2007 STATEMENT OF REVENUE AND EXPENSES - 004
12151 - Arcadian
Health Plan Inc
Quarter 2 |
|
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
| 01 |
Member months |
|
107,679 |
51,595 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
75,482,634 |
37,518,872 |
| 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 |
|
75,482,634 |
37,518,872 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
36,273,034 |
18,368,811 |
| 10 |
Other professional services (hospital and
medical) |
0 |
4,308,770 |
1,879,029 |
| 11 |
Outside referrals (hospital and medical) |
10,204,648 |
10,204,648 |
4,669,429 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
478,635 |
803,941 |
438,191 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
6,750,809 |
2,099,286 |
| 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 |
231,500 |
0 |
| 16 |
Subtotal (hospital and medical) |
10,683,283 |
58,572,702 |
27,454,746 |
| 17 |
Net reinsurance recoveries (less) |
0 |
22,164 |
0 |
| 18 |
Total hospital and medical (less) |
10,683,283 |
58,550,538 |
27,454,746 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $0 cost
containment expenses (less) |
0 |
5,278,187 |
1,899,631 |
| 21 |
General administrative expenses (less) |
0 |
16,543,753 |
11,660,092 |
| 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 |
10,683,283 |
80,372,478 |
41,014,469 |
| 24 |
Net underwriting gain or (loss) |
|
-4,889,844 |
-3,495,597 |
| 25 |
Net investment income earned |
0 |
1,072,294 |
292,404 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $0 |
0 |
343 |
0 |
| 27 |
Net investment gains or (losses) |
0 |
1,072,637 |
292,404 |
| 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 |
|
-3,817,207 |
-3,203,193 |
| 31 |
Federal and foreign income taxes incurred |
|
0 |
0 |
| 32 |
Net income (loss) |
|
-3,817,207 |
-3,203,193 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 | |
2007 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 -
Arcadian Health Plan Inc
Quarter 2 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
7,382,288 |
8,332,572 |
8,332,572 |
| 34 |
Net income or (loss) from Line 32 |
-3,817,207 |
-3,203,193 |
-5,083,285 |
| 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 |
1,072,178 |
-1,291,877 |
-1,412,014 |
| 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 |
255,078 |
-25,913 |
-911,845 |
| 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 |
563,430 |
| 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) |
8,000,000 |
400,000 |
5,893,546 |
| 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 |
266,196 |
0 |
0 |
| 48 |
Net change in capital and surplus |
5,776,245 |
-4,120,983 |
-950,168 |
| 49 |
Capital and surplus end of reporting period |
13,158,533 |
4,211,589 |
7,382,404 |
|
Details of Write-Ins |
| 4701 |
2006 AUDIT ADJUSTMENTS |
266,196 |
0 |
0 |
| 4799 |
|
266,196 |
0 |
0 |
|
Last Updated:
September 27, 2010
|
