The Center for Local Public Health Services presents the information in this book to aid local public health policy makers in planning future public health expenditures.  Fiscal year 2018 annual financial reports from each of Missouri’s local public health agencies submitted to the Missouri Department of Health and Senior Services are the source of this information.  Trends for the past sixteen years and a comparison of revenues and expenditures between local public health agencies are provided.  We sincerely hope that this document is useful as you proceed with your public health mission.

Note: The Per Capita Public Health Revenue is based on total revenue minus revenue reported from non-public health programs such as Home Health and Home Maker Programs.

Missouri Department of Health and Senior Services, Center for Local Public Health Services;
Federal-State Cooperative Program for Population Estimates, U.S. Bureau of the Census, Missouri Office of Administration; and the Office of the State Auditor of Missouri.