Digital Health : Forms : Quarterly Financial Report

General

Please enter your full name(Required)

First Last

Please type your email address below(Required)

Which period are you reporting for?(Required)

Select one per submission

January - March 2026

April - June 2026

July - September 2026

October - December 2026

Which center are you reporting for?(Required)

Select one per submission

Howard University College of Medicine

Morehouse School of Medicine

Meharry Medical College

Digital Health Validation Center

Financial Overview

What was your grant balance at the beginning of this reporting period(Required)

Enter the total funds remaining in your grant account at the beginning of this reporting period. This should match the ending balance from your previous report.

How much did your COE spend during this reporting period?(Required)

Enter all grant-related expenditures incurred during this reporting period.

Your remaining grant balance at the close of this reporting period(Required)

This field will calculate automatically based on your responses above (Beginning Balance − Total Expenditures). Please verify it matches your internal records.

Did you have any reallocated expenses during the reporting period?(Required)

Yes

No

Did Novartis approve this reallocation?(Required)

Yes

No

If Novartis approved the budget reallocation, upload supporting documents of this approval(Required)

Max. file size: 50 MB.

Please upload your completed COE Budget Reporting Workbook for this period(Required)

This workbook is a standardized budget template provided by FHI 360 to capture your COE's grant expenditures for the reporting period. Download the template here. Ensure the file is fully completed before uploading. Accepted format: Excel (.xlsx) only."

Accepted file types: xlsx, Max. file size: 50 MB.

Narratives & Forecasts

Please provide a summary of expenditures during this reporting period.(Required)

Briefly describe how grant funds were utilized during this reporting period, including key activities, purchases, or staffing costs. Limit your narrative to no more than 2 paragraphs.

Please provide a summary of your projected expenditures for the next 3 – 6 months(Required)

Briefly describe how you anticipate spending your remaining grant funds over the next 3 – 6 months, including any planned activities, purchases, or staffing costs. Limit your narrative to no more than 2 paragraphs.

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Digital Health Validation

Beacon of Hope COE Quarterly Financial Report Form

General

Financial Overview

Narratives & Forecasts

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