1. Local Health Department Financing: Findings from the 2005 National Profile of Local Health Departments Study

2. 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, 1992-3, 1996-7, 2005 Census design – includes all LHDs in U.S.

3. Topics in 2005 Profile Core Governance Population served Finances Characteristics of top executive Workforce Activities and services provided Community health assessment & improvement Information technology

4. 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

5. 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

6. LHDs Included in the 2005 National Profile Study (by State and Type of Governance)

7. LHD Jurisdictions (by Size of Population Served)

8. Activities and Services Most Frequently Provided by LHDs

9. Total Annual LHD Expenditures

10. Total Annual LHD Expenditures – by Popn Population ServedMedian Interquartile Range <25,000$340,000$450,000 25,000 - 49,999$890,000$1,200,000 50,000 - 99,999$2,000,000$2,400,000 100,000 - 249,999$5,100,000$5,300,000 250,000 - 499,999$11,000,000$10,000,000 500,000 - 999,999$23,000,000$27,000,000 1,000,000+$57,000,000$65,000,000

11. Median Annual Per Capita LHD Expenditures (by LHD Characteristics) All Revenues Non-clinical Revenues Size of population served <50,000$28$22 50,000 - 499,999$31$24 500,000+$34$31 Degree of urbanization Urban$24$21 Small city/large town$31$24 Rural$35$25

12. Median Annual Per Capita LHD Expenditures (by State)

13. Change in Total Annual LHD Expenditures

14. Total LHD Revenues from Various Sources

15. Mean Percentage of LHD Revenues from Selected Sources (by Type of Governance)

16. Predominant LHD Funding Source: Local

17. Predominant LHD Funding Source: State Direct

18. Predominant LHD Funding Source: Federal pass through

19. Predominant LHD Funding Source: Medicaid & Medicare

20. Balanced LHD Funding Sources

21. Predominant LHD Funding Source: Combined

22. Change in LHD Revenue from Selected Sources

23. For information on 2005 Profile study: Carolyn Leep, Senior Analyst National Association of County & City Health Officials cleep@naccho.org http://www.naccho.org/topics/infrastructure/2005Profile.cfm cleep@naccho.org