|
Line |
Uncovered Current Year to Date |
Total Current Year to Date |
Total Prior Year to Date |
Total Prior Year Ended December 31 |
| 01 |
Member months |
|
129,084 |
114,447 |
480,377 |
| 02 |
Net premium income (including $0 non-health premium
income) |
|
106,039,953 |
90,590,426 |
379,650,685 |
| 03 |
Change in unearned premium reserves and reserve for
rate credits |
|
0 |
0 |
0 |
| 04 |
Fee-for-service (net of $0 medical expenses) |
|
0 |
0 |
0 |
| 05 |
Risk revenue |
|
0 |
0 |
0 |
| 06 |
Aggregate write-ins for other health care related
revenues |
|
0 |
0 |
0 |
| 07 |
Aggregate write-ins for other non-health revenues |
|
0 |
0 |
0 |
| 08 |
Total revenues |
|
106,039,953 |
90,590,426 |
379,650,685 |
| 09 |
Hospital/medical benefits (hospital and medical) |
0 |
40,924,644 |
44,543,306 |
171,597,719 |
| 10 |
Other professional services (hospital and
medical) |
0 |
18,917,785 |
6,711,169 |
61,100,675 |
| 11 |
Outside referrals (hospital and medical) |
9,984,324 |
9,984,324 |
5,044,715 |
27,414,513 |
| 12 |
Emergency room and out-of-area (hospital and
medical) |
1,194,567 |
4,128,524 |
2,974,127 |
13,077,550 |
| 13 |
Prescription drugs (hospital and medical) |
0 |
9,615,179 |
10,376,743 |
38,677,496 |
| 14 |
Aggregate write-ins for other hospital and medical
(hospital and medical) |
0 |
0 |
0 |
0 |
| 15 |
Incentive pool, withhold adjustments and bonus
amounts (hospital and medical) |
0 |
301,018 |
-128,501 |
454,414 |
| 16 |
Subtotal (hospital and medical) |
11,178,891 |
83,871,474 |
69,521,559 |
312,322,367 |
| 17 |
Net reinsurance recoveries (less) |
0 |
158,016 |
333,902 |
1,019,566 |
| 18 |
Total hospital and medical (less) |
11,178,891 |
83,713,458 |
69,187,657 |
311,302,801 |
| 19 |
Non-health claims (net) (less) |
0 |
0 |
0 |
0 |
| 20 |
Claims adjustment expenses, including $0 cost
containment expenses (less) |
0 |
3,243,228 |
3,546,376 |
14,121,037 |
| 21 |
General administrative expenses (less) |
0 |
15,789,929 |
16,293,559 |
52,450,845 |
| 22 |
Increase in reserves for life and accident and
health contracts (including $0 increase in reserves for life only)
(less) |
0 |
0 |
0 |
0 |
| 23 |
Total underwriting deductions |
11,178,891 |
102,746,615 |
89,027,592 |
377,874,683 |
| 24 |
Net underwriting gain or (loss) |
|
3,293,338 |
1,562,834 |
1,776,002 |
| 25 |
Net investment income earned |
0 |
2,422,677 |
1,279,861 |
2,302,488 |
| 26 |
Net realized capital gains (losses) less capital
gains tax of $0 |
0 |
0 |
1,141 |
8,573 |
| 27 |
Net investment gains or (losses) |
0 |
2,422,677 |
1,281,002 |
2,311,061 |
| 28 |
Net gain or (loss) from agents' or premium balances
charged off [(amount recovered $0 (amount charged off $0] |
0 |
0 |
0 |
0 |
| 29 |
Aggregate write-ins for other income or expenses |
0 |
0 |
0 |
0 |
| 30 |
Net income or (loss) after capital gains tax and
before all other federal income taxes |
|
5,716,015 |
2,843,836 |
4,087,063 |
| 31 |
Federal and foreign income taxes incurred |
|
1,352,104 |
1,095,099 |
461,009 |
| 32 |
Net income (loss) |
|
4,363,911 |
1,748,737 |
3,626,054 |
|
Details of Write-Ins |
| 0699 |
|
|
0 |
0 |
0 |
| 0799 |
|
|
0 |
0 |
0 |
| 1401 |
VISION |
0 |
0 |
0 |
0 |
| 1499 |
|
0 |
0 |
0 |
0 |
| 2999 |
|
0 |
0 |
0 |
0 |
2011 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
12151 -
Arcadian Hlth Plan Inc
Quarter 1 |
|
Line |
Current Year to Date |
Prior Year to Date |
Prior Year Ended December 31 |
| 33 |
Capital and surplus prior reporting year |
44,732,871 |
45,183,078 |
45,183,078 |
| 34 |
Net income or (loss) from Line 32 |
4,363,911 |
1,748,737 |
3,626,054 |
| 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 |
-1,643,184 |
-41,636 |
2,306,238 |
| 37 |
Change in net unrealized foreign exchange capital
gain or (loss) |
0 |
0 |
0 |
| 38 |
Change in net deferred income tax |
0 |
65,715 |
14,761 |
| 39 |
Change in nonadmitted assets |
1,212,350 |
2,678,136 |
-1,804,602 |
| 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 |
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 |
1,820,000 |
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 |
-4,470,000 |
| 47 |
Aggregate write-ins for gains or (losses) in
surplus |
85,657 |
-1,866,710 |
-122,658 |
| 48 |
Net change in capital and surplus |
4,018,734 |
4,404,242 |
-450,207 |
| 49 |
Capital and surplus end of reporting period |
48,751,605 |
49,587,320 |
44,732,871 |
|
Details of Write-Ins |
| 4701 |
AUDIT ADJUSTMENTS |
85,657 |
-46,710 |
-75,948 |
| 4702 |
AUDIT ADJUSTMENT - PAID IN CAPITAL
ADJUSTMENT RECORDED IN UNASSIGNED FUNDS IN PREVIOUS YEAR. |
0 |
-1,820,000 |
-46,710 |
| 4799 |
|
85,657 |
-1,866,710 |
-122,658 |
|
|
