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Maine.gov > PFR Home > Insurance Regulation > HMO > Financial Information > Financial Statement - 2005 Annual Report

 

2005 STATEMENT OF REVENUE AND EXPENSES - 004 96911 - Harvard Pilgrim Health Care Inc

  Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   5,766,696 6,695,848
02 Net premium income (including $0 non-health premium income)   2,034,039,205 2,100,391,818
03 Change in unearned premium reserves and reserve for rate credits   0 0
04 Fee-for-service (net of $0 medical expenses)   1,606,798 1,312,860
05 Risk revenue   0 0
06 Aggregate write-ins for other health care related revenues   0 0
07 Aggregate write-ins for other non-health revenues   0 0
08 Total revenues   2,035,646,003 2,101,704,678
09 Hospital/medical benefits (hospital and medical) 0 1,389,569,533 1,435,825,141
10 Other professional services (hospital and medical) 0 36,367,454 46,591,147
11 Outside referrals (hospital and medical) 0 40,893,297 44,303,088
12 Emergency room and out-of-area (hospital and medical) 0 33,933,840 34,093,976
13 Prescription drugs (hospital and medical) 0 181,326,985 203,307,530
14 Aggregate write-ins for other hospital and medical (hospital and medical) 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 0 38,993,975 83,412,825
16 Subtotal (hospital and medical) 0 1,721,085,084 1,847,533,707
17 Net reinsurance recoveries (less) 0 4,109,499 6,002,295
18 Total hospital and medical (less) 0 1,716,975,585 1,841,531,412
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $50591603 cost containment expenses (less) 0 109,935,867 113,020,809
21 General administrative expenses (less) 0 163,821,866 125,429,047
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 0 0 0
23 Total underwriting deductions 0 1,990,733,318 2,079,981,268
24 Net underwriting gain or (loss)   44,912,685 21,723,410
25 Net investment income earned 0 20,549,337 13,710,884
26 Net realized capital gains or (losses) less capital gains tax of $0 0 -586,501 775,338
27 Net investment gains or (losses) 0 19,962,836 14,486,222
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 0 0 0
29 Aggregate write-ins for other income or expenses 0 108,074 -2,016,149
30 Net income or (loss), after capital gains tax and before all other federal income taxes   64,983,595 34,193,483
31 Federal and foreign income taxes incurred   0 0
32 Net income (loss)   64,983,595 34,193,483
  Details of Write-Ins      
0699     0 0
0799     0 0
1499   0 0 0
2901 Miscellaneous & Other Income 0 108,074 -2,016,149
2999   0 108,074 -2,016,149

 

2005 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Health Care Inc
  Line Current Year Prior Year
33 Capital and surplus prior reporting year 243,370,906 210,564,272
34 Net income or (loss) from Line 32 64,983,595 34,193,483
35 Change in valuation basis of aggregate policy and claim reserves 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 1,638,765 1,262,943
37 Change in net unrealized foreign exchange capital gain or (loss) 0 0
38 Change in net deferred income tax 0 0
39 Change in nonadmitted assets -5,236,522 3,991,443
40 Change in unauthorized reinsurance 0 0
41 Change in treasury stock 0 0
42 Change in surplus notes -9,676,730 -1,686,343
43 Cumulative effect of changes in accounting principles 0 0
44.1 Paid in (capital changes) 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 0 0
44.3 Transferred to surplus (capital changes) 0 0
45.1 Paid in (surplus adjustments) 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 0 0
45.3 Transferred from capital (surplus adjustments) 0 0
46 Dividends to stockholders 0 0
47 Aggregate write-ins for gains or (losses) in surplus -5,159,896 -4,954,892
48 Net change in capital and surplus 46,549,212 32,806,634
49 Capital and surplus end of reporting year 289,920,118 243,370,906
  Details of Write-Ins      
4701 Series 1998 Bonds Payment - Other Surplus Notes -5,159,896 -4,954,892
4799   -5,159,896 -4,954,892

 

Last Updated: February 12, 2009