EX-99.1 2 a36383exv99w1.htm EXHIBIT 99.1 exv99w1
 

EXHIBIT 99.1
The following unaudited tables provide detail of our medical care costs for each of the four quarters of 2006 (amounts in thousands, except PMPM amounts which are in whole dollars):
                         
    Three Months Ended March 31, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 262,709     $ 96.16       68.5 %
Capitation
    55,827       20.44       14.6 %
Pharmacy
    47,594       17.42       12.4 %
Other
    17,117       6.27       4.5 %
 
                 
Total medical care costs
  $ 383,247     $ 140.29       100.0 %
 
                 
                         
    Three Months Ended June 30, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 267,571     $ 92.58       66.6 %
Capitation
    64,026       22.15       15.9 %
Pharmacy
    49,567       17.15       12.4 %
Other
    20,551       7.11       5.1 %
 
                 
Total medical care costs
  $ 401,715     $ 138.99       100.0 %
 
                 
                         
    Six Months Ended June 30, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 530,280     $ 94.32       67.5 %
Capitation
    119,853       21.32       15.3 %
Pharmacy
    97,161       17.28       12.4 %
Other
    37,668       6.70       4.8 %
 
                 
Total medical care costs
  $ 784,962     $ 139.62       100.0 %
 
                 
                         
    Three Months Ended September 30, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 284,648     $ 93.81       66.1 %
Capitation
    68,144       22.46       15.8 %
Pharmacy
    51,697       17.04       12.0 %
Other
    26,381       8.69       6.1 %
 
                 
Total medical care costs
  $ 430,870     $ 142.00       100.0 %
 
                 
                         
    Nine Months Ended September 30, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 814,928     $ 94.14       67.0 %
Capitation
    187,997       21.72       15.5 %
Pharmacy
    148,858       17.19       12.2 %
Other
    64,049       7.40       5.3 %
 
                 
Total medical care costs
  $ 1,215,832     $ 140.45       100.0 %
 
                 

 


 

                         
    Three Months Ended December 31, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 310,103     $ 96.82       67.0 %
Capitation
    73,479       22.94       15.9 %
Pharmacy
    60,508       18.89       13.1 %
Other
    18,730       5.85       4.0 %
 
                 
Total medical care costs
  $ 462,820     $ 144.50       100.0 %
 
                 
                         
    Twelve Months Ended December 31, 2006  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 1,125,031     $ 94.87       67.0 %
Capitation
    261,476       22.05       15.6 %
Pharmacy
    209,366       17.65       12.5 %
Other
    82,779       6.98       4.9 %
 
                 
Total medical care costs
  $ 1,678,652     $ 141.55       100.0 %
 
                 
 
The following unaudited tables provide detail of our medical care costs for the first three quarters of 2007 (amounts in thousands, except PMPM amounts which are in whole dollars):
                         
    Three Months Ended March 31, 2007  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 307,880     $ 97.44       64.6 %
Capitation
    87,934       27.83       18.5 %
Pharmacy
    60,579       19.17       12.7 %
Other
    20,084       6.36       4.2 %
 
                 
Total medical care costs
  $ 476,477     $ 150.80       100.0 %
 
                 
                         
    Three Months Ended June 30, 2007  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 336,654     $ 104.41       65.1 %
Capitation
    92,929       28.82       18.0 %
Pharmacy
    65,931       20.45       12.8 %
Other
    21,351       6.62       4.1 %
 
                 
Total medical care costs
  $ 516,865     $ 160.30       100.0 %
 
                 
                         
    Six Months Ended June 30, 2007  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 644,534     $ 100.96       64.9 %
Capitation
    180,863       28.33       18.2 %
Pharmacy
    126,510       19.82       12.7 %
Other
    41,435       6.49       4.2 %
 
                 
Total medical care costs
  $ 993,342     $ 155.60       100.0 %
 
                 

 


 

                         
    Three Months Ended September 30, 2007  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 339,841     $ 106.15       64.6 %
Capitation
    95,879       29.95       18.2 %
Pharmacy
    67,844       21.19       12.9 %
Other
    22,338       6.98       4.3 %
 
                 
Total medical care costs
  $ 525,902     $ 164.27       100.0 %
 
                 
                         
    Nine Months Ended September 30, 2007  
                    % of Total Medical  
    Amount     PMPM     Care Costs  
Medical care costs:
                       
Fee for service costs
  $ 984,375     $ 102.70       64.8 %
Capitation
    276,742       28.87       18.2 %
Pharmacy
    194,354       20.28       12.8 %
Other
    63,773       6.65       4.2 %
 
                 
Total medical care costs
  $ 1,519,244     $ 158.50       100.0 %