HIPIOWA - IOWA COMPREHENSIVE HEALTH ASSOCIATION Unaudited Balance Sheet As of January 31
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1 Unaudited Balance Sheet As of January 31 Total Enrollment: 371 Assets: Cash $ 1,408,868 $ 1,375,117 Invested Cash 4,664,286 4,136,167 Premiums Receivable 94,152 91,261 Prepaid 32,270 33,421 Assessments Receivable - - Total Assets $ 6,199,577 $ 5,635,967 Liabilities and Members' Equity: Reserve for Unpaid Losses $ 1,700,000 $ 1,700,000 Accrued Loss Adjustment 75,500 75,500 Reserve for Unearned Premiums 256, ,444 Accrued Expense 11,714 36,396 Assessments Payable - - Abandoned Claim Reserve ,678 Total Liabilities 2,043,687 2,121,018 Unassigned Surplus 4,155,890 3,514,949 Total Liabilities and Unassigned Surplus $ 6,199,577 $ 5,635,967 1
2 Unaudited Statement of Operations Total Member Months: Premium Income $ 314,722 $ 341,962 Pharmacy Rebate Income - - Incurred Claim Loss - Medical 588, ,051 Incurred Claim Loss - Pharmacy 176, ,966 Total Incurred Claim Loss 764, ,017 Operating : PMPM Administrative Expense 32,850 33,961 Variable Admin Expense 6,529 12,395 Salary and Professional Expense 7,695 22,777 Prescription Admin Expense 1,956 2,892 Agent Commissions - - Other Expense 3,833 2,400 Total Operating 52,862 74,424 Underwriting Loss (502,963) (661,479) Realized Gain (Loss) 1, Interest Income 6, Other Income - - Changes to Unassigned Surplus $ (494,354) $ (660,681) HIPIOWA - IOWA COMPREHENSIVE HEALTH ASSOCIATION Statement of Changes in Unassigned Surplus Unassigned Surplus at Beginning of Year $ 4,650,244 $ 4,175,630 Changes to Unassigned Surplus (494,354) (660,681) Member Assessments - - Unassigned Surplus $ 4,155,890 $ 3,514,949 2
3 Statement of Cash Flows Funds Provided (Used) from Operations: Changes to Unassigned Surplus $ (494,354) $ (660,681) Add (Deduct) Items Not Requiring Cash Funds: (Inc) Dec in Premiums Receivable (78,496) (85,054) (Inc) Dec in Prepaid (Inc) Dec in Assessment Receivable - - Inc (Dec) in Reserve for Unpaid Losses - - Inc (Dec) in Accrued Loss Adjustment - - Inc (Dec) in Reserve for Unearned Premiums 210, ,205 Inc (Dec) in Accrued Expense (35,827) 8,067 Inc (Dec) in Assessments Payable - - Inc (Dec) in Abandoned Claim Reserve - - Total from Operations (398,169) (557,924) Other Sources of Funds: Member Assessments - - Change in Cash and Invested Cash (398,169) (557,924) Beginning of Period Cash 6,471,324 6,069,208 End of Period Cash and Invested Cash $ 6,073,155 $ 5,511,284 3
4 HIPIOWA Budgeted Cashflow 2017 Budget JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC January YTD YTD Membership 1) ,375 BEGINNING OF MONTH $6,471,329 $5,917,211 $5,182,548 $4,600,496 $3,865,941 $3,070,504 $2,482,630 $8,116,122 $8,871,130 $8,175,682 $7,360,189 $6,475,006 Premium 5) 446, , , , , , , , , , , , ,074 3,647,656 Assessment 2) ,400,000 1,600, ,000,000 Claim 8,189 11,123 11,259 11,397 11,536 11,677 11,820 11,964 12,110 12,258 12,407 12,559 8, ,300 Pharmacy Rebates , , , , ,000 Realized Gain Interest ,646 Total 454, , , , , ,256 6,717,730 1,840, , , , , ,586 11,989,602 Assessment Premium 8,252 4,962 7,113 5,399 4,473 7,667 5,657 4,212 6,319 5,233 4,156 4,039 8,252 67,482 Total 8,252 4,962 7,113 5,399 4,473 7,667 5,657 4,212 6,319 5,233 4,156 4,039 8,252 67,482 Medical Claim 3) 734, , , , , , , , , , , , ,518 9,408,576 Pharmacy Claim Expense 4) 199, , , , , , , , , , , , ,357 2,553,595 PMPM Admin Expense 32,987 32,970 32,962 32,954 32,946 32,938 32,930 32,922 32,914 32,906 32,898 32,890 32, ,219 Variable Admin Expense 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12, ,000 Pharmacy Admin Expense 2,592 2,616 2,648 2,681 2,714 2,747 2,780 2,814 2,849 2,883 2,919 2,954 2,592 33,197 Salary and Professional Expense 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16, ,000 Other 2,500 2,500 2,500 2,500 2,500 2,500 12,500 2,500 2,500 2,500 2,500 2,500 2,500 40,000 Total 1,000,452 1,009,359 1,020,932 1,032,639 1,044,482 1,056,462 1,078,582 1,080,843 1,093,245 1,105,791 1,118,481 1,131,319 1,000,452 12,772,587 END OF MONTH $5,917,211 $5,182,548 $4,600,496 $3,865,941 $3,070,504 $2,482,630 $8,116,122 $8,871,130 $8,175,682 $7,360,189 $6,475,006 $5,620,863 Actual JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC YTD TOTAL Membership BEGINNING OF MONTH $ 6,471,329 Premium 449, ,317 Assessment - - Claim 1,258 1,258 Pharmacy Rebates - Realized Gain (Loss) 1,820 1,820 Interest 6,784 6,784 Total 459, ,179 Assessment - - Premium Total Medical Claim Expense 589, ,419 Pharmacy Claim Expense 176, ,662 PMPM Admin Expense 32,399 32,399 Variable Admin Expense 12,259 12,259 Pharmacy Admin Expense 2,076 2,076 Salary and Professional Expense 39,883 39,883 Other 3,833 3,833 Total 856, ,531 Available 6,073, Inc(Dec) in Escheat Check Reserve Month Ending $ 6,073,155 $ - - $ - $ - $ - $ - $ - $ - $ - $ - $ - Claims PMPM 2,062 2,062 (1) Projected 1% enrollment drop in January Enrollment trended to decline by 1 member per month thereafter. (2) Forecasted assessment in June ($8,000,000). (3) Assumes annual medical claims expense trended with a 10% PMPM increase. (4) Assumes annual pharmacy claims expense trended with a 10% PMPM increase. (5) Assumes Premiums trended with 15% rate increase. 4
5 HIPIOWA 2017 Cash Flow Forecast Actual (Bold) JAN FEB MAR APR MAY JUN Forecast JUL AUG SEP OCT NOV DEC TOTAL Membership 1) ,375 Beginning Cash 6,471,329 6,073,155 5,583,441 5,001,398 4,266,853 3,471,426 2,883,562 8,517,063 9,272,080 8,576,642 7,761,158 6,875,985 Premium 5) 449, , , , , , , , , , , ,322 3,606,189 Assessment 2) ,400,000 1,600, ,000,000 Claim 1,258 7,460 11,259 11,397 11,536 11,677 11,820 11,964 12,110 12,258 12,407 12, ,707 Pharmacy Rebates - 50, , , , ,000 Realized Gain 1, ,820 Interest 6, ,198 Total 459, , , , , ,265 6,717,740 1,840, , , , ,225 11,945,914 Assessment Premium 823 4,135 7,113 5,399 4,473 7,667 5,657 4,212 6,319 5,233 4,156 4,039 59,225 Total 823 4,135 7,113 5,399 4,473 7,667 5,657 4,212 6,319 5,233 4,156 4,039 59,225 Medical Claim 3) 589, , , , , , , , , , , ,239 9,019,322 Pharmacy Claim Expense 4) 176, , , , , , , , , , , ,236 2,483,178 PMPM Admin Expense 32,399 32,970 32,962 32,954 32,946 32,938 32,930 32,922 32,914 32,906 32,898 32, ,631 Variable Admin Expense 12,259 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12,500 12, ,759 Pharmacy Admin Expense 2,076 1,996 2,648 2,681 2,714 2,747 2,780 2,814 2,849 2,883 2,919 2,954 32,061 Salary and Professional Expense 39,883 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16,000 16, ,883 Other 3,833 2,500 2,500 2,500 2,500 2,500 12,500 2,500 2,500 2,500 2,500 2,500 41,333 Total 856, ,861 1,020,932 1,032,639 1,044,482 1,056,462 1,078,582 1,080,843 1,093,245 1,105,791 1,118,481 1,131,319 12,336,166 Inc(Dec) in Escheat Check Reserve Ending Cash 6,073,155 5,583,441 5,001,398 4,266,853 3,471,426 2,883,562 8,517,063 9,272,080 8,576,642 7,761,158 6,875,985 6,021,852 (1) Projected 1% enrollment drop in January 2017 and trended to decline by 1 member per month thereafter. (2) Forecasted assessment in June ($8,000,000). (3) Assumes annual medical claims expense trended with a 10% PMPM increase. (4) Assumes annual pharmacy claims expense trended with a 10% PMPM increase. (5) Assumes Premiums trended with 15% rate increase. 5
HIPIOWA - IOWA COMPREHENSIVE HEALTH ASSOCIATION Unaudited Balance Sheet As of July 31
Unaudited Balance Sheet As of July 31 Total Enrollment: 407 Assets: Cash $ 9,541,661 $ 1,237,950 Invested Cash 781,689 8,630,624 Premiums Receivable 16,445 299,134 Prepaid 32,930 34,403 Assessments Receivable
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