|
Line |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
480,377 |
339,536 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
387,416,929 |
272,763,336 |
| 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 |
|
387,416,929 |
272,763,336 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
169,954,154 |
127,969,644 |
| 10 |
Other professional services (hospital and
medical) |
0 |
60,515,504 |
22,285,929 |
| 11 |
Outside referrals (hospital and medical) |
27,151,960 |
27,151,960 |
24,360,143 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
3,298,807 |
12,952,304 |
7,729,488 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
38,677,496 |
31,095,720 |
| 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 |
454,414 |
662,318 |
| 16 |
Subtotal (hospital and medical) |
30,450,767 |
309,705,832 |
214,103,242 |
| 17 |
Net reinsurance recoveries (less) |
0 |
1,019,566 |
1,428,286 |
| 18 |
Total hospital and medical (less) |
30,450,767 |
308,686,266 |
212,674,956 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $4116995 cost
containment expenses (less) |
0 |
14,121,037 |
7,062,315 |
| 21 |
General administrative expenses (less) |
0 |
52,986,142 |
34,945,986 |
| 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 |
30,450,767 |
375,793,445 |
254,683,257 |
| 24 |
Net underwriting gain or (loss) |
|
11,623,484 |
18,080,079 |
| 25 |
Net investment income earned |
0 |
2,302,477 |
2,266,557 |
| 26 |
Net realized capital gains or (losses) less capital
gains tax of $0 |
0 |
8,573 |
39,412 |
| 27 |
Net investment gains or (losses) |
0 |
2,311,050 |
2,305,969 |
| 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 |
|
13,934,534 |
20,386,048 |
| 31 |
Federal and foreign income taxes incurred |
|
4,141,188 |
6,094,799 |
| 32 |
Net income (loss) |
|
9,793,346 |
14,291,249 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
VISION |
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
2010 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 -
Arcadian Hlth Plan Inc |
|
Line |
Current Year |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
45,183,078 |
30,667,137 |
| 34 |
Net income or (loss) from Line 32 |
9,793,346 |
14,291,249 |
| 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 |
2,646,828 |
2,620,222 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
| 38 |
Change in net deferred income tax |
133,248 |
533,049 |
| 39 |
Change in nonadmitted assets |
-1,394,693 |
-3,258,979 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
| 42 |
Change in surplus notes |
0 |
0 |
| 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 |
-4,470,000 |
0 |
| 47 |
Aggregate write-ins for gains or (losses) in
surplus |
-47,098 |
330,400 |
| 48 |
Net change in capital and surplus |
6,661,631 |
14,515,941 |
| 49 |
Capital and surplus end of reporting year |
51,844,709 |
45,183,078 |
|
Details of Write-Ins |
| 4701 |
2009 AUDIT ADJUSTMENTS |
-47,098 |
330,400 |
| 4799 |
|
-47,098 |
330,400 |
|
|
