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• <br />40 <br />ATTACHMENT H <br />INDIAN RIVER COUNTY HEALTH DEPARTWNT <br />Part IT. Srurces. of Contributions to Caunty Health Department <br />CHP Trust Fund (cash) Other Contributions <br />Total <br />STATE <br />3. FEDERAL FUNDS <br />407058 FGIIT Diabetes Control <br />1) <br />U <br />n <br />007044 Itrcv 131Ili i[1k GrVRapa Awareness <br />0 <br />0 <br />0 <br />FEDERAL FUNDS TOTAL <br />616.388 <br />n <br />616.388 <br />V <br />4. FEES ASSESSED BY STATE. OR FEDERAL RULES <br />'i 001091 Communicable disease Fees <br />0 <br />0 <br />0 <br />00[092 Envitonm etual Hcalth Fees <br />105.219 <br />0 <br />145.219 <br />001113 Mobile [ionic and Parks <br />12.500 <br />0 <br />12.500 <br />001132 Food Ilygicne Permit <br />12.000 <br />0 <br />12,000 <br />001092 OSDS Repair Permit <br />26.716 <br />0 <br />26,716 <br />001092 OSDS Permh Fee <br />30.720 <br />0 <br />30.720 <br />001211 Safe Drinking (Vater <br />1.995 <br />0 <br />L"s <br />001 136 ! & hi 7.oncd Operating Permit <br />0 <br />0 <br />0 <br />001092 AcrohicOperating Pcrmi1 <br />552 <br />0 <br />552 <br />001692 Septic tank Site livaluaunn <br />30„773 <br />0 <br />30.773 <br />001139 Mtigra a Housing Permit <br />0 <br />0 <br />0 <br />001140 Biohazard Waste Permit <br />6.000 <br />0 <br />6,000 <br />001166 )Jan-SDWA System Permit <br />0 <br />0 <br />0 <br />001112 ;lnn SDWA Lab Sample <br />0 <br />0 <br />0 <br />001144 Tanning Facilities <br />2.150 <br />0 <br />2.150 <br />001115 Swimnning PnoIS <br />26.170 <br />0 <br />26.170 <br />001166 Public Water Cnwr Perm <br />0 <br />f} <br />0 <br />001165 Privaw Water Constr Permit <br />0 <br />0 <br />0 <br />001 [66 Public Wa(crAnnual OPcr FermiI <br />3..760 <br />0 <br />3.760 <br />001170 Lab Fee Chemical Analysis <br />0 <br />0 <br />0 <br />001026 Returned Check SCF Fecs <br />0 <br />0 <br />0 <br />010403 Fees -Copy of Public Due <br />0 <br />0 <br />0 <br />015055 Registar Fees Wk. 382.34) <br />0 <br />0 <br />0 <br />001135 05p5 Variance Fee <br />0 <br />p <br />0 <br />015052 Transfers-Mnbllc HonnciRV Park <br />4 <br />0 <br />0 <br />001149 Body PierCin_e <br />0 <br />0 <br />0 <br />FEES ASSESSED BY STATE OR FEDERAL. RULES TOTAL, <br />258,555 <br />rl <br />258.555 <br />5. OTHER CASK CONTRIBUTIONS <br />090001 Drawdown from Public Ifealth Unit <br />0 <br />0 <br />0 <br />OTHER CASA CONTRIBUTIONS TOTAL <br />0 <br />0 <br />1) <br />G. MEDICAID <br />001056 C'HD Inca: Medicaid -Pharmacy <br />1) <br />0 <br />0 <br />001080 CHO hnem:Mcdicaid-Other <br />23.730 <br />0 <br />23.73[) <br />WWIII CTIOmcmMedicaid-ITSD'I <br />1%5.751 <br />0 <br />175.'41 <br />001082 CHp Inenn:Medieaid-Denial <br />44.881 <br />0 <br />44.881 <br />001083 0111) Incm:Medicaid-FP <br />76.383 <br />0 <br />76.383 <br />001084 CHD Incin Medicaid -Physician <br />0 <br />0 <br />0 <br />001085 Cl ID Incm:Medicaid•Nursing <br />0 <br />0 <br />1) <br />001086 C'Hp 1ncm:C'irlasurance <br />o <br />0 <br />It <br />001087 C111)lncin-Waicaid.S-1D <br />5.187 <br />4 <br />5.187 <br />041088 CHI) IncrwMed Rcimb ALT Disp Fee <br />0 <br />0 <br />0 <br />001089 %,Wicaid AIDS <br />1,805 <br />1) <br />1.805 <br />001 [47 Medicaid 111.10 Rate <br />0 <br />0 <br />0 <br />001146 Medicaid -I INTO Admin <br />990 <br />0 <br />990 <br />001 i81. C'IID hinn:6lcdicaid Transportation <br />!% <br />11 <br />0 <br />001190 Health Mainicnance Organ ;10610) <br />0 <br />0 <br />0 <br />001191 Cl 11) 1ncni Medicaid Muleriiy <br />43.492 <br />ri <br />43.492 <br />