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2000 Income Statement Items
Key A B C D E F G H
Health Maintenance Organizations Licensed & Active in Missouri in 2000 MO % Total Premium Related Revenue Total
Revenue 		Total
Medical & Hospital Expense		 Total Administration Expense Income
(Loss)
(C-D-E)		 Federal Income Taxes Net
Income
(Loss)
Alexian Brothers Community Services 100% $1,255,875 $1,993,796 $2,195,991 $1,562,931 ($1,765,126) $0 ($1,765,126)
The Alliance for Community Health, Inc. d/b/a Community Care 100% $25,942,820 $28,710,810 $21,855,168 $5,112,889 $1,742,753 $0 $1,742,753
Children's Mercy Hospital/Truman Medical Center, Inc. d/b/a Family Health Partners 90% $63,619,505 $64,044,643 $57,640,539 $6,375,965 $28,139 $0 $28,139
CIGNA Healthcare of Ohio, Inc. d/b/a CIGNA Healthcare of Kansas/Missouri 9% $51,140,656 $51,973,470 $46,638,701 $2,952,550 $2,382,219 $439,467 $1,942,752
CIGNA Healthcare of St. Louis, Inc. 85% $17,066,258 $17,448,722 $15,116,327 $2,525,196 ($192,801) ($134,858) ($57,943)
Community Health Plan 99% $59,335,144 $59,792,665 $52,064,902 $9,919,072 ($2,191,309) $0 ($2,191,309)
Coventry Health Care of Kansas, Inc. 33% $213,777,375 $216,551,277 $190,817,154 $28,267,487 ($2,533,364) ($781,721) ($1,751,643)
Cox Health Systems HMO, Inc. 100% $36,064,573 $36,361,440 $32,444,353 $5,823,147 ($1,906,060) $0 ($1,906,060)
FirstGuard Health Plan, Inc. 95% $51,445,758 $58,394,674 $42,766,578 $10,844,276 $4,783,820 $1,676,310 $3,107,510
Good Health HMO, Inc. d/b/a Blue Care, Inc. 64% $130,831,199 $129,591,176 $113,317,565 $16,229,839 $43,772 $15,300 $28,472
Group Health Plan, Inc. 71% $550,899,007 $562,221,428 $490,914,156 $64,935,630 $6,371,642 $168,242 $6,203,400
Health Partners of the Midwest 92% $145,608,960 $150,442,143 $141,452,709 $22,913,463 ($13,924,029) $0 ($13,924,029)
Healthcare USA of Missouri, LLC 100% $161,555,333 $163,154,569 $136,827,804 $18,266,656 $8,060,109 $2,507,827 $5,552,282
HealthLink HMO, Inc. 92% $57,423,068 $68,860,077 $52,370,606 $7,676,857 $8,812,614 $3,394,400 $5,418,214
HealthNet, Inc. 60% $239,949,142 $244,476,974 $214,671,068 $31,625,787 ($1,819,881) ($324,970) ($1,494,911)
HMO Missouri, Inc. d/b/a Blue Choice 100% $219,578,161 $224,506,990 $187,082,448 $36,974,681 $449,861 ($4,311,529) $4,761,390
Humana Health Plan, Inc. 3% $1,922,232,301 $1,932,456,347 $1,630,400,735 $260,330,593 $41,725,019 $14,679,165 $27,045,854
Humana Kansas City, Inc. 66% $194,193,993 $196,620,812 $171,481,051 $26,624,184 ($1,484,423) $1,094,924 ($2,579,347)
Kaiser Foundation Health Plan of Kansas City, Inc. 64% $118,175,859 $121,482,761 $103,309,307 $14,136,346 $4,037,108 $0 ($10,962,892)
Mercy Health Plan of Missouri, Inc. d/b/a Premier Health Plans 88% $277,861,450 $280,446,873 $249,764,532 $30,442,124 $240,217 $0 $240,217
Missouri Advantage, LLC 100% $15,001,634 $15,159,161 $13,356,569 $1,889,533 ($86,941) $0 ($86,941)
Missouri Care, LC 100% $28,040,931 $28,366,117 $26,649,692 $4,026,708 ($2,310,283) $0 ($2,310,283)
Prudential Health Care Plan, Inc. 3% $2,866,560,729 $2,894,171,993 $2,700,236,313 $386,995,058 ($193,059,378) ($62,623,374) ($130,436,004)
Total Health Care (BCBSKC) 74% $12,449,830 $12,449,830 $10,040,624 $1,797,357 $611,849 $0 $611,849
TriSource HealthCare, Inc. d/b/a Blue Advantage 74% $133,946,733 $175,254,202 $151,253,479 $20,081,487 $3,919,236 $0 $3,919,236
United Healthcare of the Midwest, Inc. 89% $1,130,724,162 $1,142,948,054 $955,155,779 $175,414,694 $12,377,581 $3,342,000 $9,035,581
US Healthcare, Inc. d/b/a Aetna US Healthcare, Inc. 64% $65,437,018 $66,013,893 $69,115,710 $7,051,895 ($10,153,712) ($3,554,000) ($6,599,712)
All HMOs 37% $8,790,117,474 $8,943,894,897 $7,878,939,860 $1,200,796,405 ($135,841,368) ($44,412,817) ($106,428,551)
HMOs with MO% of Business > 60% (23 HMOs) 82.4% $3,736,406,413 $3,848,741,810 $3,310,846,957 $522,250,717 $15,644,136 $3,873,646 ($3,229,510)
  1. Total Premium Related Revenue - Total commercial premiums and Medicare and Medicaid revenues recorded by nationwide business operations on a prepaid basis for the provision of contracted health services, net of premiums ceded for reinsurance. Premium revenues do not include fee-for-service revenues.
  2. Missouri % of "A" - Reported Missouri premium related revenues relative to reported total nationwide premium related revenues (before premiums ceded for reinsurance). The percentage, derived for HMOs with Missouri percentage of business greater than 60%, excludes premium related revenues for companies that did not meet the 60% threshold.
  3. Total Revenue - Includes: premium related revenue net of premiums ceded for reinsurance; fee-for-service revenue; investment revenue; and aggregate write-ins for other revenues.
  4. Total Medical & Hospital Expense - Includes: physician services; other professional services; outside referrals; emergency room; occupancy, depreciation and amortization, directly associated with the delivery of medical services; inpatient; incentive pool adjustments; aggregate write-ins, LESS net reinsurance claims incurred; co-payments; coordination of benefits; and subrogation.
  5. Total Administration Expense - Includes: compensation; loan interest expense; occupancy, depreciation & amortization; marketing; and aggregate write-ins for other administration expenses.
  6. Income (Loss) = Total Revenue - Total Medical & Hospital Expense - Total Administration Expense
  7. Federal Income Taxes - Federal income taxes paid for the year.
  8. Net Income (Loss) - Income adjusted for extraordinary items and federal income taxes paid.
    1. Extraordinary Items - Nonrecurring gains or losses that are unrelated to, or only incidentally related to, the ordinary activities of the entity.

 

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