BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017

Size: px
Start display at page:

Download "BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017"

Transcription

1 State of Mississippi Form MBR-1 (2015) a. Additional Compensation b. Proposed Vacancy Rate (Dollar Amount) c. Per Diem Total Salaries, Wages & Fringe Benefits 2. Travel a. Travel & Subsistence (In-State) b. Travel & Subsistence (Out-Of-State) c. Travel & Subsistence (Out-Of-Country) Total Travel B. CONTRACTUAL SERVICE S (Schedule B) a. Tuition, Rewards & Awards b. Communications, Transportation & Utilities c. Public Information d. Rents e. Repairs & Service f. Fees, Professional & Other Services g. Other Contractual Services h. Data Processing i. Other Total Contractual Services C. COMMODITIES (Schedule C) a. Maintenance & Construction Materials & Supplies b. Printing & Office Supplies & Materials c. Equipment, Repair Parts, Supplies & Accessories d. Professional & Scientific Supplies & Materials e. Other Supplies & Materials Total Commodities D. CAPITAL OUTLAY 1. Total Other Than Equipment (Schedule D-1) 2. Equipment (Schedule D-2) b. Road Machinery, Farm & Other Working Equipment c. Office Machines, Furniture, Fixtures & Equipment d. IS Equipment (Data Processing & Telecommunications) e. Euipment - Lease Purchase BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017 Mental Health - South Mississippi State Hospital 823 Highway 589, Purvis, MS Clint Ashley AGENCY ADDRESS CHIEF EXECUTIVE OFFICER Actual Expenses Estimated Expenses Requested For Requested Over/(Under) Estimated June 30,2015 June 30,2016 June 30,2017 I. A. PERSONAL SERVICES AMOUNT PERCENT 1. Salaries, Wages & Fringe Benefits (Base) 5,452,996 5,499,138 5,888,153 f. Other Equipment Total Equipment (Schedule D-2) 3. Vehicles (Schedule D-3) 4. Wireless Comm. Devices (Schedule D-4) E. SUBSIDIES, LOANS & GRANTS (Schedule E) TOTAL EXPENDITURES II. BUDGET TO BE FUNDED AS FOLLOWS: Cash Balance-Unencumbered General Fund Appropriation (Enter General Fund Lapse Below) State Support Special Funds Federal Funds Other Special Funds (Specify) Special Fund - Medicare/Patient Payment/Misc. 5,452,996 5,499,138 5,888, ,015 12,308 16,000 16,000 1,697 14,005 16,000 16,000 33,354 34,643 34, , , ,298 1,200 1,246 1,246 34,801 36,145 36,145 59,762 62,071 62,071 1,166,590 1,213,048 1,213,048 96,435 90,161 90, , , ,694 11,019 11,445 11,445 1,750,324 1,781,751 1,781,751 2,258 2,439 2,439 14,536 15,700 15,700 50,833 54,902 54, , , , , , , , , , ,000 11,346 10,000 10,000 33,989 40, ,000 45,335 50, ,000 30,000 26,013 28,000 28,000 7,815,673 7,925,889 8,649, , , ,379 4,905,854 4,870,916 5,594, , , ,085 2,408,734 2,100,000 2,100, , , ,000 30, ,015 (453,888) 724, % % % % % 9.13% (45.74%) 14.86% Less: Estimated Cash Available Next Fiscal Period TOTAL FUNDS (equals Total Expenditures above) GENERAL FUND LAPSE III: PERSONNEL DATA Number of Positions Authorized in Appropriation Bill Average Annual Vacancy Rate (Percentage) Approved by: Budget Officer: a.) Full Perm b.) Full T-L c.) Part Perm d.) Part T-L a.) Full Perm b.) Full T-L c.) Part Perm d.) Part T-L (992,267) (538,379) 7,815,673 7,925, Clint Ashley Official of Board or Commission Submitted by: Andy Tucker Andy Tucker / atucker@smsh.state.ms.us Phone Number: (84,491) 8,649,904 Date : Title : (453,888) (84.31%) 724, % % 8/3/2015 3:58 PM Fiscal Services Director

2 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 1 : Mental Health - South Mississippi State Hospital Specify Funding Sources As Shown Below FY 2015 Actual Amount % of Line Item % of Total Budget FY 2016 Estimated Amount % of Line Item % of Total Budget FY 2017 Requested Amount % of Line Item % of Total Budget 1. General 4,905, % 4,870, % 5,259, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 501, % 501, % 501, % 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc , % 127, % 127, % Total Salaries 5,452, % 5,499, % 5,888, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc , % 16, % 16, % Total Travel 14, % 16, % 16, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc ,750, % 1,781, % 1,781, % Total Contractual 1,750, % 1,781, % 1,781, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc , % 551, % 551, % Total Commodities 527, % 551, % 551, % 2-1

3 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 2 : Mental Health - South Mississippi State Hospital Specify Funding Sources As Shown Below FY 2015 Actual Amount % of Line Item % of Total Budget FY 2016 Estimated Amount % of Line Item % of Total Budget FY 2017 Requested Amount % of Line Item % of Total Budget 1. General 155, State Support Special (Specify) % 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc Total Capital Other Than Equipment 155, % 1. General 150, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc , % 50, % 50, % Total Capital Equipment 45, % 50, % 200, % 1. General 30, State Support Special (Specify) % 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc Total Vehicles 30, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc Total Wireless Communication Devs. 2-2

4 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 3 : Mental Health - South Mississippi State Hospital Specify Funding Sources As Shown Below FY 2015 Actual Amount % of Line Item % of Total Budget FY 2016 Estimated Amount % of Line Item % of Total Budget FY 2017 Requested Amount % of Line Item % of Total Budget 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc , % 28, % 28, % Total Subsidies 26, % 28, % 28, % 1. General 4,905, % 4,870, % 5,594, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 501, % 501, % 501, % 5. Tobacco Control Fund 6. Hurricane Disaster Reserve Fund 7. Capital Expense Fund 8. Federal Other Special (Specify) 9. Special Fund - Medicare/Patient Payment/Misc ,408, % 2,553, % 2,553, % TOTAL 7,815, % 7,925, % 8,649, % 2-3

5 State of Mississippi Form MBR-1-02 SPECIAL FUNDS DETAIL S. STATE SUPPORT SPECIAL FUNDS (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2015 FY 2016 FY 2017 Budget Contingency Fund Education Enhancement Fund Health Care Expendable Fund ( ) Tobacco Control Fund Hurricane Disaster Reserve Fund Capital Expense Fund Cash Balance-Unencumbered BCF - Budget Contingency EEF - Education Enhancement Fund HCEF - Health Care Expendable Fund 501, , ,085 TCF - Tobacco Control Fund HDRF - Hurricane Disaster Reserve Fund CEF - Capital Expense Fund State Support Special Fund TOTAL 501, , ,085 A. FUNDS * Percentage Match Requirement (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2016 FY 2017 FY 2015 FY 2016 FY 2017 Cash Balance-Unencumbered Federal Fund TOTAL B. OTHER SPECIAL FUNDS (NON-FED'L) (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2015 FY 2016 FY 2017 Special Fund - Medicare/Patient Payment/Misc. ( ) Cash Balance-Unencumbered 992, , ,379 Patient Collections/Misc. Collections - Hancock Bank 2,408,734 2,100,000 2,100,000 Other Special Fund TOTAL 3,401,001 3,092,267 2,638,379 SECTIONS S + A + B TOTAL 3,902,086 3,593,352 3,139,464 C. TREASURY FUND/BANK ACCOUNTS * (1) Reconciled Balance Fund/Account Balance Balance Name of Fund/Account Number Name of Bank (If Applicable) as of 6/30/15 as of 6/30/16 as of 6/30/17 Hancock Bank - Cafeteria Account Employee Deposits / Hancock Bank 11,157 11,157 11,157 Medicare Collections Account Patient Billing Collections / Hancock Bank (2) (3) * Any non-federal funds that have restricted uses must be identified and narrative of restrictions attached. 3-1

6 NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS STATE SUPPORT SPECIAL FUNDS HealthCare Expendable Fund is anticipated to remain at its annual amount of $501,085 through FY OTHER SPECIAL FUNDS The only special funds to be collected during FY 2017 are patient payments, Medicare payments, and other insurance payments. In FY 2015, it was determined that less than 5% of our patients had third party insurance for the hospital to file for reimbursement. Most of the 5% were Medicare patients. Collection from Medicare reimbursement will also be reduced in FY 2016 and FY 2017 as patients exhaust their 190 day life time psychiatric benefit. Also, readmitted patients will be reaching their 190 day lifetime Medicare limit. It is expected that the cash balance in FY 2017 will be reduced. In FY 2015, only one (1) patient made payments on their hospital bill totaling $600. It is not expected that any significant patient payments will occur in FY 2016 or FY Because of their mental illness, many of our patients do not have employment income nor medical insurance coverage. The FY 2016 Est is being decreased by $308,734. This decrease is an estimation based on Medicare and other patient collections being reduced in FY TREASURY FUND / BANK The South Mississippi State Hospital Cafeteria Plan checking account is for our employees who participate in the hospital cafeteria plan. The cafeteria plan is maintained under the rules and regulations of the Internal Revenue Service. All funds in this account belong to the hospital employees. The South Mississippi State Hospital Collections account is for deposit of monies received by the hospital such as patient payments, insurance payments, refunds, etc. Monies in this account are forwarded to the Mississippi State Treasurer. 4-1

7 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED TOTAL REQUEST SUMMARY OF ALL PROGRAMS Program FY 2015 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,905, ,085 46,057 5,452,996 Travel 14,005 14,005 Contractual Services 1,750,324 1,750,324 Commodities 527, ,000 Other Than Equipment Equipment 45,335 45,335 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 26,013 26,013 Total 4,905, ,085 2,408,734 7,815,673 No. of Positions (FTE) FY 2016 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,870, , ,137 5,499,138 Travel 16,000 16,000 Contractual Services 1,781,751 1,781,751 Commodities 551, ,000 Other Than Equipment Equipment 50,000 50,000 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 28,000 28,000 Total 4,870, ,085 2,553,888 7,925,889 No. of Positions (FTE) FY 2017 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 389, ,015 Travel Contractual Services Commodities Other Than Equipment 155, ,000 Equipment 150, ,000 Vehicles 30,000 30,000 Wireless Communication Devices Subsidies, Loans & Grants Total 724, ,015 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 5-1

8 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED TOTAL REQUEST SUMMARY OF ALL PROGRAMS Program FY 2017 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2017 New Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2017 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 5,259, , ,137 5,888,153 Travel 16,000 16,000 Contractual Services 1,781,751 1,781,751 Commodities 551, ,000 Other Than Equipment 155, ,000 Equipment 150,000 50, ,000 Vehicles 30,000 30,000 Wireless Communication Devices Subsidies, Loans & Grants 28,000 28,000 Total 5,594, ,085 2,553,888 8,649,904 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 5-2

9 SUMMARY OF PROGRAMS FORM MBR-1-03sum FUNDING REQUESTED FISCAL YEAR 2017 PROGRAM GENERAL ST. SUPP. SPECIAL OTHER SPECIAL TOTAL 1. MI - INSTITUTIONAL CARE 5,576,412 2,478,856 8,055, MI - SUPPORT SERVICES 18, ,085 75, ,636 Summary of All Programs 5,594, ,085 2,553,888 8,649,

10 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 1 of 2 MI - INSTITUTIONAL CARE Program FY 2015 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,884,879 4,884,879 Travel 7,003 7,003 Contractual Services 1,750,324 1,750,324 Commodities 527, ,000 Other Than Equipment Equipment 45,335 45,335 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 26,013 26,013 Total 4,884,879 2,355,675 7,240,554 No. of Positions (FTE) FY 2016 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,870,916 60,105 4,931,021 Travel 8,000 8,000 Contractual Services 1,781,751 1,781,751 Commodities 551, ,000 Other Than Equipment Equipment 50,000 50,000 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 28,000 28,000 Total 4,870,916 2,478,856 7,349,772 No. of Positions (FTE) FY 2017 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 370, ,496 Travel Contractual Services Commodities Other Than Equipment 155, ,000 Equipment 150, ,000 Vehicles 30,000 30,000 Wireless Communication Devices Subsidies, Loans & Grants Total 705, ,496 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 7-1

11 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 1 of 2 MI - INSTITUTIONAL CARE Program FY 2017 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2017 New Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2017 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 5,241,412 60,105 5,301,517 Travel 8,000 8,000 Contractual Services 1,781,751 1,781,751 Commodities 551, ,000 Other Than Equipment 155, ,000 Equipment 150,000 50, ,000 Vehicles 30,000 30,000 Wireless Communication Devices Subsidies, Loans & Grants 28,000 28,000 Total 5,576,412 2,478,856 8,055,268 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 7-2

12 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 2 of 2 MI - SUPPORT SERVICES Program FY 2015 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 20, ,085 46, ,117 Travel 7,002 7,002 Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 20, ,085 53, ,119 No. of Positions (FTE) FY 2016 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 501,085 67, ,117 Travel 8,000 8,000 Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 501,085 75, ,117 No. of Positions (FTE) FY 2017 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 18,519 18,519 Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 18,519 18,519 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 7-3

13 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 2 of 2 MI - SUPPORT SERVICES Program FY 2017 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2017 New Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2017 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 18, ,085 67, ,636 Travel 8,000 8,000 Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 18, ,085 75, ,636 No. of Positions (FTE) Note: FY2017 Total Request = FY2016 Estimated + FY2017 Incr(Decr) for Continuation + FY2017 Expansion/Reduction of Existing Activities + FY2017 New Activities. 7-4

14 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - South Mississippi State Hospital 1 - MI - INSTITUTIONAL CARE Program Name A B C D E F G H FY 2016 Escalations By Non-Recurring Full Time Benchmarks and Replace Two Purchase a New Purchase a New EXPENDITURES Appropriated DFA Items Physician PIN Reclassification (2) Cooling Camera System Security Vehicle SALARIES 4,931, ,169 of PIN's 134,327 Towers for Surveillance GENERAL 4,870, , ,327 ST. SUP. SPECIAL OTHER 60,105 TRAVEL 8,000 GENERAL ST. SUP.SPECIAL OTHER 8,000 CONTRACTUAL 1,781,751 GENERAL ST. SUP. SPECIAL OTHER 1,781,751 COMMODITIES 551,000 GENERAL ST. SUP. SPECIAL OTHER 551,000 CAPTITAL-OTE 155,000 GENERAL 155,000 ST. SUP. SPECIAL OTHER EQUIPMENT 50, ,000 GENERAL 150,000 ST. SUP. SPECIAL OTHER 50,000 VEHICLES 30,000 GENERAL 30,000 ST. SUP. SPECIAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL OTHER SUBSIDIES 28,000 GENERAL ST. SUP. SPECIAL OTHER 28,000 TOTAL 7,349, , , , ,000 30,000 FUNDING GENERAL FUNDS 4,870, , , , ,000 30,000 ST. SUP.SPCL FUNDS FUNDS OTHER SP. FUNDS 2,478,856 TOTAL 7,349, , , , ,000 30,000 POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FTE OTHER SP. FTE 2.00 TOTAL PRIORITY LEVEL :

15 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS EXPENDITURES Total Funding Change FY 2017 Total Request SALARIES 370,496 5,301,517 GENERAL 370,496 5,241,412 ST. SUP. SPECIAL OTHER 60,105 TRAVEL 8,000 GENERAL ST. SUP.SPECIAL OTHER 8,000 CONTRACTUAL 1,781,751 GENERAL ST. SUP. SPECIAL OTHER 1,781,751 COMMODITIES 551,000 GENERAL ST. SUP. SPECIAL OTHER 551,000 CAPTITAL-OTE 155, ,000 GENERAL 155, ,000 ST. SUP. SPECIAL OTHER EQUIPMENT 150, ,000 GENERAL 150, ,000 ST. SUP. SPECIAL OTHER 50,000 VEHICLES 30,000 30,000 GENERAL 30,000 30,000 ST. SUP. SPECIAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL OTHER SUBSIDIES 28,000 GENERAL ST. SUP. SPECIAL OTHER 28,000 TOTAL 705,496 8,055,268 FUNDING GENERAL FUNDS 705,496 5,576,412 ST. SUP.SPCL FUNDS FUNDS OTHER SP. FUNDS 2,478,856 TOTAL 705,496 8,055,268 POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FTE OTHER SP. FTE 2.00 TOTAL PRIORITY LEVEL : I J 8-2

16 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - South Mississippi State Hospital A B C D E F FY 2016 Escalations By Non-Recurring Benchmarks and Total Funding FY 2017 Total EXPENDITURES Appropriated DFA Items reclassification Change Request SALARIES 568,117 of PIN's 18,519 18, ,636 GENERAL 18,519 18,519 18,519 ST. SUP. SPECIAL 501, ,085 OTHER 67,032 67,032 TRAVEL 8,000 8,000 GENERAL ST. SUP.SPECIAL OTHER 8,000 8,000 CONTRACTUAL GENERAL ST. SUP. SPECIAL OTHER COMMODITIES GENERAL ST. SUP. SPECIAL OTHER CAPTITAL-OTE GENERAL ST. SUP. SPECIAL OTHER EQUIPMENT GENERAL ST. SUP. SPECIAL OTHER VEHICLES GENERAL ST. SUP. SPECIAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL OTHER SUBSIDIES GENERAL ST. SUP. SPECIAL OTHER TOTAL 576,117 18,519 18, , MI - SUPPORT SERVICES Program Name FUNDING GENERAL FUNDS 18,519 18,519 18,519 ST. SUP.SPCL FUNDS 501, ,085 FUNDS OTHER SP. FUNDS 75,032 75,032 TOTAL 576,117 18,519 18, ,636 POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FTE OTHER SP. FTE TOTAL PRIORITY LEVEL : 3 8-3

17 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - South Mississippi State Hospital 1 - MI - INSTITUTIONAL CARE Program Name I. Program Description: The Institutional Care Program will provide acute psychiatric care for adult men and women who reside in the catchment area of the hospital. During FY 2017, South Mississippi State Hospital plans to operate 50 beds for the treatment of those persons with mental illness who have been committed to the hospital through the chancery court system and for those who wish to voluntarily admit themselves. This facility will target a 30 day length of stay, with longer stays only as necessary for complete benefit to the patient. Intensive discharge planning begins at the time of admission. Professional staff concentrate not only on inpatient treatment, but also on follow-up, aftercare, and family education. Patients admitted to South Mississippi State Hospital receive medical and psychiatric evaluation and treatment, psychological evaluation and treatment, social services, nursing care, recreational services, and a variety of other treatment and rehabilitation services. South Mississippi State Hospital is licensed by the State Department of Health, accredited by the Joint Commission, and certified by the Center for Medicare and Medicaid Services. II. Program Objective: To operate a short-term psychiatric hospital that provides high quality psychiatric care to meet the needs of persons with mental illness and to meet the standards set forth by regulatory, licensing and accreditation agencies. III. Current program activities as supported by the funding in Columns 6-15 (FY 2016 & FY 2017Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A: (D) Full Time Physician PIN: A full time Physician PIN is needed to care for psychiatric patients at the hospital. We are currently using contract physicians for this service which is much more costly than a State Service PIN for comparable services. Securing a FT PIN will also free up contractual money that we need for other services such as electricity, laboratory fees, etc. (E) Benchmarks and Reclassification of PIN's: Benchmarks and reclassification of PIN's are requested in the amount of $134,327 (F) Replace Two (2) Cooling Towers: Purchase two (2) cooling towers to replace current aging towers that are being patched together and consuming too much energy. If these cooling towers fail, we will need to rent towers until new ones can be procured. Renting will be more cost prohibitive than purchasing new towers. This is a safety issue for our patients, especially if the current cooling towers fail during the summer months. (G) Purchase a New Camera System for Surveillance of Property: Purchase a new camera system for surveillance of property and grounds and that will aid in protecting patients and staff. Our current camera system is out of date and is in constant need of repair. Several of the cameras and dvr's no longer work and this is a safety issue for staff and patients. (H) Purchase a New Security Vehicle: Purchase a new security vehicle to replace current vehicle that needs to be retired. Our current vehicle is in constant need of repair and is a safety hazard when transporting patients to off campus locations. 9-1

18 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - South Mississippi State Hospital 2 - MI - SUPPORT SERVICES Program Name I. Program Description: The Support Services Program provides a comprehensive range of services to serve the needs of the patients and employees in the Institutional Care Program at South Mississippi State Hospital. These services include administration, personnel, and fiscal responsibilities of South Mississippi State Hospital. II. Program Objective: To provide support services necessary to direct and operate a comprehensive range of high quality services (1) to meet the needs of persons with mental illness and (2) that meets the standards set by regulatory, licensing, and accreditation agencies and organizations. Current program activities as supported by the funding in Columns 5-12 (FY16 Estimated & FY17 Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A: III. Current program activities as supported by the funding in Columns 6-15 (FY 2016 & FY 2017Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A: (D) Benchmarks and reclassification of PIN's: Benchmarks and reclassification of PIN's are requested in the amount of $18,

19 Form MBR1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of MI - INSTITUTIONAL CARE PROGRAM NAME PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.) FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED 1 Patient/resident days. 15, % of occupancy acute psychiatric care % of individuals readmitted between 0-59 days after discharge % of individuals readmitted between days after discharge % of individuals readmitted between days after discharge % of individuals readmitted after days after discharge Average length of stay by service (days) Number of individuals by program discharged to: Private Residence or Other Residential (01, 05) 9 Number of individuals by program discharged to: Homeless or homeless shelter (02, 03) Number of individuals by program discharged to: Court (04) Number of individuals by program discharged to: Group Home (06) Number of individuals by program discharged to: Personal Care Home (07) Number of individuals by program discharged to: Nursing Home (08, 09) Number of individuals by program discharged to: Institutional (10) Number of individuals by program discharged to: Community Program (12) Number of individuals by program discharged to: Halfway House (13) Number of individuals by program discharged to: Other (15, 90, 99) Report on 30% or more of all unique patients with at least one medication seen by an EP and have at least one medication order entered through CPOE 19 Report on 40% or more of all permissible prescriptions written by an EP during the reporting period are transmitted electronically using Certified EHR Technology 20 More than 50% or more of all unique patients seen by EP have demographics recorded as structured data 21 More than 50% of all unique patients age 2 years or older seen by an EP during the reporting period have height, weight and blood pressure recorded as structured data Number of individuals served Number of staff trained in WRAP Number of WRAPs conducted Number of individuals receiving service care plans that are transmitted to the next level of care within five days % Number of referrals to PACT Teams

20 Form MBR1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of MI - INSTITUTIONAL CARE PROGRAM NAME PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.) FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED 1 Operating Cost per patient/resident day Cost per person per day by service Cost to implement Electronic Health Records system 31, , , PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatlities due to drunk drivers within a 12-month period.) 1 To provide medical, psychiatric and custodial care 24 hours per day, 365 days a year in a licensed and certified facility with an occupancy rate of 90% when a waiting list exists. 2 Implement the Electronic Health Records system to meet current Meaningful Use requirements 3 Maintain a 90 percent occupancy percentage of inpatient beds by service of civilly committed individuals (occupancy percentage is filled beds compared to capacity) 4 Create an annual report analyzing occupancy percentage at SMSH including recommendations for future provision of services FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED Reduce overall readmissions to SMSH by 2% Increase the percentage of continuing care plans that are transmitted to the next level of care within five days of discharge 7 Increase the number of individuals referred to a Program of Assertive Community Treatment (PACT) Team

21 Form MBR1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of MI - SUPPORT SERVICES PROGRAM NAME PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.) 1 To provide the organization structure through which all aspects of patient care are planned, organized, directed, staffed, and evaluated in a manner that assures efficient resource utilization. 2 Report on 30% or more of all patients with at least one medication seen by an EP (Eligible Professional) and have at least one medication order entered through CPOE 3 Report on 40% or more of all permissible prescriptions written by an EP during the reporting period are transmitted electronically using Certified EHR Technology FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED More than 50% of all patients have demographics recorded as structured data More than 50% of all patients during the reporting period have height, weight and blood pressure recorded as structured data Number of fiscal/property audits completed during the fiscal year Number of vacancies Number of staff hired Number of training hours for compliance 4, , , Number of Worker s Comp. injuries/illnesses Number of staff separated from employment Overtime as percentage of total Salaries/Fringe budget Number of employees at the beginning of the period Number of employees at the end of the period Number of separated employees during the period Number of surveys completed Number of identified areas of improvement Number of staff trained Number of licensure and certification audits/reviews PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.) FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED 1 Annual Employee Turnover Rate Support as a percent of total budget Percentage rate of staff trained Percentage rate of employee turnover Cost to implement identified improvements Percentage of programs in compliance with regulatory requirements

22 Form MBR1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of MI - SUPPORT SERVICES PROGRAM NAME PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatlities due to drunk drivers within a 12-month period.) FY 2015 ACTUAL FY 2016 ESTIMATED FY 2017 PROJECTED 1 Support as Percent of Total Budget Implement the Electronic Health Records system to meet current Meaningful Use requirements Operating cost per bed day Total staff turnover rate Number of staff recruited through SPB Percentage of compliance with licensure and certification by Department of Mental Health, CMS, and Joint Commission

23 Form MBR1-03PC PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATION Total Funds Fiscal Year 2016 Funding Reduced Amount Reduced Funding Amount FY 2016 GF PERCENT REDUCED Program Name: (1) MI - INSTITUTIONAL CARE Narrative Explanation: General 4,870,916 (146,127) 4,724,789 (3.00%) State Support Special Federal Other Special 2,478,856 2,478,856 TOTAL 7,349,772 (146,127) 7,203,645 A 3% reduction in General Funds would mean that the hospital would have to reduce staff. The hospital complies with numerous federal and state regulations in order to maintain licensure. A reduction in funds could jeopardize compliance and therefore threaten licensure as well as the continued safety and well-being of the patients in the hospital. Program Name: (2) MI - SUPPORT SERVICES General State Support Special 501, ,085 Federal Other Special 75,032 75,032 TOTAL 576, ,117 Narrative Explanation: Program Name: (99) Summary of All Programs General 4,870,916 (146,127) 4,724,789 (3.00%) State Support Special 501, ,085 Federal Other Special 2,553,888 2,553,888 TOTAL 7,925,889 (146,127) 7,779,

24 State of Mississippi Form MBR-1-04 MISSISSIPPI DEPARTMENT OF MENTAL HEALTH BOARD OF DIRECTORS MEMBERS A. Explain Rate and manner in which board members are reimbursed: Each board member is entitled to $40 per day and all actual and necessary expenses, including mileage, incurred in the discharge of duties. B. Estimated number of meetings FY 2016: 12 regular meetings C. Names of Members City, Town, Residence Appointed By Date of Appointment Length of Term 1. Dr. James Herzog Jackson, MS Barbour Years 2. Dr. John Montgomery Ocean Springs, MS Bryant Years 3. Dr. Manda Griffin Houlka, MS Barbour Years 4. Dr. Sampat Shivangi Ridgeland, MS Barbour Years 5. Mr. George Harrison Coffeeville, SM Barbour Years 6. Mr. J. Richard Barry Meridian, MS Bryant Years 7. Mr. Robert Landrum Ellisville, MS Bryant Years 8. Ms. Rose Roberts Pontotoc, MS Barbour Years 9. Ms. Teresa Mosley Clinton, MS Bryant Years Identify Statutory Authority (Code Section or Executive Order Number)* Mississippi Code Section *If Executive Order, please attach copy. 12-1

25 State of Mississippi Form MBR-1-B SCHEDULE B CONTRACTUAL SERVICES MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, 2017 A. Tuition, Rewards & Awards (61050xxx-61080xxx) Employee Training 32,639 33,900 33, Travel Related Reg Total 33,354 34,643 34,643 B. Transportation & Utilities (61100xxx-61200xxx) Transport of Goods Postal Services 1,000 1,039 1, Utilities 237, , ,604 Total 239, , ,298 C. Public Information (61300xxx-61310xxx) Advert & Public Info 1,200 1,246 1,246 Total 1,200 1,246 1,246 D. Rents (61400xxx-61490xxx) Equipment Rental 34,551 35,885 35, Conf Rm,Exh,Display Total 34,801 36,145 36,145 E. Repairs & Service (61500xxx) Repair & Maint Serv 59,762 62,071 62,071 Total 59,762 62,071 62,071 F. Fees, Professional & Other Services (61600xxx-61690xxx) Inter-agency Fees 47,357 77,336 77, Contract Wrkr PR EFT 243, , , Ctr Wrkr PR Mtch EFT 21,769 22,605 22, Engineering Services (58) Acct & Financial 8,622 8,955 8, Legal Services Medical Services 419, , , Fees and Services 425, , ,873 Total 1,166,590 1,213,048 1,213,048 G. Other Contractual Services (61700xxx-61790xxx, 61900xxx) Insurance Fees 16,335 16,966 16, Bank & Credit Card Membership Dues 12,182 12,653 12,

26 State of Mississippi Form MBR-1-B SCHEDULE B CONTRACTUAL SERVICES MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, Trade & Subscriptions 6,329 6,573 6, Ldry, Dry Clean, Towel 44,965 36,702 36, Salvage,Demo,Removal 10,747 11,163 11, Client Transport 5,857 6,083 6,083 Total 96,435 90,161 90,161 H. Information Technology (61800xxx-61890xxx) Data/Netwk-Out Vend 8,031 8,341 8, Cell Time - Out Vend 983 1,021 1, Sat Voice Out Vend 1,138 1,182 1, IT Prof - Out Vend 17,774 18,461 18, Software - Out Vend 22,985 23,873 23, Offsite Data Storage 3,936 4,088 4, Maint IT Eq Out Vend 1,220 1,268 1, ITS Payments 51,472 53,460 53,460 Total 107, , ,694 I. Other (61910xxx-61990xxx) Pcard Contractual 5,476 5,688 5, PY Exp Contractual 5,543 5,757 5,757 Total 11,019 11,445 11,445 Grand Total (Enter on Line 1-B of Form MBR-1) 1,750,324 1,781,751 1,781,751 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 1,750,324 1,781,751 1,781,751 Total Funds 1,750,324 1,781,751 1,781,

27 State of Mississippi Form MBR-1-C SCHEDULE C COMMODITIES MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, 2017 A. Maintenance & Constr. Materials & Supplies (62000xxx, 62015xxx) Bldg & Construct Mat 2,258 2,439 2,439 Total 2,258 2,439 2,439 B. Printing & Office Supplies & Materials (62010xxx, 62085xxx, 62100xxx, 62125xxx, 62400xxx) Office Supplies 11,431 12,347 12, Furniture and Equip 3,105 3,353 3,353 Total 14,536 15,700 15,700 C. Equipment Repair Parts, Supplies & Acces. (62050xxx, 62072xxx, 62110xxx, 62115xxx, 62120xxx, 62130xxx) Fuel 5,816 6,281 6, Parts- Heat/Cool/Plm 13,613 14,703 14, Parts- Office/IT/Oth 31,404 33,918 33,918 Total 50,833 54,902 54,902 D. Professional & Sci. Supplies and Materials (62025xxx, 62030xxx, 62070xxx, 62095xxx, 62105xxx) Educational Supplies Lab & Med Supply 321, , , Photo & Process (28) Total 321, , ,184 E. Other Supplies & Materials (62005xxx, 62020xxx, 62035xxx, 62040xxx, 62045xxx, 62060xxx, 62065xxx, 62075xxx-62080xxx, 62090xxx, 62135xxx, 62140xxx, 62405xxx, 62415xxx, 62500xxx-62999xxx) Decals & Signs Food - Business Mtg 1,766 1,907 1, Food for Persons 1,943 2,099 2, Janitorial & Clean 23,040 24,884 24, Kitchen, Cafe &Dining 10,285 11,108 11, Other Misc Supplies Linens & Bedding Pers Hygiene Supply 3,472 3,750 3, Uniforms & Apparel 13,104 14,153 14, Computer & Comp Eq 6,930 7,484 7, Pcard Commodity 75,954 82,034 82, PY Exp Commodities 1,050 1,134 1,134 Grand Total Total 137, , ,775 (Enter on Line 1-C of Form MBR-1) 527, , ,

28 State of Mississippi Form MBR-1-C SCHEDULE C COMMODITIES MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, 2017 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 527, , ,000 Total Funds 527, , ,

29 State of Mississippi Form MBR-1-D-1 SCHEDULE D-1 CAPITAL OUTLAY OTHER THAN EQUIPMENT MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, 2017 B. Buildings & Improvements ( ) Offc.Of Building-Const.And R&R 155,000 Total 155,000 Grand Total (Enter on Line 1-D-1 of Form MBR-1) Funding Summary: General Funds 155,000 State Support Special Funds Federal Funds Other Special Funds Total Funds 155,

30 State of Mississippi Form MBR-1-D-2 SCHEDULE D-2 CAPITAL OUTLAY EQUIPMENT Act. June 30, 2015 Est. June 30, 2016 Req. June 30, 2017 EQUIPMENT BY ITEM No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost C. Office Machines, Furniture, Fixtures, Equip. ( ) Copy Machine 1 7, , ,000 Other Office Equipment 3 4, , ,000 Total 11,346 10,000 10,000 D. IS Equipment (DP & Telecommunications) ( ) Surface Pro Computers 20 25,933 Video Surveillance Equipment 1 150,000 Kronos Timeclocks 3 8,056 Electronic Health Record Equipment , ,000 Total 33,989 40, ,000 Grand Total (Enter on Line 1-D-2 of Form MBR-1) 45,335 50, ,000 Funding Summary: General Funds 150,000 State Support Special Funds Federal Funds Other Special Funds 45,335 50,000 50,000 Total Funds 45,335 50, ,

31 State of Mississippi Form MBR-1-D-3 SCHEDULE D-3 PASSENGER/WORK VEHICLES MINOR OBJECT OF EXPENDITURE Vehicle Inventory June 30, 2015 Act. June 30, 2015 Est. June 30, 2016 Req. June 30, 2017 No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost A. Passenger & Work Vehicles ( ) Automobiles & Station Wagons , Light/Medium Duty Trucks Vans 3 Total (A) ,000 GRAND TOTAL (Enter on Line 1-D-3 of Form MBR-1) 30,000 Funding Summary: General Funds 30,000 State Support Special Funds Federal Funds Other Special Funds Total Funds 30,

32 State of Mississippi Form MBR-1-D-4 SCHEDULE D-4 WIRELESS COMMUNICATION DEVICES MINOR OBJECT OF EXPENDITURE Device Inventory June 30, 2015 Act. June 30, 2015 Est. June 30, 2016 Req. June 30, 2017 No. of Devices Actual Cost No. of Devices Estimated Cost No. of Devices Requested Cost A. Cellular Phones ( ) Cellular Service Plan Devices 8 Total 8 C. Wireless Personal Digital Assistants ( ) Cellular Service Plan Devices 5 Total 5 Grand Total (Enter on Line 1-D-4 of Form MBR-1) Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds Total Funds 18-1

33 State of Mississippi Form MBR-1-E SCHEDULE E SUBSIDIES, LOANS & GRANTS MINOR OBJECT OF EXPENDITURE (1) Actual Expenses June 30, 2015 (2) Estimated Expenses June 30, 2016 (3) Requested for June 30, 2017 E. Other (67000xxx-67019xxx, 67021xxx-67199xxx, 67998xxx, 68500xxx-68860xxx, 70045xxx-70080xxx, 80000xxx-80500xxx) Transfer Out Oth Fds 26,013 28,000 28,000 Total 26,013 28,000 28,000 Grand Total (Enter on Line 1-E of Form MBR-1) 26,013 28,000 28,000 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 26,013 28,000 28,000 Total Funds 26,013 28,000 28,

34 NARRATIVE 2017 BUDGET REQUEST A. PERSONAL SERVICES 1. SALARIES, WAGES AND FRINGE BENEFITS (BASE) South Mississippi State Hospital (SMSH) requests a total of $5,888,153 for salaries, wages, and fringe benefits to fully fund all authorized positions for the hospital. The hospital will be operational for twelve (12) months in FY Benchmarks and reclassification are requested in the amount of $152,846. The agency is also requesting FSLA overtime in the amount of $59,600 for Programs One and Two. With an estimated proposed vacancy savings of $0 the total request for salaries, wages, and fringe is $5,888,153. A full time Physician PIN is requested in the amount of $236,169 (including salary and fringe) to care for psychiatric patients at the hospital. We are currently using contract physicians for this service which is much more costly than a State Service PIN for comparable services. Securing a FT PIN will also free up contractual money that we need for other services such as electricity, laboratory fees, etc. (1) SCHEDULE I - FLSA OVERTIME CURRENTLY AUTHORIZED A request is being made for FLSA overtime currently authorized in the amount of $59,600 that is less than 1% of annualized salaries for essential staff. South Mississippi State Hospital (SMSH) will be required to provide patient care in a therapeutic environment twenty-four (24) hours per day, seven (7) days per week. It is essential that SMSH have adequate staff available at all times under all conditions to ensure quality patient care and essential services, such as nursing and security. Overtime is avoided whenever possible. Compliance with Fair Labor Standards Act is a legal obligation. SMSH must have the ability and the flexibility to meets its moral, regulatory and legal obligations. The capacity to work and pay overtime is an essential element of this ability. 2. TRAVEL: South Mississippi State Hospital requests a total of $16,000 in travel funds for FY This represents a $0 increase over FY We do not anticipate more travel related costs. 3. CONTRACTUAL SERVICES - SCHEDULE B: A total of $1,781,751 is requested in the contractual services category for FY There is no increase asked for above the FY 2016 estimated cost. Included in this request are costs associated with the hospital's apportioned share of MMRS costs, State Professional Board fees, personnel services contracts for a variety of medical services, patient food preparation and delivery, laundry services, utilities, computer software, increases for high-cost medical and radiology services and associated items. Funds in this category are also utilized to repair and renovate buildings of the agency main campus, staff house, and programmatic support buildings. As the facility physical plant ages, a significant amount of federal and state regulations governing the operations of institutional programs for the mentally ill place tremendous emphasis on physical environment standards as they relate to patient safety, preventative maintenance and repair programs, and the general overall appearance of facility buildings and grounds. Funds in this category will be used to pay for services to repair or replace flooring, aging air and heating systems, outdated electrical wiring, original plumbing for water and gas and other similar repairs. An important note: The Department of Justice began a review of the Mississippi Department of Mental Health in May of There is the very real possibility that this review might result in some costly to implement changes to the way the Mississippi Department of Mental Health operates, either as a result of a consent decree or, failing that, legal action. It may be a few months or even a few years before the review is completed and findings are known. The funding level requested in this budget submission may be amended as a result of this review if findings are made known before the appropriations process for the fiscal year ending June 30, 2017, is completed. A. Tuition, Rewards & Awards (61050xxx-61080xxx) No increase is requested in this category. B. Transportation & Utilities (61100xxx-61200xxx) 20-1

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017 State of Mississippi Form MBR-1 (2015) a. Additional Compensation b. Proposed Vacancy Rate (Dollar Amount) c. Per Diem Total Salaries, Wages & Fringe Benefits 2. Travel a. Travel & Subsistence (In-State)

More information

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017 State of Mississippi Form MBR-1 (2015) a. Additional Compensation b. Proposed Vacancy Rate (Dollar Amount) c. Per Diem Total Salaries, Wages & Fringe Benefits 2. Travel a. Travel & Subsistence (In-State)

More information

REVISED: 9/2/2015 11:13:41 AM

REVISED: 9/2/2015 11:13:41 AM Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE REVISED: 9/2/2015 11:13:41 AM Page 1 : Univ of Mississippi - School Of Nursing Specify Funding Sources As Shown Below FY 2015 Actual Amount % of Line Item

More information

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017

BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2017 State of Mississippi Form MBR-1 (2015) a. Additional Compensation b. Proposed Vacancy Rate (Dollar Amount) c. Per Diem 8,640 7,200 7,200 Total Salaries, Wages & Fringe Benefits 26,233,021 26,167,937 26,689,670

More information

Council on Domestic Violence and Sexual Assault. Grant Budget Preparation Guidelines FY16 FY17

Council on Domestic Violence and Sexual Assault. Grant Budget Preparation Guidelines FY16 FY17 Council on Domestic Violence and Sexual Assault Grant Budget Preparation Guidelines FY16 FY17 ATTACHMENT C I. OVERVIEW 1. Review these Budget Preparation Guidelines for guidance in preparing the detailed

More information

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CONSOLIDATED

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CONSOLIDATED CONSOLIDATED SOURCES OF FUNDING 2015 COMPARED WITH 2016 SHOWING AMOUNT, CHANGES, AND PERCENTAGE CHANGE BY SOURCE SOURCES OF FUNDING 2015 2015 2015 2016 CHANGE CHANGE A. STUDENT FEES Regular Session: Tuition

More information

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015 MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015 CON REVIEW HR-RC-1015-022 RENOVATION OF 6 th FLOOR, PATIENT AND NURSING AREA LOCATION: JACKSON,

More information

New York City Department of Homeless Services Audit Services Directive Number 1 Audit Protocols For Human Services Contracts

New York City Department of Homeless Services Audit Services Directive Number 1 Audit Protocols For Human Services Contracts I. UNIVERSAL TESTS (all programs) CONTRACT REVIEW PROCEDURES TESTS TO BE PERFORMED 1. Salaries 2. Fringe Benefits 3. OTPS 4. Compliance with Contractual Requirements 5. Purchasing 6. Funding 7. Additional

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2014

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2014 DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2014 CON REVIEW HR-RC-0514-006 THE MISSISSIPPI METHODIST HOSPITAL AND REHABILITATION CENTER, INC. D/B/A METHODIST REHABILITATION CENTER RENOVATION

More information

Town of Clinton Budget Recommendations

Town of Clinton Budget Recommendations Town of Clinton Budget Recommendations Fiscal Year 2016 July 1, 2015 June 30, 2016 20-May-15 Fiscal Year 2015 Fiscal Year 2016 114 - Moderator Moderator Salary 100.00 100.00 Moderator Misc. Expense 50.00

More information

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 STAFF ANALYSIS

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 STAFF ANALYSIS MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 CON REVIEW HG-RB-0416-009 JACKSON HMA, LLC, D/B/A MERIT HEALTH CENTRAL EXPANSION OF PSYCHIATRIC BEDS

More information

Emergency Solutions Grants Program. Eligible Expense Guide

Emergency Solutions Grants Program. Eligible Expense Guide Emergency Solutions Grants Program Eligible Expense Guide State of West Virginia Office of Economic Opportunity 2015 Table of Contents 1. Street Outreach 1.1 Engagement.2 1.2 Case Management.2 1.3 Emergency

More information

TABLE OF CONTENTS CENTRAL SERVICES FUND

TABLE OF CONTENTS CENTRAL SERVICES FUND TABLE OF CONTENTS Central Services Fund Overview... 83 Income Summary with Requirements by Department and by Category... 83 Central Services Fund Resources... 84 Central Services Fund Resources Allocation

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2013

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2013 DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2013 CON REVIEW MISSISSIPPI METHODIST HOSPITAL AND REHABILITATION CENTER, INC. d/b/a METHODIST OUTPATIENT REHABILITATION CONSTRUCTION OF CONSOLIDATED

More information

BUY Matrix. Revised 03/18/15. P-Card/Dept. Card (less than $750) Independent Contractor Form. Direct Pay Form. Business and Travel Expense Report

BUY Matrix. Revised 03/18/15. P-Card/Dept. Card (less than $750) Independent Contractor Form. Direct Pay Form. Business and Travel Expense Report 701500 Departmental Operating Pool 701511 Office Supplies except furniture and technology related items 701512 Library Supplies 701513 Instructional Supplies 701514 Laboratory Supplies 701516 Printer Suppliers

More information

Instructions for the Automated Administrative Budget Sponsors of Day Care Homes and Sponsors of Unaffiliated Centers

Instructions for the Automated Administrative Budget Sponsors of Day Care Homes and Sponsors of Unaffiliated Centers CHILD CARE FOOD PROGRAM (CCFP) Instructions for the Automated Administrative Budget Sponsors of Day Care Homes and Sponsors of Unaffiliated Centers The automated administrative budget is available on the

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2004

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2004 DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2004 CON REVIEW INDEPENDENT HEALTHCARE MANAGEMENT, INC. DBA LACKEY MEMORIAL HOSPITAL CONSTRUCTION OF A REPLACEMENT HOSPITAL CAPITAL EXPENDITURE:

More information

General Fund Expenditures

General Fund Expenditures The general fund is used to report all financial expenditures related to the basic education programs and operations of the school system. Expenditures are grouped into object classes and categories as

More information

KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES

KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES Actual FY 2014 Agency Est. Agency Req. Agency Req. FY 2017 FY 2017 Operating Expenditures: State General Fund $ 561,860,405 $ 618,190,288 $ 632,670,211

More information

SERVICES POOL ACCOUNT CODES AND ACCOUNTS ACCOUNT DESCRIPTION

SERVICES POOL ACCOUNT CODES AND ACCOUNTS ACCOUNT DESCRIPTION REPORT FGRACH 7120 Contractual Services 712110 Express Services 712120 Outbound Freight Services 712130 Messenger Services 712150 Printing Services 712190 Inbound Freight Services 712210 Organization Memberships

More information

EMERGENCY SOLUTIONS GRANTS PROGRAM (ESG) ELIGIBLE EXPENSE GUIDE

EMERGENCY SOLUTIONS GRANTS PROGRAM (ESG) ELIGIBLE EXPENSE GUIDE EMERGENCY SOLUTIONS GRANTS PROGRAM (ESG) ELIGIBLE EXPENSE GUIDE DECEMBER 2012 STATE OF CALIFORNIA EMERGENCY SOLUTIONS GRANT ELIGIBLE EXPENSES DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF

More information

Rates Assumption/ Basis for Calculation. See Salary Schedules

Rates Assumption/ Basis for Calculation. See Salary Schedules 2.2 - FY 2017 Standard Rates by Object Object Title of Object Basis for Calculation Object.01 Salaries and Wages 0101 Regular Earnings 0102 Additional Assistance 0104 Overtime Earnings 0105 Shift Differential

More information

FY 2010 Total County. FY 2010 Health County Dollars - $28,422,505. Medical Examiner 1%

FY 2010 Total County. FY 2010 Health County Dollars - $28,422,505. Medical Examiner 1% Health Service Area FY 2010 Total County Health 7% FY 2010 Health County Dollars - $28,422,505 Medical Examiner 1% CenterPoint Human Svcs. 22% Public Health 77% OPERATING POLICIES AND GOALS: Create a community

More information

COMMUNITY SERVICES BLOCK GRANT EXPENDITURE DESCRIPTIONS FOR BUDGET PREPARATION

COMMUNITY SERVICES BLOCK GRANT EXPENDITURE DESCRIPTIONS FOR BUDGET PREPARATION Explanations of selected items of allowed or disallowed costs under each Cost Category. 1. PERSONNEL SERVICES: a. SALARIES AND WAGES The gross amount of salaries and wages before any payroll deductions.

More information

Establishing and Maintaining Separation Between Multiple Programs and Facilities:

Establishing and Maintaining Separation Between Multiple Programs and Facilities: This document contains suggestions from DHR for providers who may be operating multiple, separate programs or facilities that include child-caring and behavioral healthcare programs. It is not official

More information

Financial Report to the Board of Trustees

Financial Report to the Board of Trustees Financial Report to the Board of Trustees February 27, 2013 FY12 Closeout and FY13 Six Month Update Financial Report to the Board of Trustees February 27 2013 Table of Contents Page(s) University of Connecticut

More information

COMMUNITY SERVICES 238 HUMAN SERVICES. Mission Statement. Mandates. Expenditure Budget: $37,580,036 30.7% of Human Services

COMMUNITY SERVICES 238 HUMAN SERVICES. Mission Statement. Mandates. Expenditure Budget: $37,580,036 30.7% of Human Services Mission Statement We are committed to improving the quality of life for people with or at risk of developing mental disabilities and substance abuse problems and to preventing the occurrences of these

More information

CITY OF CHARLOTTE OFFICE OF INTERNAL AUDIT. Independent Report of Internal Audit

CITY OF CHARLOTTE OFFICE OF INTERNAL AUDIT. Independent Report of Internal Audit CITY OF CHARLOTTE OFFICE OF INTERNAL AUDIT Independent Report of Internal Audit To: City Manager s Office and Charlotte Water June 21, 2016 From: Greg McDowell, City Auditor Re: Union County Wastewater

More information

MISSISSIPPI DRUG COURT FISCAL POLICY

MISSISSIPPI DRUG COURT FISCAL POLICY MISSISSIPPI DRUG COURT FISCAL POLICY As promulgated by the STATE DRUG COURT ADVISORY COMMITTEE Distributed by the Administrative Office of Courts BACKGROUND Certified drug court programs operating in Mississippi

More information

Mode & Service Function Information

Mode & Service Function Information Mode & Service Function Information 20 S/D Mode 05 = 24-Hour Services SD/MC Mode 05 = Residential/PHF SD/MC Mode 07 = General Hospital SD/MC Mode 08 = Psych Hospital: Age < 21 SD/MC Mode 09 = Psych Hospital:

More information

Department of Information Technology

Department of Information Technology Department Description The Department of Information Technology (DoIT) (formerly known as Office of the CIO ) is responsible for providing strategic technology direction, the central IT support organization

More information

Operating Budget Data

Operating Budget Data D55P00 Department of Veterans Affairs Operating Budget Data ($ in Thousands) FY 14 FY 15 FY 16 FY 15-16 % Change Actual Working Allowance Change Prior Year General Fund $6,886 $7,964 $8,088 $124 1.6% Deficiencies

More information

Medicaid Service Funding Options for Affordable Assisted Living in Michigan An Information Brief for Housing Professionals

Medicaid Service Funding Options for Affordable Assisted Living in Michigan An Information Brief for Housing Professionals Medicaid Service Funding Options for Affordable Assisted Living in Michigan An Information Brief for Housing Professionals 1 Table of Contents Medicaid Brief: Page: Introduction 3 Statement of the Problem

More information

SAMPLE INDIRECT COST PROPOSAL FORMAT FOR NONPROFIT ORGANIZATIONS

SAMPLE INDIRECT COST PROPOSAL FORMAT FOR NONPROFIT ORGANIZATIONS SAMPLE INDIRECT COST PROPOSAL FORMAT FOR NONPROFIT ORGANIZATIONS A. INTRODUCTION Name of Organization (nonprofit) is a nonprofit located in Anytown, USA. The nonprofit administers a variety of programs

More information

Targeted Case Management Services

Targeted Case Management Services Targeted Case Management Services 2013 Acronyms and Abbreviations AHCA Agency for Health Care Administration MMA Magellan Medicaid Administration CBC Community Based Care CBH Community Behavioral Health

More information

Financial Planning For the State Human Services Division of Illinois

Financial Planning For the State Human Services Division of Illinois Illinois Department of Human Services Division of Family and Community Services INSTRUCTIONS FY15 Youth Development Programming RFA Service Classification #3 Evidenced Based Demonstration Project - Supporting

More information

Department of Mental Health

Department of Mental Health 332401 Forensic Services $4,319,519 $4,328,547 $4,371,610 $4,323,287 $3,089,969 $3,244,251 0.2% 1.0% -1.1% -28.5% 5.0% Section 335.10.10 of Am. Sub. H.B. 1 of the 128th G.A. (originally established by

More information

Department of Legislative Services Maryland General Assembly 2009 Session

Department of Legislative Services Maryland General Assembly 2009 Session House Bill 706 Health and Government Operations Department of Legislative Services Maryland General Assembly 2009 Session FISCAL AND POLICY NOTE Revised (Delegate Pena-Melnyk, et al.) HB 706 Finance Electronic

More information

ASCA Responses: Inmate Cost Per Day Follow Up Survey (September 2011)

ASCA Responses: Inmate Cost Per Day Follow Up Survey (September 2011) Alabama Arizona Colorado Florida Georgia Christy Erb, Asst. Accounting Director Jacob Gable, Planning, Budget & Research Administrator Deb Kugler, Budget Office Manager Eve Cantral, Asst. Budget Chief

More information

DEPT: Behavioral Health Division UNIT NO. 6300 FUND: General 0077. Budget Summary

DEPT: Behavioral Health Division UNIT NO. 6300 FUND: General 0077. Budget Summary 2 Budget Summary Category 2014 Budget 2014 Actual 2015 Budget 2016 Budget 2016/2015 Variance Expenditures 1 Personnel Costs $71,051,105 $68,846,318 $63,170,918 $61,866,902 ($1,304,016) Operation Costs

More information

Overview of MU Stage 2 Joel White, Health IT Now

Overview of MU Stage 2 Joel White, Health IT Now Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.

More information

FY 2012 Total County - $388,239,166. FY 2012 Health County Dollars - $29,978,137. Medical Examiner 0.6%

FY 2012 Total County - $388,239,166. FY 2012 Health County Dollars - $29,978,137. Medical Examiner 0.6% Health Service Area FY 2012 Total County - $388,239,166 Health 7.7% FY 2012 Health County Dollars - $29,978,137 Medical Examiner 0.6% CenterPoint Human Svcs. 20.9% Public Health 78.5% OPERATING POLICIES

More information

Reduce outside counsel costs by 10% Implement any recommended changes. Customer Satisfaction Surveys completed

Reduce outside counsel costs by 10% Implement any recommended changes. Customer Satisfaction Surveys completed All Funds City Attorney Wynetta Massey, Interim City Attorney/Chief Legal Officer (719) 385-5909 cityatty@springsgov.com 2014 Breakthrough Strategies Department Breakthrough Strategy Measurable Outcome

More information

2002 ANNUAL REPORT Department of Commerce and Regulation

2002 ANNUAL REPORT Department of Commerce and Regulation 2002 ANNUAL REPORT Department of Commerce and Regulation Commission/Board of Real Estate 1360 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

More information

Summary: Executive Budget Recommendation for Fiscal Years 2013-14 and 2014-15 DEPARTMENT OF STATE POLICE Analyst: Mark Wolf

Summary: Executive Budget Recommendation for Fiscal Years 2013-14 and 2014-15 DEPARTMENT OF STATE POLICE Analyst: Mark Wolf Summary: Executive Budget Recommendation for Fiscal Years 213-14 and 214-15 DEPARTMENT OF STATE POLICE Analyst: Mark Wolf FY 212-13 Year-to-Date FY 213-14 Difference: FY 213-14 Vs. FY 212-13 FY 214-15

More information

GENERAL FUND. FY14 General Fund Revenues/Financing Sources TOTAL APPROVED = $339,071,600. Property Taxes $201,088,000 59.3% REVENUE BREAKDOWN

GENERAL FUND. FY14 General Fund Revenues/Financing Sources TOTAL APPROVED = $339,071,600. Property Taxes $201,088,000 59.3% REVENUE BREAKDOWN GENERAL FUND A general fund is used to account for financial transactions associated with government services which are not legally required to be accounted for in a special fund, or are not part of self-supporting

More information

FY 2011 Total County. FY 2011 Health County Dollars - $29,869,193. Medical Examiner 1%

FY 2011 Total County. FY 2011 Health County Dollars - $29,869,193. Medical Examiner 1% Health Service Area FY 2011 Total County Health 8% FY 2011 Health County Dollars - $29,869,193 Medical Examiner 1% CenterPoint Human Svcs. 21% Public Health 78% OPERATING POLICIES AND GOALS: Create a community

More information

City of Midland Adopted Annual Budget Line Item Detail for the Fiscal Year Ending June 30, 2017

City of Midland Adopted Annual Budget Line Item Detail for the Fiscal Year Ending June 30, 2017 This document contains the adopted annual budget line item detail for the City of Midland. It lists every individual account budgeted by the City. It is sorted by fund number and organized by the major

More information

MIDEASTERN MICHIGAN LIBRARY COOPERATIVE FY 2011-2012 Budget Budget Summary Overview

MIDEASTERN MICHIGAN LIBRARY COOPERATIVE FY 2011-2012 Budget Budget Summary Overview MIDEASTERN MICHIGAN LIBRARY COOPERATIVE FY 2011-2012 Budget Budget Summary Overview Income 565.00 State source revenues 566.00 Cooperative State Aid 273,113.00 Total 565.00 State source revenues 273,113.00

More information

Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016

Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016 Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016 Southwestern Vermont Medical Center s (hereafter SVMC or Medical Center ) Operating Budget for Fiscal Year (hereafter FY ) 2016 has

More information

FORT HAYS STATE UNIVERSITY

FORT HAYS STATE UNIVERSITY FORT HAYS STATE UNIVERSITY Actual FY 2014 Agency Est. FY 2015 FY 2015 Agency Req. Agency Req. FY 2017 FY 2017 Operating Expenditures: State General Fund $ 32,656,997 $ 34,036,691 $ 33,988,112 $ 33,921,728

More information

DUTCHESS COUNTY DEPARTMENT OF CENTRAL SERVICES AUTO SERVICE CENTER DIVISION

DUTCHESS COUNTY DEPARTMENT OF CENTRAL SERVICES AUTO SERVICE CENTER DIVISION DUTCHESS COUNTY DEPARTMENT OF CENTRAL SERVICES AUTO SERVICE CENTER DIVISION Comptroller s Summary...3 Organization and Background...3 Audit Scope, Objective and Methodology...3 Summary of Findings...3

More information

2016 Proposed Budget

2016 Proposed Budget Revenue 301 Real Property Taxes 301.00 Real Estate Taxes 661,079 301.20 Real Estate Taxes Prior 3,000 301.30 Real Estate Taxes Delinquent 15,000 Sub-Total $679,079 310 Local Enabling Taxes 310.10 Real

More information

Office of the CIO. Department Description. Goals and Objectives

Office of the CIO. Department Description. Goals and Objectives Department Description The Office of the Chief Information Officer (OCIO) is comprised of the Communications and Information Technology (IT) divisions. The Communications Division provides all wireless

More information

Example Accounting/Financial Policies

Example Accounting/Financial Policies Example Accounting/Financial Policies TABLE OF CONTENTS INTERNAL CONTROLS... 2 ACCESS TO RECORDS BY MEMBERS... 3 ACCOUNTING COMPUTER FILE BACK-UP PROCEDURE... 3 ACCOUNTING METHOD... 3 AUDIT COMMITTEE...

More information

DEPARTMENT OF FINANCE AND ADMINISTRATION-POLICY 03

DEPARTMENT OF FINANCE AND ADMINISTRATION-POLICY 03 DEPARTMENT OF FINANCE AND ADMINISTRATION-POLICY 03 Policy 3-Uniform Reporting Requirements and Cost Allocation Plans for Subrecipients of Federal and State Grant Monies (Revised 12/97) Introduction to

More information

MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE

MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF PUBLIC WELFARE SUBJECT BY Update - JCAHO-Accredited RTF Services Darlene C. Collins, M.Ed., M.P.H. Deputy Secretary for Medical

More information

LEVEL TEXT TEXT AMT COMR RESTRICTED-CLAIMS FOR FY15 & PRIOR YEARS 2,573,000 2,573,000

LEVEL TEXT TEXT AMT COMR RESTRICTED-CLAIMS FOR FY15 & PRIOR YEARS 2,573,000 2,573,000 13:49:43 FOR FISCAL YEAR 15/16 REVENUES FY 15/16 FY 12/13 FY 13/14 AMENDED COMMISION ACCOUNT ACCOUNT DESCRIPTION ACTUAL ACTUAL BUDGET REVIEW Miscellaneous Revenues 502-361-0000 Interest Earnings 22,041

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 CORE OBJECTIVES (16 total) Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 Stage 1 Objective Use CPOE for medication orders directly entered by any licensed

More information

THE REHABILITATION CENTER AT DAUGHTERS OF SARAH SHORT TERM STAY AGREEMENT

THE REHABILITATION CENTER AT DAUGHTERS OF SARAH SHORT TERM STAY AGREEMENT THE REHABILITATION CENTER AT DAUGHTERS OF SARAH SHORT TERM STAY AGREEMENT This Agreement is made this day of, by and between DAUGHTERS OF SARAH NURSING CENTER, INC., a not for profit corporation having

More information

Veteran's Services. How the Program Works

Veteran's Services. How the Program Works Veteran's Services 1) Turner House Living Center for Veterans, Inc. 825 Simonds Road Williamstown, MA 01267 (413)458-8234 How the Program Works BACKGROUND: There are currently 113,000 homeless veterans

More information

HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations

HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations HITECH Act Update: An Overview of the Medicare and Medicaid EHR Incentive Programs Regulations The Health Information Technology for Economic and Clinical Health Act (HITECH Act) was enacted as part of

More information

BUSINESS EXPENSES AND DEDUCTIONS

BUSINESS EXPENSES AND DEDUCTIONS 03 BUSINESS EXPENSES AND DEDUCTIONS Claim deductions for your business expenses when you lodge your income tax return, see page 18. To claim deductions for your business expenses when you lodge your income

More information

INGHAM COUNTY MEDICAL CARE FACILITY Okemos, Michigan

INGHAM COUNTY MEDICAL CARE FACILITY Okemos, Michigan INGHAM COUNTY MEDICAL CARE FACILITY Okemos, Michigan FINANCIAL STATEMENTS For the Year Ended December 31, 2010 TABLE OF CONTENTS PAGE Independent Auditors Report 1 Financial Statements for the Year Ended

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2003 STAFF ANALYSIS

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2003 STAFF ANALYSIS DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2003 THE NICHOLS CENTER CONSTRUCTION OF A 60-BED NURSING HOME REPLACEMENT FACILITY CAPITAL EXPENDITURE: $1,820,000 LOCATION: SUMRALL, MISSISSIPPI

More information

APPENDIX E ALLOWABLE CAPITAL EXPENDITURE GUIDELINES

APPENDIX E ALLOWABLE CAPITAL EXPENDITURE GUIDELINES Introduction Appendix E Page 1 of 7 APPENDIX E ALLOWABLE CAPITAL EXPENDITURE GUIDELINES State capital appropriations are funded primarily through the issuance by the State of taxexempt bonds. As a result,

More information

TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill 1473, Section 10.49(i)

TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill 1473, Section 10.49(i) REPORT TO THE THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 STAFF ANALYSIS

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 STAFF ANALYSIS DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 NORTH MISSISSIPPI MEDICAL CENTER TEM FOR RADIOLOGY CAPITAL EXPENDITURE: $9,250,000 LOCATION: TUPELO, MISSISSIPPI STAFF ANALYSIS

More information

FINANCIAL REPORT INSTRUCTIONS

FINANCIAL REPORT INSTRUCTIONS ATTENTION: ACJC has provided you with an interactive electronic version of the financial forms. This allows you to report your information faster and more accurately. In order for the autocalculations

More information

CHAPTER 26.1-45 LONG-TERM CARE INSURANCE

CHAPTER 26.1-45 LONG-TERM CARE INSURANCE CHAPTER 26.1-45 LONG-TERM CARE INSURANCE 26.1-45-01. Definitions. In this chapter, unless the context requires otherwise: 1. "Applicant" means: a. In the case of an individual long-term care insurance

More information

GRAND RAPIDS COMMUNITY COLLEGE GENERAL OPERATING FUND 2015-16 2016-17 ADOPTED PROJECTED BUDGET BUDGET TUITION:

GRAND RAPIDS COMMUNITY COLLEGE GENERAL OPERATING FUND 2015-16 2016-17 ADOPTED PROJECTED BUDGET BUDGET TUITION: TUITION: FEES: 1201 RESIDENT $ 26,907,281 $ 26,602,201 1202 NON-RESIDENT 18,641,196 18,396,296 1203 OUT OF STATE 917,180 904,838 1210 TUITION WAIVERS (248,898) (245,824) TOTAL TUITION 46,216,759 45,657,511

More information

EMR Use in the Age of Healthcare Reform. C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic Executive Director, ecleveland Clinic

EMR Use in the Age of Healthcare Reform. C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic Executive Director, ecleveland Clinic EMR Use in the Age of Healthcare Reform C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic Executive Director, ecleveland Clinic Agenda General Overview Requirements Payments Process to

More information

216B.457 Certificate-of-need requirement for Level II psychiatric residential treatment facilities -- Beds and locations permitted -- Contents of

216B.457 Certificate-of-need requirement for Level II psychiatric residential treatment facilities -- Beds and locations permitted -- Contents of 216B.457 Certificate-of-need requirement for Level II psychiatric residential treatment facilities -- Beds and locations permitted -- Contents of certificate application -- Criteria -- Staffing requirements

More information

Governance & Policies

Governance & Policies Governance & Policies Effective: July 1, 2009 Administrative Policy TRAVEL EXPENSE REGULATIONS Approved: September 1, 2009 President s Cabinet General Policy These travel expense regulations are applicable

More information

Supportive Housing Program (SHP) Self-Monitoring Tools

Supportive Housing Program (SHP) Self-Monitoring Tools Supportive Housing Program (SHP) Self-Monitoring Tools U.S. Department of Housing and Urban Development Office of Community Planning and Development Table of Contents INTRODUCTION...1 TOOL 1 MEASURING

More information

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements The Centers for Medicare and Medicaid Services (CMS) issued the Stage 2 Final Rule on September 4, 2012. The Stage 2 Final Rule

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT FEBRUARY 2011

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT FEBRUARY 2011 DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT FEBRUARY 2011 CON REVIEW: HG-RLS-1210-039 PATIENTS CHOICE MEDICAL CENTER LEASE/RELOCATION OF TEN CHEMICAL DEPENDENCY BEDS AND OFFERING OF ACUTE ADULT

More information

Ingham County Medical Care Facility. For the Year Ended December 31, 2011. Financial Statements

Ingham County Medical Care Facility. For the Year Ended December 31, 2011. Financial Statements Ingham County Medical Care Facility For the Year Ended December 31, 2011 Financial Statements INGHAM COUNTY MEDICAL CARE FACILITY Table of Contents FINANCIAL SECTION Page Independent Auditors Report 1

More information

Non-Labor Expense Account Code Definitions

Non-Labor Expense Account Code Definitions Materials and Supplies 7011 Lab Supplies 7014 Uniforms 7016 Cleaning Supplies 7025 Marketing & Promotions 7028 Office Supplies 7029 General Materials 7058 Medical Supplies 7072 Printing 7081 Postage &

More information

This information is provided by SRC for Medicare Information. (The costs that are used in these examples are from 2006.)

This information is provided by SRC for Medicare Information. (The costs that are used in these examples are from 2006.) Medicare Information Source This information is provided by SRC for Medicare Information. (The costs that are used in these examples are from 2006.) The Senior Resource Center for Medicare Information

More information

IOWA VETERANS TRUST FUND ASSISTANCE REQUEST

IOWA VETERANS TRUST FUND ASSISTANCE REQUEST Please Submit to: IOWA DEPARTMENT OF VETERANS AFFAIRS Camp Dodge Bldg 3465, 7105 NW 70 th Avenue Johnston, Iowa 50131-1824 Phone (515) 727-3440 www.iowava.org Personal and Military Data Full Name (First)

More information

NEW YORK STATE OFFICE OF MENTAL HEALTH RESIDENTIAL TREATMENT FACILITIES ~ WESTERN REGION

NEW YORK STATE OFFICE OF MENTAL HEALTH RESIDENTIAL TREATMENT FACILITIES ~ WESTERN REGION NEW YORK STATE OFFICE OF MENTAL HEALTH RESIDENTIAL TREATMENT FACILITIES ~ WESTERN REGION WHAT IS A RESIDENTIAL TREATMENT FACILITY? Residential treatment facilities (RTF) provide fully integrated mental

More information

State of Alaska. Department of Health & Social Services Frontier Extended Stay Clinic. Licensure Application

State of Alaska. Department of Health & Social Services Frontier Extended Stay Clinic. Licensure Application Application for Licensure GENERAL INSTRUCTIONS A. This application is for both initial and renewal licensure. B. All items of information on the Application for (FESC) Licensure form must be filled in

More information

Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ********************************************************

Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ******************************************************** Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ******************************************************** Client Name: E-mail: Telephone: Day Evening NOTES: If we DID NOT

More information

TULSA COUNTY CRIMINAL JUSTICE AUTHORITY

TULSA COUNTY CRIMINAL JUSTICE AUTHORITY TULSA COUNTY CRIMINAL JUSTICE AUTHORITY REQUEST FOR PROPOSALS FOR THE MANAGEMENT OF THE DAVID L. MOSS CRIMINAL JUSTICE CENTER The Tulsa County Criminal Justice Authority, a public trust (the Authority

More information

BERGEN Advertised Enrollments FAIR LAWN BORO

BERGEN Advertised Enrollments FAIR LAWN BORO BERGEN Advertised Enrollments FAIR LAWN BORO ENROLLMENT CATEGORIES 10-15-2013 ACTUAL 10-15-2014 ACTUAL 10-15-2015 ESTIMATE Pupils On Roll Regular Full-Time 3,817.0 3,862.0 3,856.0 Pupils On Roll Regular

More information

PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY APPLICATION FORM ARKANSAS HEALTH SERVICES PERMIT COMMISSION

PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY APPLICATION FORM ARKANSAS HEALTH SERVICES PERMIT COMMISSION PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY APPLICATION FORM ARKANSAS HEALTH SERVICES PERMIT COMMISSION ARKANSAS HEALTH SERVICES PERMIT AGENCY 5800 WEST 10TH STREET, SUITE 805 LITTLE ROCK, ARKANSAS 72204

More information

EXECUTIVE SUMMARY BACKGROUND

EXECUTIVE SUMMARY BACKGROUND EXECUTIVE SUMMARY BACKGROUND Title XIX of the Social Security Act (the Act) established the Medicaid program to pay for the medical assistance costs of certain individuals and families with limited incomes

More information

Tab 2 - Multifamily Housing Core Underwriting Application

Tab 2 - Multifamily Housing Core Underwriting Application Tab 2 - Multifamily Housing Core Underwriting Application An Application is required to be completed for all Agency Multifamily programs. Be sure to complete all sections, answer all questions, and provide

More information

M E M O R A N D U M. DATE: June 15, 2016. TO: Members of the House of Representatives. FROM: Mary Ann Cleary, Director

M E M O R A N D U M. DATE: June 15, 2016. TO: Members of the House of Representatives. FROM: Mary Ann Cleary, Director M E M O R A N D U M DATE: June 15, 2016 TO: Members of the House of Representatives FROM: Mary Ann Cleary, Director RE: Flint Drinking Water Emergency Appropriations - UPDATED Background On January 5,

More information

SALARY SURVEY INSTRUCTIONS

SALARY SURVEY INSTRUCTIONS FY 2014 BHA/CSA Annual Salary Survey, Cost Report, and Financial Status Report To comply with regulations, you must send us three types of information: 1) a completed FY 2014 salary survey, 2) a 2014 cost

More information

LBA Financial Audit Report Summary:

LBA Financial Audit Report Summary: LBA Financial Audit Report Summary: Department of Health and Human Services, New Hampshire Hospital For The Fiscal Year Ended June 30, 2003 Reporting Entity And Scope The reporting entity and scope of

More information

July 1, 2010 TO THE GOVERNING AUTHORITIES OF ALL MISSISSIPPI MUNICIPALITIES

July 1, 2010 TO THE GOVERNING AUTHORITIES OF ALL MISSISSIPPI MUNICIPALITIES OFFICE OF THE STATE AUDITOR STACEY E. PICKERING AUDITOR July 1, 2010 TO THE GOVERNING AUTHORITIES OF ALL MISSISSIPPI MUNICIPALITIES We are pleased to provide the 2010 Municipal Audit and Accounting Guide.

More information

Program of Assertive Community Services (PACT)

Program of Assertive Community Services (PACT) Program of Assertive Community Services (PACT) Service/Program Definition Program of Assertive Community Services (PACT) entails the provision of an array of services delivered by a community-based, mobile,

More information

APPENDIX CONFLICT OF INTEREST CODE OF THE COUNTY OF SANTA CLARA EXHIBIT A LIST OF DESIGNATED POSITIONS FOR

APPENDIX CONFLICT OF INTEREST CODE OF THE COUNTY OF SANTA CLARA EXHIBIT A LIST OF DESIGNATED POSITIONS FOR APPENDIX CONFLICT OF INTEREST CODE OF THE COUNTY OF SANTA CLARA EXHIBIT A LIST OF DESIGNATED POSITIONS FOR SANTA CLARA VALLEY HEALTH & HOSPITAL SYSTEM Designated Position Community Health Services Health

More information

Daisy Mountain Fire District Proposed Budget FY July 1, 2014 June 30, 2015

Daisy Mountain Fire District Proposed Budget FY July 1, 2014 June 30, 2015 Daisy Mountain Fire District Proposed Budget FY July 1, 2014 June 30, 2015 REVENUES Secured Property Taxes 11,366,725 FDAT Fire Districts Assistance Tax 400,000 Fire Insurance Premium Tax 90,000 Charges

More information

Baltimore Substance Abuse Systems, Inc. A subsidiary of BHS Baltimore

Baltimore Substance Abuse Systems, Inc. A subsidiary of BHS Baltimore Baltimore Substance Abuse Systems, Inc. A subsidiary of BHS Baltimore B U D G E T A P P L I C A T I O N P A C K E T I N S T R U C T I O N M A N U A L FY 2015 (Do not proceed before reading all instructions)

More information

How To Care For A Disabled Person

How To Care For A Disabled Person Henry Ford Macomb Hospitals Inpatient Rehabilitation Patient and Family Handbook Welcome At Henry Ford Macomb Hospitals, our goal is to help you become as independent as possible while achieving your

More information

Prepublication Requirements

Prepublication Requirements Issued Prepublication Requirements The Joint Commission has approved the following revisions for prepublication. While revised requirements are published in the semiannual updates to the print manuals

More information

United States Chemical Safety and Hazard Investigation Board

United States Chemical Safety and Hazard Investigation Board United States Chemical Safety and Hazard Investigation Board Audit of Financial Statements As of and for the Years Ended September 30, 2005 and 2004 Submitted By Leon Snead & Company, P.C. Certified Public

More information