GOVERNOR'S RECOMMENDED FY 2012 BUDGET |
MISSION:
To provide persons who are mentally ill or chemically dependent with effective, individualized professional treatment that enables them to achieve their highest level of personal independence in the most therapeutic environment.
ACTUAL
FY 2009ACTUAL
FY 2010BUDGETED
FY 2011REQUESTED
FY 2012GOVERNOR'S RECOMMENDED
FY 2012RECOMMENDED INC/(DEC)
FY 2012
FUNDING SOURCE:
General Funds
$30,866,177
$30,125,283
$31,156,203
$29,650,574
$29,650,574
($1,505,629)
Federal Funds
10,537,101
12,611,113
9,962,069
10,913,136
10,913,136
951,067
Other Funds
671,253
283,449
524,041
584,041
584,041
60,000
Total
$42,074,532
$43,019,845
$41,642,313
$41,147,751
$41,147,751
($494,562)
EXPENDITURE DETAIL:
Personal Services
$29,212,789
$29,447,594
$29,276,326
$29,276,326
$29,276,326
$0
Operating Expenses
12,861,743
13,572,251
12,365,987
11,871,425
11,871,425
(494,562)
Total
$42,074,532
$43,019,845
$41,642,313
$41,147,751
$41,147,751
($494,562)
Staffing Level FTE:
557.5
561.6
560.5
560.5
560.5
0.0
ACTUAL FY 2009 |
ACTUAL FY 2010 |
ESTIMATED FY 2011 |
ESTIMATED FY 2012 |
|
REVENUES: | ||||
Deposits to General Funds: | $0 | $0 | $0 | $0 |
Private Pay | 612,531 | 609,999 | 583,537 | 583,537 |
Insurance | 1,455,474 | 859,556 | 1,151,181 | 1,151,181 |
Insurance Participating Provider | 0 | 983,711 | 2,933,256 | 2,933,256 |
Counties | 655,300 | 761,366 | 652,722 | 652,722 |
Indian Health Services (IHS & PHS) | 2,665,682 | 1,796,501 | 1,932,915 | 1,932,915 |
Deposits to Federal Funds: | 0 | 0 | 0 | 0 |
Title XVIII - Medicare | 4,953,349 | 4,917,435 | 4,254,496 | 4,868,977 |
Title XIX - Medicaid | 5,709,778 | 5,792,612 | 5,346,916 | 5,086,360 |
Title XIX - Medicaid ARRA | 479,881 | 781,846 | 301,104 | 0 |
Disproportionate Share Hospital | 469,968 | 471,215 | 471,215 | 468,979 |
Children's Health Insurance Program (CHIP) | 523,420 | 255,367 | 406,385 | 404,020 |
Energy Conservation Measures (ECM) ARRA | 0 | 0 | 389,850 | 259,900 |
Title I - Improving America's School | 44,001 | 24,586 | 0 | 0 |
Act (IASA) Adolescent Grant | 0 | 0 | 0 | 0 |
School Breakfast and Lunch | 84,023 | 84,669 | 84,372 | 84,372 |
Bioterrorism Hospital Preparedness | 0 | 2,500 | 0 | 0 |
Deposits to Other Funds: | 0 | 0 | 0 | 0 |
Prescription Drug Plan | 213,280 | 272,592 | 272,592 | 272,592 |
Medical Faculty Training | 40,682 | 36,202 | 36,581 | 36,581 |
Other HSC Fund | 10,357 | 27,911 | 24,233 | 24,233 |
Building/Rent | 18,975 | 15,175 | 16,808 | 16,808 |
HSC Vending | 124,287 | 115,850 | 120,631 | 120,631 |
Insurance-Roof Damage | 0 | 809,529 | 224,122 | 0 |
Deposits to Special Revenue Fund: | 0 | 0 | 0 | 0 |
Land Interest | 5,374 | 2,756 | 4,404 | 4,404 |
Total |
$18,066,362 |
$18,621,378 |
$19,207,320 |
$18,901,468 |
PERFORMANCE INDICATORS: | ||||
Operating Bed Capacity of Each Unit: | ||||
Acute Psychiatric Services | 60 | 60 | 60 | 60 |
Psychiatric Rehabilitation | 66 | 66 | 66 | 66 |
Adolescent Psych (Acute/Intermediate/Long-Term) | 15/20/12 | 15/20/12 | 15/20/12 | 15/20/12 |
Chemical Dependency (Adolescent/Adult) | 20/32 | 20/32 | 20/32 | 20/32 |
Geriatric Psychiatric (Nursing Home) | 69 | 69 | 69 | 69 |
Intensive Treatment Unit | 10 | 10 | 10 | 10 |
Average Daily Census for Hospital | 253.3 | 241.0 | 250.0 | 250.0 |
Average Daily Census by Unit: | ||||
Acute Psychiatric Services | 52.6 | 50.4 | 50.0 | 50.0 |
Psychiatric Rehabilitation | 58.2 | 55.1 | 56.0 | 56.0 |
Adolescent Psych (Acute/Intermediate/Long-Term) | 8.8/16.2/10.6 | 8.5/16.6/9.8 | 10.0/16.0/11.0 | 10.0/16.0/11.0 |
Chemical Dependency (Adolescent/Adult) | 13.6/22.5 | 10.6/20.3 | 14.0/24.0 | 14.0/24.0 |
Geriatric Psych (Nursing Home) | 64.2 | 62.0 | 64.0 | 64.0 |
Intensive Treatment Unit (Adult/Adolescent) | 4.0/2.6 | 3.8/3.9 | 3.0/2.0 | 3.0/2.0 |
Admissions to / Discharges from Mickelson | 1,959/1,982 | 1,872/1,893 | 1,940/1,940 | 1,940/1,940 |
Center for the Neurosciences (MCN) | ||||
Direct Admissions by Unit: | ||||
Acute Psychiatric Services | 1,332 | 1,254 | 1,316 | 1,316 |
Psychiatric Rehabilitation | 1 | 0 | 0 | 0 |
Adolescent Psych (Acute/Intermediate/Long-Term) | 203/1/5 | 212/9/2 | 190/5/5 | 190/5/5 |
Chemical Dependency (Adolescent/Adult) | 66/198 | 50/185 | 70/200 | 70/200 |
Geriatric Psychiatric (Nursing Home) | 2 | 1 | 4 | 4 |
Intensive Treatment Unit (Adult/Adolescent) | 122/29 | 129/30 | 125/25 | 125/25 |
Average Length of Stay in Days: | ||||
Acute Psychiatric Services | 14.3 | 14.5 | 14.0 | 14.0 |
Psychiatric Rehabilitation | 125.7 | 178.5 | 140.0 | 140.0 |
Adolescent Psych (Acute/Intermediate/Long-Term) | 13.3/79.7/226.5 | 12.5/73.5/157.2 | 15.0/72.0/215.0 | 15.0/72.0/215.0 |
Chemical Dependency (Adolescent/Adult) | 66.3/31.9 | 69.4/31.0 | 65.0/30.0 | 65.0/30.0 |
Geriatric Psychiatric (Nursing Home) | 509.4 | 436.5 | 450.0 | 450.0 |
Intensive Treatment Unit (Adult/Adolescent) | 5.3/6.3 | 4.7/10.2 | 5.0/5.0 | 5.0/5.0 |
Average Length of Stay | 33.9 | 34.4 | 33.0 | 33.0 |
Discharges by Unit: | ||||
Acute Psychiatric Services | 1,164 | 1,163 | 1,150 | 1,150 |
Psychiatric Rehabilitation | 169 | 109 | 192 | 192 |
Adolescent Psych (Acute/Intermediate/Long-Term) | 112/74/17 | 94/94/27 | 110/80/18 | 110/80/18 |
Chemical Dependency (Adolescent/Adult) | 68/259 | 48/237 | 70/220 | 70/220 |
Geriatric Psychiatric (Nursing Home) | 46 | 40 | 50 | 50 |
Intensive Treatment Unit (Adult / Adolescent) | 42/31 | 43/38 | 30/20 | 30/20 |
Average Direct Cost/Patient Days: | ||||
Acute Psychiatric Services | $255.05 | $267.78 | $271.48 | $271.48 |
Psychiatric Rehabilitation | $173.57 | $190.06 | $174.44 | $174.44 |
Adolescent Acute | $409.12 | $444.93 | $375.48 | $375.48 |
Adolescent Intermediate | $215.27 | $206.63 | $215.00 | $215.00 |
Adolescent Long-Term | $337.20 | $363.49 | $329.56 | $329.56 |
Adolescent Chemical Dependency | $256.44 | $322.12 | $235.90 | $235.90 |
Adult Chemical Dependency | $145.97 | $170.33 | $141.90 | $141.90 |
Geriatric Psychiatric (Nursing Home) | $204.26 | $243.96 | $200.69 | $200.69 |
Intensive Treatment Unit | $475.65 | $375.12 | $608.32 | $608.32 |
Average Direct Cost/Average Cost - Inpatient | $225.86/$415.20 | $247.55/$448.88 | $227.03/$422.46 | $227.03/$422.46 |
Average Indirect Cost: | ||||
Medical | $73.57 | $74.56 | $76.36 | $76.36 |
Administrative | $115.77 | $126.76 | $119.07 | $119.07 |
Direct Care Staff (Total) | ||||
(Nurses, Aides, Techs, and Assistants) | 326 | 327 | 325 | 325 |
Direct Care Staff Separations | 70 | 70 | 70 | 70 |
% Direct Care Staff/Employee Turnover | 21.4%/16.9% | 22.2%/18.8% | 22.2%/18.8% | 22.2%/18.8% |