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2007 STATEMENT OF REVENUE AND EXPENSES - 004
96911 - Harvard Pilgrim Health Care Inc
Quarter 1

Line Uncovered Current Year to Date Total Current Year to Date Total Prior Year to Date
01 Member months   1,327,636 1,423,282
02 Net premium income (including $0 non-health premium income)   503,272,441 535,792,372
03 Change in unearned premium reserves and reserve for rate credits   0 0
04 Fee-for-service (net of $0 medical expenses)   798,144 510,634
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   504,070,585 536,303,006
09 Hospital/medical benefits (hospital and medical) 0 356,065,871 389,696,822
10 Other professional services (hospital and medical) 0 7,482,158 8,298,356
11 Outside referrals (hospital and medical) 0 3,509,134 4,656,176
12 Emergency room and out-of-area (hospital and medical) 0 5,689,651 5,584,352
13 Prescription drugs (hospital and medical) 0 56,653,738 53,483,386
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 6,945,759 11,750,678
16 Subtotal (hospital and medical) 0 436,346,311 473,469,770
17 Net reinsurance recoveries (less) 0 572,659 573,135
18 Total hospital and medical (less) 0 435,773,652 472,896,635
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $13361754 cost containment expenses (less) 0 28,494,114 26,881,714
21 General administrative expenses (less) 0 40,817,296 30,880,308
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 0 505,085,062 530,658,657
24 Net underwriting gain or (loss)   -1,014,477 5,644,349
25 Net investment income earned 0 7,642,665 6,455,932
26 Net realized capital gains (losses) less capital gains tax of $0 0 196,339 -483,474
27 Net investment gains or (losses) 0 7,839,004 5,972,458
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 -336,144 967,177
30 Net income or (loss) after capital gains tax and before all other federal income taxes   6,488,383 12,583,984
31 Federal and foreign income taxes incurred   0 0
32 Net income (loss)   6,488,383 12,583,984
Details of Write-Ins
0699     0 0
0799     0 0
1499   0 0 0
2901 Miscellaneous & Other Income 0 -336,144 967,177
2999   0 -336,144 967,177

 

2007 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 - Harvard Pilgrim Health Care Inc
Quarter 1

Line Current Year to Date Prior Year to Date Prior Year
33 Capital and surplus prior reporting year 321,946,756 289,920,118 289,920,118
34 Net income or (loss) from Line 32 6,488,383 12,583,984 68,354,069
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 $0 289,442 706,999 621,093
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 -5,191,267 -3,076,782 -16,657,360
40 Change in unauthorized reinsurance 0 0 0
41 Change in treasury stock 0 0 0
42 Change in surplus notes 21,276 0 -11,034,896
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) 0 0 0
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 21,276 -9,256,268
48 Net change in capital and surplus 1,607,834 10,235,477 32,026,638
49 Capital and surplus end of reporting period 323,554,590 300,155,595 321,946,756
Details of Write-Ins
4701 Changes in Long-term Debt - Other Surplus Notes 0 21,276 -9,256,268
4799   0 21,276 -9,256,268

 

Last Updated: September 27, 2010