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Health department details finances, warns of grant uncertainty and reserve drawdown
Summary
Cascade County Public Health staff reviewed monthly finances, saying collection from billed services is about 58.4%, vaccine purchases drive supply costs, reserves are being drawn down and federal grant uncertainty may force program prioritization; county will not proceed with one home-visiting contract.
Abigail, a prevention-services staff member, and Trista Vessic, the county chief financial officer, briefed the Cascade County City-County Board of Health on the department’s monthly finances and long-term funding risks.
Vessic explained the county’s recurring local support: the City of Great Falls contributes up to $250,000 annually toward operations and the county matches that amount; additional revenue comes from a per-capita rural mill levy and a permissive medical levy applied to non–grant-funded FTE. “That’s the tax mill component and the contributions that come from the city and county,” she said.
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