MAKING THE CASE – HOW TEAM-BASED APPROACHES IMPROVE VALUE
AHA Team Training Monthly WebinarOctober 24, 2019
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UPCOMING TEAM TRAINING EVENTS
CoursesNew! TeamSTEPPS Master Training Course for Outpatient CareNov 6-7 | Durham, NCLearn more and register.
Registration for 2020 Master Training, Fundamentals and Specialty courses are now open! View our course schedule to learn more and register.
WebinarsRegister for the November webinar: Strategies for Staff Engagement - Leading the Low PerformerNov 19 | 12:00 – 1:00 PM ET (11 CT, 10 MT, 9 PT)
https://www.aha.org/center/performance-improvement/team-training/courses/specialty-courseshttps://www.aha.org/center/performance-improvement/team-training/courseshttps://www.onlineregistrationcenter.com/register/347-476-Nov19
UPCOMING TEAM TRAINING EVENTS
Learn more about our National Conference to be held June 3-5, 2020 in New Orleans. We’re looking for presenters and poster authors – You can view our Call for Proposals here.
https://www.aha.org/center/performance-improvement/team-training/national-conference/about-conferencehttps://www.aha.org/center/performance-improvement/team-training/national-conference/presenting-opportunities
CONTACT INFORMATION
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Phone: 312-422-2609
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Making the Case – How Team-based Approaches Improve Value
Overview
National context and call for greater affordability
How hospitals are using team-based care to promote value (improving outcomes, enhancing patient experience and lowering costs)
Metrics that can be used to build the case for the investment in team-based care
Business Perspective
Source: Towers-Watson NBGH Annual Surveys (2014-2015).
Employers are seeing a prolonged respite from double-digitpremium increases, but these are still running at two times CPI.
Business Perspective
Source: Prepared for: Strategic Health Perspectives, Base: Employers who Provide Health Benefits (n=332), Q1700: In general, would you say that the inflation of your company’s health care costs is completely under control, somewhat under control, somewhat out of control, or totally out of control?
More employers describe company health care as “out of control” this year.
Inflation of Company’s Healthcare Costs
National Per Capital Expenditures Growing
Source: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group.
Per capita, spending continues to rise for federal sponsored healthprograms due to program and coverage expansions.
National Per Capita Expenditures for CMS Programs (Medicaid, CHIP and Medicare)
Chart1
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Total CMS Programs (Medicaid, CHIP and Medicare)
2411.5134228188
2550.2425249169
2702.0065789474
2890.2254901961
3003.3106796116
3102.9099678457
3200.2356687898
3320.5506329114
3549.6509433962
3756.9937694704
NHE15
NATIONAL HEALTH EXPENDITURES BY TYPE OF SERVICE AND SOURCE OF FUNDS: CALENDAR YEARS 1960 to 2015TotalsPer CapitaPercentage Change
Expenditure Amount (Millions)19601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015200420052006200720082009201020112012201320142015200420052006200720082009201020112012201320142015
Total National Health Expenditures27,21429,13831,84234,59538,39441,85246,08151,56558,40265,92374,56382,72892,657102,809116,545133,283152,742173,850195,332221,528255,331296,155334,044367,809404,995442,900474,686516,520579,278644,770721,393788,062854,068916,581967,2211,021,6381,074,4141,135,5451,201,9721,278,3031,369,6971,486,7661,629,1951,768,1551,896,2982,024,2262,156,5162,295,6502,399,0612,494,6692,596,4052,687,9022,795,4032,877,5743,029,2553,205,556$ 6,472.01$ 6,861.78$ 7,236.63$ 7,626.74$ 7,891.65$ 8,152.51$ 8,402.61$ 8,642.77$ 8,902.56$ 9,106.25$ 9,525.96$ 9,986.166.0%5.5%5.4%3.5%3.3%3.1%2.9%3.0%2.3%4.6%4.8%
Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150$ 848.05$ 894.26$ 916.77$ 963.18$ 970.00$ 957.94$ 966.75$ 992.02$ 1,011.49$ 1,028.89$ 1,036.64$ 1,053.435.4%2.5%5.1%0.7%-1.2%0.9%2.6%2.0%1.7%0.8%1.6%
Health Insurance7,4978,2368,9999,89210,97112,02315,67321,10924,37927,56531,76336,72742,61748,02755,95666,33079,06893,115106,582122,739142,333167,730190,651212,741237,405259,273274,699300,035338,282387,271439,113492,308543,122593,278636,747681,482722,128758,575792,527846,086919,4481,014,9211,122,0231,222,2811,320,6441,414,6021,517,8151,609,7161,696,1631,796,1141,875,1021,948,1662,019,6092,086,2832,228,2032,384,525$ 4,507.32$ 4,795.26$ 5,093.34$ 5,347.89$ 5,579.48$ 5,869.65$ 6,068.29$ 6,264.20$ 6,431.88$ 6,602.16$ 7,006.93$ 7,428.436.4%6.2%5.0%4.3%5.2%3.4%3.2%2.7%2.6%6.1%6.0%
Private Health Insurance5,8126,4687,1787,9529,05210,07210,29610,45211,83013,36315,49917,84020,69022,99426,08030,57837,42545,69252,52360,95569,22581,80494,227105,128119,053131,311136,077149,177175,829204,775233,885255,092274,725295,294308,219325,342343,691359,826385,185417,594458,493502,498561,495615,693658,832701,724737,559776,628803,020832,551863,064895,098925,133944,901999,9901,072,056$ 2,248.57$ 2,378.73$ 2,475.03$ 2,580.16$ 2,641.51$ 2,720.75$ 2,793.09$ 2,878.13$ 2,946.28$ 2,990.19$ 3,144.62$ 3,339.745.8%4.0%4.2%2.4%3.0%2.7%3.0%2.4%1.5%5.2%6.2%
Medicare- 0- 0- 0- 0- 0- 01,8424,9246,2187,0457,6728,4439,32510,73013,42816,33619,69422,89126,66830,92237,38744,76952,35159,55966,20771,82976,82983,08188,965101,137110,182120,617135,996149,965167,670184,393198,750210,376209,420213,173224,829247,686265,381282,668311,122339,762403,690432,751466,971498,872519,253546,273569,513590,383618,452646,243$ 1,061.85$ 1,151.74$ 1,354.66$ 1,437.71$ 1,536.09$ 1,630.30$ 1,680.43$ 1,756.50$ 1,813.74$ 1,868.30$ 1,944.82$ 2,013.228.5%17.6%6.1%6.8%6.1%3.1%4.5%3.3%3.0%4.1%3.5%
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,3043,1413,5414,1745,2906,6958,3149,42311,07313,44615,18817,46419,46522,33226,03230,30732,01135,26638,23340,93745,38350,33955,08061,95273,66193,211108,186122,373134,414144,862152,170160,831168,988183,433200,322224,061248,014268,873290,664309,249306,576325,755344,229374,432397,230406,742422,732445,403497,154545,132$ 992.03$ 1,048.30$ 1,028.78$ 1,082.24$ 1,132.33$ 1,223.63$ 1,285.53$ 1,307.85$ 1,346.28$ 1,409.50$ 1,563.38$ 1,698.235.7%-1.9%5.2%4.6%8.1%5.1%1.7%2.9%4.7%10.9%8.6%
Federal- 0- 0- 0- 0- 0- 06321,5251,8352,2982,8423,8104,5474,9336,2777,4099,1539,89610,91912,70514,52116,90217,84319,58721,09622,59425,18727,86830,99535,07742,60756,84768,60276,96181,05285,94591,09994,95498,648107,143116,821132,186145,221160,753172,274177,463173,879185,487203,081247,328266,360247,125243,260256,926305,452344,033$ 587.97$ 601.57$ 583.49$ 616.24$ 668.03$ 808.26$ 862.01$ 794.61$ 774.71$ 813.06$ 960.54$ 1,071.752.3%-3.0%5.6%8.4%21.0%6.6%-7.8%-2.5%4.9%18.1%11.6%
State and Local- 0- 0- 0- 0- 0- 06721,6161,7071,8772,4472,8863,7664,4904,7976,0376,0367,5688,5479,62711,51113,40514,16815,67917,13718,34320,19622,47124,08526,87631,05436,36439,58545,41253,36358,91761,07165,87870,34076,29083,50191,876102,793108,120118,390131,785132,697140,268141,148127,104130,870159,617179,471188,477191,702201,099$ 404.06$ 446.73$ 445.29$ 466.01$ 464.30$ 415.37$ 423.53$ 513.24$ 571.56$ 596.45$ 602.84$ 626.4810.6%-0.3%4.7%-0.4%-10.5%2.0%21.2%11.4%4.4%1.1%3.9%
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03991,7233,0124,1675,4856,2967,1677,5668,3669,11710,21011,10611,54011,99012,62913,50913,18314,620$ 24.46$ 25.65$ 28.07$ 30.29$ 33.59$ 36.29$ 37.35$ 38.55$ 40.22$ 42.75$ 41.46$ 45.554.9%9.5%7.9%10.9%8.1%2.9%3.2%4.3%6.3%-3.0%9.9%
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02761,1992,0972,9133,8324,4104,9825,2545,7566,3167,1267,8128,0528,3778,7809,3629,19210,913$ 17.00$ 17.81$ 19.32$ 20.98$ 23.44$ 25.53$ 26.06$ 26.94$ 27.96$ 29.63$ 28.91$ 34.004.7%8.5%8.6%11.7%8.9%2.1%3.4%3.8%6.0%-2.4%17.6%
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01235249151,2531,6531,8872,1852,3132,6102,8013,0843,2933,4893,6133,8484,1463,9923,707$ 7.46$ 7.84$ 8.76$ 9.31$ 10.14$ 10.76$ 11.29$ 11.62$ 12.25$ 13.12$ 12.55$ 11.555.1%11.7%6.2%9.0%6.1%4.9%2.9%5.5%7.1%-4.3%-8.0%
Department of Defense7888368609258618311,0781,3241,4451,4991,5821,7661,9972,2352,4752,5902,6952,9223,0673,4573,9494,5885,1585,3935,8426,8647,6348,2028,7789,27210,44611,53611,62112,02511,83312,04511,95112,05312,20112,65513,70915,42618,86622,23424,90826,49829,76432,26634,04836,69138,29239,89339,84439,24741,49241,786$ 85.01$ 89.82$ 99.88$ 107.20$ 112.00$ 119.91$ 123.92$ 128.27$ 126.89$ 124.20$ 130.48$ 130.175.7%11.2%7.3%4.5%7.1%3.4%3.5%-1.1%-2.1%5.1%-0.2%
Department of Veterans Affairs8979339611,0151,0581,1191,1531,2681,3441,4841,7191,9832,2912,6462,9003,3814,0664,1464,8595,0735,7406,2616,9057,3968,0708,3328,7759,2369,62910,13410,93911,85212,59413,62114,61214,84015,56715,48816,33317,50919,08221,08322,78226,51727,95129,80231,86133,19837,68642,46345,72348,17049,75852,84057,93164,688$ 95.40$ 101.02$ 106.92$ 110.29$ 123.97$ 138.77$ 147.97$ 154.89$ 158.46$ 167.22$ 182.17$ 201.525.9%5.8%3.2%12.4%11.9%6.6%4.7%2.3%5.5%8.9%10.6%
Other Third Party Payers and Programs3,8894,3294,7035,2065,6596,3346,2265,9966,8427,7588,9749,62410,23211,31712,97014,54716,36418,16320,85924,14128,55032,80136,31638,84241,37246,71153,01759,02866,74670,55977,07882,42988,07193,57097,292100,872104,735110,273119,949123,041124,920131,406138,888152,274160,884168,933179,546191,760188,553192,405204,348207,599227,743235,181241,522247,224$ 549.09$ 572.65$ 602.50$ 637.08$ 620.24$ 628.77$ 661.32$ 667.52$ 725.30$ 744.24$ 759.50$ 770.174.3%5.2%5.7%-2.6%1.4%5.2%0.9%8.7%2.6%2.1%1.4%
Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066$ 14.00$ 14.52$ 14.73$ 15.10$ 14.96$ 14.94$ 15.21$ 15.79$ 16.48$ 16.98$ 17.88$ 18.903.7%1.5%2.5%-0.9%-0.1%1.8%3.8%4.4%3.0%5.3%5.7%
Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258$ 226.20$ 239.71$ 267.01$ 298.07$ 281.88$ 299.31$ 324.79$ 321.60$ 369.58$ 377.68$ 387.29$ 387.106.0%11.4%11.6%-5.4%6.2%8.5%-1.0%14.9%2.2%2.5%-0.0%
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01972553073754124475135025566507217167638097979951,2031,4361,4771,4951,6521,6231,7251,6981,7511,9002,1082,1172,2942,4182,4392,5352,5692,7213,0873,4693,5203,6573,5793,7093,770$ 8.25$ 8.27$ 8.51$ 8.53$ 8.95$ 10.09$ 11.23$ 11.32$ 11.65$ 11.33$ 11.66$ 11.740.2%2.9%0.3%4.9%12.7%11.3%0.8%2.9%-2.8%3.0%0.7%
Workers' Compensation6156447057428078709911,1001,2441,3721,5321,5701,7152,0512,3822,6693,0313,5064,0264,9455,6066,1896,9297,2857,6618,93710,08311,95713,81615,51917,53018,95821,10022,60722,18921,91422,05022,14023,06224,18026,47630,48834,13638,59539,87941,53341,77141,32740,04935,97136,23339,10242,35444,21746,50649,416$ 136.11$ 140.79$ 140.17$ 137.30$ 131.74$ 117.55$ 117.26$ 125.73$ 134.89$ 139.93$ 146.25$ 153.943.4%-0.4%-2.0%-4.0%-10.8%-0.2%7.2%7.3%3.7%4.5%5.3%
General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834$ 20.15$ 21.00$ 22.55$ 23.02$ 23.51$ 23.38$ 22.88$ 21.44$ 20.46$ 21.16$ 22.21$ 21.294.2%7.4%2.1%2.1%-0.5%-2.1%-6.3%-4.6%3.4%5.0%-4.1%
Maternal/Child Health1161721802012202442913243774354094534824675255656196657017758648799351,0811,1111,2901,3911,5101,5801,6311,6931,9342,1462,2982,4432,5332,6442,8132,9003,0023,1583,2713,3933,4773,4693,4363,3343,7634,1473,9473,9123,6743,4183,5783,7073,704$ 11.84$ 11.65$ 11.19$ 12.50$ 13.64$ 12.90$ 12.66$ 11.81$ 10.89$ 11.32$ 11.66$ 11.54-1.6%-3.9%11.7%9.1%-5.4%-1.8%-6.7%-7.9%4.0%3.0%-1.0%
Federal274448506080114142167190148191234204243276297311330339344339343398348407395433459476478518565578594587580582588603609619636634635622598600594591591583562545569570$ 2.17$ 2.11$ 2.01$ 1.99$ 1.95$ 1.93$ 1.91$ 1.87$ 1.79$ 1.72$ 1.79$ 1.78-2.7%-4.8%-0.7%-2.0%-1.2%-1.0%-2.0%-4.5%-3.6%3.7%-0.8%
State and Local891271331501591641761822102442612632482642822903223543714365205405936837638839961,0781,1211,1551,2161,4161,5811,7201,8501,9462,0642,2312,3122,3992,5492,6522,7572,8432,8342,8152,7363,1633,5523,3563,3223,0912,8563,0343,1383,134$ 9.67$ 9.54$ 9.18$ 10.51$ 11.68$ 10.97$ 10.75$ 9.94$ 9.10$ 9.60$ 9.87$ 9.76-1.3%-3.8%14.5%11.2%-6.1%-2.0%-7.6%-8.5%5.6%2.8%-1.1%
Vocational Rehabilitation2022252933415888115131155180184190202210210219220224223229233246257262270289300308318332343338360360352367378389421449463469468461498497489518558552530523526534$ 1.60$ 1.56$ 1.67$ 1.65$ 1.61$ 1.69$ 1.81$ 1.77$ 1.69$ 1.66$ 1.65$ 1.66-2.2%6.9%-1.2%-2.6%5.2%6.7%-1.7%-4.9%-1.9%-0.1%0.6%
Federal121415182027426686100121140144149158164163170168171170172172183195200207223232238246257264253271271263276286293317342355359361355377373374398435432411405406412$ 1.23$ 1.20$ 1.27$ 1.24$ 1.23$ 1.30$ 1.41$ 1.39$ 1.31$ 1.28$ 1.28$ 1.28-2.3%5.1%-2.0%-0.7%5.7%8.2%-1.3%-5.8%-2.1%-0.4%0.5%
State and Local881011131516222931344040414446484952535357616262626366687072757985898989919296104107108110106106121124115120122120119118120122$ 0.36$ 0.36$ 0.41$ 0.41$ 0.38$ 0.39$ 0.39$ 0.39$ 0.38$ 0.37$ 0.38$ 0.38-0.7%13.0%1.5%-8.2%3.7%0.7%-2.3%-1.8%-1.5%1.1%0.7%
Other Federal Programs*3374475987157508316534634896219271,1029639801,0866958238549481,1161,3431,3341,1841,0441,0651,1081,1331,1971,2711,3311,5561,8442,0502,2652,4722,5522,8413,1183,3953,8554,4625,2955,6766,0156,2726,3636,4216,7216,9247,3017,7399,56011,57412,96212,15912,263$ 21.41$ 21.57$ 21.55$ 22.33$ 22.78$ 23.86$ 25.05$ 30.74$ 36.86$ 41.02$ 38.24$ 38.200.8%-0.1%3.6%2.0%4.8%5.0%22.7%19.9%11.3%-6.8%-0.1%
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05695375816896638257996365996075155336448846981,3721,6561,6851,7141,8892,0671,7831,5002,0262,3952,5642,8123,0063,0933,1253,2193,1533,1663,2063,3093,3853,4483,4203,2843,4953,473$ 10.67$ 10.91$ 10.58$ 10.52$ 10.55$ 10.81$ 10.95$ 11.09$ 10.89$ 10.39$ 10.99$ 10.822.3%-3.0%-0.6%0.3%2.5%1.3%1.2%-1.8%-4.6%5.8%-1.6%
Other State and Local Programs**2,2212,3992,5102,7733,0133,3923,0932,6612,9443,2263,5893,6823,8394,2964,9225,3215,2275,6626,3197,0747,3898,4549,1519,5469,60010,13312,41713,72114,80115,01815,88916,12616,01117,30418,42217,49017,33017,93518,49718,84118,75020,36321,75323,87925,77626,92827,58428,63129,54330,75432,62631,86530,82731,20430,97732,294$ 87.97$ 91.28$ 92.56$ 95.12$ 97.18$ 100.50$ 105.59$ 102.46$ 98.18$ 98.75$ 97.41$ 100.603.8%1.4%2.8%2.2%3.4%5.1%-3.0%-4.2%0.6%-1.4%3.3%
School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612$ 10.90$ 11.40$ 11.98$ 12.94$ 13.45$ 13.73$ 13.89$ 13.77$ 13.75$ 14.03$ 14.26$ 14.374.6%5.1%8.0%3.9%2.1%1.2%-0.9%-0.1%2.1%1.6%0.7%
Public Health Activity3714094565095726217338619691,1741,3561,6761,8552,1232,5842,9673,2133,8154,5885,3756,4457,5318,6219,2519,84211,21212,38713,57215,26717,77319,99722,12924,37426,77929,59431,00332,37734,83237,45740,73143,05046,79252,20154,23354,91557,16160,80365,86471,45874,05675,48774,15777,24277,94579,00580,926$ 187.42$ 193.77$ 204.04$ 218.82$ 235.06$ 242.01$ 244.29$ 238.45$ 245.99$ 246.66$ 248.44$ 252.113.4%5.3%7.2%7.4%3.0%0.9%-2.4%3.2%0.3%0.7%1.5%
Federal1021081402082262142944014705645947918938549691,0431,1101,1521,1541,1081,2351,2161,1411,2321,2981,3261,3401,5291,7952,0282,2632,6072,9153,1673,6303,6653,7593,9314,0654,5464,8795,7798,0178,9038,9389,0789,4249,5919,77111,87614,05610,60510,72310,21710,69611,289$ 30.51$ 30.77$ 31.62$ 31.86$ 32.14$ 38.81$ 45.49$ 34.10$ 34.15$ 32.33$ 33.64$ 35.170.9%2.8%0.8%0.9%20.7%17.2%-25.0%0.1%-5.3%4.0%4.6%
State and Local2693023163013474074394604996107628859621,2691,6151,9242,1042,6633,4344,2675,2106,3167,4808,0198,5449,88611,04712,04313,47215,74517,73419,52221,45923,61325,96427,33828,61830,90133,39236,18538,17041,01344,18445,32945,97748,08351,37856,27361,68762,18061,43163,55266,51967,72868,30969,637$ 156.92$ 162.99$ 172.41$ 186.95$ 202.92$ 203.20$ 198.81$ 204.35$ 211.84$ 214.33$ 214.81$ 216.943.9%5.8%8.4%8.5%0.1%-2.2%2.8%3.7%1.2%0.2%1.0%
Investment2,5082,8063,4273,6774,2644,6664,8555,0635,7136,8267,5168,3889,3079,71710,66112,17713,44913,90515,28516,96119,85722,73726,00628,35629,87730,06430,97434,23438,76542,51647,32350,38255,32258,85661,55263,46464,82070,43375,13380,76483,31587,37696,769103,719111,376119,725125,157138,395148,006138,964142,741149,461153,203153,035150,873154,732$ 380.12$ 405.85$ 419.99$ 459.78$ 486.86$ 454.13$ 461.94$ 480.58$ 487.91$ 484.29$ 474.44$ 482.036.8%3.5%9.5%5.9%-6.7%1.7%4.0%1.5%-0.7%-2.0%1.6%
Research6948861,0681,2191,3661,5211,6241,7751,8771,9241,9532,1092,3572,5022,7673,3723,7073,8644,4384,8055,4295,7056,0256,5437,6088,3209,00210,02510,83611,73812,67813,81915,09116,47217,75818,67017,80819,64021,51223,36525,47528,50432,01634,84438,57840,31941,16342,57644,27845,37249,21449,64848,42146,65245,86946,714$ 131.67$ 136.67$ 138.13$ 141.45$ 145.65$ 148.27$ 159.27$ 159.64$ 154.21$ 147.63$ 144.24$ 145.533.8%1.1%2.4%3.0%1.8%7.4%0.2%-3.4%-4.3%-2.3%0.9%
Structures & Equipment1,8141,9212,3602,4582,8983,1453,2303,2883,8364,9025,5636,2796,9507,2157,8958,8059,74210,04110,84712,15614,42817,03319,98221,81322,26921,74421,97224,20927,92930,77834,64536,56340,23142,38443,79444,79547,01250,79353,62257,39957,84058,87264,75368,87572,79879,40683,99495,818103,72893,59293,52799,813104,782106,383105,004108,018$ 248.46$ 269.17$ 281.86$ 318.33$ 341.21$ 305.86$ 302.68$ 320.94$ 333.70$ 336.66$ 330.20$ 336.508.3%4.7%12.9%7.2%-10.4%-1.0%6.0%4.0%0.9%-1.9%1.9%
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 03,1468,0659,75911,22012,96215,13817,63920,15324,50129,78234,88340,35446,13353,25463,41975,07784,36194,825104,440112,766122,212133,420144,045163,089183,842213,827244,183272,338302,084329,255350,919371,208378,807398,328428,164475,914518,880557,837608,953656,576718,631767,623821,410884,409928,023965,0051,004,8741,049,2941,128,7891,205,995$ 2,078.34$ 2,225.68$ 2,411.51$ 2,550.24$ 2,702.01$ 2,890.23$ 3,003.31$ 3,102.91$ 3,200.24$ 3,320.55$ 3,549.65$ 3,756.997.1%8.3%5.8%6.0%7.0%3.9%3.3%3.1%3.8%6.9%5.8%
POPULATION186189192195197200202204206208210213215217218220222224226228230233235237239242244246248251254257260263266268271274277279282285287290293295298301304306309311314316318321
Health Consumption Expenditures24,70626,33228,41430,91834,13037,18641,22746,50252,68959,09767,04674,33983,35093,092105,884121,106139,293159,946180,046204,567235,475273,418308,038339,453375,119412,836443,712482,287540,513602,254674,070737,681798,746857,725905,669958,1741,009,5941,065,1121,126,8391,197,5401,286,3831,399,3911,532,4261,664,4361,784,9221,904,5022,031,3592,157,2562,251,0552,355,7052,453,6642,538,4412,642,2012,724,5392,878,3823,050,825
Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150
Health Insurance7,4978,2368,9999,89210,97112,02315,67321,10924,37927,56531,76336,72742,61748,02755,95666,33079,06893,115106,582122,739142,333167,730190,651212,741237,405259,273274,699300,035338,282387,271439,113492,308543,122593,278636,747681,482722,128758,575792,527846,086919,4481,014,9211,122,0231,222,2811,320,6441,414,6021,517,8151,609,7161,696,1631,796,1141,875,1021,948,1662,019,6092,086,2832,228,2032,384,525
Private Health Insurance5,8126,4687,1787,9529,05210,07210,29610,45211,83013,36315,49917,84020,69022,99426,08030,57837,42545,69252,52360,95569,22581,80494,227105,128119,053131,311136,077149,177175,829204,775233,885255,092274,725295,294308,219325,342343,691359,826385,185417,594458,493502,498561,495615,693658,832701,724737,559776,628803,020832,551863,064895,098925,133944,901999,9901,072,056
Medicare- 0- 0- 0- 0- 0- 01,8424,9246,2187,0457,6728,4439,32510,73013,42816,33619,69422,89126,66830,92237,38744,76952,35159,55966,20771,82976,82983,08188,965101,137110,182120,617135,996149,965167,670184,393198,750210,376209,420213,173224,829247,686265,381282,668311,122339,762403,690432,751466,971498,872519,253546,273569,513590,383618,452646,243
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,3043,1413,5414,1745,2906,6958,3149,42311,07313,44615,18817,46419,46522,33226,03230,30732,01135,26638,23340,93745,38350,33955,08061,95273,66193,211108,186122,373134,414144,862152,170160,831168,988183,433200,322224,061248,014268,873290,664309,249306,576325,755344,229374,432397,230406,742422,732445,403497,154545,132
Federal- 0- 0- 0- 0- 0- 06321,5251,8352,2982,8423,8104,5474,9336,2777,4099,1539,89610,91912,70514,52116,90217,84319,58721,09622,59425,18727,86830,99535,07742,60756,84768,60276,96181,05285,94591,09994,95498,648107,143116,821132,186145,221160,753172,274177,463173,879185,487203,081247,328266,360247,125243,260256,926305,452344,033
State and Local- 0- 0- 0- 0- 0- 06721,6161,7071,8772,4472,8863,7664,4904,7976,0376,0367,5688,5479,62711,51113,40514,16815,67917,13718,34320,19622,47124,08526,87631,05436,36439,58545,41253,36358,91761,07165,87870,34076,29083,50191,876102,793108,120118,390131,785132,697140,268141,148127,104130,870159,617179,471188,477191,702201,099
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03991,7233,0124,1675,4856,2967,1677,5668,3669,11710,21011,10611,54011,99012,62913,50913,18314,620
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02761,1992,0972,9133,8324,4104,9825,2545,7566,3167,1267,8128,0528,3778,7809,3629,19210,913
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01235249151,2531,6531,8872,1852,3132,6102,8013,0843,2933,4893,6133,8484,1463,9923,707
Department of Defense7888368609258618311,0781,3241,4451,4991,5821,7661,9972,2352,4752,5902,6952,9223,0673,4573,9494,5885,1585,3935,8426,8647,6348,2028,7789,27210,44611,53611,62112,02511,83312,04511,95112,05312,20112,65513,70915,42618,86622,23424,90826,49829,76432,26634,04836,69138,29239,89339,84439,24741,49241,786
Department of Veterans Affairs8979339611,0151,0581,1191,1531,2681,3441,4841,7191,9832,2912,6462,9003,3814,0664,1464,8595,0735,7406,2616,9057,3968,0708,3328,7759,2369,62910,13410,93911,85212,59413,62114,61214,84015,56715,48816,33317,50919,08221,08322,78226,51727,95129,80231,86133,19837,68642,46345,72348,17049,75852,84057,93164,688
Other Third Party Payers and Programs3,8894,3294,7035,2065,6596,3346,2265,9966,8427,7588,9749,62410,23211,31712,97014,54716,36418,16320,85924,14128,55032,80136,31638,84241,37246,71153,01759,02866,74670,55977,07882,42988,07193,57097,292100,872104,735110,273119,949123,041124,920131,406138,888152,274160,884168,933179,546191,760188,553192,405204,348207,599227,743235,181241,522247,224
Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066
Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01972553073754124475135025566507217167638097979951,2031,4361,4771,4951,6521,6231,7251,6981,7511,9002,1082,1172,2942,4182,4392,5352,5692,7213,0873,4693,5203,6573,5793,7093,770
Workers' Compensation6156447057428078709911,1001,2441,3721,5321,5701,7152,0512,3822,6693,0313,5064,0264,9455,6066,1896,9297,2857,6618,93710,08311,95713,81615,51917,53018,95821,10022,60722,18921,91422,05022,14023,06224,18026,47630,48834,13638,59539,87941,53341,77141,32740,04935,97136,23339,10242,35444,21746,50649,416
General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834
Maternal/Child Health1161721802012202442913243774354094534824675255656196657017758648799351,0811,1111,2901,3911,5101,5801,6311,6931,9342,1462,2982,4432,5332,6442,8132,9003,0023,1583,2713,3933,4773,4693,4363,3343,7634,1473,9473,9123,6743,4183,5783,7073,704
Federal274448506080114142167190148191234204243276297311330339344339343398348407395433459476478518565578594587580582588603609619636634635622598600594591591583562545569570
State and Local891271331501591641761822102442612632482642822903223543714365205405936837638839961,0781,1211,1551,2161,4161,5811,7201,8501,9462,0642,2312,3122,3992,5492,6522,7572,8432,8342,8152,7363,1633,5523,3563,3223,0912,8563,0343,1383,134
Vocational Rehabilitation2022252933415888115131155180184190202210210219220224223229233246257262270289300308318332343338360360352367378389421449463469468461498497489518558552530523526534
Federal121415182027426686100121140144149158164163170168171170172172183195200207223232238246257264253271271263276286293317342355359361355377373374398435432411405406412
State and Local881011131516222931344040414446484952535357616262626366687072757985898989919296104107108110106106121124115120122120119118120122
Other Federal Programs*3374475987157508316534634896219271,1029639801,0866958238549481,1161,3431,3341,1841,0441,0651,1081,1331,1971,2711,3311,5561,8442,0502,2652,4722,5522,8413,1183,3953,8554,4625,2955,6766,0156,2726,3636,4216,7216,9247,3017,7399,56011,57412,96212,15912,263
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05695375816896638257996365996075155336448846981,3721,6561,6851,7141,8892,0671,7831,5002,0262,3952,5642,8123,0063,0933,1253,2193,1533,1663,2063,3093,3853,4483,4203,2843,4953,473
Other State and Local Programs**2,2212,3992,5102,7733,0133,3923,0932,6612,9443,2263,5893,6823,8394,2964,9225,3215,2275,6626,3197,0747,3898,4549,1519,5469,60010,13312,41713,72114,80115,01815,88916,12616,01117,30418,42217,49017,33017,93518,49718,84118,75020,36321,75323,87925,77626,92827,58428,63129,54330,75432,62631,86530,82731,20430,97732,294
School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612
Public Health Activity3714094565095726217338619691,1741,3561,6761,8552,1232,5842,9673,2133,8154,5885,3756,4457,5318,6219,2519,84211,21212,38713,57215,26717,77319,99722,12924,37426,77929,59431,00332,37734,83237,45740,73143,05046,79252,20154,23354,91557,16160,80365,86471,45874,05675,48774,15777,24277,94579,00580,926
Federal1021081402082262142944014705645947918938549691,0431,1101,1521,1541,1081,2351,2161,1411,2321,2981,3261,3401,5291,7952,0282,2632,6072,9153,1673,6303,6653,7593,9314,0654,5464,8795,7798,0178,9038,9389,0789,4249,5919,77111,87614,05610,60510,72310,21710,69611,289
State and Local2693023163013474074394604996107628859621,2691,6151,9242,1042,6633,4344,2675,2106,3167,4808,0198,5449,88611,04712,04313,47215,74517,73419,52221,45923,61325,96427,33828,61830,90133,39236,18538,17041,01344,18445,32945,97748,08351,37856,27361,68762,18061,43163,55266,51967,72868,30969,637
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 03,1468,0659,75911,22012,96215,13817,63920,15324,50129,78234,88340,35446,13353,25463,41975,07784,36194,825104,440112,766122,212133,420144,045163,089183,842213,827244,183272,338302,084329,255350,919371,208378,807398,328428,164475,914518,880557,837608,953656,576718,631767,623821,410884,409928,023965,0051,004,8741,049,2941,128,7891,205,995
Personal Health Care23,26324,75526,66529,07632,03934,72038,42643,50049,12855,51063,05969,43777,16286,15298,784113,217129,312146,674164,236187,128216,977251,789283,073311,677341,645376,376408,840447,696498,497550,414615,326675,896731,455778,684820,172869,578917,540969,5311,026,1031,086,2801,162,0351,261,9441,367,6281,477,6971,587,9941,696,2221,804,6721,918,8202,010,6902,114,2212,194,6252,272,5822,365,9482,435,6242,562,8242,717,230
Out of pocket12,94913,35714,25515,31116,92818,20918,59418,53720,50022,60124,95326,31228,64631,62534,37337,26240,64744,85348,01652,31258,14665,35572,45078,61986,50095,640103,610109,652120,217126,651137,882140,815143,178144,098142,035144,817150,354161,432176,906187,681198,966206,272219,314235,648248,479263,806273,196289,916294,881293,130298,727308,519317,607325,130329,652338,150
Health Insurance6,6347,2937,9678,8289,80610,65514,04619,38822,27725,68329,65033,98638,79543,82752,10962,09773,05584,59096,526112,238132,100155,573176,377196,099215,287235,725253,956281,361314,143355,504402,936455,028503,335545,446586,202629,442668,168703,031734,213780,209844,196932,2051,019,9821,103,2531,193,0891,279,2111,368,0811,452,1281,538,5971,636,6571,699,2951,766,1001,833,1181,891,0212,009,4462,151,242
Private Health Insurance4,9605,5376,1586,9017,9018,7178,8549,06310,19412,00814,06515,82817,72719,80423,45527,74033,12038,93644,60652,75661,54172,56582,94491,841100,727112,102119,895135,398157,314179,344204,788225,629243,563257,360269,745286,726302,846320,254344,824371,661406,087445,321488,146527,140565,066604,865636,230671,795700,983734,424754,768784,092812,489829,293875,154944,686
Medicare- 0- 0- 0- 0- 0- 01,7224,7315,9316,7357,2768,0368,85110,18212,74815,61018,81522,13625,66629,90036,26043,45751,06058,11664,59969,79574,76980,95186,40498,277107,266117,273132,368146,235163,430179,858193,573204,204202,559206,035216,333239,111256,551274,001300,096326,278382,297408,710442,014470,329488,535513,520535,105555,120580,583605,024
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01,2523,0193,3853,9845,0396,4117,9739,01310,59012,83914,42916,52018,40621,13424,69728,79530,41833,48636,18138,76143,01947,71952,17358,65169,69388,921103,417116,453126,856136,250144,510151,334158,293171,259186,920208,405230,060249,418270,729287,552283,306301,114317,858346,200365,756373,888388,450406,423446,703486,457
Federal- 0- 0- 0- 0- 0- 06051,4611,7532,1952,7083,6434,3604,6975,9947,0488,6619,31710,22011,90613,69215,93016,81118,52719,89121,27023,77726,37629,33933,16840,33054,40966,02173,68077,34181,74286,87689,65192,721100,296109,322123,488135,177149,729161,139165,454161,510171,852188,295230,601247,262228,186223,868234,663274,369306,153
State and Local- 0- 0- 0- 0- 0- 06471,5581,6321,7882,3312,7673,6124,3164,5965,7905,7687,2038,1869,22811,00612,86513,60814,95916,28917,49119,24221,34422,83425,48329,36434,51237,39642,77449,51554,50757,63561,68365,57270,96377,59884,91794,88399,689109,590122,098121,796129,263129,563115,599118,494145,702164,582171,760172,334180,304
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03491,4892,5303,4894,5615,3056,1506,4497,1897,7668,6959,5339,70610,03810,70111,37610,83812,028
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 02411,0361,7622,4413,1913,7204,2754,4774,9445,3806,0706,7136,7767,0217,4457,8927,5628,979
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01084537681,0481,3701,5851,8751,9712,2452,3862,6252,8202,9303,0173,2563,4833,2763,049
Department of Defense7868348589238598301,0771,3191,4361,4891,5691,7491,9762,2102,4492,5632,6662,8903,0353,4233,9124,5465,1055,3205,7746,7967,5528,1038,6679,14410,29311,40611,45311,85311,63911,84211,74411,81911,92412,33013,32414,88717,99621,03123,30024,48127,38229,67131,42633,79134,84236,42436,64436,02238,27338,595
Department of Veterans Affairs8879229501,0041,0461,1081,1411,2561,3321,4681,7011,9622,2682,6192,8673,3444,0254,1084,8135,0265,6906,2106,8507,3368,0068,2718,7229,1899,58510,08810,89511,80012,53413,54414,53214,76515,49515,42016,26417,43619,00220,99322,66926,35927,74829,58731,67733,07037,62042,38045,68748,13849,72852,78757,89564,453
Other Third Party Payers and Programs3,6804,1054,4424,9375,3055,8575,7865,5766,3517,2278,4559,1409,72110,70012,30213,85815,61017,23019,69422,57826,73030,86134,24736,95939,85845,01151,27456,68464,13768,25974,50880,05284,94189,14091,93695,32099,017105,068114,984118,390118,874123,467128,332138,795146,426153,204163,395176,776177,212184,434196,603197,962215,223219,473223,726227,838
Worksite Health Care6266717887971101281471711962172462813273734485306177198269531,0411,1561,3061,3931,5221,6851,8672,0352,2282,3432,4842,6102,7312,8632,9753,1123,2203,3233,5183,6553,7753,9254,1024,2824,3894,5444,5474,5734,7014,9105,1755,3665,6876,066
Other Private Revenues2953303654214865706627769841,1811,4581,6361,8992,0142,3212,5483,6504,0505,0476,0658,46410,51812,51313,88415,39318,24320,54322,67026,57727,89929,17131,48333,87036,36538,13942,21945,83250,35857,64959,10157,24855,45756,54461,90466,27770,71579,56989,72085,69291,589100,361100,017116,048119,348123,157124,258
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01902472973633994354984875406306996957427857699611,1631,3911,4291,4411,5931,5641,6631,6311,6771,8162,0172,0252,1972,3212,3412,4342,4682,6212,9733,3303,3773,5023,4253,5213,584
Workers' Compensation4354604955255656006817518309221,0521,1311,2531,4821,7652,0382,3792,6872,9813,5123,9254,4005,0305,5706,3177,4218,5289,80511,41313,43215,19916,84618,26118,50817,18816,72816,71117,31118,49019,95120,88423,04324,09325,64025,94926,32726,15126,90929,27328,60029,36530,68731,69031,66231,72132,428
General Assistance1021101021031121221822402993594174775826918271,0001,1311,2811,3581,5481,8992,2262,4372,6492,8753,1893,4223,5523,7424,1385,0325,1875,5315,0375,4515,4375,4145,1674,9283,8743,9404,8195,1385,5915,9046,1956,7216,9287,1467,1557,0716,6696,4236,6867,0626,834
Maternal/Child Health1091611691882062292733043534073834244514364925365806156547228048188721,0091,0401,2091,3051,4171,4831,5301,5881,8132,0132,1552,2922,3762,4812,6402,7232,8172,9643,0713,1853,2643,2583,2263,1313,5293,8943,7083,6743,4523,2103,3593,4823,479
Federal264347495979113140164187145187229199239271292306325333338333337395346405392430456473475514562575590583576578584600606615632630631618595597591588587580558541565567
State and Local831171231391471501601631892202382372222372542652893103293894664865356146948049129871,0271,0571,1141,2991,4521,5811,7021,7931,9052,0612,1382,2182,3592,4562,5532,6342,6272,6082,5372,9323,3033,1203,0872,8722,6522,8182,9172,912
Vocational Rehabilitation1921242831395584108123146169173178187192193202201204201206209221232236242259270276285298306300325325315326335344373400412418415411445443436461495490470464467474
Federal12131517192640638194114132135139146150149157154156153154154165176180186200209213220230236225244245236246253259281304316320321317337332334354387384365359360365
State and Local78911121416212829323738384143444547484751555656565759616365687076808080818185929696989494108110103107108106105105107109
Other Federal Programs*3274325776937097606064384635979231,0969579761,0846957938249131,0791,3091,2911,1249961,0161,0581,0841,1541,2331,2921,5111,8002,0012,2062,4132,4872,7563,0493,3283,7814,3845,2095,5795,9086,1676,2566,3066,6066,8267,1777,3668,83510,22610,3269,70010,418
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 05645295746816558157896285936035115306398686861,3501,6311,6571,6711,8322,0161,7481,4691,9882,3492,5142,7442,9413,0373,0643,1603,0943,1053,1443,2443,3213,3773,3353,1993,4153,392
Other State and Local Programs**2,2112,3852,4922,7562,9573,2713,0312,6402,9233,2043,5893,6823,8394,2964,9225,3215,2275,6626,3197,0747,3898,4549,1519,5469,60010,13312,41713,72114,80115,01815,88916,12616,01117,30418,42217,49017,33017,93518,49718,84118,75020,36321,75323,87925,77626,92827,58428,63129,54330,75432,62631,86530,82731,20430,97732,294
School Health1221401471431511681872152422632903083213463774004335095596006637087537958479199861,0401,0991,1851,2931,3631,4161,5531,7011,7851,8902,0372,1972,3302,4832,6892,8883,0323,1933,3633,5693,8954,0894,2014,2934,2824,3184,4354,5364,612
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 02,9757,7509,31610,71912,31514,44716,82419,19423,33828,44933,24438,65644,07251,03460,95772,25281,47891,602100,780108,556117,788128,671138,577156,928176,959206,194235,785262,688290,286316,108338,083355,538361,201378,783405,783451,004491,171528,724576,976620,278672,792717,591768,567826,062863,998897,446934,257972,9181,038,1241,103,508
Total Hospital Expenditures8,9859,77710,43211,50712,50113,54515,29817,79820,53723,36727,16830,22433,84637,92044,13951,23459,40267,02375,62186,162100,517117,480133,647144,745154,366164,575175,629189,545206,455225,968250,439275,768298,477315,749328,366339,313350,799363,404374,917393,624415,531449,358486,479525,905565,378608,553651,220691,973725,711779,689822,405852,020902,676937,877980,9661,036,110
Out of pocket1,8521,8951,9502,2062,5012,6842,3031,8092,1582,1532,4482,4532,9703,5913,9974,3084,5234,8535,0095,1875,3816,2717,2107,6248,0938,7698,4728,9749,77710,30011,16311,87012,30612,12010,65310,10110,25211,01811,96112,71213,44513,78915,31617,02218,31519,70221,08822,78323,61325,68027,82529,21131,82033,92933,07832,128
Health Insurance4,5595,0755,5156,0126,5547,1369,28512,45114,33016,63819,42222,02724,50027,39632,23938,27345,20651,80559,01368,00580,09693,909107,385117,395126,238133,956142,011153,117166,299185,040206,906229,771251,092267,528280,485292,427302,975312,599320,575337,658358,203390,730424,415456,745492,662531,574566,906599,908636,330681,770714,117741,505780,265808,555851,878909,099
Private Health Insurance3,1953,6644,1024,5405,0775,5995,5855,6076,3507,4728,8189,85710,88512,02114,37217,01520,15823,37326,90331,63636,78642,61549,29753,28255,77558,67162,37168,24176,10685,70496,513102,106105,651107,012106,951107,197109,407113,800120,420128,516141,064153,417169,238184,336199,583215,889235,561250,497264,790285,663301,135315,736337,562349,964369,804403,622
Medicare- 0- 0- 0- 0- 0- 01,2553,2254,1084,8115,3595,9206,5377,5379,38811,50213,90216,18718,63921,64726,27831,52136,66240,98945,41548,64450,82253,49556,33762,16267,40373,32283,06891,52499,879108,286114,540119,392118,145121,103123,371135,048143,531150,885162,721176,395184,675193,081205,470214,435219,751228,379238,391246,233252,754256,998
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 07261,6241,7032,0312,6473,3163,7383,9904,2265,0145,7666,6027,0087,7749,21411,06211,78212,94713,96114,62415,96317,77319,71222,26926,66336,54543,94049,45853,67156,80058,87159,59761,67466,77870,90677,32384,37690,22596,750103,754108,828117,188122,673133,437141,756143,861149,807155,712169,103185,135
Federal- 0- 0- 0- 0- 0- 03517868821,1201,4231,8822,0632,0652,4042,7473,5683,7083,8754,3475,0186,0286,4237,0757,5787,9318,7239,70710,97512,50515,86124,95531,65134,61535,59236,73237,86837,75338,02740,90142,66146,96550,71455,24759,08460,40762,18067,21472,58988,02995,21088,16386,91489,769104,957119,450
State and Local- 0- 0- 0- 0- 0- 03758388219121,2241,4341,6751,9261,8222,2672,1982,8933,1333,4274,1965,0345,3605,8726,3836,6937,2408,0668,7379,76410,80111,59012,29014,84318,07920,06821,00321,84323,64725,87728,24430,35833,66234,97837,66643,34846,64849,97550,08545,40746,54755,69962,89365,94364,14565,686
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01494659321,3891,8132,0532,6062,6572,3502,6343,1363,2143,1693,3183,4153,4813,3703,714
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01033246459581,2461,4111,7791,8091,6001,8002,1522,2232,1822,2892,3552,4002,3532,785
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471412874325686418278487508349849919861,0291,0601,0811,017929
Department of Defense5435595335425085196848699881,0201,0671,1821,3251,5191,7081,7971,8522,0002,2202,5172,8193,2753,6943,8874,2004,9175,4415,8286,0346,3107,0537,8157,8478,1737,8557,9637,6297,6167,5787,4347,6408,0468,99510,41811,44012,05112,92213,80014,31315,73016,64517,17816,81116,29616,13015,154
Department of Veterans Affairs8218538799309691,0181,0351,1251,1811,3041,5321,7522,0152,3282,5442,9473,5283,6434,2434,4314,9975,4365,9516,2906,8867,1007,4147,7808,1098,5959,2749,98310,58611,36112,12912,18112,52812,19412,60813,36114,28915,50716,46218,82919,56320,82822,57122,70725,94729,29131,66133,03234,27936,86940,71744,476
Other Third Party Payers and Programs2,5742,8072,9673,2903,4453,7253,7103,5384,0504,5765,2995,7436,3766,9347,9048,6529,67410,36611,59912,97015,04117,30019,05219,72520,03521,85025,14727,45530,37930,62932,37034,12835,08036,10137,22836,78437,57239,78742,38143,25443,88344,83946,74952,13854,40057,27763,22669,28265,76872,24080,46481,30490,59195,39396,01094,883
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues1101341571892242613143925096398801,0131,1761,1491,2991,4212,3072,4432,9423,3695,0546,0526,9297,2557,2998,2318,9919,59811,21010,55110,28311,02511,48312,03312,75814,10315,48417,85919,81120,95221,56920,20620,91024,23525,06426,78731,54836,05130,69736,64742,90143,55252,35556,40557,96455,799
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01251621932292412372732733183644043994214454325276317507647658428288778548789451,0381,0461,1391,2061,2211,2741,2901,3631,5651,7621,7891,8661,8281,8751,910
Workers' Compensation1521611731841982102402553484865255656347438971,0481,2381,3861,5661,8422,0682,3252,6922,9453,2413,6374,0924,6055,2256,0966,8707,6088,2448,3407,7177,4317,3687,5477,8968,4868,8039,68510,21410,90011,12211,39911,60511,95713,23713,26213,88814,64115,42215,60715,76216,035
General Assistance81888283911001421802112542963394144915897278179269741,0931,3011,5361,7041,8331,9452,1042,1402,1412,1712,4873,1713,3673,5963,1003,3083,0913,0612,8362,6161,6411,4811,9281,8751,7301,8191,7301,9362,1602,3712,1242,2442,4332,5913,0333,2113,242
Maternal/Child Health192929303034424553635965696776828994100111124127135139135151160169169173176201222228235232233243238246256265274282283285283320355338336319304320323321
Federal599910141923263023293631384346485152535354574753505253545358636262595654535454545656565655555555555554525353
State and Local1420202120202322273336363335384043464958717481828899111117117119123143160166173173178188185193202211218226227229228265300283281265250268269268
Vocational Rehabilitation78101315192646647282949710310099929692918996969390868483828390908374868273707282107120122124120116131118108118133130118113106113
Federal4568913193448556473768078777175717068737270696665656464707066566563555255618092949593899989829010410391888187
State and Local334567712161718212122222222212121212424232120191818192020171820191817172127292829272731292528292826252426
Other Federal Programs*1782252953423513702631921992213224264304284392833413593894184123983481461721771821952032212442762993153033033373373774516371,0121,1171,1561,2091,2201,2811,2821,2771,3421,3311,7192,3852,3121,5141,423
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 082747685789183625451403843564381165126868686121129165186174182185178172163162162162167158145175166176175
Other State and Local Programs**2,0272,1622,2202,4482,5372,7312,6832,4292,6652,8413,1353,2423,5563,9534,5044,7854,5534,7935,2205,7285,6646,4106,8136,9426,7387,0209,06110,19910,81710,54310,92810,76710,27711,15911,97010,61510,0679,89010,35210,3319,91010,40111,00612,39313,40514,35615,00815,94116,20016,67817,71016,57615,37515,60915,08015,866
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 01,9814,8495,8116,8428,0069,23610,27511,52713,61416,51619,66822,78925,64729,42135,49242,58348,44453,93659,37663,26866,78571,26876,04984,43194,066109,867127,008140,982153,550165,086173,411178,989179,968188,346195,209213,760229,720243,163262,077282,806295,853312,903331,279351,086364,676375,558391,613405,426425,227445,847
Total Physician and Clinical Expenditures5,5515,8146,2617,0748,1098,5879,30910,44811,34412,71614,33115,91717,70619,55922,21525,30928,67233,11235,83341,19247,71755,61961,63568,64377,41390,856100,667112,800128,416142,937158,392175,750190,156201,417210,479220,303228,423239,143256,929270,034288,745313,323338,353365,102390,299414,050435,759458,562482,925498,724513,144536,395558,024569,542597,137634,919
Out of pocket3,3053,3953,5944,0274,6374,8794,8434,8315,1315,7756,4626,8837,3767,8058,4589,09210,10211,38711,64412,91314,22016,15917,36618,64220,72424,26826,98127,95329,45929,75329,91530,51730,02728,99927,27425,65426,23627,54529,40730,32232,00833,50235,16437,31739,03941,82743,49145,55446,94645,45648,55651,34551,73553,31854,03856,618
Health Insurance1,8371,9662,1742,5182,8923,0683,7914,9075,4846,2076,9918,0269,18310,39912,12613,97616,09018,85320,77924,19128,51633,52637,69542,48347,80455,75561,06570,11381,88794,140107,415122,118134,709145,663155,688165,764172,296180,126191,095202,459220,608241,934264,404286,356306,789326,416344,265362,074383,010401,241410,416430,272446,689457,821483,369514,733
Private Health Insurance1,5931,6911,8492,1382,5392,7542,8162,8923,1613,6594,2094,7755,4366,0996,9957,9449,31111,05512,05014,21616,62519,52321,67124,01927,55633,28535,38740,74949,82257,92666,61777,31286,15093,85799,250104,659108,044111,691119,359125,472135,877148,842162,704176,738186,414198,550206,721216,343224,854228,772230,247240,257248,043249,165255,581272,269
Medicare- 0- 0- 0- 0- 0- 04431,2261,4571,5701,6431,8552,0272,2712,8543,4674,1004,9805,8726,8718,3159,83811,75713,86015,40117,01019,46022,51424,42627,70330,46032,02133,70035,32038,79842,26244,64947,66350,24053,82358,72963,72768,04173,53680,55185,58791,35695,963103,803112,008115,758122,204128,104132,064137,923144,310
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01413484295196498461,0931,3531,5391,7831,8221,8971,9912,1532,4322,8392,7933,0923,1903,5214,0284,4774,9135,6007,0269,11311,15212,68313,69514,78815,24116,30916,76617,47719,29421,43124,02225,18527,98630,07231,77833,52435,91240,16443,25845,18446,97252,01263,60069,697
Federal- 0- 0- 0- 0- 0- 0681692232863494815947068739761,0411,0751,1031,2151,3661,6031,5821,7611,7981,9772,2802,5402,8473,2724,1195,3056,6787,6588,0738,6288,9549,4899,81410,22911,37712,68014,19315,56017,14717,97718,91119,79322,15527,75330,14628,63228,62632,39044,01248,858
State and Local- 0- 0- 0- 0- 0- 0731802072333003654996476668077808228889371,0661,2351,2111,3311,3921,5441,7481,9372,0652,3272,9073,8084,4745,0255,6226,1606,2876,8206,9517,2487,9178,7519,8299,62610,83912,09512,86713,73113,75712,41113,11316,55318,34619,62219,58720,839
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0564947311,0011,1921,4351,6041,6532,5182,6382,7462,9733,0643,0463,2023,5343,1863,402
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0393385067028401,0151,1251,1581,7171,8231,9062,0702,1212,1172,2242,4592,2262,572
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0171552252993514214794948018158409039439299791,076959830
Department of Defense2182482983523242843594084034204485025686056596817287987177979711,1311,2501,2641,3891,6621,8722,0192,3512,5302,8933,2013,1983,2293,3033,3573,5523,5823,6874,1024,6715,4006,6897,2837,8488,0529,19110,22211,39012,02312,31013,21113,80113,83015,15515,117
Department of Veterans Affairs2527272829303132343941485970801001291231481541731952242482682773183543763824194715105746426988108819881,0921,3071,5341,7572,1792,3862,5032,7003,3834,3055,3025,7796,3696,5677,2177,9249,938
Other Third Party Payers and Programs4094524935295796416757097307338781,0081,1471,3551,6312,2412,4802,8723,4094,0884,9815,9356,5747,5188,88410,83412,62014,73417,07019,04421,06223,11425,42026,75527,51728,88529,89131,47236,42637,25336,12937,88738,78541,42944,47145,80648,00450,93352,96952,02654,17354,77859,59958,40359,73163,567
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues737884931061281501561761992252553023594285146267861,0611,4341,8482,4873,0093,5944,5345,7816,8808,1449,40910,58611,30612,41113,78114,89516,17417,57418,82220,08924,34524,36622,46622,69522,97324,54027,36228,48730,89633,20234,28633,70935,54834,93038,95437,85138,73441,615
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 041566579991301491431441681911952142322272773343984094114574504844814955375915956456796807017097488419469609929681,0011,022
Workers' Compensation2522672883053283483934434243704544865306347478539851,1271,2221,4481,6121,8062,0322,2742,6523,2893,8534,5045,3466,3557,1758,0118,6898,8038,1837,9947,9808,2928,9669,65210,13211,19611,62112,36712,42512,54612,26512,56113,23212,60812,68913,16613,38013,14512,97013,345
General Assistance91099991924324151627999123152176202224245313354380422473524604665712610625576645656613633625638625464469504498607623638696790917993979984977871954803
Maternal/Child Health4781011142025313833384340465155586266727274797694100109114120120136150153157155155161162168175181185190189187182199216200196189178183186186
Federal2344581318222620263227333740424546474646504353525760636268747374716867676969707272727068686765646462606161
State and Local23456677912121312131314151617212526282933414752545658687679838587949599106110114118117117114132149135132125116123124125
Vocational Rehabilitation89101112152330343949585958677381858688878588101111118125138148151150160172175182184184196200199201210219221222220235242246256269267264263273272
Federal5667710162226303845464652576466666767646574849095106114117115123131131136138137148151151152160168170171170178181188197210209205203211210
State and Local344455689911131313151618192021212124262829303234343537414446464748494849505152515057615859595859606262
Other Federal Programs*2939495452523114182953931191492041841551792422994195044695505155405585775955906607157828098588748989319791,0941,2561,5291,6731,8211,9131,9901,9822,1882,2882,3672,5333,3043,7284,0404,4595,172
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03553283514103884764543563303302742813554843737177407698299149827436446357858649429699851,0031,0029889839759909519121,0621,0131,0841,079
Other State and Local Programs**3441464761744117151613161516161818192321222324252424262730313032342625323436343130395253555658596161626466697073
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 05841,5741,8862,0892,2922,7013,1203,6244,3935,2505,9226,8777,8639,02410,74712,67714,55016,95218,59120,53123,48826,99129,33933,30337,48641,13444,85248,00352,49357,05059,89063,97267,06271,79478,75486,15993,255100,156110,141117,312125,652132,125142,461155,145162,080170,434178,278187,610204,709217,409
Total Dental Services Expenditures1,9872,1032,2242,3712,6162,8182,9923,4463,7044,2164,7115,2265,5666,3797,1398,0239,04210,12911,03911,98413,32015,70616,97118,29019,85921,69423,16425,32227,39429,37731,59833,39737,13339,00641,55844,61546,94350,29253,60057,25562,06667,60173,44476,00581,74986,69191,14697,029101,939102,307105,032107,106108,771110,141112,832117,522
Out of pocket1,9072,0182,1352,2752,5162,7042,8273,1503,3223,7894,2414,6714,9335,6056,1296,5326,9637,5847,9188,2378,76410,01910,49610,96711,54512,22712,65813,11813,84514,48515,25515,73617,11717,44818,27619,29420,06222,05923,67725,02227,40729,06731,95733,34735,60937,77539,64042,32644,68142,56143,40144,78845,41545,65346,02946,875
Health Insurance6464667171811462843624034495306047399651,4332,0092,4593,0263,6474,4435,5456,3277,1708,1539,28010,31712,01513,36414,70016,16317,46019,79221,32023,02625,05626,59127,92129,61631,92734,31238,20141,17142,37245,82648,58751,15554,32056,83559,25861,09461,81062,83164,00566,33470,200
Private Health Insurance383738414355681041131802122482923785509391,4861,9092,5023,0703,7814,7925,6706,5057,5268,5739,55111,19912,51113,81315,13416,19718,27119,29520,93122,87524,32925,53627,02529,18931,24134,28336,42837,24640,33342,67244,87147,27648,62949,38650,17350,60851,30252,01753,12354,692
Medicare- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0111122161734405474899978818679707186103164221296242294368478408454
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 0431382011681621791832282953643904243924405035814855014565105545916176387569451,1961,6751,7411,8071,8721,9742,1292,1802,4003,0903,7094,0354,2644,5724,7825,2116,2277,6388,4018,4598,5818,8179,92911,509
Federal- 0- 0- 0- 0- 0- 0216710493871011001201662002332412172472753172642732492773043243453594255296849509609941,0421,1011,1891,2261,3601,7432,0872,3802,5022,6242,7382,9973,7425,1795,7895,2044,9865,1096,1857,607
State and Local- 0- 0- 0- 0- 0- 0227198757577831091281641581841751922272642212282072332502672722793314175127247828138308749409541,0401,3471,6221,6551,7621,9482,0442,2142,4852,4592,6123,2553,5953,7083,7443,902
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0321462333284523914014634886617027641,0391,1391,3191,5031,4601,632
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0221031652343242832883313484715025447267969211,0341,0131,226
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 010446894128108113132141190200220313343398469448406
Department of Defense25262729272634414446506078807677778187971111271421461571832002132252392632922943053033093053093213233464034916147337508439459901,0971,1671,2301,1861,0911,2931,722
Department of Veterans Affairs111111123926435152445356444540494530181312111010881014121112121211101112131726446862657773807599121191
Other Third Party Payers and Programs16212325303219122023212429354558708694101113142148153161187188189185192180201224238256264290312307307346333317285314329351382422488536509525483468447
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471115192227273943445173818680846165687480821201301341421731417043495661647178787893777359
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 01114161921222525273235333437344054666769787682828799112110120129133143146157174189192200198203210
Workers' Compensation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
General Assistance1111111389111316192324283737374760626462605547465258606470797665706146414510086100105113134154198233197182157158147
Maternal/Child Health23332236898101110111213141516181818181720202222222123262627282830303234353635353534384137363431323232
Federal1111112456568689910101111111111911101111111011121212121112121212131312121212121211111110101010
State and Local12221112333333444455777789101111111112141415161718192021222323232322262926252321222222
Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Federal Programs*71011131413733312233- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0820192- 0
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other State and Local Programs**688913167122- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0431382011681621791832282953643904243924405035814855014565115555926186407589611,2131,7091,7811,8611,9462,0632,2602,4042,7143,5044,2404,4964,7365,1215,3736,0367,1508,6989,6829,89210,26810,79811,79713,595
Total Other Professional Services Expenditures3924094294514865335726086446787267938931,0221,1631,3371,5642,0582,4032,8473,4784,2734,9175,6517,3288,1139,28411,32913,72214,49917,27818,55920,86022,95623,97426,67128,85731,27533,42434,61436,64740,26643,33846,52350,21152,79555,26460,05564,54067,15269,84972,74876,42978,79682,82687,715
Out of pocket3413433513613833953893753643483242873103934406437431,0211,2001,3941,6992,0172,2432,4703,1833,3013,5964,2745,1325,1996,1366,2876,8677,2997,2917,7978,0909,0989,76510,44610,93411,63712,35513,06313,83414,19014,82016,19017,21617,35217,98218,63719,43019,84520,65121,772
Health Insurance81216202530497584861001281612232864185136908019721,2071,5591,8632,2412,9863,3894,0165,0656,2706,7308,3399,19710,56111,98912,85214,79316,45817,58119,07619,58321,13623,88526,02728,53531,12633,17534,88337,77440,91643,41045,24147,39049,95251,99755,16558,688
Private Health Insurance8121620253034374042434965991302192884455506728591,1331,3911,6812,3662,6683,1504,0435,1155,4526,7617,2728,3289,2739,69410,84011,75112,43512,74113,37614,08915,52016,89618,51219,79720,37621,20323,14024,41824,59725,37726,51427,84328,16829,03830,196
Medicare- 0- 0- 0- 0- 0- 0310131518222734476374871061311672012593323834655686807949131,1321,3761,6391,8822,2992,9373,5003,8355,0044,7275,4066,4616,7437,4698,2889,44910,21210,95712,38313,76414,53715,67716,89318,21619,61921,230
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 011283129405669901081361501581441691812252142282382562983423623664455495948348591,0161,2071,3111,3241,4381,5851,8292,2682,4422,9353,2293,2953,5243,9514,8745,1604,9944,9895,3596,2586,973
Federal- 0- 0- 0- 0- 0- 0614161621323747617586898095981211151231281381621872022042493043445024995796937487618319121,0441,2861,4561,7161,8341,8752,0242,3973,2933,5723,0982,9003,0893,9294,518
State and Local- 0- 0- 0- 0- 0- 061515131824314347616568647584104991051091181361541601621972452503323614375155635636076737869819851,2191,3951,4201,5001,5551,5811,5881,8962,0892,2702,3282,455
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 06425674120113106121173153163175168205227253250289
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0429405283787484118106115123119144159175185230
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 021316223734323755474952496168786659
Department of Defense- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Department of Veterans Affairs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Third Party Payers and Programs43546270781081341571952433013784224064372763083474024805726978119401,1581,4231,6721,9912,3192,5702,8043,0753,4313,6683,8314,0804,3094,5964,5834,5854,5774,7444,9564,9255,2515,4295,5616,0916,4086,3906,6266,7217,0476,9547,0107,255
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues11121314161922232630343845546477931171582142753714485366768621,0251,2141,4021,5781,6851,8502,0542,2202,4112,6192,8052,9942,9122,8162,7412,7492,8952,7753,0713,2903,4673,7983,9294,0254,2254,2884,5574,3894,4704,683
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Workers' Compensation131415161718202325293235384654627386991171341521772022462843303974825576557137908227697797998469129781,0221,1351,1811,2541,2591,2331,2021,2711,3851,3301,3821,4421,4921,4941,5091,563
General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0112233445677710142126414539424851595446413654495756587982921096777664440729076
Maternal/Child Health1626293338466077921021021161261201271341371381391431561651771932242622933513913864224675365715896246557107197337627998188328368187929071,019950944903862904921924
Federal4789111627395053465970637077797980797981849494110112133149149157166188193194197197201201203203208212210211205196201203199199199196191197198
State and Local121921252830333743495657565757575859596477839399130152182218242238265300349378395427458508518531559591606623625613596706816751744704666713725726
Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Federal Programs*113431928335082133187210184190- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0136888511- 0
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other State and Local Programs**223345311111111111212222222333334334444445667777888899910
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0143844445878961241551992242452503003484264735606217218661,0221,1561,2791,5771,9252,2332,7163,1583,9534,7075,1466,3346,2077,0478,3649,13110,02411,32912,79913,68014,63416,49718,81319,86520,87622,10923,82826,12728,492
Total Home Health Care Expenditures5761656975891081642382722201942202764236238961,1471,5561,8992,3782,9383,4824,2375,1295,6336,3686,6368,40610,21312,53415,13518,69022,74827,30732,27035,71636,88534,07232,75632,29434,27136,46440,17944,64149,34352,05257,47562,16567,29670,99573,83977,07679,96583,56688,803
Out of pocket7888911131421242119232947791191522292833634375136257698851,0951,1401,6411,9542,2362,5373,0043,6324,1375,1515,9556,3396,9866,7786,2016,3106,0035,9626,1386,4755,8065,6405,7295,5835,7396,3997,0967,4337,8568,804
Health Insurance333444155780948382961201973304986438241,0431,2771,7002,1252,6423,2303,5473,9344,1995,1626,4458,29910,44213,31616,52620,36024,03726,50727,31323,91522,61123,17825,07327,70431,46935,68740,01443,77049,34754,06259,50063,06365,14567,51769,89173,07377,268
Private Health Insurance1222222357779142548831211902553494455496968841,0461,3241,4052,0542,4762,8603,2703,8924,7215,3866,7067,7408,2178,8488,4067,7666,7716,5316,6596,5006,6395,5305,2635,0804,9255,0485,4725,9937,1128,1669,436
Medicare- 0- 0- 0- 0- 0- 09486775595261791281892723524345386388301,0741,3161,5541,5971,5701,5581,7252,1883,2634,6416,4468,30511,08412,96414,02513,8509,4228,1918,5469,90011,33813,23515,53618,20821,06024,26427,05230,28131,72132,20533,38833,68934,24635,131
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 023591520222238861341621912402774124886157748861,0191,2131,3581,7542,1442,4952,9393,4563,8414,3134,6765,1695,5585,9136,7568,2819,70211,40413,47114,90716,90519,59021,64623,97925,93627,07927,73528,66130,19432,021
Federal- 0- 0- 0- 0- 0- 012357111212214879921061341482202593274074655426467359401,1471,3101,5851,8892,0512,3022,5342,7763,0003,2003,6514,4905,2566,4197,4688,0669,14510,60612,27615,64417,14315,89615,21415,79617,08618,337
State and Local- 0- 0- 0- 0- 0- 0122578101017385670851061291922282883664214775676238139971,1851,3541,5671,7912,0112,1422,3932,5582,7133,1053,7924,4464,9856,0026,8417,7608,9849,3708,3358,79311,18212,52012,86413,10813,684
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 015671014131413151515192426333749
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 03457109109111111131719232638
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 012234444554578101211
Department of Defense- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Department of Veterans Affairs22222222333345678910111213151617182123252832353944485366778796105114122158168245262215268300339366375396429631
Other Third Party Payers and Programs4650535762747993137153116921011281802142793525035747398018449701,1301,2011,3401,2971,6031,8142,0002,1562,3702,5902,8093,0813,2553,2333,1703,3682,9152,8882,7572,7472,8162,8552,4772,4872,3742,2142,1932,2952,4632,6412,6372,732
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues3841444852626470104115856570891191271541932783153704094414925555866646348379149599981,0831,2001,2541,4311,5171,4801,5581,7381,3791,1771,0611,1611,1861,2931,1011,0701,0209539539841,0171,1391,1461,123
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Workers' Compensation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 011111333334345788919161620354245637280746855243232536791117156142184198206244260247295
Maternal/Child Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Federal Programs*- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 012561598- 0
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other State and Local Programs**88991012152232373026303858851221572222553653883974715676076666447498841,0211,1241,2451,3451,4931,5791,6571,6791,5431,5751,5121,6791,6641,5341,5631,4701,2591,2611,2121,0781,0421,0801,1411,1831,2371,314
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 0115172847472831011662754065146257789151,2421,5621,9312,3282,4832,5892,7713,0833,9425,4077,1369,38511,76114,92517,27718,70119,01914,98114,10915,30818,18821,05024,65329,02033,12937,97843,86948,71354,27557,67659,30861,14962,38364,47767,201
Other Non-Durable Medical Products Expenditures1,6261,7641,9011,9442,0832,2112,3772,5272,6772,9673,3253,4703,6723,9834,4914,9495,4336,0837,1378,4509,80111,29612,58113,75514,97615,95517,06318,26519,37620,81922,44623,24723,21323,74224,31025,10026,00427,58128,57430,62431,56832,25033,29236,19938,08840,80543,73347,75249,47250,32851,24652,82553,73355,67256,91259,030
Out of pocket1,6261,7641,9011,9442,0832,2112,3752,5222,6712,9603,3163,4603,6593,9684,4704,9215,3996,0397,0788,3769,70311,16612,41313,53614,72215,66816,73417,88518,95820,34321,88922,50522,34822,78323,29023,89324,77726,24827,22429,29630,13430,66931,61434,33836,06338,66341,43645,21246,75447,53248,23249,68950,45052,94654,62056,778
Health Insurance- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253
Private Health Insurance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Medicare- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Department of Defense- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Department of Veterans Affairs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Third Party Payers and Programs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0122- 0- 0
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Workers' Compensation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
General Assistance- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Maternal/Child Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Federal Programs*- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0122- 0- 0
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other State and Local Programs**- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 025679101315212834445974981301682192542873293804184765577428659591,0201,2071,2271,3331,3501,3271,4341,5811,6781,8612,0252,1422,2972,5402,7182,7963,0133,1353,2812,7242,2922,253
Total Prescription Drug Expenditures2,6762,7183,0293,1593,3473,7153,9854,2274,7425,1495,4975,8776,3246,8177,4228,0528,7229,1969,89110,74412,04913,39815,02917,32319,61721,79524,29026,88830,64634,75740,29044,38146,97249,55153,01959,76668,08477,63688,496104,564121,028139,000157,915176,659192,827205,143224,078235,630241,424252,665252,982258,676259,089265,089297,872324,551
Out of pocket2,5702,5952,8893,0053,1383,4413,5943,7124,1204,3624,5314,7525,0355,3415,7246,0936,5196,8137,2007,5758,5928,98310,44011,44612,73113,85515,74416,69218,69420,58122,86723,55323,66123,83523,17623,20124,24125,70927,51930,48133,64836,35040,80745,46648,14451,32351,21352,15849,61549,06845,21645,24645,07143,60244,82345,540
Health Insurance39424647851332884455407039071,0611,2171,3961,6081,8562,0872,2612,5632,9913,2424,1704,3125,5566,5047,4437,9149,48211,11013,15916,21719,59522,05624,48128,53935,20242,43150,40859,25272,15085,09199,920113,998127,614141,006149,956168,863179,747188,210200,118204,402210,601211,449219,090251,028277,020
Private Health Insurance35384243821301822383173994845586437428559671,0971,2021,4331,7311,8102,5342,6103,6144,2445,0474,8365,9577,1268,86210,86013,21214,75516,23019,20924,48130,11436,21042,64752,07461,10871,15779,75487,00995,104102,109101,960106,859109,684116,095115,955116,948112,839113,523128,198139,765
Medicare- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 022144751021391852312933724967221,0111,2591,5611,9192,0962,4482,4732,4703,3723,93139,63845,95450,64454,54358,94663,29167,52974,05784,76994,122
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 01032052193004174955636447398719691,0361,1071,2361,4081,6111,6691,9072,2192,3322,9863,3963,8144,0835,0776,0436,8837,7218,6279,70010,82412,22214,03116,64719,77123,37527,52032,23335,84436,53019,10918,33419,22620,34020,41220,95321,59122,43427,95531,764
Federal- 0- 0- 0- 0- 0- 050991141652242813083364194785765876137018159239521,0921,2631,3191,6911,9162,1832,3422,9193,4454,0294,5514,9745,5436,2386,9988,0039,52511,30113,39115,69719,23921,12120,96610,95310,56011,48113,59413,78912,51211,80112,35717,98921,051
State and Local- 0- 0- 0- 0- 0- 0531061061351932142553083213923944494935365936887178159561,0131,2951,4801,6311,7412,1582,5982,8543,1693,6534,1574,5865,2256,0297,1218,4699,98411,82212,99414,72315,5648,1567,7757,7446,7476,6238,4409,79010,0789,96610,713
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0471733014076039539301,0539779931,1621,3631,4071,4411,5241,4741,3871,494
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0331222132894276766617476896988289761,0041,0321,0651,0279901,090
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0145189118176277268306288295334386403409459447398404
Department of Defense- 0- 0- 0- 0- 0- 0- 0- 012356569101111111113202227343843576584981141451792132593123384716671,0391,8212,7173,2793,6294,4274,7044,7334,9414,7204,8074,8464,8065,6956,601
Department of Veterans Affairs44443333333455791211121213131312111010101191010101228862234056288661,1481,4951,8272,2312,4782,7042,7532,9032,7622,8372,9633,1613,1192,7953,0243,275
Other Third Party Payers and Programs67819410712414010469828359657380901041151221281792152452773213824976337158421,0171,2061,2331,2561,2351,3041,3641,4121,5191,7251,9332,2882,7293,1113,5793,6783,8634,0023,7243,5993,4783,3632,8292,5692,3982,0211,992
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 011222222334444456888999101012131415161617181922262627272929
Workers' Compensation991011111214151719212325303336404245515559677891106125144172208245271287290276290317357413500567662708756777790737758805797794793754750813820
General Assistance44344481527272931353943536063651091411671912212703664815426407799299249279049851,0271,0451,1071,2531,3651,6461,9832,3112,7262,8012,9743,1632,8582,6802,5702,4541,7991,3981,2401,0571,057
Maternal/Child Health112233568989109111213141516161616181720212324262730323334363944475562687377797879858984807669707678
Federal111122356757878910111112121111131113131414151617181819192022232729313435353535353433323129283031
State and Local- 0- 01111112233223333344555679910101113141516171922242933363942434344505651484540424647
Vocational Rehabilitation- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Federal Programs*2836445353533820171511111- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0413031630639- 0
SAMHSA- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other State and Local Programs**263034385368381313151111111111111111111112211222222345556666666667
School Health- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Total CMS Programs (Medicaid, CHIP and Medicare)- 0- 0- 0- 0- 0- 01032052193004174955636447398719691,0361,1071,2361,4081,6111,6691,9072,2212,3533,0303,4713,9164,2225,2626,2747,1768,0939,12310,42211,83513,48115,63918,73922,16826,23030,59635,65640,14641,51459,72465,28171,03276,24680,76585,68590,64497,965114,111127,380
Total Durable Medical Equipment Expenditures7407659109011,0041,1051,2421,1281,3171,5121,7471,7992,0322,2472,5062,8012,9873,2053,4473,7814,0544,3304,5705,2506,1427,0568,0679,46611,07811,88713,76713,08113,49814,14015,31815,86017,43219,21821,35823,02225,16525,13527,13128,51230,37032,36434,40937,07337,67837,81339,92542,25943,67945,06246,62248,458
Out of pocket6867078438339281,0211,1309901,1491,2991,5031,5321,7211,8892,0622,2592,3902,5072,6292,7942,9643,0873,1593,5764,2364,9015,6266,6547,8348,1849,4948,5798,5438,6699,2669,08110,02911,11012,94813,98015,09414,06614,63814,93415,93516,81517,48718,93818,19518,05019,52421,28821,97823,01323,08423,322
Health Insurance404049505562851081301691972132542973744645166127248859841,1371,3001,5471,7581,9802,2362,5732,9663,3833,9064,1434,5905,1085,6886,4267,0367,7127,9758,5659,56210,55411,96613,05313,89715,01716,40317,57918,67318,95519,57520,11420,84021,16522,68124,287
Private Health Insurance4040495055627582911131331511862102523063343974595535685725666197087908731,0021,2261,3431,5231,3911,3571,4491,6441,7311,9702,2612,7663,1683,6203,5643,9114,2014,7135,2215,6946,4606,4946,8127,0717,3927,3127,5428,2578,987
Medicare- 0- 0- 0- 0- 0- 061621252835425171941151481982473264475737488659731,1061,2681,3801,5561,8012,0312,3442,5972,7693,1693,4113,8363,6443,7504,0654,4795,2736,0216,2316,4356,8867,0177,8927,4887,5017,5218,0637,7737,7567,852
Medicaid (Title XIX)- 0- 0- 0- 0- 0- 059183235272636516568666786901181601811852172563033604845837218891,0621,2761,5261,6551,6151,5601,6161,8352,4672,7092,7672,8963,2953,7614,0154,2024,5794,9165,0975,3455,7176,5457,314
Federal- 0- 0- 0- 0- 0- 0361118201515212836353637475167901021041231461732022773334285346357628989789499109561,0801,4541,5961,7341,7631,9472,1942,3532,5373,1113,4623,2473,2213,4524,2264,851
State and Local- 0- 0- 0- 0- 0- 023714141211152228333029394052717981951101301582072502943554275146296776666506607541,0131,1131,0341,1331,3481,5661,6621,6651,4681,4541,8502,1242,2652,3192,462
CHIP (Title XIX and Title XXI)- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 04304344736458656286857688104119133124134
Federal- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0321293251464248456263566476879691104
State and Local- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 011013122118151817242220242833373330
Department of Defense- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Department of Veterans Affairs- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Third Party Payers and Programs15171819202227313744485457617177808693102105106111127148175205239279320367360365363364354368396435476509515527526538532519557810808826858861884857849
Worksite Health Care- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Other Private Revenues- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0
Indian Health Services- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0- 0111111222
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