|
Line |
Uncovered Current Year |
Total Current Year |
Total Prior Year |
| 01 |
Member months |
|
4,660,701 |
5,050,247 |
| 02 |
Net premium income (including $0 non-health premium income) |
|
2,046,429,485 |
2,301,976,475 |
| 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 |
|
2,046,429,485 |
2,301,976,475 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
1,375,912,605 |
1,573,096,165 |
| 10 |
Other professional services (hospital and medical) |
0 |
50,486,719 |
104,032,906 |
| 11 |
Outside referrals (hospital and medical) |
0 |
35,670,009 |
35,340,596 |
| 12 |
Emergency room and out-of-area (hospital and medical) |
0 |
37,680,750 |
45,717,395 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
222,444,296 |
250,807,012 |
| 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 |
35,133,369 |
32,926,548 |
| 16 |
Subtotal (hospital and medical) |
0 |
1,757,327,748 |
2,041,920,622 |
| 17 |
Net reinsurance recoveries (less) |
0 |
711,944 |
857,572 |
| 18 |
Total hospital and medical (less) |
0 |
1,756,615,804 |
2,041,063,050 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $16623959 cost containment expenses (less) |
0 |
36,284,756 |
43,889,897 |
| 21 |
General administrative expenses (less) |
0 |
182,652,293 |
178,336,867 |
| 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 |
1,975,552,853 |
2,263,289,814 |
| 24 |
Net underwriting gain or (loss) |
|
70,876,632 |
38,686,661 |
| 25 |
Net investment income earned |
0 |
16,306,364 |
19,685,837 |
| 26 |
Net realized capital gains or (losses) less capital gains tax of $0 |
0 |
3,829,894 |
-7,548,543 |
| 27 |
Net investment gains or (losses) |
0 |
20,136,258 |
12,137,294 |
| 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 |
-16,791,395 |
-6,575,825 |
| 30 |
Net income or (loss), after capital gains tax and before all other federal income taxes |
|
74,221,495 |
44,248,130 |
| 31 |
Federal and foreign income taxes incurred |
|
0 |
0 |
| 32 |
Net income (loss) |
|
74,221,495 |
44,248,130 |
|
Details of Write-Ins |
| 0601 |
|
|
0 |
0 |
| 0602 |
|
|
0 |
0 |
| 0603 |
|
|
0 |
0 |
| 0699 |
|
|
0 |
0 |
| 0701 |
|
|
0 |
0 |
| 0702 |
|
|
0 |
0 |
| 0703 |
|
|
0 |
0 |
| 0799 |
|
|
0 |
0 |
| 1401 |
|
0 |
0 |
0 |
| 1402 |
|
0 |
0 |
0 |
| 1403 |
|
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
| 2901 |
Miscellaneous & Other Income/(Expense) |
0 |
-16,791,395 |
-6,575,825 |
| 2902 |
|
0 |
0 |
0 |
| 2903 |
|
0 |
0 |
0 |
| 2904 |
|
0 |
0 |
0 |
| 2999 |
|
0 |
-16,791,395 |
-6,575,825 |
2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
96911 -
Harvard Pilgrim Hlth Care Inc |
|
Line |
Current Year |
Prior Year |
| 33 |
Capital and surplus prior reporting year |
412,724,331 |
381,955,672 |
| 34 |
Net income or (loss) from Line 32 |
74,221,495 |
44,248,130 |
| 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 |
9,502,993 |
34,808,925 |
| 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 |
-7,253,938 |
-38,573,500 |
| 40 |
Change in unauthorized reinsurance |
0 |
0 |
| 41 |
Change in treasury stock |
0 |
0 |
| 42 |
Change in surplus notes |
-9,714,897 |
-9,714,896 |
| 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 |
0 |
0 |
| 48 |
Net change in capital and surplus |
66,755,653 |
30,768,659 |
| 49 |
Capital and surplus end of reporting year |
479,479,984 |
412,724,331 |
|
Details of Write-Ins |
| 4701 |
|
0 |
0 |
| 4799 |
|
0 |
0 |
|
|
