NATIONAL PACE ASS O CI A TI O N Per Member Per ......D. Tables and Charts II. PMPM and Percent of...
Transcript of NATIONAL PACE ASS O CI A TI O N Per Member Per ......D. Tables and Charts II. PMPM and Percent of...
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N A T I O N A L P A C E A S S O C I A T I O N
Per Member Per Month (PMPM) Financial Benchmarking Report2015
Alexian Brothers Community Services - ChattanoogaC E N S U S 1 5 1 - 3 0 0
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 2
I. Using the Reports
A. Description of the Data Set and LimitationsB. Calculation of Per Member Per Month (PMPM) DollarsC. Calculation of Expense as a Percent of Total RevenueD. Tables and Charts
II. PMPM and Percent of Income TablesSummary of Reports and Statistics Used
E. Report 1: Per-Member/Per-Month Dollar Value Report – Summary TableF. Report 2: Per-Member/Per-Month % of Total Revenue Report –
Statistics Table
III. Income and Expense, Income/Loss, Census ChartsSummary of Charts – Income, Expense, Income/Loss, Census
A. Income Charts Chart 1: Your Income SourcesChart 2: All Programs’ Income SourcesChart 3: All Income PMPM and %Chart 4: PACE - Medicare PMPM and %Chart 5: PACE - Medicaid PMPM and % Chart 6: PACE - Other PMPM and %Chart 7: Other Income PMPM and %
B. Expense Charts Chart 9: Your Top 5 Expenses Chart 10: All Programs’ Top 5 ExpensesChart 8: Expenses - All Chart 9: PACE CenterChart 10: Primary CareChart 11: Adult Day Care
Chart 12: Community Primary CareChart 13: Community Adult Day CareChart 14: Social ServicesChart 15: TherapyChart 16: Home CareChart 17: MealsChart 18: TransportationChart 19: Outpatient SpecialistChart 20: PharmacyChart 21: DME and SuppliesChart 22: Labs and DiagnosticsChart 23: Nursing HomeChart 24: HospitalChart 25: Sub-Acute RehabilitationChart 26: Assisted Living/Residential CareChart 27: AdministrativeChart 28: MarketingChart 29: InsuranceChart 30: DepreciationChart 31: FacilityChart 32: Other Expense
C. Income/Loss Chart Chart 35: Income/Loss PMPM and %
D. Census ChartChart 36: PACE Center Average Enrollment by ZIP Code
Appendices:
A. Per Member Per Month (PMPM) Cost Category Definitions and Specifications
B. Per Member Per Month (PMPM) Frequently Asked Questions about Data Entry
Table of Contents
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 3
A. Description of the Data Set and Limitations
The Data Set:The income and expense data presented in the following reports and charts were submitted to the National PACE Association by its member PACE programs. The data represent the income and expense of only fully capitated (i.e. capitated for Medicare and Medicaid) programs.
The submitted data was evaluated for internal consistency to assure that:
the total income reported equaled the sum of the values for each of the income categories reported
the total expenses reported equaled the sum of the values for each expense category
The net income or loss reported equaled the difference between the total income reported and the total expenses reported
Limitations:Beyond the tests for internal consistency for reported values that were significant outliers, an attempt was made to verify with the PACE program that submitted the information that the reported value was correct. In several cases, this resulted in adjustments to the data in consultation with the submitting program. In other cases, the outlier result was either accurate or could not be resolved because of data gaps.
For outlier results reflecting a gap in data, there were two common reasons:
For some programs, costs for the “PACE Center” category could not be accurately allocated across this category’s two subcategories: “Adult Day Center” and “Primary Care.” As a result, one of the two subcategories may have been assigned a disproportionately high amount of cost and the other a disproportionately low amount of cost. Extremely low values in either subcategory probably do not reflect true cost experience. The “PACE Center” category which rolls up the two subcategories is a more reliable indicator of cost experience.
Internally “contracted” costs incurred by some PACE programs for services provided by another component of the program’s sponsoring organization
could not be fully accounted for or isolated. As a result, in some cost categories, such as transportation or adult day care, the reported experience may underestimate the actual cost of providing these services.
As a result of these data gaps, the median value for all programs is likely to be a more reliable comparison than the mean (or average) which can be skewed by a single missing or inappropriately low value. Also, when considering the minimum value reported in a category, allowances should be made for the possibility that the value reflects a data gap rather than actual experience.
B. Calculation of Per Member Per Month (PMPM) DollarsTo calculate the PMPM for a revenue or expense item, the value reported for that item is divided by the total member months. Member months are months of service for each enrolled PACE participant. Each month of a participant’s enrollment in a PACE program is equal to one member month of service. For example, if a participant was enrolled in a PACE program for nine months from March through December, this participant would contribute nine member months to the program’s total number of member months.
Member months were not reported separately for Medicare, Medicaid or other payers; therefore, the income PMPM results for each of these payers reflect the average across all PACE participants rather than the average for just those participants covered by a particular payer.
C. Calculation of Income and Expense as a Percent of Total RevenueTo calculate income and expense as a percent of total revenue, each income or expense category’s value is divided by the value reported for total revenue. This percent represents the percentage of total income that is either:
derived from a particular income source, e.g. Medicare or Medicaid expended in a particular expense category, e.g. Social Work
D. Reports and Charts
I. Using the Reports
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 4
The two reports provided present the underlying data used to create the charts that follow.
The first report, ‘Per-Member/Per-Month Dollar Value,’ presents your program’s PMPM dollar value information for each revenue and expense item.
The second report, ‘Per-Member/Per-Month % of Total Revenue,’ presents your program’s PMPM percent of total revenue value information for each revenue and expense item.
In both reports, your program’s reported values are presented in the first column to the right of the item description. In addition to your own program’s value, the reports also contain information to help you compare both the dollar amount and percent of total revenue your program derives from specific revenue sources or expends on specific expense categories to other programs. The additional reported values on each report present a range of statistics for each income and expense category.
The statistics presented on the reports include:
Minimum » The lowest value reported across all the programs
1st Quartile » 25% of the programs reported a result that is below the 1st quartile value
while 75% reported a result that is above
Median » 50% of the programs reported a result that is below the median value
and 50% reported a result that is above the median value. The median is a measure of the central value, or typical result, reflected across all programs
3rd Quartile » 75% of the programs reported a result that is below the 3rd quartile
value, while 25% reported a result above
Maximum » The highest value reported across all programs
Mean » The average across all programs, including reported values of zero
Standard Deviation » It measures the distribution of reported results below and above the
mean. Assuming a normal distribution of results, you would expect 66% of all results to be within plus or minus one standard deviation from the mean. For example, the mean for All Revenue is $5,401 and the standard deviation is $906. We would expect 66% of all programs to have an All Revenue result between $4,495 ($5,401 - $906) and $6,307 ($5,401 + $906). You would expect 99% of all results to be within plus or minus two standard deviations from the mean.
Observations » The number of individual programs that contributed data that were
used in the calculation of the statistical values reported for the specific measure item
II. Reports
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 5
The charts are presented in two sets: Income Charts and Expense Charts. At the beginning of each set, two pie charts represent your program’s experience and the experience of all programs combined. The Income pie charts show the sources of income for your program
and for all programs as a percent of total income. The Expense pie charts show the top 5 expenses plus all remaining expenses for your program and all programs combined. These pie charts can help you compare your program’s income sources and top 5 expense categories to other programs.
Note: The Expense pie chart expresses expense categories as a percent of total expenses, not as a percent of total revenue. All other charts express the expense category’s value as a percent of total revenue.
A. Income ChartsFollowing the pie charts in the Income section, a bar graph depicts the range of experience reported across all programs as well as your program’s own result for total income. The first chart “Income: Total PMPM” shows your total income PMPM. In this chart and all other charts, the result for your program is plotted on the graph in relation to your program’s reported dollar value as it compares to the value being reported for the minimum, 1st quartile, median, 3rd quartile, and maximum results for the benchmarking item. You can use these results to compare your program to other programs. Subsequent bar graphs in the Income section show your income PMPM for each particular source (e.g. Medicare) as well as the percent of your total income derived from the source. In the charts showing both the PMPM (in bars) and the percent of income (in a line), the axis on the left is used to read the PMPM dollar value and the axis on the right is used to read the percent of income value.
B. Expense ChartsFollowing the pie charts in the Expense section, a series of bar and line graphs present the PMPM dollar values and percent of income values for each of the expense categories. Your program’s result is plotted on the graph in relation to your programs reported dollar value as it compares to the value being reported for the minimum, 1st quartile, median, 3rd quartile, and maximum results for the benchmarking item. Similar to the income charts, the axis on the left is used to read the bars reflecting the PMPM dollars and the axis on the right is used to read the line reflecting the percent of income expended.
C. Income/Loss ChartThe Income/Loss chart follows the same format as the income and expense charts. This chart shows values indicating a net loss below the line and programs with a net income above the line. The bars correspond to the left axis indicating PMPM dollars and the line corresponds to the right axis indicating percent of revenue.
D. Census ChartsThe first of the census charts presents a graphic representation of PACE program enrollment and physical location in relation to ZIP Code on a national level. Your program’s values for Member Months and Average enrollment are displayed at the top the page. The key to the left of the map displays six value ranges representing average enrollment with corresponding symbols. The symbols are plotted on the map area representing PACE programs with an average enrollment that falls within the listed range. The number shown to the left of the map key reports the number of individual PACE programs that are being plotted for a particular enrollment range.
III. Income and Expense, Income/Loss, Census Charts
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 6
Per Member Per Month (PMPM) Cost Category Definitions
1. Functional Cost Categories Generally, costs are reported by function (e.g. PACE Center) rather than by input or resource (e.g. RN salaries).
Each functional cost category should include all expenses directly associated with the function (e.g. salaries, supplies).
General and administrative costs should be reported in the designated cost categories for these items (see Item Reference numbers 29-33 below) rather than allocated across all categories.
2. Allocation of Staff Expense Staff expenses should be allocated to one of the expense items as appropriate.
For staff expenses, include the following: salary, benefits (to include health insurance, pension, workmen’s compensation, employee transportation assistance, parking, uniforms), taxes, employee recognition, professional development expenses, productive and nonproductive time, and professional licenses paid by the organization.
An individual staff member’s expense may be allocated across multiple cost categories if the individual contributes to multiple functions.
3. Complete Transmittal In order to transmit a complete set of cost information, you must provide all of the required items. If you have incurred no expenses in a cost item, enter 0.
4. Cost Item Specifications The table below provides specific information on the costs to be assigned to each of the Per Member Per Month cost categories. The Item Reference Number in the table refers to the item’s number in the related data entry screen (the Excel spreadsheet).
Appendix A
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 7
Per Member Per Month (PMPM) Cost Category Specifications
Cost Category SpecificationsItem Ref. # Item Specification
1 Year-Ending Date for Data Transmitted The last day of the period for which income and expenses are being reported
2 Number of days in reported period Total number of days in the period for which income and expenses are being reported
3 Enrollment Total number of participants enrolled in the PACE program at the year-ending date
4 Member Months - All Total number of member months for the period being reported
5 Income - All Total income for the PACE program
6 PACE - Medicare Income received from Medicare for the provision of PACE services
7 PACE - Medicaid Income received from Medicaid for the provision of PACE services
8 PACE - OtherIncome received from sources other than Medicare or Medicaid (e.g. private pay) for the provision of PACE services
9 Income - Other Income not related to the delivery of PACE services (e.g. foundation grants, interest income)
10 Expenses - All Total of all expenses related to the PACE Program, as detailed below in items 11 – 31 below
11 PACE Center Sum of Primary Care (item # 12) and Adult Day (# 13) below
12 Primary Care – PACE Center based
Medical DirectorPrimary Care Physician(s) in Clinic or HomeNurse Practitioner in Clinic or HomeNursing Staff in Clinic or Day Center who provide Primary Care (Note: not home care nursing)Clinic Administrative StaffMedical RecordsMedical Records Staff
13 Adult Day Care – PACE Center
PACE Day Center Staff - allPACE Day Center Staff – AssistantsPACE Day Center SupervisorRecreational Therapy - ProgramRecreational Therapy - ContractedLaundry
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 8
Cost Category SpecificationsItem Ref. # Item Specification
14 Contracted, Off-site Primary CareContracted, Primary Care Costs of Physicians, Nurse Practitioners, and Nurses for delivering Primary Care in a location other than a PACE Center or Participant’s Home.
15 Contracted, Off-site Adult Day Care Contracted, Adult Day Care costs for services in a location other than a PACE Center
16 Social Services Social Work staff - all
17 Therapy
Occupational Therapy - ProgramOccupational Therapy - ContractedSpeech Therapy - ProgramSpeech Therapy - ContractedPhysical Therapy - ProgramPhysical Therapy - ContractedTherapy Provided Under Contract – Other (Note – do not include Recreational Therapy, see # 12 above)Therapy - Other
18 Home Care
Home Care – NursingHome Care – Personal AssistanceLifeline MonitoringHome Care - Other
19 Meals
FoodPlates and CutleryStaffContracted ServiceMeals - Other
20 Transportation
Outsourced Transportation Costs (incl. Ambulance for non-inpatient)Van Fleet: Van Leasing, Van Repairs, Van Maintenance, Auto Gas and OilTransportation Staff – Drivers, Assistants, OtherOther
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 9
Cost Category SpecificationsItem Ref. # Item Specification
21 Outpatient Specialist
AudiologyDentistryOptometryPodiatrySurgeryPathologyRadiologyOutpatient DialysisPsychiatry/PsychologyOther
22 Pharmacy
Prescription DrugsOver the Counter DrugsDispensing/AdministrativePharmacistOther
23 DME and Supplies Durable Medical EquipmentSupplies: Clinic Supplies, Day Center Supplies, Therapy Supplies, Other SuppliesOther
24 Labs and Diagnostics Lab CostsOther Diagnostic Service Costs (e.g. x-ray, MRI)Other
25 Nursing Home Short Stay/Respite Long Stay/Permanent PlacementOther
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 10
Cost Category SpecificationsItem Ref. # Item Specification
26 Hospital
AmbulanceEmergency RoomIntensive Care UnitMedical/SurgicalInpatient Rehabilitative (Acute Care Stay)Inpatient DialysisInpatient PsychiatricOther
27 Sub-Acute Rehabilitation Sub-Acute Rehabilitative Care/Skilled Nursing FacilitySub-Acute Rehabilitative Care/HospitalSub-Acute Rehabilitative Care/Other Place of Service
28Assisted Living/Residential Care
PACE HousingFoster Care/Group HomeResidential Care/Assisted LivingICF (>30 days)Other
29 Administrative
Admissions and Eligibility StaffProgram Management StaffTravelPostage and CourierPhotocopying and PrintingBank ChargesAccounting ServicesBooks and SubscriptionsManagement Support ServicesInformation SystemsLicensing FeesLegal FeesTranslation ServicesAdministrative SuppliesOther
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 11
Cost Category SpecificationsItem Ref. # Item Specification
30 MarketingMarketing StaffMarketing Expenses
31 InsuranceLiability InsuranceStop-loss InsuranceFacility Related Insurance
32 Depreciation
EquipmentBuildingVehiclesInformation Systems/Computers
33 Facility
PACE Center Rent/MortgagePACE Center Utility CostsFacility MaintenanceEquipment MaintenanceMaintenance StaffOther
34 Other Expense Expenses not specified above (please describe in Notes section)
35 Income (Loss) from operations Total Revenues minus Total Expenses
36
Medical Loss Ratio (MLR) Note: LISTED on the % of Total Revenue Report Only
Medical Loss Ratio is the ratio of the value of medical services provided to the amount of the premiums paid (Items 11-28 / Item 5)
P E R M E M B E R P E R M O N T H ( P M P M ) F I N A N C I A L B E N C H M A R K I N G R E P O R T 12
Per Member Per Month (PMPM) Frequently Asked Questions about Data EntryPMPM Item # Subject Question Answer
multiple Employee Benefits How do I assign Employee Benefits expenses?
Assign employee benefits expenses to the cost item that the staff’s salary is associated with; you can prorate your total Employee Benefits expenses using the proportion of your total salaries that is assigned to different cost items
multiple FICA How do I assign FICA expenses? assign these expenses to the cost item that the staff’s salary is associated with; you can prorate your total FICA expenses using the proportion of your total salaries that is assigned to different cost items
26 Inpatient Specialist How do I assign inpatient specialists costs?
Assign inpatient specialists costs to the Hospital item (# 26)
33 Interest Expense How do I assign interest expense incurred by the program for cash flow/short term borrowing?
Assign interest expense for cash flow/short term borrowing to the Other expense item (# 33) and include a note explaining this
multiple, 31 Minor equipment How do I assign minor equipment expenses?
Assign minor equipment expenses to the expense item with which it is associated (e.g. Adult Day Care # 13) if the equipment is not depreciable; if the equipment is depreciable, assign the annual depreciation expense to the Depreciation expense item (# 31)
19 Nutritionist How do I assign Nutritionist Expense? Assign nutritionist expenses to the Meals item (# 19); this item will be re-titled to be “Meals and Nutrition”
26 Outpatient Hospital Services
How do I assign outpatient hospital service expenses?
Assign outpatient hospital service expenses to the Hospital expense item (# 26)
33 Pastoral Care How do I assign pastoral care staff costs?
Assign pastoral care staff costs to the Other expense item (# 33) and include a note explaining this
32 Phone How do I assign phone costs? Assign phone costs to the Facility item (# 32)
multiple Professional Development
How do I assign Professional Development (e.g. seminars, travel to conferences, registration fees) expenses?
Assign professional development expenses to the cost item that the staff’s salary is associated with; you can prorate your total Professional Development expenses using the proportion of your total salaries that is assigned to different cost items
23 Prosthetics How do I assign prosthetic expenses? Assign prosthetic expenses to the DME/Supplies expense item (# 23)
Appendix B
Audit Year(FinancialData)
Item # Chart # Category Your Value $ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $ # of POs (n)
2015 5 3 REVENUE - ALL
6 4 Revenue - Medicare
7 5 Revenue - Medicaid
8 6 Revenue - PACE Other
9 7 Revenue - Other
10 10 EXPENSES - ALL
11 11 Expenses - PACE Center
12 12 Expenses - PACE Center : Primary Care
13 13 Expenses - Day Center
14 14 Expenses - Community Primary Care
15 15 Expenses - Community Adult Day Care
16 16 Expenses - Social Services
17 17 Expenses - Therapy
18 18 Expenses - Home Care
19 19 Expenses - Meals
20 20 Expenses - Transportation
21 21 Expenses - Outpatient Specialist
22 22 Expenses - Pharmacy
23 23 Expenses - DME and Supplies
24 24 Expenses - Labs and Diagnostics
25 25 Expenses - Nursing Home
26 26 Expenses - Hospital
27 27 Expenses - Sub-Acute Rehabilitation
28 28 Expenses - Assisted Living / Residential Care
29 29 Expenses - Administrative
30 30 Expenses - Marketing
31 31 Expenses - Insurance
32 32 Expenses - Depreciation
33 33 Expenses - Facility
34 34 Expenses - Other
35 35 INCOME (LOSS)
23$8,339.00$6,731.50$6,440.00$5,824.00$2,155.00$22,403,861.00
23$3,774.00$3,315.50$2,818.00$2,492.50$1,004.00$11,884,496.00
23$4,295.00$3,656.50$3,297.00$2,882.50$1,084.00$10,418,336.00
23$412.00$220.50$84.00$1.50$0.00$42,779.00
23$135.00$90.50$39.00$1.00$0.00$58,250.00
23$8,052.00$6,716.50$6,246.00$5,564.00$1,843.00$19,962,095.00
23$1,369.00$904.50$744.00$641.00$200.00$2,320,998.00
23$697.00$554.00$466.00$349.00$111.00$2,029,564.00
23$718.00$400.50$272.00$202.00$0.00$291,434.00
23$288.00$0.00$0.00$0.00$0.00
23$146.00$0.00$0.00$0.00$0.00
23$191.00$132.00$109.00$89.00$35.00$449,811.00
23$337.00$229.50$177.00$153.50$95.00$717,214.00
23$2,199.00$831.00$513.00$334.00$61.00$1,080,806.00
23$214.00$165.50$129.00$98.50$41.00$534,394.00
23$669.00$440.50$365.00$253.50$165.00$1,610,390.00
23$799.00$392.50$312.00$261.50$92.00$1,039,980.00
23$1,093.00$824.00$699.00$586.00$242.00$2,225,267.00
23$187.00$122.00$86.00$50.00$0.00$181,192.00
23$143.00$66.00$48.00$28.00$0.00$134,682.00
23$1,355.00$821.50$585.00$298.50$55.00$2,387,400.00
23$1,300.00$871.50$540.00$350.00$156.00$1,420,459.00
23$346.00$98.50$0.00$0.00$0.00
23$881.00$202.50$139.00$22.00$0.00$528,885.00
23$1,513.00$887.50$740.00$605.50$271.00$4,062,916.00
23$574.00$86.00$60.00$35.50$0.00$391,545.00
23$141.00$50.00$35.00$13.00$0.00$24,726.00
23$171.00$108.50$86.00$62.50$12.00$364,804.00
23$740.00$229.50$183.00$130.50$19.00$486,628.00
23$757.00$154.00$21.00$0.00$0.00
23$793.00$406.50$262.00($81.00)($1,589.00)$2,441,765.00
H4402 | PMPM Dollars ($) | Report
Audit Year(FinancialData)
Item # Chart #Category Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_% # of POs_%)
2015 5 3 REVENUE - ALL
6 4 Revenue - Medicare
7 5 Revenue - Medicaid
8 6 Revenue - PACE Other
9 7 Revenue - Other
10 10 EXPENSES - ALL
11 11 Expenses - PACE Center
12 12 Expenses - PACE Center : Primary Care
13 13 Expenses - Day Center
14 14 Expenses - Community Primary Care
15 15 Expenses - Community Adult Day Care
16 16 Expenses - Social Services
17 17 Expenses - Therapy
18 18 Expenses - Home Care
19 19 Expenses - Meals
20 20 Expenses - Transportation
21 21 Expenses - Outpatient Specialist
22 22 Expenses - Pharmacy
23 23 Expenses - DME and Supplies
24 24 Expenses - Labs and Diagnostics
25 25 Expenses - Nursing Home
26 26 Expenses - Hospital
27 27 Expenses - Sub-Acute Rehabilitation
28 28 Expenses - Assisted Living / Residential Care
29 29 Expenses - Administrative
30 30 Expenses - Marketing
31 31 Expenses - Insurance
32 32 Expenses - Depreciation
33 33 Expenses - Facility
34 34 Expenses - Other
35 35 INCOME (LOSS)
36 36 MEDICAL LOSS RATIO (MLR)
23100.00%100.00%100.00%100.00%100.00%100.00%
2353.00%49.00%46.00%42.00%28.00%53.05%
2372.00%54.00%51.00%48.00%45.00%46.50%
236.00%4.00%2.00%0.00%0.00%0.19%
232.00%1.00%0.00%0.00%0.00%0.26%
23128.00%101.00%96.00%94.00%86.00%89.10%
2324.00%16.00%11.00%9.00%6.00%10.36%
2311.00%9.00%7.00%6.00%3.00%9.06%
2312.00%7.00%4.00%3.00%0.00%1.30%
235.00%0.00%0.00%0.00%0.00%0.00%
232.00%0.00%0.00%0.00%0.00%0.00%
233.00%2.00%2.00%1.00%1.00%2.01%
235.00%4.00%3.00%3.00%2.00%3.20%
2329.00%13.00%9.00%6.00%1.00%4.82%
234.00%2.00%2.00%2.00%1.00%2.39%
238.00%7.00%6.00%4.00%3.00%7.19%
2310.00%6.00%5.00%4.00%2.00%4.64%
2316.00%12.00%11.00%10.00%6.00%9.93%
233.00%2.00%1.00%1.00%0.00%0.81%
232.00%1.00%1.00%1.00%0.00%0.60%
2321.00%14.00%9.00%5.00%1.00%10.66%
2322.00%12.00%8.00%7.00%3.00%6.34%
235.00%2.00%0.00%0.00%0.00%0.00%
2314.00%3.00%2.00%0.00%0.00%2.36%
2319.00%15.00%12.00%10.00%7.00%18.13%
2310.00%1.00%1.00%1.00%0.00%1.75%
232.00%1.00%1.00%0.00%0.00%0.11%
233.00%2.00%1.00%1.00%0.00%1.63%
2313.00%4.00%3.00%2.00%1.00%2.17%
2313.00%2.00%0.00%0.00%0.00%0.00%
2314.00%6.00%4.00%-1.00%-28.00%10.90%
2390.00%82.00%76.00%73.00%65.00%65.31%
2015
Revenue - Medicare Revenue - Medicaid Revenue - PACE Other Revenue - Other
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
Your Results_%
53.05%
46.50%
0.19% 0.26%
H4402 | Chart 1 | Your Revenue Sources
2015
Revenue - Medicare Revenue - Medicaid Revenue - PACE Other Revenue - Other
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
Avg. Your Results_%
44.51%
51.94%
2.98%1.33%
Chart 2 | Average Revenue Sources for All Orgs
2015REVENUE - ALL
Your Result_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$1,000.00
$2,000.00
$3,000.00
$4,000.00
$5,000.00
$6,000.00
$7,000.00
$8,000.00
Value
$6,688.00
$2,155.00
$5,824.00
$6,440.00
$6,731.50
$8,339.00
H4402 | Chart 3 | Revenue - ALL | PMPM Dollars ($)
2015Revenue - Medicare
Your Result_$ Minimum $ 1st Quartile_$ Median $ 3rd Quartile $ Maximum $
$0.00
$1,000.00
$2,000.00
$3,000.00
$4,000.00
Value
$3,548.00
$1,004.00
$2,492.50
$2,818.00
$3,315.50
$3,774.00
H4402 | Chart 4 | Revenue - Medicare | PMPM Dollars ($)
Audit Year (Financial Data) / Category
2015Revenue - Medicare
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
Value
53.05%
28.00%
42.00%
46.00%49.00%
53.00%
H4402 | Chart 4 | Revenue - Medicare | Percent (%) of Total Revenue
2015Revenue - Medicaid
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$1,000.00
$2,000.00
$3,000.00
$4,000.00
Value
$3,110.00
$1,084.00
$2,882.50
$3,297.00
$3,656.50
$4,295.00
H4402 | Chart 5 | Revenue - Medicaid | PMPM Dollars ($)
2015Revenue - Medicaid
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
Value
46.50% 45.00%48.00%
51.00%54.00%
72.00%
H4402 | Chart 5 | Revenue - Medicaid | Percent (%) of Total Revenue
2015Revenue - PACE Other
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$100.00
$200.00
$300.00
$400.00
Value $220.50
$412.00
$13.00
$84.00
$0.00 $1.50
H4402 | Chart 6 | Revenue - PACE Other | PMPM Dollars ($)
2015Revenue - PACE Other
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
6.00%
Value
0.19%0.00% 0.00%
2.00%
4.00%
6.00%
H4402 | Chart 6 | Revenue - PACE Other | Percent (%) of Total Revenue
2015Revenue - Other
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
Value
$135.00
$17.00
$39.00
$90.50
$0.00 $1.00
H4402 | Chart 7 | Revenue - Other | PMPM Dollars ($)
2015Revenue - Other
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
Value
0.26%
0.00% 0.00% 0.00%
1.00%
2.00%
H4402 | Chart 7 | Revenue - Other | Percent (%) of Total Revenue
Audit Year (Fin..Category Chart #
2015 Expenses -Administrative
29
Expenses - NursingHome
25
Expenses -Pharmacy
22
Expenses - PACECenter : PrimaryCare
12
Expenses -Transportation
20
Expenses - Hospital 26
18.13%
10.66%
9.93%
9.06%
7.19%
6.34%
H4402 | Chart 8 | Your Top 6 Expense Categories by Percent (%) of Total Expense
Audit Year (Fi..Category Chart #
2015 Expenses -Administrative
29
Expenses - Pharmacy 22
Expenses - Home Care 18
Expenses - Hospital 26
Expenses - NursingHome
25
Expenses - PACE Center: Primary Care
12
12.33%
10.98%
9.68%
9.59%
9.12%
7.32%
Chart 9 | Mean of All Orgs | Top 6 Expense Categories by Percent (%) of Total Expense
2015EXPENSES - ALL
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$2,000.00
$4,000.00
$6,000.00
$8,000.00
Value
$5,959.00
$1,843.00
$5,564.00
$6,246.00$6,716.50
$8,052.00
H4402 | Chart 10 | Expenses - ALL | PMPM Dollars ($)
2015EXPENSES - ALL
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
140.00%
Value
101.00%
128.00%
89.10% 86.00%94.00% 96.00%
H4402 | Chart 10 | Expenses - ALL | Percent (%) of Total Revenue
2015Expenses - PACE Center
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
$1,400.00
Value
$1,369.00
$693.00
$200.00
$641.00
$744.00
$904.50
H4402 | Chart 11 | Expenses - PACE Center | PMPM Dollars ($)
2015Expenses - PACE Center
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
Value
10.36% 11.00%
16.00%
24.00%
6.00%
9.00%
H4402 | Chart 11 | Expenses - PACE Center | Percent (%) of Total Revenue
2015Expenses - PACE Center : Primary Care
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
Value
$606.00
$111.00
$349.00
$466.00
$554.00
$697.00
H4402 | Chart 12 | Expenses - PACE Center : Primary Care | PMPM Dollars ($)
2015Expenses - PACE Center : Primary Care
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Value
11.00%
9.06%
3.00%
6.00%
7.00%
9.00%
H4402 | Chart 12 | Expenses - PACE Center : Primary Care | Percent (%) of Total Revenue
2015Expenses - Day Center
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
Value
$202.00
$272.00
$400.50
$718.00
$87.00
$0.00
H4402 | Chart 13 | Expenses - Day Center | PMPM Dollars ($)
2015Expenses - Day Center
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
Value
12.00%
1.30%
0.00%
3.00%
4.00%
7.00%
H4402 | Chart 13 | Expenses - Day Center | Percent (%) of Total Revenue
2015Expenses - Community Primary Care
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
$200.00
$250.00
$300.00
Dollars_$ PMPM
$288.00
$0.00 $0.00 $0.00 $0.00
H4402 | Chart 14 | Expenses - Community Primary Care | PMPM Dollars ($)
2015Expenses - Community Primary Care
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
Value
0.00% 0.00% 0.00% 0.00% 0.00%
5.00%
H4402 | Chart 14 | Expenses - Community Primary Care | Percent (%) of Total Revenue
2015Expenses - Community Adult Day Care
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
Value
$146.00
$0.00 $0.00 $0.00 $0.00
H4402 | Chart 15 | Expenses - Community Adult Day Care | PMPM Dollars ($)
2015Expenses - Community Adult Day Care
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
Value
0.00% 0.00% 0.00% 0.00% 0.00%
2.00%
H4402 | Chart 15 | Expenses - Community Adult Day Care | Percent (%) of Total Revenue
2015Expenses - Social Services
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
$200.00
Value
$134.00
$109.00
$132.00
$191.00
$35.00
$89.00
H4402 | Chart 16 | Expenses - Social Services | PMPM Dollars ($)
2015Expenses - Social Services
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Value
2.01%
1.00% 1.00%
2.00% 2.00%
3.00%
H4402 | Chart 16 | Expenses - Social Services | Percent (%) of Total Revenue
2015Expenses - Therapy
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$100.00
$200.00
$300.00
Value
$214.00
$153.50$177.00
$229.50
$337.00
$95.00
H4402 | Chart 17 | Expenses - Therapy | PMPM Dollars ($)
2015Expenses - Therapy
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
Value
3.20%
2.00%
3.00% 3.00%
4.00%
5.00%
H4402 | Chart 17 | Expenses - Therapy | Percent (%) of Total Revenue
2015Expenses - Home Care
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$500.00
$1,000.00
$1,500.00
$2,000.00
Value
$2,199.00
$323.00 $334.00
$513.00
$831.00
$61.00
H4402 | Chart 18 | Expenses - Home Care | PMPM Dollars ($)
2015Expenses - Home Care
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Value
13.00%
29.00%
4.82%
1.00%
6.00%
9.00%
H4402 | Chart 18 | Expenses - Home Care | Percent (%) of Total Revenue
2015Expenses - Meals
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
$200.00
Value
$160.00
$129.00
$165.50
$214.00
$41.00
$98.50
H4402 | Chart 19 | Expenses - Meals | PMPM Dollars ($)
2015Expenses - Meals
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
1.00%
2.00%
3.00%
4.00%
Value
2.39%
1.00%
2.00% 2.00% 2.00%
4.00%
H4402 | Chart 19 | Expenses - Meals | Percent (%) of Total Revenue
2015Expenses - Transportation
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$100.00
$200.00
$300.00
$400.00
$500.00
$600.00
$700.00
Value
$481.00
$165.00
$253.50
$365.00
$440.50
$669.00
H4402 | Chart 20 | Expenses - Transportation | PMPM Dollars ($)
2015Expenses - Transportation
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
Value
7.19%
3.00%
4.00%
6.00%
7.00%
8.00%
H4402 | Chart 20 | Expenses - Transportation | Percent (%) of Total Revenue
2015Expenses - Outpatient Specialist
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
Value
$310.00$261.50
$312.00
$392.50
$799.00
$92.00
H4402 | Chart 21 | Expenses - Outpatient Specialist | PMPM Dollars ($)
2015Expenses - Outpatient Specialist
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
Value
10.00%
4.64%
2.00%
4.00%
5.00%
6.00%
H4402 | Chart 21 | Expenses - Outpatient Specialist | Percent (%) of Total Revenue
2015Expenses - Pharmacy
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
Value
$1,093.00
$664.00
$242.00
$586.00
$699.00
$824.00
H4402 | Chart 22 | Expenses - Pharmacy | PMPM Dollars ($)
2015Expenses - Pharmacy
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
Value
10.00%11.00%
12.00%
16.00%
9.93%
6.00%
H4402 | Chart 22 | Expenses - Pharmacy | Percent (%) of Total Revenue
2015Expenses - DME and Supplies
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
$200.00
Value
$122.00
$187.00
$54.00 $50.00
$86.00
$0.00
H4402 | Chart 23 | Expenses - DME and Supplies | PMPM Dollars ($)
2015Expenses - DME and Supplies
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Value
0.81%
0.00%
1.00% 1.00%
2.00%
3.00%
H4402 | Chart 23 | Expenses - DME and Supplies | Percent (%) of Total Revenue
2015Expenses - Labs and Diagnostics
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
Value
$143.00
$40.00
$28.00
$48.00
$66.00
$0.00
H4402 | Chart 24 | Expenses - Labs and Diagnostics | PMPM Dollars ($)
2015Expenses - Labs and Diagnostics
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
Value
0.60%
0.00%
1.00% 1.00% 1.00%
2.00%
H4402 | Chart 24 | Expenses - Labs and Diagnostics | Percent (%) of Total Revenue
2015Expenses - Nursing Home
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
$1,400.00
Value
$1,355.00
$713.00
$298.50
$585.00
$821.50
$55.00
H4402 | Chart 25 | Expenses - Nursing Home | PMPM Dollars ($)
2015Expenses - Nursing Home
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
20.00%
Value
10.66%
14.00%
21.00%
1.00%
5.00%
9.00%
H4402 | Chart 25 | Expenses - Nursing Home | Percent (%) of Total Revenue
2015Expenses - Hospital
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
$1,000.00
$1,200.00
$1,400.00
Value
$1,300.00
$424.00
$156.00
$350.00
$540.00
$871.50
H4402 | Chart 26 | Expenses - Hospital | PMPM Dollars ($)
2015Expenses - Hospital
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
20.00%
Value 12.00%
22.00%
6.34%
3.00%
7.00%8.00%
H4402 | Chart 26 | Expense - Hospital | Percent (%) of Total Revenue
2015Expenses - Sub-Acute Rehabilitation
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$100.00
$200.00
$300.00
Value
$346.00
$98.50
$0.00 $0.00 $0.00
H4402 | Chart 27 | Expenses - Sub-Acute Rehabilitation | PMPM Dollars ($)
2015Expenses - Sub-Acute Rehabilitation
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
Value
0.00% 0.00% 0.00% 0.00%
2.00%
5.00%
H4402 | Chart 27 | Expenses - Sub-Acute Rehabilitation | Percent (%) of Total Revenue
2015Expenses - Assisted Living / Residential Care
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
Value
$158.00 $139.00$202.50
$881.00
$22.00$0.00
H4402 | Chart 28 | Expenses - Assisted Living / Residential Care | PMPM Dollars ($)
2015Expenses - Assisted Living / Residential Care
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
Value
14.00%
2.36%
0.00% 0.00%
2.00%3.00%
H4402 | Chart 28 | Expenses - Assisted Living / Residential Care | Percent (%) of Total Revenue
2015Expenses - Administrative
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$500.00
$1,000.00
$1,500.00
Value
$1,213.00
$1,513.00
$271.00
$605.50
$740.00
$887.50
H4402 | Chart 29 | Expenses - Administrative | PMPM Dollars ($)
2015Expenses - Administrative
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
5.00%
10.00%
15.00%
20.00%
Value
18.13%
10.00%
12.00%
15.00%
19.00%
7.00%
H4402 | Chart 29 | Expenses - Administrative | Percent (%) of Total Revenue
2015Expenses - Marketing
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$100.00
$200.00
$300.00
$400.00
$500.00
$600.00
Value
$117.00
$574.00
$35.50$60.00
$86.00
$0.00
H4402 | Chart 30 | Expenses - Marketing | PMPM Dollars ($)
2015Expenses - Marketing
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
Value
10.00%
1.75%
0.00%
1.00% 1.00% 1.00%
H4402 | Chart 30 | Expenses - Marketing | Percent (%) of Total Revenue
2015Expenses - Insurance
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
Value
$141.00
$13.00
$35.00
$50.00
$7.00$0.00
H4402 | Chart 31 | Expenses - Insurance | PMPM Dollars ($)
2015Expenses - Insurance
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
Value
0.11%0.00% 0.00%
1.00% 1.00%
2.00%
H4402 | Chart 31 | Expenses - Insurance | Percent (%) of Total Revenue
2015Expenses - Depreciation
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$50.00
$100.00
$150.00
Value
$109.00 $108.50
$171.00
$12.00
$62.50
$86.00
H4402 | Chart 32 | Expenses - Depreciation | PMPM Dollars ($)
2015Expenses - Depreciation
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
Value
0.00%
1.00% 1.00%
2.00%
3.00%
1.63%
H4402 | Chart 32 | Expenses - Depreciation | Percent (%) of Total Revenue
Audit Year (Financial Data) / Category
2015Expenses - Facility
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
Value
$145.00 $130.50$183.00
$229.50
$740.00
$19.00
H4402 | Chart 33 | Expenses - Facility | PMPM Dollars ($)
2015Expenses - Facility
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
Value
13.00%
2.17%
1.00%
2.00%
3.00%
4.00%
H4402 | Chart 33 | Expenses - Facility | Percent (%) of Total Revenue
2015Expenses - Other
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
$0.00
$200.00
$400.00
$600.00
$800.00
Value
$154.00
$757.00
$21.00$0.00 $0.00
H4402 | Chart 34 | Expenses - Other | PMPM Dollars ($)
2015Expenses - Other
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
Value
13.00%
0.00% 0.00% 0.00% 0.00%
2.00%
H4402 | Chart 34 | Expenses - Other | Percent (%) of Total Revenue
2015INCOME (LOSS)
Your Results_$ Minimum $ 1st Quartile $ Median $ 3rd Quartile $ Maximum $
($1,500.00)
($1,000.00)
($500.00)
$0.00
$500.00
$1,000.00
Value
($1,589.00)
($81.00)
$729.00
$262.00$406.50
$793.00
H4402 | Chart 35 | Income (Loss) | PMPM Dollars ($)
2015INCOME (LOSS)
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
-30.00%
-20.00%
-10.00%
0.00%
10.00%
Value
-28.00%
10.90%14.00%
-1.00%
4.00%6.00%
H4402 | Chart 35 | Income (Loss) | Percent (%) of Total Revenue
2015MEDICAL LOSS RATIO (MLR)
Your Result % Minimum_% 1st Quartile_% Median_% 3rd Quartile_% Maximum_%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
Value
65.31% 65.00%
73.00%
76.00%
82.00%
90.00%
H4402 | Chart 36 | Medical Loss Ratio (MLR)
Enrollment154
200
250
300