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2011 STATEMENT OF REVENUE AND EXPENSES - 004
12545 - Martins Point Generations LLC

Line Uncovered Current Year Total Current Year Total Prior Year
01 Member months   142,392 73,367
02 Net premium income (including $0 non-health premium income)   86,989,481 43,018,578
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   86,989,481 43,018,578
09 Hospital/medical benefits (hospital and medical) 0 69,684,782 33,487,076
10 Other professional services (hospital and medical) 0 0 0
11 Outside referrals (hospital and medical) 0 0 0
12 Emergency room and out-of-area (hospital and medical) 0 0 0
13 Prescription drugs (hospital and medical) 0 13,528,771 6,449,111
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) 0 189,201 199,371
16 Subtotal (hospital and medical) 0 83,402,754 40,135,558
17 Net reinsurance recoveries (less) 0 3,463 64,995
18 Total hospital and medical (less) 0 83,399,291 40,070,563
19 Non-health claims (net) (less) 0 0 0
20 Claims adjustment expenses, including $1313707 cost containment expenses (less) 0 2,221,664 805,166
21 General administrative expenses (less) 0 13,221,643 7,579,343
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 98,842,598 48,455,072
24 Net underwriting gain or (loss)   -11,853,117 -5,436,494
25 Net investment income earned 0 35,566 16,932
26 Net realized capital gains or (losses) less capital gains tax of $0 0 0 0
27 Net investment gains or (losses) 0 35,566 16,932
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   -11,817,551 -5,419,562
31 Federal and foreign income taxes incurred   0 0
32 Net income (loss)   -11,817,551 -5,419,562
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   0 0 0
2902   0 0 0
2903   0 0 0
2999   0 0 0

 

2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12545 - Martins Point Generations LLC

Line Current Year Prior Year
33 Capital and surplus prior reporting year 5,257,792 2,210,385
34 Net income or (loss) from Line 32 -11,817,551 -5,419,562
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 0 0
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 -29,465 -33,031
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) 16,000,000 8,500,000
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 4,152,984 3,047,407
49 Capital and surplus end of reporting year 9,410,776 5,257,792
Details of Write-Ins
4701   0 0
4702   0 0
4703   0 0
4799   0 0

 

Last Updated: August 15, 2012