Comprehensive Annual Financial Report (CAFR) 2013-2014
Transcription
Comprehensive Annual Financial Report (CAFR) 2013-2014
MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY (A COMPONENT UNIT OF HARRIS COUNTY, TEXAS) COMPREHENSIVE ANNUAL FINANCIAL REPORT For Fiscal Years Ended August 31, 2014 and 2013 Steven B. Schnee, Ph.D. Executive Director COMPREHENSIVE ANNUAL FINANCIAL REPORT OF MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY (A COMPONENT UNIT OF HARRIS COUNTY, TEXAS) For Fiscal Years Ended August 31, 2014 and 2013 Steven B. Schnee, Ph.D. Executive Director Harris County, Texas THIS PAGE LEFT BLANK INTENTIONALLY MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY TABLE OF CONTENTS AUGUST 31, 2014 Page Number INTRODUCTORY SECTION Listing of Officials .......................................................................................................... i Certificate of Board ......................................................................................................... ii Letter of Transmittal ....................................................................................................... iii GFOA Certificate of Achievement .................................................................................. x Organizational Chart ....................................................................................................... xi FINANCIAL SECTION Independent Auditors’ Report.......................................................................................... 1-3 Management’s Discussion and Analysis (Required Supplementary Information) .......... 4 - 10 Basic Financial Statements Government-wide Financial Statements Comparative Statement of Net Position..................................................................... 11 Statement of Activities ............................................................................................... 12 - 13 Fund Financial Statements Comparative Balance Sheet – Governmental Funds .................................................. 14 Reconciliation of the Comparative Balance Sheet - Governmental Funds to the Comparative Statement of Net Position – Governmental Activities ............... 15 Comparative Statement of Revenues, Expenditures, and Changes in Fund Balance – Governmental Funds ................................................................................. 16 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY TABLE OF CONTENTS AUGUST 31, 2014 Page Number FINANCIAL SECTION (Continued) Reconciliation of the Comparative Statement of Revenues, Expenditures and Changes in Fund Balance – Governmental Funds to the Statements of Activities .................................................................................... 17 Budgetary Comparison Statement – General Fund .................................................... 18 - 20 Comparative Statement of Net Position – Proprietary Fund ...................................... 21 Comparative Statement of Revenues, Expenditures, and Changes in Fund Net Position – Proprietary Fund ............................................... 22 Comparative Statement of Cash Flows – Proprietary Fund ........................................ 23 Comparative Statement of Fiduciary Assets & Liabilities – Agency Fund ........................................................................................... 24 Combining Statements of Discretely Presented Component Units: Combining Statement of Net Position ........................................................................ 25 Combining Statements of Activities ........................................................................... 26 - 28 Notes to the Basic Financial Statements ...................................................................... 29 - 46 Other Supplementary Information Capital Assets Used in the Operation of Governmental Funds: Schedule by Source ................................................................................................... 47 Schedule by Function ................................................................................................. 48 Schedule of Changes by Function ............................................................................. 49 Comparative Schedule of Changes in Fiduciary Assets and Liabilities - Agency Fund ............................................................................................ 50 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY TABLE OF CONTENTS AUGUST 31, 2014 Page Number STATISTICAL SECTION Net Position by Component ............................................................................................ 51- 52 Changes in Net Position ................................................................................................... 53 -54 Fund Balances, Governmental Funds ........................................................ 55 - 56 Changes in Fund Balance, Governmental Funds ....................................... 57 - 58 Principal Sources of Revenue .................................................................... 59 - 60 Summary Schedule of Indirect Costs ......................................................... 61 Detail Schedule of Direct and Indirect Costs ............................................. 62 Local Service Area Population .................................................................. 63 Demographic Statistics of Local Service Area .......................................... 64 Ratio of Outstanding Debt ......................................................................... 65 Principal Employers in the Catchment Area ............................................... 66 Full-Time Equivalent Employees by Function/Program ........................... 67 - 68 Operating Indicators by Function/Program ................................................ 69 - 70 General Fund Revenue by Source of Funds .............................................. 71 General Fund Expenditures by Category ................................................... 72 Capital Assets by Governmental Activity .................................................. 73 - 74 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY TABLE OF CONTENTS AUGUST 31, 2014 Page Number STATISTICAL SECTION (Continued) Reconciliation of Total Revenues to Fourth Quarter Financial Report ................................................................. 75 Reconciliation of Total Expenditures to Fourth Quarter Financial Report ............................................................ 76 Summary Schedule of Mental Health Adult, Mental Health Children and Mental Retardation Expenditures by Service Category and Source of Funds ............................ 77 - 78 Schedule of Revenues and Expenditures by Source of Funds, General Fund ............................................................ 79 -80 Schedule of Mental Health Adult Expenditures by Service Category and Source of Funds ................................................. 81 - 83 Schedule of Mental Health Children Expenditures by Service Category and Source of Funds ................................................. 84 - 85 Schedule of Mental Retardation Expenditures by Service Category and Source of Funds ....................................................... 86 - 87 Schedule of Leases in Effect ...................................................................... 88 Schedule of Land, Buildings, and Equipment ............................................ 89 Schedule of Insurance Coverage ................................................................. 90 - 94 Schedule of Bond Coverage ....................................................................... 95 Schedule of Professional and Consulting Fees and Contracted Provider Services .............................................................. 96 - 99 Schedule of Legal Services ........................................................................ 100 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY TABLE OF CONTENTS AUGUST 31, 2014 Page Number SINGLE AUDIT SECTION Independent Auditors’ Report on Internal Control over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards .............. 101 -102 Independent Auditors’ Report on Compliance for each Major Program and on Internal Control over Compliance Required by OMB Circular A-133, Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community MHMR Centers and the State of Texas Single Audit Circular.............................................. 103 - 105 Schedule of Findings and Questioned Costs ............................................... 106 Schedule of Expenditures of Federal and State Awards ............................. 107- 108 Notes to Schedule of Expenditures of Federal and State Awards ............. 109 THIS PAGE LEFT BLANK INTENTIONALLY INTRODUCTORY SECTION THIS PAGE LEFT BLANK INTENTIONALLY MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY, TEXAS Listing of Officials August 31, 2014 Board of Trustees Tom Hamilton, Ph. D. Bob Borochoff Gerald Womack Victor C. Alvarez Efrain Bleiberg, M.D. Jon R. Keeney Johnanna (Jo) Monday Lois J. Moore, BSN, MED, LHD, FACHE Robert Whitten, Jr., C.P.A. Board Chairperson Board Vice Chairperson, Public Education Committee Chairperson Secretary, Resource Committee Chairperson Board Member Board Member, Program Committee Chairperson Board Member Board Member Board Member, Audit Committee Chairperson Board Member Executive Staff Steven B. Schnee, Ph. D. Scott P. Strang, Ph. D., M.B.A. Rose L. Childs, M.S.W., C.S.W.M. Scott P. Strang, Ph. D., M.B.A. Barbara Dawson, M.S.E. Alex V. Lim, C.P.A., M.B.A. Jeanne Mayo, M.S., J.D. Sylvia Muzquiz, M.D. Sarah Flick, M.D. Daryl Knox, M.D. Carson Easley, R.N., M.S.N. Robert Stakem, Jr., MPM, CPHQ Charlotte Simmons Paul Wilson, P.E. Ron Coots, B.S.N., M.S.H.P. Scott Hickey, Ph. D. Executive Director Chief Operating Officer Deputy Director, Mental Health Services Interim Deputy Director, Intellectual Disability and Autism Services Deputy Director, Psychiatric Emergency and Hospital Services Chief Financial Officer General Counsel Medical Director, Mental Health Services Medical Director, Intellectual Disability and Autism Services Medical Director, Psychiatric Emergency and Hospital Services Director, Nursing Services Director, Program Compliance and Clinical Supports Director, Human Resources and Public Affairs Director, Facility Services Director, Information Services Director, Outcomes Management i iii iv v vi vii viii ix Government Finance Officers Association Certificate of Achievement for Excellence in Financial Reporting Presented to Mental Health and Mental Retardation Authority of Harris County Texas For its Comprehensive Annual Financial Report for the Fiscal Year Ended August 31, 2013 Executive Director/CEO x MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY – FY’14 BOARD OF TRUSTEES Planning Advisory Councils Office of the Executive Director Executive Administrative Assistant\ Board Recording Secretary & Archivist Executive Director Director Topaz Authority Project Manager Central Executive Support Services Internal Auditor Executive Decision Support Services Legal Services Medical Director MH Services Chief Operating Officer Director DSRIP Projects Project Director Collaborative Care Medical Medical Director Director IDD Services Emergency Services Pharmacy Services Director Outcomes Mgmt Director Facility Services xi Facility Services Chief Financial Officer Purchasing Managed Care Billings/Collections Accounting/Finance Director Information Services Office of the Deputy Director Ed Dev & Finance Mgr Staff Services Admin MH Services Deputy Office of the Deputy Director Consumer Council Coord Director Housing Develop Office of the Deputy Director Nurse Manager Budget &Project Manager Operations Manager Legal Review Manager Risk Management Contract Services Human Resources Payroll Public Affairs OD & Training Medical Records Network Management Utilization Management Program Compliance Continuity of Care Rights Protection Housing Specialist Comprehensive Psychiatric Emergency Programs Deputy Medical Director Director Program Compliance And Clinical Supports Infection Control Nursing Practice (All Divisions) Nurse Manager, IDD Svcs Nurse Manager, CPEP Svcs Nurse Manager, MH Svcs Infrastructure Services Desktop Services Customer Services Application Services Application Development IDD Services Deputy Director of Nursing Services General Counsel Medical Director Medical Director Nurse Manager Nurse Manager Asst. Deputy Authority Services Asst. Deputy ECI Services Asst. Deputy Provider Services Asst. Deputy Asst. Deputy Dept. Director ICF-IID Network &Transportation Services TxHmLv HCS Clinical Services CRU CCU CSU COD Branard Street Prog Dir Prog Dir PES 23 Hr Obs HelpLine PATH CCSI CTI CIRT MCOT SPA HCPI Asst. Deputy JJ/CUPS New Start Special Programs Asst. Deputy Budget Manager Clinics ACT Teams MH Svcs Safe Havens Collaboration for Action Eligibility Center Asst. Deputy Forensic Services Atascocita THIS PAGE LEFT BLANK INTENTIONALLY FINANCIAL SECTION THIS PAGE LEFT BLANK INTENTIONALLY INDEPENDENT AUDITORS’ REPORT The Board of Trustees Mental Health and Mental Retardation Authority of Harris County We have audited the accompanying financial statements of the governmental activities, the aggregate discretely presented component units, each major fund and the aggregate remaining fund information of the Mental Health and Mental Retardation Authority of Harris County (the “Agency”), a component unit of Harris County, Texas, as of and for the year ended August 31, 2014 (May 31, 2014 for Pasadena Cottages, Inc.), and the related notes to the financial statements, which collectively comprise the Agency’s basic financial statements as listed in the table of contents. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with the accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatements, whether due to fraud or error. Auditor’s Responsibility Our responsibility is to express opinions on these financial statements based on our audit. We did not audit the financial statements of Pasadena Cottages, Inc., Pecan Village, Inc., Villas at Bayou Park, Inc., Pear Grove, Inc., or Acres Homes Gardens, Inc., which represent 90 percent, 88 percent, and 63 percent, respectively, of the assets, net position, and revenues of the aggregate discretely presented component units. Those statements were audited by other auditors whose report has been furnished to us, and our opinion, insofar as it relates to the amounts included for Pasadena Cottages, Inc., Pecan Village, Inc., Villas at Bayou Park, Inc., Pear Grove, Inc., or Acres Homes Gardens, Inc., is based solely on the report of the other auditors. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. 1 An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant account estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinions. Opinions In our opinion, based on our audit and the reports of other auditors, the financial statements referred to above present fairly, in all material respects, the respective financial position of the governmental activities, the aggregate discretely presented component units, each major fund, and the aggregate remaining fund information of the Agency, as of August 31, 2014, and the respective changes in financial position and, where applicable, cash flows thereof and the respective budgetary comparison for the General Fund for the year then ended in accordance with accounting principles generally accepted in the United States of America. Other Matters Summarized Comparative Information The financial statements include summarized prior-year comparative information. Such information does not include sufficient detail to constitute a presentation in conformity with accounting principles generally accepted in the United States of America. The source of the information was audited previously by other auditors and the summarized comparative information is consistent, in all material respects, with the audited financial statements from which it has been derived. Accordingly, such information should be read in conjunction with the Agency’s financial statements for the year ended August 31, 2013, from which such summarized information was derived. Required Supplementary Information Accounting principles generally accepted in the United States of America require that the management’s discussion and analysis on pages 4 through 10 be presented to supplement the basic financial statements. Such information, although not part of the basic financial statements, is required by the Governmental Accounting Standards Board, who considers it to be an essential part of financial reporting for placing the basic financial statements in appropriate operational, economic, or historical context. We and other auditors have applied certain limited procedures to the required supplementary information in accordance with auditing standards generally accepted in the United States of America, which consisted of inquiries of management about the methods of preparing the information and comparing the information for consistency with management’s responses to our inquiries, the basic financial statements, and other knowledge we obtained during our audit of the basic financial statements. 2 We do not express an opinion or provide any assurance on the information because the limited procedures do not provide us with sufficient evidence to express an opinion or provide any assurance. Other Information Our audit was conducted for the purpose of forming opinions on the financial statements that collectively comprise the Agency’s basic financial statements. The introductory section, other supplementary information, and the statistical section are presented for the purposes of additional analysis and are not a required part of the basic financial statements. The schedule of expenditures of federal and state awards is required by U.S. Office of Management and Budget Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations and the State of Texas Single Audit Circular, and is also not a required part of the basic financial statements. The other supplementary information and schedule of expenditures of federal and state awards are the responsibility of management and were derived from and relate directly to the underlying accounting and other records used to prepare the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the basic financial statements or the basic financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the other supplementary information and schedule of expenditures of federal and state awards are fairly stated in all material respects in relation to the basic financial statements as a whole. The introductory and statistical sections have not been subjected to the auditing procedures applied in the audit of the basic financial statements, and accordingly, we do not express an opinion or provide any assurance on them. Other Reporting Required by Government Auditing Standards In accordance with Government Auditing Standards, we have issued our reported dated February 20, 2015, on our consideration of the Agency’s internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Governmental Auditing Standards in considering the Agency’s internal control over financial reporting and compliance. Waco, Texas February 20, 2015 3 THIS PAGE LEFT BLANK INTENTIONALLY MANAGEMENT’S DISCUSSION AND ANALYSIS (Required Supplementary Information) THIS PAGE LEFT BLANK INTENTIONALLY Management’s Discussion and Analysis We present the readers of the financial statements of MHMRA of Harris County (the “Agency”) along with this narrative overview and analysis of the financial activities for the fiscal year ended August 31, 2014. We encourage readers to consider the information presented here in conjunction with additional information that we have furnished in our letter of transmittal. FINANCIAL HIGHLIGHTS The assets of MHMRA exceeded its liabilities at the close of FY 2014 by $78,963,699 (net position). Of this amount, $40,562,756 (unrestricted net position) may be used to meet the Agency’s ongoing obligations. MHMRA’s total net position (government-wide) increased by $17,722,704 during the fiscal year. The Agency’s governmental funds increased by $17,254,596 resulting in an ending fund balance of $60,410,565. At the end of the fiscal year, unassigned fund balance for the General Fund was $20,756,976 or 10 % of total General Fund expenditures. OVERVIEW OF THE FINANCIAL STATEMENTS This discussion and analysis is intended to serve as an introduction to MHMRA’s basic financial statements. The Agency’s financial statements are composed of three components: 1) government-wide financial statements, 2) fund financial statements, and 3) notes to the financial statements. This report also contains other supplementary information in addition to the basic financial statements themselves. Government-wide financial statements. The government-wide financial statements are designed to provide readers with a broad overview of MHMRA’s finances, in a manner similar to a private-sector business. The Statement of Net Position presents information on all of the Agency’s assets and liabilities, with the difference between the two reported as net position. Over time, increases or decreases in net position may serve as a useful indicator of whether the financial condition of the Agency is improving or deteriorating. The Statement of Activities presents information showing how the Agency’s net position changed during the fiscal year. This statement includes all of the revenue and expenses generated by the Agency’s operations. The accrual basis of accounting is used, which is similar to the method used by most private-sector companies. All changes in net position are reported as soon as the underlying event giving rise to the change occurs, regardless of the timing of related cash flows. 4 The Statement of Net Position and the Statement of Activities include both the Agency’s basic services including programs for Intellectual and Developmental Disabilities, Adult Mental Health, Child and Adolescents Mental Health, Crisis Center, Community Hospital and General Administration. MHMRA does not have any business-type activities. FUND FINANCIAL STATEMENTS A fund is a grouping of related accounts that is used to maintain control over resources which have been segregated for specific activities or objectives. MHMRA uses fund accounting to ensure and demonstrate compliance with finance-related legal requirements. All of the funds of the Agency can be divided into three categories: governmental funds, internal service funds and fiduciary funds. Governmental funds. Governmental funds are used to account for essentially the same functions reported as governmental activities in the government-wide financial statements. However, unlike the government-wide financial statements, governmental fund financial statements focus on how money flows into and out of those funds and the balances left at year-end that are available for spending. These funds are reported using a method called modified accrual accounting, which measures cash and all other financial assets that can realistically be converted to cash. The governmental fund statements provide a detailed short-term view of the Agency’s general government operations and the basic services it provides. Governmental fund information helps to determine whether there are more or fewer financial resources that can be spent in the near future to finance the Agency’s programs. Both the governmental fund balance sheet and the governmental fund statement of revenues, expenditures, and changes in fund balances provide a reconciliation to facilitate this comparison between governmental funds and governmental activities. MHMRA maintains one separate governmental fund. Information is presented in the governmental fund balance sheet and in the governmental fund Statement of Revenues, Expenditures, and Changes in Fund Balances for the General Fund. MHMRA adopts an annual budget for its General Fund. A budgetary comparison statement has been provided for the General Fund to demonstrate compliance with this budget. The governmental fund financial statements are found on pages 14 through 20. Internal Service Fund. MHMRA maintains an Internal Service Fund (Proprietary Fund) to account for certain MHMRA professional liability self-insurance activities. The internal service fund financial statements are found on pages 21 through 23. Fiduciary funds. Fiduciary funds are used to account for resources held for the benefit of consumers. Fiduciary funds are not reflected in the government-wide financial statements because the resources of those funds are not available to support the Agency’s programs. The accounting used for fiduciary funds is much like that used for proprietary funds. The basic fiduciary fund financial statement can be found on page 24 of this report. 5 Notes to the financial statements. The notes provide additional information that is essential to a full understanding of the data provided in the government-wide and fund financial statements. The notes to the financial statements can be found on pages 29 through 46 of this report. Other information. In addition to the basic financial statements and accompanying notes, this report also presents certain supplementary information that is required by the Texas Health and Human Services Commission, OMB Circular A-133 and the State of Texas Single Audit Circular. Supplementary information can be found immediately following the notes to the financial statements. GOVERNMENT-WIDE FINANCIAL ANALYSIS As noted earlier, net position may serve over time as a useful indicator of a government’s financial position. MHMRA’s assets exceeded its liabilities by $78,963,699 at the close of the fiscal year. The largest portion of MHMRA’s net position (51 percent) represents the unrestricted financial resources available for future operations. This compares to last fiscal year’s unrestricted financial resources at 64 percent. Another 21 percent was earmarked for Delivery System Reform Incentive Projects, while the remaining balance of the Agency’s net position, 28 percent, reflects its investment in capital assets such as land, buildings, vehicles and electronic equipments, less any related debt that is still outstanding. The Agency uses these assets to provide services to the consumers that we serve. Consequently, these assets are not available for future spending. Although the Agency’s investment in its capital assets is reported net of related debt, it should be noted that the resources needed to repay this debt must be provided from other sources since the capital assets themselves cannot be used to liquidate these liabilities. The following chart reflects a summary of net position as of August 31, 2014, with comparative figures for FY 2013: MHMRA OF HARRIS COUNTY’S NET POSITION Current and other assets Non-current assets $ Total assets Current liabilities Long-term liabilities Total liabilities Net position: Net investment in capital assets Restricted Unrestricted Total net position $ Governmental Activities 2014 2013 82,783,172 $ 62,069,462 30,010,157 21,531,096 112,793,329 83,600,558 22,501,398 11,328,232 17,898,602 4,460,961 33,829,630 22,359,563 21,640,340 16,760,603 40,562,756 19,361,119 2,451,869 39,428,007 78,963,699 $ 61,240,995 To a large extent, the increase in net position was due to the receipt of Waiver 1115 DSRIP funds. 6 Governmental Activities Revenues for the Agency’s governmental activities were $213,550,174 while total expenses were $195,827,470. The change in net position of governmental activities was $17,722,704. The following table reflects a comparison of the governmental activities between FY 2014 and FY 2013: MHMRA OF HARRIS COUNTY’S CHANGES IN NET POSITION Governmental Activities 2014 2013 REVENUES Program revenues: Charges for services: Mental Retardation Mental Health Adult Mental Health Child and Adolescents $ Crisis Center Total charges for services Operating grants and contributions Mental Retardation Mental Health Adult Mental Health Child and Adolescents Crisis Center Community Hospital Total operating grants and contributions General Revenues: Payment from Harris County Grants not restricted to specific programs Investment Earnings Other income 22,460,881 17,738,233 5,236,013 3,738,072 $ 49,173,199 46,839,048 15,123,265 61,559,641 11,266,418 26,781,351 28,406,319 12,350,698 39,730,287 10,106,224 15,153,128 28,493,696 143,136,994 105,834,033 18,640,633 1,992,355 308,905 273,610 24,478 Gain on sale of capital assets Total general revenues Total Revenues EXPENSES General Administration Mental Retardation Mental Health Adult Mental Health Child and Adolescents Crisis Center Community Hospital Interest on long-term debt Total Expenses CHANGE IN NET POSITION $ 7 23,293,826 14,864,918 5,885,760 2,794,544 ( 18,510,676 1,946,248 18,917) 1,327,106 19,520 21,239,981 21,784,633 213,550,174 174,457,714 17,058,371 36,871,591 61,065,540 16,951,280 32,220,066 31,481,431 179,191 15,868,346 34,890,863 46,460,360 15,567,011 27,269,476 32,038,969 152,415 195,827,470 172,247,440 17,722,704 $ 2,210,274 The table and chart below presents the net revenue (cost) of each of the Agency’s programs. The net revenue (cost) does not reflect the revenue generated through local funding and investments. Program Revenues and ExpensesGovernmental Activities 80000000 70000000 60000000 50000000 Revenues $ 40000000 30000000 Expenses 20000000 10000000 0 MR MH Adult MH Child & Adolescent Crisis Center Community Hospital The following chart depicts the major sources of revenues: FINANCIAL ANALYSIS OF THE CENTER’S FUNDS As noted earlier, MHMRA uses fund accounting to ensure and demonstrate compliance with financerelated legal requirements. 8 Governmental funds. The focus of MHMRA’s governmental funds is to provide information on nearterm inflows, outflows, and balances of expendable resources. Such information is useful in assessing the Agency’s financing requirements. In particular, unassigned fund balance may serve as a useful measure of the Agency’s net resources available for spending at the end of the fiscal year. The General Fund is the chief operating fund of MHMRA. As the Agency completed the year, its General Fund (as presented in the balance sheet on page 14) reported a fund balance of $60,410,565. A large portion of this, or 34%, is labeled as unassigned fund balance. As a measure of the General Fund’s liquidity, it may be useful to compare spendable (assigned and unassigned) fund balance to total fund expenditures. Spendable fund balance totals $59,339,383 and represents 29% of total General Fund expenditures or the equivalent of 106 days. An analysis of significant balances follows: Compared to the previous year, State grants and programs for FY 2014 increased by $10,514,632 as a result of additional funding from the Texas Department of State Health Services (DSHS) in the amount of $9,519,152 to address the waitlist and other adult and children’s programs, $915,202 for the community hospital, as well as a slight increase in funding from The Texas Council on Offenders with Mental Impairments. Federal funds significantly increased by $29,295,587 compared to the prior year primarily due to Waiver 1115 DSRIP payments which rose by $27,695,027 between fiscal years, and the increase in Medicaid Administrative Claim revenues. In FY 2014, local billings declined by $2,403,538 while investment earnings increased by $327,549 due to higher yields from securities held as well as in the amount of total invested funds. Internal Service Fund In FY 2014, the total assets of the Internal Service (Proprietary) Fund representing a self insurance reserve fund slightly inched up from $2,159,337 in FY 2013 to $2,160,075. GENERAL FUND BUDGETARY HIGHLIGHTS A number of amendments were made to the original budget during the year. The major ones include the increase in projected funding from the Department of State Health Services by $1,426,400, the increase in anticipated revenue from DSRIP projects by $1,422,126, as well as the decrease in projected income from Medicaid billings by $2,312,185. Actual figures however indicated an increase in funding from DSHS of only $366,344 compared to the original projection, while DSRIP income posted an increase of $4,776,104. Medicaid payment still fell under the original budget figure by $3,521,162. On expenditures, personnel costs fell below the budget as a number of vacant positions were not filled during the year. The budget for contracts with service agencies and professional fees was increased with the need to hire contract psychiatrists and nurses to fill in vacancies, and the continued development of the Topaz software. Repairs and maintenance also saw a budget escalation as major repairs planned at the start of the year were pursued. 9 CAPITAL ASSET AND DEBT ADMINISTRATION Capital Assets. MHMRA’s investment in capital assets as of August 2014, amounts to $30,010,157 (net of accumulated depreciation). This investment in capital assets includes land, buildings and improvements, equipment, vehicles and intangible assets (software). Major changes in capital assets during the fiscal year included the following: MHMRA OF HARRIS COUNTY’S CAPITAL ASSETS (Net of Depreciation) Land Buildings & improvements Furniture & equipment Vehicles Intangible Assets - Software Fiscal Year 2014 $ 5,434,585 16,509,730 1,402,235 520,722 6,142,885 Fiscal Year 2013 $ 3,421,489 10,498,210 1,236,319 446,493 5,928,585 Total capital assets $ $ 30,010,157 21,531,096 $ $ Increase (Decrease) 2,013,096 6,011,520 165,916 74,229 214,300 8,479,061 Additional information on the Agency’s capital assets can be found in Note 6 on pages 38 through 39 of this report. Long-term debt. At the end of the current fiscal year, the Agency had total outstanding long-term debt of $13,617,098. A more extensive discussion about long-term debt is provided in the Notes to the Basic Financial Statements: Note 7 - Long-Term Liabilities on page 40 of this report. REQUESTS FOR INFORMATION This financial report is designed to provide a general overview of the finances of MHMRA of Harris County and its accountability for the money received. Should you have any question about this report or need additional financial information, please contact the Chief Financial Officer, Mental Health and Mental Retardation Authority of Harris County, Texas, P.O. Box 25381, Houston, Texas 77265-5381. 10 THIS PAGE LEFT BLANK INTENTIONALLY BASIC FINANCIAL STATEMENTS THIS PAGE LEFT BLANK INTENTIONALLY MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY STATEMENT OF NET POSITION August 31, 2014 and 2013 2014 Primary GovernmentGovernmental Activities 2013 Discretely Presented Component Units Primary GovernmentGovernmental Activities Discretely Presented Component Units Assets Current assets: Cash and cash equivalents Investments $ Accounts receivable, net 4,313,075 50,977,470 $ 26,421,445 999,015 - $ 44,436 3,969,790 48,331,881 $ 9,211,615 907,452 41,282 Inventories Deposits 195,217 101,640 - 147,974 101,852 - Prepaid expenses Other assets 774,325 - 19,610 1,221 306,350 - 17,710 2,221 82,783,172 1,064,282 62,069,462 968,665 5,434,585 6,142,885 18,432,687 314,753 5,943,244 3,421,489 5,928,585 12,181,022 291,466 6,123,573 Total current assets Noncurrent assets: Restricted cash and cash equivalents Land Intangible assets - software in development All other capital assets, net Total noncurrent assets Total assets Liabilities Current liabilities: Accounts payable Accrued liabilities Unearned revenue Current portion of long-term obligations 30,010,157 6,257,997 21,531,096 6,415,039 $ 112,793,329 $ 7,322,279 $ 83,600,558 $ 7,383,704 $ $ 599,139 17,252 62,186 $ 3,394,834 11,155,694 2,203,628 1,144,446 $ 517,826 18,989 61,273 5,503,995 13,542,225 1,166,312 2,288,866 Total current liabilities 22,501,398 678,577 17,898,602 598,088 Noncurrent liabilities: Noncurrent portion of long-term obligations 11,328,232 1,568,989 4,460,961 6,954,050 Total liabilities 33,829,630 2,247,566 22,359,563 7,552,138 Net investment in capital assets Restricted for: 21,640,340 4,312,069 19,361,119 (891,750) Delivery System Reform Incentive Projects Unrestricted 16,760,603 40,562,756 762,644 2,451,869 39,428,007 723,316 Net Position: Total net position Total liabilities and net position 78,963,699 $ 112,793,329 5,074,713 $ 7,322,279 The accompanying notes are an integral part of this statement. 11 61,240,995 $ 83,600,558 (168,434) $ 7,383,704 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY STATEMENT OF ACTIVITIES For the Year Ended August 31, 2014 Functions/Programs Primary government: Governmental activities: General Administration Adult Mental Health Mental Retardation Child and Adolescent Crisis Center Community Hospital (payment to HCPC) Interest on long-term debt Total governmental activities Component units: HUD Programs Fund raising activities Total component units Indirect Expenses Allocation Expenses $ $ $ $ 17,058,371 61,065,540 36,871,591 16,951,280 32,220,066 31,481,431 179,191 195,827,470 Program Revenues Operating Charges for Grants and Services Contributions $ $ (17,058,371) 7,081,023 4,275,548 1,965,633 3,736,167 - 597,467 190,155 787,622 $ $ $ $ 17,738,233 22,460,881 5,236,013 3,738,072 49,173,199 405,990 405,990 General revenues: Harris County Grants and contributions not restricted to specific programs Investment earnings Other income Gain on sale of capital assets Total general revenues Change in net position Net position - beginning Prior period adjustment Net position - ending The accompanying notes are an integral part of this statement. 12 $ $ $ $ 61,559,641 15,123,265 11,266,418 26,781,351 28,406,319 143,136,994 Net (Expense) Revenue and Changes in Net Position Total Governmental Activities $ Component Units 11,151,311 (3,562,993) (2,414,482) (5,436,810) (3,075,112) (179,191) (3,517,277) 244,254 244,254 (191,477) 54,099 (137,378) $ 18,640,633 1,992,355 308,905 273,610 24,478 21,239,981 17,722,704 61,240,995 78,963,699 $ 2,229 3,878 6,107 (131,271) (168,434) 5,374,418 5,074,713 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY STATEMENT OF ACTIVITIES For the Year Ended August 31, 2013 Functions/Programs Primary government: Governmental activities: General Administration Adult Mental Health Mental Retardation Child and Adolescent Crisis Center Community Hospital (payment to HCPC) Interest on long-term debt Total governmental activities Component units: HUD Programs Fund raising activities Total component units Indirect Expenses Allocation Expenses $ $ $ $ 15,868,346 46,460,360 34,890,863 15,567,011 27,269,476 32,038,969 152,415 172,247,440 Program Revenues Operating Charges for Grants and Services Contributions $ $ (15,868,346) 5,895,926 4,476,498 1,997,248 3,498,674 - 593,986 64,938 658,924 $ $ $ $ 14,864,918 23,293,826 5,885,760 2,794,544 46,839,048 $ 39,730,287 12,350,698 10,106,224 15,153,128 28,493,696 105,834,033 402,201 402,201 $ $ $ 93,114 93,114 General revenues: Harris County Grants and contributions not restricted to specific programs Investment earnings Other income Gain on sale of capital assets Total general revenues Change in net position Net position - beginning Prior period adjustment Net position - ending The accompanying notes are an integral part of this statement. 13 $ Net (Expense) Revenue and Changes in Net Position Total Governmental Activities $ Component Units 2,238,919 (3,722,837) (1,572,275) (12,820,478) (3,545,273) (152,415) (19,574,359) (191,785) 28,176 (163,609) $ 18,510,676 1,946,248 (18,917) 1,327,106 19,520 21,784,633 2,210,274 59,030,721 61,240,995 $ 2,202 1,119 3,321 (160,288) (31,042) 22,896 (168,434) MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY BALANCE SHEET GOVERNMENTAL FUND August 31, 2014 and 2013 General Fund 2014 Assets Cash and cash equivalents Investments Accounts receivable (net of allowance for uncollectible) Receivables from other governments Other receivables Inventories Deposits Prepaid items Total assets $ Liabilities and Fund Balances Liabilities: Accounts payable Accrued liabilities Unearned revenue Total liabilities $ Fund balances: Nonspendable: Inventories Prepaid items Deposits Committed: Delivery System Reform Incentive Projects Assigned: Infrastructure development Self insurance Debt repayment Compensated absences Other purposes Unassigned Total fund balances Total liabilities and fund balances $ The accompanying notes are an integral part of this statement. 14 2013 4,313,075 48,817,395 1,491,907 20,869,742 4,059,796 195,217 101,640 774,325 80,623,097 $ 5,503,995 13,542,225 1,166,312 20,212,532 $ $ 3,969,790 46,172,544 1,414,844 7,439,636 357,135 147,974 101,852 306,350 59,910,125 3,394,834 11,155,694 2,203,628 16,754,156 195,217 774,325 101,640 147,974 306,350 101,852 16,760,603 2,451,869 5,800,000 2,000,000 8,369,817 5,247,281 404,706 20,756,976 60,410,565 80,623,097 5,800,000 2,000,000 2,169,977 3,435,430 414,460 26,328,057 43,155,969 59,910,125 $ MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY RECONCILIATION OF THE BALANCE SHEET OF GOVERNMENTAL FUNDS TO THE STATEMENT OF NET POSITION August 31, 2014 and 2013 2014 Total Fund Balance $ 60,410,565 2013 $ 43,155,969 Amounts reported for governmental activities in the statement of net position are different because: An internal service fund is used by management to charge the costs of certain self insurance activities to the general fund. The assets and liabilities of the internal service fund are included in governmental activities in the statement of net position. 2,160,075 2,159,337 Capital assets used in governmental activities are not financial resources and therefore not reported in the funds. 30,010,157 21,531,096 Long-term liabilities, current and long-term, are not due and payable with current financial resources and therefore, are not reported in the funds. (13,617,098) (5,605,407) Net position of governmental activities $ The accompanying notes are an integral part of this statement. 15 78,963,699 $ 61,240,995 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY STATEMENT OF REVENUES, EXPENDITURES, AND CHANGES IN FUND BALANCE GOVERNMENTAL FUNDS For the Years Ended August 31, 2014 and 2013 General Fund 2014 Revenues State grants and programs Federal grants Harris County allocation Local billings Investment earnings Miscellaneous Total revenues $ Expenditures Current: Adult mental health Mental retardation Child and adolescent Crisis center Community hospital (payment to HCPC) General administration Debt service: Principal Interest and other charges Total expenditures 104,833,857 42,454,903 30,412,676 33,291,898 308,167 2,223,456 213,524,957 2013 $ 94,319,225 13,159,316 29,273,302 35,695,436 (19,382) 2,008,041 174,435,938 60,823,678 36,663,301 16,833,144 32,169,118 31,481,431 24,344,816 46,256,059 34,821,433 15,478,211 27,212,050 32,038,969 16,372,615 1,440,160 179,191 203,934,839 842,977 152,415 173,174,729 Excess of revenues over expenditures 9,590,118 1,261,209 Other Financing Sources Issuance of debt Sale of capital assets Total other financing sources 7,640,000 24,478 7,664,478 19,520 19,520 Net change in fund balance 17,254,596 1,280,729 43,155,969 41,875,240 Fund balances - beginning Fund balances - ending $ The accompanying notes are an integral part of this statement. 16 60,410,565 $ 43,155,969 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY RECONCILIATION OF THE STATEMENT OF REVENUES, EXPENDITURES, AND CHANGES IN FUND BALANCE OF GOVERNMENTAL FUNDS TO THE STATEMENT OF ACTIVITIES For the Years Ended August 31, 2014 and 2013 2014 Net change in fund balance - total governmental funds $ 2013 17,254,596 $ 1,280,729 Amounts reported for governmental activities in the statement of activities are different because: Governmental funds report capital outlays as expenditures. However, in the statement of activities, the cost of those assets is allocated over their estimated useful lives as depreciation expense. This is the amount by which depreciation exceeded capital outlays in the current period. 8,479,061 In the statement of activities, net book value of equipment and vehicles written off is recorded as expenses, whereas this is not reported in the governmental funds. Thus, the change in net position differs from the change in fund balance by the net book value of the equipment and vehicles written off. - Income generated from internal service funds are reported in governmental activities. Some expenses reported in the statement of activities do not require the use of current financial resources and, therefore, are not reported as expenditures in governmental funds. This amount is the net increase in accrued compensated absences in the government-wide financial statements during the current fiscal year. $ 17 2,255 (7,640,000) Repayment of bonds, notes payable and capital leases is an expenditure in the governmental funds, but the repayment reduces long-term liabilities in the statement of net position. The accompanying notes are an integral part of this statement. (91,918) 738 The issuance of long-term debt provides current financial resources to governmental funds. However, this has no effect on net position. Change in net position of governmental activities 269,393 - 1,440,160 842,977 (1,811,851) (93,162) 17,722,704 $ 2,210,274 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY BUDGETARY COMPARISON STATEMENT GENERAL FUND For the Year Ended August 31, 2014 Budget Original State Program Revenues General revenue Early Childhood Intervention Services to Children with Autism Texas Council on Offenders with Mental Impairments Texas Department of Criminal JusticeParole and Substance Abuse Total state program revenues $ Final 99,116,355 1,238,796 713,707 $ 2,939,485 Federal Program Revenues Mental Health Block Grant Social Services Block Grant (Title XX) TANF to Title XX Block Grant MH Block Homeless PATH Grant SAMHSA-Partners at Independence Heights Delivery System Reform Incentive Payments State Grants to Promote Health Information Technology, Recovery Act Administrative Claiming 100,542,755 1,238,796 927,541 Total federal program revenues $ 2,891,169 99,482,699 1,219,655 819,099 $ 2,866,406 (1,060,056) (19,141) (108,442) (24,763) 446,000 446,000 445,998 (2) 104,454,343 106,046,261 104,833,857 (1,212,404) 3,081,806 409,072 1,520,248 948,878 72,000 25,756,262 3,081,806 409,072 1,520,248 948,878 72,000 27,178,388 3,081,806 631,929 1,520,248 913,462 32,989 30,532,366 222,857 (35,416) (39,011) 3,353,978 42,500 2,915,709 42,500 2,915,709 - Leadership Education in Neurodevelopmental and Related Disorders Training Program Early Childhood Intervention Transitional Housing Program-Safe Havens Variance Positive/ (Negative) Actual (Budgetary basis) - 2,404,723 335,867 2,404,723 335,867 5,280 2,404,955 373,659 5,280 232 37,792 34,528,856 35,950,982 42,454,903 6,503,921 28,868,855 31,031,278 30,412,676 (618,602) 918,438 884,344 24,701,847 7,793,401 2,644,298 36,942,328 910,090 794,344 22,389,662 7,836,291 2,569,302 34,499,689 993,697 940,977 21,180,685 7,384,549 2,791,990 33,291,898 83,607 146,633 (1,208,977) (451,742) 222,688 (1,207,791) Local Revenues County funds Local Billings Patient fees and private insurance Medicare Medicaid ICF/MR, HCS and THL waiver Administrative claiming Total local billings Investment earnings Miscellaneous 150,000 150,000 308,167 5,171,584 8,775,902 2,223,456 (6,552,446) 158,167 210,115,966 216,454,112 213,524,957 (2,929,155) Total Revenues before Patient Assistance Program Revenues - Patient Assistance Program Total Revenues $ 21,003,483 231,119,449 $ 22,303,483 238,757,595 The accompanying notes are an integral part of this statement. 18 $ 22,148,871 235,673,828 $ (154,612) (3,083,767) MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY BUDGETARY COMPARISON STATEMENT (Continued) GENERAL FUND For the Year Ended August 31, 2014 Budget Original Final Actual (Budgetary basis) 135,154,672 $ Variance Positive/ (Negative) Expenditures Current: Personnel costs Contracts with service agencies and professional fees $ 137,834,073 $ 126,627,911 $ 8,526,761 47,277,376 48,350,077 46,779,248 1,570,829 Drug costs and other supplies 2,604,341 3,812,429 2,690,778 1,121,651 Rental 2,904,640 1,324,508 816,416 508,092 Repairs and maintenance 5,516,772 9,801,474 6,748,274 3,053,200 Travel 3,842,004 3,675,192 2,969,507 346,782 349,320 885,297 Utilities 2,085,805 2,424,427 1,973,699 450,728 Other 3,919,784 4,641,627 2,273,129 2,368,498 893,994 1,439,709 1,440,160 Security services 705,685 (535,977) Debt service: Principal Interest and other charges Capital outlay (451) 102,062 178,925 179,191 (266) 2,788,333 6,301,752 10,551,229 (4,249,477) 210,115,966 217,454,112 203,934,839 13,519,273 Total expenditures before Patient Assistance Program Expenditures - Patient Assistance Program Total expenditures Excess of revenues over expenditures 21,003,483 21,303,483 22,148,871 (845,388) 231,119,449 238,757,595 226,083,710 (12,673,885) - - 9,590,118 9,590,118 Issuance of debt - - 7,640,000 7,640,000 Sale of capital assets - - 24,478 24,478 - - 7,664,478 7,664,478 Other Financing Sources Excess of revenues and other financing sources over expenditures $ - $ The accompanying notes are an integral part of this statement. 19 - $ 17,254,596 $ 17,254,596 BUDGETARY COMPARISION STATEMENT (Continued) BUDGET-TO-GAAP RECONCILIATION - GENERAL FUND For The Year Ended August 31, 2014 Sources / Inflows of Resources Total revenue as per Budgetary Comparison Statement $ 235,673,828 Differences - budget to GAAP: Value of drugs received by patients from Patient Assistance Program (PAP) are budgetary resources, but are not reported as revenues under GAAP. Total revenue as per Statement of Revenues, Expenditures and Changes in Fund Balances - Governmental Funds (22,148,871) $ 213,524,957 $ 226,083,710 Uses / Outflows of Resources Total expenditures as per Budgetary Comparison Schedule Differences - budget-to-GAAP: Value of drugs provided under Patient Assistance Program (PAP) are outflows of budgetary resources, but are not recorded as expenditure under GAAP. Total expenditures as per Statement of Revenues, Expenditures and Changes in Fund Balances - Governmental Funds The accompanying notes are an integral part of this statement. 20 (22,148,871) $ 203,934,839 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMPARATIVE STATEMENT OF NET POSITION PROPRIETARY FUND August 31, 2014 and 2013 Governmental Activities Internal Service Fund Self- Insurance Reserve Fund (SIRF) 2014 2013 Assets Current Assets: Investments $ Total assets 2,160,075 $ 2,160,075 Net Position $ The accompanying notes are an integral part of this statement. 21 2,160,075 2,159,337 2,159,337 $ 2,159,337 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMPARATIVE STATEMENT OF REVENUES, EXPENSES, AND CHANGES IN FUND NET POSITION PROPRIETARY FUND For the Years Ended August 31, 2014 and 2013 Governmental Activities Internal Service Fund Self- Insurance Reserve Fund (SIRF) 2014 Operating revenues $ Operating expenses 2013 - $ - - Nonoperating revenues: Interest Total nonoperating revenues Change in net position Net position - beginning of the year Net position - end of the year $ 738 2,255 738 2,255 738 2,255 2,159,337 2,157,082 2,160,075 $ ` The accompanying notes are an integral part of this statement. 22 2,159,337 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMPARATIVE STATEMENT OF CASH FLOWS PROPRIETARY FUND For the Years Ended August 31, 2014 and 2013 Governmental Activities Internal Service Fund Self- Insurance Reserve Fund (SIRF) 2014 Cash flows from operating activities $ 2013 - $ - Cash flows from investing activities: Interest income 738 2,255 Net cash provided by investing activites 738 2,255 Net increase in cash and cash equivalents 738 2,255 2,159,337 2,157,082 Total cash and cash equivalents, beginning of year Total cash and cash equivalents, end of year $ The accompanying notes are an integral part of this statement. 23 2,160,075 $ 2,159,337 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMPARATIVE STATEMENT OF FIDUCIARY ASSETS AND LIABILITIES AGENCY FUND August 31, 2014 and 2013 2014 2013 Assets Cash and cash equivalents $ 21,886 $ 11,758 Liabilities Due to clients $ 21,886 $ 11,758 The accompanying notes are an integral part of this statement. 24 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMBINING STATEMENT OF NET POSITION DISCRETELY PRESENTED COMPONENT UNITS August 31, 2014 Pasadena Cottages, Inc. (May 31, 2014) Assets Current assets: Cash and cash equivalents Accounts receivable Prepaid expenses Other assets Total current assets Noncurrent assets: Restricted cash and cash equivalents Capital assets, net Total noncurrent assets Total assets Liabilities Current liabilities: Accounts payable Accrued interest payable Deposits payable Current portion of long-term obligations Total current liabilities $ $ $ Noncurrent liabilities: Noncurrent portion of long-term obligations Total liabilities Net Position: Net investment in capital assets Unrestricted Total net position Total liabilities and net position 6,647 3,714 10,361 45,971 163,479 209,450 219,811 5,180 2,248 125 10,643 18,196 Pecan Village, Inc. $ $ $ 289,150 307,346 $ (136,314) 48,779 (87,535) 219,811 $ 58,771 9,750 7,585 471 76,577 92,682 795,308 887,990 964,567 58,508 4,672 9,752 72,932 Villas at Bayou Park, Inc. Pear Grove, Inc. $ $ 41,016 15,272 1,956 58,244 60,755 1,708,246 1,769,001 1,827,245 $ $ 126,492 4,262 130,754 1,099,700 1,172,632 $ $ 110,139 240,893 (314,144) 106,079 (208,065) 964,567 $ 1,598,107 (11,755) 1,586,352 1,827,245 $ The accompanying notes are an integral part of this statement. 25 145,261 6,151 3,202 750 155,364 72,335 1,462,200 1,534,535 1,689,899 197,543 3,296 41,791 242,630 Acres Homes Garden, Inc. $ $ $ 70,000 312,630 1,350,409 26,860 1,377,269 1,689,899 $ 13,324 4,761 3,153 21,238 43,010 1,814,011 1,857,021 1,878,259 97,148 2,649 99,797 Friends of MHMRA $ $ $ 733,996 8,502 742,498 742,498 114,268 114,268 Total $ $ $ 999,015 44,436 19,610 1,221 1,064,282 314,753 5,943,244 6,257,997 7,322,279 599,139 2,248 15,004 62,186 678,577 99,797 114,268 1,568,989 2,247,566 1,814,011 (35,549) 1,778,462 1,878,259 $ 628,230 628,230 742,498 4,312,069 762,644 5,074,713 7,322,279 $ MENTAL HEALTH AND MENTAL RETARDATION COMBINING STATEMENT OF ACTIVITIES DISCRETELY PRESENTED COMPONENT UNITS For the Year Ended August 31, 2014* Net (Expense) Revenue Program Revenues Operating Grants Charges for and Services Contributions Expenses Pasadena Cottages, Inc. and Changes in Net Position Villas at Pecan Village, Pear Grove, Acres Homes Bayou Park, Inc. Inc. Garden, Inc. Inc. Friends of MHMRA Totals Pasadena Cottages, Inc. HUD Section 811 program $ 112,648 $ 140,760 $ - - Interest on long-term debt 27,389 Total Pasadena Cottages, Inc. 140,037 140,760 - 123,409 89,215 - 109,421 59,476 - 119,382 68,414 - 105,218 48,125 - 190,155 - $ - 28,112 $ (27,389) 28,112 (27,389) 723 723 Pecan Village, Inc. HUD Section 811 program $ (34,194) (34,194) Villas at Bayou Park, Inc. HUD Section 811 program $ (49,945) (49,945) Pear Grove, Inc. HUD Section 811 program $ (50,968) (50,968) Acres Homes Garden, Inc. HUD Section 811 program $ (57,093) (57,093) Friends of MHMRA Fund raising activities Total component units $ 787,622 $ 405,990 244,254 $ $ 54,099 244,254 54,099 (137,378) General revenues: Investment earnings 21 Other income - 63 56 194 33 1,862 2,229 1,859 1,097 225 697 - 3,878 419 730 1,862 Total general revenues 21 1,922 1,153 Change in net position 744 (32,272) (48,792) Net position - beginning (88,279) Prior period adjustment - Net position - ending $ (87,535) $ * Pasadena Cottages, Inc. is reported for the year ended May 31, 2014. The accompanying notes are an integral part of this statement. 26 (175,793) (344,066) (50,549) 9,910 - 1,979,210 1,417,908 (208,065) $ 1,586,352 $ 1,377,269 (56,363) 55,961 (142,475) 572,269 1,977,300 $ 1,778,462 $ 628,230 6,107 (131,271) (168,434) 5,374,418 $ 5,074,713 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMBINING STATEMENT OF NET POSITION DISCRETELY PRESENTED COMPONENT UNITS August 31, 2013 Pasadena Cottages, Inc. (May 31, 2013) Assets Current assets: Cash and cash equivalents Accounts receivable Prepaid expenses Other assets Total current assets Noncurrent assets: Restricted cash and cash equivalents Capital assets, net Total noncurrent assets Total assets Liabilities Current liabilities: Accounts payable Accrued interest payable Deposits payable Current portion of long-term obligations Total current liabilities $ 13,847 Pecan Village, Inc. $ 59,786 Villas at Bayou Park, Inc. $ 46,458 Acres Homes Garden, Inc. Pear Grove, Inc. $ 141,669 $ 28,279 Friends of MHMRA $ Total 617,413 $ 907,452 1,303 9,750 1,150 16,627 4,761 7,691 41,282 2,688 6,317 2,082 3,609 3,014 - 17,710 471 1,000 750 - - 76,324 50,690 162,655 17,838 36,054 2,221 625,104 968,665 42,206 89,993 55,697 67,695 35,875 - 291,466 174,111 822,747 1,753,997 1,511,417 1,861,301 - 6,123,573 216,317 912,740 1,809,694 1,579,112 1,897,176 - 6,415,039 $ 234,155 $ 989,064 $ 1,860,384 $ 1,741,767 $ 1,933,230 $ 625,104 $ 7,383,704 $ 10,490 $ 48,874 $ 109,946 $ 199,197 $ 96,484 $ 52,835 $ 517,826 2,321 100 - - - - - 2,321 6,531 5,155 2,961 1,921 - 16,668 9,730 9,752 41,791 - - 61,273 22,641 65,157 115,101 - 243,949 98,405 52,835 598,088 299,793 1,099,700 2,089,349 1,487,908 1,977,300 - 6,954,050 322,434 1,164,857 2,204,450 1,731,857 2,075,705 52,835 7,552,138 Noncurrent liabilities: Noncurrent portion of long-term obligations Total liabilities Net Position: Net investment in capital assets Unrestricted Total net position Total liabilities and net position $ (135,412) (286,705) 47,133 110,912 (88,279) (175,793) 234,1550 $ 989,0640 (335,352) $ (18,282) (115,999) (8,714) 28,192 (26,476) 572,269 723,316 (344,066) 9,910 (142,475) 572,269 (168,434) 1,860,384 The accompanying notes are an integral part of this statement. 27 $ 1,741,767 $ 1,933,230 - $ 625,104 (891,750) $ 7,383,7040 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMBINING STATEMENT OF ACTIVITIES DISCRETELY PRESENTED COMPONENT UNITS For the Year Ended August 31, 2013* Net (Expense) Revenue Program Revenues Expenses Charges for Services Operating Grants and Contributions Pasadena Cottages, Inc and Changes in Net Position Villas at Pecan Village, Pear Grove, Acres Homes Bayou Park, Inc. Inc. Garden, Inc. Inc. Friends of MHMRA Totals Pasadena Cottages, Inc. HUD Section 811 program $ 125,462 Interest on long-term debt 28,230 Total Pasadena Cottages, Inc. 153,692 $ 140,400 $ - - $ 14,938 $ 14,938 - (28,230) (28,230) 140,400 - (13,292) (13,292) 115,303 89,738 - 105,513 52,582 - 113,836 69,086 - 105,642 50,395 - 64,938 - 93,114 Pecan Village, Inc. HUD Section 811 program $ (25,565) (25,565) Villas at Bayou Park, Inc. HUD Section 811 program $ (52,931) (52,931) Pear Grove, Inc. HUD Section 811 program $ (44,750) (44,750) Acres Homes Garden, Inc. HUD Section 811 program $ (55,247) (55,247) Friends of MHMRA Fund raising activities Total $ 658,924 $ 402,201 $ $ 28,176 28,176 93,114 (163,609) General revenues: Investment earnings 21 Other income - Total general revenues 21 116 52 198 25 1,790 2,202 50 9 168 892 - 1,119 166 61 366 917 1,790 3,321 Change in net position (13,271) (25,399) (52,870) (44,384) (54,330) 29,966 (160,288) Net position - beginning (93,535) (150,394) (291,196) 54,294 (92,514) 542,303 (31,042) Prior period adjustment 18,527 - 4,369 Net position - ending $ (88,279) $ - - (175,793) $ (344,066) $ * Pasadena Cottages, Inc. is reported for the year ended May 31, 2013. The accompanying notes are an integral part of this statement. 28 9,910 $ (142,475) $ 572,269 22,896 $ (168,434) MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY Notes to the Basic Financial Statements Note 1 – Reporting Entity – Basis of Presentation Primary Government Mental Health and Mental Retardation Authority of Harris County (the “Agency”) is a public agency that was established as a result of the Texas Mental Health and Mental Retardation Act of 1965. This Act provided for the creation of local boards of trustees to develop and implement community-based mental health and mental retardation services. The Agency is governed by a Board of Trustees appointed by the Commissioners Court of Harris County (the “County”). The County has the ability to appoint and remove the members of the governing Board of Trustees of the Agency. For financial reporting purposes, the Agency is considered a component unit of the County. The accompanying financial statements present the Agency’s primary government and component units, entities for which the Agency is considered to be financially accountable. Component Units Pasadena Cottages, Inc., a Texas non-profit corporation (“Pasadena”) was organized in 1992 to purchase and maintain property for residential programs for individuals with intellectual and developmental disabilities (IDD). The Agency’s Board of Trustees appoints the Board of Trustees of Pasadena and has the ability to remove Trustees; thus, the Agency is financially accountable for Pasadena. Accordingly, Pasadena has been included in the Agency’s basic financial statements as a discretely presented component unit. Pecan Village, Inc., a Texas non-profit corporation (“Pecan Village”) was organized in 2000 to provide homes for persons with mental illness by acquiring and managing residential property under the Department of Housing and Urban Development (HUD) Section 811 grant. The Agency’s Board of Trustees appoints the Board of Trustees of Pecan Village and has the ability to remove Trustees; thus, the Agency is financially accountable for Pecan Village. Accordingly, Pecan Village has been included in the Agency’s basic financial statements as a discretely presented component unit. Villas at Bayou Park, Inc., a Texas non-profit corporation (“Villas at Bayou”) was organized in 2001 to provide homes for persons with mental illness by acquiring and managing residential property under the Department of Housing and Urban Development (HUD) Section 811 grant. The Agency’s Board of Trustees appoints the Board of Directors of Villas at Bayou and has the ability to remove Directors; thus, the Agency is financially accountable for Villas at Bayou. Accordingly, Villas at Bayou has been included in the Agency’s basic financial statements as a discretely presented component unit. Pear Grove, Inc., a Texas non-profit corporation (“Pear Grove”) was organized in 2004 to provide homes for persons with mental illness by acquiring and managing residential property under the Department of Housing and Urban Development (HUD) Section 811 grant. The Agency’s Board of Trustees appoints the Board of Trustees of Pear Grove and has the ability to remove Trustees; thus, the Agency is financially accountable for Pear Grove. Accordingly, Pear Grove has been included in the Agency’s basic financial statements as a discretely presented component unit. 29 Acres Homes Garden, Inc., a Texas non-profit corporation (“Acres Homes”) was organized in 2008 to provide homes for persons with mental illness by acquiring and managing residential property under the Department of Housing and Urban Development (HUD) Section 811 grant. The Agency’s Board of Trustees appoints the Board of Trustees of Pear Grove and has the ability to remove Trustees; thus, the Agency is financially accountable for Acres Homes. Accordingly, Acres Homes has been included in the Agency’s basic financial statements as a discretely presented component unit. Friends of MHMRA of Harris County (“Friends of MHMRA”) was organized during 2005 to provide charitable services and increase awareness in the community. The Agency’s Board of Trustees appoints the Board of Trustees of Friends of MHMRA and has the ability to remove Trustees; thus, the Agency is financially accountable for Friends of MHMRA. Accordingly, Friends of MHMRA has been included in the Agency’s basic financial statements as a discretely presented component unit. Financial statements of these component units may be obtained from the Chief Financial Officer, Mental Health and Mental Retardation Authority of Harris County, Texas, P.O. Box 25381, Houston, Texas 77265-5381. Government-wide and Fund Financial Statements The financial statements of the Agency have been prepared in conformity with generally accepted accounting principles as applied to governmental units. The Governmental Accounting Standards Board (GASB) is the accepted primary standard-setting body for establishing governmental accounting and financial reporting principles. The Agency's significant accounting policies are described below. Revenue and expenditure classifications in the fund financial statements conform to requirements codified in Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) published by the Texas Health and Human Services Commission (HHSC). Measurement Focus and Basis of Accounting Government-wide Financial Statements The statement of net position and statement of activities display information about the Agency as a whole. The statement of net position and statement of activities were prepared using the economic resources measurement focus and the accrual basis of accounting. Revenues, expenses, gains, losses, assets, and liabilities are recognized when the underlying transactions take place. Certain eliminations have been made as prescribed by GASB Statement No. 34 in regards to interfund activities, payables and receivables. All internal balances in the statement of net position have been eliminated. In the statement of activities, internal service fund transactions have been eliminated. Government-wide financial statements do not include fiduciary funds or component units that are fiduciary in nature. Program revenues are derived from state and federal grants and third party billings for services rendered. General revenues are primarily derived from the County budget allocation for the Agency. Indirect expenses are allocated to individual functions based on the percentage of actual direct costs in accordance with HHSC reporting guidelines. 30 Fund Financial Statements The accounting and financial reporting treatment applied to a fund is determined by its measurement focus. Governmental fund financial statements are presented using current financial resources measurement focus and modified accrual basis of accounting. With this measurement focus, only current assets and current liabilities generally are included on the balance sheet. Fiduciary fund financial statements are presented using the economic resources measurement focus and accrual basis of accounting. The operating statements of these funds present increases and decreases in net current assets. Under the modified accrual basis of accounting, revenues are recognized when they become susceptible to accrual; that is, when they become both measurable and available to finance expenditures of the fiscal period. “Measurable” means the amount of the transaction can be determined and “available” means collectible within the current period or soon enough thereafter to be used to pay liabilities of the current period. The Agency considers revenue to be available when it is collected within 120 days of the end of the current fiscal period. Significant revenues susceptible to accrual under this method are principally billings on reimbursable type grants and awards where revenue is recognized when services are rendered or when reimbursable expenditures are incurred. Client fees are recorded at the net realizable amounts. Medicaid and Medicare revenue is recognized when the services are provided. Unearned revenue arises when resources are received before there is a legal claim to them, such as when grant monies are received prior to the incurrence of qualifying expenditures. In subsequent periods when there is a legal claim to the resources, the liability for unearned revenue is removed from the balance sheet and revenue is recognized. Expenditures are generally recognized under the modified accrual basis of accounting when the related fund liability is incurred. However, debt service expenditures, as well as expenditures related to compensated absences and claims and judgments, are recorded only when payment is due. Description of Funds The Agency’s accounts are organized on the basis of funds, each of which is considered a separate accounting entity with a self-balancing set of accounts. All transactions are accounted for in funds, as follows: Governmental Funds General Fund – The General Fund is the general operating fund of the Agency. There are no legal requirements to account for financial resources in any governmental fund type other than the General Fund. Proprietary Funds Internal Service Funds – Permitted for any activity that provides goods or services to other funds, departments, or agencies of the primary government and its component units, or to other governments, on a cost-reimbursement basis when the reporting government is the predominant participant in the activity. Self-Insurance Reserve Fund - This internal service fund is used to account for certain self-insurance activities for professional liabilities. 31 Fiduciary Funds Agency Funds – Used to account for assets held as an agent for individuals and other governmental entities. These funds are custodial in nature (assets equal liabilities) and do not involve measurement of results of operations. Client Trust Fund - This fund is used to account for the receipt and distribution of the supplemental security income of eligible clients. As invoices are submitted for items such as clients’ rent, utilities, and food, clients are reimbursed using the funds available from their account. Budgetary Information The Agency’s annual budget for the General Fund is prepared based on estimated expenditures provided on a unit basis summarized by program category. The budget is submitted to the Board of Trustees. The budget must have the Board of Trustees’ approval and that of the Texas Department of State Health Services (“DSHS”) and the Texas Department of Aging and Disability Services (“DADS”). All annual appropriations lapse at fiscal year-end. Contract/budget negotiations are scheduled by DSHS and DADS at which time contract performance measures and funding amounts are negotiated. The contract and/or budget are revised to incorporate any modifications agreed upon and resubmitted to DSHS and DADS. The final budget is approved by DSHS and DADS, generally before the beginning of the new fiscal year. Budgetary control is maintained at the program level. The Agency’s management is authorized to transfer budgeted amounts within and among programs. Revisions that alter total revenue or total expenditures by more than $10,000 must be approved by the Board of Trustees. Note 2 – Summary of Significant Accounting Policies Cash and Investments The Agency’s cash and cash equivalents are considered to be cash on hand, demand deposits, and shortterm investments with original maturities of three months or less from the date of acquisition. It is the Agency’s policy to secure deposits with banks by collateral provided by the institutions, for amounts in excess of the Federal Deposit Insurance Corporation insurance. The collateral is held in the Federal Reserve account of an independent third-party agent. The Board of Trustees of the Agency authorizes management to invest with certain stipulations in obligations of the United States or its agencies and instrumentalities; direct obligations of the State of Texas or its agencies and instrumentalities; collateralized mortgage obligations directly issued by a federal agency or instrumentality of the United States; other obligations, the principal and interest of which are unconditionally guaranteed or insured by, or backed by the full faith and credit of the State of Texas or the United States or their respective agencies and instrumentalities; Prime Domestic Bankers Acceptances; obligations of states, agencies, counties, cities and other political subdivisions of any state rated as to investment quality by a nationally recognized investment firm not less than A or its equivalent; fully collateralized direct repurchase agreements; certificates of deposit issued by a state bank, national bank or savings and loan association domiciled in this state; commercial paper; and SECregistered, no-load money market mutual funds. 32 During the years ended August 31, 2014 and 2013, the Agency did not own any types of securities other than those permitted by statute. Investments for the Agency are reported at fair value. Accounts Receivable Accounts receivable from patients and insurance carriers (including Medicare and Medicaid) for services rendered are reduced by the amount of such billings deemed by management to be ultimately uncollectible. The Agency provides for an amount of uncollectible patient fees using the reserve method based on past collection history. Inventory Inventory consists of expendable supplies and drugs held for consumption and are valued at the lower of cost (first-in, first-out) or market. Under the system of accounting for inventory, supplies and drugs are recorded as expenditures/expenses when consumed rather than when purchased. Prepaid Items Certain payments to vendors reflect costs applicable to future accounting periods and are recorded as prepaid items in both the government-wide and fund financial statements. The cost of prepaid items is recorded as expenditures/expenses when consumed rather than when purchased. Capital Assets Capital assets with useful lives of more than one year are stated at cost. Donated capital assets are valued at their estimated fair market value on the date received. The Agency capitalizes assets with an initial, individual cost of $5,000 or more. Depreciation is computed using the straight-line method over the estimated useful lives of the assets. No depreciation is calculated on land. Depreciation expense on assets specifically identified with a function/program is included in its direct expenses, and the depreciation on shared capital assets are included ratably. The following lives are used: Buildings Building improvements Furniture, machinery, vehicles, and other equipment Telecommunications and peripheral equipment Buildings Building improvements Furniture, machinery, vehicles, and other equipment Telecommunications and peripheral equipment 45 years 20 years 5-20 years 10 years 45 years 20 years 5-20 years 10 years Unearned Revenue Unearned revenue arises when resources are received before there is a legal claim to them, such as when grant monies are received prior to the incurrence of qualifying expenditures/expenses. In subsequent periods when there is a legal claim to the resources, the liability for unearned revenue is removed from the balance sheet and revenue is recognized. 33 Compensated Absences The Agency provides paid time off (PTO) benefits to its employees. Employees are permitted to accumulate accrued PTO, subject to maximum limits based on length of service, and may redeem unused PTO hours for cash upon voluntary termination of employment. Involuntary terminations result in no PTO payout. Payment for unused PTO hours is subject to limits ranging from 0 to 234 hours based on length of service. Any accrued PTO hours in excess of the maximum allowed to be accrued are lost, if not currently used. The liability for such leave is recorded as incurred in the government-wide and proprietary fund financial statements. A liability for those amounts is recorded in the governmental funds only if the liability has matured as a result of employee resignations or retirements. Risk Management The Agency is exposed to various risks of loss related to tort; theft of, damage to and destruction of assets; errors and omissions; injuries to employees; doctors’ malpractice; and natural disasters. The Agency was covered by insurance for these various risks at a cost considered to be economically justifiable. During fiscal year 2003, due to a lack of availability of insurance coverage and the costs of available coverage, the Agency stopped purchasing excess insurance coverage for physicians’ professional liabilities. The Agency has purchased commercial insurance for claims for $1,000,000 per incident and $3,000,000 per annum and has increased the umbrella coverage to $2,000,000 per incident. The Agency retains all risk over and above these amounts. During fiscal year 2005, the Agency established the SelfInsurance Reserve Fund “SIRF” (an internal service fund) to account for and finance these uninsured risks (third level of professional liability coverage). Amounts payable to the SIRF and loss reserves are determined by management in consultation with an independent actuary based on historical claim information to pay prior and current-year claims and to establish a reserve for future catastrophic losses. A liability for a claim is established if information indicates that it is probable that a liability has been incurred at the date of the financial statements and the amount of the loss is reasonably estimable. Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenditures/expenses during the reporting period. Actual results could differ from those estimates. Fund Balance Fund balance of governmental funds is reported in various categories based on the nature of any limitations requiring the use of resources for specific purposes. The categories are as follows: Nonspendable fund balance – amounts that are not in a spendable form (such as inventory or prepaid items) 34 Restricted fund balance – amounts constrained to specific purposes by their providers (such as grantors, bondholders, and higher levels of government), through constitutional provisions, or by enabling legislation Committed fund balance – amounts that can be used only for the specific purposes determined by a formal action of the Agency’s highest level of decision-making authority. The Board of Trustees is the highest level of decision-making authority for the Agency that can, by adoption of a resolution prior to the end of the fiscal year, commit fund balance. Once adopted, the limitation imposed by the resolution remains in place until a similar action is taken (the adoption of another resolution) to remove or revise the limitation. Assigned fund balance – amounts the Agency intends to use for a specific purpose; intent can be expressed by the Board of Trustees, board committees or by the executive director. Unassigned fund balance – amounts that are available for any purpose; these amounts are reported only in the General Fund. It is the goal of the Agency to achieve and maintain an unassigned fund balance in the General Fund equal to a minimum of 300% of monthly expenditures or the equivalent of 90 days operating expenditures. The Agency considers a balance of less than 100% of monthly expenditures or the equivalent of 30 days of operating expenditures to be cause for concern, barring unusual or deliberate circumstance. When multiple categories of fund balance are available for expenditure (for example, a construction project is being funded partly by a grant, funds set aside by the Board, and unassigned fund balance), the Agency will start with the most restricted category and spend those funds first before moving down to the next category with available funds. Note 3 – Reconciliation of Government-wide and Fund Financial Statements Explanation of Certain Differences Between the Governmental Fund Balance Sheet and the Government-wide Statement of Net Position The governmental fund balance sheet includes a reconciliation of Total Fund Balance of Governmental Funds and Net Position of Governmental Activities as reported in the Statement of Net Position. One element of that reconciliation explains, “Long-term liabilities, current and long-term, are not due and payable with current financial resources and therefore, are not reported in the funds.” The details of this $(13,617,098) difference are as follows: Notes payable Compensated absences $( ( 8,369,817) 5,247,281) Net adjustment to reduce Total Fund Balance of Governmental Funds to arrive at Net Position of Governmental Activities $( 13,617,098) 35 Explanation of Certain Differences Between the Governmental Funds Statement of Revenue, Expenditures and Changes in Fund Balances and the Government-wide Statement of Activities Another element of that reconciliation explains, “Governmental funds report capital outlays as expenditures. However, in the statement of activities, the costs of these assets is allocated over their estimated useful lives and reported as depreciation expense. This is the amount by which capital outlays exceeded depreciation expense in the current period.” The details of this $8,479,061 difference are as follows: Capital outlay Depreciation expense $ ( Net adjustment to reduce Total Fund Balance of Governmental Funds to arrive at Net Position of Governmental Activities $ 10,551,229 2,072,168) 8,479,061 Note 4 – Deposits and Investments Custodial Credit Risk – Deposits: Custodial credit risk is the risk that in the event of a bank failure, the Agency’s deposits may not be returned to it. Deposits are exposed to custodial credit risk if they are not insured or collateralized. As of August 31, 2014 and 2013, the deposit balances per various financial institutions were $4,545,887 and $4,395,099, respectively. The Agency’s deposits are not exposed to custodial credit risk since all deposits are collateralized 102% of the depository balance less an amount insured by the FDIC. As of August 31, 2014, the Agency had the following investments: Investment U.S. Government Agency Securities Federal National Mortgage Assoc. Federal Home Loan Mortgage Corp. Federal Home Loan Bank Federal Farm Credit Bank Maturity 732 days 757 days 513 days 283 days AA+ AA+ AA+ AA+ Certificates of Deposit Certificates of Deposits (13) 343 days N/A Local Government Investment Pool TexPool Investment Fund 48 days AAAm Fair Value Rating $ 4,464,104 $ 36 13,094,852 1,997,814 7,999,148 2,001,134 21,420,418 50,977,470 Quoted market prices are the basis of the fair value for the U.S. Government Agency securities. The amount of increase or decrease in the fair value of investments during the current year is included in the Agency’s investment income as follows: Interest income - General Fund Interest income - Proprietary Fund Unrealized gain (loss) on temporary investments Investment earnings $ $ Primary Government 269,186 738 38,981 308,905 $ $ Component Units 2,229 2,229 Custodial Credit Risk – Investments For an investment, custodial credit risk is the risk that, in the event of the failure of the counterparty, the Agency will not be able to recover the value of its investments or collateral securities that are in the possession of an outside party. Agency securities are fully guaranteed by the government of the United States. Interest Rate Risk The Agency’s formal investment policy limits investment maturities as a means of managing its exposure to fair value losses arising from increasing interest rates. Financial assets are invested only in investments whose maturities do not exceed five years at the time of purchase. In addition, the average maturity of the overall portfolio shall not exceed five years. Credit Risk State law limits investments in commercial paper, corporate bonds, and mutual bond funds to the top two ratings issued by nationally recognized statistical rating organizations. The Agency’s investment policy further limits its investment choices by excluding (1) reverse repurchase agreements, (2) options or future contracts, (3) obligations whose payments represent the coupon payments on the outstanding principal balance for the underlying mortgage backed security collateral and pays no principal, (4) obligations whose payment represents the principal stream of cash flow from the underlying mortgage backed security and bears no interest, (5) collateralized mortgage obligations the interest rate of which is determined by an index that adjusts opposite to the changes in the market index and (6) obligations whose interest payment is derived from changes in a market index. As of August 31, 2014, Moody’s and Standard & Poor’s Investment Services have assigned the above credit ratings which reflect the extremely strong protection that the Agency’s portfolio investments provide against losses from credit defaults or credit deterioration. At August 31, 2014 and 2013, investments of $21,420,418 and $24,108,606 were held by the Texas Local Government Investment Pool (TexPool). The State Comptroller of Public Accounts exercises oversight responsibility over the Texas Local Government Investment Pool (TexPool). Oversight includes the ability to significantly influence operations, designation of management and accountability for fiscal matters. Additionally, the State Comptroller of Public Accounts has established an advisory board composed of both participants in TexPool and other persons who do not have a business relationship with TexPool. The Advisory Board members review the investment policy and management fee structure. TexPool is rated AAAm by Standard & Poor’s. As a requirement to maintain the rating, weekly portfolio information is submitted to both Standard & Poor’s and the Office of the State Comptroller of Public Accounts for review. 37 TexPool operates in a manner consistent with the Securities and Exchange Commission’s Rule 2a7 of the Investment Company Act of 1940. TexPool uses amortized cost rather than market value to report net assets to compute share prices. Accordingly, the fair value of the position in TexPool is the same value as the value in TexPool shares. Additional information on TexPool can be obtained by contacting Administrative Offices, TexPool Participant Service, c/o Federated Investors, Inc., 1001 Travis Avenue, Suite 1400, Houston, Texas 77002. Note 5 – Accounts Receivable Accounts receivable are comprised of the following balances at August 31, 2014 and 2013 for the primary government: 2014 Accounts receivable: Harris County State and federal 3rd part billings (net of allowance for uncollectible amounts of $2,975,582 and $1,483,675, respectively) Other receivables Total accounts receivable $ 2013 15,549,084 8,829,194 $ 1,491,907 551,260 26,421,445 $ 3,364,462 4,045,053 1,414,844 387,256 9,211,615 $ Note 6 – Capital Assets A summary of changes in general capital asset balances for the year ended August 31, 2014, is as follows: Primary Government Balance of as September 1, 2013 Governmental activities Capital assets, not being depreciated: Land Intangible assets - software in development $ 3,421,489 5,928,585 Additions $ 2,013,096 214,300 Balance as of August 31, 2014 Retirements $ - $ 9,350,074 2,227,396 Capital assets being depreciated: Buildings and improvements Furniture and equipment Vehicles 25,343,822 6,331,495 1,456,497 7,589,187 505,163 229,483 47,000 56,975 32,933,009 6,789,658 1,629,005 Total capital assets being depreciated 33,131,814 8,323,833 103,975 41,351,672 Total capital assets at historical cost Less accumulated depreciation for: Buildings and improvements Furniture and equipment Vehicles 42,481,888 10,551,229 103,975 52,929,142 14,845,612 5,095,176 1,010,004 1,577,667 339,247 155,254 47,000 56,975 16,423,279 5,387,423 1,108,283 Total accumulated deprecation 20,950,792 2,072,168 103,975 22,918,985 Total capital assets, not being depreciated Governmental activities capital assets, net $ 21,531,096 38 $ 8,479,061 - 5,434,585 6,142,885 $ - 11,577,470 $ 30,010,157 A summary of changes in general capital asset balances for the year ended August 31, 2013, is as follows: Primary Government Balance as of September 1, 2012 Governmental activities Capital assets, not being depreciation: Land Intangible assets - software in development $ 3,421,489 5,102,008 Additions $ 826,577 Balance as of August 31, 2013 Retirements $ - $ 3,421,489 5,928,585 8,523,497 826,577 - 9,350,074 Capital assets being depreciated: Buildings and improvements Furniture and equipment Vehicles 25,343,822 7,895,973 1,129,972 353,614 380,742 1,918,092 54,217 25,343,822 6,331,495 145,497 Total capital assets being depreciated 34,369,767 734,356 1,972,309 33,131,814 Total capital assets at historical cost Less accumulated depreciation for: Buildings and improvements Furniture and equipment Vehicles 42,893,264 1,560,933 1,972,309 42,481,888 13,977,920 6,611,320 950,403 867,692 310,030 113,818 1,826,174 54,217 14,845,612 5,095,176 1,010,004 Total accumulated depreciation 21,539,643 1,291,540 1,880,391 20,950,792 Total capital assets, not being depreciated Governmental activities capital assets, net $ 21,353,621 $ 269,393 $ 91,918 $ 21,531,096 Depreciation expense for the years ended August 31, 2014 and 2013 were $2,072,168 and $1,291,540, respectively, and were charged to the following functions and activities: 2014 Primary Government Governmental Activities: General administration Adult mental health Mental retardation Child and adolescent Crisis center Total governmental activities $ $ 39 1,064,169 421,127 227,788 118,136 240,948 2,072,168 2013 $ $ 329,684 403,224 222,102 119,255 217,275 1,291,540 Note 7 – Long-Term Liabilities Long-term liability activity for the year ended August 31, 2014 was as follows: Balance as of September 1, 2013 Additions Balance as of August 31, 2014 Reductions Amounts Due within One Year Governmental Activities: Notes payable Compensated absences $ 2,169,977 $ 3,435,430 7,640,000 $( 3,396,143 ( 1,440,160) $ 1,584,292) 8,369,817 $ 5,247,281 2,038,866 250,000 Total $ 5,605,407 $ 9,490,244 $( 1,478,553) $ 13,617,098 $ 2,288,866 Long-term liability activity for the year ended August 31, 2013 was as follows: Balance as of September 1, 2012 Additions Balance as of August 31, 2013 Reductions Amounts Due within One Year Governmental Activities: Notes payable Compensated absences $ 3,012,954 $ 3,342,268 $( 1,302,382 ( 842,977) $ 1,209,220) 2,169,977 $ 3,435,430 894,446 250,000 Total $ 6,355,222 $ 1,302,382 $( 2,052,197) $ 5,605,407 $ 1,144,446 The Agency has issued notes payable to provide funds for the acquisition of capital assets. In fiscal year 2000, the Agency entered into a note payable with Bank of America that carries an interest rate of 5.8%, is payable in monthly payments of $82,983, and is collateralized by a security and deed of trust on related property through December 2015. In the current fiscal year, the Agency entered into a note payable to JPMorgan Chase Bank that carries an interest rate of 1.99%, is payable in semi-annual payments of $545,714 plus interest, and is secured by a security and deed of trust on related property through December 2021. Debt service requirements for the notes payable as of August 31, 2014 are as follows: Year Ending August 31, 2015 2016 2017 2018 2019 2020 2021 $ $ Principal 2,038,865 1,419,522 1,091,429 1,091,429 1,091,429 1,091,429 545,714 8,369,817 $ $ Interest 186,719 119,926 93,605 71,584 49,563 27,602 5,490 554,489 $ $ Total 2,225,584 1,539,448 1,185,033 1,163,012 1,140,991 1,119,030 551,204 8,924,302 Provisions of the loan agreement relating to a note payable contain certain covenants requiring or restricting: (1) the Agency’s cash and investments in the General Fund equal, at a minimum, to six weeks of “current operating expenses”, (2) the Agency to maintain a “Debt Service Coverage Ratio” of 1.0x for each consecutive two fiscal years, (3) the Agency’s ability to pledge or mortgage assets without prior written consent and (4) the Agency’s ability to enter into new lease obligations in excess of $1,000,000. The “current operating expenses” and “Debt Service Coverage Ratio” are defined in the debt indenture. The Agency was in compliance with these requirements at August 31, 2014. 40 Note 8 – Operating Leases The Agency leases certain administrative, residential and outpatient facilities under operating lease agreements. Rent expenditures/expense under operating leases, including annually renewable operating leases for equipment and vehicles, amounted to $816,416 and $716,357 in 2014 and 2013, respectively. The future minimum rental payments required under non-cancelable operating leases having remaining terms in excess of one year as of August 31, 2014 are as follows: Year ending August, 31 2015 2016 2017 2018 2019 2020-2023 $ 71,700 41,761 21,279 16,899 16,849 67,396 235,884 $ Note 9 – Related Party Transactions The Agency, a component unit of the County, obtains certain community services from the County under contractual agreements. Expenditures/expenses under such contracts amounted to $121,618 and $259,583 for the years ended August 31, 2014 and 2013, respectively. Note 10 – Pension Plan The defined contribution pension plan (the “Plan”) was established by the Agency for substantially all of its employees, effective January 1, 1989. The plan document was updated and amended effective January 1, 2000. The condensed cash basis financial statements for the Plan’s fiscal years ended December 31, 2013 and 2012 are as follows: Statement of Fiduciary Net Assets December 31, 2013 and 2012 2013 2012 Assets Investments, at fair market value Total assets $ $ 58,239,880 58,239,880 $ $ 47,178,105 47,178,105 Net Position Held in trust for pension benefits and other purposes $ 58,239,880 $ 47,178,105 41 Statement of Changes in Fiduciary Net Assets For the Years Ended December 31, 2013 and 2012 Additions Contributions: Employer Forfeitures Total contributions Investment earnings: Net increase/(decrease) in fair value investments Dividends/Interest Other Total investment earnings Total additions Deductions Benefits Others Total deductions Change in net position Net position - beginning of year Net position - end of year $ ( $ 2013 2012 5,171,546 $ 129,223) ( 5,042,323 5,034,706 275,000) 4,759,706 2,511,486 710,664 98,128 8,629,042 13,671,365 3,820,725 663,862 96,631 4,581,218 9,340,924 2,511,486 98,104 2,609,590 11,061,775 47,178,105 58,239,880 2,021,275 96,631 2,117,906 7,223,018 39,955,087 47,178,105 $ In a defined contribution plan, benefits depend solely on amounts contributed to the plan plus investment earnings. Employees are eligible to participate at the next entry date as defined by the plan after working 1,560 hours and being employed on December 31 of the plan year. The plan requires that the Agency contribute an amount equal to 5% of the eligible employee’s annual base salary. Employee contributions are not permitted. If a participant in the plan terminates employment, the non-vested account balance is forfeited. Effective plan year 2008, the Agency instituted an employee matching program. Eligible employees must open and participate in a 403(b) plan. The match is dollar for dollar up to 5% of the employee’s annual base salary, with a minimum of 1%. The plan allows forfeitures to be applied to reduce sponsor contributions for the plan year in which the forfeitures occurred. Forfeitures for the plan years 2013 and 2012 amounted to $204,691 and $275,000, respectively, of which $129,223 and $275,000, respectively, was used against the Agency’s contributions for the year ended August 31, 2014 and 2013, respectively. Beginning Plan year 2004, contributions are made on an annual basis, and employees must also be actively employed with the Agency on the last day of the Plan year to receive the matching contributions. Effective Plan year 2005, the Agency also will make a supplemental contribution each year if the amount in the forfeiture account after Plan expenses exceeds $200,000. To receive this supplemental contribution the employees must have earned six years of service and be employed at the end of the plan year. The percentage of contribution varies from 1% to 3% depending on the number of years of service. Employees who retire, die or become permanently disabled during the year are entitled to the full contribution for the year. 42 Agency contributions made on account of the 2004 plan year or any subsequent plan year, as adjusted by earning and losses thereon, will vest 100% after 5 years of service with no vesting prior to 5 years. A favorable determination letter of the defined contribution plan was received on October 10, 2000 from the Internal Revenue Service. Employer contributions for the fiscal years ended August 31, 2014 and 2013 amounted to $6,131,092 and $5,541,669, respectively. The Plan’s investments as of December 31, 2013 and 2012 are as follows: Fair Value 2013 Wells Fargo Bank Investment Funds for Employee Benefit Trusts: Advantage Asset Allocation Fund Stable Return Fund Advantage Index Fund Bond Index Fund Investment Partners Fund Large Cap Value Fund MFS Value Growth Fund Small Cap Fund Research International Advantage Dow Jones Target Today Advantage Dow Jones Target 2010 Advantage Dow Jones Target 2020 Advantage Dow Jones Target 2030 Advantage Dow Jones Target 2040 Total 2012 $ 11,670,616 6,836,800 7,831,192 2,010,159 1,426,073 379,064 444,991 1,132,586 777,165 705,892 485,064 1,626,229 4,786,461 6,212,405 11,915,183 $ 10,215,201 6,471,940 5,864,958 2,142,160 1,026,305 296,425 305,923 911,615 335,882 476,475 442,452 1,474,973 3,870,998 4,992,816 8,350,072 $ 58,239,880 $ 47,178,105 The investments are valued at fair value by the Trustee based on published prices as of December 31, 2013 and 2012. These investments are held in trust in the name of the Plan by the bank’s trust department. Note 11 – Voluntary Employee Contribution Tax Deferred Investment Plans The Agency offers its employees a defined contribution tax deferred investment plan under Internal Revenue Code (IRC) Section 403(b). This plan was established by the Agency for all of its employees effective May 1, 1996. Additionally, the Agency offers its employees a defined contribution tax deferred investment plan under Internal Revenue Code (IRC) Section 457. This plan was established by the Agency effective July 1, 2006. 43 Under both plans, benefits depend solely on amounts contributed to the plan plus investment earnings. An employee shall become a member of a plan commencing as soon as practicable after the employee completes plan enrollment forms provided by the Agency and the custodians. Participation in the plans is completely voluntary and all funding of the plans is by employee salary deferral. Each member may elect to defer a fixed percentage or a fixed amount of compensation not to exceed the maximum specified by the IRC, and for the 403 (b) plan, have the employer contribute such deferred amounts to the custodian(s) selected by the member in accordance with the provisions of the plan, and for the 457 plan, have the employer contribute such deferred amounts to the custodian, Institutional Securities Corporation, located in Dallas, Texas. Note 12 - Contingencies The Agency is a named defendant in several lawsuits. The Agency believes these lawsuits to have meritorious defense and is defending them vigorously. The amount of liability, if any, from the claims cannot be determined with certainty; however, management is of the opinion that the outcome of the claims will not have a material adverse impact on the Agency’s financial position. The financial statements do not include any adjustments for potential losses that may result from these matters. The Agency receives significant amounts of grants from state and federal agencies and participates in Medicare and Medicaid programs. These programs are subject to audit by the agents for granting agencies for compliance with grant provisions. The Agency’s management believes that any liability for reimbursement which may arise as the result of these audits will not be material to the financial position of the Agency. Note 13 – Sample Drugs and Patient Assistance Programs MHMRA of Harris County assists its consumers in participating in a Patient Assistance Program (PAP) and Sample Drug Program where the Agency, on behalf of its consumers, receives pharmaceuticals for free and dispenses these drugs to the consumers according to policy. The amounts of free drugs dispensed by the Agency for its consumers for the years ended August 31, 2014 and 2013 were $22,148,871 and $21,037,054, respectively. The PAP and sample drugs received and provided to the consumers reduce the total drug expenditures/expenses that MHMRA would incur without the PAP. MHMRA is deemed as the payor of last resort for the medications. The Agency recognizes the benefits of the PAP program to its consumers and has dedicated staff to assist the consumers in applying for the PAP programs through the various pharmaceutical companies. Through internal policy, Agency physicians are required to participate in the PAP program. The pharmaceutical companies’ PAP and Sample Drug Program are intended to directly benefit the consumers. Therefore, the amounts listed above are not reflected in the Agency’s Statement of Revenue, Expenditures and Changes in Fund Balances or the Government-wide Statement of Activities. 44 Note 14 – Topaz Software Development MHMRA of Harris County entered into an inter-local agreement with Mental Health Mental Retardation of Tarrant County (“MHMRTC”) to jointly develop a computer software to improve and enhance the management and delivery of mental health, intellectual and developmental disability, early childhood intervention, and addiction services to their respective communities. MHMRA and MHMRTC will equally share the costs and any potential revenues associated with the development, implementation, integration, and marketing of software products and services that result from this project. In FY 2009, Phase I (Discovery) of this joint project was started. It dealt with documentation of the “as is” processes, performed a “gap analysis” between the agencies and documented the same, described the “to be” process which has been agreed upon by both agencies and documented a delivery mechanism for each business process. At this phase, the “to be” processes were formulated and alternatives were evaluated, and the final selection of the alternatives for the development of the software was made. At the start of FY 2010, Phase II (Implementation) was launched to review and make decisions related to programmatic and technical issues which impact how the software system will be configured and used. This process continued on in FY 2014. The Agency had deemed Phase I to be the “preliminary project stage” as described in GASB 51 Accounting and Financial Reporting for Intangible Assets, and Phase II as the “application development stage.” Accordingly, and having met the other requisites under GASB 51, the Agency capitalized the costs related to this project in FY 2014. At the end of the fiscal year, the application development stage has not yet been completed. MHMRA of Harris County is planning on rolling out the software in September of 2015. Note 15 – Delivery System Reform Incentive Program (DSRIP) In December of 2011, the Centers for Medicare and Medicaid Services (CMS) approved the State of Texas’ application called Medicaid Waiver 1115 which aims to redesign healthcare delivery in Texas consistent with CMS’ aim to improve the experience of care, to improve the health of populations, and to reduce the cost of healthcare without compromising quality. This Waiver called for local entities to propose Delivery System Reform Incentive Program (DSRIP) projects categorized either for Infrastructure Development (Category 1), Program Innovation and Redesign (Category 2), or Quality Improvement (Category 3). The entire State of Texas was divided into regions and Community Mental Health programs were allowed 10% of each region’s DSRIP allocation. This allocation utilized valuation of the projects rather than cost as the basis for project reimbursement. 45 As of the end of FY2014, MHMRA of Harris County submitted and was approved a total of 27 DSRIP projects with a total valuation of $266,194,679. These projects are in various phases of implementation and the succeeding fiscal year will continue to see further development of these projects. In the meantime, revenues from these projects continue to be received twice a year and are recognized as soon as these become ascertainable, i.e. the CMS and the Health and Human Services Commission of the State of Texas inform us of the approved valuation based on metrics submitted. Expenditures/expenses are continuously incurred throughout the year. In December 2013, MHMRA of Harris County purchased the 12-story building located at 9401 Southwest Freeway for $9.5M. This purchase was needed to house the expansion dictated by the DSRIP projects, as well as that required by the new funds from the State to address the wait list. Our current building at 7011 Southwest Freeway is planned to be sold as soon as it is fully vacated. A 7-year loan from JPMorgan Chase in the amount of $7.64 M was initially secured to partially finance the said purchase. As of this writing, that building is still being built-out for use as both clinic and office spaces. A total of $13.9M was planned to be additionally spent on this property as follows: infrastructure - $5.6M, remodeling - $4.9M, and planning, design and furniture - $3.4M. As a result, another $6M loan has been negotiated but not yet withdrawn from JPMorgan Chase to partially finance this build-out. The transfer of clinics and offices from 7011 Southwest Freeway to 9401 Southwest Freeway is envisioned to occur between March to May of 2015. Note 16 – Prior Period Adjustment Three of the Agency’s discretely presented component units (Villas at Bayou Park, Inc., Pear Grove, Inc. and Acres Homes Garden, Inc.) reported adjustments to the beginning balance of net position for the correction of an error associated with recognition of grant revenues in a previous year. The changes resulted in an increase to the beginning balance of net position of the discretely presented component units in the amount of $5,374,418. 46 OTHER SUPPLEMENTARY INFORMATION THIS PAGE LEFT BLANK INTENTIONALLY MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CAPITAL ASSETS USED IN THE OPERATION OF GOVERNMENTAL FUNDS SCHEDULE BY SOURCE AUGUST 31, 2014 Total Governmental Funds Capital Assets Land Buildings Furniture and equipment Leasehold improvements Vehicles Intangible assets - software in development $ 5,434,585 19,223,245 6,789,658 13,709,764 1,629,005 6,142,885 $ 52,929,142 Investment in Governmental Funds Capital Assets by Source General Fund $ 52,929,142 Total Investment in Governmental Funds Capital Assets $ 52,929,142 Total Governmental Fund Capital Assets 47 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CAPITAL ASSETS USED IN THE OPERATION OF GOVERNMENTAL FUNDS SCHEDULE BY FUNCTION FOR THE YEAR ENDED AUGUST 31, 2014 Function Equipment and Leasehold Furniture Improvements Land Buildings $ 1,895,148 $ 5,901,715 $ 1,855,258 $ 5,164,085 Mental Retardation 916,080 2,895,662 1,111,807 2,084,708 Child and Adolescent 174,011 1,274,669 534,677 Mental Health Crisis Center Administration Total Governmental Fund Capital Assets - - Intangible AssetsSoftware Vehicles $ 220,527 $ Total - $ 15,036,733 447,510 - 7,455,767 1,375,659 - - 3,359,016 422,172 2,619,061 746,952 - 3,788,185 2,449,346 9,151,199 2,865,744 2,466,251 214,016 6,142,885 23,289,441 $ 5,434,585 $ 19,223,245 $ 6,789,658 $ 13,709,764 $ 1,629,005 $ 6,142,885 $ 52,929,142 48 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CAPITAL ASSETS USED IN THE OPERATION OF GOVERNMENTAL FUNDS SCHEDULE OF CHANGES BY FUNCTIONS FOR THE YEAR ENDED AUGUST 31, 2014 Governmental Fund Capital Assets August 31, 2013 Function Mental Health $ 14,863,467 $ Additions 179,266 $ Retirements Adjustments 6,000 $ - 6,100 - 7,455,767 - 3,359,016 Mental Retardation 7,442,369 19,498 Child and Adolescent 3,359,016 - - Crisis Center 3,658,888 190,000 44,850 Administration 13,158,148 10,162,465 47,025 Total Governmental Fund Capital Assets $ 42,481,888 $ 10,551,229 $ 49 Governmental Fund Capital Assets August 31, 2014 103,975 $ ( $ 15,036,733 15,853) 3,788,185 15,853 23,289,441 - $ 52,929,142 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY COMPARATIVE SCHEDULE OF CHANGES IN FIDUCIARY ASSETS AND LIABILITIES AGENCY FUNDS FOR THE YEARS ENDED AUGUST 31, 2014 AND 2013 Balance September 1, 2013 Client Trust Fund Assets Cash and cash equivalents Liabilities Due to clients Additions Liabilities Due to clients Balance August 31, 2014 $ 11,758 $ 77,149 $ 67,021 $ 21,886 $ 11,758 $ 77,149 $ 67,021 $ 21,886 Balance September 1, 2012 Client Trust Fund Assets Cash and cash equivalents Deductions Additions Deductions Balance August 31, 2013 $ 15,249 $ 37,576 $ 41,067 $ 11,758 $ 15,249 $ 37,576 $ 41,067 $ 11,758 50 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY STATISTICAL SECTION NOTES This Statistical Section aims to provide information about the Agency’s economic condition. In normally consists of information on financial trends, revenue capacity, debt capacity, demographic and economic environment, and operations. Information on financial trends indicates how the financial portion of the Agency, in terms of net position and fund balances, and changes thereto, have changed over time. It will be noted from the schedules that both of these statistics generally increase during the past five years. Information on revenues capacity centers mainly on the principal sources of revenues as the Agency is not a taxing authority. Principally, it generates its revenues from state and federal sources. Demographic and economic information aims at describing the Agency’s socio-economic environment. Included in this report therefore are: data on population and unemployment and principal employers in that catchment area. The Agency’s catchment area has seen a steady increase in population. This is expected to continue for the next few years. Citizens of other states migrate to Texas in order to avail of better opportunities. Operating information consists of number of employees by function/program, client and service related data, drilled-down expenditures for mental health and mental retardation, and finally capital assets utilized by the programs. MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY NET POSITION BY COMPONENT (UNAUDITED) LAST TEN FISCAL YEARS (ACCRUAL BASIS OF ACCOUNTING) 2005 Governmental activities Net investment in capital assets Restricted for: Texas Medication Algorithm Project Texas Implementation of Medication Algorithm Project Harris County Youth and Family Mental Health Services Collaborative Delivery System Reform Incentive Projects Unrestricted Total governmental activities net position $ 9,866,118 2006 $ 26,733 $ 2007 13,545,214 $ 2008 13,038,662 $ 13,839,801 - - - 1,399,484 268,665 - - 442,420 27,599,648 28,023,628 39,334,403 51 $ 41,837,507 33,828,411 $ 46,867,073 35,623,166 $ 49,462,967 2009 $ 2010 12,106,397 $ 14,192,234 $ 2012 16,526,852 $ 2013 18,340,667 $ 2014 19,361,119 $ 21,640,340 - - - - - - - - - - - - 40,729,973 $ 2011 52,836,370 42,140,254 $ 56,332,488 43,728,371 $ 60,255,223 41,232,357 $ 52 59,573,024 2,451,869 40,000,276 $ 61,813,264 16,760,603 40,562,756 $ 78,963,699 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CHANGES IN NET POSITION (UNAUDITED) LAST TEN FISCAL YEARS (ACCRUAL BASIS OF ACCOUNTING) 2005 Expenses Governmental activities Adult Mental Health Mental Retardation Child and Adolescents Crisis Center Community Hospital Interest on long-term debt $ 46,784,180 26,013,270 11,390,426 14,015,296 19,806,281 574,554 Total governmental activities expenses Program Revenues Governmental activities Adult Mental Health Mental Retardation Child and Adolescents Crisis Center Community Hospital Total governmental activities program revenues Net (Expense) Revenue Governmental activities ( General Revenues and Other Changes in Net Position Governmental activities Payment from Harris County Grants and contributions not restricted to specific programs Investment earnings Other income Gain on disposal of assets Transfers Total Change in Net Position Governmental activities $ 2006 $ 46,533,680 28,887,707 12,681,152 17,578,366 19,806,281 542,928 2007 $ 49,573,198 31,535,408 12,980,279 19,067,856 19,806,273 414,825 2008 $ 48,688,936 33,116,707 16,316,746 20,028,746 23,306,273 380,687 118,584,007 126,030,114 133,377,839 141,838,095 42,535,642 26,762,920 11,078,023 2,919,807 19,806,281 43,227,423 26,100,468 13,805,504 1,570,963 19,806,281 49,391,969 29,209,300 12,383,783 4,104,502 19,806,273 51,371,498 30,004,539 13,502,038 6,084,693 23,306,273 103,102,673 104,510,639 114,895,827 124,269,041 15,481,334) ( 21,519,475) ( 18,482,012) ( 17,569,054) 22,094,322 22,271,825 20,502,849 17,736,332 581,385 727,061 77,443 197,633 45,017 23,722,861 1,548,416 176,367 25,971 24,022,579 1,935,931 528,721 544,077 23,511,578 1,228,325 362,001 26,370 19,353,028 8,241,527 $ 2,503,104 53 $ 5,029,566 $ 1,783,974 N 2009 $ 46,597,293 37,666,929 15,939,526 27,250,245 23,274,922 326,553 ( $ 2010 $ 51,522,383 42,441,157 16,106,665 31,573,042 27,450,626 287,043 2011 $ 48,335,141 42,563,470 16,955,321 30,217,489 27,227,020 244,779 2012 $ 51,359,838 39,042,871 16,891,756 29,822,983 27,060,660 200,251 2013 $ 52,421,224 39,367,361 17,564,259 30,768,150 32,038,969 152,415 2014 $ 68,146,563 41,147,139 18,916,913 35,956,233 31,481,431 179,191 151,055,468 169,380,916 165,543,220 164,378,359 172,312,378 195,827,470 51,123,437 33,356,775 13,983,388 11,203,837 23,274,922 55,264,007 38,000,713 14,657,202 17,617,875 27,450,626 54,026,517 39,980,786 15,680,291 14,251,271 27,227,020 51,391,116 35,821,059 16,699,140 15,019,426 23,529,696 54,595,205 35,644,524 15,991,984 17,947,672 28,493,696 79,297,874 37,584,146 16,502,431 30,519,423 28,406,319 132,942,359 152,990,423 151,165,885 142,460,437 152,673,081 192,310,193 18,113,109) ( 16,390,493) ( 14,377,335) ( 21,917,922) 20,402,681 18,814,978 17,648,131 18,321,679 686,713 320,117 2,459,743 73,818 23,943,072 49,872 176,940 821,179 23,642 19,886,611 62,743 216,198 360,534 12,464 18,300,070 2,049,343 386,127 452,334 26,240 21,235,723 5,829,963 $ 3,496,118 $ 3,922,735 $( 54 682,199) ( ( $ 19,639,297) ( 3,517,277) 18,510,676 18,640,633 2,039,362 17,127) 1,327,106 19,520 21,879,537 1,992,355 308,905 273,610 24,478 21,239,981 2,240,240 $ 17,722,704 MENTAL HEALTH AND RETARDATION AUTHORITY OF HARRIS COUNTY FUND BALANCES GOVERNMENTAL FUNDS (UNAUDITED) LAST TEN FISCAL YEARS (ACCRUAL BASIS OF ACCOUNTING) 2005 General fund Reserved for: Inventories Prepaid Encumbrances Budget provision Texas Medication Algorithm Project Texas Implementation of Medication Algorithm Project Harris County Youth and Family Mental Health Services Collaborative Unreserved: Designated funds: Capital asset replacement Cash flow requirements Infrastructure development Self insurance Debt repayment Compensated Absences Others General fund- undesignated $ 468,269 654,066 26,733 $ 230,625 382,369 - 2007 $ 199,771 301,291 - 2008 $ 272,749 259,879 - 675,234 268,665 - - 442,420 - - - 1,544,172 1,000,000 480,000 22,953,141 Nonspendable: Inventories Prepaid items Deposits Committed: Delivery System Reform Incentive Projects Assigned: Infrastructure development Self insurance Debt repayment Compensated absences Other purposes Unassigned: Total general fund 2006 55 4,724,172 1,500,000 2,524,470 25,303,465 4,724,172 2,000,000 1,599,190 26,099,337 - - - - - - - - - - - - $ 28,244,035 * The Agency implemented GASB 54 in FY 2009 2,009,172 1,000,000 735,774 24,833,976 $ 29,460,581 $ 34,553,169 $ 34,955,327 2009 $ 2010 - $ - $ 2012 - $ 2013 - $ 2014 - $ - - - - - - - - - - - - - - - - - - - 198,810 200,023 - 182,569 333,053 - 163,914 271,022 - 138,908 315,871 - 147,974 306,350 101,852 195,217 774,325 101,640 - - - - 2,451,869 16,760,603 5,800,000 2,000,000 2,169,977 3,435,430 414,460 26,328,057 5,800,000 2,000,000 8,369,817 5,247,281 404,706 20,756,976 5,800,000 2,000,000 5,269,922 2,720,129 743,037 24,370,717 $ 2011 41,302,638 5,800,000 2,000,000 4,560,702 3,123,753 748,029 26,364,127 $ 43,112,233 5,800,000 2,000,000 3,809,183 3,219,676 405,876 29,123,629 $ 5,800,000 2,000,000 3,012,954 3,342,268 409,768 27,397,775 44,793,300 $ 56 42,417,544 $ 43,155,969 $ 60,410,565 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CHANGES IN FUND BALANCES GOVERNMENTAL FUNDS (UNAUDITED) LAST TEN FISCAL YEARS (MODIFIED ACCRUAL BASIS OF ACCOUNTING) 2005 Revenues Local State Federal $ 48,841,258 66,089,752 10,972,641 2006 $ 53,649,455 64,255,040 11,314,939 2007 $ 52,180,624 71,348,608 14,275,329 2008 $ 53,333,683 76,936,456 13,270,045 Total Revenues 125,903,651 129,219,434 137,804,561 143,540,184 Expenditures Salaries Employee benefits Professional and consultant services Training and travel Debt service Capital outlay Non-capitalized equipment Pharmaceutical expense Other operating expense Total expenditures 53,087,788 9,727,365 26,306,554 1,174,499 2,453,789 1,512,194 11,317,525 13,511,937 119,091,651 60,762,975 13,234,417 7,030,810 1,700,441 3,878,514 1,527,533 641,950 8,099,015 31,190,315 128,065,970 66,637,986 14,935,820 7,460,872 1,767,429 1,132,398 1,050,503 585,059 6,999,820 33,180,776 133,750,663 71,521,224 15,468,903 7,207,549 2,002,900 1,401,158 462,607 767,841 7,261,937 36,212,343 142,306,462 6,812,000 1,153,464 4,053,898 1,233,722 82,718 349,825 432,543 37,111 25,971 63,082 259,435 779,255 1,038,690 167,227 26,370 193,597 Excess of revenues over/under expenditures Other financing sources (uses) Capital leases Debt issuance Proceeds from sale of assets Total other financing sources (uses) Net change in fund balances $ 7,244,543 Ratio of total debt service expenditures to total noncapital expenditures 2.09% 57 $ 1,216,546 3.07% $ 5,092,588 0.85% $ 1,427,319 0.99% 2009 $ $ 57,888,002 $ 83,161,961 15,740,531 2010 59,426,076 $ 95,527,987 17,895,020 2011 2012 62,937,932 $ 94,597,104 11,915,483 2013 64,363,295 $ 89,622,892 9,681,399 2014 67,052,301 $ 66,236,197 94,319,225 104,833,857 13,159,316 42,454,903 156,790,494 172,849,083 169,450,519 163,667,586 174,530,842 213,524,957 78,101,016 17,663,317 7,714,718 2,493,567 996,868 229,360 2,388,284 3,733,380 37,031,315 150,351,825 87,604,734 21,182,041 10,233,262 2,635,039 996,263 2,691,961 1,517,604 1,732,486 42,469,740 171,063,130 88,266,962 21,811,119 9,226,159 2,759,524 996,297 2,857,896 418,692 1,683,525 39,761,742 167,781,916 86,527,045 22,239,368 7,384,814 2,979,031 996,480 2,375,254 1,037,372 1,471,468 41,058,750 166,069,582 89,048,998 22,691,270 7,713,373 2,927,971 995,392 1,560,933 1,152,194 1,133,818 46,015,718 173,239,667 101,194,770 25,433,141 10,351,530 2,969,507 1,619,351 10,551,229 1,805,330 1,274,994 48,734,987 203,934,839 6,438,669 1,785,953 1,668,603 1,291,175 9,590,118 340,041 340,041 23,642 23,642 12,464 12,464 26,240 26,240 19,520 19,520 7,640,000 24,478 7,664,478 1,809,595 $ 1,681,067 $( 2,375,756) $ 1,310,695 $ 17,254,596 6,778,710 $ 0.66% 0.59% 0.60% ( 2,401,996) 0.61% 58 0.58% 0.84% MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY PRINCIPAL SOURCES OF REVENUE (UNAUDITED) LAST TEN FISCAL YEARS 2005 Local County government Medicaid/Medicare Other Total local revenue State Department of State Health ServicesGeneral Revenue Department of Aging and Disability ServicesGeneral Revenue Early Childhood Intervention Texas Council on Offenders with Mental Impairments Other state agencies Total state revenues Federal Mental Health Block Grant Early Childhood Intervention Delivery System Reform Incentive Projects Other federal revenues Total federal revenues Total revenues $ 26,331,144 10,338,856 12,171,258 2006 $ 26,414,128 14,536,914 12,698,413 2007 $ 26,306,400 12,460,818 13,413,406 2008 $ 26,851,273 12,496,212 13,986,198 48,841,258 53,649,455 52,180,624 53,333,683 49,605,680 48,064,347 53,965,505 58,835,494 10,455,329 2,426,552 11,207,304 2,091,604 11,942,518 2,254,673 11,898,169 2,150,183 2,469,875 1,132,316 66,089,752 2,406,650 485,135 64,255,040 2,739,912 446,000 71,348,608 3,385,933 666,677 76,936,456 3,083,498 3,615,656 4,273,487 3,049,016 3,678,577 4,587,346 3,081,806 4,742,899 6,450,624 3,081,806 5,208,576 4,979,663 10,972,641 11,314,939 14,275,329 13,270,045 $ 125,903,651 $ 129,219,434 $ 137,804,561 $ 143,540,184 59 2009 $ 30,366,731 12,503,786 15,017,485 2010 $ 29,728,217 15,323,885 14,373,974 2011 $ 2012 28,681,523 21,637,710 12,618,699 $ 28,132,939 21,780,636 14,449,720 2013 $ 29,273,302 24,152,125 13,626,874 2014 $ 30,412,676 22,121,662 13,701,859 57,888,002 59,426,076 62,937,932 64,363,295 67,052,301 66,236,197 63,574,567 74,076,314 74,500,636 75,919,706 80,410,871 90,691,945 12,150,341 2,375,698 14,979,825 1,906,946 13,654,580 2,115,314 8,803,727 1,073,474 8,799,578 1,255,837 8,790,754 1,219,655 3,598,828 1,462,527 83,161,961 3,394,902 1,170,000 95,527,987 3,354,574 972,000 94,597,104 2,787,591 1,038,394 89,622,892 2,773,939 1,079,000 94,319,225 2,866,406 1,265,097 104,833,857 3,081,806 6,359,357 6,299,368 3,081,806 5,920,373 8,892,841 3,081,806 4,607,965 4,225,712 3,081,806 2,746,242 3,853,351 3,081,806 2,131,105 2,837,339 7,946,405 3,081,806 2,068,766 30,532,366 6,771,965 15,740,531 17,895,020 11,915,483 9,681,399 15,996,655 42,454,903 $ 156,790,494 $ 172,849,083 $ 169,450,519 $ 163,667,586 $ 177,368,181 $ 213,524,957 60 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SUMMARY SCHEDULE OF INDIRECT COSTS (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Non Allowable Total Costs Salaries $ Employee benefits Capital outlay Pharmaceutical expense - $ Direct Costs 101,194,771 $ Indirect Costs 89,141,152 $ 12,053,619 - - 25,433,141 24,001,605 1,431,536 ( 1,440,160) - 179,191 151,614 27,577 10,551,229 ( 10,551,229) - - - - 63,861,353 $ $ Costs 1,619,351 - Other operating expenses Depreciation - 1,274,994 Depreciation Total expenses 101,194,771 $ 25,433,141 Debt service Total Adjusted Costs 203,934,839 $( - 2,072,168 11,991,389) $ 2,072,168 $ 1,274,994 1,274,994 2,072,168 1,007,999 1,064,169 63,861,353 61,801,562 2,059,791 194,015,618 $ - 177,378,926 $ 16,636,692 Indirect costs $ 16,636,692 Direct costs $ 177,378,926 Indirect cost rate 9.38% 61 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY DETAIL SCHEDULE OF DIRECT AND INDIRECT COSTS (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Adjustments/ Exclusions Total Costs Expenditures: Personal costs: Salaries and wages Fringe benefits Client Living Cost Consultation and professional fees Travel - board and staff Consumable supplies: Drugs Food Other Furniture and equipment: Capital expenditures Rental Repair and maintenance Building: Capital expenditures from general operation Rental Repair and maintenance Vehicles: Capital expenditures Rental Repair and maintenance Contract with service agencies Other: Utilities, postage and telephone Client transportation Audit and legal fees Insurance Meetings Transfer and storage Dues and subscriptions Payment on note principal Interest charges Laboratory expenses Security expense Miscellaneous Total expenditures $ 101,194,771 25,433,141 6,297 1,760,042 2,969,507 $ ( ( Indirect Costs $ 4,275) 6,221) 12,053,619 1,431,536 504,031 111,656 Direct Costs $ 89,141,152 24,001,605 6,297 1,251,736 2,851,630 1,274,994 277,735 1,138,050 ( ( 66,357) 196) - 278 207,714 1,208,637 277,261 930,336 719,463 219,543 1,127,612 ( 719,463) - 43,224 1,965,544) 176,319 3,093,156 9,602,283 589,734 3,376,228 ( 9,602,283) 5,421) 12,752 973,892 576,982 2,396,915 229,483 7,140 290,180 44,105,469 ( 229,483) - 7,140 68,566 127,919 221,614 43,977,550 169,504) 1,440,160) 251,974 152,483 63 205,276 603,780 252 18,475 47,452 27,577 48 97,917 842,417 2,000,988 41,460 5,155 99,526 25 71,440 35,721 151,614 241,311 881,807 2,730,690 15,572,523 $ 176,370,927 ( 2,153,471 41,523 210,431 703,306 277 89,915 252,677 1,440,160 179,191 241,359 979,724 3,321,133 ( ( ( $ 203,934,839 $( 11,991,389) $ Equipment and vehicle depreciation Buildings and improvement depreciation $ $ Total $ 206,007,007 494,501 1,577,667 Indirect costs Direct costs - $ 196,357 867,812 $( 11,991,389) $ 16,636,692 $ 16,636,692 $ 177,381,217 62 $ 298,144 709,855 $ 177,378,926 9.38% MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY LOCAL SERVICE AREA POPULATION (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Population of local service areas for which the following centers are the local Mental Health and Mental Retardation Authority. (Source: Texas Department of State Health Services, Projected FY 2014): Center ACCESS Alamo Local Authority Andrews Center Austin-Travis County Betty Hardwick (Abilene) Bluebonnet Trails Border Region Brazos Valley Burke Center Camino Real Center for Health Care Services Center for Life Resources Central Counties Central Plains Costal Plains Center Community Healthcore Concho Valley Dallas Metro Care Services Denton County El Paso Gulf Bend Gulf Coast Center Harris County Heart of Texas Helen Farabee Center Hill Country Lakes Regional Center LifePath Systems Lubbock NorthStar Nueces County Pecan Valley Permian Basin Spindletop Tarrant County Texana Texas Panhandle Texoma Tri-County Tropical Texas West Texas Mental Health Population 113,257 415,629 1,119,544 183,470 889,650 360,255 342,773 394,039 220,014 1,849,753 101,266 479,477 95,940 229,256 467,357 130,144 765,488 858,953 181,312 658,110 4,395,783 361,531 313,705 645,141 165,097 331,833 3,912,464 353,471 430,789 334,102 439,532 1,931,335 878,420 413,462 201,048 683,332 1,325,880 221,646 Mental Retardation Population 113,257 1,849,753 415,629 1,119,544 183,470 889,650 360,255 342,773 394,039 220,014 101,266 479,477 95,940 229,256 467,357 130,144 2,469,643 765,488 858,953 181,312 658,110 4,395,783 361,531 313,705 645,141 691,821 916,097 331,833 353,471 430,789 334,102 439,532 1,931,335 878,420 413,462 201,048 683,332 1,325,880 221,646 27,194,258 27,194,258 Total 63 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY DEMOGRAPHIC STATISTICS (UNAUDITED) LAST TEN CALENDAR YEARS Calendar Year 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 (A) (B) (C) (D) Population (A) 3,644,285 3,693,050 3,886,207 3,935,855 3,984,349 4,070,989 4,092,459 4,187,574 4,253,700 4,336,853 Unemployment Rate (B) 5.9% $ 5.4% 4.0% 4.2% 5.5% 8.1% 8.3% 7.2% 6.0% 5.5% Source: Bureau of the Census Source: Texas Workforce Commission Source: Bureau of Economic Analysis Unavailable 64 Total Personal Income (C) 142,229,854,000 156,920,733,000 178,160,838,000 194,177,877,000 190,226,395,000 196,779,227,000 183,899,347,000 204,593,445,000 224,617,980,000 (D) $ Per Capita Personal Income 39,028 42,491 45,844 49,336 47,743 48,337 44,936 48,857 52,805 (D) MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY RATIO OF OUTSTANDING DEBT (UNAUDITED) LAST TEN FISCAL YEARS Fiscal Year Bonds Payable Notes Payable 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 $ 2,665,000 - $ 7,729,929 7,167,231 6,571,016 5,940,236 5,269,921 4,560,701 3,809,183 3,012,954 2,169,977 8,369,816 Note: (A) Capital Leases $ 155,166 84,388 222,465 - Total Debt $ 10,550,095 7,251,619 6,793,481 5,940,236 5,269,921 4,560,701 3,809,183 3,012,954 2,169,977 8,369,816 Personal Income $ 146,158,087,000 160,710,955,000 177,998,800,000 194,177,877,000 190,226,395,000 196,779,227,000 183,899,347,000 204,593,445,000 224,617,980,000 (A) Percentage of Personal Income Debt per Capita 0.0072% 0.0045% 0.0038% 0.0031% 0.0028% 0.0023% 0.0021% 0.0015% 0.0010% (A) Details regarding the Agency's outstanding debt can be found in the notes to the financial statements. See Demographic Statistics schedule for personal income and population data. These ratios are calculated using the personal income and population for the prior year calendar year. Unavailable 65 $2.89 1.96 1.75 1.51 1.32 1.12 0.93 0.72 0.51 1.93 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY PRINCIPAL EMPLOYERS IN THE CATCHMENT AREA (UNAUDITED) CURRENT YEAR AND NINE YEARS AGO 2013 Employer Employees Rank 2004 Percentage of Total County Employment Employees National Oilwell Varco Inc. 14,581 1 Exxon Mobil 13,200 2 Shell Oil Company 12,500 3 Cameron International Corp 11,000 4 Halliburton 8,600 5 Schlumberger Ltd. 8,400 6 Baker Heights 8,000 7 JP Morgan Chase 7,500 8 Chervon Companies 7,000 9 BP America Inc. 7,000 9 Diamond Offshore 5,300 10 Continental Airlines Hewlett-Packard Co. (include acquisition of Compaq Computer in 2001) SBC Communiations/AT&T Reliant Energy (Houston Industries) Lyondell Chemical Company BP Amoco 103,081 0.51% 0.46% 0.44% 0.39% 0.30% 0.29% 0.28% 0.26% 0.25% 0.25% 0.19% Rank Percentage of Total County Employment 5,800 7,920 9 6 0.25% 0.34% 14,000 1 0.59% 5,500 10 0.23% 13,000 9,000 6,900 9,500 7,435 8,000 2 4 8 3 7 5 0.55% 0.38% 0.29% 0.40% 0.32% 0.34% 87,055 *Based on calendar year. Source: Houston Business Journal, Business First Survey/Greater Houston Partnership/HBJ Note: Total County employment for 2012 was approximately 2,759,000 (based on prior year employment figures) and 2003 was 2,323,951. 66 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY FULL-TIME EQUIVALENT EMPLOYEES BY FUNCTION/PROGRAM (UNAUDITED) LAST TEN FISCAL YEARS Function/Program Adult Mental Health Mental Retardation Child and Adolescents Crisis Center Administration Total 2005 2006 2007 2008 453.99 377.67 111.14 203.20 169.75 554.22 417.83 154.61 198.74 174.35 515.05 422.90 179.95 201.90 185.75 474.61 441.08 189.87 240.93 194.36 1,315.75 1,499.75 1,505.55 1,540.85 67 2009 2010 2011 2012 2013 2014 534.16 471.16 192.47 277.05 202.86 482.22 520.33 248.54 283.50 146.17 568.80 471.51 190.70 267.50 142.15 579.00 458.00 200.00 284.00 148.00 591.32 430.38 193.70 269.40 150.05 750.00 449.93 226.20 301.65 173.80 1,677.70 1,680.76 1,640.66 1,669.00 1,634.85 1,901.78 68 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY OPERATING INDICATORS BY FUNCTION/PROGRAM (UNAUDITED) LAST TEN FISCAL YEARS 2005 2006 2007 2008 Admissions: Mental Health Mental Retardation 16,709 5,026 17,560 5,308 14,735 5,956 21,696 6,626 Total admissions 21,735 22,868 20,691 28,322 Total clients served (unduplicated): Mental Health Mental Retardation 29,212 8,579 32,244 9,341 34,023 9,870 28,233 11,973 Total clients served 37,791 41,585 43,893 40,206 69 2009 2010 2011 2012 2013 2014 13,773 9,777 18,114 14,116 22,758 9,551 11,305 2,241 10,295 1,951 12,755 2,329 23,550 32,230 32,309 13,546 12,246 15,084 30,672 14,348 30,290 17,836 36,112 16,631 26,384 17,185 30,944 15,019 26,780 17,715 45,020 48,126 52,743 43,569 45,963 44,495 70 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY GENERAL FUND REVENUE BY SOURCE OF FUNDS (UNAUDITED) LAST TEN FISCAL YEAR Fiscal Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Local Funds $ 48,841,258 53,649,455 52,180,624 53,333,683 57,888,002 59,426,073 62,937,932 64,363,140 67,052,301 66,236,197 Federal Funds State Funds $ 66,089,752 64,255,040 71,348,608 76,936,456 83,161,961 95,527,986 94,597,104 89,622,891 94,319,225 104,833,857 71 $ 10,972,641 11,314,939 14,275,329 13,270,045 15,740,531 17,895,019 11,915,483 9,681,399 13,159,316 42,454,903 Total $ 125,903,651 129,219,434 137,804,561 143,540,184 156,790,494 172,849,078 169,450,519 163,667,430 174,530,842 213,524,957 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY GENERAL FUND EXPENDITURES BY CATEGORY (UNAUDITED) LAST TEN FISCAL YEARS Fiscal Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Mental Retardation Mental Health $ 82,582,767 88,575,211 92,448,978 100,027,256 100,759,324 114,793,836 111,906,905 113,918,759 120,985,289 141,307,371 $ 23,717,899 25,802,648 27,600,507 29,888,424 32,486,993 37,292,849 37,819,392 34,616,488 34,821,433 36,663,301 72 Administration $ 12,790,985 13,688,111 13,701,178 12,390,782 17,105,508 18,976,445 18,055,619 17,534,335 17,432,945 25,964,167 Total $ 119,091,651 128,065,970 133,750,663 142,306,462 150,351,825 171,063,130 167,781,916 166,069,582 173,239,667 203,934,839 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY CAPITAL ASSETS BY GOVERNMENTAL ACTIVITY (UNAUDITED) LAST TEN FISCAL YEARS 2005 2006 2007 2008 $ 1,874,313 10,684,764 2,058,098 446,350 15,063,525 $ 1,874,313 10,678,064 2,006,922 397,904 14,957,203 $ 1,774,221 10,563,939 1,990,410 272,914 14,601,484 $ 1,774,221 10,563,939 1,996,762 152,654 14,487,576 Mental Retardation Land Buildings and improvements Equipment and furniture Vehicles Total capital assets for Mental Retardation 870,772 4,754,955 1,497,674 510,083 7,633,484 870,772 4,781,827 1,460,434 468,225 7,581,258 870,772 4,781,827 1,448,419 461,996 7,563,014 870,772 4,781,827 1,453,042 469,777 7,575,418 Child and Adolescent Land Buildings and improvements Equipment and furniture Total capital assets for Child and Adolescent 138,700 2,479,474 727,520 3,345,694 138,700 2,496,099 709,430 3,344,229 138,700 2,496,099 703,594 3,338,393 138,700 2,496,099 705,839 3,340,638 Crisis Center Buildings and improvements Equipment and furniture Vehicles Total capital assets for Crisis Center 2,442,010 539,108 235,001 3,216,119 2,439,691 525,703 186,867 3,152,261 2,439,691 521,378 258,863 3,219,932 2,439,691 548,908 395,747 3,384,346 Administration Land Buildings and improvements Equipment and furniture Vehicles Intangible assets- Software Total capital assets for Administration 531,068 4,387,139 2,053,972 38,172 7,010,351 531,068 4,390,552 2,002,900 54,395 6,978,915 531,068 4,390,552 1,986,422 54,395 6,962,437 531,068 4,390,552 1,992,763 175,819 7,090,202 $ 36,269,173 $ 36,013,866 $ 35,685,260 $ 35,878,180 Adult Mental Health Land Buildings and improvements Equipment and furniture Vehicles Total capital assets for Adult Mental Health Total capital assets 73 2009 2010 2011 2012 2013 2014 $ 1,774,221 10,563,939 1,995,971 152,654 14,486,785 $ 1,895,148 11,047,650 2,171,348 129,551 15,243,697 $ 1,895,148 11,047,650 2,160,381 129,551 15,232,730 $ 1,895,148 11,060,635 2,169,897 129,551 15,255,231 $ 1,895,148 11,060,635 1,687,157 220,527 14,863,467 $ 1,895,148 11,065,800 1,855,258 220,527 15,036,733 870,772 4,781,827 1,452,466 469,777 7,574,842 916,080 4,963,058 1,453,030 394,576 7,726,744 916,080 4,963,058 1,462,270 394,576 7,735,984 916,080 4,980,370 1,469,196 374,226 7,739,872 916,080 4,980,370 1,117,907 428,012 7,442,369 916,080 4,980,370 1,111,807 447,510 7,455,767 138,700 2,496,099 705,559 3,340,358 174,011 2,637,343 705,833 3,517,187 174,011 2,637,343 701,957 3,513,311 174,011 2,650,328 705,321 3,529,660 174,011 2,650,328 534,677 3,359,016 174,011 2,650,328 534,677 3,359,016 2,439,691 573,344 468,553 3,481,588 2,439,691 567,247 436,938 3,443,876 2,619,061 564,375 436,938 3,620,374 2,619,061 566,869 452,679 3,638,609 2,619,061 428,072 611,775 3,658,908 2,619,061 422,172 746,952 3,788,185 436,250 4,033,428 1,991,973 171,925 6,633,576 436,250 4,033,428 1,992,746 155,702 1,365,734 7,983,860 436,250 4,033,428 2,861,455 173,516 3,113,739 10,618,388 436,250 4,033,428 2,984,690 173,516 5,102,008 12,729,892 436,250 4,033,428 2,563,682 196,183 5,928,585 13,158,128 2,449,346 11,617,450 2,865,744 214,016 6,142,885 23,289,441 $ 35,517,149 $ 37,915,364 $ 40,720,787 $ 42,893,264 $ 42,481,888 $ 52,929,142 74 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY RECONCILIATION OF TOTAL REVENUES TO FOURTH QUARTER FINANCIAL REPORT (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Per Audited Per Agency Financial CARE Report Additions Deletions Statements Local Revenues Harris County $ Patient Fees and Private Insurance 30,317,179 $ 2,248,637 Medicare 940,977 20,836,219 7,384,549 - Administrative claiming 5,263,911 791,913 308,905 Miscellaneous (b) 344,466 ICF/MR, HCS, and Texas Home Living Investment earnings (a) $ - - Medicaid 114,098 (a) (a) (b) 993,697 940,977 21,180,685 - 7,384,549 (a) 22,247,942 (a),(b),(c) 2,744,295 30,412,676 - 738 552,850 (a),(b) $ - 3,263,834 (a), (b),(c ) - 23,918,548 18,601 1,254,940 26,786,055 2,791,990 308,167 2,223,456 Total Local Sources 90,277,948 66,236,197 State General Revenue 99,762,452 - 279,753 (a) 99,482,699 Early Childhood Intervention Department of Assistive and Rehabilitive Services Rehab 3,288,421 - 2,068,766 (b) 1,219,655 819,099 - - 819,099 Texas Council on Offenders with Mental Impairments 2,866,406 - - 2,866,406 445,998 - - 7,419,924 - 2,068,776 5,351,158 107,182,376 - 2,348,519 104,833,857 3,081,806 - - 631,929 - - 631,929 1,520,248 - - 1,520,248 Other State Sources: Texas Department of Criminal Justice Total Other State Sources Total State Revenue 445,998 Federal Sources: Mental Health Block Grant Social Services Block Grant - Title XX TANF to Title XX Block Grant 3,081,806 MH Block PATH - 913,462 (a) - 913,462 Early Childhood Intervention - 2,404,955 (b) - 2,404,955 Delivery Service Reform Incentive State Grants to Promote Health Information Technology 30,532,366 - - 30,532,366 42,500 - - 42,500 2,915,709 Administrative Claiming - 2,915,709 (b) - LEND - 5,280 (b) - 5,280 SAMHSA - Partners at Independence Heights 32,989 - - 32,989 Transitional Housing Program - Safe Havens 373,659 - - 373,659 - 42,454,903 Total Federal Sources Total Revenue 36,215,497 $ 233,675,821 (a) Audit adjustment (b) Revenue reclassification (c) Rounding adjustment 75 6,239,406 $ 8,983,701 $ 29,134,574 $ 213,524,957 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY RECONCILIATION OF TOTAL EXPENDITURES TO FOURTH QUARTER FINANCIAL REPORT (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Expenditures Per Agency CARE Object of Expenditure Salaries Employee Benefits Professional and Consultant Services Training and Travel Debt Service Capital Outlay Non-Capitalized Equipment Pharmaceutical Expense (medication and script process) Pharmaceutical Expense (PAP only) Other Operating Expense $ Total Expenditures $ 100,541,235 27,038,862 10,449,334 2,963,704 1,619,351 10,470,586 1,835,967 Additions $ Deletions (a) $ (a) (a) (a) (b) (a) (a),(b) 1,212,626 21,648,069 48,831,926 226,611,660 705,878 219,109 5,803 214,301 5,801 62,368 500,802 (b),(c) 295,964 (a),(b) $ (a) Audit adjustment (b) Expenditure reclassification (c) Rounding adjustment 76 2,010,026 Per Audited Financial Statements 52,343 (b) $ 1,824,830 (b) 97,804 (a),(b) 133,658 (b) 36,438 (b) 22,148,871 (a) 392,903 (a),(b) $ 24,686,847 101,194,770 25,433,141 10,351,530 2,969,507 1,619,351 10,551,229 1,805,330 1,274,994 48,734,987 $ 203,934,839 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SUMMARY SCHEDULE OF MENTAL HEALTH ADULT, MENTAL HEALTH CHILDREN, AND MENTAL RETARDATION EXPENDITURES BY SERVICE CATEGORY AND SOURCE OF FUNDS (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Service Categories (by Funding Source) Mental Health Adult General Revenue - Mental Health General Revenue - Mental Retardation General Revenue - Permanency Planning New Generation Medications Community Hospitals HCS ICF-MR Texas Home Living Waiver PATH Title XX Social Services Block Grant Mental Health Block Grant TANF to Title XX Block Grant Medicaid Medicaid Administrative Claiming HUD - Supportive Housing - Safe Haven Delivery System Reform Incentive Payments State Grants to Promote Health Information Leadership Education in Neurodevelopmental and Related Disorders SAMHSA - Partners at Independence Heights Texas Department of Criminal Justice DARS- Autism Early Childhood Intervention Texas Council on Offenders with Mental Impairments Required Local Match Additional Local Funds $ Total Expended Sources $ 51,204,898 6,826,167 23,529,696 913,462 631,929 2,265,141 239,379 6,064,643 4,463,286 373,659 16,084,809 42,500 Mental Health Children $ 32,989 445,998 2,132,902 6,620,217 19,084,858 77 140,956,533 8,713,581 417,603 816,665 1,280,869 2,979,377 466,790 426,015 - Mental Retardation $ 5,280 819,099 3,288,421 1,059,179 4,132,416 733,504 3,982,294 $ 19,816,698 8,681,794 108,960 3,513,628 1,664,844 2,206,077 12,136,665 1,113,812 4,431,433 - $ 43,161,608 Approved Budget Total $ 59,918,479 8,681,794 108,960 7,243,770 23,529,696 3,513,628 1,664,844 2,206,077 913,462 631,929 3,081,806 1,520,248 21,180,685 6,043,888 373,659 20,942,257 42,500 $ 5,280 32,989 445,998 819,099 3,288,421 2,866,406 7,679,396 27,199,568 $ 203,934,839 60,978,535 8,681,794 108,960 7,243,770 23,529,696 3,979,812 1,683,224 2,173,255 948,878 409,072 3,081,806 1,520,248 22,389,662 2,569,302 335,867 27,178,388 - Variance $ ( ( ( ( ( ( 72,000 446,000 927,541 3,643,519 2,891,169 7,563,567 56,401,530 $ 238,757,595 ( $ 78 1,060,056 466,184 18,380 32,822) 35,416 222,857) 1,208,977 3,474,586) 37,792) 6,236,131 42,500) 5,280) 39,011 2 108,442 355,098 24,763 115,829) 29,201,962 34,822,756 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF REVENUES AND EXPENDITURES BY SOURCE OF FUNDS GENERAL FUND (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Total Mental Health Adult Expenditures Total Revenue Object of Expense: Salaries Employee Benefits Professional and Consultant Fees Training and Travel Debt Service Capital Outlay Non-capitalized Equipment Pharmaceutical Expense (medication and script process) Other Operating Expense Total Expenditures Method of Finance: General Revenue - Mental Health General Revenue - Mental Retardation General Revenue - Permanency Planning New Generation Medications Community Hospitals HCS ICF-MR Texas Home Living Waiver PATH Title XX Social Services Block Grant Mental Health Block Grant TANF to Title XX Medicaid Medicaid Administration Claiming HUD- Support Housing - Safe Haven Delivery System Reform Incentive State Grants to Promote Health Information LEND SAMHSA - Partners at Independence Heights Texas Department of Criminal Justice DARS - Autism Early Childhood Intervention Texas Council of Offenders with Mental Impairments Required Local Match Additional Local Funds Texas Expended Sources 79 $ 101,194,767 25,433,143 10,351,529 2,966,507 1,619,351 10,551,229 1,912,921 1,274,993 48,630,399 $ 64,550,719 15,444,408 4,881,714 1,627,489 1,119,270 7,389,059 1,373,745 1,197,221 43,372,908 $ 203,934,839 $ 140,956,533 $ 60,420,337 8,681,794 108,960 7,243,770 23,529,696 3,513,628 1,664,844 2,206,077 913,462 631,929 3,081,806 1,520,248 21,180,685 6,043,888 373,659 30,532,366 42,500 5,280 32,989 445,998 819,099 3,288,421 2,866,406 7,679,396 27,199,577 $ 51,204,898 6,826,167 23,529,696 913,462 631,929 2,265,141 239,379 6,064,643 4,463,286 373,659 16,084,809 42,500 32,989 445,998 2,132,902 6,620,217 19,084,858 $ 214,026,815 $ 140,956,533 Total Mental Health Children Expenditures Total Mental Retardation Expenditures Total Center Expenditures Excess Revenues Over Expenditures $ 13,128,953 3,348,225 88,821 349,306 157,354 991,313 157,063 21,271 1,574,392 $ 23,515,095 6,640,510 5,380,994 989,712 342,727 2,170,857 382,113 56,501 3,683,099 $ 101,194,767 25,433,143 10,351,529 2,966,507 1,619,351 10,551,229 1,912,921 1,274,993 48,630,399 $ - $ 19,816,698 $ 43,161,608 $ 203,934,839 $ - $ 8,713,581 417,603 816,665 1,280,869 2,979,377 466,790 426,015 733,504 3,982,294 $ 8,681,794 108,960 3,513,628 1,664,844 2,206,077 12,136,665 1,113,812 4,431,433 5,280 819,099 3,288,421 1,059,179 4,132,416 $ 59,918,479 8,681,794 108,960 7,243,770 23,529,696 3,513,628 1,664,844 2,206,077 913,462 631,929 3,081,806 1,520,248 21,180,685 6,043,888 373,659 20,942,257 42,500 5,280 32,989 445,998 819,099 3,288,421 2,866,406 7,679,396 27,199,568 $ 501,858 9,590,109 9 $ 19,816,698 $ 43,161,608 $ 203,934,839 $ 10,091,976 80 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF MENTAL HEALTH ADULT EXPENDITURES BY SERVICE CATEGORY AD SOURCE OF FUNDS (UNAUDITED) FOR YEAR ENDED AUGUST 31, 2014 Service Categories (by Funding Source) General Revenue- Mental Health New Generation Medications Community Hospitals PATH Title XX Social Service Block Grant Mental Health Block Grant TANF to Title XX Block Grant Medicaid Medicaid Administrative Claiming HUD- Supportive Housing- Safe Haven DSRIP Other Medications (Pills & Injections) New Generation Medications $ 208,984 - $ - Medicaid Type Services (Both Eligible and Ineligible) Medication Related Services (EKG & Labs) $ 2,063,246 - $ 17,247,854 6,617,183 409,072 2,265,141 239,379 5,492,267 3,077,173 8,775,251 Sate Grants to Promote Health Information - - SAMHSA- Partners at Impendence Heights Texas Department of Criminal Justice Texas Council on Offenders with Mental Impairments Required Local Match Additional Local Funds - 22,300 4,460 401,398 29,656 - 20,459 844,886 1,041,173 1,980,600 418,793 Total Expended Sources $ 238,640 $ 81 887,645 - $ 3,108,879 - $ 46,924,111 Values Added Services $ - Screening & Eligibility $ - $ 2,385,821 $ - All Other Outpatient Services 4,758,660 $ 913,462 71,112 373,659 1,180,789 3,352,106 $ 116,057 456,879 37,914 8,559,413 222,857 385,954 702,099 5,841,196 - - - - - - 8,920 32,989 - 60,531 - 41,656 - 4,371,535 - 2,436,397 $ 1,557,166 $ - New Crisis Services - Crisis Outpatient - 8,920 69,451 $ Crisis Outpatient New Crisis Services - Crisis Residential 11,702,206 $ 2,248,682 - 3,276,495 3,805,848 $ 7,239,451 $ 82 3,533,863 19,245,382 THIS PAGE LEFT BLANK INTENTIONALLY MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF MENTAL HEALTH ADULT EXPENDITURES BY SERVICE CATEGORY AD SOURCE OF FUNDS (UNAUDITED) (Continued) FOR YEAR ENDED AUGUST 31, 2014 Service Categories (by Funding Source) New Crisis Services - Crisis Screening & Eligibility New Crisis Services - Crisis Other General Revenue- Mental Health $ New Generation Medications Community Hospitals PATH Title XX Social Service Block Grant Mental Health Block Grant TANF to Title XX Block Grant Medicaid Medicaid Administrative Claiming HUDSupportive HousingSafe Haven DSRIP Sate Grants to Promote Health Information SAMHSA- Partners at Impendence HeightsDepartment of Criminal Texas Justice Texas Council on Offenders with Mental Impairments Required Local Match Additional Local Funds 1,357,016 $ 50,261 111,445 42,984 Total Expended Sources 2,873,660 $ $ Community Hospital (Inpatient Only) 644,414 $ 20,104 44,578 206,675 Other Services Non-Priority Population 9,279,202 $ 23,529,696 - - Total $ 51,204,898 6,826,167 23,529,696 913,462 631,929 2,265,141 239,379 6,064,643 4,463,286 373,659 16,084,809 - - - 42,500 42,500 - - - - 32,989 445,998 1,311,954 184,946 1,100,717 $ 83 8,427,941 41,236,839 $ 44,807 87,307 $ 2,132,902 6,620,217 19,084,858 140,956,533 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF MENTAL HEALTH CHILDREN EXPENDITURES BY SERVICE CATEGORY AND SOURCE OF FUNDS (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Service Categories (by Funding Source) New Generation Medications General Revenue- Mental Health New Generation Medications Mental Health Block Grant TANF to Title XX Block Grant Medicaid Medicaid Administrative Claiming Delivery System Reform Incentive Texas Council on Offenders with Mental Impairments Additional Local Funds $ Total Expended Sources $ 1,570 - Other Medications (Pills & Injections) $ 1,570 - Medicaid Type Services (Both Eligible and Ineligible) $ 86,771 $ 84 86,771 $ 8,713,581 416,033 816,665 1,280,869 2,979,377 451,200 426,015 All Other Outpatient Services $ 15,590 - 733,504 31,670 3,403,845 15,848,914 $ 3,419,435 Crisis Screening & Eligibility Crisis Outpatient $ - $ 433,179 $ 433,179 - Other Services Non-Priority Population $ 1,145 $ 1,145 $ - Total $ 8,713,581 417,603 816,665 1,280,869 2,979,377 466,790 426,015 25,684 733,504 3,982,294 25,684 $ 19,816,698 85 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF MENTAL RETARDATION EXPENDITURES BY SERVICE CATEGORY AND SOURCE OF FUNDS (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Service Categories (by Funding Source) Assessment, Eligibility Determination General Revenue - Mental Retardation General Revenue - Permanency Planning HCS ICF - MR Texas Home Living Waiver Medicaid Medicaid Administrative Claiming Delivery System Reform Incentive LEND DARS - Autism Early Childhood Intervention Required Local Match Additional Local Funds $ Total Expended Sources $ Independent Living, Service Community Coordination Support 979,689 $ 82,847 406,745 1,108,036 Respite Employment Assistance/ Supported Employment 3,561,407 $ $ 1,288,388 $ 108,960 136,030 59,218 91,891 1,433,187 7,994,235 28,614 227,653 12,517 1,413,698 466,341 593,205 - 592,838 169,696 2,577,317 $ 12,951,801 $ 1,741,968 $ 3,484,109 $ 86 62,903 2,924 65,827 Vocational Day Training Habilitation $ $ 18,902 $ - 511,273 313,808 90,981 420,017 8,261 280,102 - 525 - 19,427 $ 1,624,442 Specialized Therapies $ 838,444 138,101 103,221 198,079 189,987 38,572 2,531,267 - $ $ 4,037,671 Other Services Non-Priority Population ID Residential Services 1,483,691 2,925,689 1,411,424 - $ 3,840,982 420,064 206,366 5,280 819,099 3,288,421 2,039,770 $ 8,681,794 108,960 3,513,628 1,664,844 2,206,077 12,136,665 1,113,812 4,431,433 5,280 819,099 3,288,421 1,059,179 4,132,416 $ 10,619,982 $ 43,161,608 218,260 $ 6,039,064 87 Total MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF LEASES IN EFFECT (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Lessor Address Monthly Amount 2014 City of Houston, Multiservice City of Houston, Multiservice MH Forensic, Jail-Platinum Parking Harris County Facilities & Property Plazer Properties, Ltd. Spring Branch District Plaza II Ashford Houston Investments Gillett Properties, Ltd. Oxley Leasing Golden Sharpstown, Inc. (parking) The Gathering Place Southmore Management Group Pasadena Cottages NPC Harris County Jail 4014 Market - Houston, TX 170 Height Blvd. 800 N. San Jacinto - Houston, TX 5518 Jackson St. - Houston, TX 3600 S. Gessner, Suite 351 - Houston, TX 9610 Long Point, Suite 351 - Houston, TX 1500 Dairy Ashford, Ste 448 - Houston, TX 7171 Hwy 6 N. Ste 206 - Houston, TX 2550 North Loop West - Houston, TX 7011 SW Frwy - Houston, TX 5310 South Willow - Houston, TX 817 Southmore - Pasadena, TX 2212 Wichita - Pasadena, TX 1502 Taub Loop 3540 West Dallas $181 $372 $3,750 $50/yr $19,197 $190 $847 $819 $900 $6,136 $650 $1,200 $1,404 $1/yr Free Beginning Date Termination Date 5/26/2013 5/26/2013 9/1/2013 5/1/2008 9/1/2013 11/1/2001 2/1/2014 6/1/2011 2/1/2012 1/11/2011 9/1/2013 10/1/2013 Month to month PP for 25 Year Month to month - 88 9/26/2014 9/26/2014 8/31/2014 4/30/2018 8/31/2014 10/31/2014 1/31/2017 5/31/2017 8/31/2014 12/31/2014 8/31/2014 9/30/2014 Month to month 2024 Month to month MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF LAND, BUILDINGS AND EQUIPMENT (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Assets September 1, 2013 Land $ Buildings and improvements 3,421,489 Additions $ 2,013,096 25,343,822 7,589,187 Furniture and equipment 6,331,495 Vehicles Intangible Assets- Software $ August 31, 2014 Retirements $ - $ 5,434,585 - 32,933,009 505,163 47,000 6,789,658 1,456,497 229,483 56,975 1,629,005 5,928,585 214,300 - 6,142,885 42,481,888 $ 10,551,229 $ 103,975 $ 52,929,142 Accumulated Depreciation September 1, 2013 Buildings and improvements $ 14,845,612 Additions $ 1,577,667 August 31, 2014 Retirements $ - $ 16,423,279 Furniture and equipment 5,095,176 339,247 47,000 5,387,423 Vehicles 1,010,004 155,254 56,975 1,108,283 $ 20,950,792 $ 2,072,168 89 $ 103,975 $ 22,918,985 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF INSURANCE COVERAGE (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Property Insurance Insurer: Texas Council Risk Management Fund Insurance Amount Locations: 2001 Cedar Bayou 6125 Hillcroft 7200 N. Loop East 3737 Dacoma 11151 Bob White 526 Applewhite 2627 Caroline 1313 Dennis 3630 West Dallas 1215 Dennis 1502 Ben Taud Loop 7011 Southwest Fwy. 7033 Southwest Fwy. 612A-E Branard 6607 Stonechase 6032 Airline Dr. 5518 Jackson 2800 S. McGregor 6603 Barbarella 5901 Long Dr. 5705 Warm Springs 6805 Oak Village Dr. 1200 Baker Street 3401 Corder Street 9610 Long Point, Suite 351 1500 S. Dairy Ashford, Suite 448 Policy Period 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 9/1/2013-8/31/2014 Building $ 90 1,037,501 1,224,580 1,963,700 4,125,804 213,634 185,947 3,194,465 143,421 4,702,845 996,052 5,500 15,225,062 957,561 749,798 166,303 1,227,880 360,680 225,690 4,513,994 254,640 536,712 - Contents $ 73,060 60,587 550,770 141,538 21,324 390,806 6,060 260,350 11,197 305,579 2,471,763 200,578 6,272 140,079 21,000 49,113 23,660 689,374 15,858 60,587 70,138 177,652 2,812 5,250 Total $ 1,037,501 1,297,640 2,024,287 4,676,574 355,172 207,271 3,585,271 149,481 4,963,195 1,007,249 311,079 17,696,825 1,158,139 756,070 166,303 1,367,959 381,680 49,113 249,350 5,203,368 270,498 597,299 70,138 177,652 2,812 5,250 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF INSURANCE COVERAGE (UNAUDITED) (Continued) FOR THE YEAR ENDED AUGUST 31, 2014 Property Insurer: Policy Period: General Liability Insurer: Policy Period: Public Officials Errors and Omissions Insurer: Policy Period: Employment Practices Liability Insurer: Policy Period: Texas Council Risk Management Fund 09/01/2013-09/01/2014 Blanket Limit $ 57,679,134 Building Limit $ 40,925,800 BPP Limit $ 5,740,409 EDP Limit $ 9,901,954 Boiler/Machinery Included Business Income $ 1,000,000 Sublimit $ 1,000,000 Fine Arts $ 15,000 Valuation RCV Cause of loss Special Deductible except Named Storm Wind & Flood $ 1,000 Vacant Buildings As scheduled Named Storm Wind Deductibles (TIV=Bldg+BBP+EDP) Tier 1 Per Occurrence/Location T/V $ 4,424,000 Harris County Per Occurrence/Location T/V 3% TIV or $100,000 minimum Tier 2 Per Occurrence/Location T/V $ 1,000 Flood - Aggregate Limit $ 10,000,000 High Risk Zone No Coverage Other Locations other than 100 Year & other between 100 & 500 Year Flood Zones $ 10,000,000 Deductible $ 1,000 Texas Council Risk Management Fund 09/01/2013-09/01/2014 Combined Single Limit Per Occurrence Deductible Texas Council Risk Management Fund 09/01/2013-09/01/2014 Claims Made Limit per Claim Annual Aggregate Deductible Retro Date 08/31/96 Texas Council Risk Management Fund 09/01/2013-09/01/2014 Sublimit per Claim Annual Aggregate Deductible Retro Date 08/28/89 Sublimit applicable to back wages, punitive damage, non-compliance 91 $ $ 1,000,000 1,000 $ $ $ 1,000,000 3,000,000 10,000 $ $ $ 50,000 100,000 10,000 $ - MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF INSURANCE COVERAGE (UNAUDITED) (Continued) FOR THE YEAR ENDED AUGUST 31, 2014 Professional Liability Insurer: Policy Period: Sexual Misconduct Insurer: Policy Period: Auto Liability Insurer: Policy Period: Auto Physical Damage Insurer: Policy Period: Texas Council Risk Management Fund 09/01/2013-09/01/2014 Claims made Limit per claim Annual aggregate Retro Date 08/28/1989 Texas Council Risk Management Fund 09/01/2013-09/01/2014 Sublimit per claim Annual Aggregate Retro Date 08/28/89 Texas Council Risk Management Fund 09/01/2013-09/01/2014 Combined Single Limit Scheduled and Hired Vehicles PIP per Person Limit Uninsured/Underinsured Motorist Bodily Injury Per Person Bodily Injury Per Occurrence Property Damage Liability Deductible Texas Council Risk Management Fund 09/01/2013-09/01/2014 Scheduled and Hired Autos Comprehensive Deductible Collision Deductible Hired Physical Dmg Maximum Nonowned Physical Damage Comprehensive Deductible Collision Deductible Funeral Expenses 92 $ $ 1,000,000 3,000,000 $ $ 100,000 300,000 $ 1,000,000 $ 10,000 $ $ $ $ 100,000 300,000 100,000 1,000 $ $ $ 500 1,000 35,000 Excess 500 1,000 5,000 $ $ $ MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF INSURANCE COVERAGE (UNAUDITED) (Continued) FOR THE YEAR ENDED AUGUST 31, 2014 Excess Liability Insurer: Policy Period: Workers Compensation Insurer: Policy Period: Flood Insurance Insurer: Policy Period: Texas Council Risk Management Fund 09/01/13 - 09/01/14 General Liability Additional Limit of Liability Retro: 08/31/03 Retro: 11/24/08 Retro: 11/24/08 Retro: 11/24/08 Public Officials E&O Liability Additional Limit of Liability Retro: 08/31/96 Retro: 08/31/96 Retro: 08/31/96 Retro: 08/31/96 Auto Liability Additional Limit of Liability Retro: 08/31/03 Retro: 11/24/08 Retro: 11/24/08 Retro: 11/24/08 Professional Liability Additional Limit of Liability Retro: 08/28/96 Retro: 10/05/04 Not included under Excess Liability Sexual Misconduct Employment Practices Texas Council Risk Management Fund 09/01/2013-09/01/2014 Workers Compensation Named States Per Accident Deductible Aggregate Limit Volunteers Employer's Liability (applies to entire fund) Elected/Appointed Officials Travelers Flood 11/01/13-11/01/14 1502 Taub, Loop, Houston, TX Contents Cause of Loss Valuation Deductible 93 1M xs 1M 1M xs 2M 1M xs 3M 1M xs 4M 1M xs 1M 1M xs 2M 1M xs 3M 1M xs 4M 1M xs 1M 1M xs 2M 1M xs 3M 1M xs 4M 1M xs 1M 1M xs 2M $ $ $ $ Statutory Texas 100,000 300,000 Yes Yes Zone AE 181,200 Flood ACV 500 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF INSURANCE COVERAGE (UNAUDITED) (Continued) August 31, 2014 Notary E&O Insurer: Policy Period: Fiduciary Liability Insurer: Policy Period: Western Surety 11/18/13 - 11/18/14 Limit of Liability 91 Notaries (as of 08/01/13) Executive Risk Indemnity, Inc. 09/01/13 - 09/01/14 Claims Made - Prior Date 08/31/00 Limit of Liability Each Claim Limit of Liability Each Policy Period Defense within Limits of Liability 20,000 $ $ $ 3,000,000 3,000,000 25,000 Per Locations Scheduled Crime Insurer: Policy Period: Cybersecurity Insurer: Policy Period: Travelers Commercial 09/01/13 - 09/01/14 Public Employee Dishonesty Per Loss Forgery Alterations Deductible Money & Securities - On Premise Deductible Money & Securities - Messenger Deductible Computer Fraud Deductible Money Order & Counterfeit Currency Deductible Property of Clients (Theft by Employees) Deductible Electronic Funds Transfer $ $ $ $ $ $ $ $ $ $ $ $ $ $ 400,000 200,000 2,500 25,000 2,500 25,000 2,500 3,000 1,000 3,000 1,000 200,000 2,500 100,000 $ $ $ $ 3,000,000 3,000,000 500,000 25,000 4/24/2012 4/24/2012 Event Management Co-insurance Retention Continuity Date $ 1,000,000 500% 50,000 4/24/2012 Cyber Extortion Retention Continuity Date $ $ 500,000 25,000 4/24/2012 Crisis Fund Retention Continuity Date $ $ 100,000 4/24/2012 Chartis Insurance 04/24/14 - 04/24/15 Limit of Liability Security & Privacy Liability Regulatory Action Sublimit of Liability Retention Retro Date Security Failures/Privacy Events Continuity Date $ 94 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF BOND COVERAGE (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Surety Company Scope of Coverage Amount Travelers Commercial 09/01/2013 - 09/01/2014 Commercial Crime Policy Public Employee Dishonesty Per Loss Forgery Alterations Deductible Money and Securities - On Premise Deductible Money and Securities - Messenger Deductible Computer Fraud Deductible Money Order and Counterfeit Currency Deductible Property of Clients (Theft by Employees) Deductible Electronic Fund Transfer $ $ $ $ $ $ $ $ $ $ $ $ $ $ 400,000 200,000 2,500 25,000 2,500 25,000 2,500 3,000 1,000 3,000 1,000 200,000 2,500 100,000 Westen Surety 11/18/2013 - 11/18/2014 Errors & Omissions - Notary Limit of Liability (91 Notaries) $ 20,000 95 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF PROFESSIONAL AND CONSULTING FEES AND CONTRACTED PROVIDER SERVICES (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Name Agibi, Felicia Allday Dental Associates Anderson, Enedina Angelo, Charlotte ARC of Greater Houston Avondale House Baig, Mahera F. Bairfield, Doris Baldwin, Johnnie L. Bassett, Mart E. Bay Area Recovery Center Bay Area Rehabilitation Center Baylor College of Medicine Baylor College of Medicine/Family Community Medicine Baytown Opportunity Center Bell, Sharon Bocard, Elvida Bolden, Sandra Boyd-Goudeay, Ellen Broussard, Gwendolyn Brown, Andrea Brown, Glenda Lee Burns-Watts, Vanessa Button's Inventory Service, Inc. Carson J. Spencer Foundation Case, Sheran Chen, George Cherng-Ren Cheyenne Center Coleman, Billie Communication Axess Ability Group Cortez, Tywanna CTLR Delivery & Transportation, Inc. Cullison, Frederick B. Data Shredding Services of Texas Davis, Freddie, D.D.S. Dean's Professional Services Developmental Day Habilitation Directions of Recovery, Inc. Discovery Benefits, Inc. Easter Seals of Greater Houston, Inc. Eichelberger, Miriam L. Elite Personnel Consultants Elliot, Saddie Falcon, Nicolas Farzan, F. H., D.D.S. Fifer-Harvey, L.J. Foote, Alexandria Forward Edge, Inc. Fusion Healthcare Staffing, L.L.C. Garcia, Alicia A. Gary Brown & Associates, Inc. Garza, Eileen R. Goodman Technology Associates City Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Dickinson, TX Baytown, TX Houston, TX Houston, TX Baytown, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Denver, CO Katy, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Fargo, ND Bellaire, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Pasadena, TX Ogden, UT Houston, TX Houston, TX Magnolia, TX Humble, TX 96 Type of Service Post-Doctoral Fellow Dental Services Foster/Companion Care Foster/Companion Care Vocational and Employment Training Day Habilitation and Behavioral Therapy Services Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Substance Abuse Treatment Day Habilitation and Vocational Services Residency Program Training Medical Consolations/EKG Services Day Habilitation Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Pharmacy Inventory Services Working Minds Training Foster/Companion Care Foster/Companion Care Housing/ Transition Services Foster/Companion Care Interpreting Services Foster/Companion Care Transportation Services Foster/Companion Care Document Destruction Dental Services Temporary Staffing - Psychiatric Technicians Day Habilitation Co-Occurring Disorders Services Employee Benefits Administration Respite Services Foster/Companion Care Temporary Staffing Foster/Companion Care Foster/Companion Care Dental Services Consumer Advisor Consumer Advisor Pre-employment Testing Psychiatrist Recruitment Foster/Companion Care Property Appraisal Occupational Therapy Technology Support Services $ Amount 32,079 9,202 18,575 17,243 206,851 150,041 18,575 18,575 37,150 17,243 96,414 7,891 10,480 88,843 24,592 3,872 5,811 18,575 18,575 18,575 18,575 17,243 18,575 25,623 7,504 5,763 17,243 120,814 17,243 17,740 17,101 12,333 18,575 40,937 1,120 3,866 7,209 151,408 25,267 2,289,522 18,219 432,747 18,575 28,261 1,970 5,575 5,769 37,259 18,000 18,575 7,650 1,331 2,100 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF PROFESSIONAL AND CONSULTING FEES AND CONTRACTED PROVIDER SERVICES (UNAUDITED) Name Grant, Diana Green, Imelia Jone Green, Inez Green, Lucretia Haggerty, Sedalia Haltmar, Warren, Sr. Harris County Department of Education Harris County Information Technology Center Harris County Psychiatric Center Harris Health System Harvey, Betty H. Haygood, Brandi Healthcare of the Homeless Henry, Carolyn D. Hillsman, Candace Hope Village Houston Education Consult Idea Integration Corporation Jackson & Coker Locum Tenens James, Llyod C., D.D.S. Jarra, Isatu Joel Elijah Adult Care, Inc. Johnson, Rebecca Johnson, Royce M. JSA Health Texas PLLC K & K Best Care EMS Kantor, Michele Kathuria, Aruna Kent, Loretta KES Care Learning & Developmental Center Knight, Felecia Krum, Ella Mae Lac Hong Adult Day Care Center Lamonte, Drew J,. DDS Language Line Services Laureles, Eusebio, Jr. Lewis, Joseph Lipscomb, Leon Livingmind Project, Inc. Locum Tenens.Com, LLC. Lone State Veterans Association Longoria, Jose Luco, Glenda S. Malbrough, Lela Mann, Thomas H., Ph.D. Manning, Tony Marion Montgomery, Inc. Martinez, Felix Martinez, Rosibel Masterword Services, Inc. Mayberry, Christine Mayberry, Mable Austin McCaleb, Shirley McDonald, Bobbie MCV Consulting Meyerland Family Dentistry PC City Houston, TX Houston, TX Houston, TX Houston, TX Baytown, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Jacksonville, FL Alpharetta, GA Houston, TX Houston, TX Houston, TX Highlands, TX Houston, TX Houston, TX Bellaire, TX Houston, TX Spring, TX Katy, TX Houston, TX Houston, TX Crosby, TX Houston, TX Houston, TX Monterrey, CA Houston, TX Houston, TX Houston, TX Houston, TX Alpharetta, GA Houston, TX Houston, TX Houston, TX Houston, TX Richmond, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Type of Service Foster/Companion Care Consumer Advisor Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Speech Therapy Services Business Analyst-Juvenile Sharing Program Competency Evaluation and Restoration Consumer Food Services Consumer Advisor Foster/Companion Care Crisis/Peer Support Services Foster/Companion Care Foster/Companion Care Day Habilitation Psychological Evaluations Information Technology Infrastructure Consulting Temporary Staffing - Psychiatrist Dental Services Foster/Companion Care Day Habilitation Foster/Companion Care Foster/Companion Care Tele-Medicine Services EMS Transportation Foster/Companion Care Foster/Companion Care Foster/Companion Care Day Habilitation Foster/Companion Care Foster/Companion Care Day Habilitation Dental Services Interpreting Services Foster/Companion Care Foster/Companion Care Respite Services Day Habilitation Temporary Staffing - Psychiatrist Peer to Peer Counseling Foster/Companion Care Consumer Advisor Foster/Companion Care Psychologist Consumer Advisor Branding Project Management Consumer Advisor Foster/Companion Care Interpreting Services Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Strategic Planning Facilitation Dental Services 97 $ Amount 18,575 5,165 4,631 1,425 34,606 18,757 67,969 24,200 4,433,294 75,096 2,456 14,361 82,927 24,606 25,254 6,600 35,950 75,600 35,500 1,260 6,614 32,799 7,554 10,379 62,294 2,351 18,575 17,243 25,254 6,270 17,243 18,575 3,905 3,682 92,443 17,243 18,575 10,143 3,731 392,917 67,029 18,575 6,244 17,243 12,056 4,188 19,000 6,438 17,243 246,197 15,778 17,243 17,243 17,243 1,500 3,483 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF PROFESSIONAL AND CONSULTING FEES AND CONTRACTED PROVIDER SERVICES (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Name City MHMR Brazos Valley Mitchell, Christelene M. Montemayor, Noemi Moore, Betty Morales, Laura R. Morgan & Associates Dental Muhammad, Sherriel Ann NAMI Great Houston National Council for Community Behavioral Healthcare New Direction Job Services Nhan Hien Dentistry Nightingale Adult Day Center Nixon Adult Day Center Odyssey Adult Day Care, Inc. Orybie, Antoine Simien Owsley, Elizabeth A. Pace Opportunity Center, Inc. Parker Place Property Owners Association Passages, Inc. Pathway to Serenity Patin, Jamie C. PDG Architects Pattillo, Brown & Hill L.L.P. Perry, Charles Richard Pre-Check, Inc. Pringle, Sherry, D.D.S. Prosumers International Randle, Barbara E. Reach Unlimited, Inc. Resource Health Services Richardson, Harry Ridgway, Alma Garza Riley, Michelle Rivera, Stella Rivers, Sherry Roitberg, Paula Waters Rosetta, Jessie Ross, Sandra Santa Maria Hostel, Inc. Sanzone, Lisa Shepherd, Lisa Gayle Singletary, Leasie Singleton, Shelia Smith, Amber Sodexo, Inc. Soliant Health, Inc. Solorzano, Maria Special Texas Homes, Inc. Spitler, Nancy Stericycle, Inc. Stuart, Claudette R., D.D.S. Sue Davis Communications Bryan, TX Houston, TX Crosby, TX Houston, TX Houston, TX Houston, TX Missouri City, TX Houston, TX Washington, DC Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Lake Jackson, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Waco, TX Houston, TX Houston, TX Houston, TX San Antonio, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Houston, TX Chicago, IL Houston, TX Houston, TX Houston, TX Houston, TX Lake Forest, IL Houston, TX Houston, TX Type of Service 98 Mental Health First Aid Training Foster/Companion Care Foster/Companion Care Foster/Companion Care Speech/Language Pathologist Dental Services Foster/Companion Care IOOV Presentation Mental Health First Aid Training Day Habilitation Dental Services Interpreting Services Day Habilitation Day Habilitation Consumer Advisor Social Work Student Intern Day Habilitation Respite Services Co-Occurring Disorders Services Housing/Transition Services Social Work Student Intern Architectural Services Audit Services Consumer Advisor Pre-employment Testing Dental Services Peer Support Training Services Foster/Companion Care Vocational Training, Day Habilitation Respite Services Foster/Companion Care Foster/Companion Care Social Work Student Intern Foster/Companion Care Foster/Companion Care Consumer Advisor Foster/Companion Care Foster/Companion Care Substance Abuse Treatment Foster/Companion Care Foster/Companion Care Foster/Companion Care Foster/Companion Care Consumer Advisor Consumer Food Service Temporary Staffing- Pharmacy Foster/Companion Care Day Habilitation and Respite Services Foster/Companion Care Hazardous Waste Disposal Dental Services Public Relations Consulting Amount $ 66,200 9,364 17,243 17,243 1,073 22,669 4,346 11,000 31,500 2,227 1,970 37,905 184,103 10,352 6,000 4,000 12,394 2,009 55,437 166,842 2,000 303,860 25,000 1,528 39,149 4,234 13,872 17,704 29,393 22,801 18,575 2,545 2,000 17,243 18,371 2,469 18,575 18,320 17,204 18,575 17,243 17,161 17,243 4,662 100,834 51,429 18,575 10,576 8,928 1,137 1,000 4,275 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF PROFESSIONAL AND CONSULTING FEES AND CONTRACTED PROVIDER SERVICES (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Name City Type of Service Amount Summit Dental Center Houston, TX Dental Services Sunnyside Dental Houston, TX Dental Services 4,271 Symonette, Stephanie Y. Houston, TX Consumer Advisor 1,475 Taylor, Valor Houston, TX Foster/Companion Care Texana Center Rosenberg, TX Texas A&M Engineering Experiment Station College Station, TX Electrical Energy Consulting 10,631 Linen Service The Center Houston, TX Day Habilitation, Vocational, and Residential Services Houston, TX Counseling, Case Management, and Assessment Services League City, TX 4,290 31,300 Houston, TX The Gulf Coast Center 1,000 Mental Health First Aid Training Texas Medical Center Hospital Laundry Co-op The Council on Alcohol and Drugs $ 47,142 122,527 1,411,210 Mental Health First Aid Training 36,200 The Healthy Lunch Box Houston, TX Consumer Food Service 36,313 Thompson, Barbara Houston, TX Foster/Companion Care 17,243 Thompson, Steve, D.D.S. Spring, TX Dental Services 5,955 Thronton, Jackie Houston, TX Foster/Companion Care 18,575 Tjahjadi, Marie Houston, TX Foster/Companion Care 18,575 Tri-County MHMR Conroe, TX Day Habilitation U.S. Healthworks Houston, TX Employee Drug Screening Ultra Staff Houston, TX Temporary Staffing - Nursing 86,737 United States Veterans Initiative Houston, TX Peer to Peer Counseling 64,488 University Dental Center Houston, TX Dental Services University of Houston - Clear Lake Houston, TX Behavorial Therapy Services 146,936 University of Texas Health Science Center Houston, TX Contract Psychiatrist 146,662 Psychiatrist Residents 48,191 Substance Abuse Treatment 98,357 University of Texas Health Science Center Volunteers of America TX, Inc. Houston, TX Euless, TX 5,331 2,540 2,553 Walker, Credjun Stafford, TX Respite Services 4,672 Walker, Isreal L. Houston, TX Respite Services 4,521 Walker, Tres Houston, TX Respite Services 4,533 Westchase Dental Houston, TX Dental Services 21,460 Westwood Dental Management Houston, TX Dental Services White, Leasie Shunta Tomball, TX Foster/Companion Care 17,445 Whitley Penn, L.L.P. Houston, TX Audit Services 60,000 Williams, June Cypress, TX Foster/Companion Care 17,485 Wilson, Calvin Houston, TX Consumer Advisor Wolridge, Paula Houston, TX Foster/Companion Care 34,606 X-Ray X-Press Houston, TX X-Ray services 14,595 Zimac Care Center Houston, TX Day Habilitation and Respite Services 99 1,000 5,456 4,427 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF LEGAL SERVICES (UNAUDITED) FOR THE YEAR ENDED AUGUST 31, 2014 Name Eyman Associates, P.C. City Washington DC Type of Service Amount Employee and general representation $ 1,876 Fragomenm Del Ray, Bernsen & Lowery, L.L.P Chicago, IL Employment and general representation $ 5,155 Fulbright & Jaworski, L.L.P. Houston, TX Employment benefits and general representation $ 16,658 Richard Hightower, P.C. Houston, TX Board Training $ 4,620 McGuire Woods, L.L.P. Houston, TX Real estate representation $ 400 Rogers, Morris & Grover, L.L.P. Houston, TX Employment and general representation $ 31,422 The Feldman Firm, P.C. Houston, TX Employment and general representation $ 55,426 Charles B. Wolfe Houston, TX Real estate represenation $ 9,875 100 SINGLE AUDIT SECTION THIS PAGE LEFT BLANK INTENTIONALLY INDEPENDENT AUDITORS’ REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING AND ON COMPLIANCE AND OTHER MATTERS BASED ON AN AUDIT OF FINANCIAL STATEMENTS PERFORMED IN ACCORDANCE WITH GOVERNMENT AUDITING STANDARDS To the Board of Trustees Mental Health and Mental Retardation Authority of Harris County We have audited, in accordance with the auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards issued by the Comptroller General of the United States, the financial statements of the governmental activities, the aggregate discretely presented component units, each major fund, and the aggregate remaining fund information of Mental Health Mental Retardation Authority of Harris County (the “Agency”), as of and for the year ended August 31, 2014, and the related notes to the financial statements, which collectively comprise the Agency’s basic financial statements, and have issued our report thereon dated February 20, 2015. Our report includes a reference to other auditors who audited the financial statements of Pasadena Cottages, Inc., Pecan Village, Inc., Villas at Bayou Park, Inc., Pear Grove, Inc., and Acres Homes Gardens, Inc., as described in our report on the Agency’s financial statements. This report does not include the results of the other auditors’ testing of internal control over financial reporting or compliance and other matters that are reported on separately by those auditors. Internal Control over Financial Reporting In planning and performing our audit of the financial statements, we considered the Agency’s internal control over financial reporting (internal control) to determine the audit procedures that are appropriate in the circumstances for the purpose of expressing our opinions on the financial statements, but not for the purpose of expressing an opinion on the effectiveness of the Agency’s internal control. Accordingly, we do not express an opinion on the effectiveness of the Agency’s internal control. 101 A deficiency in internal control exists when the design or operation of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the entity’s financial statements will not be prevented, or detected and corrected on a timely basis. A significant deficiency is a deficiency, or combination of deficiencies, in internal control that is less severe than a material weakness, yet important enough to merit attention by those charged with governance. Our consideration of internal control was for the limited purpose described in the first paragraph of this section and was not designed to identify all the deficiencies in internal control that might be material weaknesses or, significant deficiencies. Given these limitations, during our audit we did not identify any deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses may exist that have not been identified. Compliance and Other Matters As part of obtaining reasonable assurance about whether the Agency’s financial statements are free from material misstatement, we performed tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements, noncompliance with which could have a direct and material effect on the determination of financial statement amounts. However, providing an opinion on compliance with those provisions was not an objective of our audit, and accordingly, we do not express such an opinion. The result of our tests disclosed no instances of noncompliance or other matters that are required to be reported under Government Auditing Standards. Purpose of this Report The purpose of this report is solely to describe the scope of our testing of internal control and compliance and the results of that testing, and not to provide an opinion on the effectiveness of the entity’s internal control or on compliance. This report is an integral part of an audit performed in accordance with Government Auditing Standards in considering the entity’s internal control and compliance. Accordingly, this communication is not suitable for any other purpose. Waco, Texas February 20, 2015 102 INDEPENDENT AUDITORS’ REPORT ON COMPLIANCE FOR EACH MAJOR PROGRAM AND ON INTERNAL CONTROL OVER COMPLIANCE REQUIRED BY OMB CIRCULAR A-133 AND THE STATE OF TEXAS SINGLE AUDIT CIRCULAR To the Board of Trustees Mental Health and Mental Retardation Authority of Harris County Report on Compliance for Each Major Federal and State Program We have audited the compliance of Mental Health and Mental Retardation Authority of Harris County (the “Agency”) with the types of compliance requirements described in the U.S. Office of Management and Budget (OMB) Circular A-133 Compliance Supplement, the Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) and the State of Texas Single Audit Circular that could have a direct and material effect on each of the Agency’s major federal and state programs for the year ended August 31, 2014. The Agency’s major federal and state programs are identified in the summary of auditor’s results section of the accompanying Schedule of Findings and Questioned Costs. Management’s Responsibility Management is responsible for compliance with the requirements of laws, regulations, contracts, and grants applicable to its federal and state programs. Auditor’s Responsibility Our responsibility is to express an opinion on compliance for each of the Agency’s major federal and state programs based on our audit of the types of compliance requirements referred to above. We conducted our audit of compliance in accordance with auditing standards generally accepted in the United States of America; the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations; the 103 Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) and the State of Texas Single Audit Circular. Those standards, OMB Circular A-133, the Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) and the State of Texas Single Audit Circular require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal or state program occurred. An audit includes examining, on a test basis, evidence about the Agency’s compliance with those requirements and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion on compliance for each major federal and state program. However, our audit does not provide a legal determination of the Agency’s compliance. Opinion on Each Major Federal and State Program In our opinion, Mental Health and Mental Retardation Authority of Harris County complied, in all material respects, with the types of requirements referred to above that could have a direct and material effect on each of its major federal and state programs for the year ended August 31, 2014. Report on Internal Control over Compliance Management of the Agency is responsible for establishing and maintaining effective internal control over compliance with the types of compliance requirements referred to above. In planning and performing our audit of compliance, we considered the Agency’s internal control over compliance with the types of requirements that could have a direct and material effect on a major federal or state program to determine the auditing procedures that are appropriate in the circumstances for the purpose of expressing an opinion on compliance for each major federal and state program and to test and report on internal control over compliance in accordance with OMB Circular A-133, the Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) and the State of Texas Single Audit Circular, but not for the purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the effectiveness of the Agency’s internal control over compliance. 104 A deficiency in internal control over compliance exists when the design or operation of a control over compliance does not allow management or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a federal or state program on a timely basis. A material weakness in internal control over compliance is a deficiency, or combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that material noncompliance with a type of compliance requirement of a federal or state program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in internal control over compliance is a deficiency, or combination of deficiencies, in internal control over compliance with a type of compliance requirement of a federal or state program that is less severe than a material weakness in internal control over compliance, yet important enough to merit attention by those charged with governance. Our consideration of internal control over compliance was for the limited purpose described in the first paragraph of this section and was not designed to identify all deficiencies in internal control over compliance that might be material weaknesses or significant deficiencies. We did not identify any deficiencies in internal control over compliance that we consider to be material weaknesses. However, material weaknesses may exist that have not been identified. The purpose of this report on internal control over compliance is solely to describe the scope of our testing of internal control over compliance and the results of that testing based on the requirements of OMB Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations, the Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision) and the State of Texas Single Audit Circular. Accordingly, this report is not suitable for any other purpose. Waco, Texas February 20, 2015 105 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF FINDINGS AND QUESTIONED COSTS FOR THE YEAR ENDED AUGUST 31, 2014 Summary of Auditors' Results Financial Statements: Type of auditors' report issued Internal control over financial reporting: Material weakness(es) identified? Significant deficiencies identified that are not considered to be material weaknesses? Noncompliance material to the financial statements noted? Federal and State Awards: Internal control over major programs: Material weakness(es) identified? Significant deficiencies identified that are not considered to be material weaknesses? Type of auditors' report issued on compliance for major programs Any audit findings disclosed that are required to be reported in accordance with section 510(a) 2-7 of OMB Circular A-133 or the State of Texas Single Audit Circular ? Identification of major programs: Federal: U.S. Department of Health and Human Services: Medical Assistance Program, CFDA # 93.778: Delivery System Reform Incentive Payments (DSRIP) Medicaid Administrative Claiming State: Texas Department of State Health Services: General Revenue: Mental Health Psychiatric Hospitals Atypical Antipsychotic Drugs Texas Department of Aging and Disability Services: General Revenue: Mental Retardation Permanency Planning Dollar threshold used to distinguish between type A and type B federal programs Dollar threshold used to distinguish between type A and type B state programs Auditee qualified as low risk auditee? Financial Statement Findings None Federal and State Award Findings and Questioned Costs None 106 Unmodified No None reported No No None reported Unmodified No $1,273,647 $3,000,000 Yes MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF EXPENDITURES OF FEDERAL AND STATE AWARDS FOR THE YEAR ENDED AUGUST 31, 2014 Federal CFDA # Program Title Federal Expenditures Contract # Federal Awards: U.S. Department of Housing and Urban Development: Transitional Housing Program - Safe Havens 14.235 TX0191L6E001306 and TX0209L6E001205 $ Total U.S. Department of Housing and Urban Development 373,659 373,659 U.S. Department of Education: Passed through Texas Interagency Council on Early Childhood Intervention: Special Education Grants to States (IDEA, Part B) Special Education Grants for Infants and Families with Disabilities (IDEA, Part C) 84.027 5382001541 165,960 84.181 5382001541 1,382,681 Total U.S. Department of Education 1,548,641 U.S. Department of Health and Human Services: Passed through University of Texas Health Science Center at Houston: Leadership Education in Neurodevelopment and Related Disorders Training Program Passed through Texas Department of State Health Services: MH Block Homeless PATH Grant Mental Health Block Grant TANF Transfer to Title XX Block Grant Social Services Block Grant (Title XX) Passed through Service of the Emergency Aid Resource Center for the Homeless: SAMHSA - Partners at Independence Heights Passed through Texas Department of Assistive and Rehabilitative Services (DARS): Temporary Assistance for Needy Families (TANF) Medicaid Administrative Claiming Passed through Texas Health and Human Services Commission: State Grants to Promote Health Information Technology (HITECH), Recovery Act Delivery System Reform Incentive Payments (DSRIP) Medicaid Administrative Claiming 93.110 1 T73MC22236-03 93.150 93.958 93.667 93.667 2014-044202 2014-044770 2014-044770 2014-044770 93.243 1H79SM059193-01 32,989 93.558 93.778 5382001541 5382001541 520,125 336,189 93.719 93.778 N/A 100-13-0000-00127 93.778 N/A 5,280 913,462 3,081,806 1,520,248 631,929 42,500 30,532,366 2,915,709 Total U.S. Department of Health and Human Services 40,532,603 Total Expenditures of Federal Awards $ 107 42,454,903 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY SCHEDULE OF EXPENDITURES OF FEDERAL AND STATE AWARDS FOR THE YEAR ENDED AUGUST 31, 2014 Program Title State Expenditures Contract # State Awards: Texas Department of State Health Services: General Revenue - Mental Health General Revenue - Psychiatric Hospitals General Revenue - Atypical Antipsychotic Drugs 2014-044770 2014-044770 $ 2014-044770 Total Texas Department of State Health Services 54,039,277 29,408,898 7,243,770 90,691,945 Texas Department of Aging and Disability Services: General Revenue - Mental Retardation General Revenue - Permanency Planning 539-12-0143-00001 8,681,794 108,960 539-12-0143-00001 Total Texas Department of Aging and Disability Services 8,790,754 Texas Department of Assistive and Rehabilitative Services (DARS): Early Childhood Intervention Service to Children with Autism 5382001541 1,219,655 819,099 5382001408 Total Texas Department of Assistive and Rehabilitative Services (DARS) 2,038,754 Texas Correctional Office on Offenders with Medical or Mental Impairments: 696-TC-14-15-L012 Juvenile Offenders Program Adult Offenders 733,504 2,132,902 696-TC-14-15-L012 Total Texas Correctional Office on Offenders with Medical or Mental Impairments Texas Department of Criminal Justice: Parole - MH Offenders Program Substance Abuse - MH Offenders Program 2,866,406 696-TC-14-15-L012 246,000 199,998 696-TC-14-15-L012 Total Texas Department of Criminal Justice 445,998 Total Expenditures of State Awards $ 104,833,857 Total Expenditures of Federal and State Awards $ 147,288,760 The accompanying notes are an integral part of this schedule. 108 MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY OF HARRIS COUNTY NOTES TO SCHEDULE OF EXPENDITURES OF FEDERAL AND STATE AWARDS AUGUST 31, 2014 Note 1 – General The Schedule of Expenditures of Federal and State Awards presents the activity of all applicable state and federal awards of Mental Health and Mental Retardation Authority of Harris County (the “Agency”) for the year ended August 31, 2014. The Agency's reporting entity is defined in Note 1 of the basic financial statements. Federal and state financial awards received directly from federal and state agencies, as well as federal financial awards passed through other governmental agencies, are included on the Schedule of Expenditures of Federal and State Awards. Note 2 – Basis of Accounting The Schedule of Expenditures of Federal and State Awards is prepared on the modified accrual basis of accounting. The modified accrual basis of accounting is described in Note 1 of the basic financial statements. The information in this schedule is presented in accordance with the requirements of OMB Circular A-133, Audits of States, Local Governments, and Nonprofit Organizations and the State of Texas Single Audit Circular. Therefore, some of the amounts presented in this schedule may differ from amounts presented in, or used in the preparation of, the financial statements. Note 3 – State Financial Assistance Guidelines State financial assistance is subject to the Texas Health and Human Services Commission’s Guidelines for Annual Financial and Compliance Audits of Community Mental Health and Mental Retardation Centers (21st Revision). Such guidelines are consistent with those required under the Single Audit Act of 1996, OMB Circular A-133 and Government Auditing Standards, issued by the Comptroller General of the United States. 109 THIS PAGE LEFT BLANK INTENTIONALLY