Texas Department of Mental Health
and Mental Retardation*
Estimated Health Care Spending by County, Fiscal 1998**
| County | Unduplicated MHA Expenditures By County |
Unduplicated MRA Expenditures By County |
Total MH Residential Unduplicated Expenditure By |
Total MR Residential Unduplicated Expenditure By |
Total Unduplicated Expenditures By County |
| Anderson | $1,378,339 | 1,497,848 | $0 | 0 | $2,876,186 |
| Andrews | $435,143 | 81,486 | $0 | 0 | $516,629 |
| Angelina | $1,118,470 | 538,648 | $0 | 2,342,201 | $3,999,320 |
| Aransas | $435,312 | 304,231 | $0 | $0 | $739,543 |
| Archer | $197,646 | 74,683 | $0 | $0 | $272,329 |
| Armstrong | $35,109 | 20,199 | $0 | $0 | $55,308 |
| Atascosa | $637,120 | 648,383 | $0 | $0 | $1,285,503 |
| Austin | $216,233 | 175,056 | $0 | $0 | $391,288 |
| Bailey | $139,887 | 106,452 | $0 | $0 | $246,339 |
| Bandera | $228,041 | 153,927 | $0 | $0 | $381,969 |
| Bastrop | $903,067 | 840,958 | $0 | $0 | $1,744,025 |
| Baylor | $98,413 | 37,187 | $0 | $0 | $135,600 |
| Bee | $570,333 | 398,594 | $0 | $0 | $968,927 |
| Bell | $3,127,094 | 2,431,597 | $0 | $0 | $5,558,691 |
| Bexar | $11,336,352 | 10,470,489 | $31,501,080 | 1,205,888 | $54,513,809 |
| Blanco | $120,856 | 81,578 | $0 | $0 | $202,434 |
| Borden | $22,391 | 4,193 | $0 | $0 | $26,584 |
| Bosque | $182,606 | 354,130 | $0 | $0 | $536,737 |
| Bowie | $1,206,527 | 580,406 | $0 | $0 | $1,786,933 |
| Brazoria | $4,283,418 | 1,579,853 | $0 | $0 | $5,863,272 |
| Brazos | $2,079,540 | 1,422,657 | $0 | $0 | $3,502,198 |
| Brewster | $164,565 | 47,106 | $0 | $0 | $211,671 |
| Briscoe | $39,658 | 30,179 | $0 | $0 | $69,837 |
| Brooks | $172,653 | 120,663 | $0 | $0 | $293,316 |
| Brown | $540,881 | 290,769 | $0 | $0 | $831,650 |
| Burleson | $226,525 | 154,971 | $0 | $0 | $381,496 |
| Burnet | $565,992 | 527,066 | $0 | $0 | $1,093,059 |
| Caldwell | $577,805 | 538,066 | $0 | $0 | $1,115,871 |
| Calhoun | $208,136 | -59,284 | $0 | $0 | $148,852 |
| Callahan | $173,482 | 146,330 | $0 | $0 | $319,812 |
| Cameron | $5,232,781 | 2,017,590 | $6,261,812 | 316,830 | $13,829,013 |
| Camp | $235,816 | 59,286 | $0 | $0 | $295,103 |
| Carson | $111,548 | 64,177 | $0 | $0 | $175,725 |
| Cass | $454,424 | 218,603 | $0 | $0 | $673,027 |
| Castro | $179,337 | 136,474 | $0 | $0 | $315,811 |
| Chambers | $426,673 | 484,020 | $0 | $0 | $910,693 |
| Cherokee | $1,169,178 | 1,270,552 | $26,279,665 | $0 | $28,719,395 |
| Childress | $168,595 | 63,706 | $0 | $0 | $232,301 |
| Clay | $247,330 | 93,457 | $0 | $0 | $340,788 |
| Cochran | $112,391 | 25,046 | $0 | $0 | $137,438 |
| Coke | $33,859 | 104,183 | $0 | $0 | $138,042 |
| Coleman | $144,783 | 77,833 | $0 | $0 | $222,616 |
| Collin | $3,899,478 | 1,365,771 | $0 | $0 | $5,265,249 |
| Collingsworth | $55,757 | 32,079 | $0 | $0 | $87,836 |
| Colorado | $268,938 | 150,427 | $0 | $0 | $419,364 |
| Comal | $1,121,513 | 757,019 | $0 | $0 | $1,878,532 |
| Comanche | $213,574 | 114,813 | $0 | $0 | $328,387 |
| Concho | $29,233 | 89,947 | $0 | $0 | $119,180 |
| Cooke | $448,261 | 260,702 | $0 | $0 | $708,963 |
| Coryell | $1,049,892 | 816,386 | $0 | $0 | $1,866,278 |
| Cottle | $47,910 | 18,103 | $0 | $0 | $66,014 |
| Crane | $135,379 | 25,351 | $0 | $0 | $160,730 |
| Crockett | $44,482 | 136,868 | $0 | $0 | $181,349 |
| Crosby | $195,034 | 43,463 | $0 | $0 | $238,497 |
| Culberson | $58,650 | 16,788 | $0 | $0 | $75,439 |
| Dallam | $98,255 | 56,529 | $0 | $0 | $154,784 |
| Dallas | $34,575,305 | 11,897,298 | $0 | $0 | $46,472,603 |
| Dawson | $440,460 | 82,482 | $0 | $0 | $522,942 |
| Deaf Smith | $320,117 | 184,173 | $0 | $0 | $504,290 |
| Delta | $111,649 | 28,070 | $0 | $0 | $139,718 |
| Denton | $4,758,621 | -24,382 | $0 | 4,579,443 | $9,313,682 |
| DeWitt | $205,208 | -58,450 | $0 | $0 | $146,758 |
| Dickens | $52,642 | 19,891 | $0 | $0 | $72,533 |
| Dimmit | $197,460 | 200,951 | $0 | $0 | $398,411 |
| Donley | $62,796 | 36,128 | $0 | $0 | $98,924 |
| Duval | $288,084 | 201,336 | $0 | $0 | $489,420 |
| Eastland | $276,806 | 148,806 | $0 | $0 | $425,612 |
| Ector | $2,204,962 | 631,156 | $0 | $0 | $2,836,118 |
| Edwards | $45,959 | 31,022 | $0 | $0 | $76,980 |
| Ellis | $1,543,649 | 322,578 | $0 | $0 | $1,866,228 |
| ElPaso | $20,607,437 | 5,475,715 | $3,694,269 | 528,773 | $30,306,194 |
| Erath | $537,602 | 96,638 | $0 | $0 | $634,241 |
| Falls | $204,782 | 397,135 | $0 | $0 | $601,916 |
| Fannin | $367,194 | 213,555 | $0 | $0 | $580,749 |
| Fayette | $401,765 | 374,134 | $0 | $0 | $775,898 |
| Fisher | $131,863 | 24,693 | $0 | $0 | $156,556 |
| Floyd | $168,219 | 128,013 | $0 | $0 | $296,232 |
| Foard | $42,132 | 15,920 | $0 | $0 | $58,052 |
| Fort Bend | $4,445,577 | 2,486,574 | $0 | 2,969,464 | $9,901,614 |
| Franklin | $190,109 | 47,795 | $0 | $0 | $237,905 |
| Freestone | $199,654 | 387,191 | $0 | $0 | $586,844 |
| Frio | $285,414 | 290,460 | $0 | $0 | $575,874 |
| Gaines | $420,964 | 78,831 | $0 | $0 | $499,795 |
| Galveston | $4,560,730 | 1,682,134 | $0 | $0 | $6,242,864 |
| Garza | $147,312 | 27,586 | $0 | $0 | $174,899 |
| Gillespie | $315,990 | 213,293 | $0 | $0 | $529,283 |
| Glasscock | $39,612 | 7,418 | $0 | $0 | $47,030 |
| Goliad | $65,524 | -18,663 | $0 | $0 | $46,861 |
| Gonzales | $326,304 | 332,073 | $0 | $0 | $658,377 |
| Gray | $415,019 | 238,774 | $0 | $0 | $653,793 |
| Grayson | $1,365,780 | 794,318 | $0 | $0 | $2,160,099 |
| Gregg | $2,516,690 | 564,755 | $0 | $0 | $3,081,445 |
| Grimes | $327,573 | 224,100 | $0 | $0 | $551,673 |
| Guadalupe | $1,378,245 | 1,402,610 | $0 | $0 | $2,780,855 |
| Hale | $743,905 | 566,104 | $0 | $0 | $1,310,009 |
| Hall | $65,665 | 37,779 | $0 | $0 | $103,443 |
| Hamilton | $114,046 | 88,681 | $0 | $0 | $202,727 |
| Hansford | $92,934 | 53,468 | $0 | $0 | $146,403 |
| Hardeman | $113,883 | 43,032 | $0 | $0 | $156,915 |
| Hardin | $798,771 | 323,128 | $0 | $0 | $1,121,899 |
| Harris | $63,735,209 | 21,901,449 | $0 | $0 | $85,636,659 |
| Harrison | $1,351,677 | 303,322 | $0 | $0 | $1,654,999 |
| Hartley | $83,761 | 48,190 | $0 | $0 | $131,951 |
| Haskell | $145,982 | 55,162 | $0 | $0 | $201,144 |
| Hays | $1,340,393 | 904,763 | $0 | $0 | $2,245,156 |
| Hemphill | $60,511 | 34,814 | $0 | $0 | $95,325 |
| Henderson | $852,169 | 1,050,681 | $0 | $0 | $1,902,851 |
| Hidalgo | $8,518,544 | 3,284,472 | $0 | $0 | $11,803,016 |
| Hill | $335,810 | 651,239 | $0 | $0 | $987,049 |
| Hockley | $668,187 | 148,905 | $0 | $0 | $817,092 |
| Hood | $588,189 | 105,732 | $0 | $0 | $693,921 |
| Hopkins | $677,760 | 170,395 | $0 | $0 | $848,155 |
| Houston | $312,176 | 150,342 | $0 | $0 | $462,517 |
| Howard | $974,885 | 182,559 | $18,077,539 | $0 | $19,234,983 |
| Hudspeth | $61,723 | 17,668 | $0 | $0 | $79,391 |
| Hunt | $118,035 | 263,754 | $0 | $0 | $381,789 |
| Hutchinson | $427,212 | 245,788 | $0 | $0 | $673,000 |
| Irion | $14,399 | 44,305 | $0 | $0 | $58,705 |
| Jack | $175,852 | 66,448 | $0 | $0 | $242,300 |
| Jackson | $146,268 | -41,662 | $0 | $0 | $104,606 |
| Jasper | $483,410 | 232,807 | $0 | $0 | $716,217 |
| Jeff Davis | $35,773 | 10,240 | $0 | $0 | $46,012 |
| Jefferson | $4,173,858 | 4,734,845 | $0 | $0 | $8,908,703 |
| Jim Hogg | $97,271 | 8,002 | $0 | $0 | $105,272 |
| Jim Wells | $821,631 | 574,221 | $0 | $0 | $1,395,852 |
| Johnson | $1,735,715 | 362,714 | $0 | $0 | $2,098,429 |
| Jones | $242,441 | 204,495 | $0 | 1,649,644 | $2,096,580 |
| Karnes | $261,319 | 265,939 | $0 | $0 | $527,258 |
| Kaufman | $1,381,928 | 347,429 | $29,479,081 | $0 | $31,208,438 |
| Kendall | $320,222 | 216,149 | $0 | $0 | $536,371 |
| Kenedy | $8,702 | 6,081 | $0 | $0 | $14,783 |
| Kent | $27,826 | 5,211 | $0 | $0 | $33,037 |
| Kerr | $670,204 | 452,387 | $15,015,781 | $0 | $16,138,372 |
| Kimble | $66,171 | 44,665 | $0 | $0 | $110,836 |
| King | $7,621 | 2,880 | $0 | $0 | $10,501 |
| Kinney | $52,050 | 35,134 | $0 | $0 | $87,184 |
| Kleberg | $644,009 | 450,084 | $0 | $0 | $1,094,093 |
| Knox | $103,578 | 39,138 | $0 | $0 | $142,716 |
| Lamar | $994,689 | 250,074 | $0 | $0 | $1,244,763 |
| Lamb | $314,264 | 239,152 | $0 | $0 | $553,416 |
| Lampasas | $231,137 | 179,730 | $0 | $0 | $410,867 |
| LaSalle | $111,122 | 113,087 | $0 | $0 | $224,209 |
| Lavaca | $197,438 | -56,237 | $0 | $0 | $141,201 |
| Lee | $266,939 | 248,580 | $0 | $0 | $515,519 |
| Leon | $210,501 | 144,008 | $0 | $0 | $354,509 |
| Liberty | $931,926 | 200,620 | $0 | $0 | $1,132,546 |
| Limestone | $240,485 | 466,375 | $0 | 2,680,737 | $3,387,597 |
| Lipscomb | $54,423 | 31,311 | $0 | $0 | $85,734 |
| Live Oak | $209,480 | 146,401 | $0 | $0 | $355,882 |
| Llano | $205,535 | 138,736 | $0 | $0 | $344,270 |
| Loving | $2,806 | 526 | $0 | $0 | $3,332 |
| Lubbock | $6,433,807 | 1,433,769 | $0 | 1,709,051 | $9,576,626 |
| Lynn | $182,795 | 40,736 | $0 | $0 | $223,531 |
| Madison | $183,026 | 125,212 | $0 | $0 | $308,238 |
| Marion | $238,560 | 53,534 | $0 | $0 | $292,094 |
| Martin | $152,305 | 28,521 | $0 | $0 | $180,825 |
| Mason | $57,026 | 38,492 | $0 | $0 | $95,518 |
| Matagorda | $526,274 | 294,365 | $0 | $0 | $820,639 |
| Maverick | $830,931 | 845,620 | $0 | $0 | $1,676,551 |
| McCulloch | $126,640 | 68,079 | $0 | $0 | $194,719 |
| McLennan | $2,281,911 | 4,425,328 | $6,338,479 | $0 | $13,045,718 |
| McMullen | $13,854 | 14,099 | $0 | $0 | $27,953 |
| Medina | $556,370 | 375,549 | $0 | $0 | $931,918 |
| Menard | $36,581 | 24,692 | $0 | $0 | $61,273 |
| Midland | $2,123,913 | 607,957 | $0 | $0 | $2,731,870 |
| Milam | $346,382 | 269,343 | $0 | $0 | $615,725 |
| Mills | $78,073 | 41,971 | $0 | $0 | $120,044 |
| Mitchell | $264,731 | 49,574 | $0 | $0 | $314,305 |
| Montague | $413,832 | 156,373 | $0 | $0 | $570,205 |
| Montgomery | $3,679,907 | 792,190 | $0 | $0 | $4,472,097 |
| Moore | $326,822 | 188,031 | $0 | $0 | $514,852 |
| Morris | $292,695 | 73,586 | $0 | $0 | $366,281 |
| Motley | $27,423 | 20,869 | $0 | $0 | $48,292 |
| Nacogdoches | $842,585 | 405,784 | $0 | $0 | $1,248,368 |
| Navarro | $650,719 | 135,982 | $0 | $0 | $786,701 |
| Newton | $203,687 | 98,094 | $0 | $0 | $301,781 |
| Nolan | $491,091 | 91,963 | $0 | $0 | $583,053 |
| Nueces | $4,022,566 | 5,438,403 | $0 | 1,844,913 | $11,305,882 |
| Ochiltree | $154,346 | 88,800 | $0 | $0 | $243,146 |
| Oldham | $39,629 | 22,800 | $0 | $0 | $62,429 |
| Orange | $1,414,248 | 1,604,330 | $0 | $0 | $3,018,578 |
| Palo Pinto | $450,038 | 80,898 | $0 | $0 | $530,936 |
| Panola | $511,799 | 114,850 | $0 | $0 | $626,649 |
| Parker | $1,315,582 | 236,486 | $0 | $0 | $1,552,068 |
| Parmer | $211,989 | 161,322 | $0 | $0 | $373,311 |
| Pecos | $276,626 | 79,182 | $0 | $0 | $355,808 |
| Polk | $600,633 | 289,261 | $0 | $0 | $889,894 |
| Potter | $1,827,616 | 1,051,485 | $0 | $0 | $2,879,101 |
| Presidio | $134,778 | 38,579 | $0 | $0 | $173,358 |
| Rains | $93,951 | 115,837 | $0 | $0 | $209,788 |
| Randall | $1,685,830 | 969,910 | $0 | $0 | $2,655,740 |
| Reagan | $39,931 | 122,864 | $0 | $0 | $162,795 |
| Real | $40,750 | 27,506 | $0 | $0 | $68,257 |
| Red River | $211,092 | 101,547 | $0 | $0 | $312,639 |
| Reeves | $452,158 | 84,672 | $0 | $0 | $536,830 |
| Refugio | $80,137 | -22,826 | $0 | $0 | $57,311 |
| Roberts | $14,744 | 8,483 | $0 | $0 | $23,227 |
| Robertson | $231,011 | 158,039 | $0 | $0 | $389,050 |
| Rockwall | $822,923 | 206,890 | $0 | $0 | $1,029,814 |
| Runnels | $344,783 | 64,565 | $0 | $0 | $409,347 |
| Rusk | $1,016,306 | 228,063 | $0 | $0 | $1,244,369 |
| Sabine | $151,255 | 72,844 | $0 | $0 | $224,099 |
| San Augustine | $116,771 | 56,236 | $0 | $0 | $173,008 |
| San Jacinto | $277,960 | 133,864 | $0 | $0 | $411,823 |
| San Patricio | $1,385,778 | 968,492 | $0 | $0 | $2,354,269 |
| San Saba | $80,532 | 43,293 | $0 | $0 | $123,825 |
| Schleicher | $52,267 | 35,280 | $0 | $0 | $87,547 |
| Scurry | $552,976 | 103,551 | $0 | $0 | $656,527 |
| Shackelford | $46,107 | 38,891 | $0 | $0 | $84,998 |
| Shelby | $328,261 | 158,088 | $0 | $0 | $486,349 |
| Sherman | $51,421 | 29,584 | $0 | $0 | $81,005 |
| Smith | $2,054,674 | 2,533,309 | $0 | $0 | $4,587,983 |
| Somervell | $100,631 | 18,089 | $0 | $0 | $118,720 |
| Starr | $1,027,539 | 84,531 | $0 | $0 | $1,112,070 |
| Stephens | $224,809 | 84,947 | $0 | $0 | $309,756 |
| Sterling | $13,191 | 40,587 | $0 | $0 | $53,777 |
| Stonewall | $40,949 | 15,473 | $0 | $0 | $56,422 |
| Sutton | $69,101 | 46,643 | $0 | $0 | $115,743 |
| Swisher | $174,254 | 132,605 | $0 | $0 | $306,859 |
| Tarrant | $19,906,784 | 13,080,159 | $0 | $0 | $32,986,942 |
| Taylor | $1,726,010 | 1,455,862 | $0 | 1,649,644 | $4,831,516 |
| Terrell | $34,354 | 6,433 | $0 | $0 | $40,787 |
| Terry | $392,725 | 73,543 | $0 | $0 | $466,267 |
| Throckmorton | $36,990 | 13,977 | $0 | $0 | $50,968 |
| Titus | $569,415 | 143,156 | $0 | $0 | $712,571 |
| Tom Green | $996,875 | 3,067,331 | $0 | 1,500,981 | $5,565,187 |
| Travis | $15,637,049 | 6,665,030 | $27,035,804 | 3,470,606 | $52,808,489 |
| Trinity | $178,713 | 86,067 | $0 | $0 | $264,779 |
| Tyler | $279,357 | 134,536 | $0 | $0 | $413,893 |
| Upshur | $771,657 | 173,163 | $0 | $0 | $944,820 |
| Upton | $119,043 | 22,292 | $0 | $0 | $141,336 |
| Uvalde | $388,609 | 262,311 | $0 | $0 | $650,920 |
| Val Verde | $663,617 | 447,940 | $0 | $0 | $1,111,557 |
| Van Zandt | $533,715 | 658,043 | $0 | $0 | $1,191,758 |
| Victoria | $830,374 | -236,518 | $0 | $0 | $593,856 |
| Walker | $818,499 | 176,202 | $0 | $0 | $994,701 |
| Waller | $276,490 | 223,838 | $0 | $0 | $500,327 |
| Ward | $376,951 | 70,589 | $0 | $0 | $447,540 |
| Washington | $445,982 | 305,106 | $0 | 2,151,707 | $2,902,794 |
| Webb | $3,810,927 | 313,506 | $0 | $0 | $4,124,433 |
| Wharton | $566,193 | 316,692 | $0 | $0 | $882,885 |
| Wheeler | $99,556 | 57,278 | $0 | $0 | $156,834 |
| Wichita | $2,911,341 | 1,100,093 | $26,600,768 | $0 | $30,612,202 |
| Wilbarger | $349,179 | 131,942 | $28,339,202 | $0 | $28,820,323 |
| Willacy | $315,490 | 121,643 | $0 | $0 | $437,133 |
| Williamson | $3,929,297 | 3,659,059 | $0 | $0 | $7,588,356 |
| Wilson | $533,424 | 542,854 | $0 | $0 | $1,076,278 |
| Winkler | $246,801 | 46,216 | $0 | $0 | $293,017 |
| Wise | $960,157 | 362,809 | $0 | $0 | $1,322,966 |
| Wood | $412,479 | 508,566 | $0 | $0 | $921,046 |
| Yoakum | $251,645 | 47,124 | $0 | $0 | $298,769 |
| Young | $405,438 | 153,201 | $0 | $0 | $558,639 |
| Zapata | $211,778 | 17,422 | $0 | $0 | $229,199 |
| Zavala | $213,729 | 217,507 | $0 | $0 | $431,237 |
| Texas | $334,076,820 | 163,071,943 | $218,623,480 | $28,599,882 | $744,372,125 |
| *Includes Medicaid Breakout and Unduplicated Counts MHA = Mental Health Authority MR = Mental Retardation Authority Note: MHA and MRA totals include local spending amounts. SOURCE: Texas Department of Mental Health and Mental Retardation. **Estimated health care spending by county population and MHA and MRA amounts per county. Does not include unduplicated central office administration of $23,935,404 but does include other state and local unduplicated MHMR spending. |
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