2006 STATEMENT OF REVENUE AND EXPENSES - 004 12151 - Arcadian Health Plan Inc Quarter 3
| |
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
87,734 |
5,532 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
63,627,242 |
3,272,471 |
| 03 |
Change in unearned premium reserves and reserve for rate credits |
|
0 |
0 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
| 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 |
|
63,627,242 |
3,272,471 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
28,715,096 |
2,332,658 |
| 10 |
Other professional services (hospital and medical) |
0 |
3,556,643 |
15,962 |
| 11 |
Outside referrals (hospital and medical) |
8,551,423 |
8,551,423 |
238,952 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
569,708 |
928,580 |
35,845 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
3,938,586 |
48,110 |
| 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 |
0 |
0 |
| 16 |
Subtotal (hospital and medical) |
9,121,131 |
45,690,328 |
2,671,527 |
| 17 |
Net reinsurance recoveries (less) |
0 |
0 |
0 |
| 18 |
Total hospital and medical (less) |
9,121,131 |
45,690,328 |
2,671,527 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $0 cost containment expenses (less) |
0 |
2,728,413 |
0 |
| 21 |
General administrative expenses (less) |
0 |
16,056,888 |
4,881,074 |
| 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 |
9,121,131 |
64,475,629 |
7,552,601 |
| 24 |
Net underwriting gain or (loss) |
|
-848,387 |
-4,280,130 |
| 25 |
Net investment income earned |
0 |
562,959 |
112,360 |
| 26 |
Net realized capital gains (losses) less capital gains tax of $0 |
0 |
682 |
0 |
| 27 |
Net investment gains or (losses) |
0 |
563,641 |
112,360 |
| 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 |
0 |
0 |
| 30 |
Net income or (loss) after capital gains tax and before all other federal income taxes |
|
-284,746 |
-4,167,770 |
| 31 |
Federal and foreign income taxes incurred |
|
0 |
0 |
| 32 |
Net income (loss) |
|
-284,746 |
-4,167,770 |
| |
Details of Write-Ins |
|
|
|
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
|
2006 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 - Arcadian Health Plan Inc
Quarter 3 |
| |
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
8,332,572 |
5,144,502 |
5,144,502 |
| 34 |
Net income or (loss) from Line 32 |
-284,746 |
-4,167,770 |
-7,457,876 |
| 35 |
Change in valuation basis of aggregate policy and claim reserves |
0 |
0 |
0 |
| 36 |
Change in net unrealized capital gains (losses) less capital gains tax of $0 |
-751,812 |
0 |
0 |
| 37 |
Change in net unrealized foreign exchange capital gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
0 |
0 |
0 |
| 39 |
Change in nonadmitted assets |
-557,470 |
0 |
-254,054 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
0 |
| 43 |
Cumulative effect of changes in accounting principles |
0 |
0 |
0 |
| 44.1 |
Paid in (capital changes) |
0 |
0 |
0 |
| 44.2 |
Transferred from surplus (stock dividend) (capital changes) |
0 |
0 |
0 |
| 44.3 |
Transferred to surplus (capital changes) |
0 |
0 |
0 |
| 45.1 |
Paid in (surplus adjustments) |
400,000 |
10,900,000 |
10,900,000 |
| 45.2 |
Transferred to capital (stock dividend) (surplus adjustments) |
0 |
0 |
0 |
| 45.3 |
Transferred from capital (surplus adjustments) |
0 |
0 |
0 |
| 46 |
Dividends to stockholders |
0 |
0 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in surplus |
0 |
0 |
0 |
| 48 |
Net change in capital and surplus |
-1,194,028 |
6,732,230 |
3,188,070 |
| 49 |
Capital and surplus end of reporting period |
7,138,544 |
11,876,732 |
8,332,572 |
| |
Details of Write-Ins |
|
|
|
| 4799 |
|
0 |
0 |
0 |
|
> Return to Financial Statement - 2006 Quarter 3
Last Updated:
August 22, 2012
|
