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Use the information in the table below for problems 33 to 41. The financial information presented below for ABC Healthcare was filed with the Department of Insurance.
Current Year Previous Year
Cash and Short-Term Investments $34,094,076 $11,863,992
Receivables 13,036,037 15,112,834
Other Current Assets 3,650,374 6,306,384
Total Current Assets $50,780,487 $33,283,210
Long-Term Investments $134,233,202 $126,679,509
Property, Plant and Equipment 1,108,330 2,216,891
Total Assets $186,122,019 $162,179,610
Current Liabilities $70,301,625 $66,950,203
Other Liabilities 4,017,789 3,949,442
Net Worth 111,802,605 91,279,965
Total Liabilities and Net Worth $186,122,019 $162,179,610
Member Months 4,820,351 4,721,314
Premium Revenue $512,600,104 $515,079,684
Medicaid Revenue 58,969,632 63,979,870
Investment Income 8,637,915 6,640,969
Total $580,207,651 $585,700,523
Physician Services 157,313,074 148,868,294
Other Professional 23,733,163 21,526,611
Inpatient 110,813,471 113,989,688
Incentive Pool 1,834,583 4,677,527
Outpatient 103,981,202 97,746,260
Pharmacy 62,764,866 67,567,497
Access Fees 341,685 402,285
Reinsurance 2,321,544 1,682,121
Coordination of Benefits (434,217) (80,097)
Total Medical & Hospital $462,669,371 $456,380,186
Administration 76,772,846 76,807,222
Total Expenses $539,442,217 $533,187,408
Income Before Tax 40,765,434 52,513,115
– Tax 12,685,285 17,682,052
Net Income $28,080,149 $34,831,063
1. Information in the insurance filing shows that 101,909 hospital patient days of care were provided to members in the current year. How many patient days per 1,000 members were provided?
2. What was the average subscriber revenue realized Per Member Per Month (PMPM) in both the current year and the previous year?
3. Why did investment income increase in the current year?
4. What was the average yield on cash and investments during the current year?
5. Net Worth increased by $20,522,640 during the current year, but Net Income was $28,080,149. What might have accounted for this difference?
6. Is ABC Healthcare more or less debt-financed than the average for health plans (refer to the textbook chapter for industry averages)?
7. Calculate ABC’s total Days Cash on Hand (ignore depreciation and other non-cash expenses). Does ABC have more or less cash than industry averages?
8. What is the main reason that ABC’s margins declined in the current year?
9. Physician service expense PMPM increased by what dollar amount in the current year?
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