Board Meeting. September 10, Arnold CAFE. FACEBOOK PHONE NUMBER LOCATION

Transcription

1 Board Meeting September 10, 2018 Arnold CAFE LOCATION 21 Municipal Drive Arnold, M O PHONE NUMBER WEBSITE FACEBOOK

2 COMTREA BOARD OF DIRECTORS MEETING AGENDA Monday, September 10, Meeting Open 2. Mission Statement To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority. 3. Approval of Agenda 4. Approval of August 13, 2018 Minutes 5. Closed Session a. Real Estate b. Personnel 6. Financial Review a. Financial Performance b. Pre-Audit Meeting with Auditors (Schowalter and Jabouri) 7. September Program Highlight a. Zero Suicide presented by Laura Bilsland, AVP BH Adult 8. CEO s Report a. Financial Focus Update i. Financial Alignment Plan ii. Growth Report iii. Financial Status of Health Center b. State Associations c. Divisional Updates d. HRSA i. Behavioral Health/Psychiatry Updates ii. Primary Care Updates a) PCHH Designation renewed through June 30, 2020 iii. Oral Health Updates a) Dental Assistant Shortage / Jefferson College Discussion i. PR Monthly Review a) Board Authority ii. Current % of Board Consumers 53% in compliance

3 iii. NoA Festus Annex Added iv. NoA - $107,818 Quality Award added to total grant amount e. Volunteers 9. Action Items (Anything that requires a vote) a. Leadership Council Reports (Month of August) b. New Position Approvals i. Clinical IT Position ii. IT Help Desk Position (0.5) iii. IT Billing Support iv. Adult General Psychiatrist c. Manual Revision Approval i. S6 Adolescent CSTAR Program Manual d. Nomination of Dr. Caron Daughtery COMTREA Board e. Credentialing & Privileging f. QIQA Monthly Report 10. Discussion Items (Informational; no action taken) a. Subcommittees of the Board i. Building and Grounds ii. Community Relations/Fundraising & Capital Campaign 11. Board Member Recruitment 12. Old Business 13. Next Scheduled Board Meeting a. Monday, October 8, 2018 at 7:30am 14. Adjournment

4 Board Meeting Minutes Meeting Date 07/16/2018 Time: 7:30 am Chairperson/President/Facilitator: Jerry Rogers, Chairperson Attendees: Jerry Rogers (Board Chair); Cliff Lane; John Lamping (Board Treasurer); Martha Maxwell; Jane Sullivan; Sylvia Daniels; Elizabeth Diveley (Board Secretary) Beth McDaniel; Mark Mertens; Alicia Towery; Dr. Josh Isaacson; Ken Waller; Kathryn Ellis (Board Vice Chair); and Kyle Gowen (Co-Treasurer) Not in Attendance: Kelly Steffens; Dr. Steven Crawford; Audrey Mitchell and Katherine Hardy- Senkel Staff in Attendance: Susan M. Curfman, MA (President & CEO); Amy Rhodes (CFO); Dr. Kevin Turner (Medical Services Director); Donna Harris-Brekel (VP of HR); Margo Pigg (Chief Behavioral Health Officer); Lisa Rothweiler (COO); Dr. Courtney Garland (Dir of Oral Health); Katy Murray (VP Corporate Compliance/QM); Patty Vanek (VP of Population Health); Kim Elbl (VP Capital Campaign and Fundraising); Cindy Vessell (VP of Community Services); Tony Sokolic (VP, Youth BH) and Dr. Garland (Oral Health Director) and Dana Silverblatt (VP of Integrated Practices and SBHC) Not in Attendance: 1. Meeting Open The August 13, 2018 Board Meeting was called to order at 7:30 am by Jerry Rogers, Board Chairman. 2. Mission Statement To lead in providing quality, comprehensive healthcare that is affordable and accessible, and to support the dedicated professionals who make caring for the individuals we serve their number one priority. BOARD MEETING MINUTES 1 P a g e

5 3. Approval of Agenda The, August 13, 2018 board meeting agenda was reviewed and no revisions were requested. Recommendations: "I, Kathy Ellis, move that we approve the August 13, 2018 Agenda as presented." Kyle Gowen seconded the motion. The motion carried. 4. Approval of July 16, 2018 Minutes The July 16, 2018, board meeting minutes were reviewed with no revisions requested. Recommendations: I, Beth McDaniel, move that we approve the July 16, 2018 Board Meeting Minutes. John Lamping seconded the motion. The motion carried. Action Items Sign the final approved board meeting minutes (Jerry Rogers, Chairman) 5. Closed Session The Board went into closed session at 7:30 am. During the closed session the Board discussed personnel and the update on the signing of the Bridle Ridge sale contract. The open session reconvened at 7:44am with leadership joining the board. 6. Financial Review John Lamping provided an update on the cash on hand and AR numbers. He stated that the pre-audit numbers are complete. It s important to note there is a loss reflected and that loss is a result of the Highway 30 property. The sale resulted in about $400,000 loss. From a cash flow standpoint there was improvement and the line of credit was paid off in June. Revenues for Primary Care and Oral Health continue to be behind with losses of approximately $500,000 for Primary Care and $200,000 for Oral Health. John Lamping reminded them that the loss is more a sale than cash loss. Jerry Rogers stated that BH is doing well and that has helped with the losses. The Primary Care loss will be about $800,000 once administration is added. Oral Health will also increase as stated by Amy Rhodes. Sue Curfman stated that cash flow was increased this fiscal year. Sue Curfman stated that there will be an operational loss that will be shown when Bridle Ridge sells. Jerry Rogers asked if the administrative cost is below the state average. Amy Rhodes stated yes it s below. Ken Waller asked regarding the cost of Bridle Ridge. Amy Rhodes stated that it s roughly $200,000 a year. Ken Waller asked on the AR number reducing down by 4 days BOARD MEETING MINUTES 2 P a g e

6 what is the goal. Amy Rhodes stated that overall the days in AR should be around 45 days but due to the payers that COMTREA has that will always be a larger number. Amy Rhodes stated that a budgeted position is added to help just with AR for this year. Recommendations: I, John Lamping, move that the Board approve the financial report for the month of June Kyle Gowen seconded the motion. The motion carried. 7. CEO s Report a. Financial Focus Update i. Action Plan Revision Financial Alignment Sue Curfman states that this new report was developed to deal with plans to look at the financials, the new report was updated. Sue Curfman stated that each program manager has been asked to focus on the top three and to have action plans. Monthly income statements are still being developed and finance is looking to revise a few. There are now internal audits for each division and having an AR specialist looking at more reports and a dashboard to track more. Finance is also looking at the credentialing process to help. ii. Growth Report Sue Curfman reviewed the report which was lower than the percentage goal. The growth was impacted with vacations. Oral Health will show a little different the dentists have climbed up slightly with the addition of the new dentists. Jerry Rogers asked regarding the Pediatric Dentist. Dr. Garland stated he is working with schools and pediatric practices. b. State Associations Sue Curfman stated that there is not a lot of updates however she asked that Board Members look at attending the annual conference. Sue Curfman spoke of MHP and the issues that are happening right now, she will keep the board posted on this. The coalition for BH is entering the second year of the CCBHC demonstration. There are still issues with billing in Missouri and they are still looking at what needs to be done on the software side to get the billing corrected. Sue Curfman stated that the PPS and Shadow claims has caused some issues. Sue Curfman spoke of the CFO s within the coalition and Amy Rhode s work on spreadsheets to guide others. c. Divisional Updates BOARD MEETING MINUTES 3 P a g e

7 There was no additional updates given, they were given in the CEO reports. Sue Curfman did update that the welcome center will be opening 5 days a week after September 1 st. Primary Care is still waiting to hear from MPCA regarding earning the gold award. i. Behavioral Health/Psychiatry Updates ii. Primary Care Updates iii. Oral Health Updates d. Board Survey Results Sue Curfman reviewed the board survey results with the Board and the great results and thanked the board for all the feedback. e. HRSA i. PR Monthly Review Sue Curfman stated that #10 and #12 were reviewed for HRSA requirements and both were in compliance. 1. #10 Contracts and Subawards 2. #12 Collaborative Relationships ii. Current % of Board Consumers 53% in compliance Sue Curfman stated that we would like to see this number increase to the sixties. iii. Postponed MOCK Survey (November 28/29) Sue Curfman stated this was delayed due some of the financial work that needs to take priority. iv. NofA New 3 year grant period Sue Curfman stated this notice closed out the last fiscal year and that has the funding for FY2019 verified. v. FTCA Application Approved for Calendar Year Sue Curfman stated that everyone received the approval for FTCA in their packets. f. Volunteers Sue Curfman stated that for July the top areas were Tails for Tales and Board Members. The report is listed below with hours. Location JULY TOTAL HOURS A Safe Place BOARD MEETING MINUTES 4 P a g e

8 CAC Employees Board Members Adult and C&Y Div. 0 0 Tails with Tales Community Events Job Shadowing 0 0 TOTAL Hours: Mark Mertens asked if the full board is allowed to call in for the meetings, Sue Curfman stated that will be looked into. 8. Action Items (Anything that requires a vote) a. Leadership Council Reports (Month of July) The Leadership reports were ed to the Board for review prior to the board meeting. Recommendations: I, Ken Waller, move that the Board approve the July 2018 Leadership Reports to the Board. Josh Isaacson seconded the motion. The motion carried. b. Policy Approvals i. Revision 10.6 Professional Boundaries Policy Donna Harris-Brekel stated that this was revised to clarify appropriate behavior with clients the original policy was vague and not applicable to all three divisions. Recommendations: I, Beth Diveley, move that the Board approve the revision of policy 10.6 Professional Boundaries Policy. Kathy Ellis seconded the motion. The motion carried. c. Credentialing & Privileging Kathy Ellis went over the staff on the July report. The following new staff required privileging: BOARD MEETING MINUTES 5 P a g e

9 Only one current staff required re-privileging: Name Title Division David Krojanker Psychiatrist BH Recommendations: I, Kathy Ellis, move that the Board approve the July 2018 Credentialing and Privileging report. Mark Mertens seconded the motion. The motion carried. d. QIQA Monthly Report Beth McDaniel stated that for the month of July the focus was on Oral Health and onboarding the new dentists while looking at quality. Recommendations: I, Beth McDaniel, move that the Board approve the July 2018 QIQA Report. Kathy Ellis seconded the motion. The motion carried. 9. Discussion Items (Informational; no action taken) a. Subcommittees of the Board i. Building and Grounds Lisa Rothweiler has the Annex plans that will be submitted to the city today for approval. B Building plans are being finalized, the third floor has been doubled up. The transitional housing is needing finalized plans and the discussing some of the logistics with the Fire Districts. At Northwest there are bids to add two more offices since there are two new therapists. Dunklin is on hold due to needing to go to the Board of Adjustments in September. The colonial lot in Festus is interested in selling, Lisa Rothweiler stated that she has a call into BOARD MEETING MINUTES 6 P a g e

10 ii. the city and a sample contract has been sent to the attorney. Jerry Rogers asked that Lisa Rothweiler remind the board about the parking. Lisa Rothweiler stated that there is limited parking and the Colonial Cleaners lot is vacated. The proposal would be to black top the lot and house lot. There is an estimated that the lost would get 80 spots, with 20 reserved for COMTREA vehicles. Jerry Rogers asked if Lisa Rothweiler to update on the OSHA complaint. Lisa Rothweiler stated that there was an OSHA complaint on the stairwell and elevator. Lisa Rothweiler brought in emergency personnel to review the areas and no issues were found. There was a report and pictures sent to OSHA and no further response has been received from OSHA at this time. Sue Curfman stated that they believe the report came internally from a staff member. Mark Mertens asked about the lot and the chemicals were dropped. Mark Mertens would like something in the purchasing contract regarding liability. Jerry Rogers stated that will be looked at. Josh Isaacson asked if an environmental study completed. Lisa Rothweiler stated that has been done annually and with laying over any release of chemicals will not be an issue. Jerry Rogers thanked Lisa Rothweiler for all her work. Community Relations/Fundraising & Capital Campaign Kim Elbl stated that they are still working on raising the additional amount to start building. Building plans are being finalized and naming rights will be established. Cindy Vessell stated that the CAC golf tournament is Friday and they are down on teams and sponsors if anyone would consider participating. Mark Mertens stated that it would be nice to see teams at the Purple for Purpose event. 10. Board Member Recruitment Ken Waller stated that he has ceased putting board members on the mental health board since his term will be ending and expressed his interest in serving as a COMTREA board member after the completion of his term. He asked that Jerry Rogers and Sue Curfman meet with the new County Executive when they are in office. Jerry Rogers stated that if anyone knows a person for the board to pass on the names. 11. Old Business There was no old business to discuss. BOARD MEETING MINUTES 7 P a g e

11 12. Next Scheduled Board Meeting i. Monday, September 10th at 7:30am 14. Adjournment There was no further business to discuss. Recommendations: With there being no further business to discuss, John Lamping moved for adjournment. Kyle Gowen seconded the motion. The motion carried. Minutes approved (Signature of Committee Chair) (Date) BOARD MEETING MINUTES 8 P a g e

12 Notes to the 2018 Financial Statements JULY 2018 Overall, posted a $127,929 loss for the month of July. Cash flow slightly remains tight as days in cash continues below 30 days. MIL tax, final payment for calendar year 2018 received in August. AR remains at about 72 days Overall Revenues are down by 15% while expenses sit at almost 5% under budget. Sales tax down 14%, donations down 76%, grants about 1% below budget. CCBHC REVENUES/EXPENSES Net Profit at $248,809 (17%) FQHC All revenues have been reconciled to the PPS rate. o Patient Revenue is down by 2%, primarily in Medicare as there were several prior year adjustments made in July. Other areas of concern are in the youth department. Some of this is seasonal. o Expenses over budget by 20% Psychiatrist Fees June invoice for telepsych paid in July Medical Expenses ProCare invoices for MAT prescriptions Contracted Services continued fees for Avatar implementation and support REVENUES/EXPENSES o Primary Care Patient Revenue down (45.87%) Current net loss of $71,753 (43%) 340B revenue will increase with Dr. Helton now on plan. Expenses of Salaries and Medical Services are miss allocations and will be adjusted. With adjustments, net loss is approximately $52,892 (32%) o Oral Health Patient Revenue down (35.92%) Current net loss $8,507 $4,000 expense for electric drop for MAP clinic one time cost $2,197 expense for dental equipment training one time cost All providers on board as of August 23. Delays in credentialing and shortage of dental assistance will cause some shortfalls in revenues. o Behavioral Health Patient Revenue over budget 14.32% this includes the significant adjustments to Medicare as mentioned above. 340B revenue under budget as many of new providers are not on plans yet. Psychiatrist fees over budget as mentioned above Professional fees over budget by quarterly fee for audits Medical Expense over budget by ProCare invoices for MAT prescriptions. This needs to be monitored closely. Contracted services implementation fees for Avatar this will be reviewed for accuracy COMMUNITY SERVICES Salaries across all services needs to be reviewed for allocations based on budget. A SAFE PLACE o All revenues behind budget. Court fees have not been received. Delays in billing VOCA grant and Donations/Fundraising down as there are no current events. o Repairs and Maintenance - installation of refrigerator, dishwasher and freezer. Plus materials for retaining wall. All budgeted, but amount was annualized. SCHOOL SERVICES fully staffed and waiting for school to start CHILDREN S ADVOCACY CENTER o Delays in billing VOCA and other grants. FCCRB grant not being utilized fully. Donations/Fundraising down. Golf Tournament did not bring in the funds as expected. TALES WITH TAILS o Training program has not started (Patient Revenue) o Donations down because no current events

13 ASSETS FY 2019 FY 2018 LIABILITIES AND STOCKHOLDERS' EQUITY FY 2019 FY 2018 Community Treatment, Inc. Balance Sheet For the One Month Ending 07/31/2018 Cash and Short Term Investments Current Liabilities CASH $1,245, $796, ACCOUNTS PAYABLE 218, , SHORT-TERM INVESTMENTS 830, , PAYROLL LIABILITIES 1,142, ,189, Total Cash and Short Term Investments 2,076, ,625, CURRENT PORTION - NOTES PAYABLE 286, , OTHER CURRENT LIABILITIES 131, , Other Current Assets Total Current Liabilities 1,779, ,825, RECEIVABLES - CLIENT 630, , RECEIVABLES - INSURANCE COMPANY 487, , Long Term Liabilities RECEIVABLES - MANAGED CARE PLUS 447, , NOTES PAYABLE 1,437, ,702, RECEIVABLES - DEPT OF MENTAL HEALTH 1,497, ,034, LEASE LIABILITY 36, , RECEIVABLES - MEDICAID 438, , Total Long Term Liabilities 1,473, ,738, RECEIVABLES - MEDICAID COST REPORT 393, , Total Liabilities 3,252, ,563, RECEIVABLES - MEDICARE 170, , RECEIVABLES - GRANTS 100, , FUND BALANCE RECEIVABLES - COURTS 11, , FUND BALANCE 15,325, ,600, RECEIVABLES - TAX 360, , NET INCOME (LOSS) (127,928.75) 40, RECEIVABLES - SCHOOL SERVICES 15, , Total Fund Balance 15,197, ,640, RECEIVABLES - OTHER 167, , ALLOWANCE FOR DOUBTFUL ACCOUNTS (281,401.72) (232,412.67) Total Liabilities and Fund Balance $18,449, $19,204, Total Other Current Assets 4,439, ,552, Total Current Assets 6,515, ,177, Key Balance Sheet Indicators Fixed Assets Current Prior Year Change Property Plant & Equipment Current Ratio (Cash Ratio) WORK IN PROCESS 5, ,280, Ability to pay short-term obligations. The greater the number the better. BUILDINGS An decrease in this percentage would indicate a potential billing problem 7,071, ,990, LAND 3,896, ,568, Days in Account Receivable (BILLABLE SERVICE (2.55) LEASEHOLD IMPROVEMENTS 2,147, ,958, Dept. of Mental Health EQUIPMENT AND FURNITURE 8,040, ,308, Medicaid/MC+ (excludes Medicaid Cost Report) (26.06) Total Property Plant & Equipment 21,160, ,106, Medicare**current year adjusted for actual reve (30.40) Insurance Accumulated Depreciation Self - Pay (69.58) ACCUM DEPRECIATION (10,095,545.55) (8,728,760.01) An increase in this ratio would indicate a potential billing problem - Goal is 45 days - see attached detail Total Accumulated Depreciation (10,095,545.55) (8,728,760.01) Net Fixed Assets 11,065, ,377, Percent of Cash to A/R 32% 26% 0.06 Other Assets PREPAID EXPENSES 622, , Days in Account Payable (4.85) INVESTMENT IN MISSOURI PLUS 12, , An increase in this ratio would indicate we may have cash flow issues - Goal is less than 30 days INVESTMENT IN COMMCARE 4, , INVENTORY 24, , Days in Cash NOTE RECEIVABLE - SUNNYHILL 204, , Goal is days Total Other Assets 869, , Debt to Equity Ratio (0.01) Total Assets $18,449, $19,204, Goal is to be less than.50

14 General Counseling - Youth 78.50% 99.02% % (29.89%) 78.50% 99.02% % (29.89%) School Services 89.72% 94.48% 97.81% 50.50% 89.72% 94.48% 97.81% 50.50% Adolescent Outpt Cstar 82.11% 81.55% 93.95% 12.73% 82.11% 81.55% 93.95% 12.73% Health Care Home 0.00% 88.36% 87.82% 87.82% 0.00% 88.36% 87.82% 87.82% Primary Care Health Home 68.22% 80.85% % % 68.22% 80.85% % % Medical Health Services 66.44% % % (541.04%) 66.44% % % (541.04%) Oral Health Services 68.04% 73.84% 76.51% (16.26%) 68.04% 73.84% 76.51% (16.26%) Behavioral Health Services % 96.88% % 71.35% % 96.88% % 71.35% CAC 78.10% % % (100.00%) 78.10% % % (100.00%) ECMH/SAEP % 11.80% 12.02% (100.00%) % 11.80% 12.02% (100.00%) Bridle Ridge 0.00% 0.00% 83.79% (83.79%) 0.00% 0.00% 83.79% (83.79%) Tails with Tales 26.65% % 84.08% (196.62%) 26.65% % 84.08% (196.62%) Administration 76.91% 97.80% % (130.36%) 76.91% 97.80% % (130.36%) TREND ACT TO BUD COMPARISON JULY YTD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD All Sites 84.91% 90.91% 95.18% (82.50%) 84.91% 90.91% 95.18% (82.50%) C.P.R.C./Counseling - Adult % 85.27% 89.10% % % 85.27% 89.10% % Residental Care 94.04% 95.60% 98.91% 76.90% 94.04% 95.60% 98.91% 76.90% A & D Adult OP % % % 80.15% % % % 80.15% Court Services 55.76% 53.34% 87.17% 21.65% 55.76% 53.34% 87.17% 21.65% A Safe Place 54.31% % 96.91% (669.28%) 54.31% % 96.91% (669.28%)

15 Community Treatment, Inc. Income Statement - Actual vs. Budget Summary of All Units For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $74,617 $101,241 ($26,624) (26.30%) $74,617 $101,241 ($26,624) (26.30%) $1,214,891 REVENUES - INSURANCE 89, ,548 (36,705) (29.00%) 89, ,548 (36,705) (29.00%) 1,518,578 REVENUES - MC+ 279, ,102 (119,163) (29.86%) 279, ,102 (119,163) (29.86%) 4,789,227 REVENUES - DMH 926, ,417 26, % 926, ,417 26, % 10,805,000 REVENUES - DMH HOUSING 11,221 32,500 (21,279) (65.48%) 11,221 32,500 (21,279) (65.48%) 390,000 REVENUES - MEDICAID 193, ,456 (57,163) (22.82%) 193, ,456 (57,163) (22.82%) 3,005,470 REVENUES - MEDICARE (3,725) 53,833 (57,558) (106.92%) (3,725) 53,833 (57,558) (106.92%) 645,992 Patient Revenue: 1,571,835 1,864,096 (292,262) (15.68%) 1,571,835 1,864,096 (292,262) (15.68%) 22,369,158 REVENUES - DPS - VOCA 29,579 33,967 (4,388) (12.92%) 29,579 33,967 (4,388) (12.92%) 407,600 REVENUES - DFS 80 9,583 (9,503) (99.17%) 80 9,583 (9,503) (99.17%) 115,000 REVENUES - CHILDREN'S DIVISION 20,739 20,833 (94) (0.45%) 20,739 20,833 (94) (0.45%) 250,000 REVENUES - COURT SERVICES 2,706 7,250 (4,544) (62.68%) 2,706 7,250 (4,544) (62.68%) 87,000 REVENUES - MIL TAX 241, , % 241, , % 2,900,000 REVENUES - SALES TAX 198, ,333 (34,632) (14.84%) 198, ,333 (34,632) (14.84%) 2,800,000 REVENUES - GRANTS 166, ,350 (13,187) (7.35%) 166, ,350 (13,187) (7.35%) 2,152,196 REVENUES - SCHOOL SERVICES 1,038 2,500 (1,462) (58.46%) 1,038 2,500 (1,462) (58.46%) 30,000 REVENUES - DONATIONS / FUNDRAISING 4,972 20,925 (15,953) (76.24%) 4,972 20,925 (15,953) (76.24%) 251,100 REVENUES - UNITED WAY 7 7,050 (7,043) (99.90%) 7 7,050 (7,043) (99.90%) 84,600 REVENUES - 340B 26,364 37,917 (11,553) (30.47%) 26,364 37,917 (11,553) (30.47%) 455,000 REVENUES - OTHER 13,617 23,667 (10,050) (42.46%) 13,617 23,667 (10,050) (42.46%) 284,000 Total Revenue 2,277,466 2,682,138 (404,672) (15.09%) 2,277,466 2,682,138 (404,672) (15.09%) 32,185,653 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 1,397,567 1,549, , % 1,397,567 1,549, , % 18,595,223 PERSONNEL - COMP, OVERTIME 8,028 10,394 2, % 8,028 10,394 2, % 124,722 PERSONNEL - TAXES 101, ,340 17, % 101, ,340 17, % 1,432,075 PERSONNEL - BENEFITS 160, ,876 17, % 160, ,876 17, % 2,134,512 PERSONNEL - TRAINING & EDUC 8,904 9, % 8,904 9, % 117,675 PROFESSIONAL FEES - PSYCH 36,216 16,667 (19,550) (117.30%) 36,216 16,667 (19,550) (117.30%) 200,000 Total Employee-Related Expenses 1,712,526 1,883, , % 1,712,526 1,883, , % 22,604,207 Other Operating Expenses: PROFESSIONAL FEES 44,805 52,992 8, % 44,805 52,992 8, % 635,900 TRAVEL EXPENSE 1,997 6,713 4, % 1,997 6,713 4, % 79,130 MILEAGE 8,753 11,682 2, % 8,753 11,682 2, % 139,007 CLIENT TRANSPORTATION % % 400 BUILDING EXPENSE 43,226 35,625 (7,601) (21.33%) 43,226 35,625 (7,601) (21.33%) 427,500 INSURANCE EXPENSE 27,358 26,758 (600) (2.24%) 27,358 26,758 (600) (2.24%) 321,401 COMMUNICATIONS 33,531 28,722 (4,809) (16.74%) 33,531 28,722 (4,809) (16.74%) 344,660 OFFICE/PRINTING SUPPLIES 5,364 9,004 3, % 5,364 9,004 3, % 108,050 PROGRAM SUPPLIES 48,722 46,992 (1,730) (3.68%) 48,722 46,992 (1,730) (3.68%) 563,900 CLEANING/MAINT SUPPLIES 2,049 2, % 2,049 2, % 31,300 POSTAGE/FREIGHT 2,583 3, % 2,583 3, % 36,050 NON-CAPITAL EQUIPMENT 10,981 15,575 4, % 10,981 15,575 4, % 186,900 VEHICLE EXPENSE 15,414 14,725 (689) (4.68%) 15,414 14,725 (689) (4.68%) 176,700 REPAIRS & MAINTENANCE 45,428 39,375 (6,053) (15.37%) 45,428 39,375 (6,053) (15.37%) 472,500 ADVERTISING/MARKETING 13,819 13,142 (678) (5.16%) 13,819 13,142 (678) (5.16%) 157,700 ADVERTISING, RECRUITING % % 9,000 FUNDRAISING EXPENSE 1,049 6,083 5, % 1,049 6,083 5, % 73,000 MEDICAL EXPENSE 86,605 76,750 (9,855) (12.84%) 86,605 76,750 (9,855) (12.84%) 921, B MEDICAL EXPENSE 9,185 12,500 3, % 9,185 12,500 3, % 150,000 HOUSING EXPENSE 22,651 25,000 2, % 22,651 25,000 2, % 300,000 FOOD SERVICE 12,826 11,208 (1,617) (14.43%) 12,826 11,208 (1,617) (14.43%) 134,500 RECREATION FEES 1,243 1,167 (76) (6.51%) 1,243 1,167 (76) (6.51%) 14,000 WRAPAROUND SERVICES % % 5,700 DEPRECIATION EXPENSE 121, ,983 (9,351) (8.35%) 121, ,983 (9,351) (8.35%) 1,343,800 INTEREST EXPENSE 5,047 5, % 5,047 5, % 68,000 CONTRACTED SERVICES 94,527 57,065 (37,462) (65.65%) 94,527 57,065 (37,462) (65.65%) 684,782 MISCELLANEOUS EXPENSE 34,071 27,792 (6,279) (22.59%) 34,071 27,792 (6,279) (22.59%) 333,500 Total Other Operating Expenses 692, ,390 (49,478) (7.69%) 692, ,390 (49,478) (7.69%) 7,718,381 Additional Expense Section: Total Operating Expenses 2,405,395 2,527, , % 2,405,395 2,527, , % 30,322,588 Income (Loss) (127,929) 155,064 (282,992) (182.50%) (127,929) 155,064 (282,992) (182.50%) 1,863,065 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 84.91% 90.91% 95.18% (82.50%) 84.91% 90.91% 95.18% (82.50%)

16 Community Treatment, Inc. Income Statement - Actual vs. Budget C.P.R.C. For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $1,149 $2,083 ($935) (44.86%) $1,149 $2,083 ($935) (44.86%) $25,000 REVENUES - INSURANCE 2,760 2, % 2,760 2, % 30,000 REVENUES - MC+ 1,677 4,167 (2,490) (59.75%) 1,677 4,167 (2,490) (59.75%) 50,000 REVENUES - DMH 568, ,500 55, % 568, ,500 55, % 6,150,000 REVENUES - DMH HOUSING 11,221 32,500 (21,279) (65.48%) 11,221 32,500 (21,279) (65.48%) 390,000 REVENUES - MEDICAID 2,600 20,833 (18,233) (87.52%) 2,600 20,833 (18,233) (87.52%) 250,000 REVENUES - MEDICARE % % 0 Patient Revenue: 588, ,583 13, % 588, ,583 13, % 6,895,000 REVENUES - COURT SERVICES 1,300 1,667 (367) (22.00%) 1,300 1,667 (367) (22.00%) 20,000 REVENUES - DONATIONS / FUNDRAISING (142) (56.91%) (142) (56.91%) 3,000 REVENUES - OTHER (405) 0 (405) 0.00% (405) 0 (405) 0.00% 0 Total Revenue 589, ,500 12, % 589, ,500 12, % 6,918,000 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 227, ,852 39, % 227, ,852 39, % 3,202,222 PERSONNEL - COMP, OVERTIME 1,122 1, % 1,122 1, % 14,000 PERSONNEL - TAXES 16,892 20,503 3, % 16,892 20,503 3, % 246,041 PERSONNEL - BENEFITS 26,689 29,354 2, % 26,689 29,354 2, % 352,244 PERSONNEL - TRAINING & EDUC 135 1,667 1, % 135 1,667 1, % 20,000 Total Employee-Related Expenses 272, ,542 47, % 272, ,542 47, % 3,834,507 Other Operating Expenses: PROFESSIONAL FEES 28,298 32,917 4, % 28,298 32,917 4, % 395,000 TRAVEL EXPENSE % % 8,000 MILEAGE 2,550 2, % 2,550 2, % 35,000 CLIENT TRANSPORTATION % % 200 BUILDING EXPENSE 5,097 3,750 (1,347) (35.92%) 5,097 3,750 (1,347) (35.92%) 45,000 INSURANCE EXPENSE 6,176 5,667 (510) (9.00%) 6,176 5,667 (510) (9.00%) 68,000 COMMUNICATIONS 3,551 4, % 3,551 4, % 48,000 OFFICE/PRINTING SUPPLIES 975 1, % 975 1, % 12,000 PROGRAM SUPPLIES (82) (11.63%) (82) (11.63%) 8,500 CLEANING/MAINT SUPPLIES (21) (6.19%) (21) (6.19%) 4,000 POSTAGE/FREIGHT % % 4,500 NON-CAPITAL EQUIPMENT % % 10,000 VEHICLE EXPENSE 7,217 6,250 (967) (15.47%) 7,217 6,250 (967) (15.47%) 75,000 REPAIRS & MAINTENANCE 5,459 4,667 (792) (16.98%) 5,459 4,667 (792) (16.98%) 56,000 ADVERTISING/MARKETING 1, (1,160) (232.00%) 1, (1,160) (232.00%) 6,000 ADVERTISING, RECRUITING % % 500 FUNDRAISING EXPENSE % % 2,000 MEDICAL EXPENSE % % 500 HOUSING EXPENSE 22,651 25,000 2, % 22,651 25,000 2, % 300,000 FOOD SERVICE 1,129 1, % 1,129 1, % 15,000 RECREATION FEES % % 1,200 WRAPAROUND SERVICES % % 1,200 DEPRECIATION EXPENSE 9,937 8,583 (1,354) (15.77%) 9,937 8,583 (1,354) (15.77%) 103,000 INTEREST EXPENSE % % 10,000 CONTRACTED SERVICES 8,462 5,583 (2,879) (51.56%) 8,462 5,583 (2,879) (51.56%) 67,000 MISCELLANEOUS EXPENSE (178) (213.16%) (178) (213.16%) 1,000 Total Other Operating Expenses 107, ,383 (660) (0.62%) 107, ,383 (660) (0.62%) 1,276,600 Additional Expense Section: Total Operating Expenses 379, ,926 46, % 379, ,926 46, % 5,111,107 Income (Loss) 209, ,574 59, % 209, ,574 59, % 1,806,893 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % 85.27% 89.10% % % 85.27% 89.10% %

17 Community Treatment, Inc. Income Statement - Actual vs. Budget Keaton Center - Residential Care For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $18,719 $21,667 ($2,948) (13.61%) $18,719 $21,667 ($2,948) (13.61%) $260,000 REVENUES - DMH % % 0 REVENUES - MEDICAID 2,703 4,167 (1,464) (35.14%) 2,703 4,167 (1,464) (35.14%) 50,000 Patient Revenue: 21,461 25,833 (4,372) (16.92%) 21,461 25,833 (4,372) (16.92%) 310,000 REVENUES - MIL TAX 46,144 46, % 46,144 46, % 553,730 REVENUES - DONATIONS / FUNDRAISING % % 100 Total Revenue 67,696 71,986 (4,290) (5.96%) 67,696 71,986 (4,290) (5.96%) 863,830 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 30,161 30, % 30,161 30, % 370,787 PERSONNEL - COMP, OVERTIME 1,986 3,750 1, % 1,986 3,750 1, % 45,000 PERSONNEL - TAXES 2,391 2, % 2,391 2, % 31,808 PERSONNEL - BENEFITS 5,854 4,944 (910) (18.41%) 5,854 4,944 (910) (18.41%) 59,326 PERSONNEL - TRAINING & EDUC % % 2,000 Total Employee-Related Expenses 40,542 42,410 1, % 40,542 42,410 1, % 508,920 Other Operating Expenses: TRAVEL EXPENSE (7) (40.19%) (7) (40.19%) 200 MILEAGE % % 1,200 BUILDING EXPENSE 2,438 1,500 (938) (62.50%) 2,438 1,500 (938) (62.50%) 18,000 INSURANCE EXPENSE 1,646 1,333 (312) (23.43%) 1,646 1,333 (312) (23.43%) 16,000 COMMUNICATIONS (10) (2.87%) (10) (2.87%) 4,000 OFFICE/PRINTING SUPPLIES % % 800 PROGRAM SUPPLIES 1,682 1,250 (432) (34.54%) 1,682 1,250 (432) (34.54%) 15,000 CLEANING/MAINT SUPPLIES (48) (19.20%) (48) (19.20%) 3,000 POSTAGE/FREIGHT % % 1,200 NON-CAPITAL EQUIPMENT % % 2,000 VEHICLE EXPENSE % % 3,000 REPAIRS & MAINTENANCE 741 1, % 741 1, % 14,000 MEDICAL EXPENSE (36) (87.38%) (36) (87.38%) 500 FOOD SERVICE 4,684 4,167 (517) (12.41%) 4,684 4,167 (517) (12.41%) 50,000 RECREATION FEES % % 9,000 DEPRECIATION EXPENSE 1,612 1, % 1,612 1, % 20,000 CONTRACTED SERVICES % % 5,000 MISCELLANEOUS EXPENSE % % 1,000 Total Other Operating Expenses 14,914 13,658 (1,255) (9.19%) 14,914 13,658 (1,255) (9.19%) 163,900 Additional Expense Section: Total Operating Expenses 55,456 56, % 55,456 56, % 672,821 Income (Loss) 12,240 15,917 (3,677) (23.10%) 12,240 15,917 (3,677) (23.10%) 191,009 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 94.04% 95.60% 99% 76.90% 94.04% 95.60% 99% 76.90%

18 Community Treatment, Inc. Income Statement - Actual vs. Budget A D Adult Outpatient For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $304 $42 $ % $304 $42 $ % $500 REVENUES - INSURANCE 0 42 (42) (100.00%) 0 42 (42) (100.00%) 500 REVENUES - MC+ 5,297 2,917 2, % 5,297 2,917 2, % 35,000 REVENUES - DMH 191, ,333 7, % 191, ,333 7, % 2,200,000 REVENUES - MEDICAID (667) (100.00%) (667) (100.00%) 8,000 REVENUES - MEDICARE 0 83 (83) (100.00%) 0 83 (83) (100.00%) 1,000 Patient Revenue: 196, ,083 9, % 196, ,083 9, % 2,245,000 REVENUES - DONATIONS / FUNDRAISING % % 0 REVENUES - OTHER % % 0 Total Revenue 197, ,083 10, % 197, ,083 10, % 2,245,000 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 110,257 96,613 (13,644) (14.12%) 110,257 96,613 (13,644) (14.12%) 1,159,359 PERSONNEL - COMP, OVERTIME 1, (588) (121.67%) 1, (588) (121.67%) 5,797 PERSONNEL - TAXES 8,265 7,428 (837) (11.27%) 8,265 7,428 (837) (11.27%) 89,134 PERSONNEL - BENEFITS 13,333 10,627 (2,706) (25.46%) 13,333 10,627 (2,706) (25.46%) 127,529 PERSONNEL - TRAINING & EDUC (14) (2.90%) (14) (2.90%) 6,000 Total Employee-Related Expenses 133, ,652 (17,789) (15.38%) 133, ,652 (17,789) (15.38%) 1,387,819 Other Operating Expenses: TRAVEL EXPENSE % % 1,000 MILEAGE 390 1, % 390 1, % 15,000 BUILDING EXPENSE 2,759 2,000 (759) (37.97%) 2,759 2,000 (759) (37.97%) 24,000 INSURANCE EXPENSE 4,132 3,167 (965) (30.48%) 4,132 3,167 (965) (30.48%) 38,000 COMMUNICATIONS 1,712 1,667 (45) (2.69%) 1,712 1,667 (45) (2.69%) 20,000 OFFICE/PRINTING SUPPLIES % % 6,000 PROGRAM SUPPLIES 671 4,167 3, % 671 4,167 3, % 50,000 CLEANING/MAINT SUPPLIES % % 2,500 POSTAGE/FREIGHT % % 2,500 NON-CAPITAL EQUIPMENT (178) (42.83%) (178) (42.83%) 5,000 VEHICLE EXPENSE (264) (45.27%) (264) (45.27%) 7,000 REPAIRS & MAINTENANCE 2,847 2,500 (347) (13.88%) 2,847 2,500 (347) (13.88%) 30,000 ADVERTISING/MARKETING % % 1,500 MEDICAL EXPENSE 2,016 1,667 (349) (20.95%) 2,016 1,667 (349) (20.95%) 20,000 FOOD SERVICE (113) (19.31%) (113) (19.31%) 7,000 RECREATION FEES (2) (14.34%) (2) (14.34%) 200 DEPRECIATION EXPENSE 3,656 3,333 (323) (9.69%) 3,656 3,333 (323) (9.69%) 40,000 INTEREST EXPENSE % % 3,000 CONTRACTED SERVICES 4,630 1,250 (3,380) (270.38%) 4,630 1,250 (3,380) (270.38%) 15,000 MISCELLANEOUS EXPENSE 6 0 (6) 0.00% 6 0 (6) 0.00% 0 Total Other Operating Expenses 25,940 23,975 (1,965) (8.20%) 25,940 23,975 (1,965) (8.20%) 287,700 Additional Expense Section: Total Operating Expenses 159, ,627 (19,755) (14.15%) 159, ,627 (19,755) (14.15%) 1,675,519 Income (Loss) 38,036 47,457 (9,421) (19.85%) 38,036 47,457 (9,421) (19.85%) 569,481 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % % % 80.15% % % % 80.15%

19 Community Treatment, Inc. Income Statement - Actual vs. Budget Court Services - Hillsboro For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT ($9) $83 ($92) (110.99%) ($9) $83 ($92) (110.99%) $1,000 REVENUES - DMH 19,584 41,667 (22,083) (53.00%) 19,584 41,667 (22,083) (53.00%) 500,000 Patient Revenue: 19,574 41,750 (22,176) (53.12%) 19,574 41,750 (22,176) (53.12%) 501,000 REVENUES - COURT SERVICES 1, % 1, % 7,000 REVENUES - MIL TAX 5,939 5, % 5,939 5, % 71,272 Total Revenue 26,919 48,273 (21,353) (44.23%) 26,919 48,273 (21,353) (44.23%) 579,272 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 9,171 16,329 7, % 9,171 16,329 7, % 195,943 PERSONNEL - COMP, OVERTIME % % 1,000 PERSONNEL - TAXES 690 1, % 690 1, % 15,066 PERSONNEL - BENEFITS 742 1,959 1, % 742 1,959 1, % 23,513 PERSONNEL - TRAINING & EDUC % % 3,000 Total Employee-Related Expenses 10,603 19,877 9, % 10,603 19,877 9, % 238,523 Other Operating Expenses: TRAVEL EXPENSE (951) ( %) (951) ( %) 500 MILEAGE % % 1,107 BUILDING EXPENSE 3,597 3,583 (13) (0.37%) 3,597 3,583 (13) (0.37%) 43,000 INSURANCE EXPENSE % % 5,000 COMMUNICATIONS (477) (114.50%) (477) (114.50%) 5,000 OFFICE/PRINTING SUPPLIES % % 800 PROGRAM SUPPLIES % % 500 CLEANING/MAINT SUPPLIES % % 500 NON-CAPITAL EQUIPMENT (311) (372.82%) (311) (372.82%) 1,000 REPAIRS & MAINTENANCE (75) % (75) % 1,000 DEPRECIATION EXPENSE 1, (1,180) ( %) 1, (1,180) ( %) 1,000 CONTRACTED SERVICES 3, (3,555) ( %) 3, (3,555) ( %) 2,500 Total Other Operating Expenses 11,307 5,257 (6,050) (115.10%) 11,307 5,257 (6,050) (115.10%) 61,906 Additional Expense Section: Total Operating Expenses 21,910 25,134 3, % 21,910 25,134 3, % 300,429 Income (Loss) 5,010 23,139 (18,129) (78.35%) 5,010 23,139 (18,129) (78.35%) 278,843 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 55.76% 53.34% 87.17% 21.65% 55.76% 53.34% 87.17% 21.65%

20 Community Treatment, Inc. Income Statement - Actual vs. Budget A Safe Place Shelter For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - DPS - VOCA $11,995 $13,083 ($1,089) (8.32%) $11,995 $13,083 ($1,089) (8.32%) $157,000 REVENUES - DFS 80 9,583 (9,503) (99.17%) 80 9,583 (9,503) (99.17%) 115,000 REVENUES - COURT SERVICES 0 5,000 (5,000) (100.00%) 0 5,000 (5,000) (100.00%) 60,000 REVENUES - MIL TAX 16,667 16, % 16,667 16, % 200,000 REVENUES - SALES TAX 2,667 2,667 0 (0.00%) 2,667 2,667 0 (0.00%) 32,000 REVENUES - DONATIONS / FUNDRAISING 0 10,833 (10,833) (100.00%) 0 10,833 (10,833) (100.00%) 130,000 Total Revenue 31,408 57,833 (26,425) (45.69%) 31,408 57,833 (26,425) (45.69%) 694,000 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 33,591 33,329 (262) (0.79%) 33,591 33,329 (262) (0.79%) 399,950 PERSONNEL - COMP, OVERTIME % % 5,000 PERSONNEL - TAXES 2,537 2, % 2,537 2, % 30,979 PERSONNEL - BENEFITS 3,851 3,379 (472) (13.96%) 3,851 3,379 (472) (13.96%) 40,550 PERSONNEL - TRAINING & EDUC % % 2,875 Total Employee-Related Expenses 40,060 39,946 (114) (0.28%) 40,060 39,946 (114) (0.28%) 479,354 Other Operating Expenses: PROFESSIONAL FEES % % 300 TRAVEL EXPENSE % % 5,130 MILEAGE % % 2,000 CLIENT TRANSPORTATION % % 200 BUILDING EXPENSE 1,389 1,250 (139) (11.09%) 1,389 1,250 (139) (11.09%) 15,000 INSURANCE EXPENSE (156) (18.76%) (156) (18.76%) 10,301 COMMUNICATIONS 550 1, % 550 1, % 13,800 OFFICE/PRINTING SUPPLIES % % 3,500 PROGRAM SUPPLIES % % 8,000 CLEANING/MAINT SUPPLIES % % 2,500 POSTAGE/FREIGHT % % 1,500 NON-CAPITAL EQUIPMENT 0 1,250 1, % 0 1,250 1, % 15,000 VEHICLE EXPENSE (176) (210.91%) (176) (210.91%) 1,000 REPAIRS & MAINTENANCE 3,948 1,250 (2,698) (215.86%) 3,948 1,250 (2,698) (215.86%) 15,000 ADVERTISING/MARKETING % % 200 FUNDRAISING EXPENSE 1,276 3,917 2, % 1,276 3,917 2, % 47,000 FOOD SERVICE % % 10,000 RECREATION FEES (199) (95.67%) (199) (95.67%) 2,500 DEPRECIATION EXPENSE 2,334 1,667 (667) (40.02%) 2,334 1,667 (667) (40.02%) 20,000 CONTRACTED SERVICES % % 1,000 MISCELLANEOUS EXPENSE % % 1,000 Total Other Operating Expenses 12,872 14,672 1, % 12,872 14,672 1, % 174,931 Additional Expense Section: Total Operating Expenses 52,932 54,618 1, % 52,932 54,618 1, % 654,284 Income (Loss) (21,524) 3,216 (24,739) (769.37%) (21,524) 3,216 (24,739) (769.37%) 39,716 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 54.31% % 96.91% (669.28%) 54.31% % 96.91% (669.28%)

21 Community Treatment, Inc. Income Statement - Actual vs. Budget Friends of Safe Place For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - DONATIONS / FUNDRAISING $1,886 $0 $1, % $1,886 $0 $1, % $0 Total Revenue 1, , % 1, , % 0 Operating Expenses: Employee-Related Expenses: Other Operating Expenses: OFFICE/PRINTING SUPPLIES 3 0 (3) 0.00% 3 0 (3) 0.00% 0 ADVERTISING/MARKETING 19 0 (19) 0.00% 19 0 (19) 0.00% 0 FUNDRAISING EXPENSE 62 0 (62) 0.00% 62 0 (62) 0.00% 0 Total Other Operating Expenses 83 0 (83) 0.00% 83 0 (83) 0.00% 0 Additional Expense Section: Total Operating Expenses 83 0 (83) 0.00% 83 0 (83) 0.00% 0 Income (Loss) 1, , % 1, , % 0

22 Community Treatment, Inc. Income Statement - Actual vs. Budget General Counseling Youth For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $1,616 $2,083 ($467) (22.43%) $1,616 $2,083 ($467) (22.43%) $25,000 REVENUES - INSURANCE 5,387 2,083 3, % 5,387 2,083 3, % 25,000 REVENUES - MC+ 28,629 27, % 28,629 27, % 335,000 REVENUES - DMH 41,290 83,333 (42,043) (50.45%) 41,290 83,333 (42,043) (50.45%) 1,000,000 REVENUES - MEDICAID 4,343 4, % 4,343 4, % 50,000 Patient Revenue: 81, ,583 (38,318) (32.04%) 81, ,583 (38,318) (32.04%) 1,435,000 REVENUES - SALES TAX 58,646 58, % 58,646 58, % 703,756 Total Revenue 139, ,230 (38,318) (21.50%) 139, ,230 (38,318) (21.50%) 2,138,756 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 106, ,996 3, % 106, ,996 3, % 1,319,955 PERSONNEL - COMP, OVERTIME % % 1,500 PERSONNEL - TAXES 7,744 8, % 7,744 8, % 101,091 PERSONNEL - BENEFITS 15,684 12,100 (3,584) (29.62%) 15,684 12,100 (3,584) (29.62%) 145,195 PERSONNEL - TRAINING & EDUC 0 1,000 1, % 0 1,000 1, % 12,000 Total Employee-Related Expenses 130, ,645 1, % 130, ,645 1, % 1,579,741 Other Operating Expenses: TRAVEL EXPENSE % % 7,500 MILEAGE 657 1, % 657 1, % 15,000 BUILDING EXPENSE 1,864 1,167 (697) (59.74%) 1,864 1,167 (697) (59.74%) 14,000 INSURANCE EXPENSE 2,103 2, % 2,103 2, % 27,000 COMMUNICATIONS 1,478 1, % 1,478 1, % 18,000 OFFICE/PRINTING SUPPLIES % % 4,000 PROGRAM SUPPLIES (4) (1.09%) (4) (1.09%) 4,000 CLEANING/MAINT SUPPLIES % % 2,000 POSTAGE/FREIGHT (20) (8.00%) (20) (8.00%) 3,000 NON-CAPITAL EQUIPMENT % % 5,000 VEHICLE EXPENSE 1,078 1, % 1,078 1, % 18,000 REPAIRS & MAINTENANCE 1,783 2, % 1,783 2, % 25,000 RECREATION FEES 10 8 (1) (14.53%) 10 8 (1) (14.53%) 100 WRAPAROUND SERVICES % % 4,500 DEPRECIATION EXPENSE 4,148 2,917 (1,231) (42.21%) 4,148 2,917 (1,231) (42.21%) 35,000 INTEREST EXPENSE % % 2,000 CONTRACTED SERVICES 4, (3,559) (533.83%) 4, (3,559) (533.83%) 8,000 MISCELLANEOUS EXPENSE % % 2,000 Total Other Operating Expenses 18,653 16,175 (2,478) (15.32%) 18,653 16,175 (2,478) (15.32%) 194,100 Additional Expense Section: Total Operating Expenses 149, ,820 (1,181) (0.80%) 149, ,820 (1,181) (0.80%) 1,773,841 Income (Loss) (9,090) 30,410 (39,499) (129.89%) (9,090) 30,410 (39,499) (129.89%) 364,915 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 78.50% 99.02% % (29.89%) 78.50% 99.02% % (29.89%)

23 Community Treatment, Inc. Income Statement - Actual vs. Budget School Services For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - SALES TAX $44,429 $44,429 $0 0.00% $44,429 $44,429 $0 0.00% $533,151 REVENUES - SCHOOL SERVICES 1,038 2,500 (1,462) (58.46%) 1,038 2,500 (1,462) (58.46%) 30,000 REVENUES - UNITED WAY 0 3,750 (3,750) (100.00%) 0 3,750 (3,750) (100.00%) 45,000 Total Revenue 45,468 50,679 (5,212) (10.28%) 45,468 50,679 (5,212) (10.28%) 608,151 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 30,696 33,469 2, % 30,696 33,469 2, % 401,626 PERSONNEL - TAXES 2,272 2, % 2,272 2, % 30,724 PERSONNEL - BENEFITS 2,694 1,673 (1,021) (60.98%) 2,694 1,673 (1,021) (60.98%) 20,081 PERSONNEL - TRAINING & EDUC % % 500 Total Employee-Related Expenses 35,662 37,744 2, % 35,662 37,744 2, % 452,932 Other Operating Expenses: TRAVEL EXPENSE 46 0 (46) 0.00% 46 0 (46) 0.00% 0 MILEAGE (177) (53.09%) (177) (53.09%) 4,000 BUILDING EXPENSE (204) (44.49%) (204) (44.49%) 5,500 INSURANCE EXPENSE % % 6,000 COMMUNICATIONS (5) (0.67%) (5) (0.67%) 9,000 OFFICE/PRINTING SUPPLIES (37) (55.63%) (37) (55.63%) 800 PROGRAM SUPPLIES (22) (32.52%) (22) (32.52%) 800 CLEANING/MAINT SUPPLIES (3) (4.31%) (3) (4.31%) 800 POSTAGE/FREIGHT (33) (49.99%) (33) (49.99%) 800 NON-CAPITAL EQUIPMENT % % 3,000 REPAIRS & MAINTENANCE 1, (1,001) (240.27%) 1, (1,001) (240.27%) 5,000 DEPRECIATION EXPENSE 1,019 1, % 1,019 1, % 13,000 INTEREST EXPENSE (162) 0.00% (162) 0.00% 0 CONTRACTED SERVICES % % 2,500 Total Other Operating Expenses 5,429 4,267 (1,162) (27.24%) 5,429 4,267 (1,162) (27.24%) 51,200 Additional Expense Section: Total Operating Expenses 41,091 42, % 41,091 42, % 504,132 Income (Loss) 4,377 8,668 (4,291) (49.51%) 4,377 8,668 (4,291) (49.51%) 104,019 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 89.72% 94.48% 97.81% 50.50% 89.72% 94.48% 97.81% 50.50%

24 Community Treatment, Inc. Income Statement - Actual vs. Budget Adol. Outpatient For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $0 $125 ($125) (100.00%) $0 $125 ($125) (100.00%) $1,500 REVENUES - INSURANCE 0 4,167 (4,167) (100.00%) 0 4,167 (4,167) (100.00%) 50,000 REVENUES - MC+ 0 2,500 (2,500) (100.00%) 0 2,500 (2,500) (100.00%) 30,000 REVENUES - DMH 23,457 29,583 (6,127) (20.71%) 23,457 29,583 (6,127) (20.71%) 355,000 Patient Revenue: 23,457 36,375 (12,919) (35.51%) 23,457 36,375 (12,919) (35.51%) 436,500 REVENUES - SALES TAX 36,675 36, % 36,675 36, % 440,104 REVENUES - UNITED WAY % % 0 REVENUES - OTHER (213) (64.00%) (213) (64.00%) 4,000 Total Revenue 60,259 73,384 (13,125) (17.88%) 60,259 73,384 (13,125) (17.88%) 880,604 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 31,753 39,525 7, % 31,753 39,525 7, % 474,299 PERSONNEL - COMP, OVERTIME % % 1,500 PERSONNEL - TAXES 2,365 3, % 2,365 3, % 36,399 PERSONNEL - BENEFITS 4,635 4, % 4,635 4, % 56,916 PERSONNEL - TRAINING & EDUC % % 2,000 Total Employee-Related Expenses 38,810 47,593 8, % 38,810 47,593 8, % 571,113 Other Operating Expenses: TRAVEL EXPENSE % % 3,000 MILEAGE % % 700 BUILDING EXPENSE 2,505 1,500 (1,005) (67.00%) 2,505 1,500 (1,005) (67.00%) 18,000 INSURANCE EXPENSE 1,829 1,167 (663) (56.79%) 1,829 1,167 (663) (56.79%) 14,000 COMMUNICATIONS 2,537 2,083 (453) (21.76%) 2,537 2,083 (453) (21.76%) 25,000 OFFICE/PRINTING SUPPLIES % % 2,000 PROGRAM SUPPLIES % % 4,000 CLEANING/MAINT SUPPLIES (1) (0.61%) (1) (0.61%) 2,000 POSTAGE/FREIGHT % % 2,000 NON-CAPITAL EQUIPMENT % % 4,000 VEHICLE EXPENSE % % 8,000 REPAIRS & MAINTENANCE 2,946 2,500 (446) (17.83%) 2,946 2,500 (446) (17.83%) 30,000 MEDICAL EXPENSE 181 1,250 1, % 181 1,250 1, % 15,000 FOOD SERVICE (33) (15.82%) (33) (15.82%) 2,500 RECREATION FEES % % 1,000 DEPRECIATION EXPENSE 4,314 3,167 (1,148) (36.24%) 4,314 3,167 (1,148) (36.24%) 38,000 CONTRACTED SERVICES 4,266 1,000 (3,266) (326.56%) 4,266 1,000 (3,266) (326.56%) 12,000 MISCELLANEOUS EXPENSE 69 0 (69) 0.00% 69 0 (69) 0.00% 0 Total Other Operating Expenses 20,088 15,100 (4,989) (33.04%) 20,088 15,100 (4,989) (33.04%) 181,200 Additional Expense Section: Total Operating Expenses 58,898 62,693 3, % 58,898 62,693 3, % 752,313 Income (Loss) 1,361 10,691 (9,330) (87.27%) 1,361 10,691 (9,330) (87.27%) 128,291 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 82.11% 81.55% 93.95% 12.73% 82.11% 81.55% 93.95% 12.73%

25 Community Treatment, Inc. Income Statement - Actual vs. Budget Healthcare Home For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: Revenues - Medicaid (920.00) (100.00%) (920.00) (100.00%) 11,040 Patient Revenue: (920.00) (100.00%) (920.00) (100.00%) 11,040 Total Revenue (920.00) (100.00%) (920.00) (100.00%) 11,040 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY $25,395 $28,039 $2, % $25,395 $28,039 $2, % $336,464 PERSONNEL - TAXES 1,916 2, % 1,916 2, % 25,740 PERSONNEL - BENEFITS 2,445 3, % 2,445 3, % 40,376 PERSONNEL - TRAINING & EDUC % % 1,500 Total Employee-Related Expenses 29,755 33,673 3, % 29,755 33,673 3, % 404,079 Other Operating Expenses: TRAVEL EXPENSE % % 5,000 MILEAGE % % 6,000 INSURANCE EXPENSE % % 4,500 COMMUNICATIONS % % 1,000 OFFICE/PRINTING SUPPLIES % % 150 PROGRAM SUPPLIES 1, (430) (64.50%) 1, (430) (64.50%) 8,000 POSTAGE/FREIGHT 1 0 (1) 0.00% 1 0 (1) 0.00% 0 NON-CAPITAL EQUIPMENT % % 500 DEPRECIATION EXPENSE % % 600 CONTRACTED SERVICES 1,293 1, % 1,293 1, % 17,000 Total Other Operating Expenses 2,946 3, % 2,946 3, % 42,750 Additional Expense Section: Total Operating Expenses 32,701 37,236 4, % 32,701 37,236 4, % 446,829 Income (Loss) (32,701) (37,236) 4,535 (12.18%) (32,701) (37,236) 4,535 (12.18%) (446,829) TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 0.00% 88.36% 87.82% 87.82% 0.00% 88.36% 87.82% 87.82%

26 Community Treatment, Inc. Income Statement - Actual vs. Budget Primary Care Health Home For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - MEDICAID $11,597 $12,000 ($403) (3.36%) $11,597 $12,000 ($403) (3.36%) $144,000 Patient Revenue: 11,597 12,000 (403) (3.36%) 11,597 12,000 (403) (3.36%) 144,000 REVENUES - GRANTS 0 4,167 (4,167) (100.00%) 0 4,167 (4,167) (100.00%) 50,000 REVENUES - OTHER (833) (100.00%) (833) (100.00%) 10,000 Total Revenue 11,597 17,000 (5,403) (31.78%) 11,597 17,000 (5,403) (31.78%) 204,000 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 6,358 12,240 5, % 6,358 12,240 5, % 146,882 PERSONNEL - COMP, OVERTIME 4 0 (4) 0.00% 4 0 (4) 0.00% 0 PERSONNEL - TAXES % % 11,236 PERSONNEL - BENEFITS 1, (751) (153.35%) 1, (751) (153.35%) 5,876 PERSONNEL - TRAINING & EDUC 3, (2,999) ( %) 3, (2,999) ( %) 600 Total Employee-Related Expenses 11,089 13,716 2, % 11,089 13,716 2, % 164,594 Other Operating Expenses: TRAVEL EXPENSE % % 800 MILEAGE (87) (207.94%) (87) (207.94%) 500 INSURANCE EXPENSE % % 1,000 COMMUNICATIONS 26 0 (26) 0.00% 26 0 (26) 0.00% 0 PROGRAM SUPPLIES 10, (10,691) ( %) 10, (10,691) ( %) 1,500 CONTRACTED SERVICES % % 6,000 Total Other Operating Expenses 10, (10,165) ( %) 10, (10,165) ( %) 9,800 Additional Expense Section: Total Operating Expenses 22,071 14,533 (7,538) (51.87%) 22,071 14,533 (7,538) (51.87%) 174,394 Income (Loss) (10,474) 2,467 (12,941) (524.52%) (10,474) 2,467 (12,941) (524.52%) 29,606 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 68.22% 80.85% % % 68.22% 80.85% % %

27 Community Treatment, Inc. Income Statement - Actual vs. Budget Medical Heatlh Services For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $8,218 $9,448 ($1,230) (13.01%) $8,218 $9,448 ($1,230) (13.01%) $113,376 REVENUES - INSURANCE 30,856 56,676 (25,820) (45.56%) 30,856 56,676 (25,820) (45.56%) 680,114 REVENUES - MC+ 23,379 49,044 (25,665) (52.33%) 23,379 49,044 (25,665) (52.33%) 588,530 REVENUES - MEDICAID 21,513 32,798 (11,285) (34.41%) 21,513 32,798 (11,285) (34.41%) 393,579 REVENUES - MEDICARE 7,173 20,416 (13,243) (64.87%) 7,173 20,416 (13,243) (64.87%) 244,992 Patient Revenue: 91, ,382 (77,242) (45.87%) 91, ,382 (77,242) (45.87%) 2,020,590 REVENUES - GRANTS 64,594 64, % 64,594 64, % 775,125 REVENUES - 340B 9,543 13,750 (4,207) (30.59%) 9,543 13,750 (4,207) (30.59%) 165,000 REVENUES - OTHER 314 2,500 (2,186) (87.44%) 314 2,500 (2,186) (87.44%) 30,000 Total Revenue 165, ,226 (83,635) (33.56%) 165, ,226 (83,635) (33.56%) 2,990,715 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 132, ,112 (2,861) (2.20%) 132, ,112 (2,861) (2.20%) 1,561,343 PERSONNEL - COMP, OVERTIME % % 7,000 PERSONNEL - TAXES 8,400 9,998 1, % 8,400 9,998 1, % 119,978 PERSONNEL - BENEFITS 13,928 14, % 13,928 14, % 171,748 PERSONNEL - TRAINING & EDUC % % 6,000 Total Employee-Related Expenses 155, ,506 (100) (0.06%) 155, ,506 (100) (0.06%) 1,866,069 Other Operating Expenses: PROFESSIONAL FEES 1,674 1,000 (674) (67.44%) 1,674 1,000 (674) (67.44%) 12,000 TRAVEL EXPENSE % % 3,000 MILEAGE (231) (30.84%) (231) (30.84%) 9,000 BUILDING EXPENSE 10,195 10, % 10,195 10, % 125,000 INSURANCE EXPENSE 3,261 2,917 (345) (11.82%) 3,261 2,917 (345) (11.82%) 35,000 COMMUNICATIONS 2,861 3, % 2,861 3, % 36,000 OFFICE/PRINTING SUPPLIES % % 5,000 PROGRAM SUPPLIES 1,969 2, % 1,969 2, % 35,000 CLEANING/MAINT SUPPLIES % % 4,000 POSTAGE/FREIGHT % % 1,000 NON-CAPITAL EQUIPMENT 0 1,250 1, % 0 1,250 1, % 15,000 REPAIRS & MAINTENANCE 2,698 3, % 2,698 3, % 40,000 ADVERTISING/MARKETING 0 1,667 1, % 0 1,667 1, % 20,000 ADVERTISING, RECRUITING % % 500 MEDICAL EXPENSE 23,076 15,417 (7,659) (49.68%) 23,076 15,417 (7,659) (49.68%) 185, B MEDICAL EXPENSE 4,048 6,250 2, % 4,048 6,250 2, % 75,000 DEPRECIATION EXPENSE 12,308 12, % 12,308 12, % 150,000 CONTRACTED SERVICES 12,730 16,667 3, % 12,730 16,667 3, % 200,000 MISCELLANEOUS EXPENSE 5,552 1,250 (4,302) (344.18%) 5,552 1,250 (4,302) (344.18%) 15,000 Total Other Operating Expenses 81,738 80,458 (1,280) (1.59%) 81,738 80,458 (1,280) (1.59%) 965,500 Additional Expense Section: Total Operating Expenses 237, ,964 (1,380) (0.58%) 237, ,964 (1,380) (0.58%) 2,831,569 Income (Loss) (71,753) 13,262 (85,015) (641.03%) (71,753) 13,262 (85,015) (641.03%) 159,146 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 66.44% % 100.6% (541.04%) 66.44% % 100.6% (541.04%)

28 Community Treatment, Inc. Income Statement - Actual vs. Budget Oral Health Services For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $37,138 $58,141 ($21,003) (36.12%) $37,138 $58,141 ($21,003) (36.12%) $697,691 REVENUES - INSURANCE 29,723 44,414 (14,691) (33.08%) 29,723 44,414 (14,691) (33.08%) 532,964 REVENUES - MC+ 165, ,225 (113,525) (40.66%) 165, ,225 (113,525) (40.66%) 3,350,697 REVENUES - MEDICAID 94, ,908 (33,845) (26.46%) 94, ,908 (33,845) (26.46%) 1,534,891 Patient Revenue: 326, ,687 (183,064) (35.92%) 326, ,687 (183,064) (35.92%) 6,116,243 REVENUES - GRANTS 58,417 63,583 (5,167) (8.13%) 58,417 63,583 (5,167) (8.13%) 763,000 REVENUES - OTHER 5, , % 5, , % 0 Total Revenue 390, ,270 (183,192) (31.96%) 390, ,270 (183,192) (31.96%) 6,879,243 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 241, ,421 74, % 241, ,421 74, % 3,785,051 PERSONNEL - COMP, OVERTIME 293 1,577 1, % 293 1,577 1, % 18,925 PERSONNEL - TAXES 18,399 24,250 5, % 18,399 24,250 5, % 291,004 PERSONNEL - BENEFITS 17,626 37,851 20, % 17,626 37,851 20, % 454,206 PERSONNEL - TRAINING & EDUC 3,594 1,667 (1,927) (115.64%) 3,594 1,667 (1,927) (115.64%) 20,000 Total Employee-Related Expenses 281, ,766 99, % 281, ,766 99, % 4,569,187 Other Operating Expenses: PROFESSIONAL FEES 5,550 9,467 3, % 5,550 9,467 3, % 113,600 TRAVEL EXPENSE 24 1,125 1, % 24 1,125 1, % 13,500 MILEAGE 642 1, % 642 1, % 13,500 BUILDING EXPENSE 4,034 3,333 (700) (21.01%) 4,034 3,333 (700) (21.01%) 40,000 INSURANCE EXPENSE 399 2,083 1, % 399 2,083 1, % 25,000 COMMUNICATIONS 3,818 3,000 (818) (27.28%) 3,818 3,000 (818) (27.28%) 36,000 OFFICE/PRINTING SUPPLIES % % 11,500 PROGRAM SUPPLIES 27,772 33,333 5, % 27,772 33,333 5, % 400,000 CLEANING/MAINT SUPPLIES % % 4,000 POSTAGE/FREIGHT % % 3,800 NON-CAPITAL EQUIPMENT 0 4,167 4, % 0 4,167 4, % 50,000 VEHICLE EXPENSE % % 8,000 REPAIRS & MAINTENANCE 12,222 9,042 (3,180) (35.18%) 12,222 9,042 (3,180) (35.18%) 108,500 ADVERTISING/MARKETING 660 2,167 1, % 660 2,167 1, % 26,000 ADVERTISING, RECRUITING % % 5,000 MEDICAL EXPENSE 7,362 16,667 9, % 7,362 16,667 9, % 200,000 DEPRECIATION EXPENSE 49,339 45,833 (3,506) (7.65%) 49,339 45,833 (3,506) (7.65%) 550,000 INTEREST EXPENSE % % 7,000 CONTRACTED SERVICES 1,940 5,000 3, % 1,940 5,000 3, % 60,000 MISCELLANEOUS EXPENSE 1, (1,264) (216.69%) 1, (1,264) (216.69%) 7,000 Total Other Operating Expenses 117, ,200 22, % 117, ,200 22, % 1,682,400 Additional Expense Section: Total Operating Expenses 398, , , % 398, , , % 6,251,587 Income (Loss) (8,507) 52,305 (60,811) (116.26%) (8,507) 52,305 (60,811) (116.26%) 627,655 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 68.04% 73.84% 76.51% (16.26%) 68.04% 73.84% 76.51% (16.26%)

29 Community Treatment, Inc. Income Statement - Actual vs. Budget Behavioral Health Services For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $7,282 $3,750 $3, % $7,282 $3,750 $3, % $45,000 REVENUES - INSURANCE 21,117 16,667 4, % 21,117 16,667 4, % 200,000 REVENUES - MC+ 55,258 33,333 21, % 55,258 33,333 21, % 400,000 REVENUES - DMH 82,705 50,000 32, % 82,705 50,000 32, % 600,000 REVENUES - MEDICAID 56,474 47,917 8, % 56,474 47,917 8, % 575,000 REVENUES - MEDICARE (11,348) 33,333 (44,682) (134.04%) (11,348) 33,333 (44,682) (134.04%) 400,000 Patient Revenue: 211, ,000 26, % 211, ,000 26, % 2,220,000 REVENUES - MIL TAX 57,989 57, % 57,989 57, % 695,862 REVENUES - SALES TAX 17,917 17, % 17,917 17, % 215,000 REVENUES - GRANTS 40,623 40,623 0 (0.00%) 40,623 40,623 0 (0.00%) 487,476 REVENUES - 340B 16,821 24,167 (7,346) (30.40%) 16,821 24,167 (7,346) (30.40%) 290,000 REVENUES - OTHER (1,313) 1,250 (2,563) (205.00%) (1,313) 1,250 (2,563) (205.00%) 15,000 Total Revenue 343, ,945 16, % 343, ,945 16, % 3,923,338 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 167, ,898 15, % 167, ,898 15, % 2,194,775 PERSONNEL - COMP, OVERTIME % % 5,000 PERSONNEL - TAXES 11,144 14,024 2, % 11,144 14,024 2, % 168,283 PERSONNEL - BENEFITS 10,590 18,290 7, % 10,590 18,290 7, % 219,478 PERSONNEL - TRAINING & EDUC % % 4,000 PROFESSIONAL FEES - PSYCH 36,216 16,667 (19,550) (117.30%) 36,216 16,667 (19,550) (117.30%) 200,000 Total Employee-Related Expenses 225, ,628 7, % 225, ,628 7, % 2,791,536 Other Operating Expenses: PROFESSIONAL FEES 5,116 1,250 (3,866) (309.27%) 5,116 1,250 (3,866) (309.27%) 15,000 TRAVEL EXPENSE % % 2,000 MILEAGE % % 4,500 BUILDING EXPENSE 1,191 1,167 (24) (2.09%) 1,191 1,167 (24) (2.09%) 14,000 INSURANCE EXPENSE 869 1, % 869 1, % 15,000 COMMUNICATIONS (253) (60.83%) (253) (60.83%) 5,000 OFFICE/PRINTING SUPPLIES % % 5,000 PROGRAM SUPPLIES (1) (0.59%) (1) (0.59%) 2,000 CLEANING/MAINT SUPPLIES % % 500 POSTAGE/FREIGHT % % 250 NON-CAPITAL EQUIPMENT % % 4,000 VEHICLE EXPENSE 33 0 (33) 0.00% 33 0 (33) 0.00% 0 REPAIRS & MAINTENANCE % % 7,000 ADVERTISING/MARKETING % % 500 ADVERTISING, RECRUITING % % 1,000 MEDICAL EXPENSE 53,854 41,667 (12,187) (29.25%) 53,854 41,667 (12,187) (29.25%) 500, B MEDICAL EXPENSE 5,137 6,250 1, % 5,137 6,250 1, % 75,000 DEPRECIATION EXPENSE 8,391 2,333 (6,057) (259.60%) 8,391 2,333 (6,057) (259.60%) 28,000 CONTRACTED SERVICES 19,638 6,250 (13,388) (214.21%) 19,638 6,250 (13,388) (214.21%) 75,000 Total Other Operating Expenses 95,678 62,813 (32,865) (52.32%) 95,678 62,813 (32,865) (52.32%) 753,750 Additional Expense Section: Total Operating Expenses 321, ,440 (25,605) (8.67%) 321, ,440 (25,605) (8.67%) 3,545,286 Income (Loss) 22,478 31,504 (9,026) (28.65%) 22,478 31,504 (9,026) (28.65%) 378,052 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % 96.88% % 71.35% % 96.88% % 71.35%

30 Community Treatment, Inc. Income Statement - Actual vs. Budget ECMH/SAEP For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - OTHER $4,080 $2,917 $1, % $4,080 $2,917 $1, % $35,000 Total Revenue 4,080 2,917 1, % 4,080 2,917 1, % 35,000 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 495 3,101 2, % 495 3,101 2, % 37,218 PERSONNEL - TAXES % % 2,847 PERSONNEL - BENEFITS 57 1,587 1, % 57 1,587 1, % 19,038 Total Employee-Related Expenses 581 4,925 4, % 581 4,925 4, % 59,103 Other Operating Expenses: MILEAGE 7 0 (7) 0.00% 7 0 (7) 0.00% 0 COMMUNICATIONS 4 0 (4) 0.00% 4 0 (4) 0.00% 0 Total Other Operating Expenses 11 0 (11) 0.00% 11 0 (11) 0.00% 0 Additional Expense Section: Total Operating Expenses 592 4,925 4, % 592 4,925 4, % 59,103 Income (Loss) 3,488 (2,009) 5,497 (273.66%) 3,488 (2,009) 5,497 (273.66%) (24,103) TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % 11.80% 12.02% (100.00%) % 11.80% 12.02% (100.00%)

31 Community Treatment, Inc. Income Statement - Actual vs. Budget CAC For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - DPS - VOCA $17,584 $20,883 ($3,299) (15.80%) $17,584 $20,883 ($3,299) (15.80%) $250,600 REVENUES - CHILDREN'S DIVISION 20,739 20,833 (94) (0.45%) 20,739 20,833 (94) (0.45%) 250,000 REVENUES - SALES TAX 2,667 2,667 0 (0.00%) 2,667 2,667 0 (0.00%) 32,000 REVENUES - GRANTS 2,529 6,383 (3,854) (60.37%) 2,529 6,383 (3,854) (60.37%) 76,595 REVENUES - DONATIONS / FUNDRAISING 2,875 7,250 (4,375) (60.34%) 2,875 7,250 (4,375) (60.34%) 87,000 REVENUES - UNITED WAY 0 1,383 (1,383) (100.00%) 0 1,383 (1,383) (100.00%) 16,600 Total Revenue 46,394 59,400 (13,005) (21.89%) 46,394 59,400 (13,005) (21.89%) 712,795 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 37,948 34,947 (3,001) (8.59%) 37,948 34,947 (3,001) (8.59%) 419,369 PERSONNEL - TAXES 2,830 2,673 (157) (5.87%) 2,830 2,673 (157) (5.87%) 32,082 PERSONNEL - BENEFITS 4,809 3,775 (1,034) (27.40%) 4,809 3,775 (1,034) (27.40%) 45,300 PERSONNEL - TRAINING & EDUC 1,143 1,000 (143) (14.30%) 1,143 1,000 (143) (14.30%) 12,000 Total Employee-Related Expenses 46,731 42,396 (4,335) (10.23%) 46,731 42,396 (4,335) (10.23%) 508,751 Other Operating Expenses: TRAVEL EXPENSE % % 4,500 MILEAGE 1,215 1, % 1,215 1, % 17,000 BUILDING EXPENSE 2,780 2,500 (280) (11.21%) 2,780 2,500 (280) (11.21%) 30,000 INSURANCE EXPENSE % % 7,000 COMMUNICATIONS 936 1, % 936 1, % 12,900 OFFICE/PRINTING SUPPLIES % % 1,500 PROGRAM SUPPLIES 1, (360) (47.99%) 1, (360) (47.99%) 9,000 CLEANING/MAINT SUPPLIES % % 500 POSTAGE/FREIGHT (19) (46.39%) (19) (46.39%) 500 NON-CAPITAL EQUIPMENT (296) (47.93%) (296) (47.93%) 7,400 VEHICLE EXPENSE % % 5,700 REPAIRS & MAINTENANCE 1, (610) (73.24%) 1, (610) (73.24%) 10,000 ADVERTISING/MARKETING % % 3,500 FUNDRAISING EXPENSE 90 1,333 1, % 90 1,333 1, % 16,000 DEPRECIATION EXPENSE 1,961 2, % 1,961 2, % 25,000 CONTRACTED SERVICES % % 9,000 MISCELLANEOUS EXPENSE % % 6,500 Total Other Operating Expenses 12,130 13,833 1, % 12,130 13,833 1, % 166,000 Additional Expense Section: Total Operating Expenses 58,861 56,229 (2,632) (4.68%) 58,861 56,229 (2,632) (4.68%) 674,751 Income (Loss) (12,467) 3,170 (15,637) (493.23%) (12,467) 3,170 (15,637) (493.23%) 38,044 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 78.10% % % (100.00%) 78.10% % % (100.00%)

32 Community Treatment, Inc. Income Statement - Actual vs. Budget Bridle Ridge Acres For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: Operating Expenses: Employee-Related Expenses: Other Operating Expenses: BUILDING EXPENSE $729 $333 ($396) (118.74%) $729 $333 ($396) (118.74%) $4,000 INSURANCE EXPENSE % % 4,000 COMMUNICATIONS (412) 0.00% (412) 0.00% 0 REPAIRS & MAINTENANCE % % 1,000 DEPRECIATION EXPENSE 5,588 8,333 2, % 5,588 8,333 2, % 100,000 INTEREST EXPENSE 2,816 2,667 (150) (5.61%) 2,816 2,667 (150) (5.61%) 32,000 CONTRACTED SERVICES 89 0 (89) 0.00% 89 0 (89) 0.00% 0 Total Other Operating Expenses 9,845 11,750 1, % 9,845 11,750 1, % 141,000 Additional Expense Section: Total Operating Expenses 9,845 11,750 1, % 9,845 11,750 1, % 141,000 Income (Loss) (9,845) (11,750) 1,905 (16.21%) (9,845) (11,750) 1,905 (16.21%) (141,000) TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 0.00% 0.00% 83.79% (83.79%) 0.00% 0.00% 83.79% (83.79%)

33 Community Treatment, Inc. Income Statement - Actual vs. Budget Tales with Tails For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - CLIENT $200 $3,819 ($3,619) (94.76%) $200 $3,819 ($3,619) (94.76%) $45,825 Patient Revenue: 200 3,819 (3,619) (94.76%) 200 3,819 (3,619) (94.76%) 45,825 REVENUES - SALES TAX 1,917 1, % 1,917 1, % 23,000 REVENUES - DONATIONS / FUNDRAISING 0 2,167 (2,167) (100.00%) 0 2,167 (2,167) (100.00%) 26,000 REVENUES - UNITED WAY 0 1,917 (1,917) (100.00%) 0 1,917 (1,917) (100.00%) 23,000 REVENUES - OTHER % % 0 Total Revenue 2,617 9,819 (7,202) (73.35%) 2,617 9,819 (7,202) (73.35%) 117,825 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 6,344 5,983 (361) (6.03%) 6,344 5,983 (361) (6.03%) 71,795 PERSONNEL - TAXES (36) (7.97%) (36) (7.97%) 5,492 PERSONNEL - BENEFITS % % 590 PERSONNEL - TRAINING & EDUC % % 200 Total Employee-Related Expenses 6,859 6,506 (353) (5.42%) 6,859 6,506 (353) (5.42%) 78,077 Other Operating Expenses: TRAVEL EXPENSE 11 0 (11) 0.00% 11 0 (11) 0.00% 0 MILEAGE % % 1,500 INSURANCE EXPENSE % % 600 COMMUNICATIONS % % 960 PROGRAM SUPPLIES % % 2,600 VEHICLE EXPENSE 11 0 (11) 0.00% 11 0 (11) 0.00% 0 FUNDRAISING EXPENSE (475) 667 1, % (475) 667 1, % 8,000 DEPRECIATION EXPENSE (1) (5.16%) (1) (5.16%) 200 CONTRACTED SERVICES % % 1,782 Total Other Operating Expenses (293) 1,304 1, % (293) 1,304 1, % 15,642 Additional Expense Section: Total Operating Expenses 6,567 7,810 1, % 6,567 7,810 1, % 93,720 Income (Loss) (3,950) 2,009 (5,959) (296.64%) (3,950) 2,009 (5,959) (296.64%) 24,106 TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 26.65% % 1 (196.62%) 26.65% % 1 (196.62%)

34 Community Treatment, Inc. Income Statement - Actual vs. Budget Administration For the One Month Ending Tuesday, July 31, 2018 July YTD TOTAL BUDGET Actual Budget Variance Percent Actual Budget Variance Percent Total Budget Revenue: REVENUES - MIL TAX $114,928 $114,928 $0 0.00% $114,928 $114,928 $0 0.00% $1,379,136 REVENUES - SALES TAX 33,783 68,416 (34,632) (50.62%) 33,783 68,416 (34,632) (50.62%) 820,989 REVENUES - DONATIONS / FUNDRAISING (417) (100.00%) (417) (100.00%) 5,000 REVENUES - OTHER 4,796 15,833 (11,037) (69.71%) 4,796 15,833 (11,037) (69.71%) 190,000 Total Revenue 153, ,594 (46,086) (23.09%) 153, ,594 (46,086) (23.09%) 2,395,125 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 199, ,849 10, % 199, ,849 10, % 2,518,185 PERSONNEL - COMP, OVERTIME 2,679 1,667 (1,012) (60.73%) 2,679 1,667 (1,012) (60.73%) 20,000 PERSONNEL - TAXES 14,989 16,181 1, % 14,989 16,181 1, % 194,171 PERSONNEL - BENEFITS 35,815 29,379 (6,436) (21.91%) 35,815 29,379 (6,436) (21.91%) 352,546 PERSONNEL - TRAINING & EDUC 319 2,083 1, % 319 2,083 1, % 25,000 Total Employee-Related Expenses 253, ,159 5, % 253, ,159 5, % 3,109,902 Other Operating Expenses: PROFESSIONAL FEES 4,167 8,333 4, % 4,167 8,333 4, % 100,000 TRAVEL EXPENSE 30 2,083 2, % 30 2,083 2, % 25,000 MILEAGE 972 1, % 972 1, % 13,000 BUILDING EXPENSE 3,986 2,667 (1,319) (49.48%) 3,986 2,667 (1,319) (49.48%) 32,000 INSURANCE EXPENSE 4,139 3,750 (389) (10.39%) 4,139 3,750 (389) (10.39%) 45,000 COMMUNICATIONS 12,980 9,167 (3,814) (41.60%) 12,980 9,167 (3,814) (41.60%) 110,000 OFFICE/PRINTING SUPPLIES 2,591 4,583 1, % 2,591 4,583 1, % 55,000 PROGRAM SUPPLIES 1,490 1,250 (240) (19.19%) 1,490 1,250 (240) (19.19%) 15,000 CLEANING/MAINT SUPPLIES (148) (35.55%) (148) (35.55%) 5,000 POSTAGE/FREIGHT 1,086 1, % 1,086 1, % 15,000 NON-CAPITAL EQUIPMENT 8,311 5,417 (2,894) (53.43%) 8,311 5,417 (2,894) (53.43%) 65,000 VEHICLE EXPENSE 4,480 4,250 (230) (5.42%) 4,480 4,250 (230) (5.42%) 51,000 REPAIRS & MAINTENANCE 9,727 10,833 1, % 9,727 10,833 1, % 130,000 ADVERTISING/MARKETING 11,481 8,333 (3,147) (37.77%) 11,481 8,333 (3,147) (37.77%) 100,000 ADVERTISING, RECRUITING % % 2,000 FOOD SERVICE 5,446 4,167 (1,279) (30.70%) 5,446 4,167 (1,279) (30.70%) 50,000 RECREATION FEES 10 0 (10) 0.00% 10 0 (10) 0.00% 0 DEPRECIATION EXPENSE 15,434 18,333 2, % 15,434 18,333 2, % 220,000 INTEREST EXPENSE 365 1, % 365 1, % 14,000 CONTRACTED SERVICES 32,550 16,917 (15,633) (92.41%) 32,550 16,917 (15,633) (92.41%) 203,000 MISCELLANEOUS EXPENSE 26,269 25,000 (1,269) (5.08%) 26,269 25,000 (1,269) (5.08%) 300,000 Total Other Operating Expenses 146, ,167 (16,910) (13.09%) 146, ,167 (16,910) (13.09%) 1,550,001 Additional Expense Section: Total Operating Expenses 399, ,325 (11,205) (2.89%) 399, ,325 (11,205) (2.89%) 4,659,903 Income (Loss) (246,023) (188,731) (57,291) 30.36% (246,023) (188,731) (57,291) 30.36% (2,264,778) TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD 76.91% 97.80% % (130.36%) 76.91% 97.80% % (130.36%)

35 Community Treatment, Inc. Income Statement - Year to Year Comparison Summary of All Units For the One Month Ending Tuesday, July 31, 2018 July YTD Current Year Prior Year Variance Current Year Prior Year Variance Revenue: REVENUES - CLIENT $74,617 $68,069 $6,548 $74,617 $68,069 $6,548 REVENUES - INSURANCE 89, ,429 (55,586) 89, ,429 (55,586) REVENUES - MC+ 279, ,648 98, , ,648 98,291 REVENUES - DMH 926, , , , , ,510 REVENUES - DMH HOUSING 11,221 35,582 (24,362) 11,221 35,582 (24,362) REVENUES - MEDICAID 193, ,758 (54,466) 193, ,758 (54,466) REVENUES - MEDICARE (3,725) 23,110 (26,835) (3,725) 23,110 (26,835) Patient Revenue: 1,571,835 1,524,734 47,101 1,571,835 1,524,734 47,101 REVENUES - DPS - VOCA 29,579 19,901 9,678 29,579 19,901 9,678 REVENUES - DFS 80 11,064 (10,984) 80 11,064 (10,984) REVENUES - CHILDREN'S DIVISION 20,739 15,209 5,530 20,739 15,209 5,530 REVENUES - COURT SERVICES 2,706 6,481 (3,776) 2,706 6,481 (3,776) REVENUES - MIL TAX 241, , , ,667 0 REVENUES - SALES TAX 198, ,268 13, , ,268 13,433 REVENUES - GRANTS 166, ,723 (6,560) 166, ,723 (6,560) REVENUES - SCHOOL SERVICES 1, ,038 1, ,038 REVENUES - DONATIONS / FUNDRAISING 4,972 4, ,972 4, REVENUES - UNITED WAY 7 5,897 (5,890) 7 5,897 (5,890) REVENUES - 340B 26,364 38,976 (12,613) 26,364 38,976 (12,613) REVENUES - OTHER 13,617 18,438 (4,822) 13,617 18,438 (4,822) Total Revenue 2,277,466 2,244,653 32,813 2,277,466 2,244,653 32,813 Operating Expenses: Employee-Related Expenses: PERSONNEL - COMP, SALARY 1,397,567 1,285,397 (112,171) 1,397,567 1,285,397 (112,171) PERSONNEL - COMP, OVERTIME 8,028 19,880 11,852 8,028 19,880 11,852 PERSONNEL - TAXES 101,797 96,649 (5,148) 101,797 96,649 (5,148) PERSONNEL - BENEFITS 160, ,983 (19,030) 160, ,983 (19,030) PERSONNEL - TRAINING & EDUC 8,904 5,583 (3,322) 8,904 5,583 (3,322) PROFESSIONAL FEES - PSYCH 36,216 6,648 (29,569) 36,216 6,648 (29,569) Total Employee-Related Expenses 1,712,526 1,555,139 (157,387) 1,712,526 1,555,139 (157,387) Other Operating Expenses: PROFESSIONAL FEES 44,805 8,472 (36,333) 44,805 8,472 (36,333) TRAVEL EXPENSE 1,997 3,671 1,674 1,997 3,671 1,674 MILEAGE 8,753 10,287 1,533 8,753 10,287 1,533 BUILDING EXPENSE 43,226 36,439 (6,786) 43,226 36,439 (6,786) INSURANCE EXPENSE 27,358 24,265 (3,094) 27,358 24,265 (3,094) COMMUNICATIONS 33,531 28,614 (4,917) 33,531 28,614 (4,917) OFFICE/PRINTING SUPPLIES 5,364 8,966 3,601 5,364 8,966 3,601 PROGRAM SUPPLIES 48,722 33,964 (14,758) 48,722 33,964 (14,758) CLEANING/MAINT SUPPLIES 2,049 1,689 (360) 2,049 1,689 (360) POSTAGE/FREIGHT 2,583 2, ,583 2, NON-CAPITAL EQUIPMENT 10,981 12,951 1,970 10,981 12,951 1,970 VEHICLE EXPENSE 15,414 16, ,414 16, REPAIRS & MAINTENANCE 45,428 43,581 (1,847) 45,428 43,581 (1,847) ADVERTISING/MARKETING 13,819 16,135 2,316 13,819 16,135 2,316 ADVERTISING, RECRUITING 205 1,380 1, ,380 1,175 FUNDRAISING EXPENSE 1,049 2,592 1,543 1,049 2,592 1,543 MEDICAL EXPENSE 86,605 70,151 (16,454) 86,605 70,151 (16,454) 340B MEDICAL EXPENSE 9,185 10,522 1,337 9,185 10,522 1,337 HOUSING EXPENSE 22,651 34,576 11,925 22,651 34,576 11,925 FOOD SERVICE 12,826 13, ,826 13, RECREATION FEES 1,243 1,163 (80) 1,243 1,163 (80) WRAPAROUND SERVICES DEPRECIATION EXPENSE 121, ,786 (3,548) 121, ,786 (3,548) INTEREST EXPENSE 5,047 6,576 1,530 5,047 6,576 1,530 CONTRACTED SERVICES 94, ,624 21,097 94, ,624 21,097 MISCELLANEOUS EXPENSE 34,071 25,955 (8,116) 34,071 25,955 (8,116) Total Other Operating Expenses 692, ,861 (44,008) 692, ,861 (44,008) Additional Expense Section: Total Operating Expenses 2,405,395 2,204,000 (201,395) 2,405,395 2,204,000 (201,395) Income (Loss) (127,929) 40,653 (168,582) (127,929) 40,653 (168,582) -5.62% 1.81%

36 FINANCIAL ALIGNMENT, VER. 2 Date: 8/08/18 August Updates A. Performance Monitoring 8/29/ MORS a. Monthly for Primary Care, Oral Health & Behavioral Health MORs were held with each of these 3 service lines Mon. 8/27/18. Darlene Herrell presented in the absence of Dr. Turner who was on PTO. PC Alignment Plan A-B-C written updates provided. Stated request to focus on these three items: (1) Look at the provider schedules and move as needed to support patient access needs. For example, more provider hours are needed at Emerson; (2) Focus on production with Open Access, adherence to time slots per patient type (15 min/30 min), (3) Reminder call process to decrease cancellations and allow reschedule options; (4) double-booking as appropriate. Dr. Garland presented for Oral Health and ramp-up dependent on filling the 5 remaining Dental Assistant positions. Overtime authorized as current shortage of support staff has closed several dental chairs. b. Quarterly for all programs Scheduled per plan. 2 C-Team Review (Weekly Review) a. Laser focus on top 3 contributing factors (direct, indirect, no control) C-Team discussion on Mon. 8/27 with extended discussion on the Primary Care Alignment plan, additional support for dental assistants recruitment, and cash flow forecast. b. Coordinated intervention and accountability Per Plan 3 c. Tighter timeframe for low performance and change Adherence to the timeframes as detailed in the A-B-C Alignment Work Plans. Corrective Action Plans a. Essential components include 3-5 interventions, Weekly Friday call with Primary Care Operations Manager and Oral Health time referenced and measurable, and monthly Director. written updates with weekly phone/in-person checkins b. Primary Care Plan A-B-C 30-day updates provided at 8/27 MORs. i. Performance review time frame is Q FY (9/30/18) ii. Next Steps in process c. Oral Health Plan A-B-C 30-day updates provided at 8/27 MORs. i. Performance review time frame is Q FY (9/30/18) ii. Next Steps in process d. Weekly update and monthly updated report Current on reporting back to CEO and C-Team. B Data Review, Trends and Analysis 1 Enhanced Data Reporting Will discuss with Amy on the opportunity to include on the monthly financial statements. a. Monthly Income Statement for revenue producing departments: b. Units of Service (Visit) c. d. Revenue/Visit Cost/Visit 2 Monthly Financials - Inclusion of 12 Months Trending Completed manually for July financial update with other priorities needing with move from manual to automated reporting. resources. C Billing and Accounts Receivable 1 Claim Audits to review documentation support for claims billed a. External: RMC with quarterly reports b. Internal: Ongoing

37 2 A/R Billing Specialist (in the FY 2019 Budget) a. Identify what reports are available in the EMR b. Dashboard design for reporting performance on key financial indicators Separation to 2 distinct roles including (1) Billing Manager and A/R Manager following CEO and CFO discussion on 8/28/18. Each position will have a daily dashboard reporting on outcomes achieved per key (critical) job role functions. A/R to focus on daily review of denials and timely resubmission following error correction. 3 Credentialing Redesign a. Assess ROI for credentialing software and range of options Credentialing software purchased at cost of $7,000 and covers up to 100 providers. If we relied on MHP to do this, it would cost $25,000 and only cover 35 providers. It was not a good investment. b. Dashboard design to track credentialing days for the top 5 payers

38 AUG # of Work Days Net Rev Per Visit PC Weekly GOALS Net Patient Rev/Visit Schedule 86 Actual Actual WEEK ONE [8/01-8/04] WEEK TWO 8/06-8/11] WEEK THREE [8/13-8/18] PRIMARY CARE VISITS > Schedule 10-Hr Day Actual 10-Hr Day 8-Hr Day VISITS % GOAL AVE/DAY REVENUE ACTUAL % GOAL AVE/DAY REVENUE ACTUAL % GOAL AVE/DAY REVENUE Dr. Turner % 4.0 1, % 9.8 6, % 5.5 3,564 Dr. Helton % , % 9.5 6, % ,396 Ashley Whitley % , % , % ,642 Ashleigh McGrath % % , % ,530 Amanda Sherwood % 5.7 2, % , % 9.0 5,832 Dr. Hampton % 8.3 4, % 8.5 5, % 8.0 5, #DIV/0! #DIV/0! #DIV/0! TOTALS % , % , % ,148 85% 2,045 Ashliegh McGrath PTO Wed & Total of 2.5 PTO days - Ashley Whitley - 1.0! Day PTO each for Ashleigh McGrath and Net Rev Per OH Visit Weekly GOALS Fri. and Dr. Helton Ashley Whitley. Net Patient Rev/Visit Schedule 62 Actual Actual WEEK ONE [8/01-8/04] WEEK TWO 8/06-8/11] WEEK THREE [8/13-8/18] ORAL HEALTH VISITS FTE Schedule 10 Hr Day Actual 10 Hr Day 8-Hr Day VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE Dr Suter % 2.0 1, % % Dr. Garland % 4.0 2, % 2.8 2, % 2.8 2,366 Dr. Empkey % 8.7 4, % 7.2 6, % 3.4 2,873 Dr. Garrity % , % 9.4 7, % 9.2 7,774 Dr Blattel - Maternity #DIV/0! #DIV/0! #DIV/0! Dr. Landsford % , % 9.8 8, % 7.6 6,422 Dr. Mazuranic - PRN #DIV/0! #DIV/0! #DIV/0! Dr. Puisis -Maternity #DIV/0! #DIV/0! #DIV/0! Dr. Greaves - PRN % % % 1.8 1,521 Dr. Emily % 7.7 3, % 6.8 5, % 3.8 3,211 Dr. Taylor % 6.7 3, % 6.8 5, % 6.6 5,577 Dr. Lorenz [7/2 1.0 FTE] % 3.7 1, % 8.6 7, % 4.4 3,718 Dr. Darling [7/ FTE] % % 2.2 1, % 6.2 5,239 Dr. Mazoli [7/ FTE] % 5.7 2, % 4.6 3, % 3.6 3,042 Dr. Shakhnovich [7/ FTE] % 6.7 3, % 7.6 6, % 5.4 4,563 Dr. Cook [8/ FTE; 0.25 starting 8.13] % % % TOTALS % , % , % ,306 83% Dr. Suter's focus this week was training all dentists Weekly GOALS on teledent. Dr. Cook - onboarding wk 1. # Pts 42 Schedule 33 Schedule WEEK ONE [8/01-8/04] WEEK TWO 8/06-8/11] WEEK THREE [8/13-8/18] OH - HYGIENISTS FTE Schedule 10 Hr Day Actual 10 Hr Day VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE Sandy Holified #DIV/0! #DIV/0! #DIV/0! Suzanne Seawel % 5.7 2, % 2.2 1, % 3.2 2,704 Anna Kloeppel - PRN #DIV/0! #DIV/0! #DIV/0! Amanda Govreau % % 1.2 1, % 2.6 2,197 Renee Blanken % % 2.6 2, % Ashley Wegener % % 2.2 1, % Angelica Miller % 3.3 1, % 2.2 1, % 2.4 2,028 Tiffany Grant % 3.0 1, % % Kate Poleos (.75 Sept) % % % 1.8 1, #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! TOTALS % , % , % ,802 Production w/o VA 79% DENTAL REVENUE TOTALS GOAL Sandy Holified on VA; Tiffany and Renee working on inventory and supplies for school year. WEEK ONE [8/01-8/04] WEEK TWO 8/06-8/11] WEEK THREE [8/13-8/18] #/WK VISITS AVE/DAY REVENUE VISITS AVE/DAY REVENUE VISITS AVE/DAY REVENUE Dentists , , ,306 Hygienists , , ,802 Total , , ,108

39 AUG # of Work Days Net Rev Per Visit PC Net Patient Rev/Visit PRIMARY CARE VISITS > Dr. Turner 0.38 Dr. Helton 1.00 Ashley Whitley 0.90 Ashleigh McGrath 1.00 Amanda Sherwood 0.75 Dr. Hampton 0.50 TOTALS 4.53 Net Rev Per OH Visit Net Patient Rev/Visit ORAL HEALTH VISITS FTE Dr Suter 0.10 Dr. Garland 0.50 Dr. Empkey 0.50 Dr. Garrity 1.00 Dr Blattel - Maternity 0.00 Dr. Landsford 1.00 Dr. Mazuranic - PRN 0.00 Dr. Puisis -Maternity 0.00 Dr. Greaves - PRN 0.10 Dr. Emily 1.00 Dr. Taylor 1.00 Dr. Lorenz [7/2 1.0 FTE] 0.50 Dr. Darling [7/ FTE] 0.50 Dr. Mazoli [7/ FTE] 0.50 Dr. Shakhnovich [7/ FTE] 0.50 Dr. Cook [8/ FTE; 0.25 starting 8.13] 0.25 TOTALS 7.45 # Pts OH - HYGIENISTS FTE Sandy Holified 0.00 Suzanne Seawel 0.80 Anna Kloeppel - PRN 0.00 Amanda Govreau 0.80 Renee Blanken 0.75 Ashley Wegener 0.25 Angelica Miller 1.00 Tiffany Grant 0.25 Kate Poleos (.75 Sept) 0.50 TOTALS 4.35 Production w/o VA DENTAL REVENUE TOTALS Dentists Hygienists Total Formula adjusted for 5 day wk # DAYS MTD 23 WEEK FOUR [8/20-8/25] WEEK FIVE [8/27-8/31] THRU 8/30 MONTH END FORECAST - PRIMARY CARE REVENUE & BUDGET ACTUAL % GOAL AVE/DAY REVENUE ACTUAL % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV BUD REV VAR REV % VAR 18 55% 4.5 2,916 0 #DIV/0! % 14, % , % , % 42, % 3.0 1, % , % 32, % , % , % 47, % , % 9.8 7, % 34, % 7.3 4, % 6.4 5, % 24,624 #DIV/0! #DIV/0! #DIV/0! % , % ,008 1,218 1,218 1,792 68% 197, ,227-51, % Patient Revenue 133,980 PTO/Military Leave Days WEEK FOUR [8/20-8/25] WEEK FIVE [8/27-8/31] THRU 8/30 MONTH END FORECAST VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV 0 0% % % 1, % 2.0 1, % 2.0 1, % 10, % 5.2 4, % 6.0 5, % 22, % 8.0 6, % 6.6 5, % 33,124 0 #DIV/0! #DIV/0! #DIV/0! % 7.2 6, % , % 35,152 0 #DIV/0! #DIV/0! #DIV/0! 0 0 #DIV/0! #DIV/0! #DIV/0! 0 0 0% % % 1, % 4.8 4, % 7.6 6, % 23, % 7.0 5, % 7.4 6, % 26, % 2.6 2, % 3.8 3, % 18, % 4.8 4, % 6.6 5, % 17, % 6.6 5, % 6.4 5, % 20, % 7.8 6, % 6.8 5, % 26, % 2.2 1, % 6.0 5, % 6, % , % ,150 1,444 1,444 2,125 68% 244,036 Patient Revenue 216,600 WEEK FOUR [8/20-8/25] WEEK FIVE [8/27-8/31] THRU 8/30 MONTH END FORECAST VISITS % GOAL AVE/DAY REVENUE VISITS % GOAL AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL % GOAL PROJ REV 0 #DIV/0! #DIV/0! #DIV/0! % 3.0 2, % 4.8 4, % 14,027 0 #DIV/0! #DIV/0! #DIV/0! % 1.8 1, % 3.4 2, % 8, % % 1.2 1, % 3, % 2.2 1, % 1.4 1, % 6, % 2.6 2, % 3.2 2, % 10, % % 3.0 2, % 5, % 2.6 2, % % 4,732 #DIV/0! #DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0! % , % , % 53,404 Patient Revenue 47,400 WEEK FOUR [8/20-8/25] WEEK FIVE [8/27-8/31] THRU 8/30 MONTH END FORECAST - DENTAL REVENUE & BUDGET VISITS AVE/DAY REVENUE VISITS AVE/DAY REVENUE ACT MTD PROJ VISITS GOAL REV/VISIT PROJ REV BUD REV VAR REV % VAR , ,150 1,444 1,444 2,125 68% 244, , , % 53, , ,191 1,760 1,760 2,785 63% 297, , , % Patient Revenue 264,000

40 HRSA MONTHLY REVIEW BOARD AUTHORITY GOVERNANCE/AD Sue Curfman September YES NO NA a. Maintenance of Board Authority Over Health Center Project 1 b. Required Authorities and Responsibilities 1 c. Exercising Required Authorities and Responsibilities 1 d. Adopting, Evaluating, and Updating Health Center Policies 1 e. Adopting, Evaluating, and Updating Financial and Personnel 1 TOTAL % 100% Hours of Operation by COMTREA Location Arnold Monday-Thursday 8:30a-6:30p, Friday 8:30a-5p Festus Monday-Thursday 8:30a-7:30p, Friday 8:30a-5p Northwest Monday-Thursday 8:30-7, Friday 8:30-5p Valley Monday-Friday 7:30am-6pm Fox Monday- Friday 7:30a-6:00p MAP clinic Monday-Friday 7:30a-6p (subject to change) Treatment Court Monday-Thursday 8am-7pm Central Admissions Monday-Friday 8:30am-5:00pm Twin City Dental Monday-Friday 7:30am-4pm currently. September change to Mon 7:30a-6p, Tues-Thurs 7:30-4p, Fri 7:30-2:00pm) Hickory Monday-Friday 7:30am-6:00 pm High Ridge Family Medical Mon & Tues 7:30am- 7:00pm, Wed Thurs and Friday 7:30am-5:00pm

41 Page 1 A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more information, please contact HRSA contact center at , 8 am to 8 pm ET, weekdays. 1. DATE ISSUED: 08/15/ PROGRAM CFDA: SUPERSEDES AWARD NOTICE dated: 08/02/2018 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 6 H80CS b. GRANT NO.: H80CS PROJECT PERIOD: FROM: 06/01/2012 THROUGH: 04/30/ BUDGET PERIOD: FROM: 05/01/2018 THROUGH: 04/30/ FORMER GRANT NO.: NOTICE OF AWARD AUTHORIZATION (Legislation/Regulation) Public Health Service Act, Title III, Section 330 Public Health Service Act, Section 330, 42 U.S.C. 254b Affordable Care Act, Section Public Health Service Act, Section 330, 42 U.S.C. 254, as amended. Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended Public Health Service Act, Section 330(e), 42 U.S.C. 254b Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b, as amended) and Section of The Patient Protection and Affordable Care Act (P.L ) Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b) Public Health Service Act, Section 330, as amended (42 U.S.C. 254b) Section 330 of the Public Health Service (PHS) Act, as amended (42 U.S.C. 254b, as amended) Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b, as amended) 8. TITLE OF PROJECT (OR PROGRAM): Health Center Program 9. GRANTEE NAME AND ADDRESS: Community Treatment, Inc. 227 Main St Festus, MO DUNS NUMBER: BHCMIS # 07E APPROVED BUDGET:(Excludes Direct Assistance) [ ] Grant Funds Only [X] Total project costs including grant funds and all other financial participation a. Salaries and Wages : $7,898, b. Fringe Benefits : $1,652, c. Total Personnel Costs : $9,550, d. Consultant Costs : $0.00 e. Equipment : $497, f. Supplies : $429, g. Travel : $97, h. Construction/Alteration and Renovation : $0.00 i. Other : $683, j. Consortium/Contractual Costs : $231, k. Trainee Related Expenses : $0.00 l. Trainee Stipends : $0.00 m. Trainee Tuition and Fees : $0.00 n. Trainee Travel : $0.00 o. TOTAL DIRECT COSTS : $11,490, p. INDIRECT COSTS (Rate: % of S&W/TADC) : $0.00 q. TOTAL APPROVED BUDGET : $11,490, i. Less Non Federal Share: $9,532, ii. Federal Share: $1,957, DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR) Susan Curfman Community Treatment, Inc. 21 Municipal Dr Arnold, MO AWARD COMPUTATION FOR FINANCIAL ASSISTANCE: a. Authorized Financial Assistance This Period $1,957, b. Less Unobligated Balance from Prior Budget Periods i. Additional Authority $0.00 ii. Offset $0.00 c. Unawarded Balance of Current Year's Funds $0.00 d. Less Cumulative Prior Awards(s) This Budget Period e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $1,957, RECOMMENDED FUTURE SUPPORT: (Subject to the availability of funds and satisfactory progress of project) YEAR TOTAL COSTS 08 $1,850, $1,850, $ APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash) a. Amount of Direct Assistance $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $ PROGRAM INCOME SUBJECT TO 45 CFR SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES: A=Addition B=Deduction C=Cost Sharing or Matching D=Other [D ] Estimated Program Income: $9,032, THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:

42 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/15/2018 1:39:41 PM Award Number: 6 H80CS a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system. REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No) Electronically signed by Terry Hatchett, Grants Management Officer on : 08/15/ OBJ. CLASS: CRS EIN: A1 19. FUTURE RECOMMENDED FUNDING: $0.00 FY CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. SUB PROGRAM CODE SUB ACCOUNT CODE H H80CS24105 $0.00 $0.00 CH HEALTHCARECENTERS_18 Page 2

43 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/15/2018 1:39:41 PM Award Number: 6 H80CS HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10 digit grant number from box 4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating addresses and submitting certain deliverables electronically. Visit to use the system. Additional help is available online and/or from the HRSA Call Center at 877 Go4 HRSA/ Terms and Conditions Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed on your Payment Management System account or denial of future funding. Grant Specific Condition(s) 1. Due Date: Within 120 Days of Award Release Date Due Date: Within 120 Days of Award Release Date (CIS Tracking Number: CIS Add Service Delivery Site:Festus Annex 222 N Mill St, Festus, MO ) Within 120 days of the release date of this award (i.e., the date HRSA ed you this Notice of Award), you MUST verify implementation of this CIS, as required via the related EHB submission deliverable. To access the deliverable, go to your grant folder/handbook. Grant Specific Term(s) 1. (CIS Tracking Number: CIS ) This Notice of Award (NoA) reflects approval of a proposed change in scope as of 08/03/2018: Add Service Delivery Site: Festus Annex 222 N Mill St, Festus, MO Verification of implementation (see condition above) is REQUIRED for your CIS request to be officially included in your scope of project. This change in scope must be supported within the level of grant funds currently awarded. This approval in no way obligates the Health Resources and Services Administration (HRSA) to any future support. 2. Grantees are reminded that separate Medicare enrollment applications must be submitted for each "permanent unit" at which they provide services. This includes units considered both "permanent sites" and "seasonal sites" under their HRSA scope of project. (For the definition of permanent and seasonal sites under the scope of project, see Section III of Program Information Notice , Defining Scope of Project and Policy for Requesting Changes at 01.pdf) Therefore, for Medicare purposes, a single health center organization may consist of two or more FQHCs, each of which must be separately enrolled in Medicare and submit bills using its unique Medicare Billing Number. The Medicare enrollment application can be located at To identify the address where the package should be mailed, please refer to The appropriate Medicare contractor is listed next to "Fiscal Intermediary." Successful enrollment in Medicare as an FQHC does not automatically qualify a health center for payment as an FQHC under its State Medicaid program. Health centers should contact their State Medicaid office directly to determine the process and timeline for becoming eligible for payment as an FQHC under Medicaid. All prior terms and conditions remain in effect unless specifically removed. Contacts NoA Address(es): Name Role Susan Curfman Program Director scurfman@comtrea.org Note: NoA ed to these address(es) Program Contact: For assistance on programmatic issues, please contact Patricia Parker at: SPD/OSHS/BPHC/HRSA 5600 Fishers Lane RM 17N156 Rockville, MD, pparker@hrsa.gov Page 3

44 Page 1 A printer version document only. The document may contain some accessibility challenges for the screen reader users. To access same information, a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks. If you need more information, please contact HRSA contact center at , 8 am to 8 pm ET, weekdays. 1. DATE ISSUED: 08/02/ PROGRAM CFDA: SUPERSEDES AWARD NOTICE dated: 06/04/2018 except that any additions or restrictions previously imposed remain in effect unless specifically rescinded. 4a. AWARD NO.: 6 H80CS b. GRANT NO.: H80CS PROJECT PERIOD: FROM: 06/01/2012 THROUGH: 04/30/ BUDGET PERIOD: FROM: 05/01/2018 THROUGH: 04/30/ FORMER GRANT NO.: NOTICE OF AWARD AUTHORIZATION (Legislation/Regulation) Public Health Service Act, Title III, Section 330 Public Health Service Act, Section 330, 42 U.S.C. 254b Affordable Care Act, Section Public Health Service Act, Section 330, 42 U.S.C. 254, as amended. Authority: Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended Public Health Service Act, Section 330, 42 U.S.C. 254b, as amended Public Health Service Act, Section 330(e), 42 U.S.C. 254b Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b, as amended) and Section of The Patient Protection and Affordable Care Act (P.L ) Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b) Public Health Service Act, Section 330, as amended (42 U.S.C. 254b) Section 330 of the Public Health Service (PHS) Act, as amended (42 U.S.C. 254b, as amended) Section 330 of the Public Health Service Act, as amended (42 U.S.C. 254b, as amended) 8. TITLE OF PROJECT (OR PROGRAM): Health Center Program 9. GRANTEE NAME AND ADDRESS: Community Treatment, Inc. 227 Main St Festus, MO DUNS NUMBER: BHCMIS # 07E APPROVED BUDGET:(Excludes Direct Assistance) [ ] Grant Funds Only [X] Total project costs including grant funds and all other financial participation a. Salaries and Wages : $7,898, b. Fringe Benefits : $1,652, c. Total Personnel Costs : $9,550, d. Consultant Costs : $0.00 e. Equipment : $497, f. Supplies : $429, g. Travel : $97, h. Construction/Alteration and Renovation : $0.00 i. Other : $683, j. Consortium/Contractual Costs : $231, k. Trainee Related Expenses : $0.00 l. Trainee Stipends : $0.00 m. Trainee Tuition and Fees : $0.00 n. Trainee Travel : $0.00 o. TOTAL DIRECT COSTS : $11,490, p. INDIRECT COSTS (Rate: % of S&W/TADC) : $0.00 q. TOTAL APPROVED BUDGET : $11,490, i. Less Non Federal Share: $9,532, ii. Federal Share: $1,957, DIRECTOR: (PROGRAM DIRECTOR/PRINCIPAL INVESTIGATOR) Susan Curfman Community Treatment, Inc. 21 Municipal Dr Arnold, MO AWARD COMPUTATION FOR FINANCIAL ASSISTANCE: a. Authorized Financial Assistance This Period $1,957, b. Less Unobligated Balance from Prior Budget Periods i. Additional Authority $0.00 ii. Offset $0.00 c. Unawarded Balance of Current Year's Funds $0.00 d. Less Cumulative Prior Awards(s) This Budget Period e. AMOUNT OF FINANCIAL ASSISTANCE THIS ACTION $1,850, $107, RECOMMENDED FUTURE SUPPORT: (Subject to the availability of funds and satisfactory progress of project) YEAR TOTAL COSTS 08 $1,850, $1,850, APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash) a. Amount of Direct Assistance $0.00 b. Less Unawarded Balance of Current Year's Funds $0.00 c. Less Cumulative Prior Awards(s) This Budget Period $0.00 d. AMOUNT OF DIRECT ASSISTANCE THIS ACTION $ PROGRAM INCOME SUBJECT TO 45 CFR SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES: A=Addition B=Deduction C=Cost Sharing or Matching D=Other [D ] Estimated Program Income: $9,032, THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO, AND AS APPROVED BY HRSA, IS ON THE ABOVE TITLED PROJECT AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:

45 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/2/ :26:14 AM Award Number: 6 H80CS a. The grant program legislation cited above. b. The grant program regulation cited above. c. This award notice including terms and conditions, if any, noted below under REMARKS. d. 45 CFR Part 75 as applicable. In the event there are conflicting or otherwise inconsistent policies applicable to the grant, the above order of precedence shall prevail. Acceptance of the grant terms and conditions is acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system. REMARKS: (Other Terms and Conditions Attached [ X ]Yes [ ]No) Electronically signed by Elvera Messina, Grants Management Officer on : 08/02/ OBJ. CLASS: CRS EIN: A1 19. FUTURE RECOMMENDED FUNDING: $0.00 FY CAN CFDA DOCUMENT NO. AMT. FIN. ASST. AMT. DIR. ASST. SUB PROGRAM CODE SUB ACCOUNT CODE H H80CS24105 $107, $0.00 CH HEALTHCARECENTERS_18 Page 2

46 NOTICE OF AWARD (Continuation Sheet) Date Issued: 8/2/ :26:14 AM Award Number: 6 H80CS HRSA Electronic Handbooks (EHBs) Registration Requirements The Project Director of the grant (listed on this NoA) and the Authorizing Official of the grantee organization are required to register (if not already registered) within HRSA's Electronic Handbooks (EHBs). Registration within HRSA EHBs is required only once for each user for each organization they represent. To complete the registration quickly and efficiently we recommend that you note the 10 digit grant number from box 4b of this NoA. After you have completed the initial registration steps (i.e.,created an individual account and associated it with the correct grantee organization record), be sure to add this grant to your portfolio. This registration in HRSA EHBs is required for submission of noncompeting continuation applications. In addition, you can also use HRSA EHBs to perform other activities such as updating addresses, updating addresses and submitting certain deliverables electronically. Visit to use the system. Additional help is available online and/or from the HRSA Call Center at 877 Go4 HRSA/ Terms and Conditions Failure to comply with the remarks, terms, conditions, or reporting requirements may result in a draw down restriction being placed on your Payment Management System account or denial of future funding. Grant Specific Term(s) 1. The purpose of the Fiscal Year (FY) 2018 Health Center Quality Improvement (QI) one time grant supplement is to support health centers that displayed high levels of quality performance in Calendar Year 2017 Uniform Data System reporting to continue to strengthen quality improvement activities, including achieving new and/or maintaining existing patient centered medical home recognition. 2. You will be required to provide information on the QI activities supported through this one time supplement via their FY 2020 Budget Period Progress Report (BPR). More information will be provided in the FY 2020 BPR instructions. 3. Funds may not be used for fundraising, lobbying, incentives (gift cards, food), construction/renovation, facility or land purchases, or vehicle purchases. Pursuant to existing law and consistent with Executive Order (75 FR 15599), health centers are prohibited from using federal funds to provide abortion services (except in cases of rape or incest, or when the life of the woman would be endangered). This is consistent with past practice and long standing requirements applicable to grant awards to health centers. Funds must be used consistent with all federal cost principles as noted in 45 CFR Part 75. In addition, this supplemental funding may not be used to: supplant existing resources or support bonuses or other staff incentives. HRSA will send a Request for Information through the EHBs for the provision of an SF 424A and budget narrative justification for this supplemental funding. The submitted budget narrative must outline plans for utilization of this funding in alignment with the focus outlined above. 4. This award provides one time funding that will be available for use through the end of your FY 2019 budget period but should be used within 12 months of receipt. To use this funding in the FY 2019 budget period, the appropriate amount must be shown as un obligated (UOB) on line 10.h of the Annual Federal Financial Report (FFR), SF 425, and you must submit a Prior Approval Request to carry over these funds through EHB immediately following the FFR submission. Please consult your Grants Management Specialist for questions regarding submission of the FFR and/or Prior Approval Requests to carry over UOB funds. All prior terms and conditions remain in effect unless specifically removed. Contacts NoA Address(es): Name Role Susan Curfman Program Director scurfman@comtrea.org Note: NoA ed to these address(es) Program Contact: For assistance on programmatic issues, please contact Patricia Parker at: SPD/OSHS/BPHC/HRSA 5600 Fishers Lane RM 17N156 Rockville, MD, pparker@hrsa.gov Phone: (301) Division of Grants Management Operations: For assistance on grant administration issues, please contact Terry Hatchett at: MailStop Code: 10N164D OFAM/DGMO/HCB 5600 Fishers Ln Rockville, MD, thatchett@hrsa.gov Page 3

47 COMMUNITY TREATMENT INC IT CLINICAL SUPPORT Department: IT Job Status: Full Time FLSA Status: Reports To: AVP Clinical IT Grade/Level: Bachelor s Degree/Equivalent experience Amount of Travel Required: As needed Job Type: Regular Positions Supervised: None Work Schedule: M F, 8:00 a.m.-4:30 p.m. POSITION SUMMARY The position will assist the AVP Clinical IT with support to providers, clinicians, information and communication technologies (IT), and other staff in the development, implementation and training of electronic health records systems, supporting both Primary Care and Behavioral Health services. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Essential Functions Statement(s) Assist IT Clinical Director efforts with user support, the health applications, IT and leadership teams. Supports field-based resources on project management, implementation, service, planning, installation, troubleshooting, training, and maintenance issues through phone, remote access or onsite travel if required. Assist with the coordination of all tasks in the implementation of EHR related projects and other related deliverables. Demonstrate knowledge of and assists users with upgrade and application changes. Evaluates requests for system modifications and enhancements, makes modifications and test before moving into production. Support end user as needed. Participate in ongoing Quality Improvement efforts. Develop an understanding of CMS incentive requirements, HRSA reporting requirements, PCMH requirements and other Primary Care initiatives. Develop an understanding of CCBHC requirements, including service delivery and reporting. Other duties as assigned. POSITION QUALIFICATIONS Competency Statement(s) Communication, Oral - Verbal expression of communication (with clarity) so others understand clearly the message of intent. Receives and processes feedback also with clarity and clear understanding. Communication, Written - Ability to communicate in writing clearly and concisely. Goal Oriented - Ability to focus on a goal and obtain a pre-determined result. Relationship Building - Ability to effectively build relationships with customers and co-workers. Project Management - Ability to organize and direct a project to completion. Technical Aptitude - Ability to comprehend complex technical topics and specialized information. Systems Analysis - Ability to determine how a system should work and how changes in conditions, operations, and the environment will affect outcomes. Teamwork Assess the ability to work with others, when appropriate, to attain organizational goals and objectives.

48 COMMUNITY TREATMENT INC PC Support Specialist I Department: IT FLSA Status: Non-Exempt Grade/Level: Job Type: Regular Work Schedule: Monday- Friday 8am- 4:30pm Job Status: Part Time Reports To: VP - IT Amount of Travel Required: Positions Supervised: None POSITION SUMMARY Assist in the maintenance and support of PCs and related resources. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Essential Functions Statement(s) Assist in providing support, oversight and management of Desktop and Laptop computers and related resources. Assist in providing support, oversight and management of Active Directory, Exchange and SharePoint and related resources (Backups, Firewall, Routing). Assist in providing and coordinating PC and Application Training. Assist in providing support and oversight of Desktop/Laptop applications; Software Management. Assist in providing and coordinating Asset Management for Desktop/Laptop Computers and related Hardware Resources. Assist in providing and coordinating Document Management related to IT and related Resources. Assist in providing oversight and management of Web Development and Management. Assist in providing IT recommendations and user training as needed. Assist in providing secondary and backup support in assigned areas of IT Support Maintain openness to expanding knowledge and teach ability in all IT technical areas. POSITION QUALIFICATIONS

49 Competency Statement(s) Teamwork Assess the ability to work with others, when appropriate, to attain organizational goals and objectives. Decision Making Ability to select an effective course of action while controlling resources and expenditures. Initiative Ability to act and take steps to solve or settle an issue. Interpersonal Ability to develop and maintain relationships with others. Judgement Ability to form sound opinions or make decisions by evaluating available information. Knowledge Appraise familiarity with techniques and procedures needed to complete the work. Productivity Assess the amount of work completed in relation to expectations. Time Management - Ability to utilize the available time to organize and complete work within given deadlines. SKILLS & ABILITIES Education: High School Graduate or General Education Degree (GED) Two years of Technical School, Computer Science, or Information Systems: Preferred Experience: 2 plus years of experience in IT Technical Areas Computer Skills: Strong knowledge of computer applications, hardware and software. Certifications & Licenses: Valid Driver's License Advanced Certifications within the IT Field PHYSICAL DEMANDS N (Not Applicable) O (Occasionally) F (Frequently) C (Constantly) Activity is not applicable to this position. Position requires this activity up to 33% of the time ( hrs/day) Position requires this activity from 33% - 66% of the time ( hrs/day) Position requires this activity more than 66% of the time (5.5+ hrs/day) Physical Demands Stand Walk Sit Manually Manipulate Reach Outward Reach Above Shoulder Climb F F F O O F N Lift/Carry 10 lbs or less F lbs F lbs O lbs O Over 100 lbs N Push/Pull

50 COMMUNITY TREATMENT INC IT PRACTICE SUPPORT Department: IT FLSA Status: Non-Exempt Grade/Level: Job Type: Regular Work Schedule: M-F, 8:00 a.m. - 4:30 p.m. Job Status: Full Time Reports To: AVP of Clinical IT Amount of Travel Required: None Positions Supervised: Some direct and matrix supervision. POSITION SUMMARY The position will act as a liaison to billing, front desk, clinicians, information and communication technologies (IT), and other staff in the development, implementation and maintenance of the agency health records systems. This position will support the IT Practice Manager in maintaining the EHR in all practice management functions. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Essential Functions Statement(s) Assists with the maintenance of the agency practice managements systems for dental, primary care and behavioral health to include: payers, service codes, fee matrix, claim accuracy. Supports field-based resources on project management, implementation, service, planning, installation, troubleshooting, training, and maintenance issues through phone, remote access or onsite travel if required. Assist with any assigned tasks in the implementation of EHR related projects and other related deliverables. Demonstrate knowledge of and assists users with upgrade and application changes. Assists with system modifications and enhancements, including making modifications and testing prior moving into production. Develop and implement end user training with supporting documentation. Participate in ongoing Quality Improvement efforts. Other duties as assigned.