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ATTACHMENT II
<br /> INDIAN RIVER COUNTY HEALTH DEPARTMENT
<br /> Part II,Sources of Contributions to County Health Department
<br /> October 1,2021 to September 30,2022
<br /> I
<br /> State CHD County Total CHD j
<br /> Trust Fund CHD Trust Fund Other-
<br /> ' (cash) Trust Fund (cash) Contribution Total
<br /> 5.OTHER CASH CONTRIBUTIONS•STATE:
<br /> 0 0 0 0 0
<br /> 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 442,029 0 442,029 0 442,029
<br /> OTHER CASH CONTRIBUTION TOTAL 442,029 0 442,029 0 442,029
<br /> 6.MEDICAID•STATE/COUNTY:
<br /> 001057 CHD CLINIC FEES 0 8,380 8,380 0 8,380
<br /> 001148 CHD CLINIC FEES 0 41,149 41,149 0 41,149
<br /> MEDICAID TOTAL 0 49,529 49,529 0 49,529
<br /> 7.ALLOCABLE REVENUE•STATE:
<br /> 001004 CHD STATEWIDE ENVIRONMENTAL FEES 4,200 0 4,200 0 4,200
<br /> 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 10,000 0 10,000 0 10,000
<br /> ALLOCABLE REVENUE TOTAL 14,200 0 14,200 0 14,200
<br /> 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE
<br /> ADAP 0 0 0 51,468 51,468
<br /> PHARMACY DRUG PROGRAM 0 0 0 350 350
<br /> WIC PROGRAM 0 0 0 1,542,956 1,542,956
<br /> BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 18,135 18,135
<br /> IMMUNIZATIONS 0 0 0 51,666 51,666
<br /> OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,664,575 1,664,575
<br /> 9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
<br /> 008005 HUMAN AND CHILDRENS SERVICES PROGRAM 0 76,680 76,680 0 76,680
<br /> 008005 CHD FEDERAL&LOCAL INDIRECT EARNINGS 0 14,061 14,061 0 14,061
<br /> 008040 CHD LOCAL REVENUE&EXPENDITURES 0 775,604 775,604 0 775,604
<br /> DIRECT COUNTY CONTRIBUTIONS TOTAL 0 866,345 866,345 0 866,345
<br /> 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
<br /> 001077 CHD CLINIC FEES 0 3,140 3,140 0 3,140
<br /> 001094 CHD LOCAL ENVIRONMENTAL FEES 0 270,031 270,031 0 270,031
<br /> 001110 VITAL STATISTICS CERTIFIED RECORDS 0 220,000 220,000 0 220,000
<br /> FEES AUTHORIZED BY COUNTY TOTAL 0 493,171 493,171 0 493,171
<br /> 11.OTHER CASH AND LOCAL CONTRIBUTIONS•COUNTY
<br /> 001029 CHD CLINIC FEES 0 8,188 8,188 0 8,188
<br /> 001090 CHD CLINIC FEES 0 7,900 7,900 0 7,900
<br /> 010300 MIGRANT LABOR HOUSING INSPECTION H-2A PROGRAM 0 1,695 1,695 0 1,695
<br /> 010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 60 60 0 60
<br /> 011000 REVENUE CONTRACT/MOA W/NO REPORTING REQUIREMENT 0 352,565 352,565 0 352,565
<br /> 011001 CHD HEALTHY START COALITION CONTRACT 0 2,504 2,504 0 2,504
<br /> 011001 HEALTHY START NURSE FAM PARTNERSHIP EXPAND CHD 0 84,802 84,802 0 84,802
<br /> 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 -278,294 -278,294 0 -278,294
<br /> OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 179,420 179,420 0179,420
<br /> Attachment_II_Part_II-Page 2 of 3
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