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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Mental Health Services Act
The State Could Better Ensure the Effective Use of Mental Health Services Act Funding

Report Number: 2017-117

Appendix

LOCAL MENTAL HEALTH AGENCIES’ MHSA FUND BALANCES

State law requires Health Care Services to collect and publish annual reports that identify each local mental health agency’s MHSA Fund revenues, expenditures, reserves, interest earned, and funds subject to reversion. These reports are due no later than December 31 following the end of the fiscal year. Table A details the 59 local mental health agencies’ MHSA ending fund balances by program and is based on the local mental health agencies’ annual reports for fiscal year 2015–16. As Table A shows, the local mental health agencies had amassed $2.5 billion in unspent MHSA funds as of this fiscal year, including $535 million in reserves that are not subject to reversion requirements. However, as of December 2017, nine of the 59 local mental health agencies had yet to submit their fiscal year 2015–16 annual reports, and an additional three had not finalized their annual reports in response to Health Care Services’ concerns. For these 12 local mental health agencies, we relied on prior years' annual reports to complete this table.


Table A
The 59 Local Mental Health Agencies’ MHSA Fund Balances
Fiscal Year 2015–16

LOCAL MENTAL HEALTH AGENCIES COMMUNITY SUPPORT PREVENTION INNOVATION WORKFORCE TRAINING CAPITAL FACILITIES RESERVE INTEREST TOTAL
Alameda County $49,485,000 $11,454,000 $9,015,000 $2,933,000 $9,890,000 $18,066,000 $3,896,000 $104,739,000
Alpine County 3,173,000 1,503,000 535,000 450,000 922,000 541,000 361,000 7,485,000
Amador County 3,172,000 793,000 737,000 191,000 330,000 1,102,000 29,000 6,354,000
City of Berkeley 6,467,000 1,417,000 596,000 306,000 1,397,000 1,612,000 67,000 11,862,000
Butte County 577,000 1,189,000 57,000 293,000 2,458,000 271,000 4,845,000
Calaveras County 3,656,000 1,016,000 346,000 74,000 49,000 975,000 82,000 6,198,000
Colusa County 4,135,000 743,000 533,000 26,000 418,000 340,000 6,195,000
Contra Costa County 25,863,000 4,179,000 4,301,000 783,000 952,000 7,125,000 2,753,000 45,956,000
Del Norte County 2,078,000 352,000 545,000 368,000 801,000 813,000 14,000 4,971,000
El Dorado County 5,099,000 2,345,000 2,101,000 81,000 462,000 1,898,000 142,000 12,128,000
Fresno County 52,279,000 14,152,000 6,181,000 3,708,000 6,243,000 12,824,000 95,387,000
Glenn County 2,707,000 391,000 112,000 210,000 89,000 2,000 3,511,000
Humboldt County 183,000 2,108,000 969,000 317,000 509,000 1,169,000 119,000 5,374,000
Imperial County 3,075,000 2,915,000 1,765,000 177,000 416,000 130,000 8,478,000
Inyo County 1,675,000 433,000 86,000 250,000 139,000 649,000 94,000 3,326,000
Kern County
  (2014–15)
26,704,000 13,533,000 5,734,000 521,000 1,634,000 12,365,000 586,000 61,077,000
Kings County 5,585,000 295,000 1,430,000 1,112,000 2,138,000 382,000 10,942,000
Lake County
  (2011–12)
627,000 322,000 90,000 443,000 576,000 1,139,000 31,000 3,228,000
Lassen County 1,770,000 630,000 462,000 649,000 805,000 3,000 4,319,000
Los Angeles County
  (2014–15)
233,051,000 140,582,000 84,319,000 33,742,000 29,397,000 192,054,000 24,465,000 737,610,000
Madera County
  (2014–15)
7,942,000 1,516,000 890,000 34,000 78,000 10,460,000
Marin County 9,681,000 1,778,000 2,100,000 608,000 1,768,000 2,175,000 570,000 18,680,000
Mariposa County* (1,355,000) 825,000 434,000 149,000 (192,000) 2,000 (137,000)
Mendocino County 799,000 1,219,000 1,452,000 311,000 584,000 2,198,000 23,000 6,586,000
Merced County 8,715,000 4,136,000 2,193,000 211,000 4,864,000 4,104,000 525,000 24,748,000
Modoc County 1,187,000 880,000 245,000 126,000 512,000 472,000 75,000 3,497,000
Mono County 144,000 994,000 536,000 554,000 1,053,000 1,672,000 96,000 5,049,000
Monterey County
  (2013–14)
8,867,000 1,214,000 2,437,000 3,063,000 16,000 15,597,000
Napa County 668,000 46,000 1,196,000 72,000 400,000 898,000 167,000 3,447,000
Nevada County
  (2013–14)
926,000 1,011,000 364,000 55,000 1,142,000 266,000 3,764,000
Orange County 92,495,000 38,639,000 21,044,000 941,000 6,587,000 70,922,000 11,303,000 241,931,000
Placer County 11,884,000 2,170,000 945,000 1,994,000 2,706,000 1,504,000 21,203,000
Plumas County
  (2013–14)
4,384,000 856,000 638,000 171,000 95,000 1,037,000 157,000 7,338,000
Riverside County 35,653,000 20,341,000 11,370,000 3,238,000 14,916,000 28,525,000 6,578,000 120,621,000
Sacramento County 76,487,000 13,740,000 10,700,000 2,155,000 3,523,000 19,392,000 125,997,000
San Benito County 4,466,000 1,575,000 1,080,000 176,000 1,489,000 932,000 356,000 10,074,000
San Bernardino County 75,783,000 11,054,000 4,340,000 307,000 4,860,000 22,152,000 2,423,000 120,919,000
San Diego County 93,767,000 8,966,000 17,148,000 406,000 11,769,000 42,193,000 11,031,000 185,280,000
San Francisco County 13,303,000 343,000 3,848,000 4,325,000 597,000 22,416,000
San Joaquin County 6,896,000 9,525,000 5,041,000 1,233,000 5,573,000 11,655,000 1,998,000 41,921,000
San Luis Obispo County 8,285,000 1,448,000 1,375,000 158,000 2,813,000 667,000 14,746,000
San Mateo County 9,693,000 1,528,000 5,540,000 799,000 600,000 266,000 18,426,000
Santa Barbara County 1,810,000 157,000 2,047,000 188,000 262,000 2,023,000 (30,000) 6,457,000
Santa Clara County
  (2014–15)
71,879,000 18,719,000 11,574,000 (45,000) 9,269,000 20,118,000 1,704,000 133,218,000
Santa Cruz County
  (2013–14)
4,241,000 3,409,000 720,000 265,000 2,748,000 3,470,000 530,000 15,383,000
Shasta County 4,083,000 2,985,000 2,524,000 22,000 465,000 45,000 10,124,000
Sierra County
  (2014–15)
2,315,000 1,100,000 370,000 20,000 542,000 607,000 1,665,000 6,619,000
Siskiyou County 1,705,000 582,000 1,055,000 153,000 940,000 236,000 4,671,000
Solano County 15,659,000 5,034,000 2,988,000 597,000 420,000 2,725,000 473,000 27,896,000
Sonoma County 3,412,000 1,631,000 551,000 905,000 106,000 6,605,000
Stanislaus County 18,408,000 4,513,000 2,520,000 144,000 868,000 500,000 26,953,000
Sutter-Yuba joint powers authority
  (2012–13)
1,610,000 1,288,000 1,903,000 813,000 (267,000) 272,000 152,000 5,771,000
Tehama County 818,000 1,302,000 137,000 102,000 346,000 546,000 5,000 3,256,000
Tri-City joint powers authority 10,239,000 980,000 989,000 204,000 25,000 3,517,000 97,000 16,051,000
Trinity County 1,605,000 109,000 11,000 493,000 106,000 2,324,000
Tulare County 27,888,000 3,571,000 5,453,000 721,000 1,517,000 7,252,000 2,971,000 49,373,000
Tuolumne County 2,538,000 275,000 255,000 3,000 120,000 411,000 31,000 3,633,000
Ventura County 15,099,000 5,171,000 2,284,000 728,000 2,940,000 9,499,000 35,721,000
Yolo County
  (2014–15)
6,093,000 2,808,000 499,000 478,000 1,893,000 514,000 288,000 12,573,000
Totals $1,091,433,000 $376,601,000 $251,831,000 $60,711,000 $136,714,000 $535,172,000 $80,714,000 $2,533,176,000

Sources: The local mental health agencies’ MHSA annual reports for fiscal year 2015–16.

Note: As of December 2017, nine of the 59 local mental health agencies had yet to submit their fiscal year 2015–16 annual reports, and an additional three had not finalized their annual reports in response to Health Care Services’ concerns. Therefore, we relied on prior years’ annual reports for 12 local mental health agencies to complete this table as shown below:

FISCAL YEAR OF MOST RECENT ANNUAL REPORTS LOCAL MENTAL HEALTH AGENCIES
2014–15 Kern County, Los Angeles County, Madera County, Santa Clara County, Sierra County, Yolo County
2013–14 Monterey County, Nevada County, Plumas County, Santa Cruz County
2012–13 Sutter-Yuba joint powers authority
2011–12 Lake County

* Mariposa County indicated that its past overspending of Community Support funding resulted in it reporting a negative total balance.

We did not contact other local mental health agencies with negative balances in individual categories because their total balances were positive.






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