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Leadership Report For November 2018 1 COMTREA Board Calendar 2 CEO Report 3 • Operations 4 Behavioral Health 5 Community Services 6 Primary Care 7 Population Health 8 Dental Care 9 • Integration 10 Human Resources 11 • Fundraising/Capital Campaign/ 12 • Financials

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Page 1: Leadership Report - COMTREA

Leadership ReportFor November 2018

1 • COMTREA Board Calendar

2 • CEO Report

3 • Operations

4 • Behavioral Health

5 • Community Services

6 • Primary Care

7 • Population Health

8 • Dental Care

9 • Integration

10 • Human Resources

11 • Fundraising/Capital Campaign/

12 • Financials

Page 2: Leadership Report - COMTREA

2Section 1 – COMTREA Board Monthly Calendar

COMTREA Board Calendar

Date Meeting Location

12/04 ASP Board Meeting Sue’s Office

12/06 Finance Committee @ 7:30am Sue’s Office

12/06 Executive Committee @ 8:30am Sue’s Office

12/10 Full Board Meeting @ 7:30am Arnold Café

12/10 JCCMHFB Meeting Arnold Café

12/10 Board Photos – Headshots(immediately after meeting ends)

Project Room -Arnold

12/12 SSM Holiday Party for ASP SSM St Clare

12/19 Building and Grounds Sue’s Office

12/27 QIQA(may be rescheduled)

Rm 131 - Arnold

Meetings in December

Event Name Date Where Benefitting Contact InfoMardi Gras Saturday

February, 2 (2019)

Quality Inn A Safe Place Kim [email protected]

636-232-2330Champions for

Children Masquerade Ball

February, 23 (2019)

KC Hall –Washington, MO

CAC Kathy Carr [email protected]

On the Red Carpet April, 27 (2019) Twin Oaks Winery

CAC Kathy Carr [email protected]

Check out the2018/2019 Events

& Fundraisers

Full list of events on the Fundraising page

Page 3: Leadership Report - COMTREA

CEO Report

3Section 2 – CEO Report

Submitted by Sue CurfmanThis report summarizes key events and trends in the month of November and many of which have been prior reported through the Weekly CEO Update to the Board. Areas that I typically report in the Weekly Update are not included in this monthly update due to the full report from Leadership Council members, which includes Marketing & Capital Campaign, Primary Care, Oral Health, Behavioral Health, Operations, Integration, Financial, HR & Recruitment, Quality and Community Service/Programming (CAC, TwT & ASP).Mission November has been a busy month for Leadership Council and A Safe Place staff that are participating in the preparations for holiday celebrations for our individuals served that have the greatest needs or limited family support.

• On Mon. Dec. 3rd, all 12 members of Leadership Council will be on-site with our PSR (Psychosocial Rehab) program to host a holiday party that includes crafts, bingo with prizes, sing-a-long, food/holiday treats and gifts. The funding for gifts was made possible through Leadership Council monetary donations and gifts of hats and gloves from UHC.

• The Christmas to Remember Party for current and past residents of A Safe Place, which is scheduled for Wed. Dec. 12th from 5:00 PM to 8:00 PM. This is hosted by SSM St. Clare Hospital Physician’s Group and all Board and Leadership Council members are invited. We have three separate wrap sessions for presents over the next week. We are expecting media to present.

Fiscal ManagementAmy has prepared a detailed summary of the October financial performance. The following is a brief summary of the revenue, income (loss), top three payers YTD, and comments on steps towards financial alignment, which parallel the financial work plan developed back in September. October Income Statement posted a $134,167 contribution margin and Year-to-Date of $115,573. Performance for each of the three service lines is summarized in the table below.

October YTD

PRIMARY CARE Actual BudgetVarianc

e Actual Budget VariancePatient Revenue: 126,070 168,382 (42,313) 441,709 673,531 (231,820)

Total Revenue 190,731 249,226 (58,496) 770,028 996,906 (226,876)Total Operating Expenses 227,077 235,965 8,886 929,809 943,858 14,047 Income (Loss) (36,346) 13,261 (49,610) (159,781) 53,048 (212,829)

PATIENT VISITS 1,228 1,800 (572.00) 4,590 6,708 (2118.00)

PATIENT REV/VISIT 102.66 93.55 9.12 96.23 100.41 (4.17)

TOTAL REVENUE/VISIT 155.32 138.46 16.86 167.76 148.61 19.15

TOTAL COST/VISIT 184.92 131.09 (53.82) 202.57 140.71 (61.87)

Page 4: Leadership Report - COMTREA

CEO Report

4Section 2 – CEO Report

Comments: Staff reduction completed in mid-October however financial impact with decreased expenses will not be realized until December due to 60-day pay-out with severance of the contract. Production for the month of Oct. at 68% and November MTD at 73%. Top three payers YTD for patient revenue are Commercial Insurance (37%), Managed Medicaid (24%) and Medicaid (20%). Self-pay is 10%. Focus is bringing Primary Care to our Behavioral Health clients with a start date of 12/03/18 for Arnold and Feb. 2019 for Festus. Continued work on the scheduling and open access/walk in at all locations which helps to offset the impact of the 30% cancellation rate, which is consistent with FQHCs, both state and nationally

October YTDORAL HEALTH Actual Budget Variance Actual Budget Variance

Patient Revenue: 383,863 509,688 (125,824

) 1,454,500 2,038,748 (584,248)

Total Revenue 442,280 573,271 (130,990

) 1,695,507 2,293,081 (597,574)Total Operating Exp 495,044 520,966 25,921 1,746,684 2,083,862 337,179

Income (Loss) (52,764) 52,305 (105,069

) (51,177) 209,219 (260,396)

PATIENT VISITS 2,673 4,455 (1,782) 7,846 12,263 (4,417)

PATIENT REV/VISIT 143.61 114.41 29.20 185.38 166.25 19.13 TOTAL REVENUE /VISIT 165.46 128.68 36.78 216.10 186.99 29.11

TOTAL COST/VISIT 185.20 116.94 (68.26) 222.62 169.93 (52.69)Comments: Revenue below budget due to staffing shortage of dental assistants, which forced the closure of several chairs during the month. Key support staff positions are now filled and orientation completed so Nov. is forecast as a higher performance month. Further financial analysis on the mobile dental program and ROI (return on investment) is current focus along with scheduling efficiencies. Top three payers for patient revenue YTD are Managed Medicaid (53%), Medicaid (25%) and Commercial Insurance (11%). Self-pay is 10%. Department production/clinical access hours at 60%.

October YTDBH PSYCHIATRY Actual Budget Variance Actual Budget VariancePatient Revenue: 272,780 185,000 87,781 1,064,306 740,000 324,306 Total Revenue 411,555 326,946 84,609 1,625,446 1,307,780 317,667 Total Operating Exp 308,099 295,443 (12,659) 1,294,003 1,181,763 (112,239)Income (Loss) 103,456 31,503 71,951 331,443 126,017 205,428 PATIENT VISITS 1,287 2,396 (1,109) -PATIENT REV/VISIT 211.95 77.21 134.74 0.00 TOTAL REVENUE/VISIT 319.78 136.45 183.32 0.00 TOTAL COST/VISIT 239.39 123.31 (116.09) 0.00

Page 5: Leadership Report - COMTREA

CEO Report

5Section 2 – CEO Report

Comments: Top three payers for patient revenue YTD are Managed Medicaid (33%), Medicaid (29%) and DMH (18%). Self-pay is 3%. Biggest demand for services is in the Jan-June timeframe s lower revenues are typical in the fall. Opportunity exists for greater clinical access hours with Oct. provider productivity at 59% and optimization of workflow. Cancellation/No show rates at 35% which is consistent with community data reporting.

Quality Management ReorganizationThere has been a re-organization of the quality program with the recent departure of Dr. Turner. HRSA requires that either an MD/DO or an RN provide oversight of the quality program. Patty Vanek will transition into a new role as VP of Clinical Quality and retain her current job role functions of population health, which are in the quality realm. Katy Murray will support the quality program with her revised title of VP of Corporate Compliance and Quality Operations. All changes are budget neutral.

CMO Transition UpdateDr. Rohatgi assumed the role of Chief Medical Officer on Nov. 1st and is transitioning some of his patient care responsibilities to other psychiatry providers. He will retain a 50% patient care caseload and the orientation and training plan is scheduled over the next 3 months.

Keaton ALF AdministratorAnnette Hohmann is no longer with COMTREA as the Behavioral Health Clinic Manager and Administrator for Keaton. Keaton is our 16-bed assisted living facility (ALF) in Festus behind our office. Paperwork has been filed with the state to appoint Dawn Hagedorn as the interim Administrator that is valid for 90 days. State regulations require 8 hours per week of a licensed Administrator for an ALF our size. Dawn in in the process of becoming a licensed nursing Assisted Living Administrator and passed her first test this week.

Property Pending Purchase (North Truman Blvd)A request has been made to Tammy Fadler extend the Feasibility Period by an additional 30 days, which is 01/25/19. Our internal review of the 2005 report completed by SCI Engineering has raised several questions on the fill compaction and suitability for our proposed build. A request has been made to SCI Engineering to obtain clarification on the study and to schedule a test pit to assess the stability of the land for building. I will continue to keep the Board updated on the response and next steps.

Meeting with the Governor ParsonsLisa Rothweiler and I will be participating in a meeting with Governor Parsons and other FQHC CEOs, COOs and senior leaders to discuss the health care challenges in a rural setting and other concerns in the provision of services. This is scheduled for Tues. 12/04 from 9:00 AM – 1:00 PM in Bolivar MO.

Page 6: Leadership Report - COMTREA

CEO Report

6Section 2 – CEO Report

Payment ReformI will be participating in a FQHC payment reform discussion through the MPCA Governmental Affairs workgroup on Tues. 12/11 in Jefferson City. It is expected that the next year of state funding will be challenging with budget shortfalls. Advocacy will be a higher priority with the changes at both a state and Federal level and plans are being made for COMTREA participation.

Susan CurfmanCEO/President

Respectfully Submitted,

Page 7: Leadership Report - COMTREA

Operations Report

7Section 3 – Operations Report

Submitted by Lisa Rothweiler

Final occupancy of Dunklin received and tentatively patients scheduled for Tuesday, 11/27.

Final edits to contract for purchase of Colonial Cleaner lot and land lease agreement are with both attorneys. Tentative closing scheduled for 12/13.

Level 1 ADA moved to Annex, lower level, 11/21.

Final drawings for 2nd floor renovation should be received week of 12/1.

Central Admissions:

Source October

NWR1 school referral to BH 30

DeSoto SAP referral 0

WC to CA(adult & youth)115

(At Annex due to flood)

Internal referral to PC includes WC and internal referrals 128

Internal referral to Dental includes WC and internal referrals 87

Avatar referrals ADA-CPS or CPS-ADA 6

Counseling referrals from Dr only clients 54

Referrals for Psych Evals (internal) 93

Total # of PC appts made 172

Total # of Dental appts made 224

Page 8: Leadership Report - COMTREA

Behavioral Health

8Section 4 – Behavioral Health Report

Submitted by Margo Pigg

Conf call with Genoa for 12-20 more hrs. of child psych for Fox and Dunklin completed this week.

Process began for new LNHA for Keaton Center. Current Charge Nurse, Dawn Hagedorn will finish testing for her license. In the meantime, request for temporary emergency licensure to DHSS has been submitted.

Visit 11/30 to Family Care Health Center. Margo, Sue and Dr. Rohatgi to meet with Medical Director (Dr. Day and psychiatrist Dr. Jaron Asher). The visit will include a tour and discussion regarding workflow, integration and service system in their health center.

Mtg with Dunklin Monday re BH services counseling and telehealth. Target for beginning is January 2019.

Fox target for beginning of telehealth for youth psychiatry also January 2019.

Still seeking two youth counselors as well as adult CSS. Recruiting for nurse for Festus ofc as well as adult psychiatrist and youth nurse practitioner.

Page 9: Leadership Report - COMTREA

Community Services

9Section 5 – Community Services Report

CAC Submitted by Kathy Carr

School Liaisons Submitted by Kristi Scoville

There is an upcoming fundraiser in February (Champions for Children) letters for donors will be going out for that and our other fundraiser Stand for Kids soon, the letters and flyers are being finalized.

The CAC started up their newsletter again and we are fully staff again.

Our newest Forensic Interviewer, Abby Manning, will be heading to ChildFirst next week.

Check out the fundraisers for CAC listed on the fundraiser page.

Quarterly reports sent out to all JC school districts

Review with staff of BHR recommended book “Suicide in Schools”, F/U to BHR training

Parent Summit NW School District – SL session provided

Updated MOU’s being drafted for Jefferson College

Death of student/soccer player at Jefferson College, 5 players in car accident – crisis response

A Safe Place Submitted by Barb Tenholder

SSM is hosting a party for the women of ASP on December 12th, the women and staff are excited for this event.

This week we had one family move out of the shelter but expect to have another family in within the week.

Page 10: Leadership Report - COMTREA

Community Services

10Section 5 – Community Services Report

Tails with Tales by Laura Casey

Kingston - 3rd GradeKingston – 4th Grade

No More Bullying!

High Ridge Elementary – 4th Grade

Question Answer Pre-Test Post-TestAnimals and humans have similar feelings. TRUE 91% 99%When you respect someone it means you are scared of them. FALSE 99% 100%

Everyone who is human practices being humane. FALSE 33% 90%People who practice self-control don't take charge of their actions and emotions. FALSE 64% 100%Practicing compassion causes others to want to be around you more. TRUE 69% 99%It is the responsibility of every pet owner to take their pet to the veterinarian. TRUE 93% 97%When you practice integrity, you gain the respect of others. TRUE 55% 96%Definition of Self-Control: "Taking charge of your own actions and __________." EMOTIONS 57% 88%

Fill in the blank: If a dog without a collar or owner comes near you, you want to remember the saying "Never flee, be a _______". TREE 60% 99%

I know how to help stop bullying and animal abuse. YES 82% 99%I know someone who has been bullied. YES 88% 88%

I know someone, or have known someone, who does one of the following: dog fighting, rooster fighting or other types of animal fighting. NO 70% 61%

Page 11: Leadership Report - COMTREA

Community Services

11Section 5 – Community Services Report

Tails with Tales by Laura Casey

Kingston - 3rd GradeKingston – 4th Grade

Community Events

On November 1st TWT attended the Twin City Junior Optimists Meeting and presented information about our program.

On November 3rd staff and volunteers attended the Therapy Dog Coalition of Greater St. Louis Fall Conference held at Washington University. This year’s keynote speaker was COMTREA’s Dana Silverblatt who spoke on the importance of being trauma informed and self-care for volunteers.

Upcoming Fundraisers

Music Trivia Night – January 26, 2019, TBC Venue, Pevely, MO

Furry Tails Do Come True Un-Gala –April 13, 2019, Festus/Crystal City Elks

Poker Run – May 11th (Being hosted by the De Soto Amvets Women’s

Auxiliary)

Page 12: Leadership Report - COMTREA

Primary Care

12Section 6 – Primary Care

Submitted by Darlene Herrell/ Dr. Helton

From Dr. Helton

Bess, our new NP is doing very well and is seeing 2 patients an hour, routinely.

The morale of the primary care team is much improved and utilization this week is looking up!!

Operations

Hospital Follow- Up:We are seeing an increase in referrals for hospital follow-up appointments. As a result, the patients were scheduled out for up to 3 weeks which would be past the 7-14 day follow-up requirement.

The front office staff and clinical staff determined that a waiting list could be used to accommodate the appointments through cancellations and multiple no-shows. Amanda Rumble created and tested the waiting list in ATHENA and trained all locations on how to work the waiting list. In the event a patient requires to be seen immediately, the front office staff will work with the provider to accommodate through double booking, which increases patient’s access to care.

ReferralsWe have received 128 referrals from Behavioral Health in October. We are looking forward to more referrals to integrate care for our patients

Page 13: Leadership Report - COMTREA

Clinical Quality

13Section 6 – Primary Care

Submitted by Patty Vanek / Katy Murray

MPCA Reports - Clinical Quality Award Run Date 11/26/2018

Note: Report run date included, since the month of November is not over and this is a Nov Trailing Year Period. Also note, DRVS can take up to 1 week to update data.

Page 14: Leadership Report - COMTREA

Population Health

14Section 7 – Population Health

Submitted by Patty Vanek

Primary Care Trailing Year Count of Individuals Served Compared to the 2017 UDS Reported 4,507. This reflects a 3% patient population growth.

Monthly Primary Care Patient Encounters Trailing Year (ran 11/26/2018)

Page 15: Leadership Report - COMTREA

Population Health

15Section 7 – Population Health

Submitted by Patty Vanek

The American Heart Association and the American Medical Association partnered to launch Target: BP in 2015 to improve blood pressure control and build a healthier nation. This national initiative aims to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations, and patients to prioritize blood pressure control.

COMTREA has taken the first steps in collaborating with this partnership and their Self-Monitoring program. According to the American Heart Association, research shows that the process of recording blood pressure at least twice a month over a period of four months can lower blood pressure in many people with high blood pressure. This evidenced-based disease prevention approach will help aid in improving the individuals served overall health.

Some of their goals are:

Identifying individuals with high blood pressure

Connecting them to treatment

Promoting home- and community-based self-management

Facilitating communications among clinics, community-based providers and the patients they serve

Participating individuals will be encouraged to:

Take and record their blood pressure at least two times per month and given a free blood pressure cuff.

Attend two consultations a month with a Healthy Heart Ambassador

Attend monthly nutrition education seminars

COMTREA’s participation will include receipt of two Automated Office Blood Pressure machines and a public listing as a clinical site participating in the Target: BP Recognition Program. On the following page are the trending data measures for individuals served in Primary Care with Hypertension and or elevated blood pressures.

Page 16: Leadership Report - COMTREA

Population Health

16Section 7 – Population Health

Submitted by Patty Vanek

COMTREA’s ranking of Hypertension Controlled compared to other Missouri FQHCs:

Page 17: Leadership Report - COMTREA

Population Health

17Section 7 – Population Health

Submitted by Patty Vanek

Page 18: Leadership Report - COMTREA

Oral Health

18Section 8 – Oral Health Report

Submitted by Dr. Garland

Sandy Holifield will be attending the Fox Festival of Lights Giving Fair on Sunday, 12/2 representing COMTREA.

Fox Parents as Teachers has requested tours of the Fox clinic for their kids and parents. This will take place in January and will be a great opportunity to showcase our new pediatric services.

Staff members went to the Jefferson R7 health fair on November 6th

MOU was completed for Rockport school district for 28 elementary schools.

MOU was completed for Forder elementary in Melville school district.

Consent forms are being sent to 15 new schools in the Rockport school district this week and next.

We’ve seen over 1000 kids since the beginning of the school year!

There is another dental event scheduled for the Ste. Genevieve Health Dept. in December.

The Tooth Titans calendar is almost complete.

Page 19: Leadership Report - COMTREA

Integration

19Section 9 - Integration

Submitted by Dana Silverblatt

In November, primary care staff participated in a two-part crisis prevention training modeled off of Crisis Prevention Institute’s modules. The trainers tailored the discussion to scenarios that present in primary care so that staff could better apply the principles to their setting. Due to the inclement weather, the second day of the training will be rescheduled for Hickory Plaza primary care staff. The trainers believed that grouping participants by site and program area made for more active discussion. These trainings were part of an effort to enhance our skills in approaching primary care patients who present with behavioral health symptoms.

The Discontinuation of Services policy was updated to reflect a more integrated approach that utilizes the behavioral health lens in our Chief Medical Officer, Dr. Rohatgi. Moving forward, if a client/patient is recommended to be dismissed from any service at COMTREA—due to behavioral issues—the recommendation will be reviewed by that department’s leader as well as by Dr. Rohatgi. This will better allow us to identify opportunities to meet the complex needs of our patients before referring them out for care.

A meeting was held with Fox school district administration to present an updated plan to utilize telepsychiatry for Fox students. The response was positive and we hope to implement telepsychiatry on-site at our Fox Dental location in early 2019.

Construction at Dunklin has been completed and we are awaiting installation of dental chairs and cabinetry this week so can open our doors for patients. Consent forms have been distributed to all Senn Thomas students and once the district finalizes the start date for the Transporter position, we will send out COMTREA consent forms and transportation consent forms to students at the other Dunklin schools. Using some portable equipment, we had a soft opening at the Dunklin Health Center on 11/27 and saw our first patient for dental services. We are continuing to develop workflows for staff and between our staff and the school district to ensure smooth operations.

Page 20: Leadership Report - COMTREA

Human Resources

20Section 10 – Human Resources

Submitted by Donna Harris -BrekelMonthly Review

Dec

-17

Jan.

201

8

Feb.

201

8

Mar

-18

Apr-1

8

May

-18

Jun-

18

Jul-1

8

Aug-

18

Sep-

18

Oct

-18

Nov

-18

Annual Turnover Rate22.79

%22.99

%23.62

%24.39

%24.61

%24.51

%25.77

%25.15

%24.67

%23.43

%23.28

%20.53

%

Voluntary Rate20.01

%20.50

%21.13

%22.45

%22.95

%22.87

%23.86

%23.24

%23.04

%21.82

%21.94

%19.22

%Involuntary Rate 2.78% 2.49% 2.49% 1.94% 1.66% 1.64% 1.91% 1.91% 1.63% 1.61% 1.34% 1.31%

Total # of Separations 4 9 4 11 4 7 9 5 11** 6 7 6# Providers* 0 0 1 1 0 0 2 0 0 0 0 0

# of EE with 5+ yrs of Service 1 1 0 2 1 3 2 1 1 0 2 3

# of EE between 1 and 4.9 years of Service 4 8 2 4 3 3 6 3 3 1

# of EE with < 1 yr of Service 0 5 0 1 1 0 4 0 4 3 2 2# of Open Positions 24 24 12 24 15 12 19 20 32 28 25 21

Average Days to Fill: Non-Providers 54 76 101 84 57.6 48.2 90 79 45.5 42 65 89

# Days to fill provider positions* 160 214 214 214 214 214 214 372 372 372 372 372

# of Active EE 361 371 375 370 373 375 377 377 384 389 397 398

* Providers= Doctors, Dentists, NPs

Page 21: Leadership Report - COMTREA

Fundraising/Capital Campaign

21Section 11 – Fundraising / CC

Submitted by Kim Elbl

Event Name Date Where Benefitting Contact Info

Music Trivia Night SaturdayJanuary, 26

2019

TBC VenuePevely, MO

TWT Laura Casey [email protected]

Mardi Gras SaturdayFebruary, 2

2019

Quality InnFestus, MO

A Safe Place

Kim [email protected]

636-232-2330Champions for

ChildrenSaturday

February, 23 2019

KC HallWashington, MO

CAC Kathy Carr [email protected]

Galactic Trivia Night

FridayMarch 23

2019

Elks ClubFestus, MO

Mary’s House of Hope at A Safe Place

Kristy Neuman [email protected]

Furry Tales Do Come True

SaturdayApril, 13

2019

Elks ClubFestus, MO

TWT Laura [email protected]

On the Red Carpet SaturdayApril, 27

2019

Twin Oaks Winery

Farmington, MO

CAC Kathy Carr [email protected]

Hawaiian Luau Trivia Night!

FridayMay, 31

2018

TBC VenuePevely, MO

Co-Worker Help Fund

[email protected]

COMTREA Fundraisers

A grant will be submitted to the Mabee Foundation for $300,000.00 for the transitional housing build.

A Year End Appeal will be mailed the week of December 3 to all donors in the COMTREA donor database.

An employee support campaign will be relaunched the week of December 3.

Laurell K. Hamilton local author promoted Mary’s House of Hope at A Safe Place on her Facebook page for Giving Tuesday and raised over $16,000 for the project.

Page 22: Leadership Report - COMTREA

Financials

22Section 12 - Financials

Submitted by Amy Rhodes

OCTOBER 2018 FINANCIAL INFORMATION

FOLLOWS THIS PAGE

Page 23: Leadership Report - COMTREA

Notes to the 2018 Financial Statements OCTOBER 2018

• Overall, posted $134,167 profit for the month of October and $115,573 profit for the FY. • Cash flow remains tight as days in cash continues below 30 days. • AR slightly increased primarily due to MIL tax AR • Overall Revenues are down by 9.86% while expenses sit at 4% under budget. Donations down 8%, grants billed

are 12% below budget. CCBHC

• REVENUES/EXPENSES – Net Profit at $1,205,142 (20%) • All revenues have been reconciled to the PPS rate.

o Patient Revenue is down by 1%, primarily in Medicare and DMH. DMH is improving. o Expenses – over budget by 26%

Same areas as previously mentioned. Additional expenses for move into New Welcome Center

FQHC REVENUES/EXPENSES

o Primary Care – Patient Revenue down (34.42%) - improvement from prior month. YTD net loss of $159,781 (21%)

o Oral Health – Patient Revenue down (28.66%) - improvement from prior month– YTD net loss of $51,177 (3%) Some delays in credentialing and shortage of dental assistance will cause some shortfalls in

revenues. Lab Fees (Dentures) increase for the month. Additional expenses for oral surgery charges ($7,151) Expenses increased with purchases for Dunklin opening in November/December ($21,895).

Should level out remainder of the year. o Behavioral Health – Patient Revenue over budget 43.83%. Net profit YTD $331.443, however this is a

shared profit with CCBHC programs. COMMUNITY SERVICES A SAFE PLACE

o Capital Campaign advertising CHILDREN’S ADVOCACY CENTER

o All grant revenues behind in budget ADMINISTRATION

o Communication/Internet expenses continue to increase – monitoring o Upgrades for Microsoft software licenses across agency o Increase in Marketing expenses for sponsorships with Jeffco Deputy and NAMI

SEPTEMBER 2018

• Overall, posted a $75,159 loss for the month of September. Part of this is due to DMH/PPS reconciliation for the first quarter posting in September, but reflective of the entire quarter.

• Cash flow slightly remains tight as days in cash continues below 30 days. • AR remains at about 79 days • Overall Revenues are down by 9.86% while expenses sit at 4% under budget. Donations down 8%, grants billed

are 12% below budget. CCBHC

• REVENUES/EXPENSES – Net Profit at $793,986 (18%) • All revenues have been reconciled to the PPS rate.

Page 24: Leadership Report - COMTREA

o Patient Revenue is down by 1%, primarily in Medicare and DMH. Other areas of concern are in the youth department. Some of this is seasonal.

o Expenses – over budget by 24% Psychiatrist Fees – Running over budget for the year. Will most likely continue Medical Expenses – ProCare invoices for MAT prescriptions Contracted Services – continued fees for Avatar implementation and support Vehicle Expense – aging fleet - replace brakes/rotors & sensor Repairs & Maintenance – Building designs, PSR refrigerator, construction supplies, fall

maintenance on heating units. FQHC

REVENUES/EXPENSES o Primary Care – Patient Revenue down (37.52%) YTD net loss of $123,433 (21%) o Oral Health – Patient Revenue down (29.98%) – Current profit of $1,726 (<1%)

All providers on board as of August 23. Delays in credentialing and shortage of dental assistance will cause some shortfalls in revenues.

o Behavioral Health – Patient Revenue over budget 42.62%. Net profit YTD $228,263, however this is a shared profit with CCBHC programs. Psychiatrist fees over budget as mentioned above Medical Expense over budget by ProCare invoices for MAT prescriptions. Addition of primary

care NP to monthly expense. COMMUNITY SERVICES A SAFE PLACE

o All revenues behind budget. Shelter grants will start billing in October o Court Revenues received in October o Repairs and Maintenance – fence and Mary’s House of Hope designs

CHILDREN’S ADVOCACY CENTER o All grant revenues behind in budget

ADMINISTRATION o Employee appreciation expenses for annual BBQ and service awards o Vehicle expenses include several repairs to maintenance vehicles

AUGUST 2018

• Overall, posted $186,923 profit for the month of August and $58,961 for the FY. • Cash flow slightly remains tight as days in cash continues below 30 days. • AR remains at about 75 days

Repairs and Maintenance expenses are up in several programs: • High Ridge had an installation of an A/C unit. • Hickory Plaza received a late invoice for cleaning services from June. • MAP was transported $360 and $160 per week to pump out MAP wastes. • Fox had to replace an A/C Head $816 and water lines/hose $274.65.

Medical Expenses • A&D Adult charges for Besse Medical for Vivitrol $11,087. • Hickory Plaza Procare pharmacy distributions $14,949.

Program Supplies • A&D Adult ordered 2500 (13 Panel Drug Cups) $16,472 • CAC ordered supplies for a FCCRB one time grant that has not been reimbursed yet.

Employee Incentives

• Administration bought employee appreciation t-shirts for BBQ and t-shirts for Cardinal Game. Professional Fees

Page 25: Leadership Report - COMTREA

• Emerson Medical Qualis Health $7,895 • Festus Telepsych services $19,200. • Arnold Telepsych services $9,600 to St. Louis University and Dr. Krojanker.

COMMUNITY SERVICES • A Safe Place

o DFS Shelter was only awarded an extension at this time and we have already billed out the amount allowed through extension period of September 30. Should get new award to start October 1st.

o Court Services for A Safe Place o No SVDV since May, waiting for Kristy from Jefferson County to call me back as she said she needed

to talk with me about what the problem is. Have not received since May, 2018. • CAC

o FCCRB Grant is not billed out due to little or no school presentations scheduled. Need to discuss further with CAC.

JULY 2018

• Overall, posted a $127,929 loss for the month of July. • Cash flow slightly remains tight as days in cash continues below 30 days. MIL tax, final payment for calendar

year 2018 received in August. • AR remains at about 72 days • Overall Revenues are down by 15% while expenses sit at almost 5% under budget. Sales tax down 14%,

donations down 76%, grants about 1% below budget. CCBHC

• REVENUES/EXPENSES – Net Profit at $248,809 (17%) • All revenues have been reconciled to the PPS rate.

o Patient Revenue is down by 2%, primarily in Medicare as there were several prior year adjustments made in July. Other areas of concern are in the youth department. Some of this is seasonal.

o Expenses – over budget by 20% Psychiatrist Fees – June invoice for telepsych paid in July Medical Expenses – ProCare invoices for MAT prescriptions Contracted Services – continued fees for Avatar implementation and support

FQHC REVENUES/EXPENSES

o Primary Care – Patient Revenue down (45.87%) Current net loss of $71,753 (43%) 340B revenue will increase with Dr. Helton now on plan. Expenses of Salaries and Medical Services are miss allocations and will be adjusted. With

adjustments, net loss is approximately $52,892 (32%) o Oral Health – Patient Revenue down (35.92%) – Current net loss $8,507

$4,000 expense for electric drop for MAP clinic – one time cost $2,197 expense for dental equipment training – one time cost All providers on board as of August 23. Delays in credentialing and shortage of dental assistance

will cause some shortfalls in revenues. o Behavioral Health – Patient Revenue over budget 14.32% this includes the significant adjustments to

Medicare as mentioned above. 340B revenue under budget as many of new providers are not on plans yet. Psychiatrist fees over budget as mentioned above Professional fees over budget by quarterly fee for audits Medical Expense over budget by ProCare invoices for MAT prescriptions. This needs to be

monitored closely. Contracted services – implementation fees for Avatar – this will be reviewed for accuracy

COMMUNITY SERVICES – Salaries across all services needs to be reviewed for allocations based on budget. A SAFE PLACE

Page 26: Leadership Report - COMTREA

o All revenues behind budget. Court fees have not been received. Delays in billing VOCA grant and Donations/Fundraising down as there are no current events.

o Repairs and Maintenance - installation of refrigerator, dishwasher and freezer. Plus materials for retaining wall. All budgeted, but amount was annualized.

SCHOOL SERVICES – fully staffed and waiting for school to start CHILDREN’S ADVOCACY CENTER

o Delays in billing VOCA and other grants. FCCRB grant not being utilized fully. Donations/Fundraising down. Golf Tournament did not bring in the funds as expected.

TALES WITH TAILS o Training program has not started (Patient Revenue) o Donations down because no current events

Page 27: Leadership Report - COMTREA

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Page 28: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Summary of All UnitsFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $105,390 $101,241 $4,149 4.10% $398,125 $404,964 ($6,839) (1.69%) $1,214,891REVENUES - INSURANCE 130,946 126,548 4,398 3.48% 484,573 506,193 (21,619) (4.27%) 1,518,578REVENUES - MC+ 401,885 399,102 2,783 0.70% 1,392,009 1,596,409 (204,400) (12.80%) 4,789,227REVENUES - DMH 864,225 900,417 (36,192) (4.02%) 3,328,642 3,601,667 (273,025) (7.58%) 10,805,000REVENUES - DMH HOUSING 26,909 32,500 (5,591) (17.20%) 91,239 130,000 (38,762) (29.82%) 390,000REVENUES - MEDICAID 206,218 250,456 (44,238) (17.66%) 857,086 1,001,823 (144,738) (14.45%) 3,005,470REVENUES - MEDICARE 32,403 53,833 (21,430) (39.81%) 101,145 215,331 (114,186) (53.03%) 645,992Patient Revenue: 1,767,976 1,864,097 (96,120) (5.16%) 6,652,819 7,456,387 (803,568) (10.78%) 22,369,158

REVENUES - DPS - VOCA 27,884 33,967 (6,082) (17.91%) 115,400 135,867 (20,467) (15.06%) 407,600REVENUES - DFS 19,865 9,583 10,281 107.28% 27,387 38,333 (10,946) (28.56%) 115,000REVENUES - CHILDREN'S DIVISION 18,057 20,833 (2,777) (13.33%) 71,069 83,333 (12,265) (14.72%) 250,000REVENUES - COURT SERVICES 23,190 7,250 15,940 219.87% 32,943 29,000 3,943 13.60% 87,000REVENUES - MIL TAX 241,667 241,667 0 0.00% 966,667 966,667 0 0.00% 2,900,000REVENUES - SALES TAX 193,635 233,333 (39,698) (17.01%) 916,665 933,333 (16,669) (1.79%) 2,800,000REVENUES - GRANTS 188,386 179,350 9,036 5.04% 681,814 717,399 (35,585) (4.96%) 2,152,196REVENUES - SCHOOL SERVICES 2,423 2,500 (77) (3.08%) 6,923 10,000 (3,077) (30.77%) 30,000REVENUES - DONATIONS / FUNDRAISING 14,147 20,925 (6,778) (32.39%) 71,318 83,700 (12,382) (14.79%) 251,100REVENUES - UNITED WAY 2,907 7,050 (4,143) (58.76%) 3,207 28,200 (24,993) (88.63%) 84,600REVENUES - 340B 27 37,917 (37,890) (99.93%) 85,951 151,667 (65,716) (43.33%) 455,000REVENUES - OTHER 40,281 23,667 16,615 70.20% 161,585 94,667 66,919 70.69% 284,000 Total Revenue 2,540,445 2,682,139 (141,693) (5.28%) 9,793,748 10,728,553 (934,807) (8.71%) 32,185,654

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 1,348,563 1,549,602 201,039 12.97% 5,582,777 6,198,408 615,631 9.93% 18,595,223PERSONNEL - COMP, OVERTIME 10,997 10,394 (604) (5.81%) 34,808 41,574 6,766 16.28% 124,722PERSONNEL - TAXES 94,842 119,340 24,497 20.53% 398,394 477,358 78,965 16.54% 1,432,075PERSONNEL - BENEFITS 170,149 177,876 7,727 4.34% 679,212 711,504 32,292 4.54% 2,134,512PERSONNEL - TRAINING & EDUC 7,348 9,806 2,458 25.07% 28,420 39,225 10,805 27.55% 117,675PROFESSIONAL FEES - PSYCH 6,800 16,667 9,867 59.20% 103,991 66,667 (37,324) (55.99%) 200,000 Total Employee-Related Expenses 1,638,699 1,883,685 244,985 13.01% 6,827,602 7,534,736 707,135 9.39% 22,604,207

Other Operating Expenses: PROFESSIONAL FEES 56,894 52,992 (3,903) (7.36%) 184,412 211,967 27,555 13.00% 635,900TRAVEL EXPENSE 2,946 6,583 3,638 55.25% 8,904 26,463 17,560 66.35% 79,130MILEAGE 9,162 11,575 2,413 20.85% 33,755 46,407 12,652 27.26% 139,007CLIENT TRANSPORTATION 200 33 (167) (499.88%) 220 133 (87) (64.97%) 400BUILDING EXPENSE 34,545 35,625 1,080 3.03% 154,954 142,500 (12,454) (8.74%) 427,500INSURANCE EXPENSE 28,602 26,758 (1,844) (6.89%) 110,747 107,033 (3,714) (3.47%) 321,401COMMUNICATIONS 35,927 28,722 (7,205) (25.09%) 143,128 114,887 (28,241) (24.58%) 344,660OFFICE/PRINTING SUPPLIES 8,868 9,004 136 1.51% 28,493 36,017 7,524 20.89% 108,050PROGRAM SUPPLIES 68,091 46,992 (21,099) (44.90%) 202,578 187,967 (14,611) (7.77%) 563,900CLEANING/MAINT SUPPLIES 3,766 2,608 (1,158) (44.40%) 10,305 10,433 129 1.23% 31,300POSTAGE/FREIGHT 3,567 3,004 (563) (18.75%) 15,121 12,017 (3,105) (25.84%) 36,050NON-CAPITAL EQUIPMENT 26,194 15,575 (10,619) (68.18%) 53,294 62,300 9,006 14.46% 186,900VEHICLE EXPENSE 21,365 14,725 (6,640) (45.10%) 78,910 58,900 (20,010) (33.97%) 176,700REPAIRS & MAINTENANCE 46,048 39,375 (6,673) (16.95%) 198,284 157,500 (40,784) (25.89%) 472,500ADVERTISING/MARKETING 15,108 13,142 (1,967) (14.96%) 46,634 52,567 5,933 11.29% 157,700ADVERTISING, RECRUITING 360 750 390 52.00% 1,260 3,000 1,740 58.00% 9,000FUNDRAISING EXPENSE 4,182 6,083 1,901 31.25% 15,329 24,333 9,004 37.00% 73,000MEDICAL EXPENSE 124,215 76,750 (47,465) (61.84%) 396,429 307,000 (89,429) (29.13%) 921,000340B MEDICAL EXPENSE 7,186 12,500 5,314 42.51% 32,892 50,000 17,108 34.22% 150,000HOUSING EXPENSE 23,904 25,000 1,096 4.39% 95,099 100,000 4,901 4.90% 300,000FOOD SERVICE 11,208 11,208 0 0.00% 43,974 44,833 859 1.92% 134,500RECREATION FEES 1,113 1,167 53 4.56% 4,828 4,667 (162) (3.46%) 14,000WRAPAROUND SERVICES 794 475 (319) (67.17%) 2,757 1,900 (857) (45.11%) 5,700DEPRECIATION EXPENSE 118,915 111,983 (6,932) (6.19%) 479,118 447,933 (31,184) (6.96%) 1,343,800INTEREST EXPENSE 5,930 5,667 (264) (4.65%) 23,244 22,667 (577) (2.55%) 68,000CONTRACTED SERVICES 87,678 57,065 (30,612) (53.64%) 370,353 228,261 (142,092) (62.25%) 684,782MISCELLANEOUS EXPENSE 20,811 27,792 6,981 25.12% 115,551 111,167 (4,385) (3.94%) 333,500 Total Other Operating Expenses 767,579 643,153 (124,429) (19.35%) 2,850,573 2,572,852 (277,722) (10.79%) 7,718,380

Additional Expense Section:

Total Operating Expenses 2,406,278 2,526,838 120,556 4.77% 9,678,175 10,107,588 429,413 4.25% 30,322,587

Income (Loss) 134,167 155,301 (21,137) (13.61%) 115,573 620,965 (505,394) (81.39%) 1,863,067

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD94.72% 86.99% 95.23% 86.39% 91.29% 90.62% 95.75% 18.61%

October YTD

Page 29: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

C.P.R.C.For the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $1,460 $2,083 ($623) (29.92%) $36,281 $8,333 $27,948 335.37% $25,000REVENUES - INSURANCE 2,213 2,500 (287) (11.46%) 8,569 10,000 (1,431) (14.31%) 30,000REVENUES - MC+ 3,598 4,167 (569) (13.65%) 10,586 16,667 (6,081) (36.49%) 50,000REVENUES - DMH 489,462 512,500 (23,038) (4.50%) 1,909,801 2,050,000 (140,199) (6.84%) 6,150,000REVENUES - DMH HOUSING 26,909 32,500 (5,591) (17.20%) 91,239 130,000 (38,762) (29.82%) 390,000REVENUES - MEDICAID 4,094 20,833 (16,739) (80.35%) 16,652 83,333 (66,681) (80.02%) 250,000REVENUES - MEDICARE (175) 0 (175) 0.00% 1,090 0 1,090 0.00% 0Patient Revenue: 527,561 574,583 (47,022) (8.18%) 2,074,218 2,298,333 (224,116) (9.75%) 6,895,000

REVENUES - COURT SERVICES 300 1,667 (1,367) (82.00%) 5,794 6,667 (873) (13.10%) 20,000REVENUES - MIL TAX 46,144 0 46,144 0.00% 92,288 0 92,288 0.00% 0REVENUES - DONATIONS / FUNDRAISING 205 250 (45) (18.11%) 2,349 1,000 1,349 134.91% 3,000REVENUES - OTHER 6,675 0 6,675 0.00% 28,792 0 28,792 0.00% 0 Total Revenue 580,885 576,500 4,385 0.76% 2,203,441 2,306,000 (102,559) (4.45%) 6,918,000

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 213,474 266,852 53,378 20.00% 881,640 1,067,407 185,767 17.40% 3,202,222PERSONNEL - COMP, OVERTIME 842 1,167 325 27.86% 3,536 4,667 1,131 24.24% 14,000PERSONNEL - TAXES 15,913 20,503 4,591 22.39% 65,714 82,014 16,300 19.87% 246,041PERSONNEL - BENEFITS 29,007 29,354 347 1.18% 113,181 117,415 4,234 3.61% 352,244PERSONNEL - TRAINING & EDUC 1,761 1,667 (95) (5.67%) 2,098 6,667 4,569 68.53% 20,000 Total Employee-Related Expenses 260,997 319,543 58,546 18.32% 1,066,169 1,278,170 212,000 16.59% 3,834,507

Other Operating Expenses: PROFESSIONAL FEES 28,215 32,917 4,702 14.28% 112,942 131,667 18,725 14.22% 395,000TRAVEL EXPENSE 382 667 285 42.76% 1,347 2,667 1,320 49.49% 8,000MILEAGE 1,644 2,917 1,273 43.64% 8,257 11,667 3,410 29.22% 35,000CLIENT TRANSPORTATION 0 17 17 100.00% 0 67 67 100.00% 200BUILDING EXPENSE 2,990 3,750 760 20.26% 16,060 15,000 (1,060) (7.06%) 45,000INSURANCE EXPENSE 6,176 5,667 (510) (9.00%) 24,706 22,667 (2,039) (9.00%) 68,000COMMUNICATIONS 3,969 4,000 31 0.77% 15,412 16,000 588 3.68% 48,000OFFICE/PRINTING SUPPLIES 1,261 1,000 (261) (26.11%) 3,819 4,000 181 4.53% 12,000PROGRAM SUPPLIES 7,373 708 (6,664) (940.83%) 11,075 2,833 (8,242) (290.89%) 8,500CLEANING/MAINT SUPPLIES 930 333 (596) (178.88%) 1,764 1,333 (430) (32.28%) 4,000POSTAGE/FREIGHT 518 375 (143) (38.06%) 2,197 1,500 (697) (46.49%) 4,500NON-CAPITAL EQUIPMENT 1,540 833 (706) (84.77%) 3,208 3,333 125 3.76% 10,000VEHICLE EXPENSE 10,797 6,250 (4,547) (72.75%) 38,286 25,000 (13,286) (53.15%) 75,000REPAIRS & MAINTENANCE 5,425 4,667 (759) (16.26%) 25,156 18,667 (6,489) (34.76%) 56,000ADVERTISING/MARKETING 0 500 500 100.00% 3,835 2,000 (1,835) (91.75%) 6,000ADVERTISING, RECRUITING 0 42 42 100.00% 0 167 167 100.00% 500FUNDRAISING EXPENSE 83 167 84 50.24% 538 667 128 19.23% 2,000MEDICAL EXPENSE 0 42 42 100.00% 38 167 129 77.20% 500HOUSING EXPENSE 23,904 25,000 1,096 4.39% 95,099 100,000 4,901 4.90% 300,000FOOD SERVICE 1,086 1,250 164 13.11% 4,070 5,000 930 18.59% 15,000RECREATION FEES 93 100 7 7.14% 559 400 (159) (39.79%) 1,200WRAPAROUND SERVICES 794 100 (694) (694.08%) 1,764 400 (1,364) (340.94%) 1,200DEPRECIATION EXPENSE 9,852 8,583 (1,269) (14.79%) 39,567 34,333 (5,234) (15.24%) 103,000INTEREST EXPENSE 956 833 (122) (14.70%) 3,788 3,333 (455) (13.64%) 10,000CONTRACTED SERVICES 7,985 5,583 (2,402) (43.02%) 29,925 22,333 (7,591) (33.99%) 67,000MISCELLANEOUS EXPENSE 0 83 83 100.00% 543 333 (210) (62.94%) 1,000 Total Other Operating Expenses 115,973 106,384 (9,589) (9.01%) 443,955 425,534 (18,422) (4.33%) 1,276,600

Additional Expense Section:

Total Operating Expenses 376,970 425,927 48,957 11.49% 1,510,124 1,703,704 193,578 11.36% 5,111,107

Income (Loss) 203,915 150,573 53,342 35.43% 693,317 602,296 91,019 15.11% 1,806,893

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD100.76% 81.68% 88.51% 135.43% 95.55% 83.41% 88.64% 115.11%

October YTD

Page 30: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Keaton Center - Residential CareFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $29,769 $21,667 $8,102 37.39% $85,450 $86,667 ($1,217) (1.40%) $260,000REVENUES - DMH 0 0 0 0.00% 40 0 40 0.00% 0REVENUES - MEDICAID 2,003 4,167 (2,164) (51.94%) 9,856 16,667 (6,811) (40.86%) 50,000Patient Revenue: 31,772 25,834 5,938 22.99% 95,346 103,334 (7,987) (7.73%) 310,000

REVENUES - MIL TAX 0 46,144 (46,144) (100.00%) 92,288 184,577 (92,288) (50.00%) 553,730REVENUES - DONATIONS / FUNDRAISING 0 8 (8) (100.00%) 141 33 107 321.85% 100REVENUES - OTHER 1,096 0 1,096 0.00% 1,096 0 1,096 0.00% 0 Total Revenue 32,868 71,986 (39,119) (54.34%) 188,871 287,944 (99,072) (34.41%) 863,830

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 27,410 30,899 3,489 11.29% 114,783 123,596 8,813 7.13% 370,787PERSONNEL - COMP, OVERTIME 2,265 3,750 1,485 39.60% 8,669 15,000 6,331 42.21% 45,000PERSONNEL - TAXES 2,241 2,651 410 15.47% 9,302 10,603 1,301 12.27% 31,808PERSONNEL - BENEFITS 6,470 4,944 (1,527) (30.88%) 25,322 19,775 (5,547) (28.05%) 59,326PERSONNEL - TRAINING & EDUC 926 167 (760) (455.74%) 1,111 667 (445) (66.68%) 2,000 Total Employee-Related Expenses 39,312 42,411 3,098 7.31% 159,187 169,641 10,454 6.16% 508,921

Other Operating Expenses: TRAVEL EXPENSE 19 17 (2) (14.82%) 76 67 (10) (14.62%) 200MILEAGE 31 100 69 68.84% 72 400 328 81.96% 1,200BUILDING EXPENSE 1,076 1,500 424 28.26% 6,617 6,000 (617) (10.28%) 18,000INSURANCE EXPENSE 1,646 1,333 (312) (23.43%) 6,583 5,333 (1,249) (23.43%) 16,000COMMUNICATIONS 237 333 97 28.98% 1,190 1,333 143 10.75% 4,000OFFICE/PRINTING SUPPLIES 177 67 (111) (165.88%) 256 267 11 4.18% 800PROGRAM SUPPLIES 1,303 1,250 (53) (4.24%) 4,610 5,000 390 7.80% 15,000CLEANING/MAINT SUPPLIES 110 250 140 55.98% 732 1,000 268 26.79% 3,000POSTAGE/FREIGHT 161 100 (61) (61.21%) 558 400 (158) (39.40%) 1,200NON-CAPITAL EQUIPMENT 0 167 167 100.00% 10 667 657 98.56% 2,000VEHICLE EXPENSE 217 250 33 13.24% 946 1,000 54 5.40% 3,000REPAIRS & MAINTENANCE 896 1,167 271 23.24% 5,214 4,667 (547) (11.73%) 14,000MEDICAL EXPENSE 83 42 (41) (98.42%) 289 167 (122) (73.24%) 500FOOD SERVICE 3,689 4,167 478 11.47% 15,636 16,667 1,031 6.19% 50,000RECREATION FEES 768 750 (18) (2.37%) 2,917 3,000 83 2.76% 9,000DEPRECIATION EXPENSE 1,604 1,667 63 3.75% 6,440 6,667 227 3.40% 20,000CONTRACTED SERVICES 343 417 74 17.66% 1,043 1,667 623 37.39% 5,000MISCELLANEOUS EXPENSE 0 83 83 100.00% 0 333 333 100.00% 1,000 Total Other Operating Expenses 12,360 13,660 1,299 9.51% 53,189 54,635 1,445 2.64% 163,900

Additional Expense Section:

Total Operating Expenses 51,672 56,071 4,397 7.84% 212,376 224,276 11,898 5.31% 672,821

Income (Loss) (18,804) 15,915 (34,721) (218.13%) (23,505) 63,668 (87,174) (136.92%) 191,009

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD45.66% 92.69% 92.15% (118.15%) 65.59% 93.84% 94.69% (36.92%)

October YTD

Page 31: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

A D Adult OutpatientFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $2,011 $42 $1,969 4724.93% $25,944 $167 $25,777 15464.90% $500REVENUES - INSURANCE 0 42 (42) (100.00%) (2,400) 167 (2,567) (1539.88%) 500REVENUES - MC+ 0 2,917 (2,917) (100.02%) 0 11,667 (11,667) (100.00%) 35,000REVENUES - DMH 218,410 183,333 35,076 19.13% 798,748 733,333 65,415 8.92% 2,200,000REVENUES - MEDICAID 0 667 (667) (100.00%) 0 2,667 (2,667) (100.00%) 8,000REVENUES - MEDICARE 0 83 (83) (100.00%) 0 333 (333) (100.00%) 1,000Patient Revenue: 220,421 187,084 33,336 17.82% 822,292 748,334 73,958 9.88% 2,245,000

REVENUES - DONATIONS / FUNDRAISING 20 0 20 0.00% 32 0 32 0.00% 0REVENUES - OTHER 150 0 150 0.00% 1,525 0 1,525 0.00% 0 Total Revenue 220,591 187,084 33,506 17.91% 823,849 748,334 75,515 10.09% 2,245,000

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 92,080 96,613 4,534 4.69% 411,858 386,453 (25,405) (6.57%) 1,159,359PERSONNEL - COMP, OVERTIME 792 483 (309) (63.87%) 3,257 1,932 (1,324) (68.53%) 5,797PERSONNEL - TAXES 6,733 7,428 695 9.35% 30,484 29,711 (773) (2.60%) 89,134PERSONNEL - BENEFITS 15,260 10,627 (4,632) (43.59%) 59,398 42,510 (16,888) (39.73%) 127,529PERSONNEL - TRAINING & EDUC 124 500 376 75.25% 1,662 2,000 338 16.89% 6,000 Total Employee-Related Expenses 114,989 115,651 664 0.57% 506,659 462,606 (44,052) (9.52%) 1,387,819

Other Operating Expenses: TRAVEL EXPENSE 66 83 18 21.33% 540 333 (207) (62.08%) 1,000MILEAGE 902 1,250 348 27.87% 2,905 5,000 2,095 41.89% 15,000CLIENT TRANSPORTATION 200 0 (200) 0.00% 200 0 (200) 0.00% 0BUILDING EXPENSE 2,297 2,000 (297) (14.83%) 11,519 8,000 (3,519) (43.99%) 24,000INSURANCE EXPENSE 4,132 3,167 (965) (30.48%) 16,528 12,667 (3,861) (30.48%) 38,000COMMUNICATIONS 1,968 1,667 (301) (18.06%) 7,569 6,667 (902) (13.53%) 20,000OFFICE/PRINTING SUPPLIES 746 500 (246) (49.27%) 1,532 2,000 468 23.39% 6,000PROGRAM SUPPLIES 340 4,167 3,827 91.84% 18,382 16,667 (1,716) (10.29%) 50,000CLEANING/MAINT SUPPLIES 371 208 (163) (78.15%) 805 833 29 3.44% 2,500POSTAGE/FREIGHT 264 208 (55) (26.57%) 1,118 833 (285) (34.21%) 2,500NON-CAPITAL EQUIPMENT 578 417 (162) (38.76%) 1,598 1,667 68 4.10% 5,000VEHICLE EXPENSE 645 583 (61) (10.52%) 3,093 2,333 (759) (32.55%) 7,000REPAIRS & MAINTENANCE 4,491 2,500 (1,991) (79.63%) 14,747 10,000 (4,747) (47.47%) 30,000ADVERTISING/MARKETING 0 125 125 100.00% 0 500 500 100.00% 1,500MEDICAL EXPENSE 10,079 1,667 (8,413) (504.76%) 29,230 6,667 (22,563) (338.45%) 20,000FOOD SERVICE 680 583 (97) (16.57%) 2,436 2,333 (103) (4.40%) 7,000RECREATION FEES 57 17 (40) (242.83%) 152 67 (86) (128.66%) 200DEPRECIATION EXPENSE 3,678 3,333 (345) (10.35%) 14,731 13,333 (1,398) (10.49%) 40,000INTEREST EXPENSE 398 250 (148) (59.14%) 1,469 1,000 (469) (46.92%) 3,000CONTRACTED SERVICES 3,441 1,250 (2,191) (175.32%) 14,489 5,000 (9,489) (189.77%) 15,000MISCELLANEOUS EXPENSE 0 0 0 0.00% 30 0 (30) 0.00% 0 Total Other Operating Expenses 35,333 23,975 (11,357) (47.37%) 143,073 95,900 (47,175) (49.19%) 287,700

Additional Expense Section:

Total Operating Expenses 150,322 139,626 (10,694) (7.66%) 649,732 558,506 (91,227) (16.33%) 1,675,519

Income (Loss) 70,269 47,458 22,813 48.07% 174,117 189,828 (15,712) (8.28%) 569,481

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD117.91% 99.43% 107.66% 148.07% 110.09% 109.52% 116.33% 91.72%

October YTD

Page 32: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Court Services - HillsboroFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $624 $83 $540 648.59% $3,502 $333 $3,169 950.79% $1,000REVENUES - DMH 27,761 41,667 (13,906) (33.37%) 128,081 166,667 (38,585) (23.15%) 500,000Patient Revenue: 28,385 41,750 (13,365) (32.01%) 131,583 167,000 (35,416) (21.21%) 501,000

REVENUES - COURT SERVICES 1,543 583 959 164.44% 5,801 2,333 3,468 148.62% 7,000REVENUES - MIL TAX 5,939 5,939 0 0.00% 23,757 23,757 0 0.00% 71,272REVENUES - OTHER 0 0 0 0.00% 20 0 20 0.00% 0 Total Revenue 35,867 48,272 (12,406) (25.70%) 161,161 193,090 (31,928) (16.54%) 579,272

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 9,099 16,329 7,230 44.28% 36,658 65,314 28,656 43.87% 195,943PERSONNEL - COMP, OVERTIME 0 83 83 100.00% 0 333 333 100.00% 1,000PERSONNEL - TAXES 677 1,256 578 46.05% 2,724 5,022 2,298 45.76% 15,066PERSONNEL - BENEFITS 1,843 1,959 116 5.94% 4,827 7,838 3,011 38.41% 23,513PERSONNEL - TRAINING & EDUC 12 250 238 95.05% 418 1,000 582 58.16% 3,000 Total Employee-Related Expenses 11,631 19,877 8,245 41.48% 44,627 79,507 34,880 43.87% 238,522

Other Operating Expenses: TRAVEL EXPENSE 6 42 36 86.20% 1,056 167 (889) (533.36%) 500MILEAGE 17 83 66 79.34% 426 440 14 3.15% 1,107BUILDING EXPENSE 3,485 3,583 98 2.73% 14,221 14,333 112 0.78% 43,000INSURANCE EXPENSE 324 417 93 22.28% 1,295 1,667 371 22.28% 5,000COMMUNICATIONS 893 417 (477) (114.40%) 3,583 1,667 (1,916) (114.96%) 5,000OFFICE/PRINTING SUPPLIES 31 67 36 53.49% 1,110 267 (843) (316.06%) 800PROGRAM SUPPLIES 26 42 16 37.82% 160 167 6 3.76% 500CLEANING/MAINT SUPPLIES 100 42 (58) (139.81%) 148 167 19 11.21% 500NON-CAPITAL EQUIPMENT 410 83 (326) (391.54%) 1,001 333 (667) (200.19%) 1,000VEHICLE EXPENSE 249 0 (249) 0.00% 249 0 (249) 0.00% 0REPAIRS & MAINTENANCE 94 83 (10) (12.23%) 543 333 (210) (63.01%) 1,000DEPRECIATION EXPENSE 1,263 83 (1,180) (1415.62%) 5,052 333 (4,719) (1415.62%) 1,000CONTRACTED SERVICES 1,949 208 (1,740) (835.41%) 10,498 833 (9,665) (1159.80%) 2,500 Total Other Operating Expenses 8,847 5,150 (3,696) (71.78%) 39,342 20,707 (18,635) (90.00%) 61,907

Additional Expense Section:

Total Operating Expenses 20,478 25,027 4,549 18.18% 83,969 100,214 16,244 16.21% 300,429

Income (Loss) 15,389 23,245 (7,857) (33.80%) 77,192 92,876 (15,684) (16.89%) 278,843

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD74.30% 58.51% 81.82% 66.20% 83.46% 56.13% 83.79% 83.11%

October YTD

Page 33: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

A Safe Place ShelterFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - DPS - VOCA $11,979 $13,083 ($1,105) (8.44%) $47,609 $52,333 ($4,725) (9.03%) $157,000REVENUES - DFS 19,865 9,583 10,281 107.28% 27,387 38,333 (10,946) (28.56%) 115,000REVENUES - COURT SERVICES 21,348 5,000 16,348 326.96% 21,348 20,000 1,348 6.74% 60,000REVENUES - MIL TAX 16,667 16,667 0 0.00% 66,667 66,667 0 0.00% 200,000REVENUES - SALES TAX 2,667 2,667 0 (0.00%) 10,667 10,667 0 (0.00%) 32,000REVENUES - DONATIONS / FUNDRAISING 3,248 10,833 (7,585) (70.01%) 7,181 43,333 (36,153) (83.43%) 130,000 Total Revenue 75,774 57,833 17,940 31.02% 180,859 231,333 (50,476) (21.82%) 694,000

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 29,915 33,329 3,414 10.24% 128,458 133,317 4,859 3.64% 399,950PERSONNEL - COMP, OVERTIME 59 417 358 85.92% 426 1,667 1,241 74.46% 5,000PERSONNEL - TAXES 2,203 2,582 379 14.67% 9,610 10,326 716 6.93% 30,979PERSONNEL - BENEFITS 4,668 3,379 (1,289) (38.14%) 17,285 13,517 (3,768) (27.88%) 40,550PERSONNEL - TRAINING & EDUC 248 240 (8) (3.41%) 296 958 663 69.14% 2,875 Total Employee-Related Expenses 37,093 39,947 2,854 7.15% 156,075 159,785 3,710 2.32% 479,354

Other Operating Expenses: PROFESSIONAL FEES 0 25 25 100.00% 0 100 100 100.00% 300TRAVEL EXPENSE 47 417 369 88.67% 238 1,797 1,558 86.74% 5,130MILEAGE 51 167 115 69.25% 641 667 25 3.79% 2,000CLIENT TRANSPORTATION 0 17 17 100.00% 20 67 47 70.01% 200BUILDING EXPENSE 837 1,250 413 33.06% 4,667 5,000 333 6.66% 15,000INSURANCE EXPENSE 990 833 (156) (18.76%) 3,958 3,333 (625) (18.76%) 10,301COMMUNICATIONS 427 1,150 723 62.88% 2,339 4,600 2,261 49.15% 13,800OFFICE/PRINTING SUPPLIES 297 292 (6) (1.91%) 686 1,167 481 41.20% 3,500PROGRAM SUPPLIES 313 667 354 53.11% 1,732 2,667 935 35.06% 8,000CLEANING/MAINT SUPPLIES 96 208 113 54.04% 333 833 500 59.99% 2,500POSTAGE/FREIGHT 80 125 45 35.82% 315 500 185 36.99% 1,500NON-CAPITAL EQUIPMENT 0 1,250 1,250 100.00% 0 5,000 5,000 100.00% 15,000VEHICLE EXPENSE 102 83 (19) (22.48%) 900 333 (567) (170.06%) 1,000REPAIRS & MAINTENANCE 1,499 1,250 (249) (19.94%) 8,593 5,000 (3,593) (71.86%) 15,000ADVERTISING/MARKETING 0 17 17 100.00% 0 67 67 100.00% 200FUNDRAISING EXPENSE 2,699 3,917 1,217 31.08% 3,976 15,667 11,691 74.62% 47,000FOOD SERVICE 253 833 580 69.64% 1,907 3,333 1,426 42.78% 10,000RECREATION FEES 158 208 51 24.38% 970 833 (137) (16.45%) 2,500DEPRECIATION EXPENSE 2,295 1,667 (628) (37.68%) 9,224 6,667 (2,557) (38.35%) 20,000CONTRACTED SERVICES 129 83 (46) (54.85%) 487 333 (154) (46.12%) 1,000MISCELLANEOUS EXPENSE 0 83 83 100.00% 14 333 319 95.82% 1,000 Total Other Operating Expenses 10,273 14,542 4,269 29.36% 41,000 58,297 17,295 29.67% 174,931

Additional Expense Section:

Total Operating Expenses 47,366 54,489 7,123 13.07% 197,075 218,082 21,004 9.63% 654,285

Income (Loss) 28,408 3,344 25,063 749.15% (16,216) 13,251 (29,472) (222.39%) 39,715

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD131.02% 92.86% 86.93% 849.52% 78.18% 97.68% 90.37% (122.38%)

October YTD

Page 34: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Friends of Safe PlaceFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - DONATIONS / FUNDRAISING $9,991 $0 $9,991 0.00% $41,164 $0 $41,164 0.00% $0 Total Revenue 9,991 0 9,991 0.00% 41,164 0 41,164 0.00% 0

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 4,160 0 (4,160) 0.00% 4,160 0 (4,160) 0.00% 0PERSONNEL - TAXES 357 0 (357) 0.00% 357 0 (357) 0.00% 0PERSONNEL - BENEFITS 825 0 (825) 0.00% 825 0 (825) 0.00% 0 Total Employee-Related Expenses 5,342 0 (5,343) 0.00% 5,342 0 (5,343) 0.00% 0

Other Operating Expenses: OFFICE/PRINTING SUPPLIES 34 0 (34) 0.00% 82 0 (82) 0.00% 0REPAIRS & MAINTENANCE 499 0 (499) 0.00% 4,345 0 (4,345) 0.00% 0ADVERTISING/MARKETING 914 0 (914) 0.00% 933 0 (933) 0.00% 0FUNDRAISING EXPENSE 1,400 0 (1,400) 0.00% 2,784 0 (2,784) 0.00% 0MISCELLANEOUS EXPENSE 0 0 0 0.00% 22 0 (22) 0.00% 0 Total Other Operating Expenses 2,847 0 (2,847) 0.00% 8,166 0 (8,167) 0.00% 0

Additional Expense Section:

Total Operating Expenses 8,189 0 (8,190) 0.00% 13,508 0 (13,510) 0.00% 0

Income (Loss) 1,802 0 1,802 0.00% 27,656 0 27,654 0.00% 0

October YTD

Page 35: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

General Counseling YouthFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $1,711 $2,083 ($372) (17.86%) $7,709 $8,333 ($625) (7.49%) $25,000REVENUES - INSURANCE 8,307 2,083 6,224 298.75% 24,874 8,333 16,540 198.48% 25,000REVENUES - MC+ 46,468 27,917 18,552 66.45% 157,154 111,667 45,488 40.74% 335,000REVENUES - DMH 58,607 83,333 (24,726) (29.67%) 188,845 333,333 (144,489) (43.35%) 1,000,000REVENUES - MEDICAID 6,692 4,167 2,526 60.62% 24,918 16,667 8,252 49.51% 50,000Patient Revenue: 121,785 119,583 2,203 1.84% 403,500 478,333 (74,834) (15.64%) 1,435,000

REVENUES - SALES TAX 58,646 58,646 0 0.00% 234,585 234,585 0 0.00% 703,756REVENUES - DONATIONS / FUNDRAISING 35 0 35 0.00% 35 0 35 0.00% 0REVENUES - OTHER 0 0 0 0.00% (5,049) 0 (5,049) 0.00% 0 Total Revenue 180,466 178,229 2,238 1.26% 633,071 712,918 (79,848) (11.20%) 2,138,756

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 102,678 109,996 7,318 6.65% 426,026 439,985 13,959 3.17% 1,319,955PERSONNEL - COMP, OVERTIME 161 125 (36) (28.49%) 362 500 138 27.70% 1,500PERSONNEL - TAXES 7,503 8,424 921 10.93% 31,058 33,697 2,639 7.83% 101,091PERSONNEL - BENEFITS 18,152 12,100 (6,053) (50.03%) 69,523 48,398 (21,125) (43.65%) 145,195PERSONNEL - TRAINING & EDUC 775 1,000 225 22.50% 1,375 4,000 2,625 65.63% 12,000 Total Employee-Related Expenses 129,269 131,645 2,375 1.80% 528,344 526,580 (1,764) (0.33%) 1,579,741

Other Operating Expenses: TRAVEL EXPENSE 203 625 422 67.46% 209 2,500 2,291 91.63% 7,500MILEAGE 695 1,250 555 44.42% 2,508 5,000 2,492 49.85% 15,000BUILDING EXPENSE 1,364 1,167 (197) (16.91%) 6,850 4,667 (2,183) (46.78%) 14,000INSURANCE EXPENSE 2,103 2,250 147 6.54% 8,411 9,000 589 6.54% 27,000COMMUNICATIONS 1,379 1,500 121 8.10% 5,903 6,000 97 1.62% 18,000OFFICE/PRINTING SUPPLIES 561 333 (228) (68.35%) 1,264 1,333 69 5.16% 4,000PROGRAM SUPPLIES 103 333 230 68.99% 1,223 1,333 110 8.27% 4,000CLEANING/MAINT SUPPLIES 287 167 (120) (72.30%) 605 667 61 9.19% 2,000POSTAGE/FREIGHT 317 250 (67) (26.86%) 1,370 1,000 (370) (37.01%) 3,000NON-CAPITAL EQUIPMENT 936 417 (520) (124.70%) 1,405 1,667 262 15.72% 5,000VEHICLE EXPENSE 2,630 1,500 (1,130) (75.36%) 6,659 6,000 (659) (10.98%) 18,000REPAIRS & MAINTENANCE 2,610 2,083 (527) (25.29%) 8,765 8,333 (432) (5.18%) 25,000RECREATION FEES 10 8 (1) (14.41%) 38 33 (5) (14.47%) 100WRAPAROUND SERVICES 0 375 375 100.00% 993 1,500 507 33.78% 4,500DEPRECIATION EXPENSE 4,084 2,917 (1,168) (40.03%) 16,443 11,667 (4,777) (40.94%) 35,000INTEREST EXPENSE 265 167 (99) (59.13%) 979 667 (313) (46.92%) 2,000CONTRACTED SERVICES 3,224 667 (2,557) (383.61%) 12,931 2,667 (10,264) (384.89%) 8,000MISCELLANEOUS EXPENSE 67 167 100 59.82% 281 667 386 57.86% 2,000 Total Other Operating Expenses 20,838 16,176 (4,664) (28.84%) 76,837 64,701 (12,137) (18.76%) 194,100

Additional Expense Section:

Total Operating Expenses 150,107 147,821 (2,289) (1.55%) 605,181 591,281 (13,901) (2.35%) 1,773,841

Income (Loss) 30,359 30,408 (51) (0.17%) 27,890 121,637 (93,749) (77.07%) 364,915

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD101.26% 98.20% 101.55% 99.84% 88.80% 100.33% 102.35% 22.93%

October YTD

Page 36: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

School ServicesFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - SALES TAX $44,429 $44,429 $0 0.00% $177,717 $177,717 $0 0.00% $533,151REVENUES - SCHOOL SERVICES 2,423 2,500 (77) (3.08%) 6,923 10,000 (3,077) (30.77%) 30,000REVENUES - UNITED WAY 0 3,750 (3,750) (100.00%) 0 15,000 (15,000) (100.00%) 45,000 Total Revenue 46,852 50,679 (3,827) (7.55%) 184,640 202,717 (18,077) (8.92%) 608,151

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 29,161 33,469 4,308 12.87% 123,094 133,875 10,781 8.05% 401,626PERSONNEL - TAXES 2,138 2,560 422 16.48% 9,111 10,241 1,130 11.04% 30,724PERSONNEL - BENEFITS 3,591 1,673 (1,917) (114.57%) 13,552 6,694 (6,858) (102.45%) 20,081PERSONNEL - TRAINING & EDUC 0 42 42 100.00% 0 167 167 100.00% 500 Total Employee-Related Expenses 34,890 37,744 2,854 7.56% 145,757 150,977 5,220 3.46% 452,931

Other Operating Expenses: TRAVEL EXPENSE 9 0 (9) 0.00% 64 0 (64) 0.00% 0MILEAGE 357 333 (23) (7.00%) 1,209 1,333 124 9.34% 4,000BUILDING EXPENSE 226 458 232 50.58% 2,009 1,833 (176) (9.60%) 5,500INSURANCE EXPENSE 362 500 138 27.67% 1,447 2,000 553 27.67% 6,000COMMUNICATIONS 453 750 297 39.55% 2,257 3,000 743 24.75% 9,000OFFICE/PRINTING SUPPLIES 96 67 (30) (44.70%) 300 267 (33) (12.32%) 800PROGRAM SUPPLIES 22 67 45 67.50% 161 267 106 39.59% 800CLEANING/MAINT SUPPLIES 61 67 6 8.55% 182 267 85 31.81% 800POSTAGE/FREIGHT 134 67 (67) (100.54%) 585 267 (318) (119.42%) 800NON-CAPITAL EQUIPMENT 0 250 250 100.00% 225 1,000 775 77.53% 3,000REPAIRS & MAINTENANCE 353 417 64 15.40% 3,255 1,667 (1,588) (95.28%) 5,000DEPRECIATION EXPENSE 548 1,083 536 49.45% 2,665 4,333 1,668 38.49% 13,000INTEREST EXPENSE 0 0 0 0.00% 162 0 (162) 0.00% 0CONTRACTED SERVICES 271 208 (63) (30.21%) 531 833 302 36.24% 2,500 Total Other Operating Expenses 2,892 4,267 1,376 32.24% 15,052 17,067 2,015 11.81% 51,200

Additional Expense Section:

Total Operating Expenses 37,782 42,011 4,230 10.07% 160,809 168,044 7,235 4.31% 504,131

Income (Loss) 9,070 8,668 403 4.64% 23,831 34,673 (10,842) (31.27%) 104,020

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD92.45% 92.44% 89.93% 104.64% 91.08% 96.54% 95.69% 68.73%

October YTD

Page 37: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Adol. OutpatientFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT ($46) $125 ($171) (136.96%) $2,806 $500 $2,306 461.29% $1,500REVENUES - INSURANCE 0 4,167 (4,167) (100.00%) (400) 16,667 (17,067) (102.40%) 50,000REVENUES - MC+ 0 2,500 (2,500) (100.00%) 0 10,000 (10,000) (100.00%) 30,000REVENUES - DMH 37,929 29,583 8,346 28.21% 109,995 118,333 (8,338) (7.05%) 355,000REVENUES - MEDICAID 120 0 120 0.00% 0 0 0 0.00% 0Patient Revenue: 38,003 36,375 1,628 4.47% 112,401 145,500 (33,098) (22.75%) 436,500

REVENUES - SALES TAX 36,675 36,675 0 0.00% 146,701 146,701 0 0.00% 440,104REVENUES - UNITED WAY 7 0 7 0.00% 307 0 307 0.00% 0REVENUES - OTHER 400 333 67 20.09% 950 1,333 (383) (28.73%) 4,000 Total Revenue 75,085 73,383 1,702 2.32% 260,359 293,534 (33,175) (11.30%) 880,604

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 22,278 39,525 17,247 43.64% 113,501 158,100 44,598 28.21% 474,299PERSONNEL - COMP, OVERTIME 173 125 (48) (38.65%) 452 500 48 9.60% 1,500PERSONNEL - TAXES 1,688 3,033 1,345 44.34% 8,509 12,133 3,624 29.87% 36,399PERSONNEL - BENEFITS 2,994 4,743 1,749 36.88% 15,129 18,972 3,843 20.25% 56,916PERSONNEL - TRAINING & EDUC 0 167 167 100.00% 0 667 667 100.00% 2,000 Total Employee-Related Expenses 27,133 47,593 20,460 42.99% 137,591 190,372 52,780 27.72% 571,114

Other Operating Expenses: TRAVEL EXPENSE 0 250 250 100.00% 0 1,000 1,000 100.00% 3,000MILEAGE 0 58 58 100.00% 78 233 155 66.44% 700BUILDING EXPENSE 1,165 1,500 335 22.32% 6,867 6,000 (867) (14.45%) 18,000INSURANCE EXPENSE 1,829 1,167 (663) (56.79%) 7,317 4,667 (2,650) (56.79%) 14,000COMMUNICATIONS 2,401 2,083 (318) (15.24%) 10,360 8,333 (2,027) (24.32%) 25,000OFFICE/PRINTING SUPPLIES 275 167 (108) (64.93%) 533 667 134 20.09% 2,000PROGRAM SUPPLIES 175 333 158 47.44% 607 1,333 726 54.48% 4,000CLEANING/MAINT SUPPLIES 252 167 (86) (51.43%) 682 667 (16) (2.35%) 2,000POSTAGE/FREIGHT 210 167 (44) (26.12%) 1,048 667 (382) (57.23%) 2,000NON-CAPITAL EQUIPMENT 169 333 165 49.45% 2,271 1,333 (938) (70.35%) 4,000VEHICLE EXPENSE 524 667 142 21.37% 2,096 2,667 571 21.41% 8,000REPAIRS & MAINTENANCE 2,857 2,500 (357) (14.28%) 12,030 10,000 (2,030) (20.30%) 30,000ADVERTISING/MARKETING 0 0 0 0.00% 23 0 (23) 0.00% 0MEDICAL EXPENSE 0 1,250 1,250 100.00% 1,039 5,000 3,962 79.23% 15,000FOOD SERVICE 179 208 30 14.21% 731 833 103 12.33% 2,500RECREATION FEES 0 83 83 100.00% 114 333 219 65.67% 1,000DEPRECIATION EXPENSE 4,054 3,167 (887) (28.01%) 16,515 12,667 (3,848) (30.38%) 38,000CONTRACTED SERVICES 3,457 1,000 (2,457) (245.66%) 13,082 4,000 (9,082) (227.05%) 12,000MISCELLANEOUS EXPENSE 0 0 0 0.00% 92 0 (92) 0.00% 0 Total Other Operating Expenses 17,547 15,100 (2,447) (16.20%) 75,485 60,400 (15,085) (24.98%) 181,200

Additional Expense Section:

Total Operating Expenses 44,680 62,693 18,013 28.73% 213,076 250,772 37,694 15.03% 752,314

Income (Loss) 30,405 10,690 19,715 184.41% 47,283 42,762 4,519 10.57% 128,290

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD102.32% 57.01% 71.27% 284.42% 88.70% 72.27% 84.97% 110.57%

October YTD

Page 38: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Healthcare HomeFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - MEDICAID $0 $0 $0 0.00% ($600) $0 ($600) 0.00% $0Patient Revenue: 0 0 0 0.00% (600) 0 (600) 0.00% 0

Total Revenue 0 0 0 0.00% (600) 0 (600) 0.00% 0

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 11,748 28,039 16,291 58.10% 87,315 112,155 24,839 22.15% 336,464PERSONNEL - TAXES 1,930 2,145 215 10.02% 7,620 8,580 960 11.19% 25,740PERSONNEL - BENEFITS 3,269 3,365 96 2.85% 11,520 13,459 1,939 14.41% 40,376PERSONNEL - TRAINING & EDUC 0 125 125 100.00% 810 500 (310) (62.00%) 1,500 Total Employee-Related Expenses 16,947 33,674 16,726 49.67% 107,265 134,694 27,428 20.36% 404,080

Other Operating Expenses: TRAVEL EXPENSE 502 417 (85) (20.45%) 1,737 1,667 (71) (4.25%) 5,000MILEAGE 1,253 500 (753) (150.51%) 1,856 2,000 144 7.20% 6,000INSURANCE EXPENSE 369 375 6 1.58% 1,476 1,500 24 1.58% 4,500COMMUNICATIONS 0 83 83 100.00% 0 333 333 100.00% 1,000OFFICE/PRINTING SUPPLIES 193 13 (181) (1445.52%) 224 50 (174) (348.08%) 150PROGRAM SUPPLIES 0 667 667 100.00% 1,254 2,667 1,413 52.98% 8,000CLEANING/MAINT SUPPLIES 6 0 (6) 0.00% 6 0 (6) 0.00% 0POSTAGE/FREIGHT 0 0 0 0.00% 1 0 (1) 0.00% 0NON-CAPITAL EQUIPMENT 154 42 (113) (270.19%) 460 167 (293) (175.98%) 500REPAIRS & MAINTENANCE 33 0 (33) 0.00% 162 0 (162) 0.00% 0DEPRECIATION EXPENSE 16 50 34 68.68% 61 200 139 69.45% 600CONTRACTED SERVICES 2,621 1,417 (1,204) (85.02%) 7,904 5,667 (2,237) (39.47%) 17,000 Total Other Operating Expenses 5,147 3,564 (1,584) (44.46%) 15,141 14,251 (891) (6.25%) 42,750

Additional Expense Section:

Total Operating Expenses 22,094 37,238 15,143 40.67% 122,406 148,945 26,537 17.82% 446,830

Income (Loss) (22,094) (37,238) 15,143 40.67% (123,006) (148,945) 25,937 17.41% (446,830)

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD0.00% 50.33% 59.33% 59.33% 0.00% 79.64% 82.18% 82.58%

October YTD

Page 39: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Primary Care Health HomeFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - MEDICAID $12,362 $12,000 $362 3.01% $48,236 $48,000 $236 0.49% $144,000Patient Revenue: 12,362 12,000 362 3.01% 48,236 48,000 236 0.49% 144,000

REVENUES - GRANTS 0 4,167 (4,167) (100.00%) 0 16,667 (16,667) (100.00%) 50,000REVENUES - OTHER 0 833 (833) (100.00%) 0 3,333 (3,333) (100.00%) 10,000 Total Revenue 12,362 17,000 (4,638) (27.28%) 48,236 68,000 (19,764) (29.06%) 204,000

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 22,242 12,240 (10,002) (81.71%) 45,365 48,961 3,595 7.34% 146,882PERSONNEL - COMP, OVERTIME 0 0 0 0.00% 19 0 (19) 0.00% 0PERSONNEL - TAXES 548 936 389 41.51% 2,154 3,745 1,591 42.48% 11,236PERSONNEL - BENEFITS 1,406 490 (917) (187.19%) 5,751 1,959 (3,792) (193.61%) 5,876PERSONNEL - TRAINING & EDUC 0 50 50 100.00% 3,049 200 (2,849) (1424.50%) 600 Total Employee-Related Expenses 24,196 13,716 (10,480) (76.41%) 56,338 54,865 (1,473) (2.69%) 164,594

Other Operating Expenses: TRAVEL EXPENSE 19 67 48 71.46% 30 267 236 88.65% 800MILEAGE 272 42 (230) (552.51%) 802 167 (635) (381.14%) 500INSURANCE EXPENSE 0 83 83 100.00% 0 333 333 100.00% 1,000COMMUNICATIONS 66 0 (66) 0.00% 131 0 (131) 0.00% 0PROGRAM SUPPLIES 0 125 125 100.00% 11,381 500 (10,881) (2176.30%) 1,500POSTAGE/FREIGHT 0 0 0 0.00% 11 0 (11) 0.00% 0MEDICAL EXPENSE 55 0 (55) 0.00% 110 0 (110) 0.00% 0CONTRACTED SERVICES (989) 500 1,489 297.77% 3,091 2,000 (1,091) (54.54%) 6,000 Total Other Operating Expenses (577) 817 1,394 170.70% 15,556 3,267 (12,290) (376.22%) 9,800

Additional Expense Section:

Total Operating Expenses 23,619 14,533 (9,086) (62.52%) 71,894 58,132 (13,763) (23.68%) 174,394

Income (Loss) (11,257) 2,467 (13,724) (556.28%) (23,658) 9,868 (33,527) (339.74%) 29,606

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD72.72% 176.41% 162.52% (456.30%) 70.94% 102.68% 123.67% (239.74%)

October YTD

Page 40: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Medical Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $11,815 $9,448 $2,367 25.06% $43,263 $37,792 $5,471 14.48% $113,376REVENUES - INSURANCE 44,979 56,676 (11,697) (20.64%) 161,256 226,705 (65,448) (28.87%) 680,114REVENUES - MC+ 28,322 49,044 (20,723) (42.25%) 104,127 196,177 (92,049) (46.92%) 588,530REVENUES - MEDICAID 27,818 32,798 (4,981) (15.19%) 87,393 131,193 (43,801) (33.39%) 393,579REVENUES - MEDICARE 13,136 20,416 (7,280) (35.66%) 45,670 81,664 (35,994) (44.08%) 244,992Patient Revenue: 126,070 168,382 (42,313) (25.13%) 441,709 673,531 (231,820) (34.42%) 2,020,591

REVENUES - GRANTS 64,594 64,594 0 0.00% 258,375 258,375 0 0.00% 775,125REVENUES - DONATIONS / FUNDRAISING 40 0 40 0.00% 40 0 40 0.00% 0REVENUES - 340B 27 13,750 (13,723) (99.81%) 24,460 55,000 (30,540) (55.53%) 165,000REVENUES - OTHER 0 2,500 (2,500) (100.00%) 45,444 10,000 35,444 354.44% 30,000 Total Revenue 190,731 249,226 (58,496) (23.47%) 770,028 996,906 (226,876) (22.76%) 2,990,716

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 123,133 130,112 6,979 5.36% 510,718 520,448 9,730 1.87% 1,561,343PERSONNEL - COMP, OVERTIME 744 583 (160) (27.49%) 1,663 2,333 670 28.71% 7,000PERSONNEL - TAXES 6,973 9,998 3,025 30.26% 29,461 39,993 10,532 26.33% 119,978PERSONNEL - BENEFITS 11,682 14,312 2,630 18.38% 52,188 57,249 5,061 8.84% 171,748PERSONNEL - TRAINING & EDUC 825 500 (325) (65.00%) 1,625 2,000 375 18.75% 6,000 Total Employee-Related Expenses 143,357 155,505 12,149 7.81% 595,655 622,023 26,367 4.24% 1,866,069

Other Operating Expenses: PROFESSIONAL FEES 1,980 1,000 (980) (97.96%) 12,006 4,000 (8,006) (200.16%) 12,000TRAVEL EXPENSE 633 250 (383) (153.02%) 758 1,000 242 24.20% 3,000MILEAGE 293 750 457 60.95% 2,303 3,000 697 23.23% 9,000BUILDING EXPENSE 10,085 10,417 331 3.18% 40,547 41,667 1,120 2.69% 125,000INSURANCE EXPENSE 3,261 2,917 (345) (11.82%) 13,045 11,667 (1,379) (11.82%) 35,000COMMUNICATIONS 3,167 3,000 (167) (5.56%) 11,537 12,000 463 3.86% 36,000OFFICE/PRINTING SUPPLIES 511 417 (95) (22.74%) 1,949 1,667 (282) (16.95%) 5,000PROGRAM SUPPLIES 4,881 2,917 (1,965) (67.36%) 10,745 11,667 922 7.90% 35,000CLEANING/MAINT SUPPLIES 174 333 160 47.88% 771 1,333 562 42.15% 4,000POSTAGE/FREIGHT 56 83 27 32.58% 220 333 114 34.12% 1,000NON-CAPITAL EQUIPMENT 199 1,250 1,051 84.04% 207 5,000 4,793 95.86% 15,000REPAIRS & MAINTENANCE 4,069 3,333 (736) (22.07%) 17,339 13,333 (4,006) (30.04%) 40,000ADVERTISING/MARKETING 733 1,667 934 56.02% 1,302 6,667 5,365 80.48% 20,000ADVERTISING, RECRUITING 0 42 42 100.00% 0 167 167 100.00% 500MEDICAL EXPENSE 20,671 15,417 (5,254) (34.08%) 73,285 61,667 (11,618) (18.84%) 185,000340B MEDICAL EXPENSE 3,911 6,250 2,339 37.42% 17,769 25,000 7,231 28.93% 75,000DEPRECIATION EXPENSE 12,334 12,500 166 1.33% 49,356 50,000 644 1.29% 150,000CONTRACTED SERVICES 15,929 16,667 737 4.42% 72,403 66,667 (5,736) (8.60%) 200,000MISCELLANEOUS EXPENSE 833 1,250 417 33.33% 8,612 5,000 (3,612) (72.24%) 15,000 Total Other Operating Expenses 83,720 80,460 (3,263) (4.06%) 334,154 321,835 (12,320) (3.83%) 965,500

Additional Expense Section:

Total Operating Expenses 227,077 235,965 8,886 3.77% 929,809 943,858 14,047 1.49% 2,831,569

Income (Loss) (36,346) 13,261 (49,610) (374.07%) (159,781) 53,048 (212,829) (401.20%) 159,147

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD76.53% 92.19% 96.2% (274.08%) 77.24% 95.76% 98.5% (301.20%)

PATIENT VISITS 1,228 1,800 (572.00) (31.78%) 4,590 6,708 (2118.00) (31.57%)PATIENT REVENUE PER VISIT 102.66 93.55 9.12 9.75% 96.23 100.41 (4.17) (4.16%)TOTAL REVENUE PER VISIT 155.32 138.46 16.86 12.18% 167.76 148.61 19.15 12.88%EMPLOYEE COST PER VISIT 116.74 86.39 (30.35) (35.13%) 129.77 92.73 (37.04) (39.95%)TOTAL COST PER VISIT 184.92 131.09 (53.82) (41.06%) 202.57 140.71 (61.87) (43.97%)

October YTD

Page 41: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Oral Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $45,882 $58,141 ($12,258) (21.08%) $152,081 $232,564 ($80,482) (34.61%) $697,691REVENUES - INSURANCE 42,309 44,414 (2,105) (4.74%) 166,806 177,655 (10,848) (6.11%) 532,964REVENUES - MC+ 224,253 279,225 (54,972) (19.69%) 769,638 1,116,899 (347,261) (31.09%) 3,350,697REVENUES - MEDICAID 71,419 127,908 (56,489) (44.16%) 365,975 511,630 (145,656) (28.47%) 1,534,891Patient Revenue: 383,863 509,688 (125,824) (24.69%) 1,454,500 2,038,748 (584,248) (28.66%) 6,116,243

REVENUES - GRANTS 58,417 63,583 (5,167) (8.13%) 233,667 254,333 (20,667) (8.13%) 763,000REVENUES - OTHER 0 0 0 0.00% 7,340 0 7,340 0.00% 0 Total Revenue 442,280 573,271 (130,990) (22.85%) 1,695,507 2,293,081 (597,574) (26.06%) 6,879,243

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 274,478 315,421 40,943 12.98% 1,059,693 1,261,684 201,991 16.01% 3,785,051PERSONNEL - COMP, OVERTIME 2,672 1,577 (1,095) (69.41%) 4,716 6,308 1,593 25.24% 18,925PERSONNEL - TAXES 20,186 24,250 4,064 16.76% 80,141 97,001 16,860 17.38% 291,004PERSONNEL - BENEFITS 27,609 37,851 10,242 27.06% 91,348 151,402 60,054 39.67% 454,206PERSONNEL - TRAINING & EDUC 800 1,667 867 52.00% 8,042 6,667 (1,375) (20.63%) 20,000 Total Employee-Related Expenses 325,745 380,766 55,021 14.45% 1,243,940 1,523,062 279,122 18.33% 4,569,186

Other Operating Expenses: PROFESSIONAL FEES 14,000 9,467 (4,534) (47.89%) 26,529 37,867 11,338 29.94% 113,600TRAVEL EXPENSE 0 1,125 1,125 100.00% 50 4,500 4,450 98.89% 13,500MILEAGE 1,039 1,125 86 7.66% 3,804 4,500 696 15.47% 13,500BUILDING EXPENSE 3,317 3,333 17 0.50% 13,870 13,333 (537) (4.02%) 40,000INSURANCE EXPENSE 399 2,083 1,684 80.85% 1,596 8,333 6,737 80.85% 25,000COMMUNICATIONS 4,026 3,000 (1,026) (34.20%) 14,958 12,000 (2,958) (24.65%) 36,000OFFICE/PRINTING SUPPLIES 1,396 958 (438) (45.67%) 3,410 3,833 423 11.04% 11,500PROGRAM SUPPLIES 52,243 33,333 (18,910) (56.73%) 126,152 133,333 7,182 5.39% 400,000CLEANING/MAINT SUPPLIES 127 333 206 61.78% 1,074 1,333 259 19.46% 4,000POSTAGE/FREIGHT 148 317 168 53.19% 585 1,267 682 53.84% 3,800NON-CAPITAL EQUIPMENT 6,506 4,167 (2,339) (56.14%) 11,390 16,667 5,277 31.66% 50,000VEHICLE EXPENSE 870 667 (204) (30.53%) 3,020 2,667 (354) (13.26%) 8,000REPAIRS & MAINTENANCE 6,986 9,042 2,055 22.73% 38,536 36,167 (2,369) (6.55%) 108,500ADVERTISING/MARKETING 427 2,167 1,740 80.29% 1,553 8,667 7,114 82.08% 26,000ADVERTISING, RECRUITING 360 417 57 13.60% 1,260 1,667 407 24.40% 5,000MEDICAL EXPENSE 21,224 16,667 (4,557) (27.34%) 40,882 66,667 25,785 38.68% 200,000DEPRECIATION EXPENSE 48,040 45,833 (2,206) (4.81%) 193,330 183,333 (9,996) (5.45%) 550,000INTEREST EXPENSE 428 583 156 26.68% 1,806 2,333 527 22.58% 7,000CONTRACTED SERVICES 6,930 5,000 (1,930) (38.59%) 14,416 20,000 5,584 27.92% 60,000MISCELLANEOUS EXPENSE 833 583 (250) (42.86%) 4,523 2,333 (2,190) (93.85%) 7,000 Total Other Operating Expenses 169,299 140,200 (29,100) (20.76%) 502,744 560,800 58,056 10.35% 1,682,400

Additional Expense Section:

Total Operating Expenses 495,044 520,966 25,921 4.98% 1,746,684 2,083,862 337,179 16.18% 6,251,586

Income (Loss) (52,764) 52,305 (105,069) (200.88%) (51,177) 209,219 (260,396) (124.46%) 627,657

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD77.15% 85.55% 95.02% (100.88%) 73.94% 81.67% 83.82% (24.46%)

PATIENT VISITS 2,673 4,455 (1,782) (40.00%) 7,846 12,263 (4,417) (36.02%)PATIENT REVENUE PER VISIT 143.61 114.41 29.20 25.52% 185.38 166.25 19.13 11.51%TOTAL REVENUE PER VISIT 165.46 128.68 36.78 28.58% 216.10 186.99 29.11 15.57%EMPLOYEE COST PER VISIT 121.86 85.47 (36.40) (42.58%) 158.54 124.20 (34.34) (27.65%)TOTAL COST PER VISIT 185.20 116.94 (68.26) (58.37%) 222.62 169.93 (52.69) (31.01%)

October YTD

Page 42: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Behavioral Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $7,414 $3,750 $3,664 97.72% $35,988 $15,000 $20,988 139.92% $45,000REVENUES - INSURANCE 33,138 16,667 16,471 98.83% 125,868 66,667 59,201 88.80% 200,000REVENUES - MC+ 99,245 33,333 65,912 197.74% 350,504 133,333 217,171 162.88% 400,000REVENUES - DMH 31,832 50,000 (18,168) (36.34%) 192,906 200,000 (7,094) (3.55%) 600,000REVENUES - MEDICAID 81,710 47,917 33,794 70.53% 304,656 191,667 112,990 58.95% 575,000REVENUES - MEDICARE 19,441 33,333 (13,892) (41.68%) 54,384 133,333 (78,949) (59.21%) 400,000Patient Revenue: 272,780 185,000 87,781 47.45% 1,064,306 740,000 324,306 43.83% 2,220,000

REVENUES - MIL TAX 57,989 57,989 0 0.00% 231,954 231,954 0 0.00% 695,862REVENUES - SALES TAX 17,917 17,917 0 0.00% 71,667 71,667 0 0.00% 215,000REVENUES - GRANTS 40,623 40,623 0 (0.00%) 162,490 162,492 (2) (0.00%) 487,476REVENUES - 340B 0 24,167 (24,167) (100.00%) 61,491 96,667 (35,176) (36.39%) 290,000REVENUES - OTHER 22,246 1,250 20,996 1679.68% 33,538 5,000 28,538 570.75% 15,000 Total Revenue 411,555 326,946 84,609 25.88% 1,625,446 1,307,780 317,667 24.29% 3,923,338

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 166,284 182,898 16,614 9.08% 692,857 731,592 38,735 5.29% 2,194,775PERSONNEL - COMP, OVERTIME 582 417 (165) (39.62%) 1,915 1,667 (248) (14.89%) 5,000PERSONNEL - TAXES 10,161 14,024 3,862 27.54% 43,333 56,094 12,761 22.75% 168,283PERSONNEL - BENEFITS 13,780 18,290 4,510 24.66% 50,355 73,159 22,804 31.17% 219,478PERSONNEL - TRAINING & EDUC 0 333 333 100.00% 0 1,333 1,333 100.00% 4,000PROFESSIONAL FEES - PSYCH 6,800 16,667 9,867 59.20% 103,991 66,667 (37,324) (55.99%) 200,000 Total Employee-Related Expenses 197,607 232,629 35,021 15.05% 892,451 930,512 38,062 4.09% 2,791,536

Other Operating Expenses: PROFESSIONAL FEES 4,820 1,250 (3,570) (285.58%) 10,895 5,000 (5,895) (117.91%) 15,000TRAVEL EXPENSE 0 167 167 100.00% 124 667 543 81.42% 2,000MILEAGE 568 375 (193) (51.38%) 1,481 1,500 19 1.25% 4,500BUILDING EXPENSE 1,720 1,167 (554) (47.44%) 6,946 4,667 (2,280) (48.85%) 14,000INSURANCE EXPENSE 869 1,250 381 30.47% 3,477 5,000 1,523 30.47% 15,000COMMUNICATIONS 1,657 417 (1,240) (297.61%) 4,307 1,667 (2,641) (158.44%) 5,000OFFICE/PRINTING SUPPLIES 883 417 (467) (112.00%) 1,938 1,667 (271) (16.27%) 5,000PROGRAM SUPPLIES 100 167 67 40.03% 1,315 667 (648) (97.17%) 2,000CLEANING/MAINT SUPPLIES 199 42 (157) (376.60%) 429 167 (262) (157.23%) 500POSTAGE/FREIGHT 12 21 9 42.39% 38 83 46 54.72% 250NON-CAPITAL EQUIPMENT 564 333 (231) (69.19%) 1,569 1,333 (235) (17.65%) 4,000VEHICLE EXPENSE 0 0 0 0.00% 70 0 (70) 0.00% 0REPAIRS & MAINTENANCE 2,164 583 (1,581) (270.95%) 7,132 2,333 (4,798) (205.65%) 7,000ADVERTISING/MARKETING 0 42 42 100.00% 334 167 (168) (100.49%) 500ADVERTISING, RECRUITING 0 83 83 100.00% 0 333 333 100.00% 1,000MEDICAL EXPENSE 72,103 41,667 (30,437) (73.05%) 251,557 166,667 (84,890) (50.93%) 500,000340B MEDICAL EXPENSE 3,275 6,250 2,975 47.60% 15,124 25,000 9,876 39.51% 75,000RECREATION FEES 19 0 (19) 0.00% 38 0 (38) 0.00% 0DEPRECIATION EXPENSE 9,671 2,333 (7,338) (314.49%) 37,412 9,333 (28,079) (300.84%) 28,000INTEREST EXPENSE 265 0 (265) 0.00% 818 0 (818) 0.00% 0CONTRACTED SERVICES 11,469 6,250 (5,219) (83.50%) 56,414 25,000 (31,414) (125.66%) 75,000MISCELLANEOUS EXPENSE 134 0 (134) 0.00% 134 0 (134) 0.00% 0 Total Other Operating Expenses 110,492 62,814 (47,680) (75.91%) 401,552 251,251 (150,301) (59.82%) 753,750

Additional Expense Section:

Total Operating Expenses 308,099 295,443 (12,659) (4.28%) 1,294,003 1,181,763 (112,239) (9.50%) 3,545,286

Income (Loss) 103,456 31,503 71,951 228.38% 331,443 126,017 205,428 163.02% 378,052

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD125.88% 84.95% 104.28% 328.40% 124.29% 95.91% 109.50% 263.01%

PATIENT VISITS 1,287 2,396 (1,109) (46.29%) - #DIV/0!PATIENT REVENUE PER VISIT 211.95 77.21 134.74 174.50% 0.00 #DIV/0!TOTAL REVENUE PER VISIT 319.78 136.45 183.32 134.35% 0.00 #DIV/0!EMPLOYEE COST PER VISIT 153.54 97.09 (56.45) (58.14%) 0.00 #DIV/0!TOTAL COST PER VISIT 239.39 123.31 (116.09) (94.14%) 0.00 #DIV/0!

October YTD

Page 43: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

ECMH/SAEPFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - OTHER $4,680 $2,917 $1,763 60.46% $14,940 $11,667 $3,273 28.06% $35,000 Total Revenue 4,680 2,917 1,763 60.46% 14,940 11,667 3,273 28.06% 35,000

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 401 3,101 2,700 87.06% 1,786 12,406 10,620 85.61% 37,218PERSONNEL - TAXES 26 237 211 88.84% 114 949 835 87.97% 2,847PERSONNEL - BENEFITS 45 1,587 1,541 97.16% 210 6,346 6,136 96.69% 19,038 Total Employee-Related Expenses 472 4,925 4,452 90.40% 2,110 19,701 17,591 89.29% 59,103

Other Operating Expenses: MILEAGE 5 0 (5) 0.00% 22 0 (22) 0.00% 0COMMUNICATIONS 4 0 (4) 0.00% 16 0 (16) 0.00% 0 Total Other Operating Expenses 9 0 (9) 0.00% 38 0 (38) 0.00% 0

Additional Expense Section:

Total Operating Expenses 481 4,925 4,443 90.22% 2,148 19,701 17,553 89.10% 59,103

Income (Loss) 4,199 (2,008) 6,207 309.01% 12,792 (8,034) 20,827 259.22% (24,103)

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD160.44% 9.58% 9.77% (209.11%) 128.05% 10.71% 10.90% (159.22%)

October YTD

Page 44: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

CACFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - DPS - VOCA $15,906 $20,883 ($4,978) (23.83%) $67,791 $83,533 ($15,742) (18.85%) $250,600REVENUES - CHILDREN'S DIVISION 18,057 20,833 (2,777) (13.33%) 71,069 83,333 (12,265) (14.72%) 250,000REVENUES - SALES TAX 2,667 2,667 0 (0.00%) 10,667 10,667 0 (0.00%) 32,000REVENUES - GRANTS 24,753 6,383 18,370 287.80% 27,282 25,532 1,750 6.86% 76,595REVENUES - DONATIONS / FUNDRAISING 0 7,250 (7,250) (100.00%) 17,825 29,000 (11,175) (38.53%) 87,000REVENUES - UNITED WAY 2,900 1,383 1,517 109.64% 2,900 5,533 (2,633) (47.59%) 16,600 Total Revenue 64,283 59,399 4,882 8.22% 197,534 237,598 (40,065) (16.86%) 712,795

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 33,863 34,947 1,085 3.10% 143,210 139,790 (3,420) (2.45%) 419,369PERSONNEL - COMP, OVERTIME 20 0 (20) 0.00% 110 0 (110) 0.00% 0PERSONNEL - TAXES 2,526 2,673 147 5.52% 10,669 10,694 25 0.24% 32,082PERSONNEL - BENEFITS 4,257 3,775 (482) (12.76%) 18,612 15,100 (3,512) (23.26%) 45,300PERSONNEL - TRAINING & EDUC 610 1,000 390 39.00% 2,158 4,000 1,842 46.05% 12,000 Total Employee-Related Expenses 41,276 42,395 1,121 2.64% 174,759 169,584 (5,175) (3.05%) 508,751

Other Operating Expenses: TRAVEL EXPENSE 685 375 (310) (82.78%) 1,667 1,500 (167) (11.10%) 4,500MILEAGE 624 1,417 793 55.95% 3,790 5,667 1,877 33.12% 17,000BUILDING EXPENSE 2,229 2,500 271 10.84% 10,131 10,000 (131) (1.31%) 30,000INSURANCE EXPENSE 510 583 74 12.61% 2,039 2,333 294 12.61% 7,000COMMUNICATIONS 835 1,075 240 22.36% 4,095 4,300 205 4.76% 12,900OFFICE/PRINTING SUPPLIES 310 125 (185) (148.26%) 759 500 (259) (51.86%) 1,500PROGRAM SUPPLIES 43 750 707 94.25% 8,463 3,000 (5,463) (182.09%) 9,000CLEANING/MAINT SUPPLIES 0 42 42 100.00% 0 167 167 100.00% 500POSTAGE/FREIGHT 0 42 42 100.00% 767 167 (601) (360.31%) 500NON-CAPITAL EQUIPMENT 0 617 617 100.00% 1,404 2,467 1,062 43.07% 7,400VEHICLE EXPENSE 319 475 156 32.94% 1,201 1,900 699 36.78% 5,700REPAIRS & MAINTENANCE 591 833 243 29.11% 3,786 3,333 (453) (13.58%) 10,000ADVERTISING/MARKETING 35 292 257 88.01% 35 1,167 1,132 97.00% 3,500FUNDRAISING EXPENSE 0 1,333 1,333 100.00% 6,776 5,333 (1,443) (27.06%) 16,000DEPRECIATION EXPENSE 1,811 2,083 273 13.09% 7,542 8,333 791 9.49% 25,000CONTRACTED SERVICES 758 750 (8) (1.07%) 2,214 3,000 786 26.21% 9,000MISCELLANEOUS EXPENSE 75 542 467 86.15% 119 2,167 2,048 94.50% 6,500 Total Other Operating Expenses 8,825 13,834 5,009 36.21% 54,788 55,334 545 0.98% 166,000

Additional Expense Section:

Total Operating Expenses 50,101 56,229 6,130 10.90% 229,547 224,918 (4,630) (2.06%) 674,751

Income (Loss) 14,182 3,170 11,012 347.35% (32,013) 12,680 (44,695) (352.45%) 38,044

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD108.22% 97.36% 89.10% 447.38% 83.14% 103.05% 102.06% (252.47%)

October YTD

Page 45: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Bridle Ridge AcresFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

Operating Expenses:

Employee-Related Expenses:

Other Operating Expenses: BUILDING EXPENSE $579 $333 ($245) (73.57%) $2,681 $1,333 ($1,347) (101.05%) $4,000INSURANCE EXPENSE 210 333 123 36.87% 842 1,333 492 36.87% 4,000COMMUNICATIONS 415 0 (415) 0.00% 1,655 0 (1,655) 0.00% 0VEHICLE EXPENSE 250 0 (250) 0.00% 286 0 (286) 0.00% 0REPAIRS & MAINTENANCE 271 83 (188) (225.53%) 533 333 (200) (59.90%) 1,000DEPRECIATION EXPENSE 5,531 8,333 2,802 33.63% 22,048 33,333 11,286 33.86% 100,000INTEREST EXPENSE 3,541 2,667 (874) (32.77%) 13,779 10,667 (3,112) (29.18%) 32,000CONTRACTED SERVICES 0 0 0 0.00% 89 0 (89) 0.00% 0 Total Other Operating Expenses 10,797 11,749 953 8.11% 41,913 46,999 5,089 10.83% 141,000

Additional Expense Section:

Total Operating Expenses 10,797 11,749 953 8.11% 41,913 46,999 5,089 10.83% 141,000

Income (Loss) (10,797) (11,749) 953 8.11% (41,913) (46,999) 5,089 10.83% (141,000)

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD0.00% 0.00% 91.90% (91.90%) 0.00% 0.00% 89.18% (89.18%)

October YTD

Page 46: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

Tales with TailsFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue: REVENUES - CLIENT $4,750 $3,819 $931 24.39% $5,100 $15,275 ($10,175) (66.61%) $45,825Patient Revenue: 4,750 3,819 931 24.39% 5,100 15,275 (10,175) (66.61%) 45,825

REVENUES - SALES TAX 1,917 1,917 0 0.00% 7,667 7,667 0 0.00% 23,000REVENUES - DONATIONS / FUNDRAISING 591 2,167 (1,576) (72.73%) 2,186 8,667 (6,481) (74.78%) 26,000REVENUES - UNITED WAY 0 1,917 (1,917) (100.00%) 0 7,667 (7,667) (100.00%) 23,000REVENUES - OTHER 0 0 0 0.00% 500 0 500 0.00% 0 Total Revenue 7,258 9,820 (2,561) (26.09%) 15,453 39,276 (23,822) (60.66%) 117,825

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 5,768 5,983 215 3.59% 24,869 23,932 (937) (3.92%) 71,795PERSONNEL - TAXES 437 458 20 4.44% 1,883 1,831 (52) (2.84%) 5,492PERSONNEL - BENEFITS 181 49 (132) (268.70%) 485 197 (288) (146.37%) 590PERSONNEL - TRAINING & EDUC 0 17 17 100.00% 0 67 67 100.00% 200 Total Employee-Related Expenses 6,386 6,507 119 1.84% 27,237 26,027 (1,210) (4.65%) 78,077

Other Operating Expenses: TRAVEL EXPENSE 3 0 (3) 0.00% 17 0 (17) 0.00% 0MILEAGE 236 125 (111) (88.93%) 286 500 214 42.76% 1,500INSURANCE EXPENSE 39 50 11 22.52% 155 200 45 22.52% 600COMMUNICATIONS 4 80 76 94.69% 17 320 303 94.69% 960OFFICE/PRINTING SUPPLIES 35 0 (35) 0.00% 45 0 (45) 0.00% 0PROGRAM SUPPLIES 0 217 217 100.00% 116 867 751 86.63% 2,600VEHICLE EXPENSE 9 0 (9) 0.00% 37 0 (37) 0.00% 0ADVERTISING/MARKETING 120 0 (120) 0.00% 120 0 (120) 0.00% 0FUNDRAISING EXPENSE 0 667 667 100.00% 892 2,667 1,775 66.55% 8,000DEPRECIATION EXPENSE 18 17 (1) (5.16%) 70 67 (3) (5.16%) 200CONTRACTED SERVICES 0 149 149 100.00% 14 594 580 97.60% 1,782MISCELLANEOUS EXPENSE 0 0 0 0.00% 2 0 (2) 0.00% 0 Total Other Operating Expenses 464 1,305 840 64.47% 1,771 5,215 3,443 66.03% 15,642

Additional Expense Section:

Total Operating Expenses 6,850 7,812 960 12.29% 29,008 31,242 2,233 7.15% 93,719

Income (Loss) 408 2,008 (1,601) (79.72%) (13,555) 8,034 (21,590) (268.69%) 24,106

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD73.91% 98.14% 87.7% 20.32% 39.34% 104.65% 92.8% (168.72%)

October YTD

Page 47: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Actual vs. Budget

AdministrationFor the Four Months Ending Wednesday, October 31, 2018

TOTAL BUDGETActual Budget Variance Percent Actual Budget Variance Percent Total Budget

Revenue:

REVENUES - MIL TAX $114,928 $114,928 $0 0.00% $459,712 $459,712 $0 0.00% $1,379,136REVENUES - SALES TAX 28,718 68,416 (39,698) (58.02%) 256,994 273,663 (16,669) (6.09%) 820,989REVENUES - DONATIONS / FUNDRAISING 16 417 (400) (96.11%) 365 1,667 (1,301) (78.07%) 5,000REVENUES - OTHER 5,034 15,833 (10,799) (68.20%) 32,490 63,333 (30,844) (48.70%) 190,000 Total Revenue 148,696 199,594 (50,898) (25.50%) 749,561 798,375 (48,814) (6.11%) 2,395,125

Operating Expenses:

Employee-Related Expenses: PERSONNEL - COMP, SALARY 180,390 209,849 29,459 14.04% 776,786 839,395 62,609 7.46% 2,518,185PERSONNEL - COMP, OVERTIME 2,689 1,667 (1,023) (61.37%) 9,685 6,667 (3,018) (45.28%) 20,000PERSONNEL - TAXES 12,600 16,181 3,581 22.13% 56,148 64,724 8,576 13.25% 194,171PERSONNEL - BENEFITS 25,110 29,379 4,269 14.53% 129,701 117,515 (12,186) (10.37%) 352,546PERSONNEL - TRAINING & EDUC 1,266 2,083 817 39.21% 5,775 8,333 2,558 30.70% 25,000 Total Employee-Related Expenses 222,055 259,159 37,103 14.32% 978,095 1,036,634 58,539 5.65% 3,109,902

Other Operating Expenses: PROFESSIONAL FEES 7,880 8,333 453 5.44% 22,039 33,333 11,295 33.88% 100,000TRAVEL EXPENSE 373 2,083 1,711 82.12% 991 8,333 7,343 88.11% 25,000MILEAGE 1,177 1,083 (93) (8.60%) 3,314 4,333 1,019 23.52% 13,000BUILDING EXPENSE 3,174 2,667 (508) (19.04%) 11,969 10,667 (1,302) (12.21%) 32,000INSURANCE EXPENSE 5,383 3,750 (1,633) (43.56%) 17,872 15,000 (2,872) (19.15%) 45,000COMMUNICATIONS 14,027 9,167 (4,861) (53.03%) 57,800 36,667 (21,133) (57.64%) 110,000OFFICE/PRINTING SUPPLIES 2,059 4,583 2,524 55.07% 10,586 18,333 7,747 42.26% 55,000PROGRAM SUPPLIES 1,169 1,250 81 6.50% 5,202 5,000 (202) (4.04%) 15,000CLEANING/MAINT SUPPLIES 1,054 417 (637) (152.85%) 2,773 1,667 (1,107) (66.39%) 5,000POSTAGE/FREIGHT 1,667 1,250 (417) (33.36%) 6,308 5,000 (1,308) (26.16%) 15,000NON-CAPITAL EQUIPMENT 15,138 5,417 (9,721) (179.47%) 28,547 21,667 (6,880) (31.75%) 65,000VEHICLE EXPENSE 4,754 4,250 (504) (11.86%) 22,066 17,000 (5,066) (29.80%) 51,000REPAIRS & MAINTENANCE 13,212 10,833 (2,378) (21.95%) 48,149 43,333 (4,816) (11.11%) 130,000ADVERTISING/MARKETING 12,879 8,333 (4,546) (54.55%) 38,499 33,333 (5,166) (15.50%) 100,000ADVERTISING, RECRUITING 0 167 167 100.00% 0 667 667 100.00% 2,000FUNDRAISING EXPENSE 0 0 0 0.00% 363 0 (363) 0.00% 0FOOD SERVICE 5,322 4,167 (1,155) (27.72%) 19,194 16,667 (2,527) (15.16%) 50,000RECREATION FEES 10 0 (10) 0.00% 38 0 (38) 0.00% 0DEPRECIATION EXPENSE 14,118 18,333 4,216 22.99% 58,662 73,333 14,671 20.01% 220,000INTEREST EXPENSE 78 1,167 1,089 93.32% 442 4,667 4,224 90.52% 14,000CONTRACTED SERVICES 30,160 16,917 (13,243) (78.28%) 130,823 67,667 (63,156) (93.33%) 203,000MISCELLANEOUS EXPENSE 18,868 25,000 6,132 24.53% 101,179 100,000 (1,179) (1.18%) 300,000 Total Other Operating Expenses 152,502 129,167 (23,334) (18.06%) 586,816 516,667 (70,148) (13.58%) 1,550,000

Additional Expense Section:

Total Operating Expenses 374,557 388,326 13,769 3.55% 1,564,911 1,553,301 (11,609) (0.75%) 4,659,902

Income (Loss) (225,861) (188,732) (37,129) (19.67%) (815,350) (754,926) (60,422) (8.00%) (2,264,777)

TREND ACT TO BUD COMPARISON % Rev of BUD % Labor BUD % Exp BUD % Inc BUD % Rev of BUD % Labor BUD % Exp BUD % Inc BUD74.50% 85.68% 96.45% (119.67%) 93.89% 94.35% 100.75% (108.00%)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Summary of All UnitsFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $105,390 $61,695 $43,695 $398,125 $317,015 $81,109 REVENUES - INSURANCE 130,946 78,717 52,230 484,573 396,359 88,214 REVENUES - MC+ 401,885 195,854 206,031 1,392,009 817,751 574,258 REVENUES - DMH 864,225 1,118,668 (254,443) 3,328,642 3,677,880 (349,238)REVENUES - DMH HOUSING 26,909 26,795 114 91,239 118,011 (26,772)REVENUES - MEDICAID 206,218 157,327 48,891 857,086 726,514 130,572 REVENUES - MEDICARE 32,403 50,645 (18,242) 101,145 160,375 (59,230)Patient Revenue: 1,767,976 1,689,701 78,276 6,652,819 6,213,905 438,912

REVENUES - DPS - VOCA 27,884 9,273 18,611 115,400 89,160 26,240 REVENUES - DFS 19,865 20,523 (658) 27,387 42,025 (14,638)REVENUES - CHILDREN'S DIVISION 18,057 16,625 1,432 71,069 63,801 7,268 REVENUES - COURT SERVICES 23,190 8,798 14,392 32,943 27,589 5,353 REVENUES - MIL TAX 241,667 241,667 0 966,667 966,667 0 REVENUES - SALES TAX 193,635 115,721 77,914 916,665 847,919 68,746 REVENUES - GRANTS 188,386 288,823 (100,437) 681,814 784,929 (103,115)REVENUES - SCHOOL SERVICES 2,423 0 2,423 6,923 5,000 1,923 REVENUES - DONATIONS / FUNDRAISING 14,147 21,201 (7,054) 71,318 52,489 18,829 REVENUES - UNITED WAY 2,907 8,797 (5,890) 3,207 26,488 (23,281)REVENUES - 340B 27 37,613 (37,586) 85,951 140,303 (54,352)REVENUES - OTHER 40,281 86,643 (46,361) 161,585 141,930 19,655 Total Revenue 2,540,445 2,545,385 (4,938) 9,793,748 9,402,205 391,540

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 1,348,563 1,248,580 (99,983) 5,582,777 5,184,213 (398,564)PERSONNEL - COMP, OVERTIME 10,997 16,852 5,855 34,808 64,763 29,955 PERSONNEL - TAXES 94,842 90,037 (4,805) 398,394 378,336 (20,058)PERSONNEL - BENEFITS 170,149 131,540 (38,609) 679,212 543,129 (136,082)PERSONNEL - TRAINING & EDUC 7,348 7,277 (71) 28,420 26,806 (1,614)PROFESSIONAL FEES - PSYCH 6,800 11,154 4,354 103,991 39,209 (64,782) Total Employee-Related Expenses 1,638,699 1,505,440 (133,259) 6,827,602 6,236,456 (591,146)

Other Operating Expenses:PROFESSIONAL FEES 56,894 56,221 (673) 184,412 122,453 (61,958)TRAVEL EXPENSE 2,946 10,631 7,686 8,904 31,792 22,888 MILEAGE 9,162 10,887 1,725 33,755 42,457 8,702 CLIENT TRANSPORTATION 200 0 (200) 220 20 (200)BUILDING EXPENSE 34,545 28,758 (5,787) 154,954 142,284 (12,670)INSURANCE EXPENSE 28,602 24,265 (4,338) 110,747 97,059 (13,688)COMMUNICATIONS 35,927 29,940 (5,987) 143,128 118,054 (25,074)OFFICE/PRINTING SUPPLIES 8,868 6,421 (2,447) 28,493 30,907 2,414 PROGRAM SUPPLIES 68,091 55,924 (12,167) 202,578 151,436 (51,142)CLEANING/MAINT SUPPLIES 3,766 3,458 (308) 10,305 10,452 148 POSTAGE/FREIGHT 3,567 2,033 (1,534) 15,121 11,857 (3,264)NON-CAPITAL EQUIPMENT 26,194 13,999 (12,195) 53,294 49,674 (3,620)VEHICLE EXPENSE 21,365 15,070 (6,296) 78,910 77,392 (1,518)REPAIRS & MAINTENANCE 46,048 46,979 931 198,284 170,253 (28,031)ADVERTISING/MARKETING 15,108 12,800 (2,308) 46,634 53,683 7,048 ADVERTISING, RECRUITING 360 245 (115) 1,260 2,451 1,191 FUNDRAISING EXPENSE 4,182 1,110 (3,073) 15,329 13,861 (1,468)MEDICAL EXPENSE 124,215 49,830 (74,385) 396,429 247,958 (148,471)340B MEDICAL EXPENSE 7,186 9,834 2,647 32,892 38,180 5,288 HOUSING EXPENSE 23,904 24,010 106 95,099 109,024 13,925 FOOD SERVICE 11,208 15,203 3,995 43,974 59,799 15,826 RECREATION FEES 1,113 1,426 313 4,828 5,194 366 WRAPAROUND SERVICES 794 417 (377) 2,757 3,615 857 DEPRECIATION EXPENSE 118,915 117,569 (1,346) 479,118 471,268 (7,850)INTEREST EXPENSE 5,930 7,182 1,251 23,244 26,675 3,432 CONTRACTED SERVICES 87,678 79,559 (8,118) 370,353 332,423 (37,930)MISCELLANEOUS EXPENSE 20,811 17,979 (2,832) 115,551 179,297 63,745 GAIN/LOSS ON SALE OF F/A 0 (2,535) (2,535) 0 (3,980) (3,980) Total Other Operating Expenses 767,579 639,215 (128,367) 2,850,573 2,595,538 (255,033)

Additional Expense Section:

Total Operating Expenses 2,406,278 2,144,655 (261,626) 9,678,175 8,831,994 (846,179)

Income (Loss) 134,167 400,730 (266,564) 115,573 570,211 (454,639)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

C.P.R.C.For the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $1,460 $1,723 ($263) $36,281 $6,241 $30,040 REVENUES - INSURANCE 2,213 1,506 708 8,569 12,444 (3,875)REVENUES - MC+ 3,598 (4,585) 8,183 10,586 5,546 5,040 REVENUES - DMH 489,462 610,062 (120,600) 1,909,801 2,110,295 (200,493)REVENUES - DMH HOUSING 26,909 26,795 114 91,239 118,011 (26,772)REVENUES - MEDICAID 4,094 2,430 1,664 16,652 138,416 (121,764)REVENUES - MEDICARE (175) (1,175) 1,000 1,090 (3,917) 5,007 Patient Revenue: 527,561 636,756 (109,195) 2,074,218 2,387,036 (312,818)

REVENUES - COURT SERVICES 300 1,900 (1,600) 5,794 4,900 894 REVENUES - MIL TAX 46,144 81,678 (35,534) 92,288 326,713 (234,425)REVENUES - DONATIONS / FUNDRAISING 205 30 174 2,349 1,232 1,117 REVENUES - OTHER 6,675 150 6,525 28,792 183 28,610 Total Revenue 580,885 720,514 (139,630) 2,203,441 2,720,064 (516,622)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 213,474 233,264 19,790 881,640 914,672 33,032 PERSONNEL - COMP, OVERTIME 842 1,530 689 3,536 8,246 4,711 PERSONNEL - TAXES 15,913 17,648 1,735 65,714 69,363 3,649 PERSONNEL - BENEFITS 29,007 26,218 (2,789) 113,181 104,308 (8,873)PERSONNEL - TRAINING & EDUC 1,761 279 (1,482) 2,098 1,737 (361) Total Employee-Related Expenses 260,997 278,939 17,943 1,066,169 1,098,326 32,158

Other Operating Expenses:PROFESSIONAL FEES 28,215 0 (28,215) 112,942 0 (112,942)TRAVEL EXPENSE 382 (36) (418) 1,347 1,074 (273)MILEAGE 1,644 2,700 1,057 8,257 9,795 1,538 BUILDING EXPENSE 2,990 2,104 (886) 16,060 14,039 (2,020)INSURANCE EXPENSE 6,176 5,725 (452) 24,706 22,899 (1,806)COMMUNICATIONS 3,969 3,481 (488) 15,412 13,929 (1,483)OFFICE/PRINTING SUPPLIES 1,261 572 (689) 3,819 4,195 376 PROGRAM SUPPLIES 7,373 907 (6,466) 11,075 3,327 (7,749)CLEANING/MAINT SUPPLIES 930 518 (411) 1,764 1,384 (380)POSTAGE/FREIGHT 518 186 (332) 2,197 1,338 (859)NON-CAPITAL EQUIPMENT 1,540 505 (1,034) 3,208 4,536 1,328 VEHICLE EXPENSE 10,797 6,031 (4,766) 38,286 34,338 (3,949)REPAIRS & MAINTENANCE 5,425 3,990 (1,435) 25,156 18,621 (6,535)ADVERTISING/MARKETING 0 379 379 3,835 3,216 (619)ADVERTISING, RECRUITING 0 100 100 0 100 100 FUNDRAISING EXPENSE 83 85 2 538 1,190 651 MEDICAL EXPENSE 0 0 0 38 0 (38)HOUSING EXPENSE 23,904 24,010 106 95,099 109,024 13,925 FOOD SERVICE 1,086 1,537 450 4,070 4,857 786 RECREATION FEES 93 296 203 559 734 175 WRAPAROUND SERVICES 794 169 (625) 1,764 1,901 137 DEPRECIATION EXPENSE 9,852 8,643 (1,210) 39,567 34,722 (4,845)INTEREST EXPENSE 956 924 (31) 3,788 3,972 184 CONTRACTED SERVICES 7,985 7,335 (650) 29,925 25,097 (4,828)MISCELLANEOUS EXPENSE 0 0 0 543 316 (227) Total Other Operating Expenses 115,973 70,161 (45,811) 443,955 314,604 (129,351)

Additional Expense Section:

Total Operating Expenses 376,970 349,100 (27,867) 1,510,124 1,412,930 (97,193)

Income (Loss) 203,915 371,414 167,497 693,317 1,307,134 613,815

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Keaton Center - Residential CareFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $29,769 $15,507 $14,262 $85,450 $83,793 $1,657 REVENUES - DMH 0 440 (440) 40 9,413 (9,373)REVENUES - MEDICAID 2,003 10,348 (8,346) 9,856 21,502 (11,646)Patient Revenue: 31,772 26,295 5,476 95,346 114,708 (19,363)

REVENUES - MIL TAX 0 0 0 92,288 0 92,288 REVENUES - DONATIONS / FUNDRAISING 0 0 0 141 0 141 REVENUES - OTHER 1,096 0 1,096 1,096 0 1,096 Total Revenue 32,868 26,295 6,572 188,871 114,708 74,162

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 27,410 30,291 2,882 114,783 129,470 14,687 PERSONNEL - COMP, OVERTIME 2,265 3,867 1,602 8,669 16,297 7,628 PERSONNEL - TAXES 2,241 2,548 307 9,302 10,997 1,696 PERSONNEL - BENEFITS 6,470 6,578 108 25,322 27,754 2,432 PERSONNEL - TRAINING & EDUC 926 0 (926) 1,111 159 (952) Total Employee-Related Expenses 39,312 43,284 3,973 159,187 184,677 25,491

Other Operating Expenses:TRAVEL EXPENSE 19 0 (19) 76 39 (38)MILEAGE 31 12 (19) 72 203 131 BUILDING EXPENSE 1,076 1,397 321 6,617 7,000 383 INSURANCE EXPENSE 1,646 1,258 (388) 6,583 5,032 (1,551)COMMUNICATIONS 237 235 (2) 1,190 1,204 14 OFFICE/PRINTING SUPPLIES 177 181 4 256 360 105 PROGRAM SUPPLIES 1,303 1,185 (118) 4,610 7,187 2,577 CLEANING/MAINT SUPPLIES 110 123 13 732 881 149 POSTAGE/FREIGHT 161 50 (111) 558 336 (221)NON-CAPITAL EQUIPMENT 0 0 0 10 188 179 VEHICLE EXPENSE 217 144 (73) 946 663 (283)REPAIRS & MAINTENANCE 896 896 0 5,214 2,246 (2,968)MEDICAL EXPENSE 83 71 (11) 289 234 (55)FOOD SERVICE 3,689 4,158 470 15,636 15,904 268 RECREATION FEES 768 698 (70) 2,917 2,885 (33)DEPRECIATION EXPENSE 1,604 1,662 58 6,440 6,647 207 CONTRACTED SERVICES 343 249 (94) 1,043 966 (78)MISCELLANEOUS EXPENSE 0 0 0 0 326 326 Total Other Operating Expenses 12,360 12,319 (39) 53,189 52,301 (887)

Additional Expense Section:

Total Operating Expenses 51,672 55,603 3,934 212,376 236,978 24,604

Income (Loss) (18,804) (29,308) (10,506) (23,505) (122,270) (98,766)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

A D Adult OutpatientFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $2,011 $72 $1,939 $25,944 $48 $25,895 REVENUES - INSURANCE 0 (423) 423 (2,400) (4,580) 2,180 REVENUES - MC+ 0 (736) 736 0 (9,512) 9,512 REVENUES - DMH 218,410 189,092 29,318 798,748 679,589 119,159 REVENUES - MEDICAID 0 0 0 0 6,025 (6,025)REVENUES - MEDICARE 0 (175) 175 0 (3,275) 3,275 Patient Revenue: 220,421 187,830 32,590 822,292 668,295 153,996

REVENUES - MIL TAX 0 55,351 (55,351) 0 221,405 (221,405)REVENUES - DONATIONS / FUNDRAISING 20 84 (64) 32 1,701 (1,669)REVENUES - OTHER 150 0 150 1,525 20 1,505 Total Revenue 220,591 243,265 (22,675) 823,849 891,421 (67,573)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 92,080 80,938 (11,142) 411,858 361,131 (50,727)PERSONNEL - COMP, OVERTIME 792 1,126 335 3,257 4,343 1,086 PERSONNEL - TAXES 6,733 6,138 (596) 30,484 27,385 (3,099)PERSONNEL - BENEFITS 15,260 11,140 (4,120) 59,398 49,768 (9,630)PERSONNEL - TRAINING & EDUC 124 575 451 1,662 1,343 (319) Total Employee-Related Expenses 114,989 99,917 (15,072) 506,659 443,970 (62,689)

Other Operating Expenses:TRAVEL EXPENSE 66 22 (44) 540 55 (485)MILEAGE 902 715 (186) 2,905 2,934 28 CLIENT TRANSPORTATION 200 0 (200) 200 0 (200)BUILDING EXPENSE 2,297 1,194 (1,103) 11,519 7,864 (3,655)INSURANCE EXPENSE 4,132 3,164 (968) 16,528 12,656 (3,872)COMMUNICATIONS 1,968 1,561 (406) 7,569 5,927 (1,642)OFFICE/PRINTING SUPPLIES 746 131 (616) 1,532 1,446 (87)PROGRAM SUPPLIES 340 443 103 18,382 2,713 (15,669)CLEANING/MAINT SUPPLIES 371 343 (28) 805 775 (30)POSTAGE/FREIGHT 264 90 (173) 1,118 621 (497)NON-CAPITAL EQUIPMENT 578 13 (565) 1,598 759 (839)VEHICLE EXPENSE 645 591 (54) 3,093 3,050 (43)REPAIRS & MAINTENANCE 4,491 2,348 (2,142) 14,747 11,033 (3,715)ADVERTISING/MARKETING 0 97 97 0 389 389 MEDICAL EXPENSE 10,079 5,948 (4,131) 29,230 13,777 (15,453)FOOD SERVICE 680 782 102 2,436 2,607 171 RECREATION FEES 57 19 (38) 152 75 (78)DEPRECIATION EXPENSE 3,678 2,551 (1,127) 14,731 10,252 (4,479)INTEREST EXPENSE 398 271 (127) 1,469 1,122 (347)CONTRACTED SERVICES 3,441 917 (2,524) 14,489 4,544 (9,945)MISCELLANEOUS EXPENSE 0 0 0 30 130 100 Total Other Operating Expenses 35,333 21,200 (14,131) 143,073 82,729 (60,347)

Additional Expense Section:

Total Operating Expenses 150,322 121,117 (29,203) 649,732 526,699 (123,036)

Income (Loss) 70,269 122,148 51,878 174,117 364,722 190,609

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Court Services - HillsboroFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $624 $660 ($36) $3,502 $1,730 $1,772 REVENUES - INSURANCE 0 0 0 0 (55) 55 REVENUES - MC+ 0 (445) 445 0 (1,686) 1,686 REVENUES - DMH 27,761 42,006 (14,245) 128,081 131,525 (3,444)Patient Revenue: 28,385 42,221 (13,836) 131,583 131,514 70

REVENUES - COURT SERVICES 1,543 1,075 468 5,801 3,656 2,145 REVENUES - MIL TAX 5,939 15,644 (9,705) 23,757 62,577 (38,820)REVENUES - OTHER 0 0 0 20 (152) 172 Total Revenue 35,867 58,940 (23,074) 161,161 197,595 (36,433)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 9,099 10,814 1,715 36,658 64,405 27,747 PERSONNEL - COMP, OVERTIME 0 176 176 0 892 892 PERSONNEL - TAXES 677 911 234 2,724 4,557 1,832 PERSONNEL - BENEFITS 1,843 1,798 (45) 4,827 7,613 2,786 PERSONNEL - TRAINING & EDUC 12 35 23 418 70 (348) Total Employee-Related Expenses 11,631 13,734 2,102 44,627 77,537 32,910

Other Operating Expenses:TRAVEL EXPENSE 6 0 (6) 1,056 0 (1,056)MILEAGE 17 0 (17) 426 349 (77)BUILDING EXPENSE 3,485 3,239 (247) 14,221 13,505 (716)INSURANCE EXPENSE 324 407 83 1,295 1,628 333 COMMUNICATIONS 893 145 (748) 3,583 1,269 (2,314)OFFICE/PRINTING SUPPLIES 31 55 24 1,110 242 (868)PROGRAM SUPPLIES 26 21 (5) 160 74 (86)CLEANING/MAINT SUPPLIES 100 44 (56) 148 118 (30)NON-CAPITAL EQUIPMENT 410 0 (410) 1,001 197 (804)VEHICLE EXPENSE 249 0 (249) 249 0 (249)REPAIRS & MAINTENANCE 94 97 4 543 260 (283)ADVERTISING/MARKETING 0 0 0 0 50 50 DEPRECIATION EXPENSE 1,263 22 (1,241) 5,052 89 (4,963)CONTRACTED SERVICES 1,949 142 (1,807) 10,498 833 (9,665) Total Other Operating Expenses 8,847 4,172 (4,674) 39,342 18,614 (20,728)

Additional Expense Section:

Total Operating Expenses 20,478 17,906 (2,572) 83,969 96,151 12,182

Income (Loss) 15,389 41,034 25,645 77,192 101,444 24,250

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

A Safe Place ShelterFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - DPS - VOCA $11,979 $4,488 $7,490 $47,609 $48,113 ($505)REVENUES - DFS 19,865 20,523 (658) 27,387 42,025 (14,638)REVENUES - COURT SERVICES 21,348 5,823 15,525 21,348 19,034 2,314 REVENUES - MIL TAX 16,667 16,667 0 66,667 66,667 0 REVENUES - SALES TAX 2,667 2,583 83 10,667 10,333 333 REVENUES - DONATIONS / FUNDRAISING 3,248 725 2,524 7,181 7,927 (746) Total Revenue 75,774 50,809 24,964 180,859 194,099 (13,241)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 29,915 25,499 (4,416) 128,458 112,076 (16,382)PERSONNEL - COMP, OVERTIME 59 722 664 426 4,026 3,600 PERSONNEL - TAXES 2,203 1,957 (245) 9,610 8,808 (802)PERSONNEL - BENEFITS 4,668 2,008 (2,660) 17,285 9,298 (7,987)PERSONNEL - TRAINING & EDUC 248 0 (248) 296 1,825 1,529 Total Employee-Related Expenses 37,093 30,186 (6,905) 156,075 136,033 (20,042)

Other Operating Expenses:TRAVEL EXPENSE 47 999 951 238 2,275 2,037 MILEAGE 51 226 175 641 710 69 CLIENT TRANSPORTATION 0 0 0 20 0 (20)BUILDING EXPENSE 837 476 (361) 4,667 5,103 436 INSURANCE EXPENSE 990 804 (185) 3,958 3,218 (741)COMMUNICATIONS 427 1,242 815 2,339 4,908 2,569 OFFICE/PRINTING SUPPLIES 297 281 (17) 686 1,580 894 PROGRAM SUPPLIES 313 291 (22) 1,732 2,244 513 CLEANING/MAINT SUPPLIES 96 137 42 333 942 609 POSTAGE/FREIGHT 80 30 (50) 315 175 (140)NON-CAPITAL EQUIPMENT 0 1,386 1,386 0 10,363 10,363 VEHICLE EXPENSE 102 118 16 900 278 (622)REPAIRS & MAINTENANCE 1,499 9,418 7,918 8,593 17,014 8,421 FUNDRAISING EXPENSE 2,699 0 (2,699) 3,976 2,054 (1,922)FOOD SERVICE 253 759 506 1,907 2,587 679 RECREATION FEES 158 288 131 970 1,097 126 DEPRECIATION EXPENSE 2,295 8,699 6,404 9,224 34,796 25,573 CONTRACTED SERVICES 129 0 (129) 487 1,349 861 MISCELLANEOUS EXPENSE 0 0 0 14 0 (14) Total Other Operating Expenses 10,273 25,154 14,882 41,000 90,693 49,691

Additional Expense Section:

Total Operating Expenses 47,366 55,340 7,977 197,075 226,726 29,649

Income (Loss) 28,408 (4,531) (32,941) (16,216) (32,627) (16,408)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Friends of Safe PlaceFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - DONATIONS / FUNDRAISING $9,991 $20,309 ($10,318) $41,164 $20,309 $20,855 Total Revenue 9,991 20,309 (10,318) 41,164 20,309 20,855

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 4,160 0 (4,160) 4,160 0 (4,160)PERSONNEL - TAXES 357 0 (357) 357 0 (357)PERSONNEL - BENEFITS 825 0 (825) 825 0 (825) Total Employee-Related Expenses 5,342 0 (5,343) 5,342 0 (5,343)

Other Operating Expenses:OFFICE/PRINTING SUPPLIES 34 0 (34) 82 0 (82)REPAIRS & MAINTENANCE 499 0 (499) 4,345 0 (4,345)ADVERTISING/MARKETING 914 0 (914) 933 0 (933)FUNDRAISING EXPENSE 1,400 0 (1,400) 2,784 0 (2,784)MISCELLANEOUS EXPENSE 0 0 0 22 0 (22) Total Other Operating Expenses 2,847 0 (2,847) 8,166 0 (8,167)

Additional Expense Section:

Total Operating Expenses 8,189 0 (8,190) 13,508 0 (13,510)

Income (Loss) 1,802 20,309 18,508 27,656 20,309 (7,345)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

General Counseling YouthFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $1,711 $3,149 ($1,437) $7,709 $6,652 $1,057 REVENUES - INSURANCE 8,307 2,307 6,000 24,874 12,709 12,165 REVENUES - MC+ 46,468 (8,262) 54,730 157,154 62,499 94,655 REVENUES - DMH 58,607 71,786 (13,179) 188,845 258,451 (69,606)REVENUES - MEDICAID 6,692 7,382 (689) 24,918 6,440 18,478 Patient Revenue: 121,785 76,362 45,425 403,500 346,751 56,749

REVENUES - SALES TAX 58,646 27,500 31,146 234,585 110,000 124,585 REVENUES - GRANTS 0 (5,621) 5,621 0 5,136 (5,136)REVENUES - DONATIONS / FUNDRAISING 35 0 35 35 0 35 REVENUES - OTHER 0 540 (540) (5,049) 2,815 (7,864) Total Revenue 180,466 98,781 81,687 633,071 464,702 168,369

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 102,678 81,923 (20,756) 426,026 353,082 (72,944)PERSONNEL - COMP, OVERTIME 161 189 28 362 625 263 PERSONNEL - TAXES 7,503 6,208 (1,296) 31,058 26,391 (4,667)PERSONNEL - BENEFITS 18,152 12,132 (6,020) 69,523 49,559 (19,964)PERSONNEL - TRAINING & EDUC 775 450 (325) 1,375 2,816 1,441 Total Employee-Related Expenses 129,269 100,902 (28,368) 528,344 432,473 (95,871)

Other Operating Expenses:TRAVEL EXPENSE 203 732 529 209 2,130 1,920 MILEAGE 695 904 209 2,508 4,466 1,958 CLIENT TRANSPORTATION 0 0 0 0 20 20 BUILDING EXPENSE 1,364 648 (716) 6,850 4,947 (1,903)INSURANCE EXPENSE 2,103 2,138 35 8,411 8,551 140 COMMUNICATIONS 1,379 1,253 (126) 5,903 5,263 (639)OFFICE/PRINTING SUPPLIES 561 70 (492) 1,264 939 (326)PROGRAM SUPPLIES 103 60 (44) 1,223 1,516 293 CLEANING/MAINT SUPPLIES 287 228 (60) 605 558 (48)POSTAGE/FREIGHT 317 111 (207) 1,370 725 (645)NON-CAPITAL EQUIPMENT 936 106 (830) 1,405 2,338 933 VEHICLE EXPENSE 2,630 1,058 (1,572) 6,659 8,181 1,522 REPAIRS & MAINTENANCE 2,610 1,201 (1,409) 8,765 7,020 (1,745)ADVERTISING/MARKETING 0 69 69 0 278 278 FOOD SERVICE 0 0 0 0 7 7 RECREATION FEES 10 9 0 38 37 (1)WRAPAROUND SERVICES 0 248 248 993 1,714 720 DEPRECIATION EXPENSE 4,084 2,762 (1,322) 16,443 11,106 (5,338)INTEREST EXPENSE 265 181 (85) 979 748 (232)CONTRACTED SERVICES 3,224 373 (2,851) 12,931 1,663 (11,268)MISCELLANEOUS EXPENSE 67 0 (67) 281 254 (27) Total Other Operating Expenses 20,838 12,151 (8,689) 76,837 62,461 (14,379)

Additional Expense Section:

Total Operating Expenses 150,107 113,053 (37,057) 605,181 494,934 (110,251)

Income (Loss) 30,359 (14,272) (44,630) 27,890 (30,232) (58,118)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

School ServicesFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - SALES TAX $44,429 $31,324 $13,105 $177,717 $125,297 $52,420 REVENUES - SCHOOL SERVICES 2,423 0 2,423 6,923 5,000 1,923 REVENUES - UNITED WAY 0 3,980 (3,980) 0 15,921 (15,921)REVENUES - OTHER 0 0 0 0 600 (600) Total Revenue 46,852 35,304 11,548 184,640 146,818 37,821

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 29,161 25,099 (4,062) 123,094 81,510 (41,584)PERSONNEL - COMP, OVERTIME 0 0 0 0 50 50 PERSONNEL - TAXES 2,138 1,943 (195) 9,111 6,345 (2,766)PERSONNEL - BENEFITS 3,591 897 (2,694) 13,552 1,346 (12,206)PERSONNEL - TRAINING & EDUC 0 79 79 0 79 79 Total Employee-Related Expenses 34,890 28,018 (6,872) 145,757 89,330 (56,428)

Other Operating Expenses:TRAVEL EXPENSE 9 0 (9) 64 0 (64)MILEAGE 357 178 (178) 1,209 893 (316)BUILDING EXPENSE 226 300 74 2,009 2,140 130 INSURANCE EXPENSE 362 467 105 1,447 1,867 420 COMMUNICATIONS 453 679 226 2,257 2,469 212 OFFICE/PRINTING SUPPLIES 96 78 (19) 300 250 (50)PROGRAM SUPPLIES 22 37 15 161 283 121 CLEANING/MAINT SUPPLIES 61 115 54 182 314 132 POSTAGE/FREIGHT 134 50 (83) 585 335 (251)NON-CAPITAL EQUIPMENT 0 0 0 225 294 69 REPAIRS & MAINTENANCE 353 421 69 3,255 3,454 199 ADVERTISING/MARKETING 0 61 61 0 242 242 DEPRECIATION EXPENSE 548 1,068 520 2,665 4,292 1,626 INTEREST EXPENSE 0 181 181 162 748 586 CONTRACTED SERVICES 271 80 (191) 531 410 (121)MISCELLANEOUS EXPENSE 0 0 0 0 3 3 Total Other Operating Expenses 2,892 3,715 824 15,052 17,994 2,941

Additional Expense Section:

Total Operating Expenses 37,782 31,733 (6,049) 160,809 107,324 (53,486)

Income (Loss) 9,070 3,571 (5,499) 23,831 39,494 15,665

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Susan Nuckols ProgramFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - INSURANCE $0 ($200) $200 $0 $4,907 ($4,907)REVENUES - MC+ 0 (120) 120 0 (2,821) 2,821 REVENUES - DMH 225 114,141 (113,916) 225 229,260 (229,035)REVENUES - MEDICAID 0 200 (200) 0 200 (200)Patient Revenue: 225 114,021 (113,795) 225 231,546 (231,322)

Total Revenue 225 114,021 (113,795) 225 231,546 (231,322)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 0 23,718 23,718 0 93,778 93,778 PERSONNEL - COMP, OVERTIME 0 403 403 0 1,451 1,451 PERSONNEL - TAXES 0 1,824 1,824 0 7,158 7,158 PERSONNEL - BENEFITS 0 3,306 3,306 0 13,159 13,159 Total Employee-Related Expenses 0 29,251 29,252 0 115,546 115,546

Other Operating Expenses:PROFESSIONAL FEES 0 43,578 43,578 0 75,316 75,316 TRAVEL EXPENSE 0 0 0 0 11 11 MILEAGE 0 175 175 0 349 349 INSURANCE EXPENSE 0 511 511 0 2,044 2,044 COMMUNICATIONS 0 2,208 2,208 0 8,607 8,607 OFFICE/PRINTING SUPPLIES 0 30 30 0 260 260 PROGRAM SUPPLIES 0 147 147 0 1,382 1,382 CLEANING/MAINT SUPPLIES 0 0 0 0 16 16 POSTAGE/FREIGHT 0 10 10 0 84 84 NON-CAPITAL EQUIPMENT 0 0 0 0 271 271 VEHICLE EXPENSE 0 54 54 0 174 174 ADVERTISING/MARKETING 0 253 253 0 1,010 1,010 MEDICAL EXPENSE 0 307 307 0 1,103 1,103 FOOD SERVICE 0 2,987 2,987 0 13,043 13,043 RECREATION FEES 0 50 50 0 105 105 DEPRECIATION EXPENSE 0 299 299 0 1,194 1,194 CONTRACTED SERVICES 0 125 125 0 573 573 MISCELLANEOUS EXPENSE 0 0 0 0 40 40 Total Other Operating Expenses 0 50,734 50,733 0 105,582 105,582

Additional Expense Section:

Total Operating Expenses 0 79,985 79,984 0 221,128 221,128

Income (Loss) 225 34,036 33,811 225 10,418 10,194

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Adol. OutpatientFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT ($46) $0 ($46) $2,806 ($256) $3,062 REVENUES - INSURANCE 0 (730) 730 (400) 59,054 (59,454)REVENUES - MC+ 0 (305) 305 0 (547) 547 REVENUES - DMH 37,929 27,062 10,867 109,995 157,900 (47,904)REVENUES - MEDICAID 120 0 120 0 2,436 (2,436)Patient Revenue: 38,003 26,027 11,976 112,401 218,587 (106,185)

REVENUES - SALES TAX 36,675 34,412 2,263 146,701 137,649 9,053 REVENUES - UNITED WAY 7 0 7 307 0 307 REVENUES - OTHER 400 248 152 950 1,300 (350) Total Revenue 75,085 60,687 14,399 260,359 357,536 (97,176)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 22,278 20,429 (1,849) 113,501 101,752 (11,749)PERSONNEL - COMP, OVERTIME 173 252 79 452 508 56 PERSONNEL - TAXES 1,688 1,591 (98) 8,509 7,907 (602)PERSONNEL - BENEFITS 2,994 3,003 9 15,129 13,594 (1,536)PERSONNEL - TRAINING & EDUC 0 0 0 0 280 280 Total Employee-Related Expenses 27,133 25,275 (1,858) 137,591 124,041 (13,550)

Other Operating Expenses:TRAVEL EXPENSE 0 0 0 0 832 832 MILEAGE 0 0 0 78 510 431 BUILDING EXPENSE 1,165 1,093 (72) 6,867 7,015 148 INSURANCE EXPENSE 1,829 1,164 (665) 7,317 4,656 (2,661)COMMUNICATIONS 2,401 1,720 (681) 10,360 7,078 (3,282)OFFICE/PRINTING SUPPLIES 275 27 (247) 533 294 (239)PROGRAM SUPPLIES 175 419 243 607 1,374 767 CLEANING/MAINT SUPPLIES 252 375 122 682 853 171 POSTAGE/FREIGHT 210 89 (121) 1,048 505 (543)NON-CAPITAL EQUIPMENT 169 0 (169) 2,271 551 (1,721)VEHICLE EXPENSE 524 462 (62) 2,096 3,278 1,182 REPAIRS & MAINTENANCE 2,857 2,561 (296) 12,030 15,142 3,112 ADVERTISING/MARKETING 0 172 172 23 687 664 MEDICAL EXPENSE 0 1,242 1,242 1,039 4,472 3,434 FOOD SERVICE 179 208 30 731 900 169 RECREATION FEES 0 57 57 114 224 110 DEPRECIATION EXPENSE 4,054 3,226 (828) 16,515 12,873 (3,642)CONTRACTED SERVICES 3,457 462 (2,994) 13,082 2,290 (10,792)MISCELLANEOUS EXPENSE 0 0 0 92 0 (92) Total Other Operating Expenses 17,547 13,277 (4,270) 75,485 63,534 (11,952)

Additional Expense Section:

Total Operating Expenses 44,680 38,552 (6,128) 213,076 187,575 (25,502)

Income (Loss) 30,405 22,135 (8,271) 47,283 169,961 122,678

October YTD

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Healthcare HomeFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - MEDICAID $0 $0 $0 ($600) $920 ($1,520)Patient Revenue: 0 0 0 (600) 920 (1,520)

Total Revenue 0 0 0 (600) 920 (1,520)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 11,748 23,309 11,562 87,315 94,614 7,299 PERSONNEL - COMP, OVERTIME 0 0 0 0 11 11 PERSONNEL - TAXES 1,930 1,721 (209) 7,620 7,125 (495)PERSONNEL - BENEFITS 3,269 2,888 (380) 11,520 10,851 (668)PERSONNEL - TRAINING & EDUC 0 0 0 810 945 135 Total Employee-Related Expenses 16,947 27,918 10,972 107,265 113,546 6,281

Other Operating Expenses:TRAVEL EXPENSE 502 439 (62) 1,737 4,030 2,292 MILEAGE 1,253 1,356 103 1,856 2,822 966 INSURANCE EXPENSE 369 359 (10) 1,476 1,436 (41)OFFICE/PRINTING SUPPLIES 193 0 (193) 224 24 (200)PROGRAM SUPPLIES 0 909 909 1,254 4,474 3,220 CLEANING/MAINT SUPPLIES 6 0 (6) 6 0 (6)POSTAGE/FREIGHT 0 0 0 1 1 0 NON-CAPITAL EQUIPMENT 154 0 (154) 460 234 (226)REPAIRS & MAINTENANCE 33 0 (33) 162 0 (162)DEPRECIATION EXPENSE 16 46 30 61 183 122 CONTRACTED SERVICES 2,621 2,676 55 7,904 5,527 (2,377) Total Other Operating Expenses 5,147 5,785 639 15,141 18,731 3,589

Additional Expense Section:

Total Operating Expenses 22,094 33,703 11,611 122,406 132,277 9,870

Income (Loss) (22,094) (33,703) (11,611) (123,006) (131,357) (8,349)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Primary Care Health HomeFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - MEDICAID $12,362 $11,447 $915 $48,236 $43,967 $4,269 Patient Revenue: 12,362 11,447 915 48,236 43,967 4,269

Total Revenue 12,362 11,447 915 48,236 43,967 4,269

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 22,242 1,050 (21,192) 45,365 4,725 (40,640)PERSONNEL - COMP, OVERTIME 0 0 0 19 0 (19)PERSONNEL - TAXES 548 76 (472) 2,154 343 (1,811)PERSONNEL - BENEFITS 1,406 309 (1,097) 5,751 1,309 (4,441)PERSONNEL - TRAINING & EDUC 0 0 0 3,049 0 (3,049) Total Employee-Related Expenses 24,196 1,435 (22,761) 56,338 6,377 (49,960)

Other Operating Expenses:TRAVEL EXPENSE 19 0 (19) 30 0 (30)MILEAGE 272 0 (272) 802 25 (777)COMMUNICATIONS 66 0 (66) 131 0 (131)PROGRAM SUPPLIES 0 0 0 11,381 0 (11,381)POSTAGE/FREIGHT 0 0 0 11 0 (11)MEDICAL EXPENSE 55 0 (55) 110 0 (110)CONTRACTED SERVICES (989) 2,642 3,630 3,091 2,652 (439) Total Other Operating Expenses (577) 2,642 3,219 15,556 2,677 (12,880)

Additional Expense Section:

Total Operating Expenses 23,619 4,077 (19,542) 71,894 9,054 (62,840)

Income (Loss) (11,257) 7,370 18,627 (23,658) 34,913 58,571

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Medical Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $11,815 $7,012 $4,803 $43,263 $21,406 $21,857 REVENUES - INSURANCE 44,979 52,141 (7,162) 161,256 150,638 10,619 REVENUES - MC+ 28,322 36,030 (7,708) 104,127 136,163 (32,036)REVENUES - MEDICAID 27,818 25,261 2,557 87,393 85,731 1,661 REVENUES - MEDICARE 13,136 12,297 839 45,670 47,232 (1,562)Patient Revenue: 126,070 132,741 (6,671) 441,709 441,170 539

REVENUES - GRANTS 64,594 56,261 8,333 258,375 225,042 33,333 REVENUES - DONATIONS / FUNDRAISING 40 0 40 40 0 40 REVENUES - 340B 27 13,662 (13,636) 24,460 45,332 (20,872)REVENUES - OTHER 0 59,500 (59,500) 45,444 63,090 (17,646) Total Revenue 190,731 262,164 (71,434) 770,028 774,634 (4,606)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 123,133 126,113 2,979 510,718 527,366 16,649 PERSONNEL - COMP, OVERTIME 744 641 (103) 1,663 2,737 1,074 PERSONNEL - TAXES 6,973 8,205 1,232 29,461 34,670 5,209 PERSONNEL - BENEFITS 11,682 11,012 (670) 52,188 46,124 (6,064)PERSONNEL - TRAINING & EDUC 825 400 (425) 1,625 1,521 (104) Total Employee-Related Expenses 143,357 146,371 3,013 595,655 612,418 16,764

Other Operating Expenses:PROFESSIONAL FEES 1,980 3,148 1,168 12,006 3,671 (8,336)TRAVEL EXPENSE 633 1,240 608 758 1,893 1,135 MILEAGE 293 385 92 2,303 3,225 921 BUILDING EXPENSE 10,085 9,612 (473) 40,547 39,285 (1,262)INSURANCE EXPENSE 3,261 2,663 (599) 13,045 10,651 (2,395)COMMUNICATIONS 3,167 2,687 (479) 11,537 11,914 377 OFFICE/PRINTING SUPPLIES 511 374 (138) 1,949 1,490 (459)PROGRAM SUPPLIES 4,881 3,077 (1,804) 10,745 12,124 1,379 CLEANING/MAINT SUPPLIES 174 193 19 771 780 9 POSTAGE/FREIGHT 56 41 (16) 220 171 (48)NON-CAPITAL EQUIPMENT 199 0 (199) 207 1,489 1,282 REPAIRS & MAINTENANCE 4,069 2,773 (1,296) 17,339 17,022 (317)ADVERTISING/MARKETING 733 1,530 797 1,302 6,238 4,937 MEDICAL EXPENSE 20,671 17,810 (2,861) 73,285 53,158 (20,127)340B MEDICAL EXPENSE 3,911 4,825 914 17,769 18,001 232 DEPRECIATION EXPENSE 12,334 12,398 64 49,356 49,757 402 CONTRACTED SERVICES 15,929 13,657 (2,273) 72,403 81,382 8,979 MISCELLANEOUS EXPENSE 833 0 (833) 8,612 1,410 (7,202) Total Other Operating Expenses 83,720 76,413 (7,308) 334,154 313,661 (20,493)

Additional Expense Section:

Total Operating Expenses 227,077 222,784 (4,295) 929,809 926,079 (3,729)

Income (Loss) (36,346) 39,380 75,729 (159,781) (151,445) 8,335

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Oral Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $45,882 $30,948 $14,934 $152,081 $183,733 ($31,652)REVENUES - INSURANCE 42,309 11,796 30,513 166,806 97,164 69,642 REVENUES - MC+ 224,253 211,353 12,900 769,638 561,246 208,392 REVENUES - MEDICAID 71,419 51,160 20,259 365,975 264,652 101,323 Patient Revenue: 383,863 305,257 78,606 1,454,500 1,106,795 347,705

REVENUES - GRANTS 58,417 194,815 (136,398) 233,667 387,122 (153,455)REVENUES - 340B 0 3 (3) 0 5 (5)REVENUES - OTHER 0 0 0 7,340 1,703 5,637 Total Revenue 442,280 500,075 (57,794) 1,695,507 1,495,625 199,882

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 274,478 223,398 (51,080) 1,059,693 907,496 (152,197)PERSONNEL - COMP, OVERTIME 2,672 3,033 361 4,716 8,469 3,753 PERSONNEL - TAXES 20,186 15,858 (4,328) 80,141 67,345 (12,796)PERSONNEL - BENEFITS 27,609 17,434 (10,174) 91,348 71,036 (20,312)PERSONNEL - TRAINING & EDUC 800 1,970 1,170 8,042 7,910 (132) Total Employee-Related Expenses 325,745 261,693 (64,052) 1,243,940 1,062,256 (181,684)

Other Operating Expenses:PROFESSIONAL FEES 14,000 2,466 (11,534) 26,529 9,728 (16,802)TRAVEL EXPENSE 0 1,503 1,503 50 7,434 7,385 MILEAGE 1,039 1,009 (30) 3,804 3,766 (38)BUILDING EXPENSE 3,317 3,027 (289) 13,870 12,709 (1,161)INSURANCE EXPENSE 399 455 56 1,596 1,821 225 COMMUNICATIONS 4,026 3,443 (583) 14,958 11,683 (3,274)OFFICE/PRINTING SUPPLIES 1,396 1,192 (204) 3,410 3,143 (267)PROGRAM SUPPLIES 52,243 42,158 (10,086) 126,152 100,179 (25,973)CLEANING/MAINT SUPPLIES 127 262 134 1,074 968 (106)POSTAGE/FREIGHT 148 415 267 585 1,015 430 NON-CAPITAL EQUIPMENT 6,506 2,289 (4,217) 11,390 6,578 (4,812)VEHICLE EXPENSE 870 1,095 224 3,020 2,286 (735)REPAIRS & MAINTENANCE 6,986 9,088 2,102 38,536 36,948 (1,587)ADVERTISING/MARKETING 427 917 490 1,553 2,165 612 ADVERTISING, RECRUITING 360 145 (215) 1,260 689 (571)MEDICAL EXPENSE 21,224 21,987 763 40,882 100,150 59,268 DEPRECIATION EXPENSE 48,040 44,797 (3,243) 193,330 179,611 (13,719)INTEREST EXPENSE 428 617 189 1,806 2,576 769 CONTRACTED SERVICES 6,930 14,179 7,250 14,416 16,419 2,002 MISCELLANEOUS EXPENSE 833 597 (236) 4,523 1,816 (2,707) Total Other Operating Expenses 169,299 151,641 (17,660) 502,744 501,684 (1,062)

Additional Expense Section:

Total Operating Expenses 495,044 413,334 (81,711) 1,746,684 1,563,940 (182,747)

Income (Loss) (52,764) 86,741 139,506 (51,177) (68,315) (17,136)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

Behavioral Health ServicesFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $7,414 $2,624 $4,790 $35,988 $13,668 $22,321 REVENUES - INSURANCE 33,138 12,320 20,818 125,868 64,080 61,788 REVENUES - MC+ 99,245 (37,075) 136,321 350,504 66,863 283,641 REVENUES - DMH 31,832 64,080 (32,249) 192,906 101,446 91,459 REVENUES - MEDICAID 81,710 49,099 32,611 304,656 156,224 148,433 REVENUES - MEDICARE 19,441 39,697 (20,256) 54,384 120,335 (65,950)Patient Revenue: 272,780 130,745 142,035 1,064,306 522,616 541,692

REVENUES - MIL TAX 57,989 23,882 34,106 231,954 95,529 136,425 REVENUES - SALES TAX 17,917 17,917 0 71,667 71,667 0 REVENUES - GRANTS 40,623 40,623 (1) 162,490 162,492 (2)REVENUES - 340B 0 23,947 (23,947) 61,491 94,966 (33,475)REVENUES - OTHER 22,246 1,010 21,236 33,538 8,570 24,968 Total Revenue 411,555 238,124 173,430 1,625,446 955,840 669,608

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 166,284 129,777 (36,507) 692,857 555,824 (137,033)PERSONNEL - COMP, OVERTIME 582 1,621 1,039 1,915 6,172 4,257 PERSONNEL - TAXES 10,161 7,722 (2,439) 43,333 34,022 (9,311)PERSONNEL - BENEFITS 13,780 8,769 (5,011) 50,355 34,823 (15,532)PERSONNEL - TRAINING & EDUC 0 0 0 0 (185) (185)PROFESSIONAL FEES - PSYCH 6,800 11,154 4,354 103,991 39,209 (64,782) Total Employee-Related Expenses 197,607 159,043 (38,564) 892,451 669,865 (222,585)

Other Operating Expenses:PROFESSIONAL FEES 4,820 695 (4,125) 10,895 1,595 (9,301)TRAVEL EXPENSE 0 10 10 124 636 512 MILEAGE 568 170 (398) 1,481 1,117 (364)BUILDING EXPENSE 1,720 1,107 (614) 6,946 4,426 (2,520)INSURANCE EXPENSE 869 0 (869) 3,477 0 (3,477)COMMUNICATIONS 1,657 435 (1,222) 4,307 1,767 (2,540)OFFICE/PRINTING SUPPLIES 883 26 (857) 1,938 598 (1,340)PROGRAM SUPPLIES 100 161 61 1,315 596 (719)CLEANING/MAINT SUPPLIES 199 26 (173) 429 137 (291)POSTAGE/FREIGHT 12 8 (4) 38 16 (21)NON-CAPITAL EQUIPMENT 564 150 (414) 1,569 1,764 195 VEHICLE EXPENSE 0 0 0 70 0 (70)REPAIRS & MAINTENANCE 2,164 281 (1,883) 7,132 2,329 (4,803)ADVERTISING/MARKETING 0 43 43 334 177 (157)ADVERTISING, RECRUITING 0 0 0 0 115 115 MEDICAL EXPENSE 72,103 2,465 (69,639) 251,557 75,064 (176,493)340B MEDICAL EXPENSE 3,275 5,008 1,733 15,124 20,179 5,056 RECREATION FEES 19 0 (19) 38 0 (38)DEPRECIATION EXPENSE 9,671 2,204 (7,467) 37,412 8,817 (28,595)INTEREST EXPENSE 265 0 (265) 818 0 (818)CONTRACTED SERVICES 11,469 9,348 (2,121) 56,414 28,217 (28,197)MISCELLANEOUS EXPENSE 134 62 (72) 134 176 42 Total Other Operating Expenses 110,492 22,199 (88,294) 401,552 147,726 (253,825)

Additional Expense Section:

Total Operating Expenses 308,099 181,242 (126,859) 1,294,003 817,591 (476,410)

Income (Loss) 103,456 56,882 (46,571) 331,443 138,249 (193,197)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

ECMH/SAEPFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - OTHER $4,680 $3,300 $1,380 $14,940 $10,980 $3,960 Total Revenue 4,680 3,300 1,380 14,940 10,980 3,960

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 401 0 (401) 1,786 5,808 4,023 PERSONNEL - TAXES 26 0 (26) 114 432 318 PERSONNEL - BENEFITS 45 0 (45) 210 1,114 903 Total Employee-Related Expenses 472 0 (473) 2,110 7,354 5,244

Other Operating Expenses:MILEAGE 5 0 (5) 22 85 63 COMMUNICATIONS 4 0 (4) 16 0 (16)PROGRAM SUPPLIES 0 0 0 0 207 207 Total Other Operating Expenses 9 0 (9) 38 292 254

Additional Expense Section:

Total Operating Expenses 481 0 (482) 2,148 7,646 5,498

Income (Loss) 4,199 3,300 (898) 12,792 3,334 (9,458)

October YTD

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Community Treatment, Inc.Income Statement - Year to Year Comparison

CACFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - DPS - VOCA $15,906 $4,784 $11,121 $67,791 $41,047 $26,744 REVENUES - CHILDREN'S DIVISION 18,057 16,625 1,432 71,069 63,801 7,268 REVENUES - SALES TAX 2,667 2,500 167 10,667 10,000 667 REVENUES - GRANTS 24,753 2,746 22,006 27,282 5,136 22,145 REVENUES - DONATIONS / FUNDRAISING 0 0 0 17,825 19,933 (2,108)REVENUES - UNITED WAY 2,900 2,900 0 2,900 2,900 0 REVENUES - OTHER 0 1,585 (1,585) 0 1,585 (1,585) Total Revenue 64,283 31,140 33,141 197,534 144,402 53,131

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 33,863 30,810 (3,053) 143,210 127,751 (15,459)PERSONNEL - COMP, OVERTIME 20 12 (8) 110 81 (29)PERSONNEL - TAXES 2,526 2,363 (163) 10,669 9,641 (1,028)PERSONNEL - BENEFITS 4,257 3,094 (1,163) 18,612 14,277 (4,335)PERSONNEL - TRAINING & EDUC 610 50 (560) 2,158 1,110 (1,048) Total Employee-Related Expenses 41,276 36,329 (4,947) 174,759 152,860 (21,899)

Other Operating Expenses:TRAVEL EXPENSE 685 347 (339) 1,667 2,041 374 MILEAGE 624 1,890 1,266 3,790 7,279 3,489 BUILDING EXPENSE 2,229 2,067 (162) 10,131 9,698 (433)INSURANCE EXPENSE 510 511 1 2,039 2,045 6 COMMUNICATIONS 835 1,158 324 4,095 4,054 (41)OFFICE/PRINTING SUPPLIES 310 76 (234) 759 498 (261)PROGRAM SUPPLIES 43 4,788 4,745 8,463 5,840 (2,622)CLEANING/MAINT SUPPLIES 0 183 183 0 217 217 POSTAGE/FREIGHT 0 0 0 767 287 (480)NON-CAPITAL EQUIPMENT 0 0 0 1,404 2,050 646 VEHICLE EXPENSE 319 1,373 1,055 1,201 3,114 1,913 REPAIRS & MAINTENANCE 591 718 128 3,786 2,324 (1,462)ADVERTISING/MARKETING 35 0 (35) 35 3,340 3,305 FUNDRAISING EXPENSE 0 1,025 1,025 6,776 8,646 1,870 DEPRECIATION EXPENSE 1,811 2,140 329 7,542 8,578 1,036 CONTRACTED SERVICES 758 1,290 532 2,214 4,009 1,795 MISCELLANEOUS EXPENSE 75 259 184 119 408 289 Total Other Operating Expenses 8,825 17,825 9,003 54,788 64,428 9,640

Additional Expense Section:

Total Operating Expenses 50,101 54,154 4,056 229,547 217,288 (12,260)

Income (Loss) 14,182 (23,014) (37,197) (32,013) (72,886) (40,872)

October YTD

Page 66: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Year to Year Comparison

Bridle Ridge AcresFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - DONATIONS / FUNDRAISING $0 $0 $0 $0 $50 ($50) Total Revenue 0 0 0 0 50 (50)

Operating Expenses:

Employee-Related Expenses:

Other Operating Expenses:BUILDING EXPENSE 579 701 122 2,681 3,373 692 INSURANCE EXPENSE 210 778 567 842 3,111 2,270 COMMUNICATIONS 415 546 131 1,655 2,320 665 PROGRAM SUPPLIES 0 0 0 0 36 36 CLEANING/MAINT SUPPLIES 0 0 0 0 26 26 VEHICLE EXPENSE 250 115 (136) 286 309 23 REPAIRS & MAINTENANCE 271 66 (206) 533 512 (21)ADVERTISING/MARKETING 0 0 0 0 35 35 DEPRECIATION EXPENSE 5,531 8,837 3,306 22,048 35,433 13,385 INTEREST EXPENSE 3,541 3,009 (532) 13,779 13,443 (336)CONTRACTED SERVICES 0 96 96 89 365 276 Total Other Operating Expenses 10,797 14,148 3,350 41,913 58,963 17,050

Additional Expense Section:

Total Operating Expenses 10,797 14,148 3,350 41,913 58,963 17,050

Income (Loss) (10,797) (14,148) (3,350) (41,913) (58,913) (17,000)

October YTD

Page 67: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Year to Year Comparison

Tales with TailsFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:REVENUES - CLIENT $4,750 $0 $4,750 $5,100 $0 $5,100 Patient Revenue: 4,750 0 4,750 5,100 0 5,100

REVENUES - SALES TAX 1,917 1,917 0 7,667 7,667 0 REVENUES - DONATIONS / FUNDRAISING 591 50 541 2,186 1,075 1,111 REVENUES - UNITED WAY 0 1,917 (1,917) 0 7,667 (7,667)REVENUES - OTHER 0 11,000 (11,000) 500 12,000 (11,500) Total Revenue 7,258 14,884 (7,626) 15,453 28,409 (12,956)

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 5,768 3,848 (1,920) 24,869 16,056 (8,813)PERSONNEL - TAXES 437 294 (144) 1,883 1,226 (657)PERSONNEL - BENEFITS 181 20 (161) 485 80 (405)PERSONNEL - TRAINING & EDUC 0 0 0 0 50 50 Total Employee-Related Expenses 6,386 4,162 (2,225) 27,237 17,412 (9,825)

Other Operating Expenses:TRAVEL EXPENSE 3 0 (3) 17 0 (17)MILEAGE 236 0 (236) 286 0 (286)INSURANCE EXPENSE 39 50 11 155 200 45 COMMUNICATIONS 4 0 (4) 17 162 145 OFFICE/PRINTING SUPPLIES 35 0 (35) 45 0 (45)PROGRAM SUPPLIES 0 0 0 116 2,190 2,074 VEHICLE EXPENSE 9 0 (9) 37 0 (37)ADVERTISING/MARKETING 120 0 (120) 120 0 (120)FUNDRAISING EXPENSE 0 0 0 892 0 (892)DEPRECIATION EXPENSE 18 18 0 70 70 0 CONTRACTED SERVICES 0 0 0 14 0 (14)MISCELLANEOUS EXPENSE 0 0 0 2 0 (2) Total Other Operating Expenses 464 68 (396) 1,771 2,622 851

Additional Expense Section:

Total Operating Expenses 6,850 4,230 (2,621) 29,008 20,034 (8,974)

Income (Loss) 408 10,654 10,247 (13,555) 8,375 21,930

October YTD

Page 68: Leadership Report - COMTREA

Community Treatment, Inc.Income Statement - Year to Year Comparison

AdministrationFor the Four Months Ending Wednesday, October 31, 2018

Current Year Prior Year Variance Current Year Prior Year Variance

Revenue:

REVENUES - MIL TAX $114,928 $48,444 $66,484 $459,712 $193,776 $265,936 REVENUES - SALES TAX 28,718 (2,432) 31,149 256,994 375,306 (118,312)REVENUES - DONATIONS / FUNDRAISING 16 3 14 365 262 104 REVENUES - OTHER 5,034 9,310 (4,276) 32,490 39,236 (6,747) Total Revenue 148,696 55,325 93,371 749,561 608,580 140,981

Operating Expenses:

Employee-Related Expenses:PERSONNEL - COMP, SALARY 180,390 178,300 (2,090) 776,786 732,695 (44,091)PERSONNEL - COMP, OVERTIME 2,689 3,279 589 9,685 10,854 1,169 PERSONNEL - TAXES 12,600 13,030 430 56,148 54,620 (1,528)PERSONNEL - BENEFITS 25,110 20,935 (4,175) 129,701 87,117 (42,583)PERSONNEL - TRAINING & EDUC 1,266 3,439 2,172 5,775 7,145 1,370 Total Employee-Related Expenses 222,055 218,983 (3,074) 978,095 892,431 (85,664)

Other Operating Expenses:PROFESSIONAL FEES 7,880 6,334 (1,546) 22,039 32,144 10,105 TRAVEL EXPENSE 373 5,375 5,003 991 9,343 8,353 MILEAGE 1,177 1,167 (10) 3,314 3,931 617 BUILDING EXPENSE 3,174 1,793 (1,381) 11,969 11,179 (789)INSURANCE EXPENSE 5,383 3,811 (1,572) 17,872 15,245 (2,627)COMMUNICATIONS 14,027 9,146 (4,881) 57,800 35,500 (22,300)OFFICE/PRINTING SUPPLIES 2,059 3,328 1,269 10,586 15,588 5,002 PROGRAM SUPPLIES 1,169 1,322 154 5,202 5,691 489 CLEANING/MAINT SUPPLIES 1,054 910 (143) 2,773 2,484 (289)POSTAGE/FREIGHT 1,667 952 (715) 6,308 6,246 (62)NON-CAPITAL EQUIPMENT 15,138 9,549 (5,589) 28,547 18,064 (10,483)VEHICLE EXPENSE 4,754 4,028 (726) 22,066 21,723 (344)REPAIRS & MAINTENANCE 13,212 13,120 (91) 48,149 36,329 (11,820)ADVERTISING/MARKETING 12,879 9,279 (3,600) 38,499 35,855 (2,644)ADVERTISING, RECRUITING 0 0 0 0 1,548 1,548 FUNDRAISING EXPENSE 0 0 0 363 1,972 1,609 FOOD SERVICE 5,322 4,773 (549) 19,194 19,896 702 RECREATION FEES 10 9 0 38 37 (1)DEPRECIATION EXPENSE 14,118 18,199 4,081 58,662 72,848 14,186 INTEREST EXPENSE 78 2,000 1,922 442 4,067 3,624 CONTRACTED SERVICES 30,160 25,987 (4,172) 130,823 156,128 25,306 MISCELLANEOUS EXPENSE 18,868 17,060 (1,808) 101,179 174,418 73,239 GAIN/LOSS ON SALE OF F/A 0 (2,535) (2,535) 0 (3,980) (3,980) Total Other Operating Expenses 152,502 135,607 (16,890) 586,816 676,256 89,441

Additional Expense Section:

Total Operating Expenses 374,557 354,590 (19,964) 1,564,911 1,568,687 3,777

Income (Loss) (225,861) (299,265) (73,408) (815,350) (960,107) (144,758)

October YTD

Page 69: Leadership Report - COMTREA

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Page 70: Leadership Report - COMTREA

Sum

mar

y of

All

Uni

tsR

ollin

g 12

Mon

ths

Tren

ding

Upd

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Page 71: Leadership Report - COMTREA

C.P

.R.C

.R

ollin

g 12

Mon

ths

Tren

diin

g

FY 2

019

FY 2

019

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Page 72: Leadership Report - COMTREA

C.P

.R.C

.R

ollin

g 12

Mon

ths

Tren

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Page 73: Leadership Report - COMTREA

Kea

ton

Cen

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Res

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tial R

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Page 74: Leadership Report - COMTREA

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Page 75: Leadership Report - COMTREA

Cou

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- Hill

sbor

oR

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Page 76: Leadership Report - COMTREA

A S

afe

Plac

e Sh

elte

rR

ollin

g 12

Mon

ths

Tren

ding

FY 2

019

FY 2

019

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Page 77: Leadership Report - COMTREA

Frie

nds

of S

afe

Plac

eR

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Mon

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FY 2

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Page 78: Leadership Report - COMTREA

Gen

eral

Cou

nsel

ing

Yout

hR

ollin

g 12

Mon

ths

Tren

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019

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Page 79: Leadership Report - COMTREA

Scho

ol S

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Mon

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Tren

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Oct

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Page 81: Leadership Report - COMTREA

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Page 82: Leadership Report - COMTREA

Prim

ary

Car

e H

ealth

Hom

eR

ollin

g 12

Mon

ths

Tren

ding

FY 2

019

FY 2

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Page 83: Leadership Report - COMTREA

Med

ical

Hea

lth S

ervi

ces

Rol

ling

12 M

onth

s Tr

endi

ng

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-17

Nov

-17

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Page 84: Leadership Report - COMTREA

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Page 85: Leadership Report - COMTREA

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Page 86: Leadership Report - COMTREA

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Page 87: Leadership Report - COMTREA

Beh

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Page 88: Leadership Report - COMTREA

Beh

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Page 89: Leadership Report - COMTREA

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H/S

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Page 90: Leadership Report - COMTREA

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Page 91: Leadership Report - COMTREA

Brid

le R

idge

Acr

esR

ollin

g 12

Mon

ths

FY 2

019

FY 2

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Page 92: Leadership Report - COMTREA

Tale

s w

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12 M

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endi

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Page 93: Leadership Report - COMTREA

Adm

inis

trat

ion

Rol

ling

12 M

onth

s Tr

endi

ng

FY 2

019

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Oct

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Page 95: Leadership Report - COMTREA

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Page 96: Leadership Report - COMTREA

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