Local Health Department Financing: Findings from the 2005 National Profile of Local Health Departments Study
National Profile of Local Health Departments Collaboration with CDC to collect data on local health department infrastructure Four National Profiles conducted to date Studies conducted in 1989, , , 2005 Census design – includes all LHDs in U.S.
Topics in 2005 Profile Core Governance Population served Finances Characteristics of top executive Workforce Activities and services provided Community health assessment & improvement Information technology
Topics in Profile Modules Detailed information on: Finances Workforce Community health assessment & improvement Information technology Additional Topics: Performance improvement Emergency preparedness Partnerships Policy-making and advocacy Addressing health inequities
Financial Information in 2005 Profile Core questionnaire Total annual expenditures (2 years) Revenues sources (percentages of total) CDC & HRSA emergency preparedness funding Module questionnaire Changes in sources of revenue
LHDs Included in the 2005 National Profile Study (by State and Type of Governance)
LHD Jurisdictions (by Size of Population Served)
Activities and Services Most Frequently Provided by LHDs
Total Annual LHD Expenditures
Total Annual LHD Expenditures – by Popn Population ServedMedian Interquartile Range <25,000$340,000$450,000 25, ,999$890,000$1,200,000 50, ,999$2,000,000$2,400, , ,999$5,100,000$5,300, , ,999$11,000,000$10,000, , ,999$23,000,000$27,000,000 1,000,000+$57,000,000$65,000,000
Median Annual Per Capita LHD Expenditures (by LHD Characteristics) All Revenues Non-clinical Revenues Size of population served <50,000$28$22 50, ,999$31$24 500,000+$34$31 Degree of urbanization Urban$24$21 Small city/large town$31$24 Rural$35$25
Median Annual Per Capita LHD Expenditures (by State)
Change in Total Annual LHD Expenditures
Total LHD Revenues from Various Sources
Mean Percentage of LHD Revenues from Selected Sources (by Type of Governance)
Predominant LHD Funding Source: Local
Predominant LHD Funding Source: State Direct
Predominant LHD Funding Source: Federal pass through
Predominant LHD Funding Source: Medicaid & Medicare
Balanced LHD Funding Sources
Predominant LHD Funding Source: Combined
Change in LHD Revenue from Selected Sources
For information on 2005 Profile study: Carolyn Leep, Senior Analyst National Association of County & City Health Officials