, adult obesity rate in canarsie is 30% when compared to 24% in NYC, and diabetes rate is 14% when compared to 11% in NYC (Hinterland et al., 2018).. This indicates that need for quality care in the area of Canarsie Brooklyn.

The building is located in Canarsie Brooklyn and has 3 floors, we are planning to rent out the ground floor and the first floor. The building does have a new elevator. The ground floor has 5 private room (4 of those rooms will be used as examination rooms and 1 will be used a triage room), it also includes 2 bathrooms and reception are that can accommodate a maximum of 17 people with an option to create a waiting area outside in the back. The 1st floor has 4 private offices (3 examination rooms and 1 lab room), we do have the option to rent out 2 of those examination rooms to specialists. The total rent is $22,000/month.

For reasons mentioned above, target population is adults ages 18 years and older, low income and persons with disabilities.

Hours of operation: Monday – Sunday 8:00AM – 5:00PM


Our private practice is pushing for ease of accessibility to preventative care services in communities that are at high risk of chronic disease. We strive to care for patients as individuals with unique needs by focusing on evidence-based practice that is holistic.

To create an accessible primary care center that will focus on patient-centered, evidence-based care for all patients in the community, no matter the patient’s socioeconomic level or immigration status. We seek to provide patients access to quality care in their local neighborhoods and empower them to adopt a healthy lifestyle.




Aim to keep appointment times with a wait of less than 15 minutes between check-in to exam room.

Negotiate contracts with multiple insurance panels so that more members of the community can be seen by our amazing staff.

Educate patients and provide appropriate education material in regards to preventative care at every appointment so that 100% of our patients are empowered to live a healthier lifestyle.

Organize 4 community events during a one year period (1 per quarter) that focuses on preventative care; e.g.. health fairs.

Write one newsletter each quarter of the year in regards to healthy living and include local food pantry locations on the newsletter for those with food insecurities.

Partner with at least two local community hospitals by the end of one year in order to ensure proper transition of care for patients in the community that are discharged from hospitals




Continuous Improvement

1. Integrity: We believe that being responsible and open with ourselves and our patients is important, this includes telling the truth, respecting our patients, and generating a trusting environment.

2. Trustworthiness: Our private practice is an inclusive place that we believe should make everyone feel comfortable and welcomed, as part of that we believe in clear communication with an emphasis on protecting patients’ private information.

3. Teamwork: We believe in a collaborative approach to patient care that includes an interdisciplinary team that will work together and respectfully with the patients to reach a common goal and positive outcomes.

4. Continuous Improvement: We strive to always do better and continue to improve the service we provide to the patient as well as the training we provide to the team with a continuous commitment to the patient.

Employees Salaries

3 FTE Physicians —-> an annual cost salary of $474,240.00 with a deduction of 25% for Fringe benefits (https://www.ziprecruiter.com )

5 FTE Nurse Practitioners ——> annual cost of $632,320.00 with 25% deduction for Fringe benefits (

3 FTE CMAs —–> annual cost of $118,560.00 with 25% deduction for Fringe Benefits and 2 PTE CMAs ——> annual cost of $47,424.00 with 25% deduction for Fringe Benefits (https://www.ziprecruiter.com).

1 FTE Office Manager —–> annual cost of $43,680.00 with 25% deduction for Fringe benefits(

3 FTE Secretaries —->annual cost of $93,600.00 with 25 % deduction for Fringe Benefits and 2 PTE Secretaries —-> annual cost of $37,440.00 with 25 % deduction for Fringe benefits (

1 FTE Human Resources Manager —> annual cost of $76,960.00 with 25% deduction for fringe benefits (

1 contracted Housekeeper once a week —–> weekly cost 100/hr for 2 hour cleaning (200)(

1 PTE Medical Biller —-> annual cost of $24,960 with 25% deduction for Fringe Benefits (

Patient Census

MDs: Will see 4-5 patients per hour

NPs: Will see upto 4 patients per hour

175-200 patients daily

Total patients: 44,000 per year

Medical Supplies Budget

Medical Supplies Budget

Medical Supplies Budget

Office Supplies Budget

Office supplies Budget Cont…

Office supplies Budget Cont….

Office Supplies Budget Cont…

Grand Total of Office supplies


Hinterland K, Naidoo M, King L, Lewin V, Myerson G, Noumbissi B, Woodward M, Gould LH, Gwynn RC, Barbot O, Bassett MT. (2018). Community Health Profiles 2018, Brooklyn Community District 18: Flatlands and Canarsie; 42(59):1-20.















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