Budget Request

State of Mississippi REQUEST BY FUNDING SOURCE Form MBR-1-01 (2015) Page 1

Name of Agency : Mental Health - Mississippi State Hospital

Specify Funding Sources FY 2020 % of % of FY 2021 % of % of FY 2022 % of % of Line Total Total Requested Total As Shown Below Actual Estimated Line Line Amount Item Budget Amount Item Budget Amount Item Budget

1. General 54,327,825 73.24% 54,323,572 73.24% 54,905,752 73.45% 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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 7,454,447 10.05% 7,119,224 9.60% 7,119,224 9.52% 24. Medicare 3,980,228 5.37% 3,980,228 5.37% 3,980,228 5.32% 25. Other 7,454,447 10.05% 7,759,658 10.46% 7,759,658 10.38% 26. Patient/Client Fees 962,057 1.30% 992,585 1.34% 992,585 1.33%

Total Salaries 74,179,004 68.79% 74,175,267 69.70% 74,757,447 69.84%

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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 24. Medicare 25. Other 18,291 100.00 18,200 100.00 18,200 100.00 % % % 26. Patient/Client Fees

Total Travel 18,291 0.02% 18,200 0.02% 18,200 0.02%

2-1

State of Mississippi REQUEST BY FUNDING SOURCE Form MBR-1-01 (2015) Page 2

Name of Agency : Mental Health - Mississippi State Hospital

1. General State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 1,436,161 10.63% 110,639 0.85% 110,639 0.85% 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 459,000 3.51% 23. Medicaid 12,078,797 89.37% 12,520,375 95.65% 12,979,375 99.15% 24. Medicare 25. Other 26. Patient/Client Fees

Total Contractual 13,514,958 12.53% 13,090,014 12.30% 13,090,014 12.23%

1. General 38,680 0.54% State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 1,725,722 31.62% 3,051,244 43.12% 3,051,244 42.89% 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 492,263 6.96% 23. Medicaid 3,731,227 68.38% 3,531,902 49.92% 1,407,049 19.78% 24. Medicare 25. Other 585,492 8.23% 26. Patient/Client Fees 2,031,624 28.56%

Total Commodities 5,456,949 5.06% 7,075,409 6.65% 7,114,089 6.65%

2-2 State of Mississippi REQUEST BY FUNDING SOURCE Form MBR-1-01 (2015) Page 3

Name of Agency : Mental Health - Mississippi State Hospital

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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 24. Medicare 25. Other 26. Patient/Client Fees 74,982 100.00 74,982 100.00 74,982 100.00 % % % Total Capital Other Than Equipment 74,982 0.07% 74,982 0.07% 74,982 0.07%

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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 24. Medicare 25. Other 26. Patient/Client Fees 602,241 100.00 524,644 100.00 524,644 100.00 % % % Total Capital Equipment 602,241 0.56% 524,644 0.49% 524,644 0.49%

2-3 State of Mississippi REQUEST BY FUNDING SOURCE Form MBR-1-01 (2015) Page 4

Name of Agency : Mental Health - Mississippi State Hospital

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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 24. Medicare 25. Other 30,848 100.00 45,900 100.00 45,900 100.00 % % % 26. Patient/Client Fees

Total Vehicles 30,848 0.03% 45,900 0.04% 45,900 0.04%

Total Wireless Communication Devs.

2-4 State of Mississippi REQUEST BY FUNDING SOURCE Form MBR-1-01 (2015) Page 5

Name of Agency : Mental Health - Mississippi State Hospital

1. General 8,728,675 62.52% 6,122,585 53.63% 6,122,585 53.63% 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. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 23. Medicaid 5,232,917 37.48% 5,293,654 46.37% 5,293,654 46.37% 24. Medicare 25. Other 26. Patient/Client Fees

Total Subsidies 13,961,592 12.95% 11,416,239 10.73% 11,416,239 10.67%

1. General 63,056,500 58.47% 60,446,157 56.80% 61,067,017 57.05% State Support Special (Specify) 2. Budget Contingency Fund 3. Education Enhancement Fund 4. Health Care Expendable Fund 3,161,883 2.93% 3,161,883 2.97% 3,161,883 2.95% 5. Tobacco Control Fund 6. Capital Expense Fund 7. Working Cash Stabilization Reserve Fund 8. BP Settlement Fund 9. Gulf Coast Restoration Fund 10. Back To Business Mississippi Grant Fund 11. MS COVID-19 Relief Payment Fund 12. DFA CARES Act COVID-19 Fund 13. MS Tourism Recovery Fund 14. MS Nonprofit Museums Recovery Fund 15. Equity in Distance Learning Fund 16. Postsecondary Education COVID-19 Relief Grant Fund 17. Independent Schools’ COVID-19 Assistance Grant Fund 18. MS Pandemic Response Broadband Availability Grant Program Fund 19. MS Emergency Management Agency COVID-19 Fund 20. MS Electric Cooperatives Broadband COVID-19 Grant Program Fund 21. COVID-19 Broadband Provider Grant Program Fund 22. Federal Other Special (Specify) 951,263 0.89% 23. Medicaid 28,497,388 26.43% 28,465,155 26.75% 26,799,302 25.04% 24. Medicare 3,980,228 3.69% 3,980,228 3.74% 3,980,228 3.72% 25. Other 7,503,586 6.96% 7,823,758 7.35% 8,409,250 7.86% 26. Patient/Client Fees 1,639,280 1.52% 1,592,211 1.50% 3,623,835 3.39%

TOTAL 107,838,865 100.00% 106,420,655 100.00% 107,041,515 100.00%

2-5 State of Mississippi SPECIAL FUNDS DETAIL Form MBR-1-02

Mental Health - Mississippi State Hospital (374-00) Name of Agency

S. STATE SUPPORT SPECIAL (1) (2) (3) FUNDS Actual Estimated Requested Revenues Revenues Revenues Source (Fund Number) Detailed Description of Source FY 2020 FY 2021 FY 2022 Budget Contingency Fund BCF - Budget Contingency Education Enhancement Fund EEF - Education Enhancement Fund Health Care Expendable Fund HCEF - Health Care Expendable Fund 3,161,883 3,161,883 3,161,883 (6239900000) Tobacco Control Fund TCF - Tobacco Control Fund Capital Expense Fund CEF - Capital Expense Fund Working Cash Stabilization Reserve WCSRF - Working Cash Stabilization Reserve Fund Fund BP Settlement Fund BPSF - BP Settlement Fund Gulf Coast Restoration Fund GCRF - Gulf Coast Restoration Fund Back To Business Mississippi Grant BTBMGF - Back To Business Mississippi Grant Fund Fund MS COVID-19 Relief Payment Fund MCRPF - MS COVID-19 Relief Payment Fund DFA CARES Act COVID-19 Fund DCACF - DFA CARES Act COVID-19 Fund MS Tourism Recovery Fund MTRF - MS Tourism Recovery Fund MS Nonprofit Museums Recovery MNMRF - MS Nonprofit Museums Recovery Fund Fund Equity in Distance Learning Fund EIDLF - Equity in Distance Learning Fund Postsecondary Education COVID-19 PECMRGF - Postsecondary Education COVID-19 Relief Grant Fund Relief Grant Fund Independent Schools’ COVID-19 ISCAGF - Independent Schools’ COVID-19 Assistance Grant Fund Assistance Grant Fund MS Pandemic Response Broadband MPRBAGPF - MS Pandemic Response Broadband Availability Grant Availability Grant Program Fund Program Fund MS Emergency Management Agency MEMACF - MS Emergency Management Agency COVID-19 Fund COVID-19 Fund MS Electric Cooperatives Broadband MECBCGPF - MS Electric Cooperatives Broadband COVID-19 COVID-19 Grant Program Fund Grant Program Fund COVID-19 Broadband Provider CBPGPF - COVID-19 Broadband Provider Grant Program Fund Grant Program Fund State Support Special Fund TOTAL 3,161,883 3,161,883 3,161,883 STATE SUPPORT SPECIAL FUND LAPSE

A. FEDERAL FUNDS * Percentage (1) (2) (3) Match Actual Estimated Requested Requirement Revenues Revenues Revenues Source (Fund Number) Detailed Description of Source FY 2021 FY 2022 FY 2020 FY 2021 FY 2022 Cash Balance-Unencumbered HHS Stimulus - Cares Act () 0.00 0.00 943,592 IDEA () 0.00 0.00 7,671 Federal Fund TOTAL 951,263

B. OTHER SPECIAL FUNDS (1) (2) (3) (NON-FED'L) Actual Estimated Requested Revenues Revenues Revenues Source (Fund Number) Detailed Description of Source FY 2020 FY 2021 FY 2022 Cash Balance-Unencumbered 12,623,582 14,737,186 15,688,449 Medicaid (3337400000) Division of Medicaid 22,427,956 22,059,367 22,059,367 Medicaid DSH/UPL (3337400000) Division of Medicaid 5,016,376 4,739,935 4,739,935

3-1 State of Mississippi SPECIAL FUNDS DETAIL Form MBR-1-02

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Medicare (3337400000) Medicare 3,829,446 3,829,446 3,829,446 Medicare EHR (3337400000) Medicare 150,782 150,782 150,782 Other (3337400000) Other 8,685,691 8,409,250 8,409,250 Patient/Client Fees (3337400000) From Patients/Clients 3,623,835 3,623,835 3,623,835 Other Special Fund TOTAL 56,357,668 57,549,801 58,501,064

SECTIONS S + A + B TOTAL 59,519,551 61,662,947 61,662,947

C. TREASURY FUND/BANK (1) (2) (3) ACCOUNTS * Reconciled Fund/Account Balance Balance Balance Name of Fund/Account Number Name of Bank (If Applicable) as of 6/30/20 as of 6/30/21 as of 6/30/22 * MS STATE HOSPITAL CAFETERIA 8836600000 BANK PLUS 78,432 78,000 78,000 PLAN * MS STATE HOSPITAL 8836100000 BANK PLUS 1,900 2,000 2,000 DORMITORY DEPOSIT 'MS STATE HOSPITAL JNH 8836200000 BANK PLUS 339,010 339,000 339,000 RESIDENT TRUST FUND 'MS STATE HOSPITAL PATIENT 8836300000 BANK PLUS 207,261 207,000 207,000 TRUST FUND +MS STATE HOSPITAL 8836000000 BANK PLUS 369,873 370,000 370,000 CONTINGENT FUND +MS STATE HOSPITAL SOCIAL 8836700000 BANK PLUS SECURITY CLEARING ACCOUNT 'SPECIALIZED TREATMENT 8837000000 HANCOCK BANK 7,352 7,300 7,300 FACILITY CLIENT FUND MS STATE HOSPITAL PETTY CASH 8836500000 BANK PLUS 1,514 1,500 1,500 SPECIALIZED TREATMENT 8836900000 HANCOCK BANK 319,720 319,000 319,000 FACILITY CASH COLLECTION +MS STATE HOSPITAL UTILITIES 8836800000 BANK PLUS 6,187 6,100 6,100 ACCOUNT

* Any non-federal funds that have restricted uses must be identified and narrative of restrictions attached.

3-2 NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS

Mental Health - Mississippi State Hospital (374-00) Name of Agency

STATE SUPPORT SPECIAL FUNDS Health Care Expendable Funds are used by MSH for the care and treatment of patients and are accounted for in a separate treasury fund (#623990000).

FEDERAL FUNDS Mississippi State Hospital received Stimulus funds through the Cares Act. These funds are one-time monies.

OTHER SPECIAL FUNDS MEDICAID

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. 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 in like manner. 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. Included in Medicaid revenue is MSH's DSH and MHAP payments. Medicaid Disproportionate Share (DSH) 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 "MS Hospital Access Payment" which compensates hospitals for treating a large share of Medicaid and indigent patients at rates that are less than those paid by Medicare. Beginning in FY 2020, 10% of MSH's MHAP payment will be moving into the QIPP pool; this could affect amount MSH receives related to this program.

MEDICARE

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.

OTHER

Other funds include patient fees from benefit payments, grants from the Department of Mental Health Central Office, and educational grant funds.

PATIENT/CLIENT FEES

Patient/Client fees includes monies paid to MSH by patients and/or residents to reimburse MSH for the cost of his/her treatment. Fees charged are based on the patients ability to pay and MSH's sliding fee scale approved by the Board of Mental Health.

4-1 NARRATIVE OF SPECIAL FUNDS DETAIL AND TREASURY FUND/BANK ACCOUNTS

Mental Health - Mississippi State Hospital (374-00) Name of Agency

TREASURY FUND / BANK ` Custodial/Trust funds for patients/residents; restrictive use

+ Used as a clearing account; restrictive use

* Employee funds; restrictive use

4-2 State of Mississippi CONTINUATION AND EXPANDED TOTAL REQUEST Form MBR-1-03

Mental Health - Mississippi State Hospital (374-00) SUMMARY OF ALL PROGRAMS Name of Agency Program

FY 2020 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 54,327,825 19,851,179 74,179,004 Travel 18,291 18,291 Contractual Services 1,436,161 12,078,797 13,514,958 Commodities 1,725,722 3,731,227 5,456,949 Other Than Equipment 74,982 74,982 Equipment 602,241 602,241 Vehicles 30,848 30,848 Wireless Communication Devices Subsidies, Loans & Grants 8,728,675 5,232,917 13,961,592 Total 63,056,500 3,161,883 41,620,482 107,838,865 No. of Positions (FTE) 809.00 522.00 1,331.00

FY 2021 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 54,323,572 19,851,695 74,175,267 Travel 18,200 18,200 Contractual Services 110,639 459,000 12,520,375 13,090,014 Commodities 3,051,244 492,263 3,531,902 7,075,409 Other Than Equipment 74,982 74,982 Equipment 524,644 524,644 Vehicles 45,900 45,900 Wireless Communication Devices Subsidies, Loans & Grants 6,122,585 5,293,654 11,416,239 Total 60,446,157 3,161,883 951,263 41,861,352 106,420,655 No. of Positions (FTE) 802.00 517.00 1,319.00

FY 2022 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services (459,000) 459,000 Commodities (492,263) 492,263 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total (951,263) 951,263 No. of Positions (FTE)

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 5-1 State of Mississippi CONTINUATION AND EXPANDED TOTAL REQUEST Form MBR-1-03

Mental Health - Mississippi State Hospital (374-00) SUMMARY OF ALL PROGRAMS Name of Agency Program

FY 2022 Expansion/Reduction of Existing Activities (16) (17) (18) (19) (20) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE)

FY 2022 New Activities (*) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 582,180 582,180 Travel Contractual Services Commodities 38,680 38,680 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total 620,860 620,860 No. of Positions (FTE) 9.00 9.00

FY 2022 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 54,905,752 19,851,695 74,757,447 Travel 18,200 18,200 Contractual Services 110,639 12,979,375 13,090,014 Commodities 38,680 3,051,244 4,024,165 7,114,089 Other Than Equipment 74,982 74,982 Equipment 524,644 524,644 Vehicles 45,900 45,900 Wireless Communication Devices Subsidies, Loans & Grants 6,122,585 5,293,654 11,416,239 Total 61,067,017 3,161,883 42,812,615 107,041,515 No. of Positions (FTE) 811.00 517.00 1,328.00

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 5-2 SUMMARY OF PROGRAMS FORM MBR-1-03sum

Mental Health - Mississippi State Hospital (374-00) Name of Agency FUNDING REQUESTED FISCAL YEAR 2022

PROGRAM GENERAL ST. SUPP. SPECIAL FEDERAL OTHER SPECIAL TOTAL

1. MI - Institutional Care 55,650,263 3,051,244 38,281,811 96,983,318

2. MI - Support Services 1,208,923 1,263,612 2,472,535

3. Specialized Treatment Facility 4,207,831 110,639 3,267,192 7,585,662

Summary of All Programs 61,067,017 3,161,883 42,812,615 107,041,515

6-1 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 1 of 3 Mental Health - Mississippi State Hospital (374-00) MI - Institutional Care Name of Agency Program

FY 2020 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 49,261,051 18,006,541 67,267,592 Travel 10,064 10,064 Contractual Services 1,385,061 10,995,638 12,380,699 Commodities 1,666,183 3,289,593 4,955,776 Other Than Equipment 74,982 74,982 Equipment 540,317 540,317 Vehicles 30,848 30,848 Wireless Communication Devices Subsidies, Loans & Grants 8,646,589 4,969,643 13,616,232 Total 57,907,640 3,051,244 37,917,626 98,876,510 No. of Positions (FTE) 713.00 494.00 1,207.00

FY 2021 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 48,988,904 17,909,929 66,898,833 Travel 9,105 9,105 Contractual Services 459,000 10,940,937 11,399,937 Commodities 3,051,244 492,263 3,011,399 6,554,906 Other Than Equipment 74,982 74,982 Equipment 433,252 433,252 Vehicles 45,900 45,900 Wireless Communication Devices Subsidies, Loans & Grants 6,040,499 4,905,044 10,945,543 Total 55,029,403 3,051,244 951,263 37,330,548 96,362,458 No. of Positions (FTE) 706.00 489.00 1,195.00

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-1 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 1 of 3 Mental Health - Mississippi State Hospital (374-00) MI - Institutional Care Name of Agency Program

FY 2022 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 49,571,084 17,909,929 67,481,013 Travel 9,105 9,105 Contractual Services 11,399,937 11,399,937 Commodities 38,680 3,051,244 3,503,662 6,593,586 Other Than Equipment 74,982 74,982 Equipment 433,252 433,252 Vehicles 45,900 45,900 Wireless Communication Devices Subsidies, Loans & Grants 6,040,499 4,905,044 10,945,543 Total 55,650,263 3,051,244 38,281,811 96,983,318 No. of Positions (FTE) 715.00 489.00 1,204.00

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-2 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 2 of 3 Mental Health - Mississippi State Hospital (374-00) MI - Support Services Name of Agency Program

FY 2020 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 1,232,400 410,816 1,643,216 Travel 4,490 4,490 Contractual Services 707,236 707,236 Commodities 27,207 27,207 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants 59,151 59,151 Total 1,232,400 1,208,900 2,441,300 No. of Positions (FTE) 27.00 14.00 41.00

FY 2021 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 1,208,923 410,816 1,619,739 Travel 4,091 4,091 Contractual Services 727,656 727,656 Commodities 71,503 71,503 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants 49,546 49,546 Total 1,208,923 1,263,612 2,472,535 No. of Positions (FTE) 27.00 14.00 41.00

FY 2022 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE)

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-3 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 2 of 3 Mental Health - Mississippi State Hospital (374-00) MI - Support Services Name of Agency Program

FY 2022 New Activities (*) (21) (22) (23) (24) (25) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE)

FY 2022 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 1,208,923 410,816 1,619,739 Travel 4,091 4,091 Contractual Services 727,656 727,656 Commodities 71,503 71,503 Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants 49,546 49,546 Total 1,208,923 1,263,612 2,472,535 No. of Positions (FTE) 27.00 14.00 41.00

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-4 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 3 of 3 Mental Health - Mississippi State Hospital (374-00) Specialized Treatment Facility Name of Agency Program

FY 2020 Actual (1) (2) (3) (4) (5) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 3,834,374 1,433,822 5,268,196 Travel 3,737 3,737 Contractual Services 51,100 375,923 427,023 Commodities 59,539 414,427 473,966 Other Than Equipment Equipment 61,924 61,924 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 82,086 204,123 286,209 Total 3,916,460 110,639 2,493,956 6,521,055 No. of Positions (FTE) 69.00 14.00 83.00

FY 2021 Estimated (6) (7) (8) (9) (10) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,125,745 1,530,950 5,656,695 Travel 5,004 5,004 Contractual Services 110,639 851,782 962,421 Commodities 449,000 449,000 Other Than Equipment Equipment 91,392 91,392 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 82,086 339,064 421,150 Total 4,207,831 110,639 3,267,192 7,585,662 No. of Positions (FTE) 69.00 14.00 83.00

FY 2022 Increase/Decrease for Continuation (11) (12) (13) (14) (15) General State Support Special Federal Other Special Total Salaries,Wages & Fringe Travel Contractual Services Commodities Other Than Equipment Equipment Vehicles Wireless Communication Devices Subsidies, Loans & Grants Total No. of Positions (FTE)

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-5 State of Mississippi CONTINUATION AND EXPANDED REQUEST Form MBR-1-03

Program 3 of 3 Mental Health - Mississippi State Hospital (374-00) Specialized Treatment Facility Name of Agency Program

FY 2022 Total Request (26) (27) (28) (29) (30) General State Support Special Federal Other Special Total Salaries,Wages & Fringe 4,125,745 1,530,950 5,656,695 Travel 5,004 5,004 Contractual Services 110,639 851,782 962,421 Commodities 449,000 449,000 Other Than Equipment Equipment 91,392 91,392 Vehicles Wireless Communication Devices Subsidies, Loans & Grants 82,086 339,064 421,150 Total 4,207,831 110,639 3,267,192 7,585,662 No. of Positions (FTE) 69.00 14.00 83.00

Note: FY2022 Total Request = FY2021 Estimated + FY2022 Incr(Decr) for Continuation + FY2022 Expansion/Reduction of Existing Activities + FY2022 New Activities. 7-6 State of Mississippi PROGRAM DECISION UNITS Form MBR-1-03A

Mental Health - Mississippi State Hospital 1 - MI - Institutional Care Name of Agency Program Name A B C D E F G FY 2021 Escalations By Non-Recurring * Residency Total Funding FY 2022 Total Stimulus Funds EXPENDITURES Appropriated DFA Items Program Change Request SALARIES 66,898,833 582,180 582,180 67,481,013 GENERAL 48,988,904 582,180 582,180 49,571,084 ST. SUP. SPECIAL FEDERAL OTHER 17,909,929 17,909,929 TRAVEL 9,105 9,105 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 9,105 9,105 CONTRACTUAL 11,399,937 11,399,937 GENERAL ST. SUP. SPECIAL FEDERAL 459,000 (459,000) (459,000) OTHER 10,940,937 459,000 459,000 11,399,937 COMMODITIES 6,554,906 38,680 38,680 6,593,586 GENERAL 38,680 38,680 38,680 ST. SUP. SPECIAL 3,051,244 3,051,244 FEDERAL 492,263 (492,263) (492,263) OTHER 3,011,399 492,263 492,263 3,503,662 CAPTITAL-OTE 74,982 74,982 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 74,982 74,982 EQUIPMENT 433,252 433,252 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 433,252 433,252 VEHICLES 45,900 45,900 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 45,900 45,900 WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES 10,945,543 10,945,543 GENERAL 6,040,499 6,040,499 ST. SUP. SPECIAL FEDERAL OTHER 4,905,044 4,905,044 TOTAL 96,362,458 620,860 620,860 96,983,318

FUNDING GENERAL FUNDS 55,029,403 620,860 620,860 55,650,263 ST. SUP .SPCL FUNDS 3,051,244 3,051,244 FEDERAL FUNDS 951,263 (951,263) (951,263) OTHER SP. FUNDS 37,330,548 951,263 951,263 38,281,811 TOTAL 96,362,458 620,860 620,860 96,983,318

POSITIONS GENERAL FTE 706.00 9.00 9.00 715.00 ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE 489.00 489.00 TOTAL 1,195.00 9.00 9.00 1,204.00 PRIORITY LEVEL : 1 1 8-1 State of Mississippi PROGRAM DECISION UNITS Form MBR-1-03A

Mental Health - Mississippi State Hospital 2 - MI - Support Services Name of Agency Program Name A B C D E FY 2021 Escalations By Non-Recurring Total Funding FY 2022 Total EXPENDITURES Appropriated DFA Items Change Request SALARIES 1,619,739 1,619,739 GENERAL 1,208,923 1,208,923 ST. SUP. SPECIAL FEDERAL OTHER 410,816 410,816 TRAVEL 4,091 4,091 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 4,091 4,091 CONTRACTUAL 727,656 727,656 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 727,656 727,656 COMMODITIES 71,503 71,503 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 71,503 71,503 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 49,546 49,546 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 49,546 49,546 TOTAL 2,472,535 2,472,535

FUNDING GENERAL FUNDS 1,208,923 1,208,923 ST. SUP .SPCL FUNDS FEDERAL FUNDS OTHER SP. FUNDS 1,263,612 1,263,612 TOTAL 2,472,535 2,472,535

POSITIONS GENERAL FTE 27.00 27.00 ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE 14.00 14.00 TOTAL 41.00 41.00 PRIORITY LEVEL :

8-2 State of Mississippi PROGRAM DECISION UNITS Form MBR-1-03A

Mental Health - Mississippi State Hospital 3 - Specialized Treatment Facility Name of Agency Program Name A B C D E FY 2021 Escalations By Non-Recurring Total Funding FY 2022 Total EXPENDITURES Appropriated DFA Items Change Request SALARIES 5,656,695 5,656,695 GENERAL 4,125,745 4,125,745 ST. SUP. SPECIAL FEDERAL OTHER 1,530,950 1,530,950 TRAVEL 5,004 5,004 GENERAL ST. SUP.SPECIAL FEDERAL OTHER 5,004 5,004 CONTRACTUAL 962,421 962,421 GENERAL ST. SUP. SPECIAL 110,639 110,639 FEDERAL OTHER 851,782 851,782 COMMODITIES 449,000 449,000 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 449,000 449,000 CAPTITAL-OTE GENERAL ST. SUP. SPECIAL FEDERAL OTHER EQUIPMENT 91,392 91,392 GENERAL ST. SUP. SPECIAL FEDERAL OTHER 91,392 91,392 VEHICLES GENERAL ST. SUP. SPECIAL FEDERAL OTHER WIRELESS DEV GENERAL ST. SUP. SPECIAL FEDERAL OTHER SUBSIDIES 421,150 421,150 GENERAL 82,086 82,086 ST. SUP. SPECIAL FEDERAL OTHER 339,064 339,064 TOTAL 7,585,662 7,585,662

FUNDING GENERAL FUNDS 4,207,831 4,207,831 ST. SUP .SPCL FUNDS 110,639 110,639 FEDERAL FUNDS OTHER SP. FUNDS 3,267,192 3,267,192 TOTAL 7,585,662 7,585,662

POSITIONS GENERAL FTE 69.00 69.00 ST. SUP. SPCL. FTE FEDERAL FTE OTHER SP. FTE 14.00 14.00 TOTAL 83.00 83.00 PRIORITY LEVEL :

8-3 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 1 - MI - Institutional Care Name of Agency Program Name

I. Program Description: The Institutional Care Program provides a comprehensive range of inpatient psychiatric services designed to serve the needs of children, adolescents and adults who reside in any of the ten community mental health regions assigned to Mississippi State Hospital’s catchment area. Mississippi State Hospital (MSH) runs an acute child/adolescent psychiatric unit designed to provide diagnostic evaluations and short-term treatment for juveniles with emotional, social, psychological and academics impairments. In addition to these services, MSH operates a chemical dependency unit for female adults, male adults and adolescents. The hospital also operates acute and continued care psychiatric units, a medical surgical hospital, and a certified nursing facility. Mississippi State Hospital functions as the statewide service facility for forensic services. Furthermore, there are many units at Mississippi State Hospital that 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, fully accredited by the Joint Commission and certified by the Centers for Medicare and Medicaid Services.

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 who require nursing home care. While providing such care, it is important for Mississippi State Hospital to meet 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 Mississippi State Hospital. 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 2021 & FY 2022Increase/Decrease for continuations) of MBR-1-03 and designated Budget Unit Decisions columns of MBR-1-03-A:

(D) Stimulus Funds: MSH received Stimulus Funds through the Cares Act. Per DFA, these funds were to be classified as a Federal Grant. These one-time monies will not be available in FY 2022, therefore, the federal funds that appear in the 2021 appropriated figures must be reduced and other special funds increased by the amount received in order to continue operation at level funding.

IV. Additional program activities that will result from increased funding requested in Columns 16-25 (MBR-1-03) and specified Budget Decision Unit Columns (MBR-1-03-A):

(E) * Residency Program: MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.

9-1 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 2 - MI - Support Services Name of Agency Program Name

I. Program Description: The Support Services program of Mississippi State Hospital provides a comprehensive range of services designed to serve the needs of the individuals and the employees. This program coordinates MSH’s efforts to meet the objectives of the Department of Mental Health and to report to administrative agencies (DFA, SPB, etc.) within state government. Organizational units assigned to this program component include Fiscal Services, Internal Auditor, Facility Director, Assistant Directors, Public Relations and Human Resources.

Support Services program consists of support services staff from Mississippi State Hospital and Specialized Treatment Facility.

II. Program Objective: The objective of the Support Services program is to provide for the personnel management, fiscal management and the adherence to standards for the maintenance of all licensure associated with the operation of Mississippi State Hospital.

9-2 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 3 - Specialized Treatment Facility Name of Agency 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 operates as a medical model and may serve adolescent offenders with mental illness. STF offers priority admissions to those adolescents who are involved 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 Specialized Treatment Facility is a Psychiatric Residential Treatment Facility licensed 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 Specialized Treatment Facility operated accredited school for middle school, high school, GED, and college students.

II. Program Objective: The Specialized Treatment Facility 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.

9-3 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)

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency PROGRAM NAME

New Program/Activity Name: Residency Program

Amount of Funding Requested: $620,860

Description: MSH is establishing a Psychiatry Residency Program. The program is designed to train psychiatrists who will aid in alleviating the shortage of psychiatrists in our state. The program will enroll up to six (6) residents in FY22. The goal is to expand the program to a maximum of 24 residents over the next six years. As a result, MSH is requesting funding for salaries and commodities.

1) Program/Activity Premise

a) Is this request for a New Program or a New Activity in an existing Program? (specify which) This request is for a New Program not affiliated with other programs of the agency.

b) Provide the new program/activity contact person's Name and Email. Gene Amason, [email protected]

c) What public problem is this new program/activity seeking to address? The program is designed to train psychiatric residents to become psychiatrists who can help alleviate the shortage of mental health physicians in the state.

d) Briefly stated, how will this program/activity address the public problem identified in Question 1.c? (You will provide a more detailed description of the new program/activity in Element 3 "Program/Activity Description".) In its infancy, this program will host 6 psychiatric residents. At its capacity, the program will serve 24 psychiatric residents. Throughout the program, the residents will be trained to be the best psychiatrists they can be by instilling professional values, using innovative teaching approaches and promoting a culture of autodidactic lifelong learning. The program is dedicated to the provision of quality care and ensuring that this quality will be left in very capable hands for generations to come.

e) What other state entities are involved in addressing this problem, and how does your proposed program/activity differ from the other programs/activities already in place to address this problem? While the University of Mississippi Medical Center currently boasts a university-based residency program, the program at Mississippi State Hospital (MSH) will be a community-based program designed to specifically boost physician numbers in public psychiatric settings where psychiatrists are especially needed. The MSH program will also be designed to focus on retaining residents in Mississippi in order to address the shortage of mental health physicians in the state.

f) Does this proposed program/activity effort link to a statewide goal or benchmark identified in "Building a Better Mississippi: The Statewide Strategic Plan for Performance and Budgetary Success?" (yes or no) Yes

g) If the answer to Question 1.f is “yes,” specify the statewide goal(s) or benchmark(s) to which the proposed program/activity links; if the answer is "no", answer this item with "Not Applicable." The Higher Education section of the Strategic Plan addresses the need for this program. Specifically, page seventeen discusses retention of graduates in high-need disciplines. This program would accomplish the goal of seeking to increase the percent of medical doctor graduates in Mississippi for residency.

10-1 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)

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency PROGRAM NAME

h) Explain where this program/activity fits into your agency's strategic plan; i.e., specify the agency goal, objective, and strategy that the proposed program/activity seeks to address. Goal 3 of the Department of Mental Health’s Strategic Plan is to provide quality services in safe settings and utilize information/data management to enhance decision making and service delivery. Objective 3.5 of this goal is to provide a comprehensive approach to address workforce recruitment and retention at DMH’s programs. Strategy 3.5.4 specifically states that to accomplish this DMH will establish a psychiatric residency program at Mississippi State Hospital that increases psychiatrists available to practice in state hospitals and mental health service providers. 2) Needs Assessment

a) What is the statewide extent of the problem identified in Question 1.c, stated in numerical and geographic terms? According to the Office of Mississippi Physician Workforce, Mississippi has the lowest per-capita primary care physician supply in the nation. Mississippi has 65.9 active physicians per 100,000 population, whereas the national average is 90.8 physicians per 100,000 population. Furthermore, the 2019 State Physician Workforce Data Book shows that Mississippi is ranked 7th in percent of retention of medical graduates when both medical school and residency is performed in the state. That’s a 77% retention rate. The same study goes on to say that the addition of one new physician in a community or municipality can produce an economic impact of $1-2 million. Mississippi currently ranks 49 in psychiatrists per capita.

b) Stated in numerical and geographic terms, what portion of the total need identified in Question 2.a does this program/activity seek to address? Through the development of a psychiatric residency program at Mississippi State Hospital, we aim to maintain, and hopefully increase, the retention rate of Mississippi educated and trained psychiatrists. Within four years, the program will graduate six residents. Using the 77% retention rate, four residents would remain in the state who would contribute an estimated $4,000,000 in economic growth according to the study referenced above.

3) Program/Activity Description

a) Question 7.a asks "What specific outcomes do you expect to achieve with this program/activity?" What specific tasks will be carried out to achieve each of the outcomes for this program/activity listed in the answer to Question 7.a? Mississippi State Hospital hopes to increase the number psychiatrists in the state. Historical data indicates that less than 50% of psychiatrists stay and practice where they trained following residency. Through the relationships built during residency training, we are hopeful that recruitment to the local workforce will be commonplace. Once the training positions are filled, the program will immediately boost the psychiatrist workforce in Mississippi by 14%.

b) Over the time period for which you are requesting funding: i) How many of each of the tasks identified in Question 3.a do you intend to provide and in which geographic locations? And, ii) How many individuals do you intend to serve? Mississippi State Hospital hopes to attract residents from all across the United States. While the home of the residency program will be at Mississippi State Hospital, there are plans for the residents to gain experience from care settings across the Jackson metro area. In its infancy, the program will serve 6 residents. At capacity, the program will serve 24 residents.

c) Once the program/activity is fully operational: i) What is the estimated ongoing annual cost of operating the program/activity? And, ii) What is the estimated cost per unit of activity? The estimated cost per year will increase across the first five years of operation. In year 1 where Mississippi State Hospital hosts no residents, the gross start-up expenditures of the program will be an estimated $620,860. In year 2, the first residents will be welcomed into the program; the estimated gross expenditures for that year is $1,059,550. At its peak, we estimate the program will have gross expenditures of $3,120,194. Gross cost per resident will range from $137,618 (at capacity) to $176,592 (in infancy).

10-2 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)

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency PROGRAM NAME

d) List each expected benefit of this program/activity per unit provided. If known, include each benefit's monetized value, as well as a detailed explanation of the calculations and assumptions used to monetize the value of each benefit. The program would produce six new physicians per year. Throughout the program, the residents will be encouraged to practice in the State of MS; statics show that efforts to retain are fruitful with a 77% retention rate according to the 2019 State Physician Workforce Data Book. Using that logic, the psychiatric residency program would produce at least four (possibly five) physicians to add the workforce in Mississippi each year (beginning at the end of year 4). The same study shows that the addition of these four physicians would generate an estimated $4,000,000 per year.

e) What is the expected benefit-to-cost ratio for this program/activity; i.e., total monetized benefits divided by total costs? Assuming estimated cost projections are correct and assuming four physicians per year are retained, the benefit-to-cost ratio is 1.28. Therefore, the project is expected to deliver a positive return in terms of dollars and physicians added to the workforce.

4) Research and Evidence Filter

a) As defined in MISS. CODE ANN. Section 27-103-159 (1972), specify whether this program/activity is evidence based, research based, a promising practice, or none of the above. The program currently falls under the description of a promising practice.

b) Explain, or provide online links to, the relevant research supporting your answer to Question 4.a, And include a short summary of the research you explain/link to in your response. Your summary should include references to specific pages of your online links, where applicable. Given that the Office of Mississippi Physician Workforce was only created in 2012, data collection is in the early stage. Although the data is limited, it does appear that the needle is moving in the anticipated direction. MSH plans to work closely with OMPW in collecting data and providing outcome measures. https://www.ompw.org/OMPW/home.html

c) If there is no existing research supporting this program/activity, describe in detail how you will evaluate your pilot program/activity with sufficient rigor to add to the research base of evidence-based or research-based programs/activities defined in MISS. CODE ANN. Section 27-103-159 (1972). If you provided an online link to research to support this program/activity, answer this question with "Not Applicable." MSH plans to work closely with the OMPW in collecting data and providing outcome measures.

5) Implementation Plan

a) Describe all start-up tasks needed to implement the program/activity and the cost associated with each task, or the existing resources that you will use to carry out the task. OMPW provided initial consultation for successful completion of the ACGME sponsoring institution and psychiatry program application at no cost. MSH will require several improvements to provide adequate facilities for residency training. An office of Graduate Medical Education and Psychiatry Residency Training will be created. This will require space for record keeping and offices. Software will be required to assist with tracking resident progress and milestone completion in concordance with ACGME requirements. Residents will require adequate work space, a lounge, and areas suitable for overnight call. Other expenditure will be allocated to office supplies, lab coats, pagers, and hardware related to the educational mission. In addition, marketing funds will be required to attract residents to the program.

b) Provide a timeline showing when each start-up task will take place and the date when you expect the program/activity to be fully operational. The start-up tasks will begin as soon as funding is received and approved by DMH. We plan to be ready to accept up to 6 psychiatry trainees on July 1, 2021.

10-3 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)

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency PROGRAM NAME

6) Fidelity Plan

a) Explain your plan for ensuring that your program/activity will be implemented with fidelity to the program/activity design. Your plan should include a checklist of the program/activity components identified in the supporting research literature that are necessary to achieve reported effect sizes. The MSH Psychiatry Residency Program plans to be accredited by the Accreditation Council For Graduate Medical Education. As such, the program will comply with ACGME standards. Resident advancement will specifically be addressed utilizing the milestones specifically set forth by the ACGME for psychiatry. https://www.acgme.org/Portals/0/PDFs/Milestones/PsychiatryMilestones2.0.pdf?ver=2020-03-10-152105-537

b) If there is no existing research base for this program/activity, explain the key components critical to the success of your pilot program/activity and how you will ensure that these components are implemented in accordance with program/activity design. The Clinical Competency Committee, a component of the Graduate Medical Education Committee, in concordance with the Program Evaluation Committee will monitor all aspects of resident matriculation and ensure that ACGME standards are met.

7) Measurement and Evaluation

a) What specific outcomes do you expect to achieve with this program/activity? Each outcome must be stated in measurable terms that include each of the five elements specified: 1) Targeted outcome; 2) How the outcome is calculated; 3) Direction of desired change (increase, decrease, maintain); 4) Targeted % change; 5) Date targeted to achieve desired change. (Refer to "Instructions for Preparing 5-Year Strategic Plans" for examples.) The MSH Psychiatry Residency Program intends to increase the psychiatrist workforce in Mississippi. This outcome will be measured directly by observing the number of graduating residents retained initially by Mississippi and 3 years out of residency. Prospective data will measure the total workforce number in concert with the OMPW. If filled, the program will increase the psychiatrist workforce by 3% on July 1, 2021. The increase will move to 14% in 2024. Following the graduation of the first class, Mississippi stands to retain at least 50% of the newly board eligible psychiatrists. A conservative estimate would be a 16% bump in the number of psychiatrists in 2025, 18% increase in 2026, and 19% increase from today’s number of 171 by the year 2027. This estimate brings the total anticipated number of practicing psychiatrists from 171 to 204. This increase would be the result of our program alone and does not account for increases which may also come from UMMC.

b) In order to establish a performance baseline, for each outcome measure reported in the answer to Question 7.a, report the most recent data available at the time of your request and the reporting period for the data. There are currently 171 practicing psychiatrists in Mississippi according to data from the OMPW. According to the American Academy of Medical Colleges, more than 75% of residents who received both their undergraduate and graduate medical education in Mississippi remain in Mississippi to practice. There has been a cap on residency training positions since 1997. Meanwhile, the interest in psychiatry and expansion of graduate medical class sizes has continued to increase. The hypothesis includes that retention of psychiatrists would be improved through the addition of more residency training positions. This information can be found on the OMPW website.

c) For each outcome measure reported in the answer to Question 7.a, explain how you arrived at the expected rate of change by the target date. We added the total compliment of the residency program at full capacity (24) and estimated retention of 50% of graduating residents annually for the first 3 years.

d) How often will you measure and evaluate this program/activity? The ACGME will perform site visits routinely to ensure the program is meeting the educational accreditation criteria. MSH will work closely with the OMPW to track the success our program has on expanding the physician workforce in Mississippi.

10-4 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)

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency PROGRAM NAME

e) What specific performance measures will you report to the Legislature for this program? At a minimum, you should include measures of program outputs, outcomes, and efficiencies. MSH will be prepared to provide annual updates to the Legislature regarding ACGME accreditation status, MATCH rates, matriculation data, and Mississippi psychiatrist retention numbers.

10-5 Form MBR-1-03PI PROGRAM PERFORMANCE MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994

Mental Health - Mississippi State Hospital (374-00) 1 - MI - Institutional Care Name of Agency 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 2020 FY 2020 FY 2021 FY 2022 APPRO ACTUAL ESTIMATED PROJECTED 1 % of individuals readmitted between 0-59 days after discharge 5.39 4.30 4.00 4.00 2 Number served adult acute psychiatric 1,000.00 849.00 601.00 849.00 3 Number served continued treatment 90.00 85.00 85.00 85.00 4 Number served chemical dependency 533.00 415.00 280.00 415.00 5 Number served nursing homes 240.00 271.00 226.00 226.00 6 Number served children/adolescent 260.00 142.00 91.00 122.00 7 Number served forensics 130.00 104.00 96.00 96.00

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 2020 FY 2020 FY 2021 FY 2022 APPRO ACTUAL ESTIMATED PROJECTED 1 Cost per person per day - acute psychiatric 470.00 545.69 669.71 516.53 2 Cost per person per day - continued treatment 498.00 494.84 538.36 515.99 3 Cost per person per day - child adolescent 747.00 1,062.86 1,414.55 1,072.07 4 Cost per person per day - chemical dependency 409.00 461.15 637.33 421.94 5 Cost per person per day - forensic 484.45 515.65 566.08 501.56 6 Cost per person per day - nursing home 382.61 411.54 465.17 423.96 7 Cost per patient day - Specalized Treatment Facility 516.00 577.72 577.00 577.00

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 2020 FY 2020 FY 2021 FY 2022 APPRO ACTUAL ESTIMATED PROJECTED 1 Maintain readmission rates within national trends (%) 5.39 4.30 4.00 4.00 2 Increase youth successfully transitioned from the Specialized Treatment 80.00 93.90 94.00 94.00 Facility to communities with supportive wrap-around aftercare (% of youth)

11-1 Form MBR-1-03PI PROGRAM PERFORMANCE MEASURES Program Data Collected in Accordance with the Mississippi Performance Budget and Strategic Planning Act of 1994

Mental Health - Mississippi State Hospital (374-00) 2 - MI - Support Services Name of Agency PROGRAM NAME

FY 2020 FY 2020 FY 2021 FY 2022 APPRO ACTUAL ESTIMATED PROJECTED 1 Support as a percent of total budget at MSH 0.00 0.00 0.00 0.00

FY 2020 FY 2020 FY 2021 FY 2022 APPRO ACTUAL ESTIMATED PROJECTED 1 Support as an overall percent of total budget 0.00 0.00 0.00 0.00

11-2 Form MBR1-03PC PROGRAM 3% GENERAL FUND REDUCTION AND NARRATIVE EXPLANATION

Mental Health - Mississippi State Hospital (374-00)

Fiscal Year 2021 Funding FY 2021 GF PERCENT Reduced Funding Total Funds Reduced Amount REDUCED Amount

Program Name: (1) MI - Institutional Care General 55,029,403 (1,813,385) 53,216,018 (3.30%) State Support Special 3,051,244 3,051,244 Federal 951,263 951,263 Other Special 37,330,548 37,330,548 TOTAL 96,362,458 (1,813,385) 94,549,073 Narrative Explanation:

Program Name: (2) MI - Support Services General 1,208,923 1,208,923 State Support Special Federal Other Special 1,263,612 1,263,612 TOTAL 2,472,535 2,472,535 Narrative Explanation:

Program Name: (3) Specialized Treatment Facility General 4,207,831 4,207,831 State Support Special 110,639 110,639 Federal Other Special 3,267,192 3,267,192 TOTAL 7,585,662 7,585,662 Narrative Explanation:

Program Name: (99) Summary of All Programs General 60,446,157 (1,813,385) 58,632,772 (3.00%) State Support Special 3,161,883 3,161,883 Federal 951,263 951,263 Other Special 41,861,352 41,861,352 TOTAL 106,420,655 (1,813,385) 104,607,270

12-1 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 2021: Twelve (12) regular meetings are planned during FY2020 and FY2021.

C. Board Members City, Town, Residence Appointed By Date Appointed Length of Term 1. John Montgomery, DO Ocean Springs, MS Byrant 07/01/2014 7 years 2. Robert Landrum Ellisville, MS Bryant 07/01/2014 7 years 3. James Herzog, Ph.D. Oxford, MS Bryant 07/01/2015 7 years 4. Sampat Shivangi, MD Ridgeland, MS Bryant 07/01/2016 7 years 5. Stewart Rutledge Oxford, MS Bryant 07/01/2017 7 years 6. Courtney Phillips Indianola, MS Bryant 07/01/2018 7 years 7. Manda Griffin, LSW, FNP, RT, Houlka, MS Bryant 07/01/2018 7 years Ph.D. 8. Alyssa Killebrew, Ph.D Madison, MS Bryant 07/01/2019 7 years 9. Teresa Mosley Clinton, MS Bryant 07/01/2020 3/4 years

Identify Statutory Authority (Code Section or Executive Order Number)* Mississippi Code Section 41-4-3 *If Executive Order, please attach copy.

13-1 State of Mississippi SCHEDULE B Form MBR-1-B CONTRACTUAL SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

A. Tuition, Rewards & Awards (61050xxx-61080xxx) 61060000 EMPLOYEE TRAINING 23,168 23,168 23,168 61070000 TRAVEL RELATED REGISTRATION 13,294 13,294 13,294 Total 36,462 36,462 36,462

B. Transportation & Utilities (61100xxx-61200xxx) 61100000 TRANSPORTATION OF GOODS 24,758 24,758 24,758 61110000 POSTAL SERVICES 3,392 3,392 3,392 61200000 UTILITIES 1,346,307 1,346,307 1,346,307 Total 1,374,457 1,374,457 1,374,457

C. Public Information (61300xxx-6131xxxx) 61300000 ADVERTISING AND PUBLIC INFORMATION 3,836 3,836 3,836 Total 3,836 3,836 3,836

D. Rents (61400xxx-61490xxx) 61400000 BUILDING AND FLOOR SPACE RENTAL 3,088 3,088 3,088 61420000 EQUIPMENT RENTAL 344,058 344,058 344,058 61490000 OTHER RENTALS 987 987 987 Total 348,133 348,133 348,133

E. Repairs & Service (61500xxx) 61500000 REPAIR AND MAINTENANCE SERVICES 790,683 754,218 754,218 Total 790,683 754,218 754,218

F. Fees, Professional & Other Services (6161xxxx-61699xxx) 61600000 INTER-AGENCY FEES 127,096 143,561 143,561 61610000 CONTRACT WORKER PAYROLL - EFT 3,105,046 3,105,046 3,105,046 61625000 CONTRACT WORKER PAYROLL MATCHING 322,449 322,449 322,449 AMOUNTS - EFT 61626000 CONTRACT WORKER PR REFUNDS OF DEDUCTIONS - 22 22 22 SPAHRS 61652000 CONSTRUCTION CONTRACTOR SERVICES 310 310 310 61660000 ACCOUNTING AND FINANCIAL SERVICES 63,888 63,888 63,888 61665000 INVESTMENT MANAGERS AND ACTUARY SERVICES 7,615 7,615 7,615 61670000 LEGAL AND RELATED SERVICES 61,296 61,296 61,296 61680000 MEDICAL SERVICES 2,500,967 2,500,967 2,500,967 61690000 FEES AND SERVICES - PROFESSIONAL FEES 3,113,196 2,709,807 2,709,807 CHARGED Total 9,301,885 8,914,961 8,914,961

14-1 State of Mississippi SCHEDULE B Form MBR-1-B CONTRACTUAL SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

G. Other Contractual Services (61700xxx-61790xxx, 61900xxx) 61700000 INSURANCE FEES AND SERVICES 203,735 203,735 203,735 61705000 BANKING AND CREDIT CARD FEES 337 337 337 61710000 MEMBERSHIP DUES 47,578 46,023 46,023 61715000 TRADE AND TECHNICAL SUBSCRIPTIONS 25 25 25 61735000 SALVAGE, DEMOLITION AND REMOVAL SERVICE 50,367 50,367 50,367 61740000 ENVIRONMENTAL SERVICES 4,263 4,263 4,263 61760000 TRANSPORTATION OF CLIENTS 313 313 313 61900000 PROCUREMENT CARD - CONTRACTUAL PURCHASES 2,410 2,410 2,410 Total 309,028 307,473 307,473

H. Information Technology (61800xxx-61890xxx) 61800000 BASIC TELEPHONE MONTHLY - OUTSIDE VENDOR 874 874 874 61806000 DATA LINE AND NETWORK CHARGES - OUTSIDE 20,596 20,596 20,596 VENDOR 61818000 CELLULAR USAGE TIME - OUTSIDE VENDOR 171 171 171 61821000 WIRELESS DATA TRANSMISSION - NOT CELL - 2,897 2,897 2,897 OUTSIDE VENDOR 61824000 SATELLITE VOICE TRANSMISSION SERVICES - 9,430 9,430 9,430 OUTSIDE VENDOR 61830000 IT PROFESSIONAL FEES - OUTSIDE VENDOR 117,959 117,959 117,959 61833000 IS TRAINING AND EDUCATION - OUTSIDE VENDOR 4,048 4,048 4,048 61836000 OUTSOURCED IT SOLUTIONS - OUTSIDE VENDOR 187,648 187,648 187,648 61839000 SOFTWARE ACQ, INSTALLATION & MAINT - OUT 250,158 250,158 250,158 VENDOR 61848000 MAINTENANCE & REPAIR OF IT EQUIPMENT- 109,586 109,586 109,586 OUTSIDE VEND 61850000 PAYMENTS TO ITS 108,270 108,270 108,270 Total 811,637 811,637 811,637

I. Other (61910xxx-61990xxx) 61910000 PETTY CASH EXPENSE - CONTRACTUAL 7,590 7,590 7,590 61960000 PRIOR YEAR EXPENSE - CONTRACTUAL 58,229 58,229 58,229 61965000 PRIOR YEAR EXPENSE - CONTRACTUAL - 1099 473,018 473,018 473,018 Total 538,837 538,837 538,837

Grand Total (Enter on Line 1-B of Form MBR-1) 13,514,958 13,090,014 13,090,014

Funding Summary: General Funds

14-2 State of Mississippi SCHEDULE B Form MBR-1-B CONTRACTUAL SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

State Support Special Funds 1,436,161 110,639 110,639 Federal Funds 459,000 Other Special Funds 12,078,797 12,520,375 12,979,375 Total Funds 13,514,958 13,090,014 13,090,014

14-3 State of Mississippi SCHEDULE C Form MBR-1-C COMMODITIES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

A. Maintenance & Constr. Materials & Supplies (62000xxx, 62015xxx) 62015000 BUILDING AND CONSTRUCTION MATERIALS AND 95,889 220,049 220,049 SUPPLIES Total 95,889 220,049 220,049

B. Printing & Office Supplies & Materials (62010xxx, 62085xxx, 62100xxx, 62125xxx, 62400xxx) 62010000 BOOKS, PERIODICALS, MAPS & INSTRUCTIONAL 36,920 56,920 56,920 MATERIAL 62085000 OFFICE SUPPLIES AND MATERIALS 141,832 196,832 196,832 62100000 PRINTING SUPPLIES 17,289 17,289 17,289 62400000 FURNITURE AND EQUIPMENT 190,719 190,719 190,719 Total 386,760 461,760 461,760

C. Equipment Repair Parts, Supplies & Acces. (6205xxxx, 62072xxx, 62110xxx, 62115xxx, 62120xxx, 62130xxx) 62050000 FUEL 90,913 130,913 130,913 62072000 SHOP SUPPLIES 7,835 25,835 25,835 62110000 PARTS & ACCESS - HEATING, COOLING, PLUMBING, 101,088 301,088 301,088 ELEC 62115000 PARTS & ACCESS - OFFICE, IT, AND OTHER EQUIP 66,863 166,863 166,863 62120000 PARTS & ACCESS - VEHICLES, BUSES, PLANES, ETC 21,517 71,517 71,517 62130000 TIRES AND TUBES 14,552 34,552 34,552 Total 302,768 730,768 730,768

D. Professional & Sci. Supplies and Materials (62025xxx, 62030xxx, 62070xxx, 62095xxx, 62105xxx, 6212xxxx) 62025000 EDUCATIONAL SUPPLIES 12,548 20,548 59,228 62070000 LAB AND MEDICAL SUPPLIES 3,640,590 4,240,590 4,240,590 62095000 PHOTOGRAPHIC SUPPLIES AND PROCESSING 71 71 71 Total 3,653,209 4,261,209 4,299,889

E. Other Supplies & Materials (62005xxx, 62015xxx, 62020xxx, 62035xxx, 62040xxx, 62045xxx, 62060xxx, 62065xxx, 62075xxx-62080xxx, 62090xxx, 62115xxx, 62135xxx, 62140xxx, 62405xxx, 62415xxx, 62500xxx-62999xxx) 62005000 AMMUNITION 818 1,618 1,618 62020000 DECALS AND SIGNS - OTHER THAN CONSTRUCTION 2,298 4,798 4,798 62040000 FOOD FOR BUSINESS MEETINGS 1,290 1,290 1,290 62045000 FOOD FOR PERSONS 230,019 265,019 265,019 62060000 JANITORIAL AND CLEANING SUPPLIES 321,108 421,108 421,108 62065000 KITCHEN, CAFETERIA, AND DINING SUPPLIES 70,809 95,809 95,809 62075000 LAWN, FARM AND GARDEN SUPPLIES 10,913 10,913 10,913 62078000 OTHER MISCELLANEOUS SUPPLIES 26,781 26,781 26,781 62080000 LINENS AND BEDDING 49,578 109,578 109,578 62090000 PERSONAL HYGIENE AND GROOMING SUPPLIES 31,099 61,099 61,099

15-1 State of Mississippi SCHEDULE C Form MBR-1-C COMMODITIES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

62135000 UNIFORMS AND APPAREL 24,415 44,415 44,415 62140000 WINDOW TREATMENTS AND CARPET 2,757 12,757 12,757 62405000 VEHICLE EQUIPMENT 2,700 2,700 2,700 62415000 COMPUTERS AND COMPUTER EQUIPMENT 21,134 121,134 121,134 62900000 PROCUREMENT CARD - COMMODITY PURCHASES 178,621 178,621 178,621 62910000 PETTY CASH EXPENSES - COMMODITIES 997 997 997 62960000 PRIOR YEAR EXPENSE - COMMODITIES 42,986 42,986 42,986 Total 1,018,323 1,401,623 1,401,623

Grand Total (Enter on Line 1-C of Form MBR-1) 5,456,949 7,075,409 7,114,089

Funding Summary: General Funds 38,680 State Support Special Funds 1,725,722 3,051,244 3,051,244 Federal Funds 492,263 Other Special Funds 3,731,227 3,531,902 4,024,165 Total Funds 5,456,949 7,075,409 7,114,089

15-2 State of Mississippi SCHEDULE D-1 Form MBR-1-D-1 CAPITAL OUTLAY OTHER THAN EQUIPMENT

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

B. Buildings & Improvements (63100xxx)

63100000 CAPITAL OUTLAY - OTHER 74,982 74,982 74,982

Total 74,982 74,982 74,982

Grand Total (Enter on Line 1-D-1 of Form MBR-1) 74,982 74,982 74,982

Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 74,982 74,982 74,982 Total Funds 74,982 74,982 74,982

15-116-1 State of Mississippi SCHEDULE D-2 Form MBR-1-D-2 CAPITAL OUTLAY EQUIPMENT

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Act. FY Ending June 30, 2020 Est. FY Ending June 30, 2021 Req. FY Ending June 30, 2022

EQUIPMENT BY ITEM No. of No. of No. of Total Cost Total Cost Total Cost Units Units Units

C. Office Machines, Furniture, Fixtures, Equip. (63200xxx)

70" 10 Point TV 1 13,579 ASV DSX900411 BIPAP 1 3,000 Broda Recliner Chair 1 2,214 Centrifuge 1 3,133 Clinton CE-FXR-16 DVR 1 1,995 Garbage Disposal 1 3,565 3 10,500 Heavy Duty Wheelchair 1 1,092 Hospital Bed 3 4,680 8 12,480 Ice Machine 6 21,335 2 6,000 5 15,000 Hoyer Patient Lift 1 3,328 2 6,500 Ice Machine with Bin 1 1,972 Lawn Mower 4 38,497 4 41,000 Medication Cart 2 4,550 Ligature Resistant Sofa 2 3,569 4 4,682 4 4,682 Patient Monitor 4 6,780 4 6,780 Portable X-Ray Unit 1 3,800 Record Cart 1 1,375 1 1,375 Refrigerator 5 22,109 2 5,000 4 20,000 Statim G4 2000 Sterilizer 1 4,918 STIHL Backpack Blower 2 704 Training Manikin 3 2,663 Treatment Cart 2 4,460 2 4,460 TV 2 737 Undercounter Dishwasher 2 11,258 3 16,887 Vital Sign Monitor GT900 2 2,990 4 6,000 Ligature Beds 154 164,652 Mosquito Sprayer 1 4,000 Shredder 1 2,700 Panacea Soft Touch 3500 Low Bed 5 7,800 Stacking Chair - Dining Room 20 3,400 Bariatric Arm Chair 20 4,838 Ligature Lounge Chair 1 780 Burnisher 1 16,000

17-1 State of Mississippi SCHEDULE D-2 Form MBR-1-D-2 CAPITAL OUTLAY EQUIPMENT

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Act. FY Ending June 30, 2020 Est. FY Ending June 30, 2021 Req. FY Ending June 30, 2022

EQUIPMENT BY ITEM No. of No. of No. of Total Cost Total Cost Total Cost Units Units Units

Dish Machine 1 2,100 Freezer 1 2,400 2 4,800 Food Slicer 1 3,500 Steam Table 1 5,000 Total 168,303 232,852 150,464

D. IS Equipment (DP & Telecommunications) (63200xxx)

24 Port Switch 1 6,022 5 30,000 48 Port Switch 9200L 2 14,642 10 42,242 8 33,794 BPR 40 Two-Way Radio 2 500 Canon DR-G2140 Scanner 1 5,575 Cisco 9400 Series Switch 4 161,355 4 161,355 Computer 72 60,160 174 109,712 130 87,918 IT Hardware 4 5,592 10 17,955 30 56,871 IT Hardware Intouch 9100 Time Clock 129 153,650 Lenovo Yogo 20R5 Tablet 4 4,400 LG Tablet 20 6,383 Microsoft Surface Pro 1 1,078 NAS Server 1 1,300 Printer 13 5,515 10 4,242 RCA RDR 2500 Radio 29 4,839 Thermal Label Printer 1 361 Thermal Printer 1 2,566 Wireless Controller 1 2,847 Indoor AP 60 29,036 Surveillance System 1 90,000 Total 433,938 291,792 374,180

Grand Total (Enter on Line 1-D-2 of Form MBR-1) 602,241 524,644 524,644

Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 602,241 524,644 524,644 Total Funds 602,241 524,644 524,644

17-2 State of Mississippi SCHEDULE D-3 Form MBR-1-D-3 PASSENGER/WORK VEHICLES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Act. FY Ending June 30, 2020 Est. FY Ending June 30, 2021 Req. FY Ending June 30, 2022 Vehicle Inventory MINOR OBJECT OF EXPENDITURE No. of No. of No. of June 30, Total Cost Total Cost Total Cost 2020 Units Units Units

A. Passenger & Work Vehicles (63300xxx) 6330010 LIGHT/MEDIUM DUTY 43 1 30,848 TRUCKS 63300100 VANS 57 2 45,900 2 45,900 63300100 CARS 6 63300100 HEAVY DUTY TRUCKS 9 Total (A) 115 1 30,848 2 45,900 2 45,900

GRAND TOTAL (Enter on Line 1-D-3 of Form MBR-1) 30,848 45,900 45,900

Funding Summary: General Funds State Support Special Funds Federal Funds Other Special Funds 30,848 45,900 45,900 Total Funds 30,848 45,900 45,900

18-1 State of Mississippi SCHEDULE D-4 Form MBR-1-D-4 WIRELESS COMMUNICATION DEVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Act. FY Ending June 30, 2020 Est. FY Ending June 30, 2021 Req. FY Ending June 30, 2022 Device Inventory MINOR OBJECT OF EXPENDITURE No. of No. of No. of June 30, Actual Cost Estimated Cost Requested Cost 2020 Devices Devices Devices

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 State of Mississippi SCHEDULE E Form MBR-1-E SUBSIDIES, LOANS & GRANTS

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Actual Expenses Estimated Expenses Requested for MINOR OBJECT OF EXPENDITURE FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

E. Other (67000xxx-67019xxx, 67021xxx-67199xxx, 67998xxx, 68500xxx-68860xxx, 70045xxx-70080xxx, 80000xxx-80500xxx) 67199000 MISCELLANEOUS REFUNDS 25,393 25,393 25,393 68515000 TRANSFERS TO OTHER FUNDS 13,936,199 11,390,846 11,390,846 Total 13,961,592 11,416,239 11,416,239

Grand Total (Enter on Line 1-E of Form MBR-1) 13,961,592 11,416,239 11,416,239

Funding Summary: General Funds 8,728,675 6,122,585 6,122,585 State Support Special Funds Federal Funds Other Special Funds 5,232,917 5,293,654 5,293,654 Total Funds 13,961,592 11,416,239 11,416,239

20-1 NARRATIVE 2022 BUDGET REQUEST

Mental Health - Mississippi State Hospital (374-00) Name of Agency

The Fiscal Year 2022 budget request for Mississippi State Hospital has been prepared in accordance with the Department Finance and Administration and Legislative Budget Office Budget Preparation Instructions for Fiscal Year 2022, dated July 10, 2020. Section 3, Narrative Justification for Fiscal Year 2022, references categorical substantiation for increases and decreases in agency expenditures over Fiscal Year 2021.

The Fiscal Year 2022 Budget Request of Mississippi State Hospital is in the amount of $107,041,515 which represents a $620,860 increase to the Fiscal Year 2021 appropriation. Major Object of Expenditures

A.1 PERSONNEL SERVICES: SALARIES, WAGES, AND FRINGE BENEFITS (BASE)

Requested expenditures are submitted for the FY 2022 Budget in accordance with the Fiscal management Board and Legislative Budget Office preparation instructions. The cost projections include agency personnel authorized under FY 2021 legislative appropriation. In the FY 2021 appropriation, Mississippi State Hospital was appropriated 1,635 positions which include 1,570 permanent full-time and 65 time-limited full-time positions. The overall request of $74,757,447 represents an increase of $582,180 in General Funds from the FY 2021 estimate for the new Residency Program.

Total funding requested to support Salaries, Wages and Fringe for FY 2022 is $74,757,447. It is proposed that this request be funded by $54,905,752 in General Funds, $7,119,224 in Medicaid funding, $3,980,228 in Medicare funding, $7,759,658 in Other funding and $992,585 in Patient/Client fees funding.

Spending for additional compensation in the amount of $6,916,554 is budgeted for as follows: A. New Positions $ 523,710 B. Vacant Positions $3,254,939 C. Reclassifications $1,065,780 D. Educational Benchmarks $ 19,624 E. FLSA Overtime $2,032,148 F. Stand By Pay $ 20,353

It is requested that the FY 2022 appropriation be granted with "lump sum" authority, just as the FY 2021 appropriation because this provides the agency a level of flexibility, which is invaluable in meeting the challenges of the current economic climate.

A.2 TRAVEL

The sum of $18,200 is respectfully requested to support travel needs in FY 2022. This amount represents no increase over that authorized in FY 2021. It is proposed that this request will be funded with $18,200 of Other funds.

B. CONTRACTUAL SERVICES

$13,090,014 is requested for the funding of Contractual Services FY 2022. The total FY 2022 funding request reflects no increase over the FY 2021 appropriation. It is respectfully proposed that this request be funded with $110,639 in Health Care Expendable funding and $12,979,375 in Medicaid funding.

Funds in this category are used for employee training, postage, gas, electricity, water and sewage, advertising and rental of equipment. Expenses associated with professional contract employees, as well as fees for professional services are paid from this category also. Funds in this category are utilized to repair and maintain buildings on the agency’s campuses. Seventy of the more than 100 buildings on campus were constructed between 1926 and 1935. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.

C. COMMODITIES

The sum of $7,114,089 is respectfully requested to support continuation of services provided by the combined programs of Mississippi State Hospital and the Specialized Treatment Facility. The total FY 2022 funding request for Commodities reflects a

21-1 NARRATIVE 2022 BUDGET REQUEST

Mental Health - Mississippi State Hospital (374-00) Name of Agency small increase in expenditures over that provided for in FY 2021 because of the new Residency Program. It is proposed that these expenditures be funded with $38,680 in General Funds, $3,051,244 in Health Care Expendable funding, $1,407,049 in Medicaid funding, $585,492 in Other funding, and $2,031,624 in Patient/Client Fees funding.

Funding requested for Commodities is utilized for maintenance and care of the buildings, furniture and equipment, supplies for the persons served, personal needs such as food, clothing, medicine, educational supplies and materials, general operations maintenance, janitorial supplies and office supplies. Funds in this category are used to repair and maintain buildings on the agency’s campuses. A large portion of the square footage assigned to the agency was constructed on the Mississippi State Hospital campus prior to 1940. As the program’s physical plant ages, federal and state regulations governing the provision of services to persons with mental illness place tremendous stress on the physical environment as it relates to safety, preventative maintenance and repair programs, and the general overall appearance of the program’s building and grounds.

D. CAPITAL OUTLAY

D-1. CAPITAL OUTLAY – OTHER THAN EQUIPMENT (Schedule D-1)

Total funding requested to support Capital Outlay – Other than Equipment for FY 2022 is $74,982. It is respectfully proposed that this request be funded with $74,982 of Patient/Client Fees funding. This amount reflects no increase in expenditures over that provided for in FY 2021.

Funding requested for Capital Outlay – Other than Equipment is utilized for betterments for the buildings on the agency’s campuses.

D-2. CAPITAL OUTLAY – EQUIPMENT (Schedule D-2)

The Mississippi State Hospital FY 2022 Budget Request for Capital Outlay – Equipment totals $524,644. The total FY 2022 request for Capital Outlay – Equipment reflects no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $524,644 of Patient/Client Fees funding.

This funding has traditionally replaced equipment that has reached the end of its useful life expectancy and replacement is required.

D-3. PASSENGER/WORK VEHICLES (Schedule D-3)

The sum of $45,900 is respectfully requested for Passenger/Work Vehicles in the FY 2022 Budget Request. This amount reflects no increase over that requested in FY 2021. It is proposed that these expenditures be funded with $45,900 of Other funding.

This funding has traditionally replaced passenger/work vehicles that have reached the end of their useful life expectancy and replacement is required. The amount requested will replace two vans. One is assigned to the Maintenance division and the second is assigned to Information Management.

D-4. WIRELESS COMMUNICATION DEVICES (Schedule D-4)

No funding is requested in this category.

E. SUBSIDIES, LOANS AND GRANTS

The Subsidies, Loans and Grants request of the Mississippi State Hospital is in the amount of $11,416,239. This amount represents no increase of the FY 2021 appropriation. It is respectfully proposed that this request is funded with $6,122,585 of General Funds and $5,293,654 of Medicaid funding.

Funding provided in the Subsidies, Loans and Grants category support expenditures including, but are not limited to, Transfers to Other Funds for Medicaid Match, Cost Allocation, and Bed Taxes.

21-2 OUT-OF-STATE TRAVEL FISCAL YEAR 2022

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 2020 on Form Mbr- 1, line 1.A.2.b.

Employee's Name Destination Purpose Travel Cost Funding Source

MADDUX ROBERT FINLEY NEW ORLEANS LA LOUISIANA PSYCHIATRIC 990 3374 JR MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING MCBETH LAPORSHIA NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES 729 3374 ANTIONETTE ASSOCIATION ANNUAL CONFERENCE PERRY VIRGINIA D NEW ORLEANS LA AMERICAN PSYCHIATRIC NURSES 500 3374 ASSOCIATION ANNUAL CONFERENCE RECORE THOMAS NEW ORLEANS LA LOUISIANA PSYCHIATRIC 715 3374 VINCENT MEDICAL ASSOCIATION/MISSISSIPPI PSYCHIATRIC ASSOCIATION SPRING MEETING SHAW MIKE NEW ORLEANS LA ASSOCIATION OF NURSES IN AIDS 680 3374 CARE CONFERENCE

Total Out of State Cost $ 3,614

22-1 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

61600000 INTER-AGENCY FEES Department of Finance and Administration/MMRS Comp. Rate: $127096 per year 127,096 143,561 143,561 3337400000 Total 61600000 INTER-AGENCY FEES 127,096 143,561 143,561

61610000 CONTRACT WORKER PAYROLL - EFT ALDRIDGE CHELSEA/Patient Care Comp. Rate: $37 per hour 6,281 6,281 6,281 3337400000 ALLEN JESSICA/Patient Care Comp. Rate: $30 per hour 11,513 11,513 11,513 3337400000 AMOS LIZZIETTA/Patient Care Comp. Rate: $12 per hour Y 198 198 198 3337400000 ANDERSON LARRY/Information Management Comp. Rate: $20 per hour Y 20,910 20,910 20,910 3337400000 ANDERSON TEENA/Patient Care Comp. Rate: $12 per hour 12,783 12,783 12,783 3337400000 ATKINS TARVIN/Patient Care Comp. Rate: $12 per hour 17,830 17,830 17,830 3337400000 ATKINSON MONTORIA/Patient Care Comp. Rate: $12 per hour 2,859 2,859 2,859 3337400000 AUBERT RICHARD/Physician Comp. Rate: $150 per hour Y 29,100 29,100 29,100 3337400000 BAILEY ANITA/Patient Care Comp. Rate: $37 per hour 23,273 23,273 23,273 3337400000 BALLARD KHAMARI/Patient Care Comp. Rate: $12 per hour 2,673 2,673 2,673 3337400000 BANES PENCY/Patient Care Comp. Rate: $19 per hour 13,911 13,911 13,911 3337400000 BELL RUTHIE/Patient Care Comp. Rate: $12 per hour Y 11,610 11,610 11,610 3337400000 BENSON ANITRA/Patient Care Comp. Rate: $37 per hour 33,559 33,559 33,559 3337400000 BLUE CECIL/Patient Care Comp. Rate: $12 per hour 429 429 429 3337400000 BOLDEN LARISSA/Patient Care Comp. Rate: $37 per hour 14,550 14,550 14,550 3337400000 BOWERS ROBERT/Maintenance Comp. Rate: $20 per hour 24,938 24,938 24,938 3337400000 BRADFORD AURELIA/Patient Care Comp. Rate: $32 per hour 22,092 22,092 22,092 3337400000 BRENT VERA/Patient Care Comp. Rate: $37 per hour 50,427 50,427 50,427 3337400000 BRIDGES RODGERICK/Patient Care Comp. Rate: $15 per hour 12,660 12,660 12,660 3337400000 BROKMAN SUMMER/Patient Care

23-1 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $25 per hour 14,541 14,541 14,541 3337400000 BROOKS ASHLEY/Patient Care Comp. Rate: $12 per hour 9,840 9,840 9,840 3337400000 BROWN BAILEY/Police Comp. Rate: $13 per hour Y 8,348 8,348 8,348 3337400000 BROWN BRITNEY/Patient Care Comp. Rate: $25 per hour 3,444 3,444 3,444 3337400000 BROWN MELISSA/Patient Care Comp. Rate: $37 per hour 19,203 19,203 19,203 3337400000 BROWN MELVIN/Patient Care Comp. Rate: $15 per hour Y 7,744 7,744 7,744 3337400000 BROWN PRECIOUS/Patient Care Comp. Rate: $13 per hour 14,853 14,853 14,853 3337400000 BROWN WILLIE/Patient Care Comp. Rate: $12 per hour 5,088 5,088 5,088 3337400000 BROWN-WILSON PATRICE/Patient Care Comp. Rate: $37 per hour 31,940 31,940 31,940 3337400000 BRUNELLE REGINA/Patient Care Comp. Rate: $12 per hour 503 503 503 3337400000 BUCKNER KESHIA/Patient Care Comp. Rate: $25 per hour 10,981 10,981 10,981 3337400000 BULLIE RENSSELAER/Patient Care Comp. Rate: $12 per hour 8,277 8,277 8,277 3337400000 BULLOCK RICKY/Patient Care Comp. Rate: $12 per hour 4,737 4,737 4,737 3337400000 BURKETT DAVID/Patient Care Comp. Rate: $11 per hour 273 273 273 3337400000 BURKS ANTOINE/Patient Care Comp. Rate: $11 per hour 4,271 4,271 4,271 3337400000 BYRD MATTHEW/Patient Care Comp. Rate: $12 per hour 2,156 2,156 2,156 3337400000 CAMPBELL CHRISANN/Patient Care Comp. Rate: $11 per hour 12,076 12,076 12,076 3337400000 CARSON FREDERICA/Patient Care Comp. Rate: $37 per hour 14,310 14,310 14,310 3337400000 CARSON FREDETRIA/Patient Care Comp. Rate: $37 per hour 712 712 712 3337400000 COMEAUX REBEKAH/Patient Care Comp. Rate: $32 per hour 2,336 2,336 2,336 3337400000 COMMISKEY STEPHEN/Physician Comp. Rate: $300 per hour 18,300 18,300 18,300 3337400000 CONNELLY LAUREN/Patient Care Comp. Rate: $11 per hour 8,804 8,804 8,804 3337400000 CRAFT AMANDA/Patient Care Comp. Rate: $25 per hour 706 706 706 3337400000 CROSBY DELISA/Patient Care

23-2 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $12 per hour 102 102 102 3337400000 DAKHLALLA SALAAHODDIN/Patient Care Comp. Rate: $26 per hour 41,942 41,942 41,942 3337400000 DALLAS LAQUANIA/Patient Care Comp. Rate: $11 per hour 7,850 7,850 7,850 3337400000 DAY OCTAVIA/Patient Care Comp. Rate: $10 per hour 8,590 8,590 8,590 3337400000 DIEZ JENNIFER/Lab Director Comp. Rate: $35 per hour 31,903 31,903 31,903 3337400000 DRAIN ASHALEY/Patient Care Comp. Rate: $37 per hour 15,374 15,374 15,374 3337400000 DUNN TALYN/Patient Care Comp. Rate: $32 per hour 3,040 3,040 3,040 3337400000 DUNSON ALBERTA/Patient Care Comp. Rate: $25 per hour 29,013 29,013 29,013 3337400000 DURHAM ADLENE/Patient Care Comp. Rate: $25 per hour Y 15,056 15,056 15,056 3337400000 EMMANUEL VIVIAN/Patient Care Comp. Rate: $11 per hour 15,134 15,134 15,134 3337400000 EVANS CYNTHIA/Patient Care Comp. Rate: $30 per hour Y 15,015 15,015 15,015 3337400000 FISHER LEE/Patient Care Comp. Rate: $15 per hour 5,236 5,236 5,236 3337400000 FLETCHER-LEWIS MONTINA/Patient Care Comp. Rate: $50 per hour 53,396 53,396 53,396 3337400000 FLOWERS ELLA/Patient Care Comp. Rate: $9 per hour 9,790 9,790 9,790 3337400000 FLOYD JOHN/Physician Comp. Rate: $300 per hour 28,650 28,650 28,650 3337400000 FOREMAN VERSHENDA/Patient Care Comp. Rate: $25 per hour 20,763 20,763 20,763 3337400000 FURBY DORIS/Patient Care Comp. Rate: $32 per hour 3,568 3,568 3,568 3337400000 FYKE DEBORAH/Payroll Comp. Rate: $25 per hour Y 28,481 28,481 28,481 3337400000 GEE KENNETH/Police Comp. Rate: $11 per hour 7,513 7,513 7,513 3337400000 GIBSON MARY/Patient Care Comp. Rate: $55 per hour 44,605 44,605 44,605 3337400000 GILL NATALIE/Patient Care Comp. Rate: $37 per hour 13,394 13,394 13,394 3337400000 GIVENS LORI/Patient Care Comp. Rate: $11 per hour 8,100 8,100 8,100 3337400000 GORDON ANDREA/Patient Care Comp. Rate: $15 per hour 3,868 3,868 3,868 3337400000 GORDON GERALD/Patient Care

23-3 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $20 per hour 13,890 13,890 13,890 3337400000 GRANDBERRY MARY/Patient Care Comp. Rate: $12 per hour 9,990 9,990 9,990 3337400000 GRANGER DEMETERIUS/Patient Care Comp. Rate: $13 per hour Y 504 504 504 3337400000 GRAY WANDA/Patient Care Comp. Rate: $37 per hour 11,960 11,960 11,960 3337400000 GREER EULA/Librarian Comp. Rate: $25 per hour Y 27,994 27,994 27,994 3337400000 GRIFFITH NANETTE/Patient Care Comp. Rate: $37 per hour 35,788 35,788 35,788 3337400000 GRINSTEAD LAKEISHA/Patient Care Comp. Rate: $12 per hour 13,605 13,605 13,605 3337400000 HALL EBONI/Patient Care Comp. Rate: $10 per hour 5,000 5,000 5,000 3337400000 HARRIS SANDRA/Patient Care Comp. Rate: $37 per hour 14,088 14,088 14,088 3337400000 HAYES KIMBERLY/Patient Care Comp. Rate: $37 per hour 10,147 10,147 10,147 3337400000 HEATH MILTORIA/Patient Care Comp. Rate: $12 per hour 4,365 4,365 4,365 3337400000 HERRIN VINCENT/Physician Comp. Rate: $75 per hour 92,719 92,719 92,719 3337400000 HEWITT CHENILLE/Patient Care Comp. Rate: $25 per hour 19,893 19,893 19,893 3337400000 HILL ERIKA/Patient Care Comp. Rate: $37 per hour 361 361 361 3337400000 HINSON WILLIAM/Patient Care Comp. Rate: $13 per hour Y 12,951 12,951 12,951 3337400000 HOLDER BRENDA/Patient Care Comp. Rate: $25 per hour Y 24,222 24,222 24,222 3337400000 HORHN SANDRA/Patient Care Comp. Rate: $12 per hour 3,635 3,635 3,635 3337400000 HORN BETHANI/Patient Care Comp. Rate: $25 per hour 1,288 1,288 1,288 3337400000 HUDSON ANGELA/Patient Care Comp. Rate: $37 per hour 46,509 46,509 46,509 3337400000 HUTCHINS COURTNEY/Patient Care Comp. Rate: $12 per hour 14,655 14,655 14,655 3337400000 HUTCHINS LAVINIA/Patient Care Comp. Rate: $12 per hour 8,697 8,697 8,697 3337400000 JACKSON JACQUELYN/Patient Care Comp. Rate: $37 per hour 37,167 37,167 37,167 3337400000 JACKSON JANICE/Patient Care Comp. Rate: $37 per hour Y 38,735 38,735 38,735 3337400000

23-4 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

JACKSON TAMIA/Patient Care Comp. Rate: $37 per hour 18,866 18,866 18,866 3337400000 JAMES EVMANDA/Patient Care Comp. Rate: $25 per hour 27,538 27,538 27,538 3337400000 JAMES YOLANDA/Patient Care Comp. Rate: $12 per hour 237 237 237 3337400000 JENKINS DEAMBERLEE/Patient Care Comp. Rate: $12 per hour 13,952 13,952 13,952 3337400000 JENKINS JOSEPH/Patient Care Comp. Rate: $15 per hour Y 3,064 3,064 3,064 3337400000 JOHNSON ANTONIO/Patient Care Comp. Rate: $15 per hour 3,964 3,964 3,964 3337400000 JOINER MARY/Patient Care Comp. Rate: $37 per hour 2,072 2,072 2,072 3337400000 JONES RASHETTA/Patient Care Comp. Rate: $37 per hour 8,408 8,408 8,408 3337400000 KEEN CHRISTOPHER/Patient Care Comp. Rate: $19 per hour 1,447 1,447 1,447 3337400000 KELLER GARY/Patient Care Comp. Rate: $26 per hour 13,715 13,715 13,715 3337400000 KENDRICK HOLLIS/Patient Care Comp. Rate: $25 per hour 625 625 625 3337400000 KENNEDY JOHN/Physician Comp. Rate: $300 per hour 28,800 28,800 28,800 3337400000 KENT TRINDA/Patient Care Comp. Rate: $37 per hour 11,128 11,128 11,128 3337400000 KINDREX ROBERT/Maintenance Comp. Rate: $11 per hour 9,775 9,775 9,775 3337400000 KING SHARRON/Patient Care Comp. Rate: $37 per hour 40,571 40,571 40,571 3337400000 KIRK ASHISLEN/Patient Care Comp. Rate: $25 per hour 30,863 30,863 30,863 3337400000 KUTNER RICHARD/Physician Comp. Rate: $250 per hour 226,500 226,500 226,500 3337400000 LADNER CORY/Patient Care Comp. Rate: $11 per hour 2,698 2,698 2,698 3337400000 LADNER MARK/Physician Comp. Rate: $150 per hour 7,875 7,875 7,875 3337400000 LANG BETTY/Patient Care Comp. Rate: $55 per hour Y 19,333 19,333 19,333 3337400000 LEBLANC STEPHEN/Physician Comp. Rate: $75 per hour 39,900 39,900 39,900 3337400000 LEE MACKINZIE/Patient Care Comp. Rate: $37 per hour 41,722 41,722 41,722 3337400000 LEE PERCY/Patient Care Comp. Rate: $9 per hour 9,756 9,756 9,756 3337400000

23-5 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

LEE ROSETTA/Patient Care Comp. Rate: $30 per hour 12,578 12,578 12,578 3337400000 LEFLORE ANETRA/Patient Care Comp. Rate: $37 per hour 15,938 15,938 15,938 3337400000 LENARD JOEY/Patient Care Comp. Rate: $12 per hour 3,840 3,840 3,840 3337400000 LEWIS LASHUNDA/Patient Care Comp. Rate: $37 per hour 47,175 47,175 47,175 3337400000 LUCKEY NORMAN/Police Comp. Rate: $14 per hour Y 14,882 14,882 14,882 3337400000 MAGEE LASHANTEE/Patient Care Comp. Rate: $11 per hour 3,277 3,277 3,277 3337400000 MALONE WILLIAM/Patient Care Comp. Rate: $20 per hour 1,115 1,115 1,115 3337400000 MARTIN JAMES/Patient Care Comp. Rate: $25 per hour 2,188 2,188 2,188 3337400000 MARTIN ZIPORA/Patient Care Comp. Rate: $37 per hour 2,784 2,784 2,784 3337400000 MAXWELL MARY/Patient Care Comp. Rate: $12 per hour 18,556 18,556 18,556 3337400000 MAXWELL WILBURN/Physician Comp. Rate: $300 per hour 8,925 8,925 8,925 3337400000 MCBEATH ALEXIS/Patient Care Comp. Rate: $12 per hour 875 875 875 3337400000 MCBRIDE-HALL SHARON/Patient Care Comp. Rate: $12 per hour 7,980 7,980 7,980 3337400000 MCDONALD DESMOND/Patient Care Comp. Rate: $11 per hour 7,326 7,326 7,326 3337400000 MCDONALD L'CHARLES/Patient Care Comp. Rate: $15 per hour 20,396 20,396 20,396 3337400000 MCDOWELL RACHEL/Patient Care Comp. Rate: $15 per hour Y 11,438 11,438 11,438 3337400000 MCGEE BRENYETTA/Patient Care Comp. Rate: $12 per hour 12 12 12 3337400000 MCINNIS BRAGGIO/Patient Care Comp. Rate: $12 per hour 9,569 9,569 9,569 3337400000 MCNEECE TERESA/Personnel Comp. Rate: $15 per hour Y 16,298 16,298 16,298 3337400000 MOCK BRANDI/Patient Care Comp. Rate: $37 per hour 6,864 6,864 6,864 3337400000 MOHA ROBIN/Patient Care Comp. Rate: $8 per hour 3,298 3,298 3,298 3337400000 MONTGOMERY DEWERY/Patient Care Comp. Rate: $37 per hour Y 629 629 629 3337400000 MOORE JASON/Patient Care Comp. Rate: $12 per hour 2,664 2,664 2,664 3337400000

23-6 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

MOORE KIMBERLY/Patient Care Comp. Rate: $28 per hour Y 24,409 24,409 24,409 3337400000 MOORE LATERRICA/Patient Care Comp. Rate: $11 per hour 10,409 10,409 10,409 3337400000 MOORE MONIQUE/Patient Care Comp. Rate: $37 per hour 31,136 31,136 31,136 3337400000 MORGAN JARRETT/Physician Comp. Rate: $75 per hour 16,725 16,725 16,725 3337400000 MORRIS MELBA/Billing and Coding Comp. Rate: $85 per hour 73,185 73,185 73,185 3337400000 MYERS MARCUS/Patient Care Comp. Rate: $12 per hour 11,682 11,682 11,682 3337400000 NEWELL RAYMOND/Police Comp. Rate: $14 per hour 17,312 17,312 17,312 3337400000 NICKS-LYLE GWENDOLYN/Patient Care Comp. Rate: $37 per hour Y 32,597 32,597 32,597 3337400000 PAGE SHERMAIN/Patient Care Comp. Rate: $10 per hour 128 128 128 3337400000 PARKER LAKYSHA/Patient Care Comp. Rate: $37 per hour 9,435 9,435 9,435 3337400000 PATE JONAE/Patient Care Comp. Rate: $12 per hour 6,252 6,252 6,252 3337400000 PERKINS FRANK/Patient Care Comp. Rate: $27 per hour 55,976 55,976 55,976 3337400000 PHILLIPS REGINA/Patient Care Comp. Rate: $37 per hour 7,039 7,039 7,039 3337400000 PHILSON KENDRICK/Patient Care Comp. Rate: $13 per hour 15,350 15,350 15,350 3337400000 POWELL KEVAN/Patient Care Comp. Rate: $11 per hour 897 897 897 3337400000 PUCKETT STEPHANIE/Patient Care Comp. Rate: $28 per hour 15,992 15,992 15,992 3337400000 QUALLS KEMYATTA/Patient Care Comp. Rate: $37 per hour 10,406 10,406 10,406 3337400000 RAMSAY CATHY/Patient Care Comp. Rate: $50 per hour 2,200 2,200 2,200 3337400000 RATCLIFFE LATRICIA/Patient Care Comp. Rate: $30 per hour 9,518 9,518 9,518 3337400000 RAWLS BREAUNA/Patient Care Comp. Rate: $12 per hour 1,806 1,806 1,806 3337400000 REED DEMETRIA/Patient Care Comp. Rate: $37 per hour 6,586 6,586 6,586 3337400000 ROBINSON BRITTANY/Patient Care Comp. Rate: $12 per hour 1,584 1,584 1,584 3337400000 ROBINSON SHAYLA/Patient Care Comp. Rate: $37 per hour 11,609 11,609 11,609 3337400000

23-7 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

ROPER ROKOYIA/Patient Care Comp. Rate: $11 per hour 3,560 3,560 3,560 3337400000 SANDERS TAMIKA/Patient Care Comp. Rate: $25 per hour 8,038 8,038 8,038 3337400000 SELLS BRENDA/Patient Care Comp. Rate: $25 per hour 22,588 22,588 22,588 3337400000 SHEARER KATHERINE/Patient Care Comp. Rate: $23 per hour 4,532 4,532 4,532 3337400000 SISTRUNK CURTIS/Maintenance Comp. Rate: $18 per hour 8,028 8,028 8,028 3337400000 SKINNER DENORRIS/Patient Care Comp. Rate: $24 per hour Y 12,924 12,924 12,924 3337400000 SLAUGHTER TONYA/Accounting Comp. Rate: $12 per hour 6,775 6,775 6,775 3337400000 SMITH DANA/Patient Care Comp. Rate: $30 per hour 16,898 16,898 16,898 3337400000 SMITH GARY/Physician Comp. Rate: $300 per hour 22,650 22,650 22,650 3337400000 SMITH R/Physician Comp. Rate: $175 per hour Y 4,725 4,725 4,725 3337400000 SMITH SUZANNE/Patient Care Comp. Rate: $28 per hour 15,995 15,995 15,995 3337400000 SMITH WANDA/Patient Care Comp. Rate: $30 per hour Y 23,595 23,595 23,595 3337400000 SNELL ANGELIQUE/Patient Care Comp. Rate: $37 per hour 5,347 5,347 5,347 3337400000 SPANN JAMES/Police Comp. Rate: $14 per hour Y 14,625 14,625 14,625 3337400000 SPEARS COURTNEY/Patient Care Comp. Rate: $25 per hour 18,563 18,563 18,563 3337400000 STEEL BRITNEY/Patient Care Comp. Rate: $11 per hour 1,426 1,426 1,426 3337400000 STOCKMEYER CORY/Patient Care Comp. Rate: $12 per hour 5,260 5,260 5,260 3337400000 STONE RONALD/Patient Care Comp. Rate: $25 per hour 4,544 4,544 4,544 3337400000 STRONG CLIFTON/Patient Care Comp. Rate: $37 per hour Y 5,513 5,513 5,513 3337400000 STURGIS DANISHA/Patient Care Comp. Rate: $25 per hour 213 213 213 3337400000 STYLES CAREY/Patient Care Comp. Rate: $12 per hour 7,914 7,914 7,914 3337400000 TANNER CYNTHEIA/Medical Records Comp. Rate: $10 per hour 2,859 2,859 2,859 3337400000 TAYLOR JARED/Physician

23-8 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $150 per hour 15,375 15,375 15,375 3337400000 TAYLOR JASON/Physician Comp. Rate: $75 per hour 62,625 62,625 62,625 3337400000 THOMAS DENTASIA/Patient Care Comp. Rate: $10 per hour 595 595 595 3337400000 THOMAS MYCHELL/Patient Care Comp. Rate: $25 per hour 17,078 17,078 17,078 3337400000 THOMAS TONIA/Patient Care Comp. Rate: $25 per hour 22,875 22,875 22,875 3337400000 THOMPSON DOROTHY/Transcriptionist Comp. Rate: $30 per hour Y 10,988 10,988 10,988 3337400000 THORNHILL SONYA/Medical Records Comp. Rate: $24 per hour Y 17,364 17,364 17,364 3337400000 THORNTON JOE/Patient Care Comp. Rate: $27 per hour Y 28,534 28,534 28,534 3337400000 VAUGHN TANNER/Medical Records Comp. Rate: $10 per hour 2,570 2,570 2,570 3337400000 WALKER NATASHA/Patient Care Comp. Rate: $37 per hour 2,618 2,618 2,618 3337400000 WARD CARMEN/Patient Care Comp. Rate: $10 per hour 38,397 38,397 38,397 3337400000 WARNER PATRICIA/Patient Care Comp. Rate: $37 per hour 10,351 10,351 10,351 3337400000 WATSON MICHAEL/Police Comp. Rate: $14 per hour Y 15,233 15,233 15,233 3337400000 WEIR HANNAH/Patient Care Comp. Rate: $11 per hour 2,005 2,005 2,005 3337400000 WILBURN CARISA/Patient Care Comp. Rate: $37 per hour 10,434 10,434 10,434 3337400000 WILLIAMS ELAINE/Patient Care Comp. Rate: $37 per hour 10,360 10,360 10,360 3337400000 WILLIAMS LATASHA/Patient Care Comp. Rate: $12 per hour 636 636 636 3337400000 WILLIAMS TIESHA/Patient Care Comp. Rate: $37 per hour 13,403 13,403 13,403 3337400000 WILLIAMS TYRONE/Patient Care Comp. Rate: $12 per hour 4,115 4,115 4,115 3337400000 WILLIS ARIEL/Patient Care Comp. Rate: $11 per hour 14,204 14,204 14,204 3337400000 WOO MACK/Physician Comp. Rate: $300 per hour 15,000 15,000 15,000 3337400000 WRIGHT KAITLYNN/Patient Care Comp. Rate: $37 per hour 14,837 14,837 14,837 3337400000 YOSTE GEOFFREY/Patient Care Comp. Rate: $23 per hour 4,485 4,485 4,485 3337400000 YOUNG KEWANZA/Patient Care

23-9 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $37 per hour 24,300 24,300 24,300 3337400000 YOUNG LORENZO/Patient Care Comp. Rate: $15 per hour 2,858 2,858 2,858 3337400000 Total 61610000 CONTRACT WORKER PAYROLL - EFT 3,105,046 3,105,046 3,105,046

61625000 CONTRACT WORKER PAYROLL MATCHING AMOUNTS - EFT ALDRIDGE CHELSEA/Patient Care Comp. Rate: $37 per hour 480 480 480 3337400000 ALLEN JESSICA/Patient Care Comp. Rate: $30 per hour 881 881 881 3337400000 AMOS LIZZIETTA/Patient Care Comp. Rate: $12 per hour Y 50 50 50 3337400000 ANDERSON LARRY/Information Management Comp. Rate: $20 per hour Y 5,238 5,238 5,238 3337400000 ANDERSON TEENA/Patient Care Comp. Rate: $12 per hour 978 978 978 3337400000 ATKINS TARVIN/Patient Care Comp. Rate: $12 per hour 1,364 1,364 1,364 3337400000 ATKINSON MONTORIA/Patient Care Comp. Rate: $12 per hour 219 219 219 3337400000 AUBERT RICHARD/Physician Comp. Rate: $150 per hour Y 7,290 7,290 7,290 3337400000 BAILEY ANITA/Patient Care Comp. Rate: $37 per hour 1,780 1,780 1,780 3337400000 BALLARD KHAMARI/Patient Care Comp. Rate: $12 per hour 204 204 204 3337400000 BANES PENCY/Patient Care Comp. Rate: $19 per hour 1,064 1,064 1,064 3337400000 BELL RUTHIE/Patient Care Comp. Rate: $12 per hour Y 2,906 2,906 2,906 3337400000 BENSON ANITRA/Patient Care Comp. Rate: $37 per hour 2,567 2,567 2,567 3337400000 BLUE CECIL/Patient Care Comp. Rate: $12 per hour 33 33 33 3337400000 BOLDEN LARISSA/Patient Care Comp. Rate: $37 per hour 1,113 1,113 1,113 3337400000 BOWERS ROBERT/Maintenance Comp. Rate: $20 per hour 1,908 1,908 1,908 3337400000 BRADFORD AURELIA/Patient Care Comp. Rate: $32 per hour 1,690 1,690 1,690 3337400000 BRENT VERA/Patient Care Comp. Rate: $37 per hour 3,858 3,858 3,858 3337400000 BRIDGES RODGERICK/Patient Care Comp. Rate: $15 per hour 969 969 969 3337400000 BROKMAN SUMMER/Patient Care

23-10 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $25 per hour 1,112 1,112 1,112 3337400000 BROOKS ASHLEY/Patient Care Comp. Rate: $12 per hour 753 753 753 3337400000 BROWN BAILEY/Police Comp. Rate: $13 per hour Y 2,091 2,091 2,091 3337400000 BROWN BRITNEY/Patient Care Comp. Rate: $25 per hour 263 263 263 3337400000 BROWN MELISSA/Patient Care Comp. Rate: $37 per hour 1,469 1,469 1,469 3337400000 BROWN MELVIN/Patient Care Comp. Rate: $15 per hour Y 1,940 1,940 1,940 3337400000 BROWN PRECIOUS/Patient Care Comp. Rate: $13 per hour 1,136 1,136 1,136 3337400000 BROWN WILLIE/Patient Care Comp. Rate: $12 per hour 389 389 389 3337400000 BROWN-WILSON PATRICE/Patient Care Comp. Rate: $37 per hour 2,443 2,443 2,443 3337400000 BRUNELLE REGINA/Patient Care Comp. Rate: $12 per hour 38 38 38 3337400000 BUCKNER KESHIA/Patient Care Comp. Rate: $25 per hour 840 840 840 3337400000 BULLIE RENSSELAER/Patient Care Comp. Rate: $12 per hour 633 633 633 3337400000 BULLOCK RICKY/Patient Care Comp. Rate: $12 per hour 362 362 362 3337400000 BURKETT DAVID/Patient Care Comp. Rate: $11 per hour 21 21 21 3337400000 BURKS ANTOINE/Patient Care Comp. Rate: $11 per hour 327 327 327 3337400000 BYRD MATTHEW/Patient Care Comp. Rate: $12 per hour 165 165 165 3337400000 CAMPBELL CHRISANN/Patient Care Comp. Rate: $11 per hour 924 924 924 3337400000 CARSON FREDERICA/Patient Care Comp. Rate: $37 per hour 1,095 1,095 1,095 3337400000 CARSON FREDETRIA/Patient Care Comp. Rate: $37 per hour 54 54 54 3337400000 COMEAUX REBEKAH/Patient Care Comp. Rate: $32 per hour 179 179 179 3337400000 COMMISKEY STEPHEN/Physician Comp. Rate: $300 per hour 1,400 1,400 1,400 3337400000 CONNELLY LAUREN/Patient Care Comp. Rate: $11 per hour 674 674 674 3337400000 CRAFT AMANDA/Patient Care Comp. Rate: $25 per hour 54 54 54 3337400000 CROSBY DELISA/Patient Care

23-11 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $12 per hour 8 8 8 3337400000 DAKHLALLA SALAAHODDIN/Patient Care Comp. Rate: $26 per hour 3,209 3,209 3,209 3337400000 DALLAS LAQUANIA/Patient Care Comp. Rate: $11 per hour 601 601 601 3337400000 DAY OCTAVIA/Patient Care Comp. Rate: $10 per hour 657 657 657 3337400000 DIEZ JENNIFER/Lab Director Comp. Rate: $35 per hour 2,441 2,441 2,441 3337400000 DRAIN ASHALEY/Patient Care Comp. Rate: $37 per hour 1,176 1,176 1,176 3337400000 DUNN TALYN/Patient Care Comp. Rate: $32 per hour 233 233 233 3337400000 DUNSON ALBERTA/Patient Care Comp. Rate: $25 per hour 2,219 2,219 2,219 3337400000 DURHAM ADLENE/Patient Care Comp. Rate: $25 per hour Y 3,772 3,772 3,772 3337400000 EMMANUEL VIVIAN/Patient Care Comp. Rate: $11 per hour 1,158 1,158 1,158 3337400000 EVANS CYNTHIA/Patient Care Comp. Rate: $30 per hour Y 3,761 3,761 3,761 3337400000 FISHER LEE/Patient Care Comp. Rate: $15 per hour 401 401 401 3337400000 FLETCHER-LEWIS MONTINA/Patient Care Comp. Rate: $50 per hour 6,856 6,856 6,856 3337400000 FLOWERS ELLA/Patient Care Comp. Rate: $9 per hour 749 749 749 3337400000 FLOYD JOHN/Physician Comp. Rate: $300 per hour 2,192 2,192 2,192 3337400000 FOREMAN VERSHENDA/Patient Care Comp. Rate: $25 per hour 1,588 1,588 1,588 3337400000 FURBY DORIS/Patient Care Comp. Rate: $32 per hour 273 273 273 3337400000 FYKE DEBORAH/Payroll Comp. Rate: $25 per hour Y 7,135 7,135 7,135 3337400000 GEE KENNETH/Police Comp. Rate: $11 per hour 575 575 575 3337400000 GIBSON MARY/Patient Care Comp. Rate: $55 per hour 3,412 3,412 3,412 3337400000 GILL NATALIE/Patient Care Comp. Rate: $37 per hour 1,025 1,025 1,025 3337400000 GIVENS LORI/Patient Care Comp. Rate: $11 per hour 620 620 620 3337400000 GORDON ANDREA/Patient Care Comp. Rate: $15 per hour 296 296 296 3337400000 GORDON GERALD/Patient Care

23-12 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $20 per hour 1,063 1,063 1,063 3337400000 GRANDBERRY MARY/Patient Care Comp. Rate: $12 per hour 764 764 764 3337400000 GRANGER DEMETERIUS/Patient Care Comp. Rate: $13 per hour Y 126 126 126 3337400000 GRAY WANDA/Patient Care Comp. Rate: $37 per hour 915 915 915 3337400000 GREER EULA/Librarian Comp. Rate: $25 per hour Y 7,012 7,012 7,012 3337400000 GRIFFITH NANETTE/Patient Care Comp. Rate: $37 per hour 2,738 2,738 2,738 3337400000 GRINSTEAD LAKEISHA/Patient Care Comp. Rate: $12 per hour 1,041 1,041 1,041 3337400000 HALL EBONI/Patient Care Comp. Rate: $10 per hour 383 383 383 3337400000 HARRIS SANDRA/Patient Care Comp. Rate: $37 per hour 1,078 1,078 1,078 3337400000 HAYES KIMBERLY/Patient Care Comp. Rate: $37 per hour 776 776 776 3337400000 HEATH MILTORIA/Patient Care Comp. Rate: $12 per hour 334 334 334 3337400000 HERRIN VINCENT/Physician Comp. Rate: $75 per hour 7,093 7,093 7,093 3337400000 HEWITT CHENILLE/Patient Care Comp. Rate: $25 per hour 1,522 1,522 1,522 3337400000 HILL ERIKA/Patient Care Comp. Rate: $37 per hour 28 28 28 3337400000 HINSON WILLIAM/Patient Care Comp. Rate: $13 per hour Y 3,244 3,244 3,244 3337400000 HOLDER BRENDA/Patient Care Comp. Rate: $25 per hour Y 6,068 6,068 6,068 3337400000 HORHN SANDRA/Patient Care Comp. Rate: $12 per hour 278 278 278 3337400000 HORN BETHANI/Patient Care Comp. Rate: $25 per hour 99 99 99 3337400000 HUDSON ANGELA/Patient Care Comp. Rate: $37 per hour 3,558 3,558 3,558 3337400000 HUTCHINS COURTNEY/Patient Care Comp. Rate: $12 per hour 1,121 1,121 1,121 3337400000 HUTCHINS LAVINIA/Patient Care Comp. Rate: $12 per hour 665 665 665 3337400000 JACKSON JACQUELYN/Patient Care Comp. Rate: $37 per hour 2,843 2,843 2,843 3337400000 JACKSON JANICE/Patient Care Comp. Rate: $37 per hour Y 9,703 9,703 9,703 3337400000

23-13 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

JACKSON TAMIA/Patient Care Comp. Rate: $37 per hour 1,443 1,443 1,443 3337400000 JAMES EVMANDA/Patient Care Comp. Rate: $25 per hour 2,107 2,107 2,107 3337400000 JAMES YOLANDA/Patient Care Comp. Rate: $12 per hour 18 18 18 3337400000 JENKINS DEAMBERLEE/Patient Care Comp. Rate: $12 per hour 1,067 1,067 1,067 3337400000 JENKINS JOSEPH/Patient Care Comp. Rate: $15 per hour Y 764 764 764 3337400000 JOHNSON ANTONIO/Patient Care Comp. Rate: $15 per hour 303 303 303 3337400000 JOINER MARY/Patient Care Comp. Rate: $37 per hour 159 159 159 3337400000 JONES RASHETTA/Patient Care Comp. Rate: $37 per hour 643 643 643 3337400000 KEEN CHRISTOPHER/Patient Care Comp. Rate: $19 per hour 111 111 111 3337400000 KELLER GARY/Patient Care Comp. Rate: $26 per hour 1,049 1,049 1,049 3337400000 KENDRICK HOLLIS/Patient Care Comp. Rate: $25 per hour 48 48 48 3337400000 KENNEDY JOHN/Physician Comp. Rate: $300 per hour 2,203 2,203 2,203 3337400000 KENT TRINDA/Patient Care Comp. Rate: $37 per hour 851 851 851 3337400000 KINDREX ROBERT/Maintenance Comp. Rate: $11 per hour 748 748 748 3337400000 KING SHARRON/Patient Care Comp. Rate: $37 per hour 3,104 3,104 3,104 3337400000 KIRK ASHISLEN/Patient Care Comp. Rate: $25 per hour 2,361 2,361 2,361 3337400000 KUTNER RICHARD/Physician Comp. Rate: $250 per hour 13,163 13,163 13,163 3337400000 LADNER CORY/Patient Care Comp. Rate: $11 per hour 206 206 206 3337400000 LADNER MARK/Physician Comp. Rate: $150 per hour 603 603 603 3337400000 LANG BETTY/Patient Care Comp. Rate: $55 per hour Y 4,843 4,843 4,843 3337400000 LEBLANC STEPHEN/Physician Comp. Rate: $75 per hour 3,052 3,052 3,052 3337400000 LEE MACKINZIE/Patient Care Comp. Rate: $37 per hour 3,192 3,192 3,192 3337400000 LEE PERCY/Patient Care Comp. Rate: $9 per hour 746 746 746 3337400000

23-14 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

LEE ROSETTA/Patient Care Comp. Rate: $30 per hour 962 962 962 3337400000 LEFLORE ANETRA/Patient Care Comp. Rate: $37 per hour 1,219 1,219 1,219 3337400000 LENARD JOEY/Patient Care Comp. Rate: $12 per hour 294 294 294 3337400000 LEWIS LASHUNDA/Patient Care Comp. Rate: $37 per hour 3,609 3,609 3,609 3337400000 LUCKEY NORMAN/Police Comp. Rate: $14 per hour Y 3,728 3,728 3,728 3337400000 MAGEE LASHANTEE/Patient Care Comp. Rate: $11 per hour 251 251 251 3337400000 MALONE WILLIAM/Patient Care Comp. Rate: $20 per hour 85 85 85 3337400000 MARTIN JAMES/Patient Care Comp. Rate: $25 per hour 167 167 167 3337400000 MARTIN ZIPORA/Patient Care Comp. Rate: $37 per hour 213 213 213 3337400000 MAXWELL MARY/Patient Care Comp. Rate: $12 per hour 1,420 1,420 1,420 3337400000 MAXWELL WILBURN/Physician Comp. Rate: $300 per hour 683 683 683 3337400000 MCBEATH ALEXIS/Patient Care Comp. Rate: $12 per hour 67 67 67 3337400000 MCBRIDE-HALL SHARON/Patient Care Comp. Rate: $12 per hour 611 611 611 3337400000 MCDONALD DESMOND/Patient Care Comp. Rate: $11 per hour 560 560 560 3337400000 MCDONALD L'CHARLES/Patient Care Comp. Rate: $15 per hour 1,560 1,560 1,560 3337400000 MCDOWELL RACHEL/Patient Care Comp. Rate: $15 per hour Y 2,865 2,865 2,865 3337400000 MCGEE BRENYETTA/Patient Care Comp. Rate: $12 per hour 1 1 1 3337400000 MCINNIS BRAGGIO/Patient Care Comp. Rate: $12 per hour 732 732 732 3337400000 MCNEECE TERESA/Personnel Comp. Rate: $15 per hour Y 4,083 4,083 4,083 3337400000 MOCK BRANDI/Patient Care Comp. Rate: $37 per hour 525 525 525 3337400000 MOHA ROBIN/Patient Care Comp. Rate: $8 per hour 252 252 252 3337400000 MONTGOMERY DEWERY/Patient Care Comp. Rate: $37 per hour Y 58 58 58 3337400000 MOORE JASON/Patient Care Comp. Rate: $12 per hour 204 204 204 3337400000

23-15 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

MOORE KIMBERLY/Patient Care Comp. Rate: $28 per hour Y 6,114 6,114 6,114 3337400000 MOORE LATERRICA/Patient Care Comp. Rate: $11 per hour 796 796 796 3337400000 MOORE MONIQUE/Patient Care Comp. Rate: $37 per hour 2,382 2,382 2,382 3337400000 MORGAN JARRETT/Physician Comp. Rate: $75 per hour 1,280 1,280 1,280 3337400000 MORRIS MELBA/Billing and Coding Comp. Rate: $85 per hour 5,599 5,599 5,599 3337400000 MYERS MARCUS/Patient Care Comp. Rate: $12 per hour 894 894 894 3337400000 NEWELL RAYMOND/Police Comp. Rate: $14 per hour 1,324 1,324 1,324 3337400000 NICKS-LYLE GWENDOLYN/Patient Care Comp. Rate: $37 per hour Y 8,166 8,166 8,166 3337400000 PAGE SHERMAIN/Patient Care Comp. Rate: $10 per hour 10 10 10 3337400000 PARKER LAKYSHA/Patient Care Comp. Rate: $37 per hour 722 722 722 3337400000 PATE JONAE/Patient Care Comp. Rate: $12 per hour 478 478 478 3337400000 PERKINS FRANK/Patient Care Comp. Rate: $27 per hour 4,282 4,282 4,282 3337400000 PHILLIPS REGINA/Patient Care Comp. Rate: $37 per hour 539 539 539 3337400000 PHILSON KENDRICK/Patient Care Comp. Rate: $13 per hour 1,174 1,174 1,174 3337400000 POWELL KEVAN/Patient Care Comp. Rate: $11 per hour 69 69 69 3337400000 PUCKETT STEPHANIE/Patient Care Comp. Rate: $28 per hour 1,223 1,223 1,223 3337400000 QUALLS KEMYATTA/Patient Care Comp. Rate: $37 per hour 796 796 796 3337400000 RAMSAY CATHY/Patient Care Comp. Rate: $50 per hour 168 168 168 3337400000 RATCLIFFE LATRICIA/Patient Care Comp. Rate: $30 per hour 728 728 728 3337400000 RAWLS BREAUNA/Patient Care Comp. Rate: $12 per hour 138 138 138 3337400000 REED DEMETRIA/Patient Care Comp. Rate: $37 per hour 504 504 504 3337400000 ROBINSON BRITTANY/Patient Care Comp. Rate: $12 per hour 121 121 121 3337400000 ROBINSON SHAYLA/Patient Care Comp. Rate: $37 per hour 888 888 888 3337400000

23-16 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

ROPER ROKOYIA/Patient Care Comp. Rate: $11 per hour 272 272 272 3337400000 SANDERS TAMIKA/Patient Care Comp. Rate: $25 per hour 615 615 615 3337400000 SELLS BRENDA/Patient Care Comp. Rate: $25 per hour 1,728 1,728 1,728 3337400000 SHEARER KATHERINE/Patient Care Comp. Rate: $23 per hour 347 347 347 3337400000 SISTRUNK CURTIS/Maintenance Comp. Rate: $18 per hour 614 614 614 3337400000 SKINNER DENORRIS/Patient Care Comp. Rate: $24 per hour Y 3,237 3,237 3,237 3337400000 SLAUGHTER TONYA/Accounting Comp. Rate: $12 per hour 518 518 518 3337400000 SMITH DANA/Patient Care Comp. Rate: $30 per hour 1,293 1,293 1,293 3337400000 SMITH GARY/Physician Comp. Rate: $300 per hour 1,733 1,733 1,733 3337400000 SMITH R/Physician Comp. Rate: $175 per hour Y 1,106 1,106 1,106 3337400000 SMITH SUZANNE/Patient Care Comp. Rate: $28 per hour 1,224 1,224 1,224 3337400000 SMITH WANDA/Patient Care Comp. Rate: $30 per hour Y 5,911 5,911 5,911 3337400000 SNELL ANGELIQUE/Patient Care Comp. Rate: $37 per hour 409 409 409 3337400000 SPANN JAMES/Police Comp. Rate: $14 per hour Y 3,664 3,664 3,664 3337400000 SPEARS COURTNEY/Patient Care Comp. Rate: $25 per hour 1,420 1,420 1,420 3337400000 STEEL BRITNEY/Patient Care Comp. Rate: $11 per hour 109 109 109 3337400000 STOCKMEYER CORY/Patient Care Comp. Rate: $12 per hour 402 402 402 3337400000 STONE RONALD/Patient Care Comp. Rate: $25 per hour 348 348 348 3337400000 STRONG CLIFTON/Patient Care Comp. Rate: $37 per hour Y 1,381 1,381 1,381 3337400000 STURGIS DANISHA/Patient Care Comp. Rate: $25 per hour 16 16 16 3337400000 STYLES CAREY/Patient Care Comp. Rate: $12 per hour 605 605 605 3337400000 TANNER CYNTHEIA/Medical Records Comp. Rate: $10 per hour 219 219 219 3337400000 TAYLOR JARED/Physician

23-17 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $150 per hour 1,176 1,176 1,176 3337400000 TAYLOR JASON/Physician Comp. Rate: $75 per hour 4,791 4,791 4,791 3337400000 THOMAS DENTASIA/Patient Care Comp. Rate: $10 per hour 46 46 46 3337400000 THOMAS MYCHELL/Patient Care Comp. Rate: $25 per hour 1,307 1,307 1,307 3337400000 THOMAS TONIA/Patient Care Comp. Rate: $25 per hour 1,750 1,750 1,750 3337400000 THOMPSON DOROTHY/Transcriptionist Comp. Rate: $30 per hour Y 2,752 2,752 2,752 3337400000 THORNHILL SONYA/Medical Records Comp. Rate: $24 per hour Y 4,350 4,350 4,350 3337400000 THORNTON JOE/Patient Care Comp. Rate: $27 per hour Y 7,148 7,148 7,148 3337400000 VAUGHN TANNER/Medical Records Comp. Rate: $10 per hour 197 197 197 3337400000 WALKER NATASHA/Patient Care Comp. Rate: $37 per hour 200 200 200 3337400000 WARD CARMEN/Patient Care Comp. Rate: $10 per hour 2,937 2,937 2,937 3337400000 WARNER PATRICIA/Patient Care Comp. Rate: $37 per hour 792 792 792 3337400000 WATSON MICHAEL/Police Comp. Rate: $14 per hour Y 3,816 3,816 3,816 3337400000 WEIR HANNAH/Patient Care Comp. Rate: $11 per hour 153 153 153 3337400000 WILBURN CARISA/Patient Care Comp. Rate: $37 per hour 798 798 798 3337400000 WILLIAMS ELAINE/Patient Care Comp. Rate: $37 per hour 793 793 793 3337400000 WILLIAMS LATASHA/Patient Care Comp. Rate: $12 per hour 49 49 49 3337400000 WILLIAMS TIESHA/Patient Care Comp. Rate: $37 per hour 1,026 1,026 1,026 3337400000 WILLIAMS TYRONE/Patient Care Comp. Rate: $12 per hour 315 315 315 3337400000 WILLIS ARIEL/Patient Care Comp. Rate: $11 per hour 1,087 1,087 1,087 3337400000 WOO MACK/Physician Comp. Rate: $300 per hour 1,148 1,148 1,148 3337400000 WRIGHT KAITLYNN/Patient Care Comp. Rate: $37 per hour 1,135 1,135 1,135 3337400000 YOSTE GEOFFREY/Patient Care Comp. Rate: $23 per hour 343 343 343 3337400000 YOUNG KEWANZA/Patient Care

23-18 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $37 per hour 1,859 1,859 1,859 3337400000 YOUNG LORENZO/Patient Care Comp. Rate: $15 per hour 219 219 219 3337400000 Total 61625000 CONTRACT WORKER PAYROLL MATCHING 322,449 322,449 322,449 AMOUNTS - EFT

61626000 CONTRACT WORKER PR REFUNDS OF DEDUCTIONS - SPAHRS GILL NATALIE/Patient Care Comp. Rate: $37 per hour 22 22 22 3337400000 Total 61626000 CONTRACT WORKER PR REFUNDS OF 22 22 22 DEDUCTIONS - SPAHRS

61652000 CONSTRUCTION CONTRACTOR SERVICES Bob's Pool Service Inc/Remove/Replace Valves on Pool Comp. Rate: $310 avg cost 310 310 310 3337400000 Total 61652000 CONSTRUCTION CONTRACTOR SERVICES 310 310 310

61660000 ACCOUNTING AND FINANCIAL SERVICES Horne LLP Dept #40263/Cost Report Preparation Comp. Rate: $5202 per month 62,425 62,425 62,425 3337400000 V Wilson Consulting LLC/ Comp. Rate: $130 per hour Y 1,463 1,463 1,463 3337400000 Total 61660000 ACCOUNTING AND FINANCIAL SERVICES 63,888 63,888 63,888

61665000 INVESTMENT MANAGERS AND ACTUARY SERVICES Arthur J Gallagher Risk Management Services Inc/Patient Trust Bond Comp. Rate: $4940 per year 4,940 4,940 4,940 3337400000 Old Republic Surety Co Inc/Police Officer Bonds Comp. Rate: $75 per year 75 75 75 3337400000 Southern Insurance Group/Police Officer Bond Renewals Comp. Rate: $2600 per year 2,600 2,600 2,600 3337400000 Total 61665000 INVESTMENT MANAGERS AND ACTUARY 7,615 7,615 7,615 SERVICES

61670000 LEGAL AND RELATED SERVICES BUISSON MARGARET C/Transcription Services Comp. Rate: $2280 per year 2,280 2,280 2,280 333740000 DEBRA M NESTER/Transcript of Motion Hearing Comp. Rate: $109 per year 109 109 109 3337400000 FORREST CTY CHANCERY CLERK/Filing fee for Conservatorship Comp. Rate: $147 per year 147 147 147 333740000 MERCEDES TRANSCRIPTION, INC./Transcription Services Comp. Rate: $4886 per month 58,635 58,635 58,635 333740000 RAMONA ROBERTS/Transcription Services

23-19 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

Comp. Rate: $125 average cost 125 125 125 333740000 Total 61670000 LEGAL AND RELATED SERVICES 61,296 61,296 61,296

61680000 MEDICAL SERVICES 20/20 VISION CARE INC/Patient Medical Care Comp. Rate: $99 per year 99 99 99 3337400000 ADVANCED FOOT CLINIC PLLC FARZAD FARYABI DPM/Patient Medical Care Comp. Rate: $1221 per year 1,221 1,221 1,221 3337400000 ANESTHESIA CONSULTANTS PA/Patient Medical Care Comp. Rate: $843 per month 10,120 10,120 10,120 3337400000 APP OF MISSISSIPPI, LLC/Patient Medical Care Comp. Rate: $1237 per year 1,237 1,237 1,237 3337400000 BENCHMARK MEDICAL STAFFING/Medical Technologist Comp. Rate: $1128 per month 13,536 13,536 13,536 3337400000 BOND PHARMACY INC DBA ADVANCE INFUSION/Patient Medical Care Comp. Rate: $3278 per year 3,278 3,278 3,278 3337400000 BRANDON HMA INC MERIT HEALTH RANKIN/Patient Medical Care Comp. Rate: 10915 per month 130,979 130,979 130,979 3337400000 BUCKNER PROSTHETIC & ORTHO LAB/Patient Medical Care Comp. Rate: $447 per year 447 447 447 3337400000 CHARLES E MCMASTERS INC/Patient Medical Care Comp. Rate: $2815 per year 2,815 2,815 2,815 3337400000 COASTAL ENT/HEAD & NECK SURG/Patient Medical Care Comp. Rate: $129 per year 129 129 129 3337400000 CROSSGATES HMA MEDICAL GRP LLC/Patient Medical Care Comp. Rate: $437 per month 5,239 5,239 5,239 3337400000 CROSSGATES MEDICAL GROUP LLC/Patient Medical Care Comp. Rate: $609 per month 7,308 7,308 7,308 3337400000 CROWELL WEYMOTH T MD/Lab Director Comp. Rate: $417 per month 5,000 5,000 5,000 3337400000 DATEX-OHMEDA INC/Anesthesian Machine Maintenance Comp. Rate: $1481 per year 1,481 1,481 1,481 3337400000 DIMITRIADES MANAGEMENT/Physician Comp. Rate: $2300 per month 27,600 27,600 27,600 3337400000 DR BRYAN VYVERBERG, MD, PLLC/Physician Comp. Rate: $577 per month 6,925 6,925 6,925 3337400000 ERIN QUAVE/Dietician Services Comp. Rate: $4072 per year 4,072 4,072 4,072 3337400000 HARRY DOWDY PA DR HARRY DOWDY/Physician Consultant for WMSH Comp. Rate: $2302 per month 27,624 27,624 27,624 3337400000 HUBCARE PATHOLOGY PA/Patient Medical Care Comp. Rate: $446 per month 5,351 5,351 5,351 3337400000 INFINITI HEALTHCARE SERVICES/Agency Nursing Services Comp. Rate: $90506 per month 1,086,068 1,086,068 1,086,068 3337400000

23-20 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

JACKSON HMA LLC DBA MERIT HEALTH CENTRAL/Patient Medical Care Comp. Rate: $2985 per year 2,985 2,985 2,985 3337400000 JACKSON RADIOLOGY ASSOC PA/Patient Medical Care Comp. Rate: $3097 per year 3,097 3,097 3,097 3337400000 KONICA MINOLTA MEDICAL IMAGING USA INC/Patient Medical Care Comp. Rate: $806 per month 9,675 9,675 9,675 3337400000 LAKELAND SURGICAL CLINIC/Patient Medical Care Comp. Rate: $913 per month 10,950 10,950 10,950 3337400000 LANDAUER INC/Radiation Dosimetry Service Comp. Rate: $2223 per year 2,223 2,223 2,223 3337400000 LONG BEACH PRECISION VISION, LLC PRECISION VISION/Patient Medical Care Comp. Rate: $65 per year 65 65 65 3337400000 LOTT WILLIAM CRISS PHD/Forensic Phychological Services Comp. Rate: $7300 per month 87,600 87,600 87,600 3337400000 MEDICAL ASSOCIATES OF VICKSBURG, PL/Patient Medical Care Comp. Rate: $1525 per year 1,525 1,525 1,525 3337400000 MEMPHIS PATHOLOGY LABORATORY AMERICAN ESOTERIC LABORATORIES/Reference Laboratory Testing Servi Comp. Rate: $7130 per month 85,555 85,555 85,555 3337400000 MID SOUTH REHAB OUTPAT CLINIC/Agency PT and OT Therapy Services Comp. Rate: $7341 per month 88,090 88,090 88,090 3337400000 MISSISSIPPI BAPTIST HEALTH SYS/Reference Laboratory Testing Services Comp. Rate: $1327 per month 15,918 15,918 15,918 3337400000 MOHAMMAD ATHAR/Patient Medical Care Comp. Rate: $1527 per year 1,527 1,527 1,527 3337400000 MS HMA HOSPITALIST LLC/Patient Medical Care Comp. Rate: $31 per year 31 31 31 3337400000 MS HMA HOSPITALISTS LLC/Patient Medical Care Comp. Rate: $639 per year 639 639 639 3337400000 PAFFORD EMERGENCY MEDICAL SERVICES INC/Patient Medical Care Comp. Rate: $2073 per year 2,073 2,073 2,073 3337400000 PRECISION HEALTHCARE STAFFING/Agency Nursing Services Comp. Rate: $36152 per month 433,825 433,825 433,825 3337400000 PRECISION ULTRASOUND IMAGING/Ultrasound Services Comp. Rate: $2275 per month 27,304 27,304 27,304 3337400000 PRIMARY CARE MED CTR OF GULFPORT/Patient Medical Care Comp. Rate: $40 per year 40 40 40 3337400000 RADIATION ONCOLOGY OF MS PA/Patient Medical Care Comp. Rate: $2575 per year 2,575 2,575 2,575 3337400000 RAJESH PATEL MD PLLC CENTRAL PULMONARY CLINIC/Patient Medical Care Comp. Rate: $525 per year 525 525 525 3337400000 RALPH WAYNE SMITH MD/Ulitlization Review Physician Comp. Rate: $2880 per month 34,563 34,563 34,563 3337400000 RIVER OAKS HMA PHYSICIANS MANAGEMENT LLC/Patient Medical Care Comp. Rate: $1027 per year 1,027 1,027 1,027 3337400000 RIVER OAKS HOSPITAL LLC RIVER OAKS HOSPITAL/Patient Medical Care Comp. Rate: $1369 per month 16,431 16,431 16,431 3337400000

23-21 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

SOUTHERN HEALTHCARE AGENCY INC/X-Ray Technician Comp. Rate: $851 per year 851 851 851 3337400000 ST DOMINIC MEDICAL ASSOCS LLC/Patient Medical Care Comp. Rate: $860 per month 10,315 10,315 10,315 3337400000 STATE OF MS-UMMC UNIV PHYSICIANS/Patient Medical Care Comp. Rate: $5493 per month 65,910 65,910 65,910 3337400000 STERICYCLE INC/Medical Waste Disposal Comp. Rate: $1313 per month 15,754 15,754 15,754 3337400000 STEVEN SCHEPENS MEDICAL LLC/Medical Consultant Comp. Rate: $2300 per month 27,600 27,600 27,600 3337400000 STORER ROBERT M DBA PSYCHOLOGICAL SERVICES/Forensic Phychological Services Comp. Rate: $11467 per month 137,600 137,600 137,600 3337400000 TECH MED SUPPLY INC/Patient Medical Care Comp. Rate: $325 per year 325 325 325 3337400000 TRUSTCARE HEALTH LLC/COVID Testing Comp. Rate: $2400 per year 2,400 2,400 2,400 3337400000 UMB BANK NA CARD SERVICES/Certifications Comp. Rate: $48 per year 48 48 48 3337400000 UMC-UNIVERSITY PHYSICIANS/Patient Medical Care Comp. Rate: $792 per year 792 792 792 3337400000 UNIV OF MS MEDICAL CENTER UNIVERSITY PHYSICIANS/EKG Consultations Comp. Rate: $630 per month 7,560 7,560 7,560 3337400000 UNIV PSYCHIATRIC ASSOC LLP/Child Psychiatrist Services Comp. Rate: $5206 per month 62,475 62,475 62,475 3337400000 WAVELAND DENTAL CENTER PLLC/Patient Medical Care Comp. Rate: $442 per year 442 442 442 3337400000 WORLD WIDE DICTATION SERVICES OF NEW YORK INC/Agency Nursing Services Comp. Rate: $123 per year 123 123 123 3337400000 Total 61680000 MEDICAL SERVICES 2,500,967 2,500,967 2,500,967

61690000 FEES AND SERVICES - PROFESSIONAL FEES CHARGED ACE DATA STORAGE INC/Document Shredding Services Comp. Rate: $557 per month 6,685 6,685 6,685 333740000 ADS SYSTEMS LLC/Fire Extinguisher Assessment Comp. Rate: $2167 per year 2,167 2,167 2,167 333740000 ADVANCED ENVIRONMENTAL CONSULTANTS INC/Microbiologica Assessment Comp. Rate: $4790 per year 4,790 4,790 4,790 333740000 AMAZON WEB SERVICES, INC. AMAZON WEB SERVICES/Cloud Storage Comp. Rate: $459 per month 5,511 5,511 5,511 333740000 AUTO TRIM DESIGNS, INC AUTO TRIM DESIGNS/Police Graphics Comp. Rate: $427 per year 427 427 427 333740000 B & E COMMUNICATIONS INC/Mileage Comp. Rate: $460 per year 460 460 460 333740000 BELINDA STEWART ARCHITECTS PA/Pre-Design Charges Comp. Rate: $3800 per year 3,800 3,800 3,800 333740000

23-22 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

BILLIARD SALES LLC/Trip Charges Comp. Rate: $50 per year 50 50 50 333740000 BOILER SAFETY FUND MS STATE DEPT OF HEALTH/Inspect Boilers/Water Heaters Comp. Rate: $3510 per year 3,510 3,510 3,510 333740000 BUSINESS COMMUNICATIONS INC/Professional Services for Telehealth Comp. Rate: $963 per year 963 963 963 333740000 CASEY A. ENGLISH TINY TAILS PETTING ZOO LLC/Traveling Event Comp. Rate: $300 per year 300 300 300 333740000 CHEM AQUA INC/Water Treatment Program Comp. Rate: $3109 per month 37,309 37,309 37,309 333740000 CLIA LABRATORY PROGRAM/Laboratory Certificate Fee Comp. Rate: $360 per year 360 360 360 333740000 CME/Employee Drug Screens Comp. Rate: $4652 per year 4,652 4,652 4,652 333740000 COMCAST/Cable Services Comp. Rate: $2293 per month 27,516 27,516 27,516 333740000 DARLING INGREDIENTS INC/Service Fee Trap Ext Comp. Rate: $700 per year 700 700 700 333740000 DAVID JONATHAN CLAYTON DBA CLAYTON POLYGRAPH SERVICES LLC/Polygraphs Comp. Rate: $400 per year 400 400 400 333740000 DIANNA GALE YOUNG/Polygraphs Comp. Rate: $3600 per year 3,600 3,600 3,600 333740000 DIRECTV INC/Cable Services Comp. Rate: $1651 per year 1,651 1,651 1,651 333740000 DORON DEVELOPMENT CORP INC/Replace Ductwork Comp. Rate: $850 per month 10,200 10,200 10,200 333740000 E Z WHEELS INC/Pick up and Delivery Comp. Rate: $450 per year 450 450 450 333740000 EATON CORPORATION/Battery Inspection Comp. Rate: $770 per year 770 770 770 333740000 ECOLAB PEST ELIMINATION/Pest Control Services Comp. Rate: $523 per month 6,273 6,273 6,273 333740000 ELIOR, INC CURA HOSPITALITY, LLC/Patient Meals Comp. Rate: $278210 per month 3,338,518 3,206,870 3,206,870 333740000 ERIN QUAVE/Dietician Comp. Rate: $1445 per year 1,445 1,445 1,445 333740000 FIRE DOOR SOLUTIONS LLC/Fire Door Inspection Comp. Rate: $546 per month 6,551 6,551 6,551 333740000 FORERUNNER TECHNOLOGIES INC/Labor/Time for Configuration of 911 Notifications Comp. Rate: $75 per year 75 333740000 G AND L SERVICING, LLC./Cleaning Cooling Towers and Testing Comp. Rate: $3615 per year 3,615 2,100 2,100 333740000 GRINER DRILLING SERVICE INC P O DRAWER 825/Troubleshoot and Repair Water Well Comp. Rate: $1009 per year 1,009 1,009 1,009 333740000 HALL'S WRECKER SERVICE INC/Tow Services Comp. Rate: $647 per year 647 647 647 333740000

23-23 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

HARRISON CTY UTILITY AUTHORITY/Grease Trap Permit Renewal Comp. Rate: $120 per year 120 120 120 333740000 HEALTHCARE SECURITY CONSULTANTS, IN/Security Assessment Comp. Rate: $1760 per month 21,125 21,125 21,125 333740000 HR DIRECT/Smart App Renewal Comp. Rate: $80 per year 80 80 80 333740000 IRON MOUNTAIN INC IRON MTN INFORMATION MGMT LLC/Jan - June 30 Container Shredder Comp. Rate: $480 per year 480 480 480 333740000 JACKSON LIFESIGNS INC P O BOX 501/Interpreting Services Comp. Rate: $2238 per month 26,855 20,000 20,000 333740000 JACKSON SAFE & LOCK CO/Service Call Comp. Rate: $150 per year 150 150 150 333740000 JAMEL SEKOE WHITE/Interpreting Services Comp. Rate: $1586 per year 1,586 1,586 1,586 333740000 JOHNSON CONTROLS/Performance measurement and verification Comp. Rate: $1282 per month 15,385 15,385 15,385 333740000 JOINT COMMISSION RESOURCES/Survey Readiness Program Comp. Rate: $2418 per year 2,418 2,418 2,418 333740000 JOURNAL ENTRIES/CORRECTIONS Comp. Rate: $197783 per entry (1,384,481) (1,384,481) (1,384,481) 333740000 KEVIN COLE COLE CUTS BARBER SHOP/Hair Care for Residents Comp. Rate: $2095 per year 2,095 2,095 2,095 333740000 KILLEN CONTRACTORS INC/Labor for fixing broken poles and resotration of services Comp. Rate: $618 per month 7,413 7,413 7,413 333740000 LAKENYA SPANN/Cosmetology Services Comp. Rate: $2385 per year 2,385 2,385 2,385 333740000 LANE-TEDDER & ASSOCIATES INC/Re-work 600 pair copper slice replace Comp. Rate: $2335 per year 2,335 2,335 2,335 333740000 MARQUIS POWELL POWELL ENTERPRISE CONSULTANTS/Motivational Speaker Comp. Rate: $4807 per year 4,807 4,807 4,807 333740000 MED ONE CAPITAL FUNDING, LLC MED ONE CAPITAL/Late Fees Comp. Rate: $89 per year 89 333740000 MED ONE CAPITAL FUNDING, LLC/Late Fees Comp. Rate: $44 per year 44 333740000 MED ONE CAPITAL FUNDING/Late Fees Comp. Rate: $133 per year 133 333740000 MED SCREENS/Employee Drug Screens Comp. Rate: $1145 per month 13,737 13,737 13,737 333740000 MS RURAL WATER ASSOCIATION INC/Consumer Confidence Report Comp. Rate: $95 per year 95 95 95 333740000 NCS INC - PEARSON/Annual License Renewal Comp. Rate: $451 per month 5,414 5,414 5,414 333740000 OFFICE DEPOT - CINCINNATI/Surcharge Comp. Rate: $12 per year 12 12 12 333740000 OWENS & MINOR DISTRIBUTION INC DBA OWENS & MINOR/Medical Supplies Comp. Rate: $25 per year 25 25 25 333740000

23-24 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

PAYNE-MORRIS CARRIE JOYCE/Speech Therapist Comp. Rate: $3198 per month 38,381 38,381 38,381 333740000 PHOENIX TEXTILE CORPORATION/ECT Repairs Comp. Rate: $150 per year 150 150 150 333740000 PILEUM CORP DEPT 05-081/AD Sync tool move/AD upgrade Comp. Rate: $304 per year 304 304 304 333740000 PREMIERE SHREDDING INC/Shred Paperwork Container Comp. Rate: $260 per year 260 260 260 333740000 QUADAX, INC./Monthly Claims Service Fee Comp. Rate: $2494 per month 29,933 29,933 29,933 333740000 REG XIII COMM FOR MH/MR DBA THE COUNSELING CENTER/EAP Services Comp. Rate: $367 per year 367 367 367 333740000 REPUBLIC SERVICES INC DBA REPUBLIC SERVICES OF GA/Waste Services Comp. Rate: $2370 per month 28,439 28,439 28,439 333740000 RYDER TRANSPORTATION SERVICES/Mileage Comp. Rate: $344 per year 344 344 344 333740000 SCARBOROUGH SUSAN M SHEAR ILLUSIONS/Cosmetology Services Comp. Rate: $3060 per year 3,060 3,060 3,060 333740000 SEFCO ELECTRIC SUPPLY/Late Fees Comp. Rate: $56 per year 56 333740000 SMITH BRIAN UNITED BIOMEDICAL/Biomedical Services Comp. Rate: $1010 per year 1,010 1,010 1,010 333740000 SOUTHERN CHLORINATOR/Fuel Surcharge Comp. Rate: $40 per year 40 40 40 333740000 SOUTHERN FIRE SPRINKLER INC/Inspection of Fire Sprinkler System Comp. Rate: $450 per year 450 450 450 333740000 STERICYCLE INC/Medical Waste Disposal Comp. Rate: $4076 per year 4,076 4,076 4,076 333740000 SUNBELT RENTALS INC/Portable AC Rental Comp. Rate: $1361 per year 1,361 1,361 1,361 333740000 SYSTRONIC TIME SYSTEMS/Labor, Travel and Mileage Comp. Rate: $1270 per month 15,241 15,241 15,241 333740000 T L WALLACE CONST CO INC/Leak and Cathodic Comp. Rate: $1824 per year 1,824 1,824 1,824 333740000 TAPPER SECURITY INC/Security Comp. Rate: $360 per year 360 360 360 333740000 TERMINIX PROCESSING CENTER/Pest Control Services Comp. Rate: $418 per year 418 418 418 333740000 THE JOINT COMMISSION/Patient Care Comp. Rate: $1327 per month 15,920 15,920 15,920 333740000 THE MANDT SYSTEM INC THE MANDT SYSTEM/Re- Certification Comp. Rate: $4740 per year 4,740 4,740 4,740 333740000 THE SEVEN CHALLENGES LLC DBA VIVA PRESS/Fidelity Fee Comp. Rate: $417 per month 5,000 5,000 5,000 333740000 TPG CONSTRUCTION & MASONRY/Installation of Bathroom Partition Walls Comp. Rate: $4500 per year 4,500 4,500 4,500 333740000

23-25 FEES, PROFESSIONAL AND OTHER SERVICES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

(1) (2) (3) Retired Actual Expenses Estimated Expenses Requested Expenses TYPE OF FEE AND NAME OF VENDOR w/ Fund Source PERS FY Ending FY Ending FY Ending June 30, 2020 June 30, 2021 June 30, 2022

UMB BANK NA CARD SERVICES/Certifications Comp. Rate: $2275 per year 2,275 2,275 2,275 333740000 UTILITY ANALYSTS INC/Utility Rate Cost Evaluation Comp. Rate: $750 per month 9,000 9,000 9,000 333740000 VALLEY SERVICES INC/Patient Meals Comp. Rate: $56985 per month 683,817 420,843 420,843 333740000 V-ELECTRIC INC./Install Disconnect/E-Stop Button on Boiler Comp. Rate: $3454 per month 41,450 41,450 41,450 333740000 VITAL RECORDS CONTROL/Storage and Retrieval of Records Comp. Rate: $780 per month 9,362 9,362 9,362 333740000 VITAL RECORDS HOLDINGS LLC VRC CO LLC DBA VITAL RECORDS CONTRO/Storage and Retrieval of Records Comp. Rate: $1134 per month 13,612 13,612 13,612 333740000 WORLD WIDE DICTATION SERVICES OF NEW YORK INC/Dictation Services Comp. Rate: $740 per year 740 740 740 333740000 Total 61690000 FEES AND SERVICES - PROFESSIONAL FEES 2,709,807 2,709,807 3,113,196 CHARGED

GRAND TOTAL 9,301,885 8,914,961 8,914,961

23-26 VEHICLE PURCHASE DETAILS

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Replacement FY2022 Year Model Person(s) Assigned To Vehicle Purpose/Use Or New? Req. Cost

Passenger Vehicles 63300100 VANS 2022 DODGE CARAVAN MAINTENANCE MAINTENANCE Replacement 22,950 2022 DODGE CARAVAN INFORMATION MANAGEMENT IM Replacement 22,950

TOTAL 45,900

TOTAL VEHICLE REQUEST 45,900

24-1 VEHICLE INVENTORY AS OF JUNE 30, 2020

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Vehicle Model Mileage on Average Miles Replacement Proposed Vehicle Description Model Person(s) Assigned To Purpose/Use Tag Number Type Year 6-30-2020 per Year FY2021 FY2022

P TAURUS 2002 FORD MAINTENANCE MAINTENANCE G-23459 80,304 4,461 P CROWN VICTORIA 2011 FORD POLICE POLICE G-65035 122,339 13,593 P CROWN VICTORIA 2011 FORD POLICE POLICE G-65037 136,324 15,147 P IMPALA 2014 CHEVROLET STF STF G-67102 27,253 4,542 P CHARGER (POLICE) 2014 DODGE POLICE POLICE G-74456 7,197 1,200 P IMPALA (POLICE) 2014 CHEVROLET POLICE POLICE G-74455 99,203 16,534 P CUTAWAY VAN 1993 GMC RECREATIONAL SERVICES RECREATION S-14368 133,219 4,934 P RALLY WAGON 1993 GMC INFORMATION TECH IM S-13979 224,000 8,296 Y P CUTAWAY VAN 1996 FORD MAINTENANCE MAINTENANCE S-16358 165,255 6,886 VAN P 2001 FORD TRANSPORTATION TRANSPORTATION G-19613 157,757 8,303 (AMBULANCE) P ECONOLINE VAN 2005 FORD TRANSPORTATION TRANSPORTATION G-50491 50,619 3,375 P CARAVAN 2007 DODGE TRANSPORTATION TRANSPORTATION G-41090 66,631 5,125 P CUTAWAY VAN 2008 FORD TRANSPORTATION TRANSPORTATION G-47001 131,801 10,983 P CUTAWAY VAN 2008 FORD TRANSPORTATION TRANSPORTATION G-47002 137,241 11,437 P ECONOLINE VAN 2008 FORD TRANSPORTATION TRANSPORTATION G-46592 99,390 8,283 P EXPRESS VAN 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-47700 176,239 14,687 Y P EXPRESS VAN 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-47699 120,494 10,041 SAVANA P 2008 GMC TRANSPORTATION TRANSPORTATION G-61178 111,307 9,276 CUTAWAY P UPLANDER 2008 CHEVROLET TRANSPORTATION TRANSPORTATION G-04624 165,290 13,774 ECONOLINE P 2009 FORD STF STF G-51597 8,692 790 WAGON ECONOLINE P 2009 FORD STF STF G-51596 9,961 906 WAGON P CUTAWAY VAN 2011 FORD TRANSPORTATION TRANSPORTATION G-05774 116,916 12,991 P CARAVAN 2012 DODGE TRANSPORTATION TRANSPORTATION G-61171 76,618 9,577 P CARAVAN 2012 DODGE TRANSPORTATION TRANSPORTATION G-61170 75,694 9,462 P CARAVAN 2014 DODGE TRANSPORTATION TRANSPORTATION G-66337 101,943 16,991 P CARAVAN 2014 DODGE TRANSPORTATION TRANSPORTATION G-66338 107,218 17,870

Vehicle Type: (P)assenger/(W)ork 25-1 VEHICLE INVENTORY AS OF JUNE 30, 2020

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Vehicle Model Mileage on Average Miles Replacement Proposed Vehicle Description Model Person(s) Assigned To Purpose/Use Tag Number Type Year 6-30-2020 per Year FY2021 FY2022

P CARAVAN 2014 DODGE TRANSPORTATION TRANSPORTATION G-66339 40,550 6,758 P CARAVAN 2017 DODGE STF STF G-67993 52,002 17,334 P CARAVAN 2014 DODGE STF STF G-67173 51,505 8,584 P CARAVAN 2014 DODGE STF STF G-67993 58,845 9,808 P CARAVAN 2014 DODGE STF STF G-67520 61,649 10,275 P CARAVAN 2006 DODGE ADMINISTRATION ADMINISTRATION G-74041 150,988 10,785 P CARAVAN 2006 DODGE ADMINISTRATION ADMINISTRATION G-74038 148,561 10,612 P AMBULANCE 2016 CHEVROLET TRANSPORTATION TRANSPORTATION G-76360 63,779 15,945 P CARAVAN 2017 DODGE TRANSPORTATION TRANSPORTATION G-78026 43,489 14,496 P TRANSIT VAN 2017 FORD TRANSPORTATION TRANSPORTATION G-78172 21,051 7,017 P TRANSIT VAN 2017 FORD TRANSPORTATION Transportation G-78170 22,031 7,344 P TRANSIT VAN 2017 FORD TRANSPORTATION Transportation G-78171 17,682 5,894 P CARGO VAN 2017 FORD TRANSPORTATION Transportation G-78173 11,428 3,809 P CARAVAN 2017 DODGE TRANSPORTATION Transportation G-77609 6,917 2,306 P CARAVAN 2017 DODGE TRANSPORTATION Transportation G-78023 46,970 15,657 P ECONOLINE 2017 FORD TRANSPORTATION Transportation G-78471 8,816 2,939 P CARAVAN 2017 DODGE TRANSPORTATION Transportation G-78024 7,639 2,546 P CARAVAN 2017 DODGE TRANSPORTATION Transportation G-78025 6,717 2,239 P VAN 15 PASSENGER 2017 CHEVROLET TRANSPORTATION Transportation G-78168 18,921 6,307 P EXPRESS VAN 2014 CHEVROLET TRANSPORTATION Transportation G-67685 47,411 7,902 P EXPRESS VAN 2014 CHEVROLET TRANSPORTATION Transportation G-67684 48,425 8,071 P CARAVAN 2019 DODGE TRANSPORTATION Transportation G-83770 1,565 1,565 ENVIRONMENTAL W CUTAWAY VAN 1993 FORD LAUNDRY S-14217 71,868 2,662 SERVICES ENVIRONMENTAL W CUTAWAY VAN 1997 FORD LAUNDRY G-01942 169,635 7,375 SERVICES ECONOLINE W 2002 FORD MAINTENANCE MAINTENANCE G-43508 75,505 4,195 WAGON W CARAVAN 2003 DODGE MAINTENANCE MAINTENANCE G-26249 88,142 5,185

Vehicle Type: (P)assenger/(W)ork 25-2 VEHICLE INVENTORY AS OF JUNE 30, 2020

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Vehicle Model Mileage on Average Miles Replacement Proposed Vehicle Description Model Person(s) Assigned To Purpose/Use Tag Number Type Year 6-30-2020 per Year FY2021 FY2022

ENVIRONMENTAL W SAVANA 2003 GMC ENVIRONMENTAL SERVICES G-24393 143,247 8,426 SERVICES ECONOLINE W 2004 FORD MAINTENANCE PAINT SHOP G-30657 165,007 10,313 WAGON W VENTURE 2004 CHEVROLET MAINTENANCE MAINTENANCE G-27843 113,907 7,119 W CARAVAN 2005 DODGE MAINTENANCE MAINTENANCE G-32840 85,673 5,712 W ECONOLINE VAN 2005 FORD INFORMATION TECH IM G-31937 98,940 6,596 ECONOLINE W 2005 FORD MAINTENANCE MAINTENANCE G-31982 86,855 5,790 WAGON ECONOLINE W 2006 FORD MAINTENANCE MAINTENANCE G-50492 126,041 9,003 WAGON SAVANA W 2008 GMC WAREHOUSE WAREHOUSE G-60125 125,191 10,433 CUTAWAY W CARAVAN 2007 DODGE MAINTENANCE PARTS RUNNER G-73098 183,214 14,093 Y W UPLANDER 2008 CHEVROLET MAINTENANCE MAINTENANCE G-74039 130,651 10,888 W CARAVAN 2006 DODGE WAREHOUSE WAREHOUSE G-74040 146,497 10,464 W F-150 1998 FORD MAINTENANCE MAINTENANCE G-51697 153,850 6,993 W S10 1989 CHEVROLET MAINTENANCE ELECTRIC SHOP S-10924 178,399 5,755 W TRUCK 1991 CHEVROLET MAINTENANCE PAINT S-11654 192,661 6,643 W TRUCK 1991 CHEVROLET MAINTENANCE WATER S-11651 159,587 5,503 W F-150 1998 FORD MAINTENANCE ELECTRIC SHOP G-07286 77,868 3,539 W RANGER 1998 FORD MAINTENANCE PAINT G-06899 77,483 3,522 ENVIRONMENTAL W RAM TRUCK 1999 DODGE ENVIRONMENTAL SERVICES G-51698 244,612 11,648 Y SERVICES W RANGER 2000 FORD MAINTENANCE ELECTRIC SHOP G-15193 94,444 4,722 W RANGER 2000 FORD POLICE FIRE CHIEF G-15192 91,328 4,566 W RAM TRUCK 2001 DODGE MAINTENANCE CARPENTER SHOP G-15189 45,050 2,371 W RAM TRUCK 2001 DODGE MAINTENANCE MAINTENANCE G-15191 107,933 5,681 W RAM TRUCK 2001 DODGE MAINTENANCE HVAC C-15188 81,119 4,269 ENVIRONMENTAL W RAM TRUCK 2001 DODGE ENVIRONMENTAL SERVICES G-15190 98,394 5,179 SERVICES W RANGER 2002 FORD MAINTENANCE CARPENTER SHOP G-23457 107,534 5,974

Vehicle Type: (P)assenger/(W)ork 25-3 VEHICLE INVENTORY AS OF JUNE 30, 2020

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Vehicle Model Mileage on Average Miles Replacement Proposed Vehicle Description Model Person(s) Assigned To Purpose/Use Tag Number Type Year 6-30-2020 per Year FY2021 FY2022

W RANGER 2002 FORD MAINTENANCE PAINT SHOP G-23456 54,305 3,017 W RANGER 2002 FORD MAINTENANCE CARPENTER SHOP G-23458 29,872 1,660 W SILVERADO 2002 CHEVROLET MAINTENANCE MAINTENANCE G-20778 99,744 5,541 W RANGER 2005 FORD MAINTENANCE MAINTENANCE G-31938 119,112 7,941 W TRUCK 1977 CHEVROLET MAINTENANCE MAINTENANCE S-2110 196,769 4,576 ENVIRONMENTAL W RAM TRUCK 1999 DODGE PEST CONTROL G-48216 171,443 8,164 SERVICES ENVIRONMENTAL W RAM TRUCK 1999 DODGE ENVIRONMENTAL SERVICES G-51693 192,740 9,178 SERVICES W RAM TRUCK 2001 DODGE MAINTENANCE HVAC G-58494 158,201 8,326 ENVIRONMENTAL W RAM TRUCK 2001 DODGE GARBAGE G-51692 197,531 10,396 SERVICES W SIERRA 2002 GMC MAINTENANCE PLUMBING SHOP G-51696 163,117 9,062 W SIERRA 2003 GMC MAINTENANCE HVAC G-51691 238,899 14,053 W SIERRA 2003 GMC MAINTENANCE CARPENTER SHOP G-51695 172,264 10,133 W SIERRA 2003 GMC MAINTENANCE WAREHOUSE G-51694 184,516 10,854 W SIERRA 2006 GMC MAINTENANCE GROUNDS G-58493 215,921 15,423 W F-150 (POLICE) 2016 FORD POLICE POLICE G-73619 40,550 10,138 W F-150 (POLICE) 2016 FORD POLICE POLICE G-73618 31,000 7,750 ENVIRONMENTAL W RAM TRUCK 1998 DODGE ENVIRONMENTAL SERVICES G-73105 128,963 5,862 SERVICES W RANGER 2001 FORD MAINTENANCE ELECTRIC SHOP G-73099 112,048 5,897 W F-150 2007 FORD MAINTENANCE ELECTRIC SHOP G-73615 125,341 9,642 W F-150 2007 FORD MAINTENANCE PLUMBING SHOP G-73615 99,403 7,646 W F-150 2007 FORD MAINTENANCE CARPENTER SHOP G-73612 120,272 9,252 W F-150 2008 FORD MAINTENANCE MAINTENANCE G-73614 143,214 11,935 W F-150 2007 FORD MAINTENANCE PLUMBING SHOP G-73613 145,667 11,205 W F-150 2007 FORD MAINTENANCE CARPENTER SHOP G-73615 153,367 11,797 W F-150 (POLICE) 2017 FORD POLICE POLICE G-77608 40,534 13,511 W F-150 (POLICE) 2019 FORD POLICE POLICE G-84603 1,720 1,720

Vehicle Type: (P)assenger/(W)ork 25-4 VEHICLE INVENTORY AS OF JUNE 30, 2020

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Vehicle Model Mileage on Average Miles Replacement Proposed Vehicle Description Model Person(s) Assigned To Purpose/Use Tag Number Type Year 6-30-2020 per Year FY2021 FY2022

W F-250 2019 FORD MAINTENANCE MAINTENANCE G-84602 7,197 7,197 W RAM TRUCK 2019 DODGE MAINTENANCE MAINTENANCE G-84290 7,066 7,066 W RAM TRUCK 2019 DODGE MAINTENANCE MAINTENANCE G-84289 4,730 4,730 INTERNATIO P BUS 2004 TRANSPORTATION TRANSPORTATION G-27144 48,550 3,034 NAL P STARCRAFT BUS 2017 FORD TRANSPORTATION TRANSPORTATION G-78610 24,032 8,011 W C6500 (C7D) 1983 GMC MAINTENANCE MAINTENANCE S-6963 7,490 202 W C6500 1985 CHEVROLET POLICE COMPOUND IN SHED S-2142 12,997 371 W C6500 (C7D) 1990 GMC MAINTENANCE GROUNDS G-01058 127,113 4,237 W DUMP TRUCK 1996 FORD MAINTENANCE GROUNDS G-48051 117,870 4,911 INTERNATIO W BUCKET TRUCK 2007 MAINTENANCE MAINTENANCE G-04090 5,345 411 NA W DRW SUPER 2008 FORD MAINTENANCE MAINTENANCE G-64585 85,310 7,109 W POLE TRUCK 1967 CHEVY MAINTENANCE MAINTENANCE S-3016 77,699 1,466

Vehicle Type: (P)assenger/(W)ork 25-5 Vehicle Pool Member List

Pest Services – ES Robert Hill

Police and Fire Staff Andrew Pitts

Norman Luckey (Jeff)

George Mullins

William Kornegay

Autery Dunbar

Derrick Berry

Marcell Burns

Nathan Craft

Roy Nichols

Gary Roberts

Kendrick McCoy

Jenny Pittman

Tommy Steen

Morgan Womack

Norman Luckey

Michael Watson

Samyone Odoms

Raymond Newell

James Spann

Kenneth Gee

Darryle Burton

Laundry- ES Patricia Mahaffey

Carolyn Pack

Mona Michelle Taylor Alvin Thorton

Billy Mallard

Earnest Brooks

Fredrick Williams

Kentaveus Woodard

Hospital Administration- James Chastain

Donna Boykin

Amanda Matson

Marilyn Martin

Transportation- Marvin Armstrong

Barry Barnes

Venus Carr

Bobby Dawson

Eddie Ephform

Vernice Evans

Diva Coleman

Marcus Dixon

Daniellye Turner

Keysha Mason

Jacqueline Moffett

Franklin Moore

Michael Washington

Suzette Johnson

Carly Quinn

Larry Gray

Jeanette Minor

Information Mgm/Voice Services Brandon Byrne

Chad Cessna

Joseph Layton

Chad Rommerdale

J. Christopher Thomas

Kevin Frazier

Justin Thornton

Tim McLaurin

Adarrius Skinner

Kevin Bullard

Paint Shop – Maint Anthony Miggins

Steven Scott

Harold Mack

William Beggiani

Electric Shop – Maint Forrest Chase

Thomas Symon

Derick Wolfe

HVAC Shop – Maint Brent Craft

Stanley Nobles

Stephen Strong

Jason Thornton

Andrew Sistrunk

Automotive Shop – Maint Jimmy Green

Grounds – Maint Dominque Davis

Anthony Lockhart

Alan Means

Gregory Smith Drew Long

Steven Morgan

James Pressey

Plumbing Shop – Maint

Barrett Nall

James Quinn

Kenneth Lacy

Adm/Office Staff – Maint Craig Martin

Angela Tanner

Paul Case

Tammie Newsome

Robert Bowers

Robert K Kindrex

Nightman – Maint. On call guy

Carpenter Shop – Maint Michael Holiday

Phillip Thomas

Chase Middleton

Jose J Castro Vargas

Locksmith Shop – Maint Riley Savell

Evening & Night Adm. Kenneth Collier

Daniel Myers

Shirice Reed

Daniel Ratliff

Carolyn Dart

HR/Personnel Bobby Blanks

Swayze Cheatham

Diana Hunter Tarshall Wilson

Robin Hobbs

Dolly Hawkins

Staff Education Donna Chapman

Louise Coleman

Kewan Ewing

Shircell Massey

Sophia Jefferson

Randell Baker

Sheila Hicks

Lakeside School Titella Ervin

Melissa Hearn

Ken Hamilton

CTS Treatment Mall Donnia Rozell-Bowles

Jeanifer Watkins

David Hubbard

Cassandra Myles

Calvin Ellis

Melita Breeden

Horticulture Shawn Cagle

Pharmacy Lisa Thames-Payton

Betty Kendrick

Carlice Watkins

Donald Johnson

Michelle Blakely

Angela Boles

Shelia Cantrell Stella Odogwu

Vicki Veazy

Polly Jackson

Housekeeping Marie Bingham

John Crain

Sharron Mills

Jennie Miner

Broderick Mack

Tiffany Jefferson

Jermane Taylor

William Hinson

Catina Singleton

Vera Knight

Mary Maxwell

Precious Brown

Kendrick Philson

Deamberlee Jenkins

Andrea Gordon

Warehouse/Property Tyran Robinson

Trevor Jarman

George Green

Stephanie Williams

H. L. Lockhart

Broderick Mosely

Angela Smith Carter

Vince Gibbs

Shantae Ransom Jerlean McCoy

Arlishea Dyson

Rehabilitation Services Tralecia Rollins

Shaunelius Davis

Dwayne Green

Christopher Allen

Stacey Davis

Angie Ware

Brad Elmore

Jacarran Crump

Janice McDonald

Courtney Taylor

Robbie Rhodes

Ester Jiles

Kenitra Walker

Jestyne McGee

Dominique Sutton

Shonnett Wilson

Kevin Moore

Deborah Bland

Cintarrio Palmer

PRIORITY OF DECISION UNITS FISCAL YEAR 2022

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Program Decision Unit Object Amount

Priority # 1 Program # 1: MI - Institutional Care Residency Program Salaries 582,180 Commodities 38,680 Totals 620,860 General Funds 620,860 Stimulus Funds Federal Funds (951,263) Other Special Funds 951,263

27-1 CAPITAL LEASES

Mental Health - Mississippi State Hospital (374-00) Name of Agency

Amount of Each Payment Total of Payments To Be Made Original No. of Original No. of Months Last Actual FY 2020 Estimated FY 2021 Requested FY 2022 VENDOR/ Date of Months of Remaining Payment Interest ITEM LEASED Lease Lease on 6-30-20 Date Rate Principal Interest Total Principal Interest Total Principal Interest Total

28-1 Form MBR-1-03PB Summary of 3% General Fund Program Reduction to FY 2021 Appropriated Funding by Major Object

Mental Health - Mississippi State Hospital (374-00) Name of Agency

EFFECT ON FY2021 EFFECT ON FY2021 EFFECT ON FY2021 FY2021 General STATE SUPPORT FEDERAL OTHER SPECIAL TOTAL 3% Major Object Fund Reduction SPECIAL FUNDS FUNDS FUNDS REDUCTIONS SALARIES, WAGES, FRINGE (1,813,385) (1,813,385)

TRAVEL

CONTRACTUAL

COMMODITIES

OTHER THAN EQUIPMENT

EQUIPMENT

VEHICLES

WIRELESS COMM. DEVS.

SUBSIDIES, LOANS, ETC

TOTALS (1,813,385) (1,813,385)

29-1

Agency Revenue Source Report - FY2020 Data As Required by HB 831, 2015 Legislative Session And SB 2387, 2016 Legislative Session

Agency Name Mississippi State Hospital

Budget Year 2022

State Support Sources Amount Received General Funds $ 63,056,500

State Support Special Funds: Amount Received Education Enhancement Funds Health Care Expendable Funds $ 3,161,883 Tobacco Control Funds Capital Expense Funds Budget Contingency Funds Working Cash Stabilization Reserve Funds BP Settlement Fund Gulf Coast Restoration Fund SSSF new 1 SSSF new 2 SSSF new 3 SSSF new 4 SSSF new 5

List all Federal Funds at its most specific level, such as an office or division, include name of grant, grantor, not the federal department. Federal Funds Amount Received Action or results promised in order to receive funds HHS Stimulus Funds $ 951,263 Stimulus Funds received through the Cares Act Federal Fund #2 Description of any Maintenance of Effort agreements entered into with any N/A federal agency or subdivision thereof

Special Funds Amount Received Medicaid $ 28,465,155 Medicare $ 3,980,228 Patient/Client Fees $ 1,592,211 Other $ 7,823,758

Revenue from Tax, Fine or Fee Assessed Private Pay Patient Fees Amount Assessed Amount Collected Authority to Collect §41-4-7 Based on cost of adequate paitent care and length of stay required fo rdiagnosis, as well as patient's ability Method of Determining Assessment to pay. Private pay billing following the month of services are Method of Collection rendered. Amt. & Purpose for which Expended Amount Purpose To reimburse Mississippi State Hospital fo rservices rendered in the treatment of and stay of patients not $ 3,426,545 covered by a third party provider.

Amount Transferred to General Fund $ - Authority for Transfer to General Fund N/A Amount Transferred to Another Entity $ - Authority for Transfer to Other Entity N/A Name of Other Entity N/A Fiscal Year-Ending Balance $ - Revenue from Tax, Fine or Fee Assessed Medical Record Photocopies Amount Assessed $ 779 Amount Collected $ 779 Authority to Collect Based on medical record requests from third parties Method of Determining Assessment and volume of requests. Method of Collection At the time medical record copies are requested Amt. & Purpose for which Expended Amount Purpose

To reimburse MSH for the actual cost of searching, $ 779 reviewing, duplicating and method of delivery.

Amount Transferred to General Fund Authority for Transfer to General Fund Amount Transferred to Another Entity Authority for Transfer to Other Entity Name of Other Entity Fiscal Year-Ending Balance

Revenue from Tax, Fine or Fee Assessed P. O. Box Rental Amount Assessed $ 1,600 Amount Collected $ 1,600 Authority to Collect 39 U.S. Code §404 Based on requests made by general public for post Method of Determining Assessment office boxes and by volume Method of Collection At the time of post office box rental Amt. & Purpose for which Expended Amount Purpose

To cover the cost of maintaining and developing postal $ 1,600 services to meet the need of Mississippi State Hospital

Revenue from Tax, Fine or Fee Assessed Employee Physical Fee Amount Assessed $ 893 Copy Entire Section to Add New Item Amount Collected $ 893 Authority to Collect §41-4-7 Based on employee turnover, new hires, and volumne Method of Determining Assessment of requests for employee physicals Method of Collection $ 893 Amt. & Purpose for which Expended Amount Purpose

To reimburse Mississippi State Hospital for services $ 893 rendered in performing employee physicals

Amount Transferred to General Fund - Authority for Transfer to General Fund N/A Amount Transferred to Another Entity - Authority for Transfer to Other Entity N/A Name of Other Entity N/A Fiscal Year-Ending Balance -