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 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 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 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 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 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 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% 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.

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