BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2019

Transcription

1 State of Mississippi Form MBR-1 (2015) a. Additional Compensation b. Proposed Vacancy Rate (Dollar Amount) c. Per Diem Total Salaries, Wages & Fringe Benefits 2. Travel a. Travel & Subsistence (In-State) b. Travel & Subsistence (Out-Of-State) c. Travel & Subsistence (Out-Of-Country) Total Travel B. CONTRACTUAL SERVICE S (Schedule B) a. Tuition, Rewards & Awards b. Communications, Transportation & Utilities c. Public Information d. Rents e. Repairs & Service f. Fees, Professional & Other Services g. Other Contractual Services h. Data Processing i. Other Total Contractual Services C. COMMODITIES (Schedule C) a. Maintenance & Construction Materials & Supplies b. Printing & Office Supplies & Materials c. Equipment, Repair Parts, Supplies & Accessories d. Professional & Scientific Supplies & Materials e. Other Supplies & Materials Total Commodities D. CAPITAL OUTLAY 1. Total Other Than Equipment (Schedule D-1) 2. Equipment (Schedule D-2) b. Road Machinery, Farm & Other Working Equipment c. Office Machines, Furniture, Fixtures & Equipment d. IS Equipment (Data Processing & Telecommunications) e. Equipment - Lease Purchase BUDGET REQUEST FOR FISCAL YEAR ENDING JUNE 30, 2019 Mental Health - Mississippi State Hospital P. O. Box 157-A James G. Chastain AGENCY ADDRESS CHIEF EXECUTIVE OFFICER Actual Expenses Estimated Expenses Requested For Requested Over/(Under) Estimated June 30,2017 June 30,2018 June 30,2019 I. A. PERSONAL SERVICES AMOUNT PERCENT 1. Salaries, Wages & Fringe Benefits (Base) 78,167,299 81,700,000 95,882,916 f. Other Equipment Total Equipment (Schedule D-2) 3. Vehicles (Schedule D-3) 4. Wireless Comm. Devices (Schedule D-4) E. SUBSIDIES, LOANS & GRANTS (Schedule E) TOTAL EXPENDITURES II. BUDGET TO BE FUNDED AS FOLLOWS: Cash Balance-Unencumbered General Fund Appropriation (Enter General Fund Lapse Below) State Support Special Funds Federal Funds Medicaid Medicare Patient/Client Fees Other Other Special Funds (Specify) Less: Estimated Cash Available Next Fiscal Period TOTAL FUNDS (equals Total Expenditures above) GENERAL FUND LAPSE III: PERSONNEL DATA Number of Positions Authorized in Appropriation Bill Average Annual Vacancy Rate (Percentage) Approved by: Budget Officer: a.) Perm Full b.) Perm Part c.) T-L Full d.) T-L Part a.) Perm Full b.) Perm Part c.) T-L Full d.) T-L Part 4,380,003 18,562,919 78,167,299 81,700,000 81,700,000 11,997 9,821 10,200 4,165 16,162 9,821 10,200 68,727 81,484 81,721 1,358,253 1,482,028 1,484,964 4,595 4,877 4, , , , , , ,197 8,272,308 10,738,677 10,737, , , , ,656 1,175,572 1,145, , , ,656 12,072,305 15,038,288 15,011, , , , , , , , , ,135 4,540,560 4,637,250 4,631, ,309 1,038,910 1,097,225 6,078,744 6,467,231 6,501, , , ,335 87,394 38,000 38, ,351 95,300 84, , , ,736 1,273, , ,634 1,770, , , ,017 17,570,594 14,989,639 15,008, ,269, ,189, ,189,664 4,514,888 9,432,173 11,560,330 70,833,987 70,001,476 62,001,476 3,051,244 3,161,883 3,161,883 38,214,008 38,956,327 36,989,608 3,789,597 4,439, ,239 3,789,597 4,439, ,211 (9,432,173) (11,560,330) 116,269, ,189,664 1,635,703 1,792 1,921 2, James Chastain Official of Board or Commission Submitted by: Amanda Matson Amanda Matson / amanda.matson@msh.state.ms.us Phone Number: (601) ,789,597 4,439, ,211 (3,721,768) 119,189,664 Date : Title : (28) (745) 1,103 (30,225) (26,741) 39 (12,206) (6,847) (5,504) 58,315 33,797 (11,300) 26,120 (40,800) (25,980) 18,545 2,128,157 (8,000,000) (1,966,719) (7,838,562) 99 (99) (1.04) % 3.86% % 2, % % (26) 0.00% 7/31/2017 9:01 AM Director of Revenue (0.01%) (0.01%) 0.47% (2.57%) (0.18%) 0.03% (4.09%) (1.92%) (0.12%) 5.61% 0.52% (11.86%) 8.75% (10.24%) (3.13%) 0.12% 22.56% (11.43%) (5.05%) (67.81%) 5.15% (100.00%)

2 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 1 Name of Agency : Mental Health - Mississippi State Hospital Specify Funding Sources As Shown Below FY 2017 Actual Amount % of Line Item % of Total Budget FY 2018 Estimated Amount % of Line Item % of Total Budget FY 2019 Requested Amount % of Line Item % of Total Budget 1. General 57,612, % 58,534, % 52,534, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 20,555, % 23,165, % 29,165, % 10. Medicare 11. Patient/Client Fees 12. Other Total Salaries 78,167, % 81,700, % 81,700, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 16, , , Total Travel 16, % 9, % 10, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 12,072, ,038, ,823,792 3,789,597 3,398, % 25.24% 22.64% Total Contractual 12,072, % 15,038, % 15,011, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 5,586, , % 8.10% 752,223 3,789,597 1,925, % 58.60% 29.77% 1,041,169 5,459, % 83.98% Total Commodities 6,078, % 6,467, % 6,501, % 2-1

3 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 2 Name of Agency : Mental Health - Mississippi State Hospital Specify Funding Sources As Shown Below FY 2017 Actual Amount % of Line Item % of Total Budget FY 2018 Estimated Amount % of Line Item % of Total Budget FY 2019 Requested Amount % of Line Item % of Total Budget 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 154, , , Total Capital Other Than Equipment 154, % 154, % 154, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 1,558, , % 12.01% 830, , Total Capital Equipment 1,770, % 830, % 804, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 439, Total Vehicles 439, % 1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other Total Wireless Communication Devs. 2-2

4 State of Mississippi Form MBR-1-01 (2015) REQUEST BY FUNDING SOURCE Page 3 Name of Agency : Mental Health - Mississippi State Hospital Specify Funding Sources As Shown Below FY 2017 Actual Amount % of Line Item % of Total Budget FY 2018 Estimated Amount % of Line Item % of Total Budget FY 2019 Requested Amount % of Line Item % of Total Budget 1. General 13,221, % 11,467, % 9,467, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 3,051, % 3,161, % 3,161, % 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 1,146, , % 0.86% 360, % 12. Other 2,379, % Total Subsidies 17,570, % 14,989, % 15,008, % 1. General 70,833, % 70,001, % 62,001, % State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 3,051, % 3,161, % 3,161, % 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. Federal Other Special (Specify) 9. Medicaid 10. Medicare 11. Patient/Client Fees 12. Other 38,214,008 3,789, , , % 3.26% 0.13% 0.20% 38,956,327 3,789,597 3,270,560 9, % 3.18% 2.74% 0.01% 36,989,608 3,789,597 5,243,697 8,003, % 3.18% 4.40% 6.71% TOTAL 116,269, % 119,189, % 119,189, % 2-3

5 State of Mississippi Form MBR-1-02 SPECIAL FUNDS DETAIL Mental Health - Mississippi State Hospital (374-00) Name of Agency S. STATE SUPPORT SPECIAL FUNDS (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2017 FY 2018 FY 2019 Budget Contingency Fund Education Enhancement Fund Health Care Expendable Fund ( ) Tobacco Control Fund Capital Expense Fund Working Cash Stabilization Reserve Fund STATE SUPPORT SPECIAL FUND LAPSE BCF - Budget Contingency EEF - Education Enhancement Fund HCEF - Health Care Expendable Fund 3,051,244 3,161,883 3,161,883 TCF - Tobacco Control Fund CEF - Capital Expense Fund WCSRF - Working Cash Stabilization Reserve Fund State Support Special Fund TOTAL 3,051,244 3,161,883 3,161,883 A. FEDERAL FUNDS * Percentage Match Requirement (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2018 FY 2019 FY 2017 FY 2018 FY 2019 Cash Balance-Unencumbered Federal Fund TOTAL B. OTHER SPECIAL FUNDS (NON-FED'L) (1) Actual Revenues (2) Estimated Revenues (3) Requested Revenues Source (Fund Number) Detailed Description of Source FY 2017 FY 2018 FY 2019 Cash Balance-Unencumbered 4,514,888 9,432,173 11,560,330 Meal Ticket Sales ( ) Sales 10,972 10,972 Medicaid ( ) Division of Medicaid 29,597,303 33,456,327 31,489,608 Medicaid DSH/UPL ( ) Division of Medicaid 8,038,156 5,000,000 5,000,000 Medicaid EHR ( ) Medicaid HCBW ( ) Division of Medicaid Division of Medicaid Medicaid Other ( ) Division of Medicaid 578, , ,000 Medicare ( ) Medicare 3,789,597 3,789,597 3,789,597 Medicare EHR ( ) Medicare Other ( ) Other 832, , ,549 Other Grant Funds ( ) Other 25,690 25,690 25,690 Patient/Client Fees ( ) Fees From Patients/Clients 4,439,327 4,439,327 4,439,327 Other Special Fund TOTAL 51,816,059 57,586,635 57,748,073 SECTIONS S + A + B TOTAL 54,867,303 60,748,518 60,909,956 C. TREASURY FUND/BANK ACCOUNTS * (1) Reconciled Balance Fund/Account Balance Balance Name of Fund/Account Number Name of Bank (If Applicable) as of 6/30/17 as of 6/30/18 as of 6/30/19 *MS State Hospital Employee Dormitory Deposit BankPlus 10,445 10,500 10,500 *MS State Hospital Cafeteria Plan BankPlus 54,272 54,000 54,000 'MS State Hospital Patient Trust Fund BankPlus 462, , ,500 'MS State Hospital JNH Resident Trust Fund BankPlus 244, , ,000 (2) (3) 3-1

6 State of Mississippi Form MBR-1-02 SPECIAL FUNDS DETAIL Mental Health - Mississippi State Hospital (374-00) Name of Agency C. TREASURY FUND/BANK ACCOUNTS * (1) Reconciled Balance Fund/Account Balance Balance Name of Fund/Account Number Name of Bank (If Applicable) as of 6/30/17 as of 6/30/18 as of 6/30/19 +MS State Hospital Contingent Fund BankPlus 2,744,048 2,750,000 2,750,000 MS State Hospital Petty Cash BankPlus 1,553 1,500 1,500 +MS State Hospital Utilities Account BankPlus 24,466 25,000 25,000 +MS State Hospital Social Security Clearing Account Specialized Treatment Facility Cash Collection *Specialized Treatment Facility Cafeteria Plan 'Specialized Treatment Facility Client Fund 'Friends of The Specialized Treatment Facility BankPlus Hancock Bank 1,056 1,056 1, Hancock Bank 8,281 8,281 8, Hancock Bank 3,466 3,466 3, Hancock Bank (2) (3) * Any non-federal funds that have restricted uses must be identified and narrative of restrictions attached. 3-2

7 NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS Mental Health - Mississippi State Hospital (374-00) Name of Agency STATE SUPPORT SPECIAL FUNDS 1. Health Care Expendable Funds are used by MSH for the care and treatment of patients and are accounted for in a separate treasury fund (# ). FEDERAL FUNDS Mississippi State Hospital receives no federal funds. OTHER SPECIAL FUNDS 1. Meal ticket sales consist of revenue generated from employees purchasing meals from Specialized Treatment Facility. 2. Medicaid receipts consist of the standard Medicaid payments received for patient care activities by Jaquith Nursing Home, Whitfield Medical Surgical Hospital, Oak Circle Center (Child and Adolescent Acute Psychiatric) and Specialized Treatment Facility (for FY 2018 and FY 2019). The amount of Medicaid receipts from the nursing home is primarily dependent on the level of Medicaid allowable costs as confirmed by the nursing home's annual Medicaid Cost Report and the number of residents who are certified to receive Medicaid assistance; Specialized Treatment Facility is reimbursed along. The level of Medicaid revenues for the service units of Mississippi State Hospital is determined by the individual patient's needs and their Medicaid status. 2. Medicaid Disproportionate Share (DSH)/Upper Payment Limit (UPL) is revenue derived from a payment system which compensates hospitals who provide care to a "disproportionate share" of indigent patients. Closely associated with DSH is a second payment called "Upper Payment Limit" which compensates hospitals for treating a large share of Medicaid and indigent patients at rates that are less than those paid by Medicare. 3. Medicare Receipts are collections from applicable services that are covered by Medicare. The Whitfield Medical Surgical Hospital and Inpatient Services Male and Female receiving units are all certified to participate in Medicare. 4. Other funds in this section include patient fees from benefit payments, grants from the Department of Mental Health Central Office, and educational grant funds. TREASURY FUND / BANK ` Custodial/Trust funds for patients/residents; restrictive use + Used as a clearing account; restrictive use * Employee funds; restrictive use 4-1

8 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED TOTAL REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency SUMMARY OF ALL PROGRAMS Program FY 2017 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 57,612,203 20,555,096 78,167,299 Travel 16,162 16,162 Contractual Services 12,072,305 12,072,305 Commodities 6,078,744 6,078,744 Other Than Equipment 154, ,335 Equipment 1,770,661 1,770,661 Vehicles 439, ,017 Wireless Communication Devices Subsidies, Loans & Grants 13,221,784 3,051,244 1,297,566 17,570,594 Total 70,833,987 3,051,244 42,383, ,269,117 No. of Positions (FTE) 1, , FY 2018 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 58,534,184 23,165,816 81,700,000 Travel 9,821 9,821 Contractual Services 15,038,288 15,038,288 Commodities 6,467,231 6,467,231 Other Than Equipment 154, ,335 Equipment 830, ,350 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 11,467,292 3,161, ,464 14,989,639 Total 70,001,476 3,161,883 46,026, ,189,664 No. of Positions (FTE) 1, , FY 2019 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe (6,000,000) 6,000,000 Travel Contractual Services (26,741) (26,741) Commodities 33,797 33,797 Other Than Equipment Equipment (25,980) (25,980) Vehicles Wireless Communication Devices Subsidies, Loans & Grants (2,000,000) 2,018,545 18,545 Total (8,000,000) 8,000,000 No. of Positions (FTE) Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 5-1

9 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED TOTAL REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency SUMMARY OF ALL PROGRAMS Program FY 2019 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2019 New Activities (*) Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2019 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 52,534,184 29,165,816 81,700,000 Travel 10,200 10,200 Contractual Services 15,011,547 15,011,547 Commodities 6,501,028 6,501,028 Other Than Equipment 154, ,335 Equipment 804, ,370 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 9,467,292 3,161,883 2,379,009 15,008,184 Total 62,001,476 3,161,883 54,026, ,189,664 No. of Positions (FTE) 1, , Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 5-2

10 SUMMARY OF PROGRAMS FORM MBR-1-03sum Mental Health - Mississippi State Hospital (374-00) Name of Agency FUNDING REQUESTED FISCAL YEAR 2019 PROGRAM GENERAL ST. SUPP. SPECIAL FEDERAL OTHER SPECIAL TOTAL 1. Mi - Institutional Care 57,322,509 2,163,693 46,240, ,726, Mi - Pre/Post Inst Care 3. Mi - Support Services 2,924,438 1,886,455 4,810, Specialized Treatment Facility 1,754, ,190 5,899,765 8,652,484 Summary of All Programs 62,001,476 3,161,883 54,026, ,189,

11 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 1 of 4 Mental Health - Mississippi State Hospital (374-00) Mi - Institutional Care Name of Agency Program FY 2017 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 54,743,995 19,599,790 74,343,785 Travel 8,188 8,188 Contractual Services 11,712,860 11,712,860 Commodities 6,028,449 6,028,449 Other Than Equipment 154, ,335 Equipment 1,524,392 1,524,392 Vehicles 439, ,017 Wireless Communication Devices Subsidies, Loans & Grants 13,221,784 3,051,244 1,297,566 17,570,594 Total 67,965,779 3,051,244 40,764, ,781,620 No. of Positions (FTE) 1, , FY 2018 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 53,855,217 17,951,739 71,806,956 Travel 3,040 3,040 Contractual Services 13,446,467 13,446,467 Commodities 5,982,068 5,982,068 Other Than Equipment 154, ,335 Equipment 702, ,436 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 11,467,292 2,163,693 13,630,985 Total 65,322,509 2,163,693 38,240, ,726,287 No. of Positions (FTE) 1, , FY 2019 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe (6,000,000) 6,000,000 Travel Contractual Services Commodities Other Than Equipment Equipment 26,120 26,120 Vehicles Wireless Communication Devices Subsidies, Loans & Grants (2,000,000) 1,973,880 (26,120) Total (8,000,000) 8,000,000 No. of Positions (FTE) Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-1

12 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 1 of 4 Mental Health - Mississippi State Hospital (374-00) Mi - Institutional Care Name of Agency Program FY 2019 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2019 New Activities (*) Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2019 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 47,855,217 23,951,739 71,806,956 Travel 3,040 3,040 Contractual Services 13,446,467 13,446,467 Commodities 5,982,068 5,982,068 Other Than Equipment 154, ,335 Equipment 728, ,556 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 9,467,292 2,163,693 1,973,880 13,604,865 Total 57,322,509 2,163,693 46,240, ,726,287 No. of Positions (FTE) 1, , Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-2

13 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 2 of 4 Mental Health - Mississippi State Hospital (374-00) Mi - Pre/Post Inst Care Name of Agency Program FY 2017 Actual Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total FY 2018 Estimated Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total FY 2019 Increase/Decrease for Continuation Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-3

14 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Program 2 of 4 Mental Health - Mississippi State Hospital (374-00) Mi - Pre/Post Inst Care Name of Agency Program FY 2019 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2019 New Activities (*) Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2019 Total Request Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-4

15 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency Program 3 of 4 Mi - Support Services Program FY 2017 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 2,868, ,306 3,823,514 Travel 7,974 7,974 Contractual Services 359, ,445 Commodities 50,295 50,295 Other Than Equipment Equipment 246, ,269 Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 2,868,208 1,619,289 4,487,497 No. of Positions (FTE) FY 2018 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 2,924,438 1,095,203 4,019,641 Travel 4,543 4,543 Contractual Services 626, ,224 Commodities 84,671 84,671 Other Than Equipment Equipment 75,814 75,814 Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 2,924,438 1,886,455 4,810,893 No. of Positions (FTE) FY 2019 Increase/Decrease for Continuation Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-5

16 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency Program 3 of 4 Mi - Support Services Program FY 2019 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2019 New Activities (*) Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2019 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 2,924,438 1,095,203 4,019,641 Travel 4,543 4,543 Contractual Services 626, ,224 Commodities 84,671 84,671 Other Than Equipment Equipment 75,814 75,814 Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 2,924,438 1,886,455 4,810,893 No. of Positions (FTE) Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-6

17 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency Program 4 of 4 Specialized Treatment Facility Program FY 2017 Actual Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total FY 2018 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 1,754,529 4,118,874 5,873,403 Travel 2,238 2,238 Contractual Services 965, ,597 Commodities 400, ,492 Other Than Equipment Equipment 52,100 52,100 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 998, ,464 1,358,654 Total 1,754, ,190 5,899,765 8,652,484 No. of Positions (FTE) FY 2019 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services (26,741) (26,741) Commodities 33,797 33,797 Other Than Equipment Equipment (52,100) (52,100) Vehicles Wireless Communication Devices Subsidies, Loans & Grants 44,665 44,665 Total No. of Positions (FTE) Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-7

18 State of Mississippi Form MBR-1-03 CONTINUATION AND EXPANDED REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency Program 4 of 4 Specialized Treatment Facility Program FY 2019 Expansion/Reduction of Existing Activities Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total FY 2019 New Activities (*) Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total FY 2019 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 1,754,529 4,118,874 5,873,403 Travel 2,617 2,617 Contractual Services 938, ,856 Commodities 434, ,289 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants 998, ,129 1,403,319 Total 1,754, ,190 5,899,765 8,652,484 No. of Positions (FTE) Note: FY2019 Total Request = FY2018 Estimated + FY2019 Incr(Decr) for Continuation + FY2019 Expansion/Reduction of Existing Activities + FY2019 New Activities. 7-8

19 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - Mississippi State Hospital Name of Agency A B C D E F G FY 2018 Escalations By Non-Recurring Reduction of Increase in Total Funding FY 2019 Total EXPENDITURES Appropriated DFA Items General Fund Special Fund Change Request SALARIES 71,806,956 Spending (6,000,000) Autho Spending 6,000,000 Autho 71,806,956 GENERAL 53,855,217 (6,000,000) (6,000,000) 47,855,217 ST. SUP. SPECIAL FEDERAL OTHER 17,951,739 6,000,000 6,000,000 23,951,739 TRAVEL 3,040 3,040 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 3,040 3,040 CONTRACTUAL 13,446,467 13,446,467 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 13,446,467 13,446,467 COMMODITIES 5,982,068 5,982,068 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 5,982,068 5,982,068 CAPTITAL-OTE 154, ,335 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 154, ,335 EQUIPMENT 702,436 26,120 26, ,556 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 702,436 26,120 26, ,556 VEHICLES GENERAL ST. SUP. SPECIAL FEDERAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES 13,630,985 (26,120) (2,000,000) 2,000,000 (26,120) 13,604,865 GENERAL 11,467,292 (2,000,000) (2,000,000) 9,467,292 ST. SUP. SPECIAL 2,163,693 2,163,693 FEDERAL OTHER (26,120) 2,000,000 1,973,880 1,973,880 TOTAL 105,726,287 (8,000,000) 8,000, ,726,287 FUNDING GENERAL FUNDS 65,322,509 (8,000,000) (8,000,000) 57,322,509 ST. SUP.SPCL FUNDS 2,163,693 2,163,693 FEDERAL FUNDS OTHER SP. FUNDS 38,240,085 8,000,000 8,000,000 46,240,085 TOTAL 105,726,287 (8,000,000) 8,000, ,726,287 POSITIONS GENERAL FTE 1, , ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE TOTAL 1, , Mi - Institutional Care Program Name PRIORITY LEVEL :

20 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - Mississippi State Hospital Name of Agency EXPENDITURES SALARIES GENERAL ST. SUP. SPECIAL FEDERAL OTHER TRAVEL GENERAL ST. SUP.SPECIAL FEDERAL OTHER CONTRACTUAL GENERAL ST. SUP. SPECIAL FEDERAL OTHER COMMODITIES GENERAL ST. SUP. SPECIAL FEDERAL OTHER CAPTITAL-OTE GENERAL ST. SUP. SPECIAL FEDERAL OTHER EQUIPMENT GENERAL ST. SUP. SPECIAL FEDERAL OTHER VEHICLES GENERAL ST. SUP. SPECIAL FEDERAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES GENERAL ST. SUP. SPECIAL FEDERAL OTHER TOTAL A B C D E FY 2018 Appropriated Escalations By DFA Non-Recurring Items Total Funding Change FY 2019 Total Request 2 - Mi - Pre/Post Inst Care Program Name FUNDING GENERAL FUNDS ST. SUP.SPCL FUNDS FEDERAL FUNDS OTHER SP. FUNDS TOTAL POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE TOTAL PRIORITY LEVEL : 8-2

21 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - Mississippi State Hospital Name of Agency A B C D E EXPENDITURES FY 2018 Appropriated Escalations By DFA Non-Recurring Items Total Funding Change FY 2019 Total Request SALARIES 4,019,641 4,019,641 GENERAL 2,924,438 2,924,438 ST. SUP. SPECIAL FEDERAL OTHER 1,095,203 1,095,203 TRAVEL 4,543 4,543 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 4,543 4,543 CONTRACTUAL 626, ,224 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 626, ,224 COMMODITIES 84,671 84,671 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 84,671 84,671 CAPTITAL-OTE GENERAL ST. SUP. SPECIAL FEDERAL OTHER EQUIPMENT 75,814 75,814 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 75,814 75,814 VEHICLES GENERAL ST. SUP. SPECIAL FEDERAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES GENERAL ST. SUP. SPECIAL FEDERAL OTHER TOTAL 4,810,893 4,810, Mi - Support Services Program Name FUNDING GENERAL FUNDS 2,924,438 2,924,438 ST. SUP.SPCL FUNDS FEDERAL FUNDS OTHER SP. FUNDS 1,886,455 1,886,455 TOTAL 4,810,893 4,810,893 POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE TOTAL PRIORITY LEVEL : 8-3

22 State of Mississippi Form MBR-1-03A PROGRAM DECISION UNITS Mental Health - Mississippi State Hospital Name of Agency A B C D E EXPENDITURES FY 2018 Appropriated Escalations By DFA Non-Recurring Items Total Funding Change FY 2019 Total Request SALARIES 5,873,403 5,873,403 GENERAL 1,754,529 1,754,529 ST. SUP. SPECIAL FEDERAL OTHER 4,118,874 4,118,874 TRAVEL 2, ,617 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 2, ,617 CONTRACTUAL 965,597 (26,741) (26,741) 938,856 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 965,597 (26,741) (26,741) 938,856 COMMODITIES 400,492 33,797 33, ,289 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 400,492 33,797 33, ,289 CAPTITAL-OTE GENERAL ST. SUP. SPECIAL FEDERAL OTHER EQUIPMENT 52,100 (52,100) (52,100) GENERAL ST. SUP. SPECIAL FEDERAL OTHER 52,100 (52,100) (52,100) VEHICLES GENERAL ST. SUP. SPECIAL FEDERAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES 1,358,654 44,665 44,665 1,403,319 GENERAL ST. SUP. SPECIAL 998, ,190 FEDERAL OTHER 360,464 44,665 44, ,129 TOTAL 8,652,484 8,652, Specialized Treatment Facility Program Name FUNDING GENERAL FUNDS 1,754,529 1,754,529 ST. SUP.SPCL FUNDS 998, ,190 FEDERAL FUNDS OTHER SP. FUNDS 5,899,765 5,899,765 TOTAL 8,652,484 8,652,484 POSITIONS GENERAL FTE ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE TOTAL PRIORITY LEVEL : 8-4

23 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - Mississippi State Hospital Name of Agency 1 - Mi - Institutional Care Program Name I. Program Description: The Institutional Care Program provides a comprehensive range of inpatient psychiatric services designed to serve the needs of individuals between the ages of 4 and 12 (children), individuals between 12 years and 17 years and 11 months (adolescents), and individuals 18 years of age or older (adults), who reside in any of the ten community mental health regions assigned to Mississippi State Hospital's catchment area. Mississippi State Hospital operates a chemical dependency unit for female adults and is the statewide service facility for forensic services. In addition, the hospital operates acute and continued care psychiatric units, a medical surgical hospital, a certified nursing facility, and an acute child/adolescent psychiatric unit designed to provide diagnostic evaluation and short-term treatment for children and adolescents with impaired emotional, social, psychological and academic functioning. Many units at Mississippi State Hospital also serve as training facilities for professionals interested in the provision of services to the mentally ill. Patients admitted to Mississippi State Hospital's Institutional Care Program may receive the following services: medical evaluation and treatment, psychiatric evaluation and treatment, psychological evaluation and treatment, social services, dietary, educational, recreational, physical therapy, music therapy, job training, vocational rehabilitation, occupational therapy, residential living, and pastoral care. Mississippi State Hospital is licensed by the State Department of Health and is fully accredited by the Joint Commission and certified by the Centers for Medicare and Medicaid Services. It is important to note that Specialized Treatment Facility merged with Mississippi State Hospital as of July 1, II. Program Objective: The objective of the Institutional Care Program is to operate a health care complex that provides a comprehensive range of high quality services to meet the needs of individuals with serious mental illnesses or individuals who require nursing home care and which meets the standards set by regulatory, licensing, and accrediting agencies or organizations. In recent years, there has also been extensive work toward serving patients in less restrictive settings than MSH. In accomplishing this objective, it has resulted in the hospital's population being the more difficult (behaviorally and medically) patients for which to care and serve. III. Current program activities as supported by the funding in Columns 6-15 (FY 2018 & FY 2019Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A: (C) Non-Recurring: Decrease in subsidies accounts for a planned decrease in bed tax expenditures due a decrease in JNH patient census. Increase in equipment accounts for changes in payment schedule for master lease. (D) Reduction of General Fund Spending Authority : MSH is seeking a reduction of $8,000,000 in General Fund Spending Authority. These general fund dollars will be transferred to the Department of Mental Health's Service Budget to increase funding for the provision of community based mental health services. (E) Increase in Special Fund Spending Authority: MSH is seeking a reduction of $8,000,000 in General Fund Spending Authority. These general fund dollars will be transferred to the Department of Mental Health's Service Budget to increase funding for the provision of community based mental health services. 9-1

24 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - Mississippi State Hospital Name of Agency 2 - Mi - Pre/Post Inst Care Program Name I. Program Description: This program, as of June 30, 2014, has been discontinued. Clients served were transitioned and enrolled in programs in other community based mental health providers. II. Program Objective: This program, as of June 30, 2014, has been discontinued. Clients served were transitioned and enrolled in programs in other community based mental health providers. 9-2

25 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - Mississippi State Hospital Name of Agency 3 - Mi - Support Services Program Name I. Program Description: Support Services includes those individuals and activities which provide the staffing, public relations, logistics, finances, and administrative coordination vital for the operations of Mississippi State Hospital. This program coordinates Mississippi State Hospital's efforts to meet the objectives of the Department of Mental Health and to report to administrative agencies (DFA, SPB, etc.) within state government. Although Program Three is the only program which does not provide direct patient treatment, its operations in support of the Institutional Care Program is vital to patient care because it is the enabling agent for the patient treatment programs. It is important to note that MSH redefined support services for FY 2017 forward to be more in line with the industry standard. As a result of this, departments that were not considered support services in the past were considered support services for FY 2017; therefore, support costs as a percent of total services increased over previous fiscal years. It is important to note that Specialized Treatment Facility merged with Mississippi State Hospital as of July 1, II. Program Objective: It is the objective of the Support Services program to provide support services necessary to direct and operate a comprehensive range of high quality services (1) to meet the needs of individuals with mental illness, individuals who require nursing home care, and individuals who need a continuum of community services care before and after institutional placement, and (2) to meet the standards set by regulatory, licensing, and accreditation agencies and organizations and to plan, coordinate, and support the facility's efforts to service the mental health needs of the people of Mississippi. 9-3

26 Form MBR-1-03NA PROGRAM NARRATIVE Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 (To Accompany Form MBR-1-03) Mental Health - Mississippi State Hospital Name of Agency 4 - Specialized Treatment Facility Program Name I. Program Description: The Specialized Treatment Facility (STF) MI-Institutional Care Program provides psychiatric residential treatment services for up to 48 adolescent Mississippians who are diagnosed with a mental disorder and present a need for residential care. Adolescents are referred for treatment who meet involuntary commitment criteria. The STF program is operated as a medical model and may serve adolescent offenders with mental illness. STF offers priority admissions to those adolescents who have some involvement in the judicial system. The STF maintains licensure and accreditation as a Psychiatric Residential Treatment Facility for adolescents whom reside within the 82 counties of Mississippi. The STF is licensed as a Psychiatric Residential Treatment Facility by the Mississippi Department of Health and the Mississippi Division of Medicaid, accredited as a Behavioral Healthcare Facility by the Joint Commission, and accredited as a Non-Public School by the Mississippi Department of Education. Medical (medication, physical, dental, speech) treatment is provided by a full-time psychiatric nurse practitioner, part-time contracted child adolescent psychiatrist, a contracted back-up child adolescent psychiatrist, two contracted 24- hour on-call family practitioner physicians, full-time registered nurses, a community based dentist, as well as contracted speech therapist, pharmacy, and licensed dietician. Mental health treatment is provided through evidence based and best-practice treatment. Service models include: 1)The Mandt System, 2) Trauma Focused-Cognitive Behavior Therapy (TF-CBT), 3) Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), and 4) The Integrated Dual Disorder Treatment (IDDT)(alcohol and drug treatment and prevention). Educational services are provided on-site by the STF operated accredited school for middle school, high school, GED, and college students. It is important to note that Specialized Treatment Facility merged with Mississippi State Hospital as of July 1, II. Program Objective: The STF MI-Institutional Care Program objective is to provide psychiatric residential treatment to adolescents who are experiencing behavioral problems in their homes, schools, and communities. Most often times, the root cause of these behavioral problems is due to the need for mental health treatment. The Institutional Care Program carries out objectives through departments of Dietary, Education, Recreation, Nursing, Residential Living, Information Systems, Housekeeping, Security, Resource Management, Psychology and Social Services. 9-4

27 Form MBR-1-03QPD Elements of Quality Program Design For the Evaluation of Requests to Fund New Programs or New Activity in an Existing Program (To Accompany Form MBR-1-03A) 10-1

28 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 1 - Mi - Institutional Care PROGRAM NAME PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.) FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Average Length of Stay - Acute Medical Psychiatric (Days) Average Length of Stay - Acute Psychiatric Average Length of Stay - Chemical Dependency (Days) Average Length of Stay - Child/Adolescent (Days) Average Length of Stay - Continued Treatment (Days) 2, , , , Average Length of Stay - Forensics (Days) Average Length of Stay - Jaquith Nursing Home (Days) 1, , , , Average Length of Stay - MSH Medical Surgical Hospital (Days) Individuals Discharged to Community Program (Number of) Individuals Discharged to Court (Number of) Individuals Discharged to Group Home (Number of) Individuals Discharged to Halfway House (Number of) Individuals Discharged to Homeless of Homeless Shelter (Number of) Individuals Discharged to Institutional (Number of) Individuals Discharged to Nursing Home (Number of) Individuals Discharged to Other (Number of) Individuals Discharged to Personal Care Home (Number of) Individuals Discharged to Private Residence or Other Residential (Number of) 1, Individuals Readmitted between 0-59 days after Discharge (Percent of) Individuals Readmitted between days after Discharge (Percent of) Individuals Readmitted between days after Discharge (Percent of) Individuals Readmitted between days after Discharge (Percent of) Individuals Served (Number of) 1, , , , More than 50% of all unique patients age 2 years or older seen by an EP during the reporting period have height, weight and blood pressure recorded as structured data 25 More than 50% or more of all unique patients seen by EP have demographics recorded as structured data Occupancy - Chemical Dependency (Percent of) Occupancy - Children/Adolescents (Percent of) Occupancy - Continued Treatment (Percent of) Occupancy - Forensics (Percent of) Occupancy - MSH Medical Surgical Hospital Occupancy - Nursing Homes (Percent of) Occupancy Acute Psychiatric Care (Percent of) Report on 30% or more of all unique patients with at least one medication seen by an EP and have at least one medication order entered through CPOE 34 Report on 40% or more of all permissible prescriptions written by an EP during the reporting period are transmitted electronically using Certified EHR Technology Number served by Continued Treatment

29 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 1 - Mi - Institutional Care PROGRAM NAME 36 Number served by Child/Adolescent Psychiatric Number served by Chemical Dependency Number served by Whitfield Medical Surgical Hospital Number served by Forensics Number served by Jaquith Nursing Home Number served by Acute Psychiatric 1, , , , Number served by Acute Medical Psychiatric Male Receiving Percentage of individuals readmitted between 0-59 days after discharge 44 Female Receiving Percentage of individuals readmitted between 0-59 days after discharge 45 Child/Adolescent Percentage of individuals readmitted between 0-59 days after discharge 46 Medical Psychiatric Percentage of individuals readmitted between 0-59 days after discharge 47 Male Receiving Percentage of individuals readmitted between days after discharge 48 Female Receiving Percentage of individuals readmitted between days after discharge 49 Child/Adolescent Percentage of individuals readmitted between days after discharge 50 Medical Psychiatric Percentage of individuals readmitted between days after discharge 51 Male Receiving Percentage of individuals readmitted between days after discharge 52 Female Receiving Percentage of individuals readmitted between days after 53 Child/Adolescent Percentage of individuals readmitted between days after discharge 54 Medical Psychiatric Percentage of individuals readmitted between days after discharge 55 Male Receiving Percentage of individuals readmitted days after discharge 56 Female Receiving Percentage of individuals readmitted days after discharge 57 Child/Adolescent Percentage of individuals readmitted days after discharge 58 Medical Psychiatric Percentage of individuals readmitted days after discharge Average length of stay Total All Services PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.) FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Cost per Person per Day - Jaquith Nursing Home Cost per Person per Day - Chemical Dependency Cost per Person per Day - MSH (Total all Services)

30 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 1 - Mi - Institutional Care PROGRAM NAME 4 Cost per Person per Day - Acute Psychiatric Cost per Person per Day - Forensics Cost per Person per Day - Continued Treatment Cost per Person per Day - Acute Medical Psychiatric Cost per Person per Day - Child Adolescent PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period. 1 Implement the Electronic Health Records System to Meet Current Meaningful Use Requirements FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED Cost to implement Electronic Health Records system 453, , , , Maintain a 90 percent occupancy percentage of inpatient beds by service of civilly committed individuals 4 Create an annual report analyzing occupancy percentage at each program by service

31 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 3 - Mi - Support Services PROGRAM NAME PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.) FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Overtime as a percentage of total Salaries/Fringe Budget Fiscal/property audits completed during the fiscal year (number of) Vacancies (Percentage of) Licensure and Certification Audits/Reviews (Number of) Staff Hired (Number of) Critical Shortage Position Employees Separated during the Period (Number of) Staff Separated from Employment (Number of) Critical Shortage Position Employees at the end of the Period (Number of) 1, , , , Critical Shortage Position Employees at the beginning of the Period (Number of) 1, , , , Surveys Completed (Number of) Identified Areas of Improvement (Number of) PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.) FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Support Costs as a % of Total Services Percentage Rate of Employee Turnover Critical Shortage Position Annual Employee Turnover Rate Programs in Compliance with Regulatory Requirements (Percentage of) Cost to implement identified improvements PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period. FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Total Staff Turnover Rate Compliance with licensure and certification by Division of Medicaid, Department of Mental Health, CMS, Joint Commission, and MS Department of Education Staff Recruited through SPB (Number of) Operating cost per bed day

32 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 4 - Specialized Treatment Facility PROGRAM NAME PROGRAM OUTPUTS: (This is the measure of the process necessary to carry on the goals and objectives of this program. This is the volume produced, i.e., how many people served, how many documents generated.) 1 Number of individuals served (at DMH's inpatient behavioral health programs) 2 Report on 30% or more of all unique patients with at least one medication seen by an EP and have at least one medication order entered through CPOE 3 Report on 40% or more of all permissible prescriptions written by an EP during the reporting period are transmitted electronically using Certified EHR Technology 4 More than 50% or more of all unique patients seen by EP have demographics recorded as structured data 5 More than 50% of all unique patients age 2 years or older seen by an EP during the reporting period have height, weight and blood pressure recorded as structured data FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED Number of youth referred to MYPAC aftercare Number of youth referred to a local Community Mental Health Center aftercare 8 Number of youth referred to a supportive aftercare provider other than MYPAC or a local Community Mental Health Center Number of youth actually transitioned to MYPAC aftercare Number of youth actually transitioned to a local Community Mental Health Center aftercare 11 Number of youth who attended the Initial Intake with the referred local Community Mental Health Center aftercare provider 12 Number of youth who attended the first appointment after the Initial Intake with the referred local Community Mental Health Center aftercare provider Youth successful after 7 days of transition to the community Youth successful after 30 days of transition to the community Number of referrals on waiting list Number of referrals reviewed Number of referrals approved Number of referrals denied

33 Form MBR-1-03PI PROGRAM PERFORMANCE INDICATORS AND MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994 Mental Health - Mississippi State Hospital (374-00) Name of Agency 4 - Specialized Treatment Facility PROGRAM NAME PROGRAM EFFICIENCIES: (This is the measure of the cost, unit cost or productivity associated with a given outcome or output. This measure indicates linkage between services and funding, i.e., cost per investigation, cost per student or number of days to complete investigation.) FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED 1 Cost to implement Electronic Health Records system , , Cost per patient day PROGRAM OUTCOMES: (This is the measure of the quality or effectiveness of the services provided by this program. This measure provides an assessment of the actual impact or public benefit of your agency's actions. This is the results produced, i.e., increased customer satisfaction by x% within a 12-month period, reduce the number of traffic fatalities due to drunk drivers within a 12-month period. 1 Implement the Electronic Health Records system to meet current Meaningful Use requirements 2 Increase youth successfully transitioned from the Specialized Treatment Facility to communities with supportive wrap-around aftercare 3 Decrease the need for youth to be treated in acute hospitals, detained in detention centers, or not receiving services at all FY 2017 APPRO FY 2017 ACTUAL FY 2018 ESTIMATED FY 2019 PROJECTED

34 Form MBR1-03PC PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATION Mental Health - Mississippi State Hospital (374-00) Total Funds Fiscal Year 2018 Funding Reduced Amount Reduced Funding Amount FY 2018 GF PERCENT REDUCED Program Name: (1) Mi - Institutional Care Narrative Explanation: General 65,322,509 (1,959,675) 63,362,834 (3.00%) State Support Special 2,163,693 2,163,693 Federal Other Special 38,240,085 38,240,085 TOTAL 105,726,287 (1,959,675) 103,766,612 MSH is already seeking a decrease in General Fund spending authority of $8,000,000. If MSH's General Fund appropriation were to be cut by an additional 3%, it would pose a real danger of having to reduce inpatient psychiatric services currently offered at MSH. Program Name: (2) Mi - Pre/Post Inst Care General State Support Special Federal Other Special TOTAL Narrative Explanation: Program Name: (3) Mi - Support Services Narrative Explanation: General 2,924,438 (87,733) 2,836,705 (3.00%) State Support Special Federal Other Special 1,886,455 1,886,455 TOTAL 4,810,893 (87,733) 4,723,160 MSH is already seeking a decrease in General Fund spending authority of $8,000,000. If MSH's General Fund appropriation were to be cut by an additional 3%, it would pose a real danger of having to reduce inpatient psychiatric services currently offered at MSH. Program Name: (4) Specialized Treatment Facility Narrative Explanation: General 1,754,529 (52,636) 1,701,893 (3.00%) State Support Special 998, ,190 Federal Other Special 5,899,765 5,899,765 TOTAL 8,652,484 (52,636) 8,599,848 MSH is already seeking a decrease in General Fund spending authority of $8,000,000. If MSH's General Fund appropriation were to be cut by an additional 3%, it would pose a real danger of having to decrease the number of patients served as Specialized Treatment Facility. Program Name: (99) Summary of All Programs General 70,001,476 (2,100,044) 67,901,432 (3.00%) State Support Special 3,161,883 3,161,883 Federal Other Special 46,026,305 46,026,

35 Form MBR1-03PC PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATION Mental Health - Mississippi State Hospital (374-00) Total Funds Fiscal Year 2018 Funding Reduced Amount Reduced Funding Amount FY 2018 GF PERCENT REDUCED TOTAL 119,189,664 (2,100,044) 117,089,

36 State of Mississippi Form MBR-1-04 MISSISSIPPI BOARD OF MENTAL HEALTH MEMBERS Mental Health - Mississippi State Hospital (374-00) Name of Agency A. Explain Rate and manner in which board members are reimbursed: Each board member is entitled to $40.00 per day and all actual and necessary expenses, including mileage, incurred in the discharge of their duties. B. Estimated number of meetings FY 2018: Six (6) regular meetings are planned during FY2018 and FY2019. C. Names of Members City, Town, Residence Appointed By Date of Appointment Length of Term 1. J. Richard Barry, JD Meridian, MS Bryant years 2. Manda Griffin, FNP Houlka, MS Barbour years 3. James Herzog, Ph.D. Jackson, MS Bryant years 4. Stewart Rutledge Oxford, MS Bryant years 5. Robert Landrum Ellisville, MS Bryant years 6. Sampat Shivangi, MD Ridgeland, MS Bryant years 7. John Montgomery, DO Ocean Springs, MS Byrant years 8. Teresa Mosley Clinton, MS Bryant years 9. Vacant years Identify Statutory Authority (Code Section or Executive Order Number)* Mississippi Code Section *If Executive Order, please attach copy. 13-1

37 State of Mississippi Form MBR-1-B SCHEDULE B CONTRACTUAL SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, 2019 A. Tuition, Rewards & Awards (61050xxx-61080xxx) Tuition Expenses 3,414 3,414 3, Employee Training 59,832 65,332 65, Travel Related Registration 5,481 12,738 12,975 Total 68,727 81,484 81,721 B. Transportation & Utilities (61100xxx-61200xxx) Transportation of Goods 24,175 25,675 25, Postal Services 40,225 42,525 42, Utilities 1,293,853 1,413,828 1,416,764 Total 1,358,253 1,482,028 1,484,964 C. Public Information (61300xxx-6131xxxx) Advertising and Public Information 4,595 4,877 4,884 Total 4,595 4,877 4,884 D. Rents (61400xxx-61490xxx) Building and Floor Space Rental 2,500 2, Equipment Rental 519, , , Conference Rooms Exhibits and Display Rentals 1,367 2,567 2,567 Total 520, , ,715 E. Repairs & Service (61500xxx) Repair and Maintenance Services 435, , ,197 Total 435, , ,197 F. Fees, Professional & Other Services (6161xxxx-61699xxx) Inter-agency Fees 1, Contract Worker Payroll - EFT 1,057,416 1,450,968 1,450, Contract Worker Payroll Matching Amounts - EFT 130, , , Contrct Worker PR Refunds of Deductions - SPAHRS Engineering Services 12,555 12,555 12, Accounting and Financial Services 61,537 72,418 72, Investment Managers and Actuary Services 4,940 4,940 4, Legal and Related Services Settlement Payments - Gross Proceeds 9, Medical Services 3,187,594 5,076,846 5,076, Fees and Services - Professional Fees Charged 3,807,936 3,962,975 3,962,

38 State of Mississippi Form MBR-1-B SCHEDULE B CONTRACTUAL SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, Fees and Services - Expense Reimbursements no Total 8,272,308 10,738,677 10,737,932 G. Other Contractual Services (61700xxx-61790xxx, 61900xxx) Insurance Fees and Services 66,840 68,340 68, Banking and Credit Card Fees 3,738 3,738 3, Membership Dues 51,272 57,772 57, Trade and Technical Subscriptions 9,914 10,489 10, Commercial Driver Licenses Patent Fees and Expenses Laundry Dry Cleaning and Towel Service Salvage Demolition and Removal Service 51,605 74,605 75, Environmental Services 3,446 3,446 3, Utility Relocation Highway Right of Way Housing Assistance Transportation of Clients Vocational Teacher Travel Payments Procurement Card - Contractual Purchases ,864 16,219 Total 189, , ,131 H. Information Technology (61800xxx-61890xxx) Data Line and Network Charges - Outside Vendor 19,298 23,418 23, Cellular Usage Time - Outside Vendor Wireless Data Transmission-not cell-outside Vendor 3,094 3,394 3, Satellite Voice Transmission Services - Out Vendor 6,740 7,270 7, IT Professional Fees - Outside Vendor 82, , , IS Training and Education - Outside Vendor 1,222 2,372 1, Outsourced IT Solutions - Outside Vendor 128, , , Software Acq Installation & Maint - Out Vendor 360, , , Maintenance & Repair of IT Equipment-Outside Vend 303, , ,656 Total 905,656 1,175,572 1,145,347 I. Other (61910xxx-61990xxx) Petty Cash Expense - Contractual 3,521 3,621 3, SPAHRS Contract Travel Payments Prior Year Exp - Contract Worker Travel Prior Year Exp - Contract Worker Matching Amts 14-2

39 State of Mississippi Form MBR-1-B SCHEDULE B CONTRACTUAL SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, Prior Year Expense - Contractual 21,513 21,513 21, Prior Year Expense - Contractual , , ,522 Total 317, , ,656 Grand Total (Enter on Line 1-B of Form MBR-1) 12,072,305 15,038,288 15,011,547 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 12,072,305 15,038,288 15,011,547 Total Funds 12,072,305 15,038,288 15,011,

40 State of Mississippi Form MBR-1-C SCHEDULE C COMMODITIES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, 2019 A. Maintenance & Constr. Materials & Supplies (62000xxx, 62015xxx) Commodities - GAAP Building and Construction Materials and Supplies 134, , ,974 Total 134, , ,974 B. Printing & Office Supplies & Materials (62010xxx, 62085xxx, 62100xxx, 62125xxx, 62400xxx) Books, Periodicals, Maps & Instructional Materials 7,830 13,860 14, Office Supplies and Materials 112, , , Printing Supplies 7,925 20,040 20, Furniture and Equipment 136, , ,415 Total 264, , ,948 C. Equipment Repair Parts, Supplies & Acces. (6205xxxx, 62072xxx, 62110xxx, 62115xxx, 62120xxx, 62130xxx) Fuel 96, , , Shop Supplies 3,088 3,183 3, Parts & Access - Heating, Cooling, Plumbing, Elec 142, , , Parts & Access - Office, IT, and Other Equip 53,226 60,991 53, Parts & Access - Vehicles, Buses, Planes, etc 30,203 32,107 32, Tires and Tubes 9,887 11,163 11,193 Total 335, , ,135 D. Professional & Sci. Supplies and Materials (62025xxx, 62030xxx, 62070xxx, 62095xxx, 62105xxx, 6212xxxx) Educational Supplies 13,507 18,725 18, Lab and Medical Supplies 4,522,855 4,614,327 4,608, Photographic Supplies and Processing Promotional Materials 3,994 3,994 3,994 Total 4,540,560 4,637,250 4,631,746 E. Other Supplies & Materials (62005xxx, 62015xxx, 62020xxx, 62035xxx, 62040xxx, 62045xxx, 62060xxx, 62065xxx, 62075xxx-62080xxx, 62090xxx, 62115xxx, 62135xxx, 62140xxx, 62405xxx, 62415xxx, 62500xxx-62999xxx) Ammunition 1,287 1,287 1, Decals and Signs - Other Than Construction 1,727 1,942 1, Feed for Animals Food for Business Meetings 9,137 9,137 9, Food for Persons 1, , , Janitorial and Cleaning Supplies 386, , , Kitchen, Cafeteria, and Dining Supplies 30,421 41,401 41, Lawn, Farm and Garden Supplies 22,701 22,701 22, Other Miscellaneous Supplies 8,912 15,862 16,

41 State of Mississippi Form MBR-1-C SCHEDULE C COMMODITIES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, Linens and Bedding 93,521 56,180 56, Personal Hygiene and Grooming Supplies 29,492 35,902 36, Uniforms and Apparel 29,432 29,721 29, Window Treatments and Carpet 22,025 22,025 22, Vehicle Equipment 4,000 4,000 4, Cameras and Camera Equipment Computers and Computer Equipment 3,748 34,136 60, Televisions 1,000 1, Procurement Card - Commodity Purchases 138, , , Petty Cash Expenses - Commodities Prior Year Expense - Commodities 20,854 20,854 20,854 Total 803,309 1,038,910 1,097,225 Grand Total (Enter on Line 1-C of Form MBR-1) 6,078,744 6,467,231 6,501,028 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 6,078,744 6,467,231 6,501,028 Total Funds 6,078,744 6,467,231 6,501,

42 State of Mississippi Form MBR-1-D-1 SCHEDULE D-1 CAPITAL OUTLAY OTHER THAN EQUIPMENT Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, 2019 B. Buildings & Improvements (63100xxx) Capital Outlay - Building - Direct 154, , ,335 Total 154, , ,335 Grand Total (Enter on Line 1-D-1 of Form MBR-1) Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 154, , ,335 Total Funds 154, , ,

43 State of Mississippi Form MBR-1-D-2 SCHEDULE D-2 CAPITAL OUTLAY EQUIPMENT Mental Health - Mississippi State Hospital (374-00) Name of Agency Act. FY Ending June 30, 2017 Est. FY Ending June 30, 2018 Req. FY Ending June 30, 2019 EQUIPMENT BY ITEM No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost C. Office Machines, Furniture, Fixtures, Equip. (63200xxx) Document Shredder 42 82, , ,000 Digital Postage System 1 4,405 Total 87,394 38,000 38,000 D. IS Equipment (DP & Telecommunications) (63200xxx) Computer 80 73, , ,000 DVR 1 5, ,000 Computer Monitor 16 11,362 Computer Server 3 21, , ,000 Ethernet Switch 3 8,100 Fingerprint Machine 1 14,029 Fire Alarm Control Panel 2 3,830 HP Switches 2 26, , ,000 Infrared Camera 2 2,700 Digital Video Recorder 1 1,945 LED Outdoor Camera 6 1,650 Security Camera 1 15, ,800 Smart-Up Switch 2 7,020 Mega Pixel Cameras 1 1,378 2-Way Radios 4 1,500 Communication Radios 10 3,000 APC Power Source 1 3,510 Total 197,351 95,300 84,000 E. Equipment - Lease Purchase (63200xxx) Principal Payments on Capital Leases 1 212, , ,736 Total 212, , ,736 F. Other Equipment (63200xxx) Industrial Scrubber 1 2,808 Boiler 2 75, , ,617 Boiler Tank 1 11, , ,000 Chainsaw Chiller 1 47, , ,

44 State of Mississippi Form MBR-1-D-2 SCHEDULE D-2 CAPITAL OUTLAY EQUIPMENT Mental Health - Mississippi State Hospital (374-00) Name of Agency Act. FY Ending June 30, 2017 Est. FY Ending June 30, 2018 Req. FY Ending June 30, 2019 EQUIPMENT BY ITEM No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost Digital Label Press 1 1,001 Hot Food Unit 3 9,587 Handgun 30 10,710 Hot Food Table 2 5,990 Floor Lift 2 7, , ,500 Hypothermia Blanket 1 12,062 Air Handling Unit 2 83, , ,517 Tractor 2 55,160 Geri Manikin 2 2,700 Forklilft 1 17,237 Modublock Loveseat 6 7,248 Multi-Gas Detector 1 1,542 Carpet Extractor 1 6,563 Floor Scrubber 5 18,122 Nurse Call System 6 256,723 Cardiac Biomarker Analyzer 1 13,000 Portable Air Conditioner 5 9,688 Anesthesia System 1 18,390 Wander Guard System 4 21,579 Burnisher 10 10,900 Steam Table 1 2,366 Storage System 1 99,500 Tables 6 6, , ,000 Air Conditioner 1 12, , ,000 Under Counter Dishwasher 6 32,070 Under Counter Freezer 2 3,980 Kettle Mixer 2 64,747 Bun Pan Rack 3 1,275 Shelving 34 10,240 Can Opener 4 1,560 Toaster Conveyor 1 2,066 Food Pan Carrier 50 6,500 Food Processor 5 8,855 Robot Mixer 1 11,

45 State of Mississippi Form MBR-1-D-2 SCHEDULE D-2 CAPITAL OUTLAY EQUIPMENT Mental Health - Mississippi State Hospital (374-00) Name of Agency Act. FY Ending June 30, 2017 Est. FY Ending June 30, 2018 Req. FY Ending June 30, 2019 EQUIPMENT BY ITEM No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost Cable Locater 1 4,278 Unit Dose Cart 5 17,339 Pot Filler 5 1,465 Range 4 6, ,000 Golf Cart 2 15,969 Mower 1 12,914 Loader 1 8,455 Trane Gas Unit 1 26, , ,000 Hedge Trimmer Dining Tables 21 23,814 Dining Chairs 84 17,438 Rotomolded Chair 8 6, , ,000 Fortigate Security Appliance 2 15,000 Washine Machine 3 45, , ,000 Dryer 1 13, , ,000 Compact Laundry Folder 1 64,800 Entrance and Exit Gate 1 6,531 Crimper 1 2,150 Fire Protection Equipment 2 12,730 Freezer 3 10,500 Refrigerator 3 9,300 Covered Food Cart 1 16,000 Total 1,273, , ,634 Grand Total (Enter on Line 1-D-2 of Form MBR-1) 1,770, , ,370 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 1,770, , ,370 Total Funds 1,770, , ,

46 State of Mississippi Form MBR-1-D-3 SCHEDULE D-3 PASSENGER/WORK VEHICLES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE Vehicle Inventory June 30, 2017 Act. FY Ending June 30, 2017 Est. FY Ending June 30, 2018 Req. FY Ending June 30, 2019 No. of Units Total Cost No. of Units Total Cost No. of Units Total Cost A. Passenger & Work Vehicles (63300xxx) Automobiles and Station Wagons , Light/Medium Duty Trucks , Other Vehicles , Vans ,626 Total (A) ,017 GRAND TOTAL (Enter on Line 1-D-3 of Form MBR-1) 439,017 Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 439,017 Total Funds 439,

47 State of Mississippi Form MBR-1-D-4 SCHEDULE D-4 WIRELESS COMMUNICATION DEVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE Device Inventory June 30, 2017 Act. FY Ending June 30, 2017 Est. FY Ending June 30, 2018 Req. FY Ending June 30, 2019 No. of Devices Actual Cost No. of Devices Estimated Cost No. of Devices Requested Cost Grand Total (Enter on Line 1-D-4 of Form MBR-1) Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds Total Funds 19-1

48 State of Mississippi Form MBR-1-E SCHEDULE E SUBSIDIES, LOANS & GRANTS Mental Health - Mississippi State Hospital (374-00) Name of Agency MINOR OBJECT OF EXPENDITURE (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested for FY Ending June 30, 2019 D. Debt Service & Judgments (67205xxx-67255xxx, 68205xxx-68430xxx, 70040xxx) Interest on Lease Purchases (DO NOT DELETE) 180, , , Other Service Charges 8,833 8,833 8,833 Total 189, , ,814 E. Other (67000xxx-67019xxx, 67021xxx-67199xxx, 67998xxx, 68500xxx-68860xxx, 70045xxx-70080xxx, 80000xxx-80500xxx) Subsidies Loans and Grants - GAAP 8, Medicaid Nursing Facility Assessment 1,192,710 1,000,000 1,000, Medicaid Hospital Assessment 15,746,705 12,023,734 12,011, Transfers Out - GAAP (8,547) Transfers to Other Funds 1,358,654 1,403, Cost Allocation Reimbursements 437, , , Non Budgeted Transfer Out 3,832 Total 17,381,015 14,812,388 14,844,370 Grand Total (Enter on Line 1-E of Form MBR-1) 17,570,594 14,989,639 15,008,184 Funding Summary: General Funds 13,221,784 11,467,292 9,467,292 State Support Special Funds 3,051,244 3,161,883 3,161,883 Federal Funds Other Special Funds 1,297, ,464 2,379,009 Total Funds 17,570,594 14,989,639 15,008,

49 NARRATIVE 2019 BUDGET REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency The United States Department of Justice began a review of the Mississippi Department of Mental Health in May of It is reasonably possible that this review may result in the implementation of changes to the way the Mississippi Department of Mental Health operates, either as a result of a consent decree or, failing that, legal action. These changes could be costly. It may be a few months, or even a few years, before the review is completed and findings are presented. The funding level requested in this budget submission may be amended as a result of this review if findings are made known before the appropriations process for the fiscal year ending June 30, 2019, is completed. It is important to note that as of July 1, 2018, Specialized Treatment Facility (formerly agency ) merged with Mississippi State Hospital. As a result of the merger, the two programs will now have one budget. The merged agency will be referred to as Mississippi State Hospital for purposes of these narratives. I. Major Object of Expenditures It is requested that the FY 2019 appropriation be granted with "lump sum" authority, just as the FY 2018 appropriation because this provides the agency a level of flexibility which is invaluable in meeting the challenges of the current economic climate. The Special Fund authority allocated to MSH by the Department of Mental Health in FY 2018 provides adequate authority to meet actual expenditures. However, MSH is asking that special fund authority be increased by $8,000,000 for FY This increase is being requested to allow MSH to decrease General Fund authority requested by $8,000,000. These general fund dollars will be transferred to Department of Mental Health s Service Budget to increase funding for the provision of community based mental health services. A. Personnel Services 1. Salaries, Wages, and Fringe Benefits (base): The amount of $95,882,916 is shown for Salaries, Wages, and Fringe Benefits (BASE) for fiscal year ending June 30, After adjusting for additional compensation of $4,380,003 and deducting the proposed vacancy rate (in dollars) of $18,562,919, the net total requested is $81,700,000 for FY 2019, which represents level funding from FY The adjustment for requested additional compensation of $4,380,003 consists of: Re-classifications: $1,003,182 Educational Benchmarks: $94,300 FLSA Overtime: $3,255,529 Special Compensation: $16,252 Standby Pay: $345 Callback Pay: $10, Travel: Mississippi State Hospital requests a total of $10,200 in travel funds for FY These expenditures will be used for travel related to regulatory and technical trainings where the hospital staff has a need to stay updated. It will also be used for paying mileage in areas where a vehicle purchase would be unjustified. While this does represent a slight increase for estimated spending in FY 2018, it is noted that requested spending is down $5,962 from FY B. Contractual Services - Schedule B: A total of $15,011,547 (representing a $26,741 decrease) is requested, all of which is Other Special Funds spending authority. This decrease is not meant to represent an actual decrease of spending authority; it is meant to reflect a decrease in one major object code to offset increases in other major object codes. The most significant of the categories of Contractual Services is: f. Fees, Professional & Other: $10,737, Medical Services $5,076,

50 NARRATIVE 2019 BUDGET REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency Nursing services for agency contracts are expended from this area and are used because they are more cost effective than using overtime to fill necessary shifts. If the quality of service, or safety, is believed to be compromised by the use of agency, then overtime may be used Fees and Services $3,962,975 Other Fees and Services includes operation of the food services system. More than one million meals are served each year among both locations. h. Information Technology: $1,145, Software Acq, Installation, and Maint Out Vendor $548, Maintenance & Repair of IT Equipment Outside Vend $304,656 In an attempt to stay current with Information Technology objectives, including Electronic Health Record (EHR) mandates, this area remains a priority within contractual expenditures. c. Commodities: A total of $6,501,028 (representing a $33,797 increase) is requested in this category, all of which is Other Special Funds spending authority. The bulk of the Commodities appropriation is utilized in one category, prescription drugs. d. Professional & Scientific Supplies & Equipment: $4,631, Lab & Med Supply $4,608,662 These funds are used primarily for psychotropic drugs which are vital to the accomplishment of the hospital's mission to treat persons with mental illness. Drugs are also utilized in the care of the residents of Jaquith Nursing Home and Specialized Treatment Facility. Over the past several years the expenditures for drugs have been reduced approximately 50%. This has been accomplished mainly with the use of a preferential formulary and generic medications. With the formulary in place, the least costly group of medications is used first, unless there is convincing justification that there should be deviation. The result is a lower overall cost for drugs, with no sacrifice in the quality of service. Also, various medical and professional supplies are purchased with funds allocated to this area. e. Other Supplies & Equipment: $1,097,225 FY 2010 was the first year in which the new threshold of $1,000 per unit was applied to Equipment purchases. This means that most items costing under $1,000 which were formerly classified as equipment will now be purchased as Commodities. Most of these purchases will be classed in the category of Other Supplies & Equipment Janitorial & Clean $420,210 All of these Commodity purchases are essential to provide quality care, direct and support, for the agency's mission. D. Capital Outlay: 1. Other Than Equipment - Schedule D-1 No increase or decrease is being sought in this area. 2. Equipment - Schedule D-2 A total of $479,634 (representing a decrease of $52,100) is requested in this category. Much of the equipment currently in use is badly worn, obsolete, and non-repairable. Many of the replacement items are for direct patient use and are essential to their improvement and programming. 21-2

51 NARRATIVE 2019 BUDGET REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency These funds are necessary to allow for replacements in different categories as follows: c. Office Equipment: $38,000 *As previously mentioned, much of the equipment on campus is badly worn, obsolete, and/or non-repairable. These items represent the following: 1. Document Shredders Due to HIPPA laws and regulations, MSH is obligated to ensure all protected health information remains protected. During FY 2017, it was determined that MSH could provide document shredding at a cheaper fee than outsourcing the service. For this reason, MSH began providing shredders to areas where PHI was being produced and servicing its large shredder for campus wide use. These funds are being requested to purchase new shredders as the need arises and service the campus wide shredder as maintenance comes due. d. Information Systems Equipment: $84,000 *This request is primarily made to purchase or upgrade data processing and telecommunications equipment at Mississippi State Hospital. This equipment is necessary to maintain the current information systems capability of the hospital. The hospital's information system capability is essential for billings to Medicaid, Medicare, and private insurance. This system also provides health records and census information and will be the source of the hospital's Electronic Health Record (EHR). Because of the short useful life and rapid improvement of such equipment, exact replacements are seldom feasible. Included in this request are computer servers which are needed to upgrade and rehabilitate the capabilities of the patient admission, tracking, and billing systems. f. Other Equipment: $357,634 This request is to purchase various pieces of equipment (new and replacement) for hospital operations. D. Subsidies, Loans, Grants - Schedule E: A total of $15,332,920 is requested in this category to fund Medicaid matching, cost allocation payments, and other fees and taxes. The following items are significant and worthy of explanation: Medicaid Hospital Assessment and Transfer Out Other Funds - Disproportionate Share/UPL on OCC & WMSH and Medicaid Match Medicaid Disproportionate Share (DSH) is part of a payment system which compensates hospitals that provide care to a "disproportionate share" of indigent patients. Closely associated with this system is a second payment called "Upper Payment Limit" which compensates hospitals who treat a large share of Medicaid patients and indigent patients at rates that are significantly less than those paid by Medicare. The corresponding revenues from DSH/UPL are shown separately in the Funding Detail (Form MBR 1-02). The bulk of Subsidies is used to pay the required state share of Medicaid Match. Regular Medicaid (as opposed to Disproportionate Share) consists of the standard Medicaid payments received for patient care activities by Jaquith Nursing Home, Whitfield Medical Surgical Hospital, Oak Circle Center and Specialized Treatment Facility. The Medicaid match for these payments is computed based on the applicable federal-state split in effect at the time of payment Medicaid Nursing Facility Assessment - Nursing Home Effective in April 2010, the Medicaid Assessment ("Bed Tax") was applied to the nursing facilities of DMH, including Jaquith Nursing Home. The rate is applied to nursing homes based on total patient days (not just Medicaid patients) as required by Federal Law. Although the Center for Medicare and Medicaid Services will allow MSH to include this tax as an allowable cost in determining the Medicaid rate, the hospital will have to pay the state share of match on any Medicaid revenues received. Therefore, $1,000,000 is requested for this purpose. II. Budget to be Funded as Follows: 21-3

52 NARRATIVE 2019 BUDGET REQUEST Mental Health - Mississippi State Hospital (374-00) Name of Agency A. Cash Balance - Unencumbered: The cash balance unencumbered at the beginning of FY 2018 is estimated to be $9,219,568. B. State Appropriations: Mississippi State Hospital is requesting $62,001,476 in general funds for FY 2019 operations, which represents a decrease of $8,000,000 from FY This decrease will allow the Department of Mental Health to transfer $8,000,000 from MSH s budget to the Service Budget to increase funding for the provision of community based mental health services. It is noted that MSH is requesting an $8,000,000 increase in Special Fund authority to offset this General Fund authority decrease. C. Funds from Other Sources: 1. Federal Funds: Mississippi State Hospital receives no federal funds. 2. State Support Special Funds: Requested is funding of $3,161,883 in this area. 3. Other (Special) Funds: As a result of MSH seeking an $8,000,000 General Fund authority decrease to aid in the funding of mental health programs in the community, MSH is seeking an increase in Special Fund authority of $8,000,000. D. Less: Estimated Cash Available Next Fiscal Period: The cash balance anticipated at the end of FY 2018 is estimated to be $11,347,995. However, MSH does anticipate using a large amount of these funds during FY III. Personnel Data: A. Number of Positions Authorized in Appropriation Bill: The number of positions requested for FY 2019: Full Time- Perm of 1934 and Full Time-TL of 99. Total requested positions equal 2,034. These positions are requested to maintain flexibility in hiring crucial positions such as direct care and nursing. B. Average Annual Vacancy Rate (Percentage): The average annual vacancy rates for FY 2017 were determined according to the budget instructions, using actuals. The vacancy rate for FY 2019 was determined based on the number of anticipated average vacant positions. 21-4

53 OUT-OF-STATE TRAVEL FISCAL YEAR 2019 Mental Health - Mississippi State Hospital (374-00) Name of Agency Note: All expenditures recorded on this form must be totaled and said total must agree with the out-of-state travel amount indicated for FY 2017 on Form Mbr- 1, line 1.A.2.b. Employee's Name Destination Purpose Travel Cost Funding Source ALICIA P HARRIS MEMPHIS TN HEALTHCARE FINANCIAL MANAGEMENT CONFERENCE AMANDA L GUGLIANO ATLANTA GA AMERICAN ACADEMY OF FORENSIC PSYCHOLOGY CHASITY L TORRENCE POINT CLEAR AL MS PSYCHIATRIC ASSOCIATION SPRING MEETING FELICIA D ANDERSON FRANKLIN TN JT COMMISSION SURVEY READINESS CONFERENCE THOMAS V RECORE NASHVILLE TN SOUTHERN STATES PSYCHIATRIC HOSPITAL ASSOCATION CONFERENCE THOMAS V RECORE POINT CLEAR AL MS Psychiatric Asoociation SPRING MEETING Total Out of State Cost , $ 4,

54 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Contract Worker Payroll - EFT ALFORD JESSICA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, AMOS LIZZIETTA/Patient Care Comp. Rate: $10/hour Y 12,014 12,014 12, ANDERSON IDA/Patient Care Comp. Rate: $37/hour 5,088 5,088 5, ANDERSON LARRY/Patient Care Comp. Rate: $20/hour Y 17,155 17,155 17, ANDERSON TEENA/Patient Care Comp. Rate: $10/hour 7,613 7,613 7, ATKINS TARVIN/Dietary Worker Comp. Rate: $12/hour 25,875 25, AUBERT RICHARD/Physician Comp. Rate: $140/hour Y 26,005 26,005 26, AUSTIN TONY/PRN-Direct Care Worker Comp. Rate: $11/hour 14,000 14, BALLANSAW MOLISHA/Patient Care Comp. Rate: $37/hour 5,217 5,217 5, BALLARD BRITTNEE/Patient Care Comp. Rate: $10/hour 3,428 3,428 3, BANES PENCY/Patient Care Comp. Rate: $19/hour 1,135 1,135 1, BANKS DELVECKIO/Patient Care Comp. Rate: $25/hour BELL RUTHIE/Patient Care Comp. Rate: $10/hour Y 9,245 9,245 9, BENSON DENA/Transcriptionist Comp. Rate: $30/hour 8,363 8,363 8, BLAND ASHLEY/Patient Care Comp. Rate: $10/hour 1,768 1,768 1, BLANKS BOBBY/Attorney Comp. Rate: $26.92/hour 52,750 52,750 52, BURSE JEREMY/Patient Care Comp. Rate: $10/hour 1,713 1,713 1, CALDERONE RICHARD/Physician Comp. Rate: $75/hour 7,181 7,181 7, CARPENTER SHELBY/Patient Care Comp. Rate: $10/hour CLARK TAMARA/Patient Care Comp. Rate: $10/hour CLAYTON ARONICA/Patient Care Comp. Rate: $10/hour 1,313 1,313 1, COLE LEE/Dietary Worker Comp. Rate: $12/hour

55 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source COMMISKEY STEPHEN/Physician Comp. Rate: $300/hour 24,450 24,450 24, DRAIN MELINDA/Patient Care Comp. Rate: $8/hour 8,819 8,819 8, DUNN MEYASHA/Patient Care Comp. Rate: $37/hour ELEY TERRANCE/PRN-MHATT Comp. Rate: $11/hour 14,000 14, ELLIS MELISSA/Nurse Comp. Rate: $32/hour 40,000 40, EVANS RAE/Patient Care Comp. Rate: $10/hour 1,228 1,228 1, FAIRLEY ALVIN/Patient Care Comp. Rate: $10/hour 1,945 1,945 1, FAIRLEY CYNTERRIAL/Patient Care Comp. Rate: $10/hour 2,650 2,650 2, FIELDS JOHN/Patient Care Comp. Rate: $25/hour 5,006 5,006 5, FLOWERS CELESTE/Housekeeper Comp. Rate: $9/hour 1,889 1, FLOWERS ELLA/Housekeeper Comp. Rate: $9/hour 13,572 13, FLOYD JOHN/Physician Comp. Rate: $300/hour 14,400 14,400 14, GATES MELINDA/Patient Care Comp. Rate: $25/hour 6,025 6,025 6, GIVENS EVELYN/Patient Care Comp. Rate: $10/hour GREER EULA/Patient Care Comp. Rate: $25/hour 18,500 18,500 18, HARKINS BRITTANY/PRN-MHATT Comp. Rate: $11/hour 14,000 14, HARPER ORLANDO/Patient Care Comp. Rate: $10/hour HARVEY JASMINE/Patient Care Comp. Rate: $10/hour 4,900 4,900 4, HATHCOCK NONA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, HEATH MILTORIA/Patient Care Comp. Rate: $10/hour 1,710 1,710 1, HENRY SHIRLEY/Patient Care Comp. Rate: $10/hour HERRIN VINCENT/Physician Comp. Rate: $75/hour 88,575 88,575 88, HILL WILLIE/Patient Care Comp. Rate: $25/hour 15,344 15,344 15,

56 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source HOLDEN BENNY/Radiology Services Comp. Rate: $19/hour 2,702 2,702 2, HOLDER BRENDA/Patient Care Comp. Rate: $25/hour 1,063 1,063 1, HOLMES EMILY/Substitute Teacher Comp. Rate: $15/hour HONTZAS JOHN/Physician Comp. Rate: $300/hour Y 13,575 13,575 13, HOUZE SYLVIA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, JAMES YOLANDA/Patient Care Comp. Rate: $10/hour 9,040 9,040 9, JENKINS KENNETH/Patient Care Comp. Rate: $10/hour 1,390 1,390 1, KEEN CHRISTOPHER/Patient Care Comp. Rate: $19/hour 5,680 5,680 5, KENNEDY JOHN/Physician Comp. Rate: $300/hour 19,500 19,500 19, KITCHENS SONJA/Radiology Services Comp. Rate: $17/hour KUTNER RICHARD/Child Psychiatrist Comp. Rate: $250/hour 100, , LABAT BRIAN/PRN-MHATT Comp. Rate: $11/hour 14,000 14, LADNER CORY/PRN-MHATT Comp. Rate: $11/hour 14,000 14, LADNER MARK/Physician Comp. Rate: $150/hour 13,125 13,125 13, LAWRENCE LISHEKA/Patient Care Comp. Rate: $25/hour 3,675 3,675 3, LEE PERCY/Housekeeper Comp. Rate: $9/hour 13,572 13, LUCKETT RICHARD/Pastoral Care Comp. Rate: $140/month 1,558 1,558 1, LYONS JUN/Patient Care Comp. Rate: $10/hour 2,495 2,495 2, MACK CHRISTOPHER/PRN-MHATT Comp. Rate: $11/hour 14,000 14, MAGEE HENRY/Housekeeper Comp. Rate: $9/hour 13,572 13, MAXWELL WILBURN/Physician Comp. Rate: $300/hour 13,650 13,650 13, MCCLELLAN CHIQUITA/Housekeeper Comp. Rate: $9/hour 13,572 13, MCDONALD VICTORIA/PRN-MHATT Comp. Rate: $11/hour 7,000 7,

57 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source MCGEE BRENYETTA/Patient Care Comp. Rate: $10/hour MCINNIS BRAGGIO/Patient Care Comp. Rate: $10/hour 7,350 7,350 7, MCKETNEY TERESA/Physician Comp. Rate: $75/hour 21,094 21,094 21, MORRIS JACQUELINE/Patient Care Comp. Rate: $10/hour 5,505 5,505 5, MORRIS MELBA/Coding Comp. Rate: $85/hour 65,854 65,854 65, MYERS MARCUS/Patient Care Comp. Rate: $10/hour 6,973 6,973 6, MYERS MOCHA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, NICHOLS JAMES/Patient Care Comp. Rate: $10/hour 3,008 3,008 3, NUTT ELIZABETH/Patient Care Comp. Rate: $25/hour Y PACE ALISHA/Patient Care Comp. Rate: $10/hour PAGE SHERMAIN/Patient Care Comp. Rate: $10/hour PATE SUSAN/Patient Care Comp. Rate: $10/hour 1,990 1,990 1, PRICE VICTOR/Patient Care Comp. Rate: $10/hour 1,645 1,645 1, RAMSAY CATHY/Pianist Comp. Rate: $50/hour 2,138 2,138 2, RAMSEY DEDRA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, RANKINS SYDNEY/Patient Care Comp. Rate: $25/hour RATCLIFFE LATRICIA/Transcriptionist Comp. Rate: $30/hour 10,320 10,320 10, RATLIFF TERRANCE/Patient Care Comp. Rate: $10/hour 3,120 3,120 3, RAWLS BREAUNA/Patient Care Comp. Rate: $10/hour 8,485 8,485 8, RICHARDSON DEON/Patient Care Comp. Rate: $10/hour ROBERSON JASMINE/Patient Care Comp. Rate: $10/hour 3,825 3,825 3, ROBINSON CLINTON/Pastoral Care Comp. Rate: $20/hour 31,190 31,190 31, ROBINSON JASMINE/Patient Care Comp. Rate: $10/hour

58 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source SANDIFER LASHAYDA/Patient Care Comp. Rate: $10/hour 3,805 3,805 3, SCARFF TIFFANY/Physician Comp. Rate: $300/hour 30,750 30,750 30, SENTER SUZANNE/Physician Comp. Rate: $140/hor 17, SHROPSHIRE LAKASHIA/Patient Care Comp. Rate: $10/hour SLAUGHTER TONYA/Finance Comp. Rate: $30/hour SMITH GARY/Physician Comp. Rate: $300/hour 20,700 20,700 20, SMITH R/Physician Comp. Rate: $175/hour Y 176, , , SMITH WANDA/Transcriptionist Comp. Rate: $30/hour 32,048 32,048 32, STEPHENS SUSAN/HR Comp. Rate: $25/hour Y 6,125 6,125 6, TAYLOR JARED/Physician Comp. Rate: $150/hour 24,000 24,000 24, TAYLOR JASON/Physician Comp. Rate: $75/hour 71,525 71,525 71, TEMPLE WANDA/PRN-MHATT Comp. Rate: $11/hour 14,000 14, THOMAS ASHLEY/Patient Care Comp. Rate: $10/hour THOMAS MICHAEL/Patient Care Comp. Rate: $10/hour 3,258 3,258 3, THOMPSON DOROTHY/Transcriptionist Comp. Rate: $30/hour Y 12,045 12,045 12, THORNTON JOE/Lab Services Comp. Rate: $27/hour Y 24,449 24,449 24, TORRENCE CHASITY/Patient Care Comp. Rate: $10/hour VAUGHN MILLICENT/Patient Care Comp. Rate: $10/hour 2,990 2,990 2, WALTERS CASSANDRA/Patient Care Comp. Rate: $37/hour 8,297 8,297 8, WELCH WALTER/Patient Care Comp. Rate: $37/hour 4,033 4,033 4, WILLIS ARIEL/PRN-MHATT Comp. Rate: $11/hour 14,000 14, Total Contract Worker Payroll - EFT 1,057,416 1,450,968 1,450, Contract Worker Payroll Matching Amounts - EFT (REMOVE these notes before importing!)/ 23-5

59 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: (you can resize the column widths to show the full names)/ Comp. Rate: / Comp. Rate: / Comp. Rate: / Comp. Rate: / Comp. Rate: / Comp. Rate: / Comp. Rate: / Comp. Rate: ALFORD JESSICA/PRN-MHATT Comp. Rate: $11/hour 1,200 1, AMOS LIZZIETTA/Patient Care Comp. Rate: $10/hour Y 2,811 2,811 2, ANDERSON IDA/Patient Care Comp. Rate: $37/hour 1,191 1,191 1, ANDERSON LARRY/Patient Care Comp. Rate: $20/hour Y 4,014 4,014 4, ANDERSON TEENA/Patient Care Comp. Rate: $10/hour ATKINS TARVIN/Dietary Worker Comp. Rate: $12/hour 1,500 1, AUBERT RICHARD/Physician Comp. Rate: $140/hour Y 6,085 6,085 6, AUSTIN TONY/PRN-Direct Care Worker Comp. Rate: $11/hour 1,200 1, BALLANSAW MOLISHA/Patient Care Comp. Rate: $37/hour BALLARD BRITTNEE/Patient Care Comp. Rate: $10/hour BANES PENCY/Patient Care Comp. Rate: $19/hour BANKS DELVECKIO/Patient Care Comp. Rate: $25/hour BELL RUTHIE/Patient Care Comp. Rate: $10/hour Y 2,163 2,163 2, BENSON DENA/Transcriptionist Comp. Rate: $30/hour BLAND ASHLEY/Patient Care 23-6

60 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $10/hour BLANKS BOBBY/Attorney Comp. Rate: $26.92/hour 4,035 4,035 4, BURSE JEREMY/Patient Care Comp. Rate: $10/hour CALDERONE RICHARD/Physician Comp. Rate: $75/hour CARPENTER SHELBY/Patient Care Comp. Rate: $10/hour CLARK TAMARA/Patient Care Comp. Rate: $10/hour CLAYTON ARONICA/Patient Care Comp. Rate: $10/hour COLE LEE/Dietary Worker Comp. Rate: $12/hour COMMISKEY STEPHEN/Physician Comp. Rate: $300/hour 1,870 1,870 1, DRAIN MELINDA/Patient Care Comp. Rate: $8/hour DUNN MEYASHA/Patient Care Comp. Rate: $37/hour ELEY TERRANCE/PRN-MHATT Comp. Rate: $11/hour 1,200 1, ELLIS MELISSA/Nurse Comp. Rate: $32/hour 2,500 2, EVANS RAE/Patient Care Comp. Rate: $10/hour FAIRLEY ALVIN/Patient Care Comp. Rate: $10/hour FAIRLEY CYNTERRIAL/Patient Care Comp. Rate: $10/hour FIELDS JOHN/Patient Care Comp. Rate: $25/hour 1,171 1,171 1, FLOWERS CELESTE/Housekeeper Comp. Rate: $9/hour FLOWERS ELLA/Housekeeper Comp. Rate: $9/hour FLOYD JOHN/Physician Comp. Rate: $300/hour 1,102 1,102 1, GATES MELINDA/Patient Care Comp. Rate: $25/hour GIVENS EVELYN/Patient Care Comp. Rate: $10/hour GREER EULA/Patient Care Comp. Rate: $25/hour 4,329 4,329 4, HARKINS BRITTANY/PRN-MHATT 23-7

61 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $11/hour HARPER ORLANDO/Patient Care Comp. Rate: $10/hour HARVEY JASMINE/Patient Care Comp. Rate: $10/hour HATHCOCK NONA/PRN-MHATT Comp. Rate: $11/hour HEATH MILTORIA/Patient Care Comp. Rate: $10/hour HENRY SHIRLEY/Patient Care Comp. Rate: $10/hour HERRIN VINCENT/Physician Comp. Rate: $75/hour 6,776 6,776 6, HILL WILLIE/Patient Care Comp. Rate: $25/hour 1,174 1,174 1, HOLDEN BENNY/Radiology Services Comp. Rate: $19/hour HOLDER BRENDA/Patient Care Comp. Rate: $25/hour HOLMES EMILY/Substitute Teacher Comp. Rate: $15/hour HONTZAS JOHN/Physician Comp. Rate: $300/hour Y 1,039 1,039 1, HOUZE SYLVIA/PRN-MHATT Comp. Rate: $11/hour 1,200 1, JAMES YOLANDA/Patient Care Comp. Rate: $10/hour JENKINS KENNETH/Patient Care Comp. Rate: $10/hour KEEN CHRISTOPHER/Patient Care Comp. Rate: $19/hour KENNEDY JOHN/Physician Comp. Rate: $300/hour 1,492 1,492 1, KITCHENS SONJA/Radiology Services Comp. Rate: $17/hour KUTNER RICHARD/Child Psychiatrist Comp. Rate: $250/hour 11,000 11, LABAT BRIAN/PRN-MHATT Comp. Rate: $11/hour 2,700 2, LADNER CORY/PRN-MHATT Comp. Rate: $11/hour 1,200 1, LADNER MARK/Physician Comp. Rate: $150/hour 1,004 1,004 1, LAWRENCE LISHEKA/Patient Care Comp. Rate: $25/hour LEE PERCY/Housekeeper 23-8

62 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $9/hour LUCKETT RICHARD/Pastoral Care Comp. Rate: $140/month LYONS JUN/Patient Care Comp. Rate: $10/hour MACK CHRISTOPHER/PRN-MHATT Comp. Rate: $11/hour MAGEE HENRY/Housekeeper Comp. Rate: $9/hour MAXWELL WILBURN/Physician Comp. Rate: $300/hour 1,044 1,044 1, MCCLELLAN CHIQUITA/Housekeeper Comp. Rate: $9/hour MCDONALD VICTORIA/PRN-MHATT Comp. Rate: $11/hour MCGEE BRENYETTA/Patient Care Comp. Rate: $10/hour MCINNIS BRAGGIO/Patient Care Comp. Rate: $10/hour MCKETNEY TERESA/Physician Comp. Rate: $75/hour 4,936 4,936 4, MORRIS JACQUELINE/Patient Care Comp. Rate: $10/hour MORRIS MELBA/Coding Comp. Rate: $85/hour 5,038 5,038 5, MYERS MARCUS/Patient Care Comp. Rate: $10/hour MYERS MOCHA/PRN-MHATT Comp. Rate: $11/hour NICHOLS JAMES/Patient Care Comp. Rate: $10/hour Note: Do NOT change the row 1 header names or the column order Comp. Rate: Note: Do not use COMMAS or PERIODS in any cells/ Comp. Rate: Note: Use ONLY a 'Y' in the RetiredPERS column for people who Comp. Rate: Note: When saving, keep using the format of "CSV (comma Comp. Rate: NUTT ELIZABETH/Patient Care Comp. Rate: $25/hour Y PACE ALISHA/Patient Care Comp. Rate: $10/hour PAGE SHERMAIN/Patient Care Comp. Rate: $10/hour PATE SUSAN/Patient Care 23-9

63 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $10/hour PRICE VICTOR/Patient Care Comp. Rate: $10/hour RAMSAY CATHY/Pianist Comp. Rate: $50/hour RAMSEY DEDRA/PRN-MHATT Comp. Rate: $11/hour RANKINS SYDNEY/Patient Care Comp. Rate: $25/hour RATCLIFFE LATRICIA/Transcriptionist Comp. Rate: $30/hour RATLIFF TERRANCE/Patient Care Comp. Rate: $10/hour RAWLS BREAUNA/Patient Care Comp. Rate: $10/hour RICHARDSON DEON/Patient Care Comp. Rate: $10/hour ROBERSON JASMINE/Patient Care Comp. Rate: $10/hour ROBINSON CLINTON/Pastoral Care Comp. Rate: $20/hour 2,386 2,386 2, ROBINSON JASMINE/Patient Care Comp. Rate: $10/hour SANDIFER LASHAYDA/Patient Care Comp. Rate: $10/hour SCARFF TIFFANY/Physician Comp. Rate: $300/hour 2,352 2,352 2, SENTER SUZANNE/Physician Comp. Rate: $140/hor 1, SHROPSHIRE LAKASHIA/Patient Care Comp. Rate: $10/hour SLAUGHTER TONYA/Finance Comp. Rate: $30/hour SMITH GARY/Physician Comp. Rate: $300/hour 1,584 1,584 1, SMITH R/Physician Comp. Rate: $175/hour Y 37,386 37,386 37, SMITH WANDA/Transcriptionist Comp. Rate: $30/hour 2,452 2,452 2, STEPHENS SUSAN/HR Comp. Rate: $25/hour Y 1,433 1,433 1, TAYLOR JARED/Physician Comp. Rate: $150/hour 1,836 1,836 1, TAYLOR JASON/Physician Comp. Rate: $75/hour 5,472 5,472 5, TEMPLE WANDA/PRN-MHATT 23-10

64 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $11/hour THOMAS ASHLEY/Patient Care Comp. Rate: $10/hour THOMAS MICHAEL/Patient Care Comp. Rate: $10/hour THOMPSON DOROTHY/Transcriptionist Comp. Rate: $30/hour Y 2,819 2,819 2, THORNTON JOE/Lab Services Comp. Rate: $27/hour Y 5,721 5,721 5, TORRENCE CHASITY/Patient Care Comp. Rate: $10/hour VAUGHN MILLICENT/Patient Care Comp. Rate: $10/hour WALTERS CASSANDRA/Patient Care Comp. Rate: $37/hour WELCH WALTER/Patient Care Comp. Rate: $37/hour WILLIS ARIEL/PRN-MHATT Comp. Rate: $11/hour Total Contract Worker Payroll Matching Amounts - EFT 130, , , Medical Services BENEFIELD EYE CARE/Eye exams Comp. Rate: Fee Schedule 1,000 1, BLOSSMAN HEALTHCARE STAFFING LLC/CNA Nursing Comp. Rate: $13240/year 13, BOND PHARMACY INC DBA ADVANCE INFUSION/Pharmacy Comp. Rate: $5367/year 5,367 5,367 5, BRANDON HMA INC MERIT HEALTH RANKIN/Physician Comp. Rate: $121085/year 121, , , BRIAN HAMMOCK MD/On-call Psychiatrtist Comp. Rate: $100 month 2,500 2, CAREFUSION 303 INC PYXIS PRODUCTS/Med Station Provider Comp. Rate: $1067/year 1,067 1,067 1, CENTRAL SURGICAL ASSOCIATES PA/Physician Services Comp. Rate: $870/year CLINICAL COLLEAGUES INC/Physician Services Comp. Rate: $11881/year 11,881 11,881 11, CME/Employment Labs Comp. Rate: $35 per test 4,600 4, CNC CLINIC PLLC CENTRAL NEPHROLOGY Comp. Rate: $12/year CROSSGATES HMA MEDICAL GRP LLC/Physician Services Comp. Rate: $4904/year 4,904 4,904 4, CROSSGATES MEDICAL GROUP LLC 23-11

65 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $2977/year 2,977 2,977 2, CROWELL WEYMETH T MD/Clinical Path Lab Services Comp. Rate: $500/each 4,500 4,500 4, DIMITRIADES MANAGEMENT/On-call Medical Comp. Rate: $2300 month 27,600 27, DIVERSIFIED RENAL GROUP PLLC 5903 RIDGEWOOD Comp. Rate: $37/year DR CHARLES E MCMASTERS INC/Physician Services Comp. Rate: $3392/year 3,392 3,392 3, EDRINGTON MAX OPTICAL/Optometrist Comp. Rate: Fee Schedule EYE SURGERY & LASER CTR LLC 501 BAPTIST Comp. Rate: $168/year GARDEN PARK MEDICAL CENTER/Medical Comp. Rate: Fee Schedule HARLAN WILLIAM B/Chart Review Comp. Rate: $8/chart 22,864 22,864 22, HARRY DOWDY PA DR HARRY DOWDY/Radiology Services Comp. Rate: $29944/year 29,944 29,944 29, HENRY SCHEIN INC/Dental Equipment Provider Comp. Rate: $259/year HOSPITAL & SLEEP MEDICINE CONSULTAN ATTN; DR Comp. Rate: $99/year HUBCARE PATHOLOGY PA/Physician Services Comp. Rate: $434/year JACKSON HMA LLC DBA MERIT HEALTH Comp. Rate: $47583/year 47,583 47,583 47, JACKSON RADIOLOGY ASSOC PA/Physician Services Comp. Rate: $3545/year 3,545 3,545 3, KERN OPTICAL/Eye exams Comp. Rate: Fee Schedule 1,000 1, LOTT WILLIAM CRISS PHD/Forensic Psychology Services Comp. Rate: $200/hour 67,400 67,400 67, MAGEE RADIOLOGY PLLC BAILEY JOE Comp. Rate: $7055/year 7,055 7,055 7, MEMORIAL HOSPITAL/Medical Comp. Rate: Fee Schedule MEMPHIS PATHOLOGY LABORATORY AMERICAN Comp. Rate: $41587/year 41,587 41,587 41, MID SOUTH REHAB OUTPAT CLINIC/Rehabilitiation and Comp. Rate: $40/hour 104, , , MISS BAPTIST MEDICAL CENTER DBA BAPTIST Comp. Rate: $6406/year 6,406 6,406 6, MS HMA HOSPITALISTS LLC/Physician Services Comp. Rate: $259/year MUSCLE AND NERVE PA/Physician Services 23-12

66 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $1340/year 1,340 1,340 1, NORTHSTAR ANESTHESIA OF MISSISSIPPI/Physician Services Comp. Rate: $292/year NURSESTAT ONE LLC NURSESETAT/CNA and Nursing Comp. Rate: $13/hour 1,171, PAFFORD EMERGENCY MEDICAL SERVICES INC/Ambulance Comp. Rate: $536/year PHELAN JAMES T DPM LA-MS FOOT CLINIC/Physician Comp. Rate: $6560/year 6,560 6,560 6, PRECISION HEALTHCARE LLC/CNA and Nursing Services Comp. Rate: $25/hour 1,098,695 3,648,695 3,648, PRECISION ULTRASOUND IMAGING 730 RIDGEWOOD Comp. Rate: $18825/year 18,825 18,825 18, RAJESH PATEL MD PLLC CENTRAL PULMONARY Comp. Rate: $132/year RICHARD AKIN DDS/Dental Comp. Rate: Fee Schedule RICHARD KUTNER MD/Child Psychiatrist Comp. Rate: $250 per hour RIVER OAKS HMA PHYSICIANS MANAGEMENT Comp. Rate: $3723/year 3,723 3,723 3, SPECIALTY HEALTHCARE/CNA and Nursing Services Comp. Rate: $26/hour 3, , , STERICYCLE INC/Medical Waste Removal Comp. Rate: $11454/year 11,454 11,454 11, STEVEN SCHEPEN MD/On-call Medical Comp. Rate: $2300 month 27,600 27, STORER ROBERT M DBA PSYCHOLOGICAL Comp. Rate: $200/hour 67,550 67,550 67, TECH MED SUPPLY INC/Physician Services Comp. Rate: $70/year TIPTON A C JR DR 971 LAKELAND DR/Physician Services Comp. Rate: $720/year UMC-UNIVERSITY PHYSICIANS/Physician Services Comp. Rate: $145007/year 145, , , UNIV OF MS MEDICAL CENTER UNIVERSITY Comp. Rate: $10/report 13,290 13,290 13, UNIV OF MS MEDICAL CENTER/Physician Services Comp. Rate: $10/report 1,280 1,280 1, UNIV PSYCHIATRIC ASSOC LLP/Psychiatric Services Comp. Rate: $175/hour 139, , , UNIVERSITY DENTISTS PLLC/Dental Services Comp. Rate: $2594/year 2,594 2,594 2, WAVELAND DENTAL CENTER/Dental Comp. Rate: Fee Schedule 9,000 9, Total Medical Services 3,187,594 5,076,846 5,076,

67 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Fees and Services - Professional Fees Charged ARTHUR KEMP/Barber Comp. Rate: Fee Schedule ASSOC OF PSYCHOLOGY POSTDOCTOR & INTERNSHIP Comp. Rate: $200/year AUTO TRIM DESIGN OF MISS-LOU/Automobile Accessories Comp. Rate: $750/year BETTER MARKETING KONNECTION/Printing Services Comp. Rate: $5/pack BLUE TOP CHEMICAL COMPANY P O BOX 214/Well Services Comp. Rate: $100/year BOILER SAFETY FUND MS STATE DEPT OF HEALTH/Safety Comp. Rate: $20/each BRANDON SERVICE CO INC/Repair and Maintenance Comp. Rate: $220/hour 9,533 9,533 9, BRIAN SMITH/Medical Equipment Test Comp. Rate: Fee Schedule BUFORD PLUMBING CO INC/Repair and Maintenance Comp. Rate: $12300/year 12,300 12,300 12, CANVAS AND COCKTAILS/Art for residents Comp. Rate: $6 per resident CAPITOL MEDICAL SUPPLY INC/Inspection Services Comp. Rate: $2500/year 2,500 2,500 2, CENTERS FOR MEDICARE AND MEDICAID Comp. Rate: $554/year CHALKABLE/Software Services Comp. Rate: $1360/year 1,360 1,360 1, CHANNING L BETE CO INC P O BOX 3538/Staff Education Comp. Rate: $30/year CLIA/Accreditation Services Comp. Rate: $10779/year 2,158 2,158 2, COMCAST CABLEVISION - ATLANTA/Cable Services Comp. Rate: $1970/month 25,822 25,822 25, CONTROL SYSTEMS INC/Repair and Maintenance Comp. Rate: $65/hour 4,714 4,714 4, DEPT OF ENVIRONMENTAL QUALITY/Tank Services Comp. Rate: $500/year DEPT OF MENTAL HEALTH/CRM Development Comp. Rate: $15829/year 15,829 16,179 16, DIGITEC CORPORATION/Equipment Rental Comp. Rate: $210/month 2,520 2,520 2, DURHAM SCHOOL SERVICES LP/Transportation Services Comp. Rate: $429/bus 1,287 1,287 1, ELLEANER C HARRIS ELLEANER C HARRIS LCSW Comp. Rate: $70/each

68 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source ENV SERVICES INC/Testing and Certification Services Comp. Rate: $20/visit ERIN QUAVE/Dietician Comp. Rate: $34 per hour 9,000 9, FISHER SCIENTIFIC COMPANY LLC/Repair and Maintenance Comp. Rate: $2/visit GARYS CARPET SERVICE INC/Carpet Installation Services Comp. Rate: $850/year GEIGER BROS/Laundry/Linen Services Comp. Rate: $100/year GERIMED LTC/Pharmacy Solutions Comp. Rate: $100/month 1,100 1,100 1, GRINER DRILLING SERVICE INC P O DRAWER 825/Repair Comp. Rate: $5867/year 5,867 5,867 5, HALL'S WRECKER SERVICE INC/Towing Service Comp. Rate: $1079/year 1,079 1,079 1, HARRISON COUNTY UTILITY AUTHORITY/Grease Trap Comp. Rate: Fee Schedule HARRISON GEORGE MICHAEL GEORGE M HARRISON Comp. Rate: $1500/evaluation 1,500 1,500 1, HOTEL & RESTAURANT SUPPLY INC/Repair and Maintenance Comp. Rate: $700/year JACKSON LIFESIGNS INC P O BOX 501/Interpretation Services Comp. Rate: $35/hour 10,964 10,964 10, JACKSON TRUCK CENTER DBA DEVINEY Comp. Rate: $600/installation JERMANIC CAREY/Repair and Maintenance Comp. Rate: $29600/year 29,600 29,600 29, JOHNSON CONTROLS/System Performance Evaluations Comp. Rate: $43,958/year 43,958 43,958 43, JOINT COMM ON ACCREDITATION OF HEALTHCARE Comp. Rate: $16995/year 16,995 20,695 20, JOINT COMMISSION RESOURCES/Patient Safety Consulting Comp. Rate: $380/month 4,560 4,560 4, JOY PAYNE-MORRIS/Speech Therapist Comp. Rate: $75 per hour 34,000 34, KEVIN COLE/Barber Comp. Rate: Fee Schedule 7,000 7, KILLEN CONTRACTORS INC/Repair and Maintenance Comp. Rate: $3500/year 3,500 3,500 3, KRONOS INC/Timekeeping Services Comp. Rate: $7140/year 7,140 7,140 7, LANE-TEDDER & ASSOCIATES INC/Repair and Maintenance Comp. Rate: $500/year LOTT WILLIAM CRISS PHD/Forensic Psychology Evaluations Comp. Rate: $200/hour 112, , ,

69 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source MAGNOLIA CLIPPING SERVICE DRED P PORTER SR/Internet Comp. Rate: $190/month 2,241 2,241 2, MAILROOM CONSLTANTS/Mail Equipment and Services Comp. Rate: $50/year MARTIN BLOUGH CO/Fire System Services Comp. Rate: $75/inspection MED SCREENS/Drug Testing Services Comp. Rate: $19/each 15,943 15,943 15, MEMPHIS PATHOLOGY LABORATORY AMERICAN Comp. Rate: $53979/year 53,979 53,979 53, MERCEDES TRANSCRIPTION INC/Medical Transcription Comp. Rate: 11 cents/line 62,190 62,190 62, METRO MECHANICAL INC/Repair and Maintenance Comp. Rate: $3500/year 3,500 3,500 3, MILLS DIANNA GALE Y/Polygraph Services Comp. Rate: $300/each MISS BAPTIST MEDICAL CENTER DBA BAPTIST Comp. Rate: $6333/year 6,333 6,333 6, MISS BAPTIST MEDICAL CENTER/Diagnostic Services Comp. Rate: $730/year MISSISSIPPI 811 INC/Utility Location Services Comp. Rate: $2/each MMC MATERIALS INC-JACKSON/Repair and Maintenance Comp. Rate: $85/year MPLC/Motion Picture Licensing Comp. Rate: $2474/year 2,474 2,474 2, MS INTERACTIVE LLC/DMV reports Comp. Rate: $14 per record 1,200 1, MS STATE BOARD OF PUBLIC ACCOUNTANCY/Licensing Comp. Rate: $347/year MS STATE DEPT OF HEALTH PUBLIC WATER SUPPLY STE Comp. Rate: $4189/year 4,189 4,189 4, NCS INC - PEARSON/Testing Services Comp. Rate: $99/each 16,067 16,067 16, ORMAN DARRELL JEROME/Repair and Maintenance Comp. Rate: $2850/year 2,850 2,850 2, PARKWAY LLC/Safety Services Comp. Rate: $19143/year 19,143 19,143 19, PHOENIX TECHNICAL SERVICES INC/Repair and Maintenance Comp. Rate: $125/hour PREMIERE SHREDDING INC/Document Shredding Service Comp. Rate: $689/year PRESSTEK INC/Repair and Maintenance Comp. Rate: $3159/year 3,159 3,159 3, REMOVED FILM/Licensing Comp. Rate: $249/year

70 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source REPUBLIC SERVICES INC DBA REPUBLIC SERVICES OF Comp. Rate: $37429/year 37,428 37,428 37, RICHARD WOMACK CONSTRUC LLC/Repair and Maintenance Comp. Rate: $9212/year 9,212 9,212 9, SMITHKLINE BEECHMAM PHARMACEUT/Pharmaceutical Comp. Rate: $16/each SPHERION STAFFING/Temp hiring Comp. Rate: Fee Schedule STAFFERS INC/Staffing Services Comp. Rate: $11/hour 14,964 14,964 14, STERLING NAME TAPE O P O BOX 939/Label Services Comp. Rate: $25/setup STORER ROBERT M DBA PSYCHOLOGICAL Comp. Rate: $200/each 90,900 90,900 90, SUSAN SCARBOROUGH/Beautician Comp. Rate: Fee Schedule 7,000 7, SYSTRONIC TIME SYSTEMS/Timekeeping Services Comp. Rate: $90/labor hour 13,140 13,140 13, THE MANDT SYSTEM INC THE MANDT SYSTEM/Staff Comp. Rate: $1135/year 1,135 1,135 1, TPG CONSTRUCTION & MASONRY/Repair and Maintenance Comp. Rate: $13400/year 13,400 13,400 13, UTILITY ANALYSTS INC/Energy Management Services Comp. Rate: $125/hour 12,000 12,000 12, VALLEY SERVICES INC/Food Service Management Comp. Rate: $3/pt meal 3,057,348 3,057,348 3,057, VITAL RECORDS CONTROL OF MS LLC/File Storage Services Comp. Rate: $7200/year 7,200 7,200 7, VITAL RECORDS CONTROL OF MS MISSISSIPPI FILING Comp. Rate: $20258/year 20,259 20,259 20, WARING OIL CO - VICKSBURG/Fuel Provider Comp. Rate: $2/gallon 1,470 1,470 1, WATSON QUALITY FORD INC/Vehicle Repair and Maintenance Comp. Rate: $2550/year 2,550 2,550 2, WORLD WIDE DICTATION/Dictation Comp. Rate: Fee Schedule 2,000 2, WORLDWIDE TRAVEL STAFFING/Nurse Staffing Comp. Rate: Fee Schedule 89,104 89, XPIO HEALTH LLC/Meaningful Use Consulting Services Comp. Rate: $175/hour 8,576 8,576 8, Total Fees and Services - Professional Fees Charged 3,807,936 3,962,975 3,962, Contrct Worker PR Refunds of Deductions - SPAHRS RAMSAY CATHY/Pianist 23-17

71 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $50/hour Total Contrct Worker PR Refunds of Deductions - SPAHRS Engineering Services JAMSAB REALTY CORP/Engineering Services Comp. Rate: $12555/year 12,555 12,555 12, Total Engineering Services 12,555 12,555 12, Investment Managers and Actuary Services WELLINGTON ASSOCATIONS INC/Bonding Company Comp. Rate: $4940/year 4,940 4,940 4, Total Investment Managers and Actuary Services 4,940 4,940 4, Legal and Related Services THOMPSON REUTERS WEST/MS Court Forms Comp. Rate: $212/year Total Legal and Related Services Fees and Services - Expense Reimbursements no 1099 EMMA TO/Translator Comp. Rate: $35/hour Total Fees and Services - Expense Reimbursements no Accounting and Financial Services HORNE LLP/Accounting and Advisory Services Comp. Rate: $59850/year 59,850 70,750 71, MEDLINE INDUSTRIES INC/Healthcare Services Comp. Rate: $19/year V WILSON CONSULTING LLC/GAAP Packet Preparation Comp. Rate: $115/hour 1,668 1,668 1, Total Accounting and Financial Services 61,537 72,418 72, Inter-agency Fees Department of Mental Health/Fees-Certifications Comp. Rate: Fee Schedule 1, Total Inter-agency Fees 1, Settlement Payments - Gross Proceeds TERICA LOMAX/EEOC Settlement 23-18

72 FEES, PROFESSIONAL AND OTHER SERVICES Mental Health - Mississippi State Hospital (374-00) Name of Agency TYPE OF FEE AND NAME OF VENDOR Retired w/ PERS (1) Actual Expenses FY Ending June 30, 2017 (2) Estimated Expenses FY Ending June 30, 2018 (3) Requested Expenses FY Ending June 30, 2019 Fund Source Comp. Rate: $9761/year 9, Total Settlement Payments - Gross Proceeds 9,761 GRAND TOTAL 8,272,308 10,738,677 10,737,

73 VEHICLE PURCHASE DETAILS Mental Health - Mississippi State Hospital (374-00) Name of Agency Year Model Person(s) Assigned To Vehicle Purpose/Use Replacement Or New? FY2019 Req. Cost TOTAL VEHICLE REQUEST 24-1

74 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 W TRUCK 1967 CHEVY MAINTENANCE ELECTRIC SHOP S ,696 3 W 77 CHEVY TRUCK 1977 CHEVY MAINTENANCE WELDING SHOP S , W W W W W W W 1983 GMC C6500 (C7D) 1985 CHEVROLET C CHEVROLET 'S' TRUCK 1989 CHEVROLET 'S TRUCK 1990 CHEVROLET 'S' TRUCK 1991 CHEVROLET 'S' TRUCK 1993 GMC RALLY WAGON 1983 GMC MAINTENANCE PLUMBING SHOP S , CHEVY FIRE COMPOUND IN SHED S , CHEVY MAINTENANCE PLUMBING SHOP S , CHEVY MAINTENANCE ELECTRIC SHOP S , CHEVY MAINTENANCE WATER DEPARTMENT S , CHEVY MAINTENANCE PAINT S , GMC ITS BUILDING 64 S , W 1993 FORD RANGER 1993 FORD MAINTENANCE HVAC S ,115 1,505 W 1993 FORD RANGER 993 FORD POLICE BUILDING 20 S , W P W P W W 1993 FORD CUTAWAY VAN 1993 GMC CUTAWAY VAN 1996 DODGE RAM WAGON 1996 FORD BUS E- 350 W/73 DIESEL ENGINE 1990 GMC C 6500 (C7D) 1997 FORD CUTAWAY VAN 1993 FORD ENVIRONMENTAL SERVICES LAUNDRY S , GMC PATIENT TRANSPORTATION RECREATION S , DODGE MAINTENANCE PAINT S ,473 1, FORD MAINTENANCE DOES NOT WORK S , GMC MAINTENANCE GROUNDS G , FORD ENVIRONMENTAL SERVICES LAUNDRY G ,392 2,851 W 1998 FORD RANGER 1998 FORD MAINTENANCE ELECTRIC SHOP G ,134 2,688 W 1998 FORD RANGER 1998 FORD MAINTENANCE CARPENTER SHOP G ,443 1,899 W W 1998 FORD LGT CONVTNL 'F' 1999 DODGE RAM WAGON 1998 FORD MAINTENANCE ELECTRIC SHOP G ,428 3, DODGE MAINTENANCE GROUNDS G ,582 4,115 Vehicle Type: (P)assenger/(W)ork 25-1

75 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 W W W W 2001 DODGE RAM TRUCK 2001 DODGE RAM TRUCK 2001 DODGE RAM TRUCK 2001 DODGE RAM TRUCK 2001 DODGE MAINTENANCE PLUMBING SHOP G ,011 3, DODGE MAINTENANCE HVAC G ,721 1, DODGE MAINTENANCE CARPENTER SHOP G , DODGE ENVIRONMENTAL SERVICES LAUNDRY G ,878 4,701 W 2000 FORD RANGER 2000 FORD FIRE FIRE DEPARTMENT G ,344 1,750 W 2000 FORD RANGER 2000 FORD MAINTENANCE ELECTRIC SHOP G ,911 2,236 W W P 2000 DODGE CARAVAN 2001 DODGE RAM WAGON 2001 FORD ECONOLINE VAN 2000 DODGE MAINTENANCE PAINT G ,446 1, DODGE ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G , FORD PATIENT TRANSPORTATION TRANSPORTATION BLG 26 G ,753 5,000 W 2002 FORD RANGER 2002 FORD ITS BUILDING 64 G , W 2002 FORD RANGER 2002 FORD PHARMACY PHARMACEY G ,505 2,733 W 2002 FORD RANGER 2002 FORD WAREHOUSE INVENTORY G , P 2002 FORD TAURUS 2002 FORD ADMINISTRATION DIRECTOR BUILDING 21 G , W 2003 DODGE CARAVAN 2003 DODGE ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G ,084 3,736 P 2003 GMC SAVNA 2003 GMC PATIENT TRANSPORTATION TRANSPORTATION G ,832 5,375 W 2003 DODGE CARAVAN 2003 DODGE WAREHOUSE WAREHOUSE G ,221 2,431 P 2004 BLUE BIRD 2004 BLUE BIRD PATIENT TRANSPORTATION TRANSPORTATION G ,460 1,621 W P W P 2004 CHEVROLET VENTURE 2004 FORD ECONONLINE WAGON 2004 FORD EXPEDITION 2005 FORD ECONOLINE VAN 2004 CHEVY MAINTENANCE MAINTENANCE G ,465 2, FORD PATIENT TRANSPORTATION TRANSPORTATION G , FORD MAINTENANCE HVAC G , FORD PATIENT TRANSPORTATION TRANSPORTATION G ,867 3,239 W 2005 FORD RANGER 2005 FORD PHARMACY PHARMACEY G ,909 3,224 Vehicle Type: (P)assenger/(W)ork 25-2

76 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 P W W W P P W P P P P W W P P W W 2005 FORD ECONONLINE WAGON 2005 DODGE CARAVAN 2007 INTERNATIONAL 4000 SERIES 2007 DODGE CARAVAN 2002 FORD ECONOLINE WAGON 2008 CHEVROLET UPLANDER 2008 FORD ECONOLINE VAN 2008 FORD CUTAWAY VAN 2008 FORD CUTAWAY VAN 2008 CHEVROLET EXPRESS VAN 2008 CHEVROLET EXPRESS VAN 1999 DODGE RAM TRUCK 1996 FORD MED HVY CONVNTNL 2006 FORD ECONOLINE WAGON 2005 FORD ECONOLINE VAN 1998 FORD LGT CONVTNL 'F' 1999 DODGE RAM TRUCK 2005 FORD PATIENT TRANSPORTATION BLDG 32 G ,591 2, DODGE WAREHOUSE WAREHOUSE G ,390 2, INTERNATIO NAL 2007 DODGE MAINTENANCE ELECTRIC SHOP G , ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G ,378 2, FORD PATIENT TRANSPORTATION TRANSPORTATION G ,421 4, CHEVY PATIENT TRANSPORTATION BLG 78 G ,125 6, FORD PATIENT TRANSPORTATION TRANSPORTATION BLG 26 G ,836 7, FORD PATIENT TRANSPORTATION TRANSPORTATION G ,865 13, FORD PATIENT TRANSPORTATION TRANSPORTATION G ,135 7, CHEVY PATIENT TRANSPORTATION TRANSPORTATION G ,698 8, CHEVY PATIENT TRANSPORTATION TRANSPORTATION G ,705 9, DODGE MAINTENANCE PEST CONTROL G ,896 1, FORD MAINTENANCE GROUNDS G , FORD PATIENT TRANSPORTATION TRANSPORTATION G ,890 6, FORD PATIENT TRANSPORTATION REHAB SERVICES G ,591 1, FORD MAINTENANCE MECHANIC SHOP G ,802 2, DODGE MAINTENANCE GROUNDS G ,229 1,219 W 2003 GMC SIERRA 2003 GMC MAINTENANCE CARPENTER SHOP G ,746 3,457 W 2002 GMC SIERRA 2002 GMC MAINTENANCE PLUMBING SHOP G ,414 1,554 Vehicle Type: (P)assenger/(W)ork 25-3

77 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 W 2003 GMC SIERRA 2003 GMC MAINTENANCE HVAC G ,597 2,538 W W 1999 DODGE RAM TRUCK 2001 DODGE RAM TRUCK 1999 DODGE MAINTENANCE MAINTENANCE G ,925 2, DODGE ENVIRONMENTAL SERVICES GARBAGE G ,956 2,363 W 2003 GMC SIERRA 2003 GMC MAINTENANCE MAINTENANCE G ,456 2,816 P 2011 FORD CUTAWAY VAN 2011 FORD MAINTENANCE TRANSPORTATON G ,622 15,278 W 2003 FORD RANGER 2003 FORD MAINTENANCE GROUNDS G ,005 2,593 W 2001 DODGE RAM TRUCK 2001 DODGE MAINTENANCE HVAC G ,459 3,579 W 2006 GMC SIERRA 2006 GMC MAINTENANCE GROUNDS G ,217 3,257 W W P P W W W P P P P P 2008 GMC SAVAN CUTAWAY 2008 GMC SAVANA CUTAWAY 2012 DODGE CARAVAN 2012 DODGE CARAVAN 2008 FORD DRW SUPER DUTY 2011 FORD CROWN VICTORIA 2011 FORD CRWON VICTORIA 2014 DODGE CARAVAN 2014 DODGE CARAVAN 2014 DODGE CARAVAN 2014 CHEV- EXPRESS VAN G CHEV- EXPRESS VAN G GMC WAREHOUSE WAREHOUSE G ,856 1, GMC WAREHOUSE WAREHOUSE G , DODGE PATIENT TRANSPORTATION TRANSPORTATION G ,361 13, DODGE PATIENT TRANSPORTATION TRANSPORTATION G ,160 12, FORD MAINTENANCE PROPERTY G ,091 3, FORD POLICE BUILDING 20 G ,841 9, FORD POLICE BUILDING 20 G ,296 10, DODGE PATIENT TRANSPORTATION TRANSPORTATION G ,998 14, DODGE PATIENT TRANSPORTATION TRANSPORTATION G ,561 14, DODGE PATIENT TRANSPORTATION TRANSPORTATION G ,760 12, CHEVY PATIENT TRANSPORTATION TRANSPORTATION G ,475 8, CHEVY PATIENT TRANSPORTATION TRANSPORTATION G ,125 8,492 W DODGE CARAVAN 2007 DODGE PATIENT TRANSPORTATION MAINTENANCE G ,990 17,881 Vehicle Type: (P)assenger/(W)ork 25-4

78 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 W FORD RANGER 2001 FORD PATIENT TRANSPORTATION MAINTENANCE G , W 1996 DODGE RAM 1996 DODGE W W 2016 FORD TRUCK 6 CYL 2016 FORD TRUCK 8 CYL ENVIRONMENTAL SERVICES ENVIRONMENTAL SERVICES G , FORD POLICE POLICE G ,563 21, FORD POLICE POLICE G ,348 5,058 W 2007 FORD F FORD MAINTENANCE ELECTRIC SHOP G ,880 8,137 W 2007 FORD F FORD MAINTENANCE CARPENTER SHOP G ,511 3,033 W 2007 FORD F FORD MAINTENANCE MAINTENANCE G ,855 2,500 W 2008 FORD F FORD MAINTENANCE MAINTENANCE G ,089 3,887 W 2007 FORD F FORD MAINTENANCE MAINTENANCE G , W 2007 FORD F FORD MAINTENANCE MAINTENANCE G ,462 2,975 P P P P W W W P W P P P 2008 CHEVROLET UPLANDER 2006 DODGE CARAVAN 2006 DODGE CARAVAN 2006 DODGE CARAVAN 2014 DODGE CHARGER 2014 CHEVY IMPALA 2016 CHEVY G-30 VAN VAN - DODGE CARAVAN PICKUP - CHEVY 1500 VAN - DODGE CARAVAN VAN - DODGE CARAVAN VAN - DODGE CARAVAN 2008 CHEVY ADMINISTRATION DIRECTOR BUILDING 21 G , DODGE POLICE POLICE G ,740 7, DODGE ADMINISTRATION TRANSPORTATION G , DODGE ENVIRONMENTAL SERVICES HOUSEKEEPING G ,741 1, DODGE POLICE POLICE G ,939 13, CHEVY POLICE POLICE G ,552 2, CHEVY PATIENT TRANSPORTATION TRANSPORTATION G ,947 4, DODGE PATIENT TRANSPORTATION PATIENT TRANSPORTATION G ,759 2, CHEVY MAINTENANCE MAINTENANCE G ,163 7, DODGE PATIENT TRANSPORTATION PATIENT TRANSPORTATION G ,022 2, DODGE PATIENT TRANSPORTATION PATIENT TRANSPORTATION G ,913 3, DODGE PATIENT TRANSPORTATION PATIENT TRANSPORTATION G ,538 1,794 Vehicle Type: (P)assenger/(W)ork 25-5

79 VEHICLE INVENTORY AS OF JUNE 30, 2017 Mental Health - Mississippi State Hospital (374-00) Name of Agency Vehicle Type Vehicle Description Model Year Model Person(s) Assigned To Purpose/Use Tag Number Mileage on Average Miles per Year Replacement Proposed FY2018 FY2019 P P P SEDAN - CHEVY IMPALA VAN - FORD ECONOLINE VAN - FORD ECONOLINE 2014 CHEVY ADMINISTRATION RESIDENT EMPLOYEE TRANSPORTATION G ,193 1, FORD PATIENT TRANSPORTATION PATIENT TRANSPORTATION G , FORD PATIENT TRANSPORTATION PATIENT TRANSPORTATION G , Vehicle Type: (P)assenger/(W)ork 25-6

80 MSH (3374) DEPARTMENT Pest Services - ES VEHICLE POOL MEMBER LIST DRIVERS William Hinson, Jr. Police and Fire Staff Laundry - ES Andrew Pitts Jeff Luckey Anthony Kinnard George Mullins William Kornegay Kendrell Canada Darryle Burton Autery Dunbar Derrick Berry Justin Harper Marcell Burns Nathan Craft Roy Nichols Travis Crain James Stovall Jonathan Smith Gary Roberts Kendrick McCoy Julius Craft Jenny Pittman Lamonica Phillips Devin Fallo Terrica Windham Charlene Smith Glantz Pinter Michael Wallace Billy Baldree Tommy Steen Vera Knight Paticia Mahaffey Carolyn Pack Elaine Shoto Mona Michelle Taylor Brenda Proctor Fredric Williams Jean-Sebastien Rene Deandrez Davis Alvin Thornton Marvin Bradley Tim Hemphill

81 MSH (3374) Shaunda Pickering Billy Mallard Hospital Administration Transportation Information Mgm/Voice Services Paint Shop - Maint. Electric Shop - Maint. James Chastain Donna Boykin Craig Kittrell Debra Scott Marvin Armstrong Barry Barnes Venus Carr Clevie Bryant Bobby Dawson Eddie Ephform Greg Bryant Shaun Cagle Vernice Evans Suzette Johnson Arthur McAllister Marcus Jones Jeanette Minor Jacqueline Moffett Franklin Moore Michael Washington Brandon Byrne Chad Cessna Joseph Layton Chad Rommerdale J. Christopher Thomas Bart Uharriet Matthew Hart Kevin Frazier Justin Thornton Tim McLaurin Anthony Miggins Steven Scott Larry Terry Harold Mack Austin Pressey William Beggiani Forrest Chase Robert Menefee Thomas Symon

82 MSH (3374) Kirk Carver Jimmy Stephens Ole Raymond HVAC Shop - Maint. Brent Craft Omar Foster Stanley Nobles Stephen Strong Jason Thornton Randal Bragg Thomas Holley Automotive Shop - Maint. Grounds - Maint. Plumbing Shop - Maint. Jimmy Green Rokeyvis Dotson Kendal Ryals John Crotwell Dominique Davis Robert Bounds Anthony Lockhart Alan Means Gregory Smith Drew Long Johnny Thompson Steven Morgan James Pressey Chad Wright Joseph McFarland Barrett Nall James Quinn Adm/Office Staff - Maint. Nightman - Maint. Craig Martin Marilyn Martin Hollye Grubbs Paul Case John Overby Carpenter Shop - Maint. Michael Holiday William Thompson Bobby Thornton Phillip Thomas Chase Middleton

83 MSH (3374) John Miller Riley Savell Locksmith Shop - Maint. James Cain Evening & Night Adm. HR/Personnel Staff Education Lakeside School CIP Services Kenneth Collier Daniel Myers Shirice Reed Trisiana Webber Takeshia Clifton Gill Daniel Ratliff Deborah Alexander Swayze Cheatham Keith Grubbs Sheila Hicks Diana Hunter Kristi Kindrex Denorris Skinner Kristi Finehout Tarshall Wilson Gayle Case Dolly Hawkins Terrance Blackwell Danica Buchanan Donna Chapman Louise Coleman Kewan Ewing Shircell Massey Obadiah Stokes Sophia Jefferson Shirley Dill Pressey Titella Ervin Charlotte Woodard Melissa Hearn Ken Hamilton Teresa McNeece Elizabeth Kean Lonnie McLemore Linda Kirk Jil Breland Donnia Rozell-Bowles

84 MSH (3374) Vera Chase David Hubbard Annie McAfee Cassandra Myles William Pickard Tery Wilbert Patient Education Horticulture Pharmacy Housekeeping Warehouse/Property Melita Breeden Shawn Cagle Angela Huff Lisa Thames-Payton Betty Kendrick Sandra Floyd Donald Johnson Talitah Bennett Michelle Blakely Angela Boles Sheila Cantrell Stella Odogwu Vicki Veazey Polly Jackson Terry Jones, Jr. Marie Bingham John Crain Harry Nelson Same'As Howard Sharron Mills Jennie Miner Tammie Newsome Laron Henry Robert Hill Derries West Milton Humphrey William Hinson, Jr. Joshua Lindsey Tyran Robinson Trevor Jarman George Green Fontreia Hilliard H. L. Lockhart Broderick Mosley Justin Scott Angela Smith Carter

85 MSH (3374) Candace Coleman Lewayna Hilliard Marvin Bradley Dache Kight Latasha Johnson Rehabilitation Services Shawn Cagle Ricky Dorsett

86 Bailey, Alice Bush, Shannon Crecink, Janet Crosby, Debbie Cuccio, Marie Evans, Robbie Forrester, John Francis, Michael Griffith, Katrina Holmes, Emily Hoover, Stephanie Hylton, Cindy Jackson Alicia Joiner, Valerie Kates, Brian Kennard, Crystal Lamb, Saunya Landrum, Reece Larson, Jennifer Lott, Myron Louviere, Tina May, Eric May, Stephanie Miller, Stacy Nichols, Janice

87 Oatis, Levi Peterman, Kim Ramon, Katherine Ratliff, Paul Rohrbacher, Randy Slaton, Melvin Sparks, Timothy Tanner, Sherlyn Turner, Scott Ulrich, Gary Warren, Vanessa Wayne, Kevin Young, Eugene Boyd, James Comeaux, Linda Curry, Javis Harvey, Gabrielle Magee, Robin McDaniel, Shakaja Parham, Robin Shirley, Douglas Washington, Chris Fairley, Chester Polk, Ryan Roper, Rokoyia

88 Strong, Anna Tyler, LaQuita

89 PRIORITY OF DECISION UNITS FISCAL YEAR 2019 Mental Health - Mississippi State Hospital (374-00) Name of Agency Program Decision Unit Object Amount Priority # 1 Program # 1: Mi - Institutional Care Reduction of General Fund Spending Authority Salaries (6,000,000) Subsidies (2,000,000) Totals (8,000,000) General Funds (8,000,000) Priority # 2 Program # 1: Mi - Institutional Care Increase in Special Fund Spending Authority Salaries 6,000,000 Subsidies 2,000,000 Totals 8,000,000 Other Special Funds 8,000,

90 CAPITAL LEASES Mental Health - Mississippi State Hospital (374-00) Name of Agency VENDOR/ ITEM LEASED Original Date of Lease Original No. of Months of Lease No. of Months Remaining on Last Payment Date Interest Rate Amount of Each Payment Actual FY 2017 Principal Interest Total Total of Payments To Be Made Estimated FY 2018 Requested FY 2019 Principal Interest Total Principal Interest Total Jamsab Realty Corp/Equipment 12/31/ /21/ , , , , , , , , ,

91 Form MBR-1-03PB Summary of 3% General Fund Program Reduction to FY 2018 Appropriated Funding by Major Object Mental Health - Mississippi State Hospital (374-00) Name of Agency Major Object FY2018 General Fund Reduction EFFECT ON FY2018 STATE SUPPORT SPECIAL FUNDS EFFECT ON FY2018 FEDERAL FUNDS EFFECT ON FY2018 OTHER SPECIAL FUNDS TOTAL 3% REDUCTIONS SALARIES, WAGES, FRINGE (2,100,044) (2,100,044) TRAVEL CONTRACTUAL COMMODITIES OTHER THAN EQUIPMENT EQUIPMENT VEHICLES WIRELESS COMM. DEVS. SUBSIDIES, LOANS, ETC TOTALS (2,100,044) (2,100,044) 29-1

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