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Arizona Health Care Cost Containment System
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Statement of Revenues, Expenditures and Changes in Fund Balance - Total Governmental Funds (Dollars in Thousands, % of Revenue and PMPM)
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For the 5 Years Ending June 30, 2012 to June 30, 2016
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Fiscal Year Ending June 30 - Dollars (in Thousands)5 YearsFY Ending June 30 - % of RevenueFiscal Year Ending June 30 - Avg. PMPM
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201220132014201520162012-20162012201320142015201620122013201420152016
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REVENUES:
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State government:
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Appropriations $ 1,337,479 $ 1,309,588 $ 1,239,228 $ 1,206,558 $ 1,170,164 $ 6,263,017 15.2%14.7%13.3%11.1%10.1%$81.95 $82.68 $73.24 $62.45 $54.78
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ISA pass through funds 741,096 719,484 764,151 802,844 835,315 3,862,890 8.4%8.1%8.2%7.4%7.2% 45.41 45.42 45.16 41.56 39.11
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Total State government 2,078,575 2,029,072 2,003,379 2,009,402 2,005,479 10,125,907 23.6%22.7%21.6%18.4%17.3% 127.36 128.10 118.40 104.01 93.89
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Federal government:
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Acute care 3,372,573 3,350,020 3,663,770 4,961,375 5,351,016 20,698,754 38.2%37.5%39.4%45.5%46.1% 206.65 211.49 216.53 256.80 250.52
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Long-term care 737,793 756,888 809,230 832,114 887,784 4,023,809 8.4%8.5%8.7%7.6%7.6% 45.21 47.78 47.83 43.07 41.56
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ISA/IGA pass through funds 1,898,170 1,912,975 1,967,138 2,163,290 2,447,661 10,389,234 21.5%21.4%21.2%19.8%21.1% 116.31 120.77 116.26 111.97 114.59
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Total Federal government 6,008,536 6,019,883 6,440,138 7,956,779 8,686,461 35,111,797 68.1%67.4%69.3%73.0%74.8% 368.17 380.04 380.62 411.84 406.67
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County and other local government:
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Acute care 35,733 50,902 50,515 50,200 49,882 237,232 0.4%0.6%0.5%0.5%0.4% 2.19 3.21 2.99 2.60 2.34
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Long-term care 257,296 237,990 243,479 239,730 255,919 1,234,414 2.9%2.7%2.6%2.2%2.2% 15.77 15.02 14.39 12.41 11.98
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IGA pass through funds 186,942 264,438 181,214 87,593 127,171 847,358 2.1%3.0%1.9%0.8%1.1% 11.45 16.69 10.71 4.53 5.95
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Total County and other local government 479,971 553,330 475,208 377,523 432,972 2,319,004 5.4%6.2%5.1%3.5%3.7% 29.41 34.93 28.09 19.54 20.27
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Tobacco litigation settlement revenue 101,067 149,125 100,765 99,975 98,907 549,839 1.1%1.7%1.1%0.9%0.9% 6.19 9.41 5.96 5.17 4.63
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Tobacco tax revenue 130,058 131,441 129,041 134,369 132,666 657,575 1.5%1.5%1.4%1.2%1.1% 7.97 8.30 7.63 6.95 6.21
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Gaming revenue 21,215 21,500 21,455 22,301 22,445 108,916 0.2%0.2%0.2%0.2%0.2% 1.30 1.36 1.27 1.15 1.05
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Nursing facility tax assessment 0 12,881 16,253 20,882 49,394 99,410 0.0%0.1%0.2%0.2%0.4% 0.00 0.81 0.96 1.08 2.31
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Hospital assessment 0 0 75,325 270,442 250,214 595,981 0.0%0.0%0.8%2.5%2.2% 0.00 0.00 4.45 14.00 11.71
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HAPA intergovernmental agreement revenue 7,093 7,122 7,332 7,070 7,718 36,335 0.1%0.1%0.1%0.1%0.1% 0.43 0.45 0.43 0.37 0.36
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Premium revenue 3,359 5,416 5,028 568 357 14,728 0.0%0.1%0.1%0.0%0.0% 0.21 0.34 0.30 0.03 0.02
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Other(6,292) 3,747 20,038 6,651 (78,950)(54,806)-0.1%0.0%0.2%0.1%-0.7%(0.39) 0.24 1.18 0.34 (3.70)
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Other sources of revenue 256,500 331,232 375,237 562,258 482,751 2,007,978 2.9%3.7%4.0%5.2%4.2% 15.72 20.91 22.18 29.10 22.60
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TOTAL REVENUES 8,823,582 8,933,517 9,293,962 10,905,962 11,607,663 49,564,686 100.0%100.0%100.0%100.0%100.0% 540.66 563.98 549.29 564.49 543.43
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PROGRAMMATIC EXPENDITURES:
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Medical Services:
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Traditional services 3,734,968 3,899,035 3,916,897 4,174,886 4,203,580 19,929,366 42.3%43.6%42.1%38.3%36.2% 228.86 246.15 231.50 216.09 196.80
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Proposition 204 services 1,844,325 1,442,076 1,800,551 2,956,534 3,145,533 11,189,019 20.9%16.1%19.4%27.1%27.1% 113.01 91.04 106.42 153.03 147.26
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Newly eligible adults 0 0 49,806 273,939 485,966 809,711 0.0%0.0%0.5%2.5%4.2% 0.00 0.00 2.94 14.18 22.75
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KidsCare services 31,901 66,988 55,985 8,151 2,704 165,729 0.4%0.7%0.6%0.1%0.0% 1.95 4.23 3.31 0.42 0.13
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Long-term care services 2,038,291 2,091,244 2,216,527 2,384,966 2,458,038 11,189,066 23.1%23.4%23.8%21.9%21.2% 124.90 132.02 131.00 123.45 115.08
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Childrens rehabilitative services 127,332 114,788 175,924 227,353 252,187 897,584 1.4%1.3%1.9%2.1%2.2% 7.80 7.25 10.40 11.77 11.81
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School-based services(2,268) 45,504 28,669 43,171 38,977 154,053 0.0%0.5%0.3%0.4%0.3%(0.14) 2.87 1.69 2.23 1.82
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Transplant services non-Medicaid 102 171 41 2 0 316 0.0%0.0%0.0%0.0%0.0% 0.01 0.01 0.00 0.00 0.00
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Total Medical Services 7,774,651 7,659,806 8,244,400 10,069,002 10,586,985 44,334,844 88.1%85.7%88.7%92.3%91.2% 476.39 483.57 487.26 521.17 495.65
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Hospital Payments:
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Disproportionate share 173,068 120,434 119,728 118,393 20,261 551,884 2.0%1.3%1.3%1.1%0.2% 10.60 7.60 7.08 6.13 0.95
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Rural and critical access hospital 13,858 13,858 13,858 22,115 21,989 85,678 0.2%0.2%0.1%0.2%0.2% 0.85 0.87 0.82 1.14 1.03
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Graduate medical education 210,773 196,609 151,356 162,993 265,900 987,631 2.4%2.2%1.6%1.5%2.3% 12.92 12.41 8.95 8.44 12.45
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Trauma center services 35,580 33,805 21,475 22,340 22,448 135,648 0.4%0.4%0.2%0.2%0.2% 2.18 2.13 1.27 1.16 1.05
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Safety net care pool 249,000 525,101 301,661 85,608 120,019 1,281,389 2.8%5.9%3.2%0.8%1.0% 15.26 33.15 17.83 4.43 5.62
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Total Hospital Payments 682,279 889,807 608,078 411,449 450,617 3,042,230 7.7%10.0%6.5%3.8%3.9% 41.81 56.17 35.94 21.30 21.10
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Other:
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Medicare Part D clawback 73,579 80,600 82,053 82,238 88,088 406,558 0.8%0.9%0.9%0.8%0.8% 4.51 5.09 4.85 4.26 4.12
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Health information technology 76,183 62,984 38,619 48,835 8,176 234,797 0.9%0.7%0.4%0.4%0.1% 4.67 3.98 2.28 2.53 0.38
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Other Programmatic Expenditures 149,762 143,584 120,672 131,073 96,264 641,355 1.7%1.6%1.3%1.2%0.8% 9.18 9.06 7.13 6.78 4.51
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TOTAL PROGRAMMATIC EXPENDITURES 8,606,692 8,693,197 8,973,150 10,611,524 11,133,866 48,018,429 97.5%97.3%96.5%97.3%95.9% 527.37 548.81 530.33 549.25 521.25
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ADMINISTRATIVE EXPENDITURES 169,850 197,348 253,018 220,119 224,455 1,064,790 1.9%2.2%2.7%2.0%1.9% 10.41 12.46 14.95 11.39 10.51
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ADMINISTRATIVE EXPENDITURES PASSED THROUGH(570)(2,462) 8,555 7,306 12,144 24,973 0.0%0.0%0.1%0.1%0.1%(0.03)(0.16) 0.51 0.38 0.57
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Total Administrative Expenditures 169,280 194,886 261,573 227,425 236,599 1,089,763 1.9%2.2%2.8%2.1%2.0% 10.37 12.30 15.46 11.77 11.08
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TOTAL EXPENDITURES 8,775,972 8,888,083 9,234,723 10,838,949 11,370,465 49,108,192 99.5%99.5%99.4%99.4%98.0% 537.74 561.12 545.79 561.02 532.33
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EXCESS OF REVENUES OVER EXPENDITURES $ 47,610 $ 45,434 $ 59,239 $ 67,013 $ 237,198 $ 456,494 0.5%0.5%0.6%0.6%2.0%$2.92 $2.87 $3.50 $3.47 $11.10
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OTHER FINANCING SOURCES (USES)
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Transfers to other State agencies:
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To State General Fund(1,033)(10,600)(18,956)(15,298)(108,488)(154,375)0.0%-0.1%-0.2%-0.1%-0.9%(0.06)(0.67)(1.12)(0.79)(5.08)
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To Arizona Department of Economic Security(3,161)(3,221)(3,304)(3,384)(3,493)(16,563)0.0%0.0%0.0%0.0%0.0%(0.19)(0.20)(0.20)(0.18)(0.16)
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To Arizona Department of Health Services(69,067)(33,571)(35,357)(35,467)(48,054)(221,516)-0.8%-0.4%-0.4%-0.3%-0.4%(4.23)(2.12)(2.09)(1.84)(2.25)
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To Arizona Department of Revenue 0 0 0 (436)(726)(1,162)0.0%0.0%0.0%0.0%0.0% 0.00 0.00 0.00 (0.02)(0.03)
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To Arizona Attorney General(900)(1,136)(800)(781)(798)(4,415)0.0%0.0%0.0%0.0%0.0%(0.06)(0.07)(0.05)(0.04)(0.04)