medi-cal managed care division capitation report · 2019. 11. 5. · monterey 1/1/2009 12/31/2013...

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Health Plan Model Contract Number HCP Code

Number of Enrollees

COHS 08-85216-Aa10 514 16COHS 08-85216-Aa10 514 398COHS 08-85216-A09 514 -5COHS 08-85216-A09 514 -14COHS 08-85216-Aa10 514 4,121COHS 08-85216-A09 514 -1COHS 08-85216-Aa10 514 104COHS 08-85216-Aa10 514 2COHS 08-85216-Aa10 514 6,281COHS 08-85216-A09 514 -4COHS 08-85216-A09 514 -7COHS 08-85216-Aa10 514 4,357COHS 08-85216-A09 514 -2COHS 08-85216-Aa10 514 56,551COHS 08-85216-A09 514 -4COHS 08-85216-A09 514 -5COHS 08-85216-Aa10 514 234COHS 08-85216-Aa10 514 136COHS 08-85216-Aa10 514 40COHS 08-85216-Aa10 514 406

72,604COHS 08-85216-Aa10 508 22COHS 08-85216-Aa10 508 706COHS 08-85216-Aa10 508 4,926COHS 08-85216-A09 508 -2COHS 08-85216-A09 508 -1COHS 08-85216-Aa10 508 137COHS 08-85216-Aa10 508 9COHS 08-85216-Aa10 508 4,782COHS 08-85216-Aa10 508 4,321COHS 08-85216-A09 508 -1COHS 08-85216-A09 508 -1COHS 08-85216-Aa10 508 57,612COHS 08-85216-A09 508 -6COHS 08-85216-A09 508 -9COHS 08-85216-Aa10 508 285COHS 08-85216-Aa10 508 218COHS 08-85216-Aa10 508 39COHS 08-85216-Aa10 508 468COHS 08-85216-A09 508 -1

73,504COHS 08-85216-Aa10 505 5COHS 08-85216-Aa10 505 348COHS 08-85216-A09 505 -2COHS 08-85216-Aa10 505 2,473COHS 08-85216-A09 505 -3COHS 08-85216-Aa10 505 100COHS 08-85216-Aa10 505 4COHS 08-85216-Aa10 505 3,232COHS 08-85216-A09 505 -2COHS 08-85216-Aa10 505 3,357COHS 08-85216-A09 505 -1COHS 08-85216-Aa10 505 24,136COHS 08-85216-A09 505 -4COHS 08-85216-A09 505 -13COHS 08-85216-Aa10 505 169FAMILY $25,623.78

Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation FAMILY ($1,971.06)Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation

12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation FAMILY

$671,131.44Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation

$3,659,500.32Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation FAMILY ($606.48)Santa Cruz 1/1/2009

Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation DISABLED ($1,787.70)Santa Cruz 1/1/2009

DISABLED ($199.92)Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation DISABLED

BCCTP $5,526.20Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation BCCTP

12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation DISABLED


$2,888,923.20

12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation AGED


$548,590.76Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation AGED ($665.49)Santa Cruz 1/1/2009

Total of HCP - 508 : $17,687,439.93Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation ADULT $758.10

AGED ($1,126.16)Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation AGED

12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation LTC

$30,319.44Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation

$2,567,134.44Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation LTC ($5,485.33)Monterey 1/1/2009

Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation FAMILY $39,637.80Monterey 1/1/2009

LTC $284,324.82Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Healthy Families HEALTHY

FAMILY ($834.48)Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation FAMILY

12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation FAMILY

$8,012,676.96Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation

($1,251.72)

12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation DISABLED

$4,293,388.47Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation

($190.60)Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation DISABLED ($190.60)Monterey 1/1/2009

Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation BCCTP $12,538.35Monterey 1/1/2009

DISABLED $823,582.60Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation DISABLED

AGED ($205.45)Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation AGED

12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation BCCTP

($410.90)Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation

$190,861.55

12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation AGED

$2,097,879.14Total of HCP - 514 : $18,804,246.24

Monterey 1/1/2009 12/31/2013$426,438.12

Monterey 1/1/2009 12/31/2013 Central Coast Alliance for Health - Monterey Primary Capitation AGED $1,012,046.70Monterey 1/1/2009

Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation LTC $327,144.00Merced 1/1/2009

Central Coast Alliance for Health - Monterey Primary Capitation ADULT $3,059.76

Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation LTC

FAMILY $37,051.56Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation FAMILY

12/31/2013 Central Coast Alliance for Health - Merced Healthy Families HEALTHY

($791.70)Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation

$21,534.24

12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation FAMILY

$827,176.45Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation

$8,954,285.34Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation FAMILY ($633.36)Merced 1/1/2009

Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation DISABLED ($5,637.17)Merced 1/1/2009

DISABLED ($379.70)Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation DISABLED

DISABLED $5,058,152.11Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation BCCTP

12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation DISABLED

$3,048.46Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation

($3,221.24)

12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation AGED

($7,053.90)Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation

($275.88)Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation BCCTP $158,519.92Merced 1/1/2009

12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation AGED

Invoice Type Aid Code Group

$200,532.30Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation AGED ($2,519.25)Merced 1/1/2009

AGED $1,136,901.48Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation AGED

MEDI-CAL MANAGED CARE DIVISIONCapitation Report

Capitation Month: 10 / 2012

Run Date : Thursday, October 11, 2012

County Name Contract Effective

Contract Effective To

HCP Name Capitation Amount

Merced 1/1/2009 12/31/2013 Central Coast Alliance for Health - Merced Primary Capitation ADULT $2,533.44

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COHS 08-85216-Aa10 505 87COHS 08-85216-Aa10 505 39COHS 08-85216-Aa10 505 378

34,303COHS 08-85213-A11 503 6COHS 08-85213-A11 503 1,873COHS 08-85213-Aa10 503 -22COHS 08-85213-A11 503 -4COHS 08-85213-A10 503 -1COHS 08-85213-A11 503 9,776COHS 08-85213-Aa10 503 -22COHS 08-85213-A11 503 -6COHS 08-85213-A10 503 -3COHS 08-85213-A10 503 -4COHS 08-85213-A11 503 155COHS 08-85213-A11 503 15COHS 08-85213-A11 503 5,480COHS 08-85213-Aa10 503 -8COHS 08-85213-A11 503 -4COHS 08-85213-A10 503 -11COHS 08-85213-A10 503 -18COHS 08-85213-A11 503 5,267COHS 08-85213-Aa10 503 -10COHS 08-85213-A11 503 -3COHS 08-85213-A10 503 -1COHS 08-85213-A11 503 36,700COHS 08-85213-Aa10 503 -7COHS 08-85213-A11 503 -3COHS 08-85213-A10 503 -4COHS 08-85213-A10 503 -11COHS 08-85213-A11 503 232COHS 08-85213-A11 503 153COHS 08-85213-A11 503 96COHS 08-85213-Aa10 503 -9COHS 08-85213-A11 503 996COHS 08-85213-Aa10 503 -19COHS 08-85213-A11 503 -2

60,577COHS 08-85214-A08 506 38COHS 08-85214-A08 506 6,882COHS 08-85214-A07 506 -42COHS 08-85214-A07 506 -20COHS 08-85214-A07 506 -23COHS 08-85214-A08 506 46,405COHS 08-85214-A07 506 -15COHS 08-85214-A07 506 -2COHS 08-85214-A07 506 -3COHS 08-85214-A08 506 904COHS 08-85214-A07 506 -4COHS 08-85214-A07 506 -5COHS 08-85214-A08 506 39COHS 08-85214-A08 506 27,794COHS 08-85214-A07 506 -17COHS 08-85214-A07 506 -5COHS 08-85214-A07 506 -2COHS 08-85214-A08 506 24,567COHS 08-85214-A07 506 -8COHS 08-85214-A08 506 266,661COHS 08-85214-A07 506 -10FAMILY ($1,245.20)

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation FAMILY $33,204,628.00Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation DISABLED

($4,407.60)Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation

$6,173,932.77Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation DISABLED ($2,010.48)Orange 1/1/2009

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation DISABLED ($14,985.84)Orange 1/1/2009

DISABLED ($1,763.04)Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation DISABLED

BCCTP $55,319.94Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation BCCTP

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation DISABLED


$24,501,028.16

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation BCCTP

($354.12)Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation

$1,282,287.84Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation BCCTP ($5,673.84)Orange 1/1/2009

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED ($2,655.90)Orange 1/1/2009

AGED ($531.18)Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED

AGED ($9,840.55)Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED


$8,216,469.30

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED

Total of HCP - 503 : $27,719,021.06Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal

$2,944,463.70Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation AGED ($17,969.70)Orange 1/1/2009

San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation LTC $6,890,537.16San Mateo 1/1/2009

($13,836.42)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation LTC

Primary Capitation ADULT $4,731.76

($131,445.99)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation LTC

LTC $641,180.16San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Healthy Families HEALTHY

12/31/2013 Health Plan of San Mateo Primary Capitation LTC

$27,327.33San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation

($60,110.64)

12/31/2013 Health Plan of San Mateo Primary Capitation FAMILY

($535.83)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation

($1,964.71)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation FAMILY $41,437.52San Mateo 1/1/2009

San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation FAMILY ($1,250.27)San Mateo 1/1/2009

FAMILY ($714.44)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation FAMILY

DISABLED ($389.58)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED

12/31/2013 Health Plan of San Mateo Primary Capitation FAMILY

($1,168.74)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation

$6,554,987.00

12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED


$2,051,917.86San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED ($3,895.80)San Mateo 1/1/2009

San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED ($5,000.28)San Mateo 1/1/2009

DISABLED ($22,501.26)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED

DISABLED $6,850,399.96San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation BCCTP

12/31/2013 Health Plan of San Mateo Primary Capitation DISABLED

$23,169.30San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation

($10,000.56)

12/31/2013 Health Plan of San Mateo Primary Capitation AGED


($1,412.80)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation BCCTP $239,416.10San Mateo 1/1/2009

San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation AGED ($7,770.40)San Mateo 1/1/2009

AGED ($1,059.60)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation AGED

AGED ($662.85)San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation AGED



$3,452,883.20


$1,821,767.22Total of HCP - 505 : $10,219,858.57

San Mateo 1/1/2009 12/31/2013$1,241,518.05

San Mateo 1/1/2009 12/31/2013 Health Plan of San Mateo Primary Capitation AGED ($14,582.70)San Mateo 1/1/2009

Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation LTC $257,096.58Santa Cruz 1/1/2009

Health Plan of San Mateo Primary Capitation ADULT $1,071.66

Santa Cruz 1/1/2009 12/31/2013 Central Coast Alliance for Health - Santa Cruz Primary Capitation LTC

12/31/2013 Central Coast Alliance for Health - Santa Cruz Healthy Families HEALTHY $13,190.94

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COHS 08-85214-A07 506 -7COHS 08-85214-A07 506 -12COHS 08-85214-A08 506 1,048COHS 08-85214-A08 506 990COHS 08-85214-A08 506 596COHS 08-85214-A07 506 -2COHS 08-85214-A07 506 -1COHS 08-85214-A08 506 3,609COHS 08-85214-A07 506 -11COHS 08-85214-A07 506 -5COHS 08-85214-A07 506 -1

379,338COHS 08-85215-A12 512 4COHS 08-85215-A12 512 127COHS 08-85215-A12 512 1,269COHS 08-85215-A12 512 15COHS 08-85215-A12 512 2,188COHS 08-85215-A12 512 2,115COHS 08-85215-A11 512 -1COHS 08-85215-A12 512 14,025COHS 08-85215-A11 512 -1COHS 08-85215-A12 512 75COHS 08-85215-A12 512 31COHS 08-85215-A12 512 9COHS 08-85215-A12 512 174

20,030COHS 08-85215-A12 510 240COHS 08-85215-A11 510 -3COHS 08-85215-A11 510 -4COHS 08-85215-A12 510 1,718COHS 08-85215-A12 510 45COHS 08-85215-A12 510 1COHS 08-85215-A12 510 1,911COHS 08-85215-A11 510 -2COHS 08-85215-A12 510 2,236COHS 08-85215-A12 510 10,396COHS 08-85215-A12 510 58COHS 08-85215-A12 510 20COHS 08-85215-A12 510 43COHS 08-85215-A12 510 360

17,019COHS 08-85215-A12 507 8COHS 08-85215-A12 507 230COHS 08-85215-A12 507 1,265COHS 08-85215-A11 507 -1COHS 08-85215-A12 507 22COHS 08-85215-A12 507 4COHS 08-85215-A12 507 1,439COHS 08-85215-A11 507 -3COHS 08-85215-A11 507 -2COHS 08-85215-A11 507 -4COHS 08-85215-A12 507 1,465COHS 08-85215-A12 507 8,981COHS 08-85215-A12 507 82COHS 08-85215-A12 507 35COHS 08-85215-A12 507 14COHS 08-85215-A12 507 229COHS 08-85215-A11 507 -1COHS 08-85215-A12 507 122Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation OBRA $37,210.00

12/31/2013 Partnership Health Plan of California - Napa Primary Capitation LTC

$6,657.70Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation

$892,399.26Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation LTC ($3,896.94)Napa 1/1/2009

Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation FAMILY $15,598.04Napa 1/1/2009

LTC $69,408.64Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Healthy Families HEALTHY

DISABLED $344,597.30Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation DISABLED

12/31/2013 Partnership Health Plan of California - Napa Primary Capitation FAMILY

($3,586.96)Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation

$1,708,365.82

12/31/2013 Partnership Health Plan of California - Napa Primary Capitation DISABLED


($2,690.22)Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation DISABLED ($1,793.48)Napa 1/1/2009

Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation BCCTP $35,135.76Napa 1/1/2009

DISABLED $1,290,408.86Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation BCCTP

Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation ADULT $1,521.76

AGED $239,009.10Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation AGED

12/31/2013 Partnership Health Plan of California - Napa Primary Capitation AGED


($188.94)

Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation LTC $318,971.85Marin 1/1/2009

Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation LTC $1,753,092.00Total of HCP - 510 : $7,410,217.62

FAMILY $9,963.24Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation FAMILY

12/31/2013 Partnership Health Plan of California Healthy Families HEALTHY

$1,785,824.88Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation

$3,435.60

12/31/2013 Partnership Health Plan of California Primary Capitation DISABLED

$1,326.84Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation

($2,794.88)Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation DISABLED $261,992.12Marin 1/1/2009

Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation BCCTP $59,707.80Marin 1/1/2009

DISABLED $2,670,507.84Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation BCCTP

AGED ($2,368.52)Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation AGED

12/31/2013 Partnership Health Plan of California Primary Capitation AGED

($1,776.39)Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation

$410,224.04

Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation LTC $867,146.40Mendocino 1/1/2009

Total of HCP - 512 : $6,605,600.36Marin 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation AGED $142,111.20

HEALTHY $5,865.82Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation FAMILY

12/31/2013 Partnership Health Plan of California Primary Capitation LTC

$14,191.50Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Healthy Families

$47,420.28

12/31/2013 Partnership Health Plan of California Primary Capitation FAMILY

$494,931.15Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation

$2,653,810.50Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation FAMILY ($189.22)Mendocino 1/1/2009

Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation DISABLED $2,102,777.40Mendocino 1/1/2009

DISABLED ($234.01)Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation DISABLED

Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation ADULT $756.88

AGED $312,034.41Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation AGED

12/31/2013 Partnership Health Plan of California Primary Capitation BCCTP

$91,503.50Mendocino 1/1/2009 12/31/2013 Partnership Health Plan of California Primary Capitation

$15,585.75

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC ($22,129.80)Orange 1/1/2009

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC ($4,425.96)Total of HCP - 506 : $96,414,405.28

LTC $15,973,289.64Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC


($48,685.56)

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC

$130,496.96Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Healthy Families

$3,979,205.92Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation LTC ($13,353.04)Orange 1/1/2009

Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation FAMILY ($1,494.24)Orange 1/1/2009

HEALTHY $123,274.80Orange 1/1/2009 12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation FAMILY

12/31/2013 Orange County Organized Health Systems - Cal Primary Capitation FAMILY ($871.64)

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COHS 08-85215-A12 507 113,886

COHS 08-85215-A12 504 6COHS 08-85215-A12 504 803COHS 08-85215-A11 504 -2COHS 08-85215-A12 504 4,615COHS 08-85215-A11 504 -3COHS 08-85215-A11 504 -1COHS 08-85215-A11 504 -1COHS 08-85215-A12 504 50COHS 08-85215-A12 504 1COHS 08-85215-A12 504 7,498COHS 08-85215-A11 504 -7COHS 08-85215-A11 504 -4COHS 08-85215-A11 504 -10COHS 08-85215-A12 504 5,336COHS 08-85215-A11 504 -2COHS 08-85215-A11 504 -4COHS 08-85215-A12 504 40,051COHS 08-85215-A11 504 -5COHS 08-85215-A11 504 -4COHS 08-85215-A11 504 -14COHS 08-85215-A12 504 332COHS 08-85215-A12 504 108COHS 08-85215-A12 504 31COHS 08-85215-A12 504 376COHS 08-85215-A11 504 -5COHS 08-85215-A12 504 276COHS 08-85215-A12 504 2

59,423COHS 08-85215-A12 513 2COHS 08-85215-A12 513 536COHS 08-85215-A12 513 4,243COHS 08-85215-A11 513 -2COHS 08-85215-A11 513 -1COHS 08-85215-A12 513 134COHS 08-85215-A12 513 8COHS 08-85215-A12 513 5,601COHS 08-85215-A11 513 -2COHS 08-85215-A11 513 -2COHS 08-85215-A11 513 -7COHS 08-85215-A12 513 6,015COHS 08-85215-A11 513 -2COHS 08-85215-A12 513 35,317COHS 08-85215-A12 513 266COHS 08-85215-A12 513 149COHS 08-85215-A12 513 49COHS 08-85215-A12 513 1,302COHS 08-85215-A11 513 -1

53,605COHS 08-85215-A12 509 1COHS 08-85215-A12 509 316COHS 08-85215-A12 509 2,153COHS 08-85215-A11 509 -1COHS 08-85215-A12 509 36COHS 08-85215-A12 509 1COHS 08-85215-A12 509 3,023COHS 08-85215-A11 509 -4COHS 08-85215-A11 509 -3

($4,032.04)Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation

Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation DISABLED $3,047,214.23Yolo 1/1/2009

DISABLED ($3,024.03)Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation DISABLED

BCCTP $46,746.00Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation AGED

12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation BCCTP

($203.30)Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation

$1,298.50

12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation AGED

Total of HCP - 513 : $17,900,823.54Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo

$186,263.04Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation AGED $437,704.90Yolo 1/1/2009

Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation LTC $264,327.56Sonoma 1/1/2009

($4,018.39)Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation LTC

Primary Capitation ADULT $149.16

$5,231,943.78Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation LTC

FAMILY $31,709.86Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation FAMILY

12/31/2013 Partnership Health Plan of California - Sonoma Healthy Families HEALTHY

$4,210,139.57Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation

$17,762.29

12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation DISABLED

($1,889.78)Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation

$1,152,955.20Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation DISABLED ($383.36)Sonoma 1/1/2009

Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation DISABLED ($1,889.78)Sonoma 1/1/2009

DISABLED ($6,614.23)Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation DISABLED

BCCTP $7,521.84Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation BCCTP

12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation DISABLED

$125,990.82Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation

$5,292,380.06

12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation AGED

$377,252.88Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation

($567.64)Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation AGED ($283.82)Sonoma 1/1/2009

Total of HCP - 504 : $18,333,943.86Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation ADULT $238.42

AGED $1,204,248.26Sonoma 1/1/2009 12/31/2013 Partnership Health Plan of California - Sonoma Primary Capitation AGED

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation OBRA

$1,813,049.44Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

$82,510.20Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation OBRA $597.90Solano 1/1/2009

Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation LTC $188,910.28Solano 1/1/2009

LTC ($24,109.70)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation LTC

FAMILY $58,100.00Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation FAMILY

12/31/2013 Partnership Health Plan of California - Solano Healthy Families HEALTHY

($2,450.00)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

$18,900.00

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation FAMILY

($921.08)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

($875.00)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation FAMILY ($700.00)Solano 1/1/2009

Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED ($460.54)Solano 1/1/2009

FAMILY $7,008,925.06Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED

DISABLED ($8,656.20)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED

($3,462.48)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

$1,228,720.72

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED

$70,532.00Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

$6,490,418.76Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation DISABLED ($6,059.34)Solano 1/1/2009

Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation AGED ($210.68)Solano 1/1/2009

BCCTP $1,410.64Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation BCCTP

AGED ($632.04)Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation AGED

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation AGED

$972,288.20Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation

($210.68)

12/31/2013 Partnership Health Plan of California - Solano Primary Capitation AGED

Total of HCP - 507 : $4,745,881.52Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano

$448,395.20Solano 1/1/2009 12/31/2013 Partnership Health Plan of California - Solano Primary Capitation AGED ($1,116.80)Solano 1/1/2009

$305.00


Napa 1/1/2009 12/31/2013 Partnership Health Plan of California - Napa Primary Capitation OBRA

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COHS 08-85215-A12 509 2,472COHS 08-85215-A12 509 17,922COHS 08-85215-A11 509 -1COHS 08-85215-A12 509 129COHS 08-85215-A12 509 59COHS 08-85215-A12 509 27COHS 08-85215-A12 509 310COHS 08-85215-A12 509 137

26,577COHS 08-85212-Aa08 501 9COHS 08-85212-Aa08 501 172COHS 08-85212-Aa08 501 1,860COHS 08-85212-Aa08 501 -2COHS 08-85212-Aa08 501 69COHS 08-85212-Aa08 501 2,940COHS 08-85212-Aa08 501 3,280COHS 08-85212-A07 501 -1COHS 08-85212-Aa08 501 18,796COHS 08-85212-Aa08 501 -3COHS 08-85212-A07 501 -2COHS 08-85212-A07 501 -2COHS 08-85212-A07 501 -6COHS 08-85212-Aa08 501 158COHS 08-85212-Aa08 501 58COHS 08-85212-Aa08 501 15COHS 08-85212-Aa08 501 459

27,800COHS 08-85212-Aa08 502 22COHS 08-85212-Aa08 502 1COHS 08-85212-Aa08 502 509COHS 08-85212-A07 502 -1COHS 08-85212-Aa08 502 3,978COHS 08-85212-Aa08 502 142COHS 08-85212-Aa08 502 7COHS 08-85212-Aa08 502 4,869COHS 08-85212-Aa08 502 -7COHS 08-85212-A07 502 -5COHS 08-85212-A07 502 -2COHS 08-85212-A07 502 -4COHS 08-85212-Aa08 502 5,068COHS 08-85212-Aa08 502 -1COHS 08-85212-A07 502 -1COHS 08-85212-Aa08 502 47,274COHS 08-85212-Aa08 502 -5COHS 08-85212-A07 502 -3COHS 08-85212-A07 502 -3COHS 08-85212-A07 502 -18COHS 08-85212-Aa08 502 303COHS 08-85212-Aa08 502 166COHS 08-85212-Aa08 502 55COHS 08-85212-Aa08 502 -2COHS 08-85212-A07 502 -2COHS 08-85212-A07 502 -2COHS 08-85212-A07 502 -6COHS 08-85212-Aa08 502 584COHS 08-85212-Aa08 502 -2

62,914COHS 10-87128 515 14COHS 10-87128 515 1,1416/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation AGED

Total of HCP - 502 : $17,102,428.78Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care

$594,620.74Ventura 7/1/2011

($11,651.22)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC


$3,402,156.24Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC

($17,438.48)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation

($17,438.48)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC ($52,315.44)Santa Barbara 4/1/2009

Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC $479,558.20Santa Barbara 4/1/2009

LTC ($17,438.48)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation LTC

FAMILY $43,656.24Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation FAMILY

12/31/2012 Santa Barbara Regional Health Authority Healthy Families HEALTHY


$23,917.28

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation FAMILY

$6,811,237.92Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation

($432.24)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation FAMILY ($432.24)Santa Barbara 4/1/2009

Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED ($189.05)Santa Barbara 4/1/2009

FAMILY ($720.40)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation FAMILY

DISABLED $958,105.40Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED


($189.05)

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED

$4,218,988.50Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation

($4,332.50)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED ($1,733.00)Santa Barbara 4/1/2009

Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation BCCTP $9,570.40Santa Barbara 4/1/2009

DISABLED ($6,065.50)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation DISABLED

AGED $815,092.20Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation AGED

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation BCCTP

($549.46)Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation

$194,142.40

12/31/2012 Santa Barbara Regional Health Authority Primary Capitation ADULT

Total of HCP - 501 : $7,722,256.12Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority

$144.08Santa Barbara 4/1/2009 12/31/2012 Santa Barbara Regional Health Authority Primary Capitation AGED $279,675.14Santa Barbara 4/1/2009

San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Healthy Families HEALTHY $7,146.76San Luis Obispo 4/1/2009

$2,023,372.98San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation LTC


$105,655.80San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation LTC

FAMILY ($739.32)San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation FAMILY

12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation FAMILY

($246.44)San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation

$19,468.76

12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation FAMILY


($369.66)San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation FAMILY ($246.44)San Luis Obispo 4/1/2009

San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation DISABLED $480,093.60San Luis Obispo 4/1/2009

FAMILY $2,316,043.12San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation DISABLED

BCCTP $92,030.13San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation AGED

12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation DISABLED


$2,259,537.00

12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation AGED

Total of HCP - 509 : $8,611,939.54San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority

$87,169.60San Luis Obispo 4/1/2009 12/31/2012 San Luis Obispo Regional Health Authority Primary Capitation AGED $332,735.40San Luis Obispo 4/1/2009

Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation LTC $176,293.80Yolo 1/1/2009

$37,335.24Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation LTC


$1,368,662.40Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation OBRA

FAMILY $19,241.64Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation FAMILY

12/31/2013 Partnership Health Plan of California - Yolo Healthy Families HEALTHY

($149.16)Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation

$8,800.44

12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation DISABLED $616,393.20Yolo 1/1/2009 12/31/2013 Partnership Health Plan of California - Yolo Primary Capitation FAMILY $2,673,245.52Yolo 1/1/2009

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COHS 10-87128 515 -2COHS 10-87128 515 9,106COHS 10-87128 515 -6COHS 10-87128 515 -1COHS 10-87128 515 217COHS 10-87128 515 21COHS 10-87128 515 7,833COHS 10-87128 515 -6COHS 10-87128 515 -10COHS 10-87128 515 -1COHS 10-87128 515 7,407COHS 10-87128 515 -2COHS 10-87128 515 71,881COHS 10-87128 515 -2COHS 10-87128 515 -24COHS 10-87128 515 -3COHS 10-87128 515 356COHS 10-87128 515 332COHS 10-87128 515 75COHS 10-87128 515 893COHS 10-87128 515 -2

99,2171,000,797

GMC Sacramento 07-65845-A7-C01 190 7GMC Sacramento 07-65845-A7-C01 190 935GMC Sacramento 07-65845-A7-C01 190 -27GMC Sacramento 07-65845-A06a-C01 190 -21GMC Sacramento 07-65845-A06a-C01 190 -2GMC Sacramento 07-65845-A7-C01 190 889GMC Sacramento 07-65845-A7-C01 190 -3GMC Sacramento 07-65845-A06a-C01 190 -6GMC Sacramento 07-65845-A06a-C01 190 -2GMC Sacramento 07-65845-A06a-C01 190 -1GMC Sacramento 07-65845-A06a-C01 190 -3GMC Sacramento 07-65845-A6 190 -3GMC Sacramento 07-65845-A7-C01 190 4GMC Sacramento 07-65845-A7-C01 190 13,429GMC Sacramento 07-65845-A7-C01 190 -99GMC Sacramento 07-65845-A06a-C01 190 -42GMC Sacramento 07-65845-A06a-C01 190 -11GMC Sacramento 07-65845-A06a-C01 190 -3GMC Sacramento 07-65845-A06a-C01 190 -6GMC Sacramento 07-65845-A6 190 -5GMC Sacramento 07-65845-A7-C01 190 2,232GMC Sacramento 07-65845-A7-C01 190 -5GMC Sacramento 07-65845-A06a-C01 190 -6GMC Sacramento 07-65845-A06a-C01 190 -2GMC Sacramento 07-65845-A06a-C01 190 -1GMC Sacramento 07-65845-A7-C01 190 80,829GMC Sacramento 07-65845-A7-C01 190 -52GMC Sacramento 07-65845-A06a-C01 190 -24GMC Sacramento 07-65845-A06a-C01 190 -14GMC Sacramento 07-65845-A06a-C01 190 -5GMC Sacramento 07-65845-A06a-C01 190 -17GMC Sacramento 07-65845-A6 190 -15GMC Sacramento 07-65845-A7-C01 190 290GMC Sacramento 07-65845-A7-C01 190 156

98,396GMC Sacramento 07-65847-A07-C01 150 4

Total of HCP - 190 : $15,883,587.20Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc.

Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY ($1,525.95)Sacramento 1/1/2008

$15,869.88Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY


$29,501.70Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Healthy Families HEALTHY

FAMILY ($508.65)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY

12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY

($1,424.22)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

($1,729.41)

12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY

($124.18)Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

($5,289.96)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation FAMILY ($2,441.52)Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED ($248.36)Sacramento 1/1/2008

FAMILY $8,222,734.17Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED

DISABLED ($620.90)Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED

12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED

$277,169.76Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

($745.08)



($3,075.84)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED ($2,563.20)Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED ($21,530.88)Sacramento 1/1/2008

DISABLED ($1,537.92)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation DISABLED

DISABLED $6,884,242.56Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation BCCTP


$2,998.68Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

($50,751.36)

12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED

($221.42)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

($332.13)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED ($332.13)Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED ($664.26)Sacramento 1/1/2008

AGED ($110.71)Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED

AGED $98,421.19Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED

12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED


($332.13)

Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED

ADULT $712.11$479,318.40($13,841.28)

Sacramento 1/1/2008 12/31/2012 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation AGED ($10,765.44)Sacramento 1/1/2008

Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation LTC ($8,988.12)Ventura 7/1/2011

Total of HCP - 515 : $25,026,222.04Total of Model Type - COHS : $284,304,284.46

Sacramento 1/1/2008 12/31/2013 Anthem Blue Cross Partnership, Inc. Sacramento Primary Capitation

LTC $527,063.25Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Healthy Families HEALTHY

6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation LTC

$43,704.48Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation

$4,013,195.58

6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation FAMILY

($263.28)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation

($394.92)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation FAMILY $46,863.84Ventura 7/1/2011

Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation FAMILY $9,462,414.84Ventura 7/1/2011

FAMILY ($3,159.36)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation FAMILY

DISABLED $1,461,549.24Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation DISABLED

6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation DISABLED

($832.79)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation

($394.64)

6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation DISABLED

$22,311.87Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation

($4,996.74)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation DISABLED ($8,327.90)Ventura 7/1/2011

Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation BCCTP $230,555.99Ventura 7/1/2011

DISABLED $6,523,244.07Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation BCCTP

AGED ($1,402.74)Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation AGED

6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation AGED

$2,128,891.74Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation

($233.79)

Ventura 7/1/2011 6/30/2016 Ventura County Medi-Cal Managed Care Primary Capitation AGED ($1,042.28)

of 23




GMC Sacramento 07-65847-A07-C01 150 920GMC Sacramento 07-65847-A06a-C01 150 -16GMC Sacramento 07-65847-A06a-C01 150 -15GMC Sacramento 07-65847-A06a-C01 150 -5GMC Sacramento 07-65847-A07-C01 150 900GMC Sacramento 07-65847-A07-C01 150 2GMC Sacramento 07-65847-A07-C01 150 11,544GMC Sacramento 07-65847-A06a-C01 150 -33GMC Sacramento 07-65847-A06a-C01 150 -18GMC Sacramento 07-65847-A06a-C01 150 -15GMC Sacramento 07-65847-A06a-C01 150 -3GMC Sacramento 07-65847-A06a-C01 150 -2GMC Sacramento 07-65847-A07-C01 150 1,606GMC Sacramento 07-65847-A06a-C01 150 -1GMC Sacramento 07-65847-A06a-C01 150 -3GMC Sacramento 07-65847-A07-C01 150 55,335GMC Sacramento 07-65847-A06a-C01 150 -12GMC Sacramento 07-65847-A06a-C01 150 -14GMC Sacramento 07-65847-A06a-C01 150 -5GMC Sacramento 07-65847-A06a-C01 150 -2GMC Sacramento 07-65847-A06a-C01 150 -1GMC Sacramento 07-65847-A6 150 -4GMC Sacramento 07-65847-A07-C01 150 194GMC Sacramento 07-65847-A07-C01 150 114

70,470GMC Sacramento 07-65849-A06-C01 170 1GMC Sacramento 07-65849-A06-C01 170 176GMC Sacramento 07-65849-A05a-C01 170 -2GMC Sacramento 07-65849-A05a-C01 170 -1GMC Sacramento 07-65849-A06-C01 170 591GMC Sacramento 07-65849-A05a-C01 170 -2GMC Sacramento 07-65849-A06-C01 170 10GMC Sacramento 07-65849-A06-C01 170 1GMC Sacramento 07-65849-A06-C01 170 3,397GMC Sacramento 07-65849-A05a-C01 170 -7GMC Sacramento 07-65849-A06-C01 170 1,432GMC Sacramento 07-65849-A05a-C01 170 -3GMC Sacramento 07-65849-A06-C01 170 22,977GMC Sacramento 07-65849-A05a-C01 170 -4GMC Sacramento 07-65849-A06-C01 170 187GMC Sacramento 07-65849-A06-C01 170 72

28,825GMC Sacramento 07-65851-A06-C01 130 1GMC Sacramento 07-65851-A06-C01 130 619GMC Sacramento 07-65851-A05a-C01 130 -14GMC Sacramento 07-65851-A05a-C01 130 -2GMC Sacramento 07-65851-A06-C01 130 664GMC Sacramento 07-65851-A05a-C01 130 -4GMC Sacramento 07-65851-A06-C01 130 5GMC Sacramento 07-65851-A06-C01 130 6,244GMC Sacramento 07-65851-A05a-C01 130 -27GMC Sacramento 07-65851-A05a-C01 130 -3GMC Sacramento 07-65851-A06-C01 130 1,298GMC Sacramento 07-65851-A05a-C01 130 -2GMC Sacramento 07-65851-A06-C01 130 26,190GMC Sacramento 07-65851-A05a-C01 130 -12GMC Sacramento 07-65851-A05a-C01 130 -4GMC Sacramento 07-65851-A05a-C01 130 -4GMC Sacramento 07-65851-A5 130 -3

($475.44)Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation

Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation FAMILY ($475.44)Sacramento 1/1/2008

FAMILY ($356.58)Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation FAMILY

FAMILY $3,112,943.40Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation DISABLED

12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation FAMILY


($1,426.32)

12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation DISABLED

$2,976,889.44Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation

($1,430.28)Sacramento 1/1/2008 12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation DISABLED $164,664.28Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation BCCTP $3,832.35Sacramento 1/1/2008

DISABLED ($12,872.52)Sacramento 1/1/2008 12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation DISABLED

AGED $79,195.28Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation AGED

12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation AGED


($477.08)

12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation AGED

$8,377.92Total of HCP - 170 : $4,813,726.50

Sacramento 1/1/2008 12/31/2013$295,114.44

Sacramento 1/1/2008 12/31/2012 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation AGED ($6,674.64)Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation FAMILY $21,759.32Sacramento 1/1/2008

Molina Healthcare of California Partner Plan, Inc. - Primary Capitation ADULT $118.86

Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Healthy Families HEALTHY

FAMILY $2,673,603.72Sacramento 1/1/2008 12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation DISABLED

12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation FAMILY

($361.20)Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation

($465.44)

12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation DISABLED

$836.60Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation

($3,665.06)Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation DISABLED $172,412.80Sacramento 1/1/2008

Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation BCCTP $8,366.00Sacramento 1/1/2008

DISABLED $1,778,601.26Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation BCCTP

AGED $63,780.72Sacramento 1/1/2008 12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation AGED

12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation AGED

($523.58)Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation

($215.84)

12/31/2013 Kaiser (KP Cal) Sacramento Primary Capitation AGED

Total of HCP - 150 : $11,647,476.79Sacramento 1/1/2008 12/31/2013 Kaiser (KP Cal) Sacramento

$92,150.08Sacramento 1/1/2008 12/31/2012 Kaiser (KP Cal) Sacramento Primary Capitation AGED ($1,047.16)Sacramento 1/1/2008

Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation FAMILY ($398.32)Sacramento 4/1/2008

$11,352.12Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc. Primary Capitation FAMILY


$19,318.52Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc. Healthy Families HEALTHY

FAMILY ($199.16)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation FAMILY

12/31/2012 Health Net Community Solutions, Inc. Primary Capitation FAMILY

($497.90)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation

($99.58)

12/31/2012 Health Net Community Solutions, Inc. Primary Capitation FAMILY

($397.20)Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc. Primary Capitation

($1,194.96)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation FAMILY ($1,394.12)Sacramento 4/1/2008

Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation DISABLED ($132.40)Sacramento 4/1/2008

FAMILY $5,510,259.30Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation DISABLED

DISABLED ($937.58)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation DISABLED

12/31/2013 Health Net Community Solutions, Inc. Primary Capitation DISABLED

($1,406.37)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation

$212,634.40

12/31/2012 Health Net Community Solutions, Inc. Primary Capitation DISABLED

$5,411,711.76Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation

($8,438.22)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation DISABLED ($7,031.85)Sacramento 4/1/2008

Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc. Primary Capitation BCCTP $1,552.74Sacramento 4/1/2008

DISABLED ($15,470.07)Sacramento 4/1/2008 12/31/2013 Health Net Community Solutions, Inc. Primary Capitation DISABLED

AGED ($2,343.95)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation AGED

12/31/2013 Health Net Community Solutions, Inc. Primary Capitation AGED

($7,031.85)Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation

$103,437.00

12/31/2013 Health Net Community Solutions, Inc. Primary Capitation AGED $431,286.80Sacramento 4/1/2008 12/31/2012 Health Net Community Solutions, Inc. Primary Capitation AGED ($7,500.64)Sacramento 4/1/2008

of 23




GMC Sacramento 07-65851-A06-C01 130 98GMC Sacramento 07-65851-A06-C01 130 44

35,088232,779

GMC San Diego 09-86153-A03a-C1 167 739GMC San Diego 09-86153-A03a-C1 167 -2GMC San Diego 09-86153-A03a-C1 167 725GMC San Diego 09-86153-A3 167 -3GMC San Diego 09-86153-A03a-C1 167 1GMC San Diego 09-86153-A03a-C1 167 5,635GMC San Diego 09-86153-A03a-C1 167 -2GMC San Diego 09-86153-A03a-C1 167 -1GMC San Diego 09-86153-A3 167 -1GMC San Diego 09-86153-A03a-C1 167 686GMC San Diego 09-86153-A03a-C1 167 21,342GMC San Diego 09-86153-A03a-C1 167 -1GMC San Diego 09-86153-A03a-C1 167 -2GMC San Diego 09-86153-A3 167 -3GMC San Diego 09-86153-A03a-C1 167 51GMC San Diego 09-86153-A03a-C1 167 67

29,231GMC San Diego 09-86155-A03a-C1 029 5GMC San Diego 09-86155-A03a-C1 029 1,968GMC San Diego 09-86155-A03a-C1 029 -5GMC San Diego 09-86155-A03a-C1 029 -2GMC San Diego 09-86155-A3 029 -1GMC San Diego 09-86155-A03a-C1 029 1,696GMC San Diego 09-86155-A03a-C1 029 -1GMC San Diego 09-86155-A3 029 -2GMC San Diego 09-86155-A03a-C1 029 13GMC San Diego 09-86155-A03a-C1 029 2GMC San Diego 09-86155-A03a-C1 029 12,594GMC San Diego 09-86155-A03a-C1 029 -5GMC San Diego 09-86155-A03a-C1 029 2,135GMC San Diego 09-86155-A03a-C1 029 104,192GMC San Diego 09-86155-A03a-C1 029 -9GMC San Diego 09-86155-A03a-C1 029 -3GMC San Diego 09-86155-A3 029 -4GMC San Diego 09-86155-A03a-C1 029 226GMC San Diego 09-86155-A03a-C1 029 221

123,020GMC San Diego 09-86157-A03a-C1 068 593GMC San Diego 09-86157-A03a-C1 068 -1GMC San Diego 09-86157-A03a-C1 068 623GMC San Diego 09-86157-A3 068 -1GMC San Diego 09-86157-A03a-C1 068 4GMC San Diego 09-86157-A03a-C1 068 5,706GMC San Diego 09-86157-A03a-C1 068 -10GMC San Diego 09-86157-A03a-C1 068 -12GMC San Diego 09-86157-A3 068 -1GMC San Diego 09-86157-A03a-C1 068 629GMC San Diego 09-86157-A03a-C1 068 -2GMC San Diego 09-86157-A03a-C1 068 -4GMC San Diego 09-86157-A3 068 -3GMC San Diego 09-86157-A03a-C1 068 28,646GMC San Diego 09-86157-A03a-C1 068 -2GMC San Diego 09-86157-A3 068 -5GMC San Diego 09-86157-A03a-C1 068 80GMC San Diego 09-86157-A03a-C1 068 86

San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation FAMILY $10,168.80San Diego 6/1/2010

San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Healthy Families HEALTHY $10,931.46

FAMILY ($254.22)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation FAMILY

6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation FAMILY

$3,641,193.06San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation

($635.55)

6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED

$77,140.56San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation

($490.56)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED ($367.92)San Diego 6/1/2010

San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED ($549.88)San Diego 6/1/2010

DISABLED ($245.28)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED

DISABLED ($5,498.80)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED

6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation DISABLED

$3,137,615.28San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation

($6,598.56)

6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation AGED

($549.88)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation

($109.78)San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation BCCTP $2,974.80San Diego 6/1/2010

Total of HCP - 029 : $20,837,216.82San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation AGED $326,078.84

AGED $68,392.94San Diego 6/1/2010 6/30/2015 Health Net Community Solutions, Inc. - San Diego Primary Capitation AGED

6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation FAMILY

($358.71)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation

$27,022.82San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Healthy Families HEALTHY $26,424.97San Diego 7/1/2010

San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation FAMILY ($1,076.13)San Diego 7/1/2010

FAMILY ($478.28)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation FAMILY

DISABLED $269,351.60San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation DISABLED

6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation FAMILY

($2,699.50)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation

$12,458,237.44

6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation BCCTP

($226.44)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation

$1,441.16San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation DISABLED $6,799,500.60San Diego 7/1/2010

San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED ($113.22)San Diego 7/1/2010

BCCTP $9,367.54San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED

AGED ($539.90)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED

6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED

($1,079.80)San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation

$192,021.12

6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED

Total of HCP - 167 : $6,291,162.69San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. -

$1,062,523.20San Diego 7/1/2010 6/30/2015 Community Health Group Partnership Plan Inc. - Primary Capitation AGED ($2,699.50)San Diego 7/1/2010

San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation FAMILY ($359.13)San Diego 7/1/2010

$8,020.57San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation FAMILY


$6,105.21San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Healthy Families HEALTHY

FAMILY ($119.71)San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation FAMILY

6/30/2015 Care 1st Health Plan - San Diego Primary Capitation FAMILY

$2,554,850.82San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation

($239.42)

6/30/2015 Care 1st Health Plan - San Diego Primary Capitation DISABLED

($1,114.34)San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation

($557.17)San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation DISABLED $93,748.76San Diego 7/1/2010

San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation DISABLED $3,139,652.95San Diego 7/1/2010

DISABLED ($557.17)San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation DISABLED

AGED ($333.87)San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation AGED

6/30/2015 Care 1st Health Plan - San Diego Primary Capitation BCCTP

$80,685.25San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation

$745.65

Total of HCP - 130 : $6,624,240.63Total of Model Type - GMC Sacramento : $38,969,031.12

San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation AGED $411,748.63San Diego 7/1/2010 6/30/2015 Care 1st Health Plan - San Diego Primary Capitation AGED ($1,114.34)

12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Primary Capitation FAMILY $11,648.28Sacramento 1/1/2008 12/31/2013 Molina Healthcare of California Partner Plan, Inc. - Healthy Families HEALTHY $5,229.84Sacramento 1/1/2008

of 23




36,326GMC San Diego 09-86159-A03a-C1 079 109GMC San Diego 09-86159-A03a-C1 079 468GMC San Diego 09-86159-A03a-C1 079 6GMC San Diego 09-86159-A03a-C1 079 1,383GMC San Diego 09-86159-A03a-C1 079 831GMC San Diego 09-86159-A03a-C1 079 -1GMC San Diego 09-86159-A03a-C1 079 10,716GMC San Diego 09-86159-A03a-C1 079 70GMC San Diego 09-86159-A03a-C1 079 41

13,623202,200

PACE 07-65709-A5 052 194PACE 07-65709-A5 052 690PACE 07-65709-A5 052 113PACE 07-65709-A5 052 248PACE 07-65709-A5 052 3PACE 07-65709-A5 052 1

1,249PACE 07-65708-A2 051 21PACE 07-65708-A2 051 313PACE 07-65708-A2 051 50PACE 07-65708-A2 051 117

501PACE 07-65708-A2 054 3PACE 07-65708-A2 054 21PACE 07-65708-A2 054 2PACE 07-65708-A2 054 11PACE 07-65708-A2 054 -1PACE 07-65708-A2 054 2

38PACE 07-65711-A3 057 15PACE 07-65711-A3 057 117PACE 07-65711-A3 057 33PACE 07-65711-A3 057 74





2273,422

PCCM 11-88286 915 2PCCM 11-88286 915 13Los Angeles 1/1/2012 12/31/2016 Positive Healthcare of Los Angeles Primary Capitation AGED $3,170.57

Los Angeles 1/1/2012

Sacramento 4/1/2008 12/31/2012 Sutter Senior Care - Sacramento Primary Capitation DISABLED $73,043.88Sacramento 4/1/2008

Sacramento 4/1/2008 12/31/2012 Sutter Senior Care - Sacramento Primary Capitation DISABLED

12/31/2016 Positive Healthcare of Los Angeles Primary Capitation AGED

$137,134.40Total of HCP - 050 : $851,370.00

Total of Model Type - PACE : $14,418,464.94$933.70

Sutter Senior Care - Sacramento Primary Capitation AGED $31,304.52

Santa Clara 4/1/2008 12/31/2012 Onlok Senior Health Sys - Santa Clara Primary Capitation DISABLED

12/31/2012 Sutter Senior Care - Sacramento Primary Capitation AGED

$44,314.38Total of HCP - 058 : $584,779.40

Sacramento 4/1/2008 12/31/2012$609,887.20

12/31/2012 Onlok Senior Health Sys - Santa Clara Primary Capitation AGED

$607,173.78Total of HCP - 055 : $4,125,173.22

Santa Clara 4/1/2008 12/31/2012$439,115.22

Santa Clara 4/1/2008 12/31/2012 Onlok Senior Health Sys - Santa Clara Primary Capitation DISABLED $26,671.00Santa Clara 4/1/2008

San Francisco 4/1/2008 12/31/2012 Onlok Senior Health Sys - San Francisco Primary Capitation DISABLED $134,497.44San Francisco 4/1/2008

Onlok Senior Health Sys - Santa Clara Primary Capitation AGED $74,678.80

San Francisco 4/1/2008 12/31/2012 Onlok Senior Health Sys - San Francisco Primary Capitation DISABLED

Onlok Senior Health Sys - San Francisco Primary Capitation AGED $110,043.36

Alameda 4/1/2008 12/31/2012 Onlok Senior Health Sys - Alameda Primary Capitation DISABLED

12/31/2012 Onlok Senior Health Sys - San Francisco Primary Capitation AGED

$12,667.41Total of HCP - 056 : $465,796.68

San Francisco 4/1/2008 12/31/2012$3,273,458.64

12/31/2012 Onlok Senior Health Sys - Alameda Primary Capitation AGED

$264,155.58Total of HCP - 057 : $924,679.29

Alameda 4/1/2008 12/31/2012$401,134.65

Alameda 4/1/2008 12/31/2012 Onlok Senior Health Sys - Alameda Primary Capitation DISABLED $11,554.36Alameda 4/1/2008

San Diego 2/1/2008 12/31/2012 Community Eldercare of San Diego Primary Capitation DISABLED $166,974.72San Diego 2/1/2008

Onlok Senior Health Sys - Alameda Primary Capitation AGED $40,440.26

San Diego 2/1/2008 12/31/2012 Community Eldercare of San Diego Primary Capitation DISABLED

Community Eldercare of San Diego Primary Capitation AGED $75,897.60

Contra Costa 4/1/2008 12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation FAMILY

12/31/2012 Community Eldercare of San Diego Primary Capitation AGED

$8,645.52Total of HCP - 054 : $170,541.44

San Diego 2/1/2008 12/31/2012$417,651.39

12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation DISABLED

$90,777.96Contra Costa 4/1/2008 12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation

$47,550.36Contra Costa 4/1/2008 12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation FAMILY ($5,891.90)Contra Costa 4/1/2008

Alameda 4/1/2008 12/31/2012 Centers for Elders Independence - Alameda Primary Capitation DISABLED $505,762.92Total of HCP - 051 : $2,277,111.70

Contra Costa 4/1/2008 12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation AGED $17,675.70

DISABLED $11,783.80Contra Costa 4/1/2008 12/31/2012 Centers for Elders Independence - Contra Costa Primary Capitation AGED

12/31/2012 Centers for Elders Independence - Alameda Primary Capitation AGED

Total of HCP - 052 : $5,019,013.21Alameda 4/1/2008 12/31/2012 Centers for Elders Independence - Alameda

$1,353,023.88Alameda 4/1/2008 12/31/2012 Centers for Elders Independence - Alameda Primary Capitation DISABLED $294,595.00Alameda 4/1/2008

Los Angeles 4/1/2008 12/31/2012 AltaMed Health Plan - LA Primary Capitation DISABLED $841,709.52Los Angeles 4/1/2008

$3,393.99Los Angeles 4/1/2008 12/31/2012 AltaMed Health Plan - LA Primary Capitation FAMILY

Primary Capitation AGED $123,729.90

$17,729.58Los Angeles 4/1/2008 12/31/2012 AltaMed Health Plan - LA Primary Capitation FAMILY

Total of HCP - 079 : $2,466,328.63Total of Model Type - GMC San Diego : $36,853,903.45

Los Angeles 4/1/2008 12/31/2012 AltaMed Health Plan - LA Primary Capitation Los Angeles 4/1/2008 12/31/2012 AltaMed Health Plan - LA Primary Capitation AGED

12/31/2012 AltaMed Health Plan - LA Primary Capitation DISABLED

AGED $1,146,512.84$2,341,853.10

$667,814.18

6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation FAMILY

($131.51)San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation

$9,660.70San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Healthy Families HEALTHY $5,658.41San Diego 10/1/2010

San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation DISABLED $109,284.81San Diego 10/1/2010

FAMILY $1,478,915.16San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation DISABLED

San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation AGED $58,624.56

BCCTP $5,208.30San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation AGED

6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation DISABLED

$55,275.48San Diego 10/1/2010 6/30/2015 Kaiser (KP Cal) - San Diego Primary Capitation

$743,832.72

Total of HCP - 068 : $7,259,195.31

of 23




PCCM 11-88286 915 483PCCM 11-88286 915 350PCCM 11-88286 915 20PCCM 11-88286 915 2

870870

San Francisco Family Mosaic

07-65815-A2 601 31

San Francisco Family Mosaic

07-65815-A2 601 92

123123

SCAN 07-65712-A4 201 1,398SCAN 07-65712-A3 201 -5SCAN 07-65712-A2 201 -3SCAN 07-65712-A4 201 244SCAN 07-65712-A3 201 -3

1,631SCAN 07-65712-A4 200 2,617SCAN 07-65712-A3 200 -2SCAN 07-65712-A2 200 -1SCAN 07-65712-A4 200 389

3,003SCAN 07-65712-A4 205 491SCAN 07-65712-A3 205 -1SCAN 07-65712-A2 205 -3SCAN 07-65712-A4 205 77

564SCAN 07-65712-A4 204 870SCAN 07-65712-A3 204 -1SCAN 07-65712-A2 204 -1SCAN 07-65712-A4 204 115

983SCAN 07-65712-A4 207 245SCAN 07-65712-A3 207 -2SCAN 07-65712-A4 207 70

313SCAN 07-65712-A4 206 562SCAN 07-65712-A3 206 -1SCAN 07-65712-A4 206 90

6517,145

Two-Plan Commercial 10-87049-A01a-C1 362 4Two-Plan Commercial 10-87049-A01a-C1 362 317Two-Plan Commercial 10-87049-A01a-C1 362 -6Two-Plan Commercial 10-87049-A01a-C1 362 -3Two-Plan Commercial 10-87049-A01a-C1 362 797Two-Plan Commercial 10-87049-A01a-C1 362 -2Two-Plan Commercial 10-87049-A01a-C1 362 -1Two-Plan Commercial 10-87049-A01a-C1 362 7Two-Plan Commercial 10-87049-A01a-C1 362 6,996Two-Plan Commercial 10-87049-A01a-C1 362 -11Two-Plan Commercial 10-87049-A01a-C1 362 1,651Two-Plan Commercial 10-87049-A01a-C1 362 -2Two-Plan Commercial 10-87049-A01a-C1 362 -1Two-Plan Commercial 10-87049-A1 362 -1Two-Plan Commercial 10-87049-A1 362 -1Two-Plan Commercial 10-87049-A01a-C1 362 63,225Two-Plan Commercial 10-87049-A01a-C1 362 -7 ($718.62)

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY $6,490,678.50Fresno 3/1/2011

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY

DISABLED ($144.06)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED

2/29/2016 Blue Cross Partnership Primary Capitation DISABLED

($144.06)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

($144.06)


$3,715,785.48Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

$237,843.06Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED ($288.12)Fresno 3/1/2011

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation BCCTP $5,060.86Fresno 3/1/2011

DISABLED ($5,842.43)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED

AGED ($239.58)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation AGED

2/29/2016 Blue Cross Partnership Primary Capitation AGED

$95,472.63Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

($119.79)

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation AGED2/29/2016 Blue Cross Partnership Primary Capitation AGED

ADULT $410.64$168,368.21($3,186.78)

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation AGED ($1,593.39)Fresno 3/1/2011

San Bernardino 1/1/2008 12/31/2013 Senior Care Action Network - San Bernardino Primary Capitation DISABLED $7,528.50San Bernardino 1/1/2008

Total of HCP - 206 : $54,456.15Total of Model Type - SCAN : $2,745,732.82

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

Primary Capitation AGED $47,011.30

($1,826.96)San Bernardino 1/1/2008 12/31/2013 Senior Care Action Network - San Bernardino Primary Capitation DISABLED

12/31/2013 Senior Care Action Network - San Bernardino Primary Capitation AGED

Total of HCP - 207 : $285,919.24San Bernardino 1/1/2008 12/31/2013 Senior Care Action Network - San Bernardino

($83.65)

Riverside 1/1/2008 12/31/2013 Senior Care Action Network - Riverside Primary Capitation DISABLED $8,372.00Total of HCP - 204 : $71,562.40

San Bernardino 1/1/2008 12/31/2013 Senior Care Action Network - San Bernardino Primary Capitation AGED $223,802.60

$63,943.60San Bernardino 1/1/2008 12/31/2013 Senior Care Action Network - San Bernardino Primary Capitation AGED

12/31/2013 Senior Care Action Network - Riverside Primary Capitation AGED

$72,387.70Total of HCP - 205 : $530,216.40

Riverside 1/1/2008 12/31/2013($72.80)

Riverside 1/1/2008 12/31/2012 Senior Care Action Network - Riverside Primary Capitation AGED ($72.80)Riverside 1/1/2008

Riverside 1/1/2008 12/31/2012 Senior Care Action Network - Riverside Primary Capitation AGED ($2,820.30)Riverside 1/1/2008

Senior Care Action Network - Riverside Primary Capitation AGED $63,336.00

Riverside 1/1/2008 12/31/2013 Senior Care Action Network - Riverside Primary Capitation DISABLED

Senior Care Action Network - Riverside Primary Capitation AGED $461,589.10

Los Angeles 1/1/2008 12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation DISABLED

12/31/2013 Senior Care Action Network - Riverside Primary Capitation AGED

$31,057.76Total of HCP - 200 : $239,759.52

Riverside 1/1/2008 12/31/2013($940.10)

12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation AGED

($2,876.43)Total of HCP - 201 : $1,563,819.11

Los Angeles 1/1/2008 12/31/2013($159.68)

Los Angeles 1/1/2008 12/31/2012 Senior Care Action Network - Los Angeles Primary Capitation AGED ($79.84)Los Angeles 1/1/2008

Los Angeles 1/1/2008 12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation DISABLED $233,949.64Los Angeles 1/1/2008

Senior Care Action Network - Los Angeles Primary Capitation AGED $208,941.28

Los Angeles 1/1/2008 12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation DISABLED

Total of HCP - 601 : $227,396.25Total of Model Type - San Francisco Family Mosaic : $227,396.25

Los Angeles 1/1/2008 12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation Los Angeles 1/1/2008 12/31/2013 Senior Care Action Network - Los Angeles Primary Capitation AGED

12/31/2012 Senior Care Action Network - Los Angeles Primary Capitation AGED

AGED $1,340,416.38($4,794.05)($2,876.43)

Total of HCP - 915 : $425,611.18Total of Model Type - PCCM : $425,611.18

San Francisco 1/1/2008 12/31/2012 San Francisco Family Mosaic Primary Capitation Medi-Cal Only

DISABLED $57,311.25

San Francisco 1/1/2008 12/31/2012 San Francisco Family Mosaic Primary Capitation Medi-Cal Only

FAMILY $170,085.00

12/31/2016 Positive Healthcare of Los Angeles Primary Capitation FAMILY

$300,469.47Los Angeles 1/1/2012 12/31/2016 Positive Healthcare of Los Angeles Primary Capitation

$2,065.40Los Angeles 1/1/2012 12/31/2016 Positive Healthcare of Los Angeles Primary Capitation FAMILY $206.54Los Angeles 1/1/2012

DISABLED $118,765.50Los Angeles 1/1/2012 12/31/2016 Positive Healthcare of Los Angeles Primary Capitation DISABLED

of 23




Two-Plan Commercial 10-87049-A01a-C1 362 -2Two-Plan Commercial 10-87049-A01a-C1 362 -1Two-Plan Commercial 10-87049-A01a-C1 362 -1Two-Plan Commercial 10-87049-A01a-C1 362 -2Two-Plan Commercial 10-87049-A1 362 -1Two-Plan Commercial 10-87049-A1 362 -2Two-Plan Commercial 10-87049-A01a-C1 362 180Two-Plan Commercial 10-87049-A01a-C1 362 122

73,255Two-Plan Commercial 10-87049-A01a-C1 363 3Two-Plan Commercial 10-87049-A01a-C1 363 56Two-Plan Commercial 10-87049-A01a-C1 363 85Two-Plan Commercial 10-87049-A01a-C1 363 1,048Two-Plan Commercial 10-87049-A01a-C1 363 -4Two-Plan Commercial 10-87049-A01a-C1 363 144Two-Plan Commercial 10-87049-A01a-C1 363 -1Two-Plan Commercial 10-87049-A01a-C1 363 9,470Two-Plan Commercial 10-87049-A01a-C1 363 42Two-Plan Commercial 10-87049-A01a-C1 363 30

10,873Two-Plan Commercial 10-87049-A01a-C1 364 1Two-Plan Commercial 10-87049-A01a-C1 364 71Two-Plan Commercial 10-87049-A01a-C1 364 58Two-Plan Commercial 10-87049-A01a-C1 364 1Two-Plan Commercial 10-87049-A01a-C1 364 886Two-Plan Commercial 10-87049-A01a-C1 364 -1Two-Plan Commercial 10-87049-A01a-C1 364 95Two-Plan Commercial 10-87049-A01a-C1 364 9,586Two-Plan Commercial 10-87049-A01a-C1 364 32Two-Plan Commercial 10-87049-A01a-C1 364 13

10,742Two-Plan Commercial 03-76184-A17a-C15 340 2Two-Plan Commercial 03-76184-A17a-C15 340 938Two-Plan Commercial 03-76184-A17a-C15 340 -15Two-Plan Commercial 03-76184-A17-C13 340 -10Two-Plan Commercial 03-76184-A17-C13 340 -4Two-Plan Commercial 03-76184-A16a-C13 340 -2Two-Plan Commercial 03-76184-A16a-C13 340 -3Two-Plan Commercial 03-76184-A16-C12 340 -2Two-Plan Commercial 03-76184-A16-C12 340 -1Two-Plan Commercial 03-76184-A16-C11 340 -1Two-Plan Commercial 03-76184-A17a-C15 340 409Two-Plan Commercial 03-76184-A17a-C15 340 -2Two-Plan Commercial 03-76184-A17-C13 340 -1Two-Plan Commercial 03-76184-A17a-C15 340 2Two-Plan Commercial 03-76184-A17a-C15 340 6,765Two-Plan Commercial 03-76184-A17a-C15 340 -50Two-Plan Commercial 03-76184-A17-C13 340 -18Two-Plan Commercial 03-76184-A17-C13 340 -5Two-Plan Commercial 03-76184-A16a-C13 340 -2Two-Plan Commercial 03-76184-A16a-C13 340 -3Two-Plan Commercial 03-76184-A16-C12 340 -1Two-Plan Commercial 03-76184-A16-C12 340 -1Two-Plan Commercial 03-76184-A16-C11 340 -1Two-Plan Commercial 03-76184-A17a-C15 340 727Two-Plan Commercial 03-76184-A17a-C15 340 -2Two-Plan Commercial 03-76184-A17-C13 340 -1Two-Plan Commercial 03-76184-A17a-C15 340 25,015Two-Plan Commercial 03-76184-A17a-C15 340 -13Alameda 12/1/2003

FAMILY $3,776,510.64Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED

3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation FAMILY

($130.95)Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation

($1,569.36)

3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED


$109,802.89Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED ($261.90)Alameda 12/1/2003

Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED ($560.44)Alameda 12/1/2003

DISABLED ($560.44)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED

DISABLED ($1,120.88)Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED


($2,802.20)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation

($1,681.32)


$1,618.59Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation

($28,022.00)Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation DISABLED ($10,087.92)Alameda 12/1/2003

Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED ($108.63)Alameda 12/1/2003

DISABLED $4,160,727.96Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation BCCTP

AGED $50,180.67Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED


($217.26)


($1,120.88)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation

($1,120.88)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED ($560.44)Alameda 12/1/2003

Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED ($2,241.76)Alameda 12/1/2003

AGED ($1,681.32)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED

Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation ADULT $297.60

AGED ($8,406.60)Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation AGED


$570,206.84Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation

($5,604.40)

Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY $3,106.24Madera 3/1/2011

Madera 3/1/2011 2/29/2016 Blue Cross Partnership Healthy Families HEALTHY $1,261.91Total of HCP - 364 : $1,449,570.68

DISABLED $11,718.25Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED

2/29/2016 Blue Cross Partnership Primary Capitation FAMILY

($518.23)Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

$930,513.02

2/29/2016 Blue Cross Partnership Primary Capitation BCCTP

$36,794.33Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

$786.17Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED $459,151.78Madera 3/1/2011

Kings 3/1/2011 2/29/2016 Blue Cross Partnership Healthy Families HEALTHY $3,031.20Total of HCP - 363 : $1,538,242.99

Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation ADULT $97.07

AGED $6,660.14Madera 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation AGED


$19,048.32Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

$956,848.80Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY $4,243.68Kings 3/1/2011

Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED ($1,982.40)Kings 3/1/2011

DISABLED ($132.28)Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation DISABLED

Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation ADULT $303.12

AGED $9,740.15Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation AGED


$27,753.60Kings 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

$519,388.80

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY $18,478.80Fresno 3/1/2011

Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Healthy Families HEALTHY $12,524.52Total of HCP - 362 : $10,731,277.87

FAMILY ($102.66)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY


($205.32)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

($205.32)

2/29/2016 Blue Cross Partnership Primary Capitation FAMILYFresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation

($102.66)Fresno 3/1/2011 2/29/2016 Blue Cross Partnership Primary Capitation FAMILY ($102.66)Fresno 3/1/2011

FAMILY ($205.32)

of 23




Two-Plan Commercial 03-76184-A17-C13 340 -12Two-Plan Commercial 03-76184-A17-C13 340 -4Two-Plan Commercial 03-76184-A16a-C13 340 -4Two-Plan Commercial 03-76184-A16a-C13 340 -4Two-Plan Commercial 03-76184-A16-C12 340 -2Two-Plan Commercial 03-76184-A16-C12 340 -2Two-Plan Commercial 03-76184-A16-C11 340 -2Two-Plan Commercial 03-76184-A17a-C15 340 128Two-Plan Commercial 03-76184-A17a-C15 340 38

33,856Two-Plan Commercial 03-76184-A17a-C15 344 1Two-Plan Commercial 03-76184-A17a-C15 344 310Two-Plan Commercial 03-76184-A17a-C15 344 -4Two-Plan Commercial 03-76184-A17-C13 344 -2Two-Plan Commercial 03-76184-A17a-C15 344 113Two-Plan Commercial 03-76184-A17a-C15 344 -1Two-Plan Commercial 03-76184-A17a-C15 344 1,750Two-Plan Commercial 03-76184-A17a-C15 344 -14Two-Plan Commercial 03-76184-A17-C13 344 -11Two-Plan Commercial 03-76184-A17-C13 344 -2Two-Plan Commercial 03-76184-A16a-C13 344 -2Two-Plan Commercial 03-76184-A16a-C13 344 -2Two-Plan Commercial 03-76184-A16-C12 344 -2Two-Plan Commercial 03-76184-A16-C12 344 -1Two-Plan Commercial 03-76184-A16-C11 344 -1Two-Plan Commercial 03-76184-A17a-C15 344 193Two-Plan Commercial 03-76184-A17a-C15 344 -1Two-Plan Commercial 03-76184-A17a-C15 344 10,854Two-Plan Commercial 03-76184-A17a-C15 344 -13Two-Plan Commercial 03-76184-A17-C13 344 -3Two-Plan Commercial 03-76184-A17a-C15 344 59Two-Plan Commercial 03-76184-A17a-C15 344 43

13,264Two-Plan Commercial 03-76184-A17a-C15 343 2Two-Plan Commercial 03-76184-A17a-C15 343 615Two-Plan Commercial 03-76184-A17a-C15 343 -18Two-Plan Commercial 03-76184-A17-C13 343 -14Two-Plan Commercial 03-76184-A17-C13 343 -3Two-Plan Commercial 03-76184-A17a-C15 343 690Two-Plan Commercial 03-76184-A16-C12 343 -1Two-Plan Commercial 03-76184-A16-C11 343 -1Two-Plan Commercial 03-76184-A17a-C15 343 4,224Two-Plan Commercial 03-76184-A17a-C15 343 -43Two-Plan Commercial 03-76184-A17-C13 343 -16Two-Plan Commercial 03-76184-A17a-C15 343 662Two-Plan Commercial 03-76184-A17a-C15 343 -3Two-Plan Commercial 03-76184-A17-C13 343 -1Two-Plan Commercial 03-76184-A17a-C15 343 8,475Two-Plan Commercial 03-76184-A17a-C15 343 -3Two-Plan Commercial 03-76184-A17-C13 343 -2Two-Plan Commercial 03-76184-A17-C13 343 -4Two-Plan Commercial 03-76184-A16a-C13 343 -4Two-Plan Commercial 03-76184-A16a-C13 343 -4Two-Plan Commercial 03-76184-A16-C12 343 -2Two-Plan Commercial 03-76184-A16-C12 343 -3Two-Plan Commercial 03-76184-A16-C11 343 -3Two-Plan Commercial 03-76184-A17a-C15 343 59Two-Plan Commercial 03-76184-A17a-C15 343 34

14,636Total of HCP - 343 : $3,435,217.57

San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY ($270.63)San Francisco 12/1/2003

$3,348.74San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY $5,322.39San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Healthy Families HEALTHY

FAMILY ($180.42)San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY

6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY

($360.84)San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation

($270.63)

3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY


($360.84)San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY ($360.84)San Francisco 12/1/2003

San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY $764,529.75San Francisco 12/1/2003

FAMILY ($180.42)San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation FAMILY

DISABLED ($349.02)San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation DISABLED

3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation DISABLED

$77,017.08San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation

($116.34)

3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation DISABLED


($22,846.76)San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation DISABLED ($8,501.12)San Francisco 12/1/2003

San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED ($96.55)San Francisco 12/1/2003

DISABLED $2,244,295.68San Francisco 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED

AGED ($1,593.96)San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED

($7,438.48)San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation

$66,619.50

3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED

$4,722.69Total of HCP - 344 : $2,121,074.11

San Francisco 12/1/2003 3/31/2014$326,761.80

San Francisco 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Francisco Primary Capitation AGED ($9,563.76)San Francisco 12/1/2003

Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation FAMILY $6,479.97Contra Costa 12/1/2003

Blue Cross Partnership, Inc. San Francisco Primary Capitation ADULT $180.42

Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Healthy Families HEALTHY

FAMILY ($1,427.79)Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation FAMILY

3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation FAMILY

$1,192,094.82Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation

($329.49)

3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED

($435.92)Contra Costa 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Contra Costa Primary Capitation

$26,954.38Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED ($139.66)Contra Costa 12/1/2003

Contra Costa 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED ($871.84)Contra Costa 12/1/2003

DISABLED ($435.92)Contra Costa 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED

DISABLED ($871.84)Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED



($871.84)



($6,102.88)Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation DISABLED ($4,795.12)Contra Costa 12/1/2003

Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation AGED $12,598.37Contra Costa 12/1/2003

DISABLED $762,860.00Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation AGED

AGED ($1,743.68)Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation AGED

$135,135.20Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation

($871.84)

Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Healthy Families HEALTHY $6,281.52Alameda 12/1/2003

Total of HCP - 340 : $8,622,445.45Contra Costa 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Contra Costa Primary Capitation ADULT $109.83

FAMILY ($241.44)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation FAMILY



$19,420.80



($482.88)Alameda 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Alameda Primary Capitation FAMILY ($241.44)Alameda 12/1/2003

Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation FAMILY ($1,448.64)

FAMILY ($482.88)Alameda 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Alameda Primary Capitation FAMILY

of 23




Two-Plan Commercial 03-76184-A17a-C15 358 2Two-Plan Commercial 03-76184-A17a-C15 358 275Two-Plan Commercial 03-76184-A17a-C15 358 -4Two-Plan Commercial 03-76184-A17-C13 358 -3Two-Plan Commercial 03-76184-A17a-C15 358 194Two-Plan Commercial 03-76184-A17a-C15 358 2Two-Plan Commercial 03-76184-A17a-C15 358 3,604Two-Plan Commercial 03-76184-A17a-C15 358 -29Two-Plan Commercial 03-76184-A17-C13 358 -10Two-Plan Commercial 03-76184-A17-C13 358 -1Two-Plan Commercial 03-76184-A17a-C15 358 421Two-Plan Commercial 03-76184-A17a-C15 358 -1Two-Plan Commercial 03-76184-A17-C13 358 -1Two-Plan Commercial 03-76184-A17-C13 358 -4Two-Plan Commercial 03-76184-A16a-C13 358 -2Two-Plan Commercial 03-76184-A17a-C15 358 21,730Two-Plan Commercial 03-76184-A17a-C15 358 -17Two-Plan Commercial 03-76184-A17-C13 358 -10Two-Plan Commercial 03-76184-A17-C13 358 -1Two-Plan Commercial 03-76184-A17a-C15 358 105Two-Plan Commercial 03-76184-A17a-C15 358 -1Two-Plan Commercial 03-76184-A17-C13 358 -1Two-Plan Commercial 03-76184-A17a-C15 358 31

26,279Two-Plan Commercial 03-76184-A17a-C15 345 4Two-Plan Commercial 03-76184-A17a-C15 345 1,419Two-Plan Commercial 03-76184-A17a-C15 345 -26Two-Plan Commercial 03-76184-A17-C13 345 -31Two-Plan Commercial 03-76184-A17-C13 345 -7Two-Plan Commercial 03-76184-A17a-C15 345 866Two-Plan Commercial 03-76184-A17a-C15 345 -3Two-Plan Commercial 03-76184-A17-C13 345 -2Two-Plan Commercial 03-76184-A17-C13 345 -1Two-Plan Commercial 03-76184-A16-C11 345 -1Two-Plan Commercial 03-76184-A17a-C15 345 5Two-Plan Commercial 03-76184-A17a-C15 345 1Two-Plan Commercial 03-76184-A17a-C15 345 4,369Two-Plan Commercial 03-76184-A17a-C15 345 -28Two-Plan Commercial 03-76184-A17-C13 345 -10Two-Plan Commercial 03-76184-A17-C13 345 -4Two-Plan Commercial 03-76184-A16a-C13 345 -2Two-Plan Commercial 03-76184-A16a-C13 345 -1Two-Plan Commercial 03-76184-A17a-C15 345 614Two-Plan Commercial 03-76184-A17a-C15 345 29,735Two-Plan Commercial 03-76184-A17a-C15 345 -15Two-Plan Commercial 03-76184-A17-C13 345 -12Two-Plan Commercial 03-76184-A17-C13 345 -6Two-Plan Commercial 03-76184-A17a-C15 345 119Two-Plan Commercial 03-76184-A17a-C15 345 95

37,078Two-Plan Commercial 03-76182-A15a-C18 360 2Two-Plan Commercial 03-76182-A15a-C18 360 343Two-Plan Commercial 03-76182-A15-C16 360 -7Two-Plan Commercial 03-76182-A15-C16 360 -2Two-Plan Commercial 03-76182-A15-C16 360 -1Two-Plan Commercial 03-76182-A15a-C18 360 350Two-Plan Commercial 03-76182-A15a-C18 360 3Two-Plan Commercial 03-76182-A15a-C18 360 6,028Two-Plan Commercial 03-76182-A15-C16 360 -13Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation DISABLED ($6,330.48)

Kern 12/1/2003BCCTP $2,250.99

Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation AGED

3/31/2014 Health Net - Kern Primary Capitation DISABLED

$38,129.00Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation

$2,935,394.88

3/31/2014 Health Net - Kern Primary Capitation AGED

$167,027.28Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation

($973.92)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation AGED ($486.96)Kern 12/1/2003

Total of HCP - 345 : $5,623,715.91Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation ADULT $214.48

AGED ($3,408.72)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation FAMILY

($1,216.92)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

$12,067.79Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Healthy Families HEALTHY $11,471.31Santa Clara 12/1/2003

Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation FAMILY ($1,521.15)Santa Clara 12/1/2003

FAMILY ($608.46)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation FAMILY

DISABLED $77,597.32Santa Clara 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Santa Clara Primary Capitation DISABLED

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation FAMILY

($424.93)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

$3,015,426.35

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation DISABLED

($11,898.04)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

($1,699.72)Santa Clara 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Santa Clara Primary Capitation DISABLED ($849.86)Santa Clara 12/1/2003

Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation DISABLED $1,856,519.17Santa Clara 12/1/2003

DISABLED ($4,249.30)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation DISABLED

BCCTP $3,969.20Santa Clara 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation BCCTP

($107.28)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

$793.84

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED

$92,904.48Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

($214.56)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED ($107.28)Santa Clara 12/1/2003

Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED ($2,974.51)Santa Clara 12/1/2003

AGED ($321.84)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED

AGED ($11,048.18)Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation AGED

$602,975.67Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation

($13,172.83)

San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Healthy Families HEALTHY $3,272.20San Joaquin 12/1/2003

Total of HCP - 358 : $3,643,709.43Santa Clara 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. Santa Clara Primary Capitation ADULT $405.64

FAMILY ($94.36)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation FAMILY

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation FAMILY

$9,907.80San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation

($94.36)

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation FAMILY

$2,050,442.80San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation

($943.60)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation FAMILY ($94.36)San Joaquin 12/1/2003

San Joaquin 12/1/2003 6/30/2012 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED ($246.46)San Joaquin 12/1/2003

FAMILY ($1,604.12)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation FAMILY

DISABLED ($123.23)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED

($123.23)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation

($492.92)

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED

($11,445.43)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation

($394.67)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED $51,879.83San Joaquin 12/1/2003

San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED $1,422,390.68San Joaquin 12/1/2003

DISABLED ($3,946.70)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation DISABLED

AGED $17,972.16San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation AGED

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation BCCTP

($1,184.01)San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation

$1,487.12

3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation AGEDSan Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin

$108,534.25San Joaquin 12/1/2003 3/31/2014 Blue Cross Partnership, Inc. San Joaquin Primary Capitation AGED ($1,578.68)San Joaquin 12/1/2003


of 23




Two-Plan Commercial 03-76182-A15-C16 360 -10Two-Plan Commercial 03-76182-A15-C16 360 -9Two-Plan Commercial 03-76182-A14a-C16 360 -12Two-Plan Commercial 03-76182-A14-C15 360 -3Two-Plan Commercial 03-76182-A14-C15 360 -2Two-Plan Commercial 03-76182-A14-C14 360 -2Two-Plan Commercial 03-76182-A15a-C18 360 786Two-Plan Commercial 03-76182-A15-C16 360 -2Two-Plan Commercial 03-76182-A15a-C18 360 36,919Two-Plan Commercial 03-76182-A15-C16 360 -17Two-Plan Commercial 03-76182-A15-C16 360 -3Two-Plan Commercial 03-76182-A15-C16 360 -8Two-Plan Commercial 03-76182-A14-C15 360 -1Two-Plan Commercial 03-76182-A14-C15 360 -1Two-Plan Commercial 03-76182-A14-C14 360 -1Two-Plan Commercial 03-76182-A15a-C18 360 136Two-Plan Commercial 03-76182-A15a-C18 360 57

44,530Two-Plan Commercial 03-76182-A15a-C18 352 17Two-Plan Commercial 03-76182-A15a-C18 352 9,089Two-Plan Commercial 03-76182-A15-C16 352 -137Two-Plan Commercial 03-76182-A15-C16 352 -97Two-Plan Commercial 03-76182-A15-C16 352 -59Two-Plan Commercial 03-76182-A14a-C16 352 -17Two-Plan Commercial 03-76182-A14-C15 352 -2Two-Plan Commercial 03-76182-A14-C15 352 -2Two-Plan Commercial 03-76182-A14-C14 352 -2Two-Plan Commercial 03-76182-A15a-C18 352 8,127Two-Plan Commercial 03-76182-A15-C16 352 -4Two-Plan Commercial 03-76182-A15-C16 352 -8Two-Plan Commercial 03-76182-A15-C16 352 -6Two-Plan Commercial 03-76182-A14a-C16 352 -6Two-Plan Commercial 03-76182-A14-C15 352 -2Two-Plan Commercial 03-76182-A14-C15 352 -2Two-Plan Commercial 03-76182-A14-C14 352 -2Two-Plan Commercial 03-76182-A15a-C18 352 20Two-Plan Commercial 03-76182-A15a-C18 352 51,390Two-Plan Commercial 03-76182-A15-C16 352 -123Two-Plan Commercial 03-76182-A15-C16 352 -61Two-Plan Commercial 03-76182-A15-C16 352 -48Two-Plan Commercial 03-76182-A14a-C16 352 -44Two-Plan Commercial 03-76182-A14-C15 352 -8Two-Plan Commercial 03-76182-A14-C15 352 -7Two-Plan Commercial 03-76182-A14-C14 352 -4Two-Plan Commercial 03-76182-A15a-C18 352 6,849Two-Plan Commercial 03-76182-A15-C16 352 -6Two-Plan Commercial 03-76182-A15-C16 352 -13Two-Plan Commercial 03-76182-A15-C16 352 -3Two-Plan Commercial 03-76182-A14a-C16 352 -1Two-Plan Commercial 03-76182-A15a-C18 352 418,418Two-Plan Commercial 03-76182-A15-C16 352 -134Two-Plan Commercial 03-76182-A15-C16 352 -93Two-Plan Commercial 03-76182-A15-C16 352 -104Two-Plan Commercial 03-76182-A14a-C16 352 -118Two-Plan Commercial 03-76182-A14-C15 352 -18Two-Plan Commercial 03-76182-A14-C15 352 -16Two-Plan Commercial 03-76182-A14-C14 352 -10Two-Plan Commercial 03-76182-A15a-C18 352 962Two-Plan Commercial 03-76182-A15-C16 352 -2

$82,501.12Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation

Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation FAMILY ($857.60)Los Angeles 12/1/2003

FAMILY ($171.52)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation FAMILY

FAMILY ($1,543.68)Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation FAMILY

6/30/2012 Health Net - Los Angeles Primary Capitation FAMILY

($10,119.68)Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation

($1,372.16)

3/31/2014 Health Net - Los Angeles Primary Capitation FAMILY

$35,883,540.60Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation

($7,975.68)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation FAMILY ($8,919.04)Los Angeles 12/1/2003

Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation DISABLED ($119.25)Los Angeles 12/1/2003

FAMILY ($11,491.84)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation FAMILY

DISABLED ($1,550.25)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation DISABLED

3/31/2014 Health Net - Los Angeles Primary Capitation DISABLED

($715.50)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation

($357.75)



($1,782.20)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation DISABLED $816,743.25Los Angeles 12/1/2003

Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation DISABLED ($19,604.20)Los Angeles 12/1/2003





($21,386.40)

3/31/2014 Health Net - Los Angeles Primary Capitation BCCTP


$15,004.00Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation DISABLED $22,896,814.50Los Angeles 12/1/2003

Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation AGED ($199.80)Los Angeles 12/1/2003

AGED ($199.80)Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation AGED


6/30/2012 Health Net - Los Angeles Primary Capitation AGED


($599.40)



$811,887.30Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation AGED ($399.60)Los Angeles 12/1/2003

Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation AGED ($891.10)Los Angeles 12/1/2003


AGED ($26,287.45)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation AGED



($7,574.35)


$6,996.50Total of HCP - 360 : $7,191,177.05

Los Angeles 12/1/2003 3/31/2014$4,049,603.95

Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Primary Capitation AGED ($61,040.35)Los Angeles 12/1/2003

Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation FAMILY $14,584.64Kern 12/1/2003

Health Net - Los Angeles Primary Capitation ADULT $1,457.92

Kern 12/1/2003 3/31/2014 Health Net - Kern Healthy Families HEALTHY

FAMILY ($107.24)Kern 12/1/2003 6/30/2012 Health Net - Kern Primary Capitation FAMILY

6/30/2012 Health Net - Kern Primary Capitation FAMILY

($107.24)Kern 12/1/2003 6/30/2012 Health Net - Kern Primary Capitation

($107.24)

3/31/2014 Health Net - Kern Primary Capitation FAMILY

$3,959,193.56Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation

($321.72)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation FAMILY ($857.92)Kern 12/1/2003

Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation DISABLED ($256.16)Kern 12/1/2003

FAMILY ($1,823.08)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation FAMILY

DISABLED ($973.92)Kern 12/1/2003 6/30/2012 Health Net - Kern Primary Capitation DISABLED


($973.92)Kern 12/1/2003 6/30/2012 Health Net - Kern Primary Capitation

$100,670.88


($4,869.60)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation

($5,843.52)Kern 12/1/2003 6/30/2012 Health Net - Kern Primary Capitation DISABLED ($1,460.88)Kern 12/1/2003

DISABLED ($4,382.64)Kern 12/1/2003 3/31/2014 Health Net - Kern Primary Capitation DISABLED

of 23




Two-Plan Commercial 03-76182-A15-C16 352 -1Two-Plan Commercial 03-76182-A14-C15 352 -1Two-Plan Commercial 03-76182-A14-C14 352 -1Two-Plan Commercial 03-76182-A15a-C18 352 317

494,027Two-Plan Commercial 03-76182-A15a-C18 361 2Two-Plan Commercial 03-76182-A15a-C18 361 169Two-Plan Commercial 03-76182-A15-C16 361 -3Two-Plan Commercial 03-76182-A15-C16 361 -4Two-Plan Commercial 03-76182-A15a-C18 361 145Two-Plan Commercial 03-76182-A15-C16 361 -1Two-Plan Commercial 03-76182-A15a-C18 361 1Two-Plan Commercial 03-76182-A15a-C18 361 3,406Two-Plan Commercial 03-76182-A15-C16 361 -3Two-Plan Commercial 03-76182-A15-C16 361 -2Two-Plan Commercial 03-76182-A15-C16 361 -3Two-Plan Commercial 03-76182-A15a-C18 361 373Two-Plan Commercial 03-76182-A15-C16 361 -2Two-Plan Commercial 03-76182-A15a-C18 361 24,528Two-Plan Commercial 03-76182-A15-C16 361 -9Two-Plan Commercial 03-76182-A15-C16 361 -2Two-Plan Commercial 03-76182-A15-C16 361 -1Two-Plan Commercial 03-76182-A14-C15 361 -1Two-Plan Commercial 03-76182-A15a-C18 361 79Two-Plan Commercial 03-76182-A15a-C18 361 75

28,747Two-Plan Commercial 03-76182-A15a-C18 353 304Two-Plan Commercial 03-76182-A15-C16 353 -1Two-Plan Commercial 03-76182-A15a-C18 353 286Two-Plan Commercial 03-76182-A15a-C18 353 4Two-Plan Commercial 03-76182-A15a-C18 353 4,970Two-Plan Commercial 03-76182-A15-C16 353 -16Two-Plan Commercial 03-76182-A15-C16 353 -7Two-Plan Commercial 03-76182-A15-C16 353 -10Two-Plan Commercial 03-76182-A14a-C16 353 -5Two-Plan Commercial 03-76182-A14-C15 353 -1Two-Plan Commercial 03-76182-A14-C15 353 -1Two-Plan Commercial 03-76182-A14-C14 353 -1Two-Plan Commercial 03-76182-A15a-C18 353 532Two-Plan Commercial 03-76182-A15-C16 353 -2Two-Plan Commercial 03-76182-A15-C16 353 -1Two-Plan Commercial 03-76182-A15-C16 353 -2Two-Plan Commercial 03-76182-A14a-C16 353 -1Two-Plan Commercial 03-76182-A15a-C18 353 44,917Two-Plan Commercial 03-76182-A15-C16 353 -11Two-Plan Commercial 03-76182-A15-C16 353 -5Two-Plan Commercial 03-76182-A15-C16 353 -5Two-Plan Commercial 03-76182-A14a-C16 353 -4Two-Plan Commercial 03-76182-A14-C15 353 -1Two-Plan Commercial 03-76182-A14-C15 353 -1Two-Plan Commercial 03-76182-A14-C14 353 -1Two-Plan Commercial 03-76182-A15a-C18 353 125Two-Plan Commercial 03-76182-A15a-C18 353 95

51,157Two-Plan Commercial 06-55498-A10b-C12 355 471Two-Plan Commercial 06-55498-A10a-C10 355 -10Two-Plan Commercial 06-55498-A10a-C10 355 -1Two-Plan Commercial 06-55498-A10a-C10 355 -1Two-Plan Commercial 06-55498-A10a-C10 355 -4Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED ($1,767.44)

Riverside 8/1/2006AGED ($441.86)

Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED

3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED

($4,418.60)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($441.86)

Tulare 12/1/2003 3/31/2014 Health Net - Tulare Healthy Families HEALTHY $8,544.30Tulare 12/1/2003

Total of HCP - 353 : $6,735,409.82Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED $208,116.06

FAMILY ($89.94)Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation FAMILY

3/31/2014 Health Net - Tulare Primary Capitation FAMILY

($89.94)Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation

$11,242.50



($359.76)Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation FAMILY ($89.94)Tulare 12/1/2003

Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation FAMILY ($989.34)Tulare 12/1/2003

FAMILY ($449.70)Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation FAMILY

DISABLED ($126.47)Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation DISABLED



$4,039,834.98

3/31/2014 Health Net - Tulare Primary Capitation DISABLED


($252.94)Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation DISABLED ($126.47)Tulare 12/1/2003

Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation DISABLED ($492.85)Tulare 12/1/2003

DISABLED $67,282.04Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation DISABLED

DISABLED ($2,464.25)Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation DISABLED


($4,928.50)Tulare 12/1/2003 6/30/2012 Health Net - Tulare Primary Capitation

($492.85)


$3,044.68Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation

($7,885.60)Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation DISABLED ($3,449.95)Tulare 12/1/2003

Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation AGED $30,147.26Tulare 12/1/2003

DISABLED $2,449,464.50Tulare 12/1/2003 3/31/2014 Health Net - Tulare Primary Capitation BCCTP

Health Net - Tulare Primary Capitation AGED $149,826.40

Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Healthy Families HEALTHY

3/31/2014 Health Net - Tulare Primary Capitation AGED

$8,080.50Total of HCP - 361 : $4,499,540.83

Tulare 12/1/2003 3/31/2014($492.85)

6/30/2012 Health Net - Stanislaus Primary Capitation FAMILY

($215.48)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation

($107.74)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation FAMILY $8,511.46Stanislaus 12/1/2003

Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation FAMILY ($969.66)Stanislaus 12/1/2003

FAMILY ($107.74)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation FAMILY

DISABLED ($257.50)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation DISABLED

3/31/2014 Health Net - Stanislaus Primary Capitation FAMILY

$48,023.75Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation

$2,642,646.72

3/31/2014 Health Net - Stanislaus Primary Capitation DISABLED

$1,701,160.76Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation

($998.92)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation DISABLED ($1,498.38)Stanislaus 12/1/2003

Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation BCCTP $775.44Stanislaus 12/1/2003

DISABLED ($1,498.38)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation DISABLED

AGED $14,971.25Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation AGED

3/31/2014 Health Net - Stanislaus Primary Capitation AGED

($1,997.84)Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation

($103.25)

3/31/2014 Health Net - Stanislaus Primary Capitation AGED

Total of HCP - 352 : $64,268,548.98Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus

$84,408.74Stanislaus 12/1/2003 3/31/2014 Health Net - Stanislaus Primary Capitation AGED ($1,498.38)Stanislaus 12/1/2003

$31,675.62Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation FAMILY


($85.76)Los Angeles 12/1/2003 3/31/2014 Health Net - Los Angeles Healthy Families HEALTHY

3/31/2014 Health Net - Los Angeles Primary Capitation FAMILY ($85.76)Los Angeles 12/1/2003 6/30/2012 Health Net - Los Angeles Primary Capitation FAMILY ($85.76)Los Angeles 12/1/2003

of 23




Two-Plan Commercial 06-55498-A10-C9 355 -1Two-Plan Commercial 06-55498-A10-C9 355 -1Two-Plan Commercial 06-55498-A10-C8 355 -1Two-Plan Commercial 06-55498-A10b-C12 355 425Two-Plan Commercial 06-55498-A10b-C12 355 7Two-Plan Commercial 06-55498-A10b-C12 355 4,472Two-Plan Commercial 06-55498-A10a-C10 355 -18Two-Plan Commercial 06-55498-A10a-C10 355 -4Two-Plan Commercial 06-55498-A10a-C10 355 -2Two-Plan Commercial 06-55498-A10a-C10 355 -4Two-Plan Commercial 06-55498-A10-C9 355 -1Two-Plan Commercial 06-55498-A10-C9 355 -1Two-Plan Commercial 06-55498-A10-C8 355 -1Two-Plan Commercial 06-55498-A10b-C12 355 507Two-Plan Commercial 06-55498-A10b-C12 355 31,219Two-Plan Commercial 06-55498-A10a-C10 355 -16Two-Plan Commercial 06-55498-A10a-C10 355 -2Two-Plan Commercial 06-55498-A10a-C10 355 -2Two-Plan Commercial 06-55498-A10a-C10 355 -8Two-Plan Commercial 06-55498-A10-C9 355 -2Two-Plan Commercial 06-55498-A10-C9 355 -2Two-Plan Commercial 06-55498-A10-C8 355 -2Two-Plan Commercial 06-55498-A10b-C12 355 64Two-Plan Commercial 06-55498-A10b-C12 355 89

37,170Two-Plan Commercial 06-55498-A10b-C12 356 2Two-Plan Commercial 06-55498-A10b-C12 356 577Two-Plan Commercial 06-55498-A10a-C10 356 -9Two-Plan Commercial 06-55498-A10a-C10 356 -4Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 547Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 3Two-Plan Commercial 06-55498-A10b-C12 356 5,778Two-Plan Commercial 06-55498-A10a-C10 356 -6Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 712Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 44,980Two-Plan Commercial 06-55498-A10a-C10 356 -15Two-Plan Commercial 06-55498-A10a-C10 356 -2Two-Plan Commercial 06-55498-A10a-C10 356 -4Two-Plan Commercial 06-55498-A10-C9 356 -1Two-Plan Commercial 06-55498-A10-C9 356 -1Two-Plan Commercial 06-55498-A10-C8 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 126Two-Plan Commercial 06-55498-A10a-C10 356 -1Two-Plan Commercial 06-55498-A10b-C12 356 85

52,761928,375

Two-Plan Local Initiative 04-35399-A13a-C18 300 6Two-Plan Local Initiative 04-35399-A13a-C18 300 4,869Two-Plan Local Initiative 04-35399-A13a-C16 300 -86Two-Plan Local Initiative 04-35399-A13-C16 300 -73Two-Plan Local Initiative 04-35399-A12b-C16 300 -12Two-Plan Local Initiative 04-35399-A12b-C16 300 -3Two-Plan Local Initiative 04-35399-A12b-C16 300 -1Two-Plan Local Initiative 04-35399-A13a-C18 300 4,576Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation AGED $701,598.21

Alameda 7/1/2004AGED ($1,593.30)

Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation AGED

12/31/2012 Alameda Alliance for Health Primary Capitation AGED

($6,373.20)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation

($531.10)


$861.78Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation

($45,674.60)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation AGED ($38,770.30)Alameda 7/1/2004

Total of HCP - 356 : $7,816,089.29Total of Model Type - Two-Plan Commercial : $133,378,766.60

San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc.

AGED $2,881,003.94Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation ADULT

San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY ($106.71)San Bernardino 8/1/2006

San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY

Healthy Families HEALTHY

$13,445.46San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY ($106.71)

$10,734.35

FAMILY ($106.71)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY

3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY

($426.84)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($106.71)


($133.17)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($1,600.65)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY ($213.42)San Bernardino 8/1/2006

San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED $94,817.04San Bernardino 8/1/2006

FAMILY $4,799,815.80San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED

DISABLED ($446.15)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED

3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED

($2,676.90)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($446.15)

3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation BCCTP

$72,225.88San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

$2,302.35San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED $2,577,854.70San Bernardino 8/1/2006

San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED ($446.15)San Bernardino 8/1/2006

AGED ($132.04)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED

AGED ($4,015.35)San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED


$257,428.55San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($1,784.60)

Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Healthy Families HEALTHY $11,057.06Riverside 8/1/2006

Total of HCP - 355 : $5,702,746.62San Bernardino 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation ADULT $213.42

FAMILY ($218.18)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY


($218.18)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

$6,981.76



($872.72)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY ($218.18)Riverside 8/1/2006

Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY ($1,745.44)Riverside 8/1/2006

FAMILY ($218.18)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation FAMILY

DISABLED $69,337.32Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED



$3,405,680.71



($441.86)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED ($441.86)Riverside 8/1/2006

Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED ($1,767.44)Riverside 8/1/2006

DISABLED ($1,767.44)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation DISABLED

DISABLED $1,975,997.92Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation BCCTP


$5,150.60Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation

($7,953.48)



($441.86)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED $46,227.25Riverside 8/1/2006

AGED ($441.86)Riverside 8/1/2006 3/31/2013 Molina Healthcare of California Partner Plan, Inc. Primary Capitation AGED

of 23




Two-Plan Local Initiative 04-35399-A13a-C16 300 -9Two-Plan Local Initiative 04-35399-A13-C16 300 -10Two-Plan Local Initiative 04-35399-A12b-C16 300 -2Two-Plan Local Initiative 04-35399-A12b-C16 300 -1Two-Plan Local Initiative 04-35399-A12b-C16 300 -1Two-Plan Local Initiative 04-35399-A13a-C18 300 25Two-Plan Local Initiative 04-35399-A13a-C16 300 -1Two-Plan Local Initiative 04-35399-A13a-C18 300 4Two-Plan Local Initiative 04-35399-A13a-C18 300 17,404Two-Plan Local Initiative 04-35399-A13a-C16 300 -137Two-Plan Local Initiative 04-35399-A13-C16 300 -49Two-Plan Local Initiative 04-35399-A12b-C16 300 -6Two-Plan Local Initiative 04-35399-A12b-C16 300 -4Two-Plan Local Initiative 04-35399-A12b-C16 300 -2Two-Plan Local Initiative 04-35399-A13a-C18 300 4,678Two-Plan Local Initiative 04-35399-A13a-C16 300 -10Two-Plan Local Initiative 04-35399-A13-C16 300 -7Two-Plan Local Initiative 04-35399-A12b-C16 300 -1Two-Plan Local Initiative 04-35399-A13a-C18 300 96,287Two-Plan Local Initiative 04-35399-A13a-C16 300 -40Two-Plan Local Initiative 04-35399-A13-C16 300 -29Two-Plan Local Initiative 04-35399-A12b-C16 300 -9Two-Plan Local Initiative 04-35399-A12b-C16 300 -4Two-Plan Local Initiative 04-35399-A12b-C16 300 -7Two-Plan Local Initiative 04-35399-A12b-C16 300 -9Two-Plan Local Initiative 04-35399-Aa11a-C13 300 -5Two-Plan Local Initiative 04-35399-A11-C13 300 -5Two-Plan Local Initiative 04-35399-A11-C12 300 -4Two-Plan Local Initiative 04-35399-A13a-C18 300 449Two-Plan Local Initiative 04-35399-A13a-C16 300 -1Two-Plan Local Initiative 04-35399-A13-C16 300 -1Two-Plan Local Initiative 04-35399-A13a-C18 300 217Two-Plan Local Initiative 04-35399-A12b-C16 300 -1

127,985Two-Plan Local Initiative 04-35797-A12a-C11 310 5Two-Plan Local Initiative 04-35797-A12a-C11 310 398Two-Plan Local Initiative 04-35797-A12a-C11 310 -5Two-Plan Local Initiative 04-35797-A12a-C11 310 -2Two-Plan Local Initiative 04-35797-A12a-C11 310 -2Two-Plan Local Initiative 04-35797-A12a-C11 310 486Two-Plan Local Initiative 04-35797-A12a-C11 310 10Two-Plan Local Initiative 04-35797-A12a-C11 310 6,348Two-Plan Local Initiative 04-35797-A12a-C11 310 -6Two-Plan Local Initiative 04-35797-A12a-C11 310 -8Two-Plan Local Initiative 04-35797-A12a-C11 310 -5Two-Plan Local Initiative 04-35797-A12a-C11 310 1,249Two-Plan Local Initiative 04-35797-A12a-C11 310 -3Two-Plan Local Initiative 04-35797-A12a-C11 310 -2Two-Plan Local Initiative 04-35797-A12a-C11 310 47,339Two-Plan Local Initiative 04-35797-A12a-C11 310 234Two-Plan Local Initiative 04-35797-A12a-C11 310 95

56,131Two-Plan Local Initiative 04-36068-A12-C11 311 4Two-Plan Local Initiative 04-36068-A12-C11 311 273Two-Plan Local Initiative 04-36068-A11a-C11 311 -6Two-Plan Local Initiative 04-36068-A12-C11 311 551Two-Plan Local Initiative 04-36068-A11a-C11 311 -3Two-Plan Local Initiative 04-36068-A12-C11 311 2Two-Plan Local Initiative 04-36068-A12-C11 311 4,790DISABLED $2,763,590.50

Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation BCCTP $1,562.32Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation

12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation AGED

$157,507.35Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation

$58,720.07Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation AGED ($319.71)Tulare 7/1/2008

Total of HCP - 310 : $9,179,271.69Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation ADULT $369.88

AGED ($3,461.70)Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation AGED

12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation FAMILY

($241.82)Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation

$25,835.94Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Healthy Families HEALTHY $10,488.95Stanislaus 7/1/2008

Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED ($362.73)Stanislaus 7/1/2008

FAMILY $5,226,698.99Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED

DISABLED ($2,753.70)Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED

12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED

($4,405.92)Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation

$151,016.59

12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED

$57,372.30Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation

$3,496,097.52Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation DISABLED ($3,304.44)Stanislaus 7/1/2008

Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation AGED ($1,101.48)Stanislaus 7/1/2008

BCCTP $8,040.10Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation AGED

Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation ADULT $552.05

AGED ($2,753.70)Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation AGED

12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation AGED

$219,194.52Stanislaus 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Stanislaus Primary Capitation

($1,101.48)

Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Healthy Families HEALTHY $33,623.36Alameda 7/1/2004

Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Healthy Families HEALTHY ($124.37)Total of HCP - 300 : $29,344,147.17

FAMILY ($124.37)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation FAMILY

12/31/2013 Alameda Alliance for Health Primary Capitation FAMILY

$69,266.35Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation

($124.37)



($621.85)Alameda 7/1/2004 12/31/2011 Alameda Alliance for Health Primary Capitation FAMILY ($497.48)Alameda 7/1/2004

Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation FAMILY ($870.59)Alameda 7/1/2004

FAMILY ($621.85)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation FAMILY

FAMILY ($1,119.33)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation FAMILY



($497.48)


($977.27)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation

$14,655,474.31Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation FAMILY ($4,974.80)Alameda 7/1/2004

Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation DISABLED ($1,396.10)Alameda 7/1/2004

DISABLED ($139.61)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation DISABLED

DISABLED ($1,062.20)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation DISABLED

12/31/2013 Alameda Alliance for Health Primary Capitation DISABLED


$758,256.51

12/31/2013 Alameda Alliance for Health Primary Capitation DISABLED

$10,436,789.60Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation

($26,023.90)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation DISABLED ($3,186.60)Alameda 7/1/2004

Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation BCCTP $3,230.84Alameda 7/1/2004

DISABLED ($72,760.70)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation DISABLED

BCCTP $22,854.94Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation AGED

12/31/2013 Alameda Alliance for Health Primary Capitation BCCTP

($134.31)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation

($807.71)



($268.62)Alameda 7/1/2004 12/31/2012 Alameda Alliance for Health Primary Capitation AGED ($134.31)Alameda 7/1/2004

AGED ($1,343.10)Alameda 7/1/2004 12/31/2013 Alameda Alliance for Health Primary Capitation AGED

of 23




Two-Plan Local Initiative 04-36068-A11a-C11 311 -43Two-Plan Local Initiative 04-36068-A12-C11 311 1,127Two-Plan Local Initiative 04-36068-A11a-C11 311 -2Two-Plan Local Initiative 04-36068-A12-C11 311 61,680Two-Plan Local Initiative 04-36068-A11a-C11 311 -22Two-Plan Local Initiative 04-36068-A11a-C11 311 -1Two-Plan Local Initiative 04-36068-A11a-C11 311 -2Two-Plan Local Initiative 04-36068-A10-C10 311 -1Two-Plan Local Initiative 04-36068-A12-C11 311 209Two-Plan Local Initiative 04-36068-A11a-C11 311 -1Two-Plan Local Initiative 04-36068-A12-C11 311 106

68,661Two-Plan Local Initiative 10-87050-A1a-C1 315 15Two-Plan Local Initiative 10-87050-A1a-C1 315 978Two-Plan Local Initiative 10-87050-A1a-C1 315 -2Two-Plan Local Initiative 10-87050-A1a-C1 315 1,074Two-Plan Local Initiative 10-87050-A1a-C1 315 14Two-Plan Local Initiative 10-87050-A1a-C1 315 14,154Two-Plan Local Initiative 10-87050-A1a-C1 315 -13Two-Plan Local Initiative 10-87050-A1a-C1 315 -6Two-Plan Local Initiative 10-87050-A1 315 -2Two-Plan Local Initiative 10-87050-A1 315 -2Two-Plan Local Initiative 10-87050-A1a-C1 315 2,204Two-Plan Local Initiative 10-87050-A1a-C1 315 140,637Two-Plan Local Initiative 10-87050-A1a-C1 315 -15Two-Plan Local Initiative 10-87050-A1a-C1 315 -13Two-Plan Local Initiative 10-87050-A1 315 -6Two-Plan Local Initiative 10-87050-A1 315 -1Two-Plan Local Initiative 10-87050-A1a-C1 315 271Two-Plan Local Initiative 10-87050-A1a-C1 315 268Two-Plan Local Initiative 10-87050-A1 315 -1

159,554Two-Plan Local Initiative 10-87050-A1a-C1 316 3Two-Plan Local Initiative 10-87050-A1a-C1 316 77Two-Plan Local Initiative 10-87050-A1a-C1 316 80Two-Plan Local Initiative 10-87050-A1a-C1 316 1,245Two-Plan Local Initiative 10-87050-A1a-C1 316 149Two-Plan Local Initiative 10-87050-A1a-C1 316 12,137Two-Plan Local Initiative 10-87050-A1a-C1 316 45Two-Plan Local Initiative 10-87050-A1a-C1 316 19

13,755Two-Plan Local Initiative 10-87050-A1a-C1 317 3Two-Plan Local Initiative 10-87050-A1a-C1 317 77Two-Plan Local Initiative 10-87050-A1a-C1 317 121Two-Plan Local Initiative 10-87050-A1a-C1 317 3Two-Plan Local Initiative 10-87050-A1a-C1 317 1,299Two-Plan Local Initiative 10-87050-A1a-C1 317 161Two-Plan Local Initiative 10-87050-A1a-C1 317 17,377Two-Plan Local Initiative 10-87050-A1a-C1 317 61Two-Plan Local Initiative 10-87050-A1a-C1 317 27

19,129Two-Plan Local Initiative 04-36067-A10a-C14 301 2,299Two-Plan Local Initiative 04-36067-A11-C13 301 -31Two-Plan Local Initiative 04-36067-A10a-C13 301 -11Two-Plan Local Initiative 04-36067-A10a-C13 301 -3Two-Plan Local Initiative 04-36067-A10a-C13 301 -1Two-Plan Local Initiative 04-36067-A10a-C14 301 1,338Two-Plan Local Initiative 04-36067-A11-C13 301 -2Two-Plan Local Initiative 04-36067-A10a-C14 301 14 $10,760.40

Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation AGED ($261.18)Contra Costa 7/1/2008

Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation BCCTP

AGED ($508.81)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation AGED

12/31/2013 Contra Costa Health Plan Primary Capitation AGED

($1,526.43)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation

$174,729.42

12/31/2013 Contra Costa Health Plan Primary Capitation AGED

Total of HCP - 317 : $2,444,815.53Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan

($15,773.11)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation AGED ($5,596.91)Contra Costa 7/1/2008

Madera 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY $1,686,785.39Madera 3/1/2011

$2,620.89Madera 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY

Primary Capitation AGED $1,169,754.19

$5,921.27Madera 3/1/2011 2/29/2016 CalViva Health Healthy Families HEALTHY

DISABLED $673,180.77Madera 3/1/2011 2/29/2016 CalViva Health Primary Capitation BCCTP

2/29/2016 CalViva Health Primary Capitation DISABLED

$2,358.51Madera 3/1/2011 2/29/2016 CalViva Health Primary Capitation

$19,859.35

2/29/2016 CalViva Health Primary Capitation AGED

$1,919.76Total of HCP - 316 : $1,917,152.28

Madera 3/1/2011 2/29/2016$39,903.71

Madera 3/1/2011 2/29/2016 CalViva Health Primary Capitation AGED $13,894.43Madera 3/1/2011

Kings 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY $4,546.80Kings 3/1/2011

CalViva Health Primary Capitation ADULT $291.21

Kings 3/1/2011 2/29/2016 CalViva Health Healthy Families HEALTHY

DISABLED $19,709.72Kings 3/1/2011 2/29/2016 CalViva Health Primary Capitation DISABLED

2/29/2016 CalViva Health Primary Capitation FAMILY

$617,022.00Kings 3/1/2011 2/29/2016 CalViva Health Primary Capitation

$1,226,322.48


Total of HCP - 315 : $25,699,656.68Kings 3/1/2011 2/29/2016 CalViva Health

$38,161.20Kings 3/1/2011 2/29/2016 CalViva Health Primary Capitation AGED $9,167.20Kings 3/1/2011

($121.93)Fresno 3/1/2011 2/29/2016 CalViva Health Healthy Families HEALTHY


$32,677.24Fresno 3/1/2011 2/29/2016 CalViva Health Healthy Families HEALTHY


($1,585.09)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation

($121.93)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY $33,043.03Fresno 3/1/2011

Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY ($1,828.95)Fresno 3/1/2011

FAMILY ($731.58)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation FAMILY

DISABLED $282,685.04Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation DISABLED


($1,069.46)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation

$17,147,869.41

2/29/2016 CalViva Health Primary Capitation DISABLED

$7,568,568.42Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation

($3,208.38)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation DISABLED ($1,069.46)Fresno 3/1/2011

Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation BCCTP $10,248.56Fresno 3/1/2011

DISABLED ($6,951.49)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation DISABLED

Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation ADULT $1,828.95

AGED ($1,069.46)Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation AGED


$522,965.94Fresno 3/1/2011 2/29/2016 CalViva Health Primary Capitation

$117,527.82

Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation FAMILY ($92.47)Tulare 7/1/2008

Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Healthy Families HEALTHY $9,801.82Total of HCP - 311 : $8,820,287.07

FAMILY ($92.47)Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation FAMILY

12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation FAMILY

($184.94)Tulare 7/1/2008 12/31/2011 Blue Cross Partnership, Inc. Tulare Primary Capitation

$19,326.23

12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation FAMILY

($243.46)Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation

($2,034.34)Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation FAMILY ($92.47)Tulare 7/1/2008

Tulare 7/1/2008 12/31/2013 Blue Cross Partnership, Inc. Tulare Primary Capitation DISABLED $137,189.71Tulare 7/1/2008

FAMILY $5,703,549.60Tulare 7/1/2008 12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation DISABLED

12/31/2012 Blue Cross Partnership, Inc. Tulare Primary Capitation DISABLED ($24,808.85)

of 23




Two-Plan Local Initiative 04-36067-A10a-C14 301 11,050Two-Plan Local Initiative 04-36067-A11-C13 301 -32Two-Plan Local Initiative 04-36067-A10a-C13 301 -2Two-Plan Local Initiative 04-36067-A10a-C14 301 2,235Two-Plan Local Initiative 04-36067-A11-C13 301 -1Two-Plan Local Initiative 04-36067-A10a-C14 301 59,979Two-Plan Local Initiative 04-36067-A11-C13 301 -18Two-Plan Local Initiative 04-36067-A10a-C13 301 -10Two-Plan Local Initiative 04-36067-A10a-C13 301 -2Two-Plan Local Initiative 04-36067-A10a-C13 301 -1Two-Plan Local Initiative 04-36067-A09-C11 301 -3Two-Plan Local Initiative 04-36067-A10a-C14 301 330Two-Plan Local Initiative 04-36067-A10a-C14 301 163

77,291Two-Plan Local Initiative 04-35401-A12a-C14 308 19Two-Plan Local Initiative 04-35401-A12a-C14 308 987Two-Plan Local Initiative 04-35401-A12-C13 308 -26Two-Plan Local Initiative 04-35401-A11a-C13 308 -5Two-Plan Local Initiative 04-35401-A11a-C13 308 -2Two-Plan Local Initiative 04-35401-A11a-C13 308 -1Two-Plan Local Initiative 04-35401-A12a-C14 308 952Two-Plan Local Initiative 04-35401-A12a-C14 308 34Two-Plan Local Initiative 04-35401-A12a-C14 308 2Two-Plan Local Initiative 04-35401-A12a-C14 308 11,944Two-Plan Local Initiative 04-35401-A12-C13 308 -33Two-Plan Local Initiative 04-35401-A11a-C13 308 -10Two-Plan Local Initiative 04-35401-A11a-C13 308 -5Two-Plan Local Initiative 04-35401-A11a-C13 308 -4Two-Plan Local Initiative 04-35401-Aa09b-C12 308 -1Two-Plan Local Initiative 04-35401-A10-C12 308 -1Two-Plan Local Initiative 04-35401-A9a-C11 308 -1Two-Plan Local Initiative 04-35401-A12a-C14 308 2,050Two-Plan Local Initiative 04-35401-A12-C13 308 -3Two-Plan Local Initiative 04-35401-A12a-C14 308 85,472Two-Plan Local Initiative 04-35401-A12-C13 308 -42Two-Plan Local Initiative 04-35401-A11a-C13 308 -11Two-Plan Local Initiative 04-35401-A11a-C13 308 -8Two-Plan Local Initiative 04-35401-A11a-C13 308 -9Two-Plan Local Initiative 04-35401-Aa09b-C12 308 -2Two-Plan Local Initiative 04-35401-A10-C12 308 -2Two-Plan Local Initiative 04-35401-A9a-C11 308 -1Two-Plan Local Initiative 04-35401-A12a-C14 308 429Two-Plan Local Initiative 04-35401-A12a-C14 308 169

101,891Two-Plan Local Initiative 04-35765-A12a-C14 305 9Two-Plan Local Initiative 04-35765-A12a-C14 305 1,849Two-Plan Local Initiative 04-35765-A12-C13 305 -58Two-Plan Local Initiative 04-35765-A11a-C13 305 -12Two-Plan Local Initiative 04-35765-A11a-C13 305 -4Two-Plan Local Initiative 04-35765-A11a-C13 305 -3Two-Plan Local Initiative 04-35765-A10-C12 305 -1Two-Plan Local Initiative 04-35765-A10-C11 305 -1Two-Plan Local Initiative 04-35765-A9a-C11 305 -1Two-Plan Local Initiative 04-35765-A12a-C14 305 2,113Two-Plan Local Initiative 04-35765-A12-C13 305 -4Two-Plan Local Initiative 04-35765-A12a-C14 305 41Two-Plan Local Initiative 04-35765-A12a-C14 305 1Two-Plan Local Initiative 04-35765-A12a-C14 305 23,172Two-Plan Local Initiative 04-35765-A12-C13 305 -52Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation DISABLED ($25,159.16)

Riverside 7/1/2008BCCTP $745.17

Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation BCCTP

12/31/2013 Inland Empire Health Plan Riverside Primary Capitation DISABLED

$30,551.97Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation

$11,211,344.31

12/31/2013 Inland Empire Health Plan Riverside Primary Capitation AGED

($483.83)Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation

$215,779.56Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation AGED ($408.48)Riverside 7/1/2008

Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation AGED ($483.83)Riverside 7/1/2008

AGED ($483.83)Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation AGED

AGED ($1,935.32)Riverside 7/1/2008 12/31/2012 Inland Empire Health Plan Riverside Primary Capitation AGED


($5,805.96)Riverside 7/1/2008 12/31/2012 Inland Empire Health Plan Riverside Primary Capitation

($1,451.49)


Total of HCP - 308 : $15,378,695.79Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside

$894,601.67Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation AGED ($28,062.14)Riverside 7/1/2008

$20,028.39San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation FAMILY


$46,422.09San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Healthy Families HEALTHY

12/31/2011 Health Plan of San Joaquin Primary Capitation FAMILY

($973.89)San Joaquin 7/1/2008 12/31/2011 Health Plan of San Joaquin Primary Capitation

($216.42)San Joaquin 7/1/2008 12/31/2011 Health Plan of San Joaquin Primary Capitation FAMILY ($108.21)San Joaquin 7/1/2008

San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation FAMILY ($865.68)San Joaquin 7/1/2008

FAMILY ($216.42)San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation FAMILY

FAMILY ($4,544.82)San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation FAMILY

12/31/2012 Health Plan of San Joaquin Primary Capitation FAMILY

$9,248,925.12San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation

($1,190.31)

12/31/2013 Health Plan of San Joaquin Primary Capitation DISABLED

($438.34)San Joaquin 7/1/2008 12/31/2011 Health Plan of San Joaquin Primary Capitation

$291,120.50San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation DISABLED ($426.03)San Joaquin 7/1/2008

San Joaquin 7/1/2008 12/31/2011 Health Plan of San Joaquin Primary Capitation DISABLED ($438.34)San Joaquin 7/1/2008

DISABLED ($438.34)San Joaquin 7/1/2008 12/31/2011 Health Plan of San Joaquin Primary Capitation DISABLED

DISABLED ($2,191.70)San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation DISABLED


($4,383.40)San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation

($1,753.36)


$27,155.12San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation

$5,235,532.96San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation DISABLED ($14,465.22)San Joaquin 7/1/2008

San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation AGED $120,770.72San Joaquin 7/1/2008

BCCTP $1,597.36San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation BCCTP

AGED ($876.68)San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation AGED

12/31/2012 Health Plan of San Joaquin Primary Capitation AGED

($2,191.70)San Joaquin 7/1/2008 12/31/2012 Health Plan of San Joaquin Primary Capitation

($438.34)

12/31/2013 Health Plan of San Joaquin Primary Capitation AGED

Total of HCP - 301 : $15,149,260.51San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin

$432,641.58San Joaquin 7/1/2008 12/31/2013 Health Plan of San Joaquin Primary Capitation AGED ($11,396.84)San Joaquin 7/1/2008

$24,541.09Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation FAMILY


$42,942.90Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Healthy Families HEALTHY

12/31/2012 Contra Costa Health Plan Primary Capitation FAMILY

($1,301.30)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation

($130.13)Contra Costa 7/1/2008 12/31/2011 Contra Costa Health Plan Primary Capitation FAMILY ($390.39)Contra Costa 7/1/2008

Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation FAMILY ($2,342.34)Contra Costa 7/1/2008

FAMILY ($260.26)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation FAMILY

DISABLED ($154.21)Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation DISABLED

12/31/2013 Contra Costa Health Plan Primary Capitation FAMILY

$344,659.35Contra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation

$7,805,067.27

12/31/2013 Contra Costa Health Plan Primary Capitation DISABLEDContra Costa 7/1/2008 12/31/2013 Contra Costa Health Plan Primary Capitation

($16,281.92)Contra Costa 7/1/2008 12/31/2012 Contra Costa Health Plan Primary Capitation DISABLED ($1,017.62)Contra Costa 7/1/2008

DISABLED $5,622,350.50

of 23




Two-Plan Local Initiative 04-35765-A11a-C13 305 -15Two-Plan Local Initiative 04-35765-A11a-C13 305 -7Two-Plan Local Initiative 04-35765-A11a-C13 305 -2Two-Plan Local Initiative 04-35765-A12a-C14 305 3,969Two-Plan Local Initiative 04-35765-A12-C13 305 -9Two-Plan Local Initiative 04-35765-A11a-C13 305 -1Two-Plan Local Initiative 04-35765-A11a-C13 305 -1Two-Plan Local Initiative 04-35765-A10-C12 305 -1Two-Plan Local Initiative 04-35765-A10-C11 305 -1Two-Plan Local Initiative 04-35765-A9a-C11 305 -2Two-Plan Local Initiative 04-35765-A12a-C14 305 204,196Two-Plan Local Initiative 04-35765-A12-C13 305 -43Two-Plan Local Initiative 04-35765-A11a-C13 305 -3Two-Plan Local Initiative 04-35765-A11a-C13 305 -2Two-Plan Local Initiative 04-35765-A11a-C13 305 -8Two-Plan Local Initiative 04-35765-A10-C12 305 -10Two-Plan Local Initiative 04-35765-A10-C11 305 -9Two-Plan Local Initiative 04-35765-A9a-C11 305 -9Two-Plan Local Initiative 04-35765-A12a-C14 305 634Two-Plan Local Initiative 04-35765-A12a-C14 305 487

236,212Two-Plan Local Initiative 04-35765-A12a-C14 306 20Two-Plan Local Initiative 04-35765-A12a-C14 306 1,972Two-Plan Local Initiative 04-35765-A12-C13 306 -37Two-Plan Local Initiative 04-35765-A11a-C13 306 -8Two-Plan Local Initiative 04-35765-A11a-C13 306 -4Two-Plan Local Initiative 04-35765-A11a-C13 306 -3Two-Plan Local Initiative 04-35765-A12a-C14 306 2,197Two-Plan Local Initiative 04-35765-A12-C13 306 -2Two-Plan Local Initiative 04-35765-A11a-C13 306 -2Two-Plan Local Initiative 04-35765-A12a-C14 306 29Two-Plan Local Initiative 04-35765-A12a-C14 306 27,045Two-Plan Local Initiative 04-35765-A12-C13 306 -43Two-Plan Local Initiative 04-35765-A11a-C13 306 -12Two-Plan Local Initiative 04-35765-A11a-C13 306 -8Two-Plan Local Initiative 04-35765-A11a-C13 306 -6Two-Plan Local Initiative 04-35765-A10-C12 306 -1Two-Plan Local Initiative 04-35765-A10-C11 306 -1Two-Plan Local Initiative 04-35765-A9a-C11 306 -2Two-Plan Local Initiative 04-35765-A12a-C14 306 4,318Two-Plan Local Initiative 04-35765-A12-C13 306 -9Two-Plan Local Initiative 04-35765-A12a-C14 306 235,351Two-Plan Local Initiative 04-35765-A12-C13 306 -77Two-Plan Local Initiative 04-35765-A11a-C13 306 -30Two-Plan Local Initiative 04-35765-A11a-C13 306 -24Two-Plan Local Initiative 04-35765-A11a-C13 306 -22Two-Plan Local Initiative 04-35765-A10-C12 306 -9Two-Plan Local Initiative 04-35765-A10-C11 306 -8Two-Plan Local Initiative 04-35765-A9a-C11 306 -6Two-Plan Local Initiative 04-35765-A12a-C14 306 623Two-Plan Local Initiative 04-35765-A12a-C14 306 571

271,812Two-Plan Local Initiative 03-76165-A13a-C15 303 18Two-Plan Local Initiative 03-76165-A13a-C15 303 601Two-Plan Local Initiative 03-76165-A13-C14 303 -13Two-Plan Local Initiative 03-76165-A12a-C14 303 -6Two-Plan Local Initiative 03-76165-A12a-C14 303 -4Two-Plan Local Initiative 03-76165-A12a-C14 303 -3Two-Plan Local Initiative 03-76165-Aa10b-C13 303 -1

12/31/2012 Kern Family Health Care Primary Capitation AGED

($2,777.34)Kern 7/1/2008 12/31/2012 Kern Family Health Care Primary Capitation

($1,388.67)Kern 7/1/2008 12/31/2011 Kern Family Health Care Primary Capitation AGED ($462.89)Kern 7/1/2008

Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation AGED ($6,017.57)Kern 7/1/2008

AGED ($1,851.56)Kern 7/1/2008 12/31/2012 Kern Family Health Care Primary Capitation AGED

Kern Family Health Care Primary Capitation ADULT $1,696.32

San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Healthy Families HEALTHY


$67,759.23Total of HCP - 306 : $39,981,153.61

Kern 7/1/2008 12/31/2013$278,196.89

12/31/2011 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY

($963.45)San Bernardino 7/1/2008 12/31/2011 Inland Empire Health Plan San Bernardino Primary Capitation

($642.30)San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY $66,692.15San Bernardino 7/1/2008

San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY ($2,355.10)San Bernardino 7/1/2008

FAMILY ($856.40)San Bernardino 7/1/2008 12/31/2011 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY

FAMILY ($3,211.50)San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY

12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY

($8,242.85)San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation

($2,569.20)

12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation DISABLED

($955.48)San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation

($1,248.66)San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation FAMILY $25,194,348.79San Bernardino 7/1/2008

San Bernardino 7/1/2008 12/31/2011 Inland Empire Health Plan San Bernardino Primary Capitation DISABLED ($477.74)San Bernardino 7/1/2008

DISABLED $599,079.32San Bernardino 7/1/2008 12/31/2011 Inland Empire Health Plan San Bernardino Primary Capitation DISABLED

DISABLED ($2,866.44)San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation DISABLED



($477.74)


$21,667.93San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation

($20,542.82)San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation DISABLED ($5,732.88)San Bernardino 7/1/2008

San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation AGED ($224.98)San Bernardino 7/1/2008

DISABLED $12,920,478.30San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation BCCTP

AGED $247,140.53San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation AGED

12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation AGED


($224.98)

12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation AGED

$942,103.28San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation

($3,821.92)San Bernardino 7/1/2008 12/31/2012 Inland Empire Health Plan San Bernardino Primary Capitation AGED ($1,910.96)San Bernardino 7/1/2008

Total of HCP - 305 : $34,457,885.97San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation ADULT $2,141.00

AGED ($17,676.38)San Bernardino 7/1/2008 12/31/2013 Inland Empire Health Plan San Bernardino Primary Capitation AGED

12/31/2013 Inland Empire Health Plan Riverside Primary Capitation FAMILY


$66,867.98Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Healthy Families HEALTHY $58,281.85Riverside 7/1/2008

Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation FAMILY ($1,054.70)Riverside 7/1/2008

FAMILY ($949.23)Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation FAMILY

FAMILY ($210.94)Riverside 7/1/2008 12/31/2012 Inland Empire Health Plan Riverside Primary Capitation FAMILY



($843.76)



$21,536,560.09Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation FAMILY ($4,535.21)Riverside 7/1/2008

Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation DISABLED ($133.27)Riverside 7/1/2008

DISABLED ($266.54)Riverside 7/1/2008 12/31/2011 Inland Empire Health Plan Riverside Primary Capitation DISABLED

DISABLED ($133.27)Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation DISABLED



($133.27)



($967.66)Riverside 7/1/2008 12/31/2013 Inland Empire Health Plan Riverside Primary Capitation DISABLED $528,948.63Riverside 7/1/2008

DISABLED ($3,386.81)Riverside 7/1/2008 12/31/2012 Inland Empire Health Plan Riverside Primary Capitation DISABLED

of 23




Two-Plan Local Initiative 03-76165-A11-C13 303 -1Two-Plan Local Initiative 03-76165-A13a-C15 303 721Two-Plan Local Initiative 03-76165-A13-C14 303 -1Two-Plan Local Initiative 03-76165-A13a-C15 303 13Two-Plan Local Initiative 03-76165-A13a-C15 303 11,084Two-Plan Local Initiative 03-76165-A13-C14 303 -43Two-Plan Local Initiative 03-76165-A12a-C14 303 -13Two-Plan Local Initiative 03-76165-A12a-C14 303 -8Two-Plan Local Initiative 03-76165-A12a-C14 303 -6Two-Plan Local Initiative 03-76165-Aa10b-C13 303 -3Two-Plan Local Initiative 03-76165-A11-C13 303 -4Two-Plan Local Initiative 03-76165-A10a-C12 303 -1Two-Plan Local Initiative 03-76165-A13a-C15 303 1,876Two-Plan Local Initiative 03-76165-A13-C14 303 -3Two-Plan Local Initiative 03-76165-A12a-C14 303 -1Two-Plan Local Initiative 03-76165-A13a-C15 303 100,911Two-Plan Local Initiative 03-76165-A13-C14 303 -60Two-Plan Local Initiative 03-76165-A12a-C14 303 -15Two-Plan Local Initiative 03-76165-A12a-C14 303 -6Two-Plan Local Initiative 03-76165-A12a-C14 303 -6Two-Plan Local Initiative 03-76165-Aa10b-C13 303 -3Two-Plan Local Initiative 03-76165-A11-C13 303 -3Two-Plan Local Initiative 03-76165-A10a-C12 303 -3Two-Plan Local Initiative 03-76165-A13a-C15 303 378Two-Plan Local Initiative 03-76165-A13a-C15 303 144

115,539Two-Plan Local Initiative 04-36069-A10a-C14 304 55Two-Plan Local Initiative 04-36069-A10a-C14 304 19,331Two-Plan Local Initiative 04-36069-A10-C13 304 -437Two-Plan Local Initiative 04-36069-A9a-C13 304 -83Two-Plan Local Initiative 04-36069-A9a-C13 304 -25Two-Plan Local Initiative 04-36069-A9a-C13 304 -11Two-Plan Local Initiative 04-36069-A8-C12 304 -5Two-Plan Local Initiative 04-36069-A7a-C11 304 -2Two-Plan Local Initiative 04-36069-A10a-C14 304 16,075Two-Plan Local Initiative 04-36069-A10-C13 304 -23Two-Plan Local Initiative 04-36069-A9a-C13 304 -6Two-Plan Local Initiative 04-36069-A9a-C13 304 -3Two-Plan Local Initiative 04-36069-A9a-C13 304 -1Two-Plan Local Initiative 04-36069-A10a-C14 304 97Two-Plan Local Initiative 04-36069-A10a-C14 304 3Two-Plan Local Initiative 04-36069-A10a-C14 304 113,037Two-Plan Local Initiative 04-36069-A10-C13 304 -364Two-Plan Local Initiative 04-36069-A9a-C13 304 -77Two-Plan Local Initiative 04-36069-A9a-C13 304 -31Two-Plan Local Initiative 04-36069-A9a-C13 304 -22Two-Plan Local Initiative 04-36069-A8-C12 304 -15Two-Plan Local Initiative 04-36069-A7a-C11 304 -6Two-Plan Local Initiative 04-36069-A10a-C14 304 15,365Two-Plan Local Initiative 04-36069-A10-C13 304 -34Two-Plan Local Initiative 04-36069-A9a-C13 304 -2Two-Plan Local Initiative 04-36069-A10a-C14 304 835,643Two-Plan Local Initiative 04-36069-A10-C13 304 -233Two-Plan Local Initiative 04-36069-A9a-C13 304 -69Two-Plan Local Initiative 04-36069-A9a-C13 304 -65Two-Plan Local Initiative 04-36069-A9a-C13 304 -55Two-Plan Local Initiative 04-36069-A8-C12 304 -47Two-Plan Local Initiative 04-36069-A7a-C11 304 -22Two-Plan Local Initiative 04-36069-A10a-C14 304 2,188Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation FAMILY $223,460.44

Los Angeles 7/1/2008FAMILY ($4,800.11)

Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation FAMILY

12/31/2011 LA Care Health Plan Primary Capitation FAMILY

($5,617.15)Los Angeles 7/1/2008 12/31/2011 LA Care Health Plan Primary Capitation

($2,246.86)

12/31/2012 LA Care Health Plan Primary Capitation FAMILY

$85,344,257.94Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation

($7,046.97)Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation FAMILY ($6,638.45)Los Angeles 7/1/2008

Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation DISABLED ($242.36)Los Angeles 7/1/2008

FAMILY ($23,796.29)Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation FAMILY

DISABLED $1,861,930.70Los Angeles 7/1/2008 12/31/2011 LA Care Health Plan Primary Capitation DISABLED

12/31/2013 LA Care Health Plan Primary Capitation DISABLED


($4,120.12)



($10,279.94)Los Angeles 7/1/2008 12/31/2011 LA Care Health Plan Primary Capitation DISABLED ($7,009.05)Los Angeles 7/1/2008

Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation DISABLED ($170,086.28)Los Angeles 7/1/2008

DISABLED ($14,485.37)Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation DISABLED

BCCTP $2,471.52Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation BCCTP


$79,912.48Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation

$52,818,798.99

12/31/2012 LA Care Health Plan Primary Capitation AGED


($348.84)Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation AGED ($116.28)Los Angeles 7/1/2008

Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation AGED $1,869,201.00Los Angeles 7/1/2008

AGED ($697.68)Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation AGED

AGED ($2,336.35)Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation AGED



($934.54)


$9,032,796.37Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation

($38,783.41)Los Angeles 7/1/2008 12/31/2012 LA Care Health Plan Primary Capitation AGED ($11,681.75)Los Angeles 7/1/2008

Kern 7/1/2008 12/31/2013 Kern Family Health Care Healthy Families HEALTHY $16,266.11Total of HCP - 303 : $15,269,116.29

Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation ADULT $5,617.15

AGED ($204,196.99)Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation AGED

12/31/2011 Kern Family Health Care Primary Capitation FAMILY

($282.72)Kern 7/1/2008 12/31/2011 Kern Family Health Care Primary Capitation

($282.72)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation FAMILY $35,622.72Kern 7/1/2008

Kern 7/1/2008 12/31/2012 Kern Family Health Care Primary Capitation FAMILY ($565.44)Kern 7/1/2008

FAMILY ($282.72)Kern 7/1/2008 12/31/2011 Kern Family Health Care Primary Capitation FAMILY

FAMILY ($1,413.60)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation FAMILY

12/31/2012 Kern Family Health Care Primary Capitation FAMILY


($565.44)

12/31/2012 Kern Family Health Care Primary Capitation DISABLED

$253,072.40Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation

($134.90)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation FAMILY $9,509,852.64Kern 7/1/2008

Kern 7/1/2008 12/31/2011 Kern Family Health Care Primary Capitation DISABLED ($462.89)Kern 7/1/2008

DISABLED ($404.70)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation DISABLED

DISABLED ($1,388.67)Kern 7/1/2008 12/31/2012 Kern Family Health Care Primary Capitation DISABLED



($1,851.56)


$5,130,672.76Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation

($6,017.57)Kern 7/1/2008 12/31/2012 Kern Family Health Care Primary Capitation DISABLED ($3,703.12)Kern 7/1/2008

Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation BCCTP $9,725.43Kern 7/1/2008

DISABLED ($19,904.27)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation DISABLED

AGED $92,792.70Kern 7/1/2008 12/31/2011 Kern Family Health Care Primary Capitation AGED


($462.89)Kern 7/1/2008 12/31/2013 Kern Family Health Care Primary Capitation

($128.70)

of 23




Two-Plan Local Initiative 04-36069-A10-C13 304 -3Two-Plan Local Initiative 04-36069-A10a-C14 304 672

1,000,825Two-Plan Local Initiative 04-35400-A12a-C14 307 1Two-Plan Local Initiative 04-35400-A12a-C14 307 2,055Two-Plan Local Initiative 04-35400-A12-C13 307 -41Two-Plan Local Initiative 04-35400-A12-C13 307 -28Two-Plan Local Initiative 04-35400-A11a-C13 307 -13Two-Plan Local Initiative 04-35400-A11a-C13 307 -4Two-Plan Local Initiative 04-35400-A11a-C13 307 -2Two-Plan Local Initiative 04-35400-A10-C12 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A12a-C14 307 1,965Two-Plan Local Initiative 04-35400-A12-C13 307 -1Two-Plan Local Initiative 04-35400-A12-C13 307 -1Two-Plan Local Initiative 04-35400-A11a-C13 307 -1Two-Plan Local Initiative 04-35400-A11a-C13 307 -1Two-Plan Local Initiative 04-35400-A12a-C14 307 16Two-Plan Local Initiative 04-35400-A12a-C14 307 10,756Two-Plan Local Initiative 04-35400-A12-C13 307 -13Two-Plan Local Initiative 04-35400-A12-C13 307 -7Two-Plan Local Initiative 04-35400-A11a-C13 307 -8Two-Plan Local Initiative 04-35400-A11a-C13 307 -6Two-Plan Local Initiative 04-35400-A11a-C13 307 -3Two-Plan Local Initiative 04-35400-A10-C12 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A12a-C14 307 1,766Two-Plan Local Initiative 04-35400-A12-C13 307 -1Two-Plan Local Initiative 04-35400-A12-C13 307 -3Two-Plan Local Initiative 04-35400-A11a-C13 307 -1Two-Plan Local Initiative 04-35400-A12a-C14 307 40,626Two-Plan Local Initiative 04-35400-A12-C13 307 -6Two-Plan Local Initiative 04-35400-A12-C13 307 -2Two-Plan Local Initiative 04-35400-A11a-C13 307 -1Two-Plan Local Initiative 04-35400-A11a-C13 307 -2Two-Plan Local Initiative 04-35400-A11a-C13 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A10-C11 307 -1Two-Plan Local Initiative 04-35400-A12a-C14 307 168Two-Plan Local Initiative 04-35400-A12a-C14 307 153

57,352Two-Plan Local Initiative 04-35398-A13a-C16 309 5Two-Plan Local Initiative 04-35398-A13a-C16 309 5,315Two-Plan Local Initiative 04-35398-A13-C15 309 -58Two-Plan Local Initiative 04-35398-A13-C15 309 -36Two-Plan Local Initiative 04-35398-A12a-C15 309 -19Two-Plan Local Initiative 04-35398-A12a-C15 309 -9Two-Plan Local Initiative 04-35398-A12a-C15 309 -3Two-Plan Local Initiative 04-35398-A13a-C16 309 4,238Two-Plan Local Initiative 04-35398-A13-C15 309 -1Two-Plan Local Initiative 04-35398-A13-C15 309 -8Two-Plan Local Initiative 04-35398-A12a-C15 309 -3Two-Plan Local Initiative 04-35398-A13a-C16 309 20Two-Plan Local Initiative 04-35398-A13a-C16 309 1Two-Plan Local Initiative 04-35398-A13a-C16 309 10,934Two-Plan Local Initiative 04-35398-A13-C15 309 -24Two-Plan Local Initiative 04-35398-A13-C15 309 -1012/31/2013 Santa Clara Family Health Plan Primary Capitation DISABLED

$5,294,680.16Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation

($4,842.40)Santa Clara 7/1/2008

Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation BCCTP $744.23Santa Clara 7/1/2008

DISABLED ($11,621.76)Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation DISABLED

AGED ($436.68)Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation AGED

12/31/2013 Santa Clara Family Health Plan Primary Capitation BCCTP

($1,164.48)Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation

$14,884.60

12/31/2013 Santa Clara Family Health Plan Primary Capitation AGED

($4,358.16)Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation

$616,883.28Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation AGED ($145.56)Santa Clara 7/1/2008

Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation AGED ($9,200.56)Santa Clara 7/1/2008

AGED ($1,452.72)Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation AGED

AGED ($28,085.92)Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation AGED

12/31/2013 Santa Clara Family Health Plan Primary Capitation AGED

$2,573,735.60Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation

($17,432.64)

San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Healthy Families HEALTHY $23,380.20San Francisco 7/1/2008

Total of HCP - 307 : $13,103,161.85Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation ADULT $627.25

FAMILY ($134.84)San Francisco 7/1/2008 12/31/2011 San Francisco Health Authority Primary Capitation FAMILY

12/31/2013 San Francisco Health Authority Primary Capitation FAMILY

($134.84)San Francisco 7/1/2008 12/31/2011 San Francisco Health Authority Primary Capitation

$22,653.12



($269.68)San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation FAMILY ($134.84)San Francisco 7/1/2008

San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation FAMILY ($809.04)San Francisco 7/1/2008

FAMILY ($134.84)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation FAMILY

DISABLED ($159.18)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation DISABLED



$5,478,009.84

12/31/2013 San Francisco Health Authority Primary Capitation DISABLED


$281,111.88San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation DISABLED ($159.18)San Francisco 7/1/2008

San Francisco 7/1/2008 12/31/2011 San Francisco Health Authority Primary Capitation DISABLED ($554.40)San Francisco 7/1/2008

DISABLED ($554.40)San Francisco 7/1/2008 12/31/2011 San Francisco Health Authority Primary Capitation DISABLED

DISABLED ($3,326.40)San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation DISABLED


($4,435.20)San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation

($1,663.20)


$12,480.32San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation

($7,207.20)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation DISABLED ($3,880.80)San Francisco 7/1/2008

San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation AGED ($131.71)San Francisco 7/1/2008

DISABLED $5,963,126.40San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation BCCTP

AGED ($131.71)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation AGED

12/31/2012 San Francisco Health Authority Primary Capitation AGED


($131.71)



($554.40)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation AGED $258,810.15San Francisco 7/1/2008

San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation AGED ($1,108.80)San Francisco 7/1/2008

AGED ($554.40)San Francisco 7/1/2008 12/31/2011 San Francisco Health Authority Primary Capitation AGED

AGED ($7,207.20)San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation AGED


($15,523.20)San Francisco 7/1/2008 12/31/2012 San Francisco Health Authority Primary Capitation

($2,217.60)


Total of HCP - 304 : $150,754,518.88San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority

$1,139,292.00San Francisco 7/1/2008 12/31/2013 San Francisco Health Authority Primary Capitation AGED ($22,730.40)San Francisco 7/1/2008

$78,441.29Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Primary Capitation FAMILY


($306.39)Los Angeles 7/1/2008 12/31/2013 LA Care Health Plan Healthy Families HEALTHY

of 23




Two-Plan Local Initiative 04-35398-A12a-C15 309 -4Two-Plan Local Initiative 04-35398-A12a-C15 309 -2Two-Plan Local Initiative 04-35398-A13a-C16 309 2,866Two-Plan Local Initiative 04-35398-A13-C15 309 -2Two-Plan Local Initiative 04-35398-A12a-C15 309 -1Two-Plan Local Initiative 04-35398-A12b-C15 309 -1Two-Plan Local Initiative 04-35398-A13a-C16 309 93,078Two-Plan Local Initiative 04-35398-A13-C15 309 -23Two-Plan Local Initiative 04-35398-A13-C15 309 -22Two-Plan Local Initiative 04-35398-A12a-C15 309 -7Two-Plan Local Initiative 04-35398-A12a-C15 309 -7Two-Plan Local Initiative 04-35398-A12a-C15 309 -3Two-Plan Local Initiative 04-35398-A12b-C15 309 -3Two-Plan Local Initiative 04-35398-A10b-C12 309 -1Two-Plan Local Initiative 04-35398-A11-C12 309 -1Two-Plan Local Initiative 04-35398-A11-C12 309 -1Two-Plan Local Initiative 04-35398-A13a-C16 309 385Two-Plan Local Initiative 04-35398-A13-C15 309 -1Two-Plan Local Initiative 04-35398-A12a-C15 309 -1Two-Plan Local Initiative 04-35398-A13a-C16 309 353

116,9442,423,0814,798,792

Total of HCP - 309 : $20,661,878.24Total of Model Type - Two-Plan Local Initiative : $382,161,001.56

Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan

Signature Title Date

Grand Total of all Model Types: $893,484,192.38

This report reflects enrollments beginning July 2011 and does not reflect any retro enrollment activity (Net Changes) for the previous 12 months. Retro Activity (Net Changes) will begin to show up as each month of enrollment is updated but will never reflect any net changes prior to July 1, 2011. Should you have any questions regarding the Capitation Report please contact Medi-Cal Managed Care Division at (916) 449-5000.

Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation FAMILY

Healthy Families HEALTHY

($125.45)Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation FAMILY ($125.45)

$51,240.75

12/31/2011 Santa Clara Family Health Plan Primary Capitation FAMILY

($125.45)Santa Clara 7/1/2008 12/31/2011 Santa Clara Family Health Plan Primary Capitation

($125.45)Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation FAMILY $48,298.25Santa Clara 7/1/2008

Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation FAMILY ($376.35)Santa Clara 7/1/2008

FAMILY ($125.45)Santa Clara 7/1/2008 12/31/2011 Santa Clara Family Health Plan Primary Capitation FAMILY

FAMILY ($878.15)Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation FAMILY



($376.35)



($2,885.35)Santa Clara 7/1/2008 12/31/2013 Santa Clara Family Health Plan Primary Capitation FAMILY ($2,759.90)Santa Clara 7/1/2008

Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation DISABLED ($165.82)Santa Clara 7/1/2008

FAMILY $11,676,635.10Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation DISABLED

DISABLED $475,240.12Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation DISABLED

12/31/2013 Santa Clara Family Health Plan Primary Capitation DISABLED


($331.64)

Santa Clara 7/1/2008 12/31/2012 Santa Clara Family Health Plan Primary Capitation DISABLED ($1,936.96)

medi-cal managed care division capitation report · 2019. 11. 5. · monterey 1/1/2009 12/31/2013...

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