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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, 2020 to September 30, 2021
<br />001206 ONSITE SEWAGE TRAINING CENTER
<br />001206 TATTO PROGRAM ENVIRONMENTAL HEALTH
<br />001206 MOBILE HOME & RV PARK FEES
<br />FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
<br />5. OTHER CASH CONTRIBUTIONS - STATE:
<br />090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
<br />OTHER CASH CONTRIBUTION TOTAL
<br />6. MEDICAID - STATE/COUNTY
<br />001148 CHD CLINIC FEES
<br />MEDICAID TOTAL
<br />State CHD
<br />County
<br />Total CHD
<br />0
<br />3,690
<br />Trust Fund
<br />CHD
<br />Trust Fund
<br />Other
<br />10,000
<br />(cash)
<br />Trust Fund
<br />(cash)
<br />Contribution
<br />Total
<br />95
<br />0
<br />95
<br />0
<br />95
<br />868
<br />0
<br />868
<br />0
<br />868
<br />2,719
<br />0
<br />2,719
<br />0
<br />2,719
<br />504,146
<br />0
<br />504,146
<br />0
<br />504,146
<br />0
<br />0
<br />0
<br />0
<br />0
<br />144,924
<br />0
<br />144,924
<br />0
<br />144,924
<br />144,924
<br />0
<br />144,924
<br />0
<br />144,924
<br />0
<br />22,100
<br />22,100
<br />0
<br />22,100
<br />0
<br />22,100
<br />22,100
<br />0
<br />22,100
<br />7. ALLOCABLE REVENUE • STATE:
<br />001004 CHD STATEWIDE ENVIRONMENTAL FEES
<br />031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
<br />ALLOCABLE REVENUE TOTAL
<br />8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
<br />ADAP
<br />PHARMACY DRUG PROGRAM
<br />WIC PROGRAM
<br />BUREAU OF PUBLIC HEALTH LABORATORIES
<br />IMMUNIZATIONS
<br />OTHER STATE CONTRIBUTIONS TOTAL
<br />9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
<br />008005 HUMAN AND CHILDRENS SERVICES PROGRAM
<br />008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS
<br />008040 CHD LOCAL REVENUE & EXPENDITURES
<br />DIRECT COUNTY CONTRIBUTIONS TOTAL
<br />10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION • COUNTY
<br />001077 CHD CLINIC FEES
<br />001094 CHD LOCAL ENVIRONMENTAL FEES
<br />001110 VITAL STATISTICS CERTIFIED RECORDS
<br />FEES AUTHORIZED BY COUNTY TOTAL
<br />11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
<br />001029 CHD CLINIC FEES
<br />001090 CHD CLINIC FEES
<br />010300 INSPECTIONS OF SUMMER FEEDING PROGRAM • DOE
<br />010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT
<br />010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
<br />011000 REVENUE CONTRACT/MOA W/NO REPORTING REQUIREMENT
<br />3,690
<br />0
<br />3,690
<br />0
<br />3,690
<br />10,000
<br />0
<br />10,000
<br />0
<br />10,000
<br />13,690
<br />0
<br />13,690
<br />0
<br />13,690
<br />0
<br />0
<br />0
<br />88,822
<br />88,822
<br />0
<br />0
<br />0
<br />507
<br />507
<br />0
<br />0
<br />0
<br />1,743,101
<br />1,743,101
<br />0
<br />0
<br />0
<br />17,224
<br />17,224
<br />0
<br />0
<br />0
<br />98,561
<br />98,561
<br />0
<br />0
<br />0
<br />1,948,215
<br />1,948,215
<br />0
<br />71,184
<br />71,184
<br />0
<br />71,184
<br />0
<br />10,524
<br />10,524
<br />0
<br />10,524
<br />0
<br />738,670
<br />738,670
<br />0
<br />738,670
<br />0
<br />820,378
<br />820,378
<br />0
<br />820,378
<br />0
<br />13,919
<br />13,919
<br />0
<br />13,919
<br />0
<br />258,943
<br />258,943
<br />0
<br />258,943
<br />0
<br />201,240
<br />201,240
<br />0
<br />201,240
<br />0
<br />474,102
<br />474,102
<br />0
<br />474,102
<br />0
<br />13,200
<br />13,200
<br />0
<br />13,200
<br />0
<br />3,800
<br />3,800
<br />0
<br />3,800
<br />0
<br />1,119
<br />1,119
<br />0
<br />1,119
<br />0
<br />2,416
<br />2,416
<br />0
<br />2,416
<br />0
<br />400
<br />400
<br />0
<br />400
<br />0
<br />341,919
<br />341,919
<br />0
<br />341,919
<br />Attachment -II -Part -II - Page 2 of 3
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