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ATTACHMENT II
<br /> INDIAN RIVER COUNTY HEALTH DEPARTMENT
<br /> Part II,Sources of Contributions to County Health Department
<br /> October 1,2016 to September 30,2017
<br /> State CHD County Total CHD
<br /> Trust Fund CHD. Trust Fund Other
<br /> (cash) Trust Fund (cash) Contribution Total
<br /> 001206 MOBILE HOME&RV PARK FEES 1.623 0 1,623 0 1.623
<br /> FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 458,980 0 458.980 0 458,980
<br /> 5.OTHER CASH CONTRIBUTIONS-STATE:
<br /> 0 0 0 0 0
<br /> 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 11.422 0 11.422 0 11,422
<br /> OTHER CASH CONTRIBUTION TOTAL 1L422 0 11.422 0 11,422
<br /> 6.MEDICAID-STATE/COUNTY
<br /> 001057 CHD CLINIC FEES 0 220,690 220,690 0 220.690
<br /> 001148 CHD CLINIC FEES 0 833,030 833.030 0 833.030
<br /> MEDICAID TOTAL 0 1,053,720 1.053.720 0 1,053,720
<br /> 7 ALLOCABLE REVENUE-STATE:
<br /> 001004 CHD STATEWIDE ENVIRONNIENTAL FEES 1,817 0 1,817 0 1,817
<br /> ALLOCABLE REVENUE TOTAL 1.817 0 1.817 0 1,817
<br /> 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE
<br /> ADAP 0 0 0 174.958 174.958
<br /> PHARMACY DRUG PROGRAM 0 0 0 15.553 15,553
<br /> WIC PROGRAM 0 0 0 1,901,087 1,901,087
<br /> BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 21.632 21,632
<br /> IMMUNIZATIONS 0 0 0 448.132 448.132
<br /> OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 2,561,362 2.561.362
<br /> 9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
<br /> 008005 HUMAN AND CHILDRENS SERVICES PROGRAM 0 64.946 64.946 0 64,946
<br /> 008005 CHD FEDERAL&LOCAL INDIRECT EARNINGS 0 11.446 11.446 0 11,446
<br /> 008020 CHD LOCAL REVENUE&EXPENDITURES 0 2,450.727 2.450 727 0 2.450.727
<br /> 008040 CHD LOCAL REVENUE&EXPENDITURES 0 602,829 602,829 0 602.829
<br /> DIRECT COUNTY CONTRIBUTIONS TOTAL 0 3.129,948 3,129,948 0 3,129.948
<br /> 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
<br /> 001025 CHD CLINIC FEES 0 5,071 5.071 0 5.071
<br /> 001077 CHD CLINIC FEES 0 303,462 303,462 0 303,462
<br /> 001094 CHD LOCAL ENVIRONMENTAL FEES 0 91,141 91.141 0 91,141
<br /> 001110 N7ITAL STATISTICS CERTIFIED RECORDS 0 207,866 207 866 0 207,866
<br /> FEES AUTHORIZED BY COUNTY TOTAL 0 607,540 607 540 0 607 540
<br /> 11.OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY
<br /> 001029 CHD CLINIC FEES 0 129.921 129.921 0 129.921
<br /> 001090 CHD CLINIC FEES 0 41,935 41.935 0 41,935
<br /> 005000 CHD LOCAL REVENUE&EXPENDITURES 0 11.544 11.544 0 11,544
<br /> 010300 DEP AGRMT INVENTORY ONSITE SEWAGE TREAT/DISP SYS 0 111,568 111.568 0 111,568
<br /> 010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT' 0 1.568 1.568 0 1.568
<br /> 011000 REVENUE CONTRACT/.-MOA WINO REPORTING REQUIREMENT 0 15.040 15.040 0 15,040
<br /> Attachment-11-Part-ii-Page 2 of 3
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