(Exact name of registrant as specified in its charter) | ||
Delaware | 1-5975 | 61-0647538 | ||||||
(State or other jurisdiction of incorporation) | (Commission File Number) | (IRS Employer Identification No.) |
☐ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Title of each class | Trading Symbol(s) | Name of each exchange on which registered | ||||||
Common Stock | HUM | New York Stock Exchange |
Exhibit No. | Description | ||||||||||
99.1 | |||||||||||
99.2 | |||||||||||
99.3 | |||||||||||
104 | Cover Page Interactive Data File (embedded within the Inline XBRL document) |
HUMANA INC. | |||||
BY: | /s/ John-Paul W. Felter | ||||
John-Paul W. Felter | |||||
Senior Vice President, Chief Accounting Officer & Controller | |||||
(Principal Accounting Officer) |
n e w s r e l e a s e |
Exhibit 99.1
Humana Inc.
500 West Main Street
P.O. Box 1438
Louisville, KY 40202
http://www.humana.com
|
Lisa Stoner Humana Investor Relations (502) 580-2652 e-mail: LStamper@humana.com |
Consolidated income before income taxes and equity in net earnings (pretax results) In millions |
1Q24 (a) | 1Q23 (a) | ||||||
Generally Accepted Accounting Principles (GAAP) | $1,014 | $1,614 | ||||||
Amortization associated with identifiable intangibles | 16 | 18 | ||||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 131 | 53 | ||||||
Transaction and integration costs | — | (51) | ||||||
Change in fair market value of publicly-traded equity securities | — | (1) | ||||||
Impact of exit of employer group commercial medical products business | 1 | (81) | ||||||
Value creation initiatives | 29 | — | ||||||
Adjusted (non-GAAP) | $1,191 | $1,552 | ||||||
Net earnings per share (EPS) | 1Q24 (a) | 1Q23 (a) | ||||||
GAAP | $6.11 | $9.87 | ||||||
Amortization associated with identifiable intangibles | 0.13 | 0.14 | ||||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 1.08 | 0.42 | ||||||
Transaction and integration costs | — | (0.41) | ||||||
Change in fair market value of publicly-traded equity securities | — | (0.01) | ||||||
Impact of exit of employer group commercial medical products business | 0.01 | (0.64) | ||||||
Value creation initiatives | 0.24 | — | ||||||
Tax impact of non-GAAP adjustments | (0.34) | 0.01 | ||||||
Adjusted (non-GAAP) | $7.23 | $9.38 | ||||||
Humana Inc. Summary of Results ($ in millions, except per share amounts) |
1Q24 (a) | 1Q23 (a) | ||||||
CONSOLIDATED | ||||||||
Revenues | $29,611 | $26,742 | ||||||
Revenues - Adjusted (non-GAAP) | $29,332 | $25,652 | ||||||
Pretax results | $1,014 | $1,614 | ||||||
Pretax results - Adjusted (non-GAAP) | $1,191 | $1,552 | ||||||
EPS | $6.11 | $9.87 | ||||||
EPS - Adjusted (non-GAAP) | $7.23 | $9.38 | ||||||
Benefit ratio | 88.9 | % | 85.5 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 88.9 | % | 85.9 | % | ||||
Operating cost ratio | 10.4 | % | 11.2 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 10.2 | % | 10.9 | % | ||||
Operating cash flows | $423 | $6,687 | ||||||
Operating cash flows - Adjusted (non-GAAP) (b) | $423 | $38 | ||||||
Parent company cash and short term investments | $509 | $909 | ||||||
Debt-to-total capitalization | 45.1 | % | 41.1 | % | ||||
Days in Claims Payable (DCP) | 42.5 | 41.2 | ||||||
INSURANCE SEGMENT | ||||||||
Revenues | $28,699 | $25,903 | ||||||
Revenues - Adjusted (non-GAAP) | $28,420 | $24,814 | ||||||
Benefit ratio | 89.3 | % | 86.1 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 89.4 | % | 86.4 | % | ||||
Operating cost ratio | 8.3 | % | 9.4 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 8.2 | % | 9.0 | % | ||||
Income from operations | $898 | $1,327 | ||||||
Income from operations - Adjusted (non-GAAP) | $903 | $1,252 | ||||||
CENTERWELL SEGMENT | ||||||||
Revenues | $4,818 | $4,505 | ||||||
Operating cost ratio | 93.0 | % | 91.6 | % | ||||
Income from operations | $282 | $330 | ||||||
Income from operations - Adjusted (non-GAAP) (c) | $335 | $379 |
Diluted earnings per common share |
FY 2024 Guidance (d) |
||||
GAAP | approximately $13.93 | ||||
Amortization of identifiable intangibles | 0.49 | ||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 1.08 | ||||
Impact of exit of employer group commercial medical products business | 0.90 | ||||
Value creation initiatives | 0.24 | ||||
Cumulative net tax impact of non-GAAP adjustments | (0.64) | ||||
Adjusted (non-GAAP) – FY 2024 projected | approximately $16.00 |
1Q24 | 1Q23 | |||||||
Insurance segment | $4 | $6 | ||||||
CenterWell segment | $12 | $12 |
Revenues - CONSOLIDATED (in millions) |
1Q24 | 1Q23 | ||||||
GAAP | $29,611 | $26,742 | ||||||
Change in fair market value of publicly-traded equity securities | — | (1) | ||||||
Impact of exit of employer group commercial medical products business | (279) | (1,089) | ||||||
Adjusted (non-GAAP) | $29,332 | $25,652 |
Revenues - INSURANCE SEGMENT (in millions) |
1Q24 | 1Q23 | ||||||
GAAP | $28,699 | $25,903 | ||||||
Impact of exit of employer group commercial medical products business | (279) | (1,089) | ||||||
Adjusted (non-GAAP) | $28,420 | $24,814 |
Benefit ratio - CONSOLIDATED | 1Q24 | 1Q23 | ||||||
GAAP | 88.9 | % | 85.5 | % | ||||
Impact of exit of employer group commercial medical products business | — | % | 0.4 | % | ||||
Adjusted (non-GAAP) | 88.9 | % | 85.9 | % |
Benefit ratio - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | 89.3 | % | 86.1 | % | ||||
Impact of exit of employer group commercial medical products business | 0.1 | % | 0.3 | % | ||||
Adjusted (non-GAAP) | 89.4 | % | 86.4 | % |
Operating cost ratio - CONSOLIDATED | 1Q24 | 1Q23 | ||||||
GAAP | 10.4 | % | 11.2 | % | ||||
Impact of exit of employer group commercial medical products business | (0.1) | % | (0.3) | % | ||||
Value creation initiatives | (0.1) | % | — | % | ||||
Adjusted (non-GAAP) | 10.2 | % | 10.9 | % |
Operating cost ratio - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | 8.3 | % | 9.4 | % | ||||
Impact of exit of employer group commercial medical products business | (0.1) | % | (0.4) | % | ||||
Adjusted (non-GAAP) | 8.2 | % | 9.0 | % |
Income from operations - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | $898 | $1,327 | ||||||
Amortization associated with identifiable intangibles | $4 | $6 | ||||||
Impact of exit of employer group commercial medical products business | 1 | (81) | ||||||
Adjusted (non-GAAP) | $903 | $1,252 |
Net cash from operating activities
(in millions)
|
1Q24 | 1Q23 | ||||||
GAAP | $423 | $6,687 | ||||||
Timing of premium payment from CMS | — | (6,649) | ||||||
Adjusted (non-GAAP) | $423 | $38 |
Income from operations - CENTERWELL SEGMENT (in millions) |
1Q24 | 1Q23 | ||||||
GAAP | $282 | $330 | ||||||
Depreciation and amortization expense | 53 | 49 | ||||||
Adjusted (non-GAAP) | $335 | $379 |
n e w s r e l e a s e |
Exhibit 99.2 |
Humana Inc.
500 West Main Street
P.O. Box 1438
Louisville, KY 40202
http://www.humana.com
|
Lisa Stoner Humana Investor Relations (502) 580-2652 e-mail: LStamper@humana.com |
Consolidated income before income taxes and equity in net earnings (pretax results) In millions |
1Q24 (a) | 1Q23 (a) | ||||||
Generally Accepted Accounting Principles (GAAP) | $1,014 | $1,614 | ||||||
Amortization associated with identifiable intangibles | 16 | 18 | ||||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 131 | 53 | ||||||
Transaction and integration costs | — | (51) | ||||||
Change in fair market value of publicly-traded equity securities | — | (1) | ||||||
Impact of exit of employer group commercial medical products business | 1 | (81) | ||||||
Value creation initiatives | 29 | — | ||||||
Adjusted (non-GAAP) | $1,191 | $1,552 | ||||||
Net earnings per share (EPS) | 1Q24 (a) | 1Q23 (a) | ||||||
GAAP | $6.11 | $9.87 | ||||||
Amortization associated with identifiable intangibles | 0.13 | 0.14 | ||||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 1.08 | 0.42 | ||||||
Transaction and integration costs | — | (0.41) | ||||||
Change in fair market value of publicly-traded equity securities | — | (0.01) | ||||||
Impact of exit of employer group commercial medical products business | 0.01 | (0.64) | ||||||
Value creation initiatives | 0.24 | — | ||||||
Tax impact of non-GAAP adjustments | (0.34) | 0.01 | ||||||
Adjusted (non-GAAP) | $7.23 | $9.38 | ||||||
Humana Inc. Summary of Results ($ in millions, except per share amounts) |
1Q24 (a) | 1Q23 (a) | ||||||
CONSOLIDATED | ||||||||
Revenues | $29,611 | $26,742 | ||||||
Revenues - Adjusted (non-GAAP) | $29,332 | $25,652 | ||||||
Pretax results | $1,014 | $1,614 | ||||||
Pretax results - Adjusted (non-GAAP) | $1,191 | $1,552 | ||||||
EPS | $6.11 | $9.87 | ||||||
EPS - Adjusted (non-GAAP) | $7.23 | $9.38 | ||||||
Benefit ratio | 88.9 | % | 85.5 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 88.9 | % | 85.9 | % | ||||
Operating cost ratio | 10.4 | % | 11.2 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 10.2 | % | 10.9 | % | ||||
Operating cash flows | $423 | $6,687 | ||||||
Operating cash flows - Adjusted (non-GAAP) (b) | $423 | $38 | ||||||
Parent company cash and short term investments | $509 | $909 | ||||||
Debt-to-total capitalization | 45.1 | % | 41.1 | % | ||||
Days in Claims Payable (DCP) | 42.5 | 41.2 | ||||||
INSURANCE SEGMENT | ||||||||
Revenues | $28,699 | $25,903 | ||||||
Revenues - Adjusted (non-GAAP) | $28,420 | $24,814 | ||||||
Benefit ratio | 89.3 | % | 86.1 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 89.4 | % | 86.4 | % | ||||
Operating cost ratio | 8.3 | % | 9.4 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 8.2 | % | 9.0 | % | ||||
Income from operations | $898 | $1,327 | ||||||
Income from operations - Adjusted (non-GAAP) | $903 | $1,252 | ||||||
CENTERWELL SEGMENT | ||||||||
Revenues | $4,818 | $4,505 | ||||||
Operating cost ratio | 93.0 | % | 91.6 | % | ||||
Income from operations | $282 | $330 | ||||||
Income from operations - Adjusted (non-GAAP) (c) | $335 | $379 |
Diluted earnings per common share |
FY 2024 Guidance (d) |
||||
GAAP | approximately $13.93 | ||||
Amortization of identifiable intangibles | 0.49 | ||||
Put/call valuation adjustments associated with company's non-consolidating minority interest investments | 1.08 | ||||
Impact of exit of employer group commercial medical products business | 0.90 | ||||
Value creation initiatives | 0.24 | ||||
Cumulative net tax impact of non-GAAP adjustments | (0.64) | ||||
Adjusted (non-GAAP) – FY 2024 projected | approximately $16.00 |
Humana Inc. Summary of Results ($ in millions, except per share amounts) |
1Q24 (a) | 1Q23 (a) | ||||||
CONSOLIDATED | ||||||||
Revenues | $29,611 | $26,742 | ||||||
Revenues - Adjusted (non-GAAP) | $29,332 | $25,652 | ||||||
Pretax results | $1,014 | $1,614 | ||||||
Pretax results - Adjusted (non-GAAP) | $1,191 | $1,552 | ||||||
EPS | $6.11 | $9.87 | ||||||
EPS - Adjusted (non-GAAP) | $7.23 | $9.38 | ||||||
Benefit ratio | 88.9 | % | 85.5 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 88.9 | % | 85.9 | % | ||||
Operating cost ratio | 10.4 | % | 11.2 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 10.2 | % | 10.9 | % | ||||
Operating cash flows | $423 | $6,687 | ||||||
Operating cash flows - Adjusted (non-GAAP) (b) | $423 | $38 | ||||||
Parent company cash and short term investments | $509 | $909 | ||||||
Debt-to-total capitalization | 45.1 | % | 41.1 | % | ||||
Days in Claims Payable (DCP) | 42.5 | 41.2 |
Consolidated Favorable Prior Period Development
$ in millions
Basis points (bps)
|
First Quarter |
||||||||||
Prior Period Development from prior years recognized in 2024 (e) |
$535 | ||||||||||
Decrease to GAAP benefit ratio | (190 bps) | ||||||||||
Prior Period Development from prior years recognized in 2023 (e) |
$522 | ||||||||||
Decrease to GAAP benefit ratio | (200 bps) |
1Q24 | |||||
Total number of shares repurchased | 1,804,645 | ||||
Average price paid per share | $ | 388.78 | |||
Remaining repurchase authorization as of April 23, 2024 | $2.96 billion |
Insurance Segment Results
$ in millions
|
1Q24 (a) | 1Q23 (a) | ||||||
Revenues | $28,699 | $25,903 | ||||||
Revenues - Adjusted (non-GAAP) | $28,420 | $24,814 | ||||||
Benefit ratio | 89.3 | % | 86.1 | % | ||||
Benefit ratio - Adjusted (non-GAAP) | 89.4 | % | 86.4 | % | ||||
Operating cost ratio | 8.3 | % | 9.4 | % | ||||
Operating cost ratio - Adjusted (non-GAAP) | 8.2 | % | 9.0 | % | ||||
Income from operations | $898 | $1,327 | ||||||
Income from operations - Adjusted (non-GAAP) | $903 | $1,252 |
CenterWell Segment Results
$ in millions
|
1Q24 | 1Q23 | ||||||
Revenues | $4,818 | $4,505 | ||||||
Operating cost ratio | 93.0 | % | 91.6 | % | ||||
Income from operations | $282 | $330 | ||||||
Income from operations - Adjusted (non-GAAP) (c) | $335 | $379 |
1Q24 | 1Q23 | |||||||
Insurance segment | $4 | $6 | ||||||
CenterWell segment | $12 | $12 |
Revenues - CONSOLIDATED
(in millions)
|
1Q24 | 1Q23 | ||||||
GAAP | $29,611 | $26,742 | ||||||
Change in fair market value of publicly-traded equity securities | — | (1) | ||||||
Impact of exit of employer group commercial medical products business | (279) | (1,089) | ||||||
Adjusted (non-GAAP) | $29,332 | $25,652 |
Revenues - INSURANCE SEGMENT
(in millions)
|
1Q24 | 1Q23 | ||||||
GAAP | $28,699 | $25,903 | ||||||
Impact of exit of employer group commercial medical products business | (279) | (1,089) | ||||||
Adjusted (non-GAAP) | $28,420 | $24,814 |
Benefit ratio - CONSOLIDATED | 1Q24 | 1Q23 | ||||||
GAAP | 88.9 | % | 85.5 | % | ||||
Impact of exit of employer group commercial medical products business | — | % | 0.4 | % | ||||
Adjusted (non-GAAP) | 88.9 | % | 85.9 | % |
Benefit ratio - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | 89.3 | % | 86.1 | % | ||||
Impact of exit of employer group commercial medical products business | 0.1 | % | 0.3 | % | ||||
Adjusted (non-GAAP) | 89.4 | % | 86.4 | % |
Operating cost ratio - CONSOLIDATED | 1Q24 | 1Q23 | ||||||
GAAP | 10.4 | % | 11.2 | % | ||||
Impact of exit of employer group commercial medical products business | (0.1) | % | (0.3) | % | ||||
Value creation initiatives | (0.1) | % | — | % | ||||
Adjusted (non-GAAP) | 10.2 | % | 10.9 | % |
Operating cost ratio - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | 8.3 | % | 9.4 | % | ||||
Impact of exit of employer group commercial medical products business | (0.1) | % | (0.4) | % | ||||
Adjusted (non-GAAP) | 8.2 | % | 9.0 | % |
Income from operations - INSURANCE SEGMENT | 1Q24 | 1Q23 | ||||||
GAAP | $898 | $1,327 | ||||||
Amortization associated with identifiable intangibles | 4 | 6 | ||||||
Impact of exit of employer group commercial medical products business | 1 | (81) | ||||||
Adjusted (non-GAAP) | $903 | $1,252 |
Net cash from operating activities
(in millions)
|
1Q24 | 1Q23 | ||||||
GAAP | $423 | $6,687 | ||||||
Timing of premium payment from CMS | — | (6,649) | ||||||
Adjusted (non-GAAP) |
$423 | $38 |
Income from operations - CENTERWELL SEGMENT
(in millions)
|
1Q24 | 1Q23 | ||||||
GAAP | $282 | $330 | ||||||
Depreciation and amortization expense | 53 | 49 | ||||||
Adjusted (non-GAAP) | $335 | $379 |
Favorable | First Quarter | ||||
Prior Period Development from prior years recognized in 2024 |
$34 | ||||
Prior Period Development from prior years recognized in 2023 |
$23 |
Humana Inc. Full Year 2024 Projections - As of April 24, 2024
in accordance with GAAP unless otherwise noted
| |||||||||||
Current Guidance | Prior Guidance | ||||||||||
Diluted earnings per common share | |||||||||||
GAAP: approximately $13.93 |
GAAP: approximately $14.87 |
||||||||||
no change | Non-GAAP: approximately $16.00 |
||||||||||
Total Revenues | |||||||||||
Consolidated | no change | GAAP: approximately $113 billion |
Consolidated and segment level revenue projections include expected investment income. Segment level revenues include amounts that eliminate in consolidation. |
||||||||
Insurance segment | no change | GAAP: approximately $110 billion |
|||||||||
CenterWell segment | no change | GAAP: approximately $19 billion |
|||||||||
Change in year-end medical membership from prior year-end | |||||||||||
Individual Medicare Advantage | Growth of approximately 150,000 | Growth of approximately 100,000 | |||||||||
Group Medicare Advantage | no change | Growth of approximately 45,000 | |||||||||
Medicare stand-alone PDP | no change | Decline of approximately 650,000 | |||||||||
State-based contracts | no change | Growth of approximately 250,000 | State-based contracts guidance includes membership in Florida, Illinois, Indiana, Kentucky, Louisiana, Ohio, Oklahoma, South Carolina, and Wisconsin. | ||||||||
Benefit Ratio
Insurance segment
|
no change | GAAP: approximately 90.0% |
Ratio calculation: benefits expense as a percent of premiums revenues. | ||||||||
Operating Cost Ratio Consolidated |
no change | GAAP: approximately 11.4% |
Ratio calculation: operating costs excluding depreciation and amortization as a percent of revenues excluding investment income. | ||||||||
Segment Results | |||||||||||
Insurance segment income from operations | no change | GAAP: approximately $1.2 billion |
|||||||||
CenterWell segment income from operations | no change | GAAP: approximately $1.4 billion |
|||||||||
Effective Tax Rate |
GAAP: approximately 25.2%
Non-GAAP: approximately 25.0%
|
GAAP: approximately 24.5% |
|||||||||
Weighted Avg. Share Count for Diluted EPS | approximately 121 million | approximately 122 million | |||||||||
Cash flows from operations | no change | GAAP: approximately $2 billion |
|||||||||
Capital expenditures | no change | GAAP: approximately $800 million |
Humana Inc. Statistical Schedules and Supplementary Information 1Q24 Earnings Release | |||||
(S-3) | Consolidated Statements of Income | ||||
(S-4) | Consolidated Balance Sheets | ||||
(S-5) | Consolidated Statements of Cash Flows | ||||
(S-6) - (S-7) | Consolidating Statements of Income - Quarter | ||||
(S-8) | Membership Detail | ||||
(S-9) | Premiums and Services Revenue Detail | ||||
(S-10) - (S-12) | CenterWell Segment - Pharmacy Solutions, Primary Care, & Home Solutions | ||||
(S-13) | Footnotes |
For the three months ended March 31, | |||||||||||
2024 | 2023 | ||||||||||
Revenues: | |||||||||||
Premiums | $ | 28,261 | $ | 25,550 | |||||||
Services | 1,062 | 999 | |||||||||
Investment income | 288 | 193 | |||||||||
Total revenues | 29,611 | 26,742 | |||||||||
Operating expenses: | |||||||||||
Benefits | 25,124 | 21,858 | |||||||||
Operating costs | 3,042 | 2,979 | |||||||||
Depreciation and amortization | 209 | 186 | |||||||||
Total operating expenses | 28,375 | 25,023 | |||||||||
Income from operations | 1,236 | 1,719 | |||||||||
Interest expense | 159 | 113 | |||||||||
Other expense (income), net | 63 | (8) | |||||||||
Income before income taxes and equity in net earnings | 1,014 | 1,614 | |||||||||
Provision from income taxes | 251 | 359 | |||||||||
Equity in net losses (A) | (24) | (17) | |||||||||
Net income | 739 | 1,238 | |||||||||
Net loss attributable to noncontrolling interests | 2 | 1 | |||||||||
Net income attributable to Humana | $ | 741 | $ | 1,239 | |||||||
Basic earnings per common share | $ | 6.13 | $ | 9.91 | |||||||
Diluted earnings per common share | $ | 6.11 | $ | 9.87 | |||||||
Shares used in computing basic earnings per common share (000’s) | 120,978 | 125,005 | |||||||||
Shares used in computing diluted earnings per common share (000’s) | 121,268 | 125,564 |
March 31, | December 31, | |||||||
2024 | 2023 | |||||||
Assets | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 5,910 | $ | 4,694 | ||||
Investment securities | 16,697 | 16,626 | ||||||
Receivables, net | 3,925 | 2,035 | ||||||
Other current assets | 6,264 | 6,631 | ||||||
Total current assets | 32,796 | 29,986 | ||||||
Property and equipment, net | 2,979 | 3,030 | ||||||
Long-term investment securities | 380 | 382 | ||||||
Equity method investments | 730 | 740 | ||||||
Goodwill | 9,563 | 9,550 | ||||||
Other long-term assets | 3,643 | 3,377 | ||||||
Total assets | $ | 50,091 | $ | 47,065 | ||||
Liabilities and Stockholders’ Equity | ||||||||
Current liabilities: | ||||||||
Benefits payable | $ | 11,729 | $ | 10,241 | ||||
Trade accounts payable and accrued expenses | 6,504 | 6,569 | ||||||
Book overdraft | 333 | 353 | ||||||
Unearned revenues | 301 | 266 | ||||||
Short-term debt | 822 | 1,443 | ||||||
Total current liabilities | 19,689 | 18,872 | ||||||
Long-term debt | 12,390 | 10,213 | ||||||
Other long-term liabilities | 1,826 | 1,662 | ||||||
Total liabilities | 33,905 | 30,747 | ||||||
Commitments and contingencies | ||||||||
Stockholders’ equity: | ||||||||
Preferred stock, $1 par; 10,000,000 shares authorized, none issued | — | — | ||||||
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,690,593 issued at March 31, 2024 | 33 | 33 | ||||||
Capital in excess of par value | 3,369 | 3,346 | ||||||
Retained earnings | 28,173 | 27,540 | ||||||
Accumulated other comprehensive loss | (1,086) | (999) | ||||||
Treasury stock, at cost, 78,189,958 shares at March 31, 2024 | (14,359) | (13,658) | ||||||
Total stockholders’ equity | 16,130 | 16,262 | ||||||
Noncontrolling interests | 56 | 56 | ||||||
Total equity | 16,186 | 16,318 | ||||||
Total liabilities and equity | $ | 50,091 | $ | 47,065 | ||||
Debt-to-total capitalization ratio | 45.1 | % | 41.8 | % |
For the three months ended March 31, | ||||||||
2024 | 2023 | |||||||
Cash flows from operating activities | ||||||||
Net income | $ | 739 | $ | 1,238 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
(Gain) loss on investment securities, net | (1) | 60 | ||||||
Equity in net losses | 24 | 17 | ||||||
Stock-based compensation | 45 | 38 | ||||||
Depreciation | 226 | 200 | ||||||
Amortization | 16 | 18 | ||||||
Impairment of property and equipment | 33 | — | ||||||
Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: | ||||||||
Receivables | (1,890) | (1,433) | ||||||
Other assets | 97 | (907) | ||||||
Benefits payable | 1,488 | 754 | ||||||
Other liabilities | (422) | (238) | ||||||
Unearned revenues | 35 | 6,934 | ||||||
Other, net | 33 | 6 | ||||||
Net cash provided by operating activities | 423 | 6,687 | ||||||
Cash flows from investing activities | ||||||||
Acquisitions, net of cash and cash equivalents acquired | (14) | (73) | ||||||
Purchases of property and equipment, net | (177) | (223) | ||||||
Purchases of investment securities | (1,259) | (1,313) | ||||||
Maturities of investment securities | 645 | 267 | ||||||
Proceeds from sales of investment securities | 391 | 50 | ||||||
Net cash used in investing activities | (414) | (1,292) | ||||||
Cash flows from financing activities | ||||||||
Receipts from contract deposits, net | 499 | 2,997 | ||||||
Proceeds from issuance of senior notes, net | 2,232 | 1,215 | ||||||
Repayments of senior notes | — | (60) | ||||||
Repayments of commercial paper, net | (644) | (177) | ||||||
Repayment of term loan | — | (500) | ||||||
Debt issue costs | (5) | (4) | ||||||
Change in book overdraft | (20) | 108 | ||||||
Common stock repurchases | (717) | (94) | ||||||
Dividends paid | (109) | (100) | ||||||
Other | (29) | (106) | ||||||
Net cash provided by financing activities | 1,207 | 3,279 | ||||||
Increase in cash and cash equivalents | 1,216 | 8,674 | ||||||
Cash and cash equivalents at beginning of period | 4,694 | 5,061 | ||||||
Cash and cash equivalents at end of period | $ | 5,910 | $ | 13,735 |
Insurance | CenterWell | Eliminations/ Corporate |
Consolidated | ||||||||||||||||||||
Revenues—external customers Premiums: | |||||||||||||||||||||||
Individual Medicare Advantage | $ | 22,448 | $ | — | $ | — | $ | 22,448 | |||||||||||||||
Group Medicare Advantage | 1,989 | — | — | 1,989 | |||||||||||||||||||
Medicare stand-alone PDP | 821 | — | — | 821 | |||||||||||||||||||
Total Medicare | 25,258 | — | — | 25,258 | |||||||||||||||||||
State-based contracts and other | 2,311 | — | — | 2,311 | |||||||||||||||||||
Commercial fully-insured | 256 | — | — | 256 | |||||||||||||||||||
Specialty benefits | 239 | — | — | 239 | |||||||||||||||||||
Medicare Supplement | 197 | — | — | 197 | |||||||||||||||||||
Total premiums | 28,261 | — | — | 28,261 | |||||||||||||||||||
Services revenue: | |||||||||||||||||||||||
Home solutions | — | 335 | — | 335 | |||||||||||||||||||
Pharmacy solutions | — | 211 | — | 211 | |||||||||||||||||||
Primary care | — | 241 | — | 241 | |||||||||||||||||||
Military and other | 251 | — | — | 251 | |||||||||||||||||||
Commercial ASO | 24 | — | — | 24 | |||||||||||||||||||
Total services revenue | 275 | 787 | — | 1,062 | |||||||||||||||||||
Total revenues—external customers | 28,536 | 787 | — | 29,323 | |||||||||||||||||||
Intersegment revenues | 1 | 4,031 | (4,032) | — | |||||||||||||||||||
Investment income | 162 | — | 126 | 288 | |||||||||||||||||||
Total revenues | 28,699 | 4,818 | (3,906) | 29,611 | |||||||||||||||||||
Operating expenses: | |||||||||||||||||||||||
Benefits | 25,251 | — | (127) | 25,124 | |||||||||||||||||||
Operating costs | 2,364 | 4,483 | (3,805) | 3,042 | |||||||||||||||||||
Depreciation and amortization | 186 | 53 | (30) | 209 | |||||||||||||||||||
Total operating expenses | 27,801 | 4,536 | (3,962) | 28,375 | |||||||||||||||||||
Income from operations | $ | 898 | $ | 282 | $ | 56 | $ | 1,236 | |||||||||||||||
Benefit ratio | 89.3 | % | 88.9 | % | |||||||||||||||||||
Operating cost ratio | 8.3 | % | 93.0 | % | 10.4 | % |
Insurance | CenterWell | Eliminations/ Corporate |
Consolidated | ||||||||||||||||||||
Revenues—external customers Premiums: | |||||||||||||||||||||||
Individual Medicare Advantage | $ | 19,809 | $ | — | $ | — | $ | 19,809 | |||||||||||||||
Group Medicare Advantage | 1,765 | — | — | 1,765 | |||||||||||||||||||
Medicare stand-alone PDP | 616 | — | — | 616 | |||||||||||||||||||
Total Medicare | 22,190 | — | — | 22,190 | |||||||||||||||||||
State-based contracts and other | 1,909 | — | — | 1,909 | |||||||||||||||||||
Commercial fully-insured | 1,018 | — | — | 1,018 | |||||||||||||||||||
Specialty benefits | 254 | — | — | 254 | |||||||||||||||||||
Medicare Supplement |
179 | — | — | 179 | |||||||||||||||||||
Total premiums | 25,550 | — | — | 25,550 | |||||||||||||||||||
Services revenue: | |||||||||||||||||||||||
Home solutions | — | 314 | — | 314 | |||||||||||||||||||
Pharmacy solutions | — | 242 | — | 242 | |||||||||||||||||||
Primary care | — | 201 | — | 201 | |||||||||||||||||||
Military and other | 171 | — | — | 171 | |||||||||||||||||||
Commercial ASO | 71 | — | — | 71 | |||||||||||||||||||
Total services revenue | 242 | 757 | — | 999 | |||||||||||||||||||
Total revenues—external customers | 25,792 | 757 | — | 26,549 | |||||||||||||||||||
Intersegment revenues | 14 | 3,748 | (3,762) | — | |||||||||||||||||||
Investment income | 97 | — | 96 | 193 | |||||||||||||||||||
Total revenues | 25,903 | 4,505 | (3,666) | 26,742 | |||||||||||||||||||
Operating expenses: | |||||||||||||||||||||||
Benefits | 21,993 | — | (135) | 21,858 | |||||||||||||||||||
Operating costs | 2,418 | 4,126 | (3,565) | 2,979 | |||||||||||||||||||
Depreciation and amortization | 165 | 49 | (28) | 186 | |||||||||||||||||||
Total operating expenses | 24,576 | 4,175 | (3,728) | 25,023 | |||||||||||||||||||
Income from operations | $ | 1,327 | $ | 330 | $ | 62 | $ | 1,719 | |||||||||||||||
Benefit ratio | 86.1 | % | 85.5 | % | |||||||||||||||||||
Operating cost ratio | 9.4 | % | 91.6 | % | 11.2 | % |
March 31, 2024 | Average 1Q24 | March 31, 2023 | December 31, 2023 | |||||||||||||||||
Medical Membership: | ||||||||||||||||||||
Individual Medicare Advantage* | 5,548.9 | 5,539.8 | 5,153.0 | 5,408.9 | ||||||||||||||||
Group Medicare Advantage | 551.5 | 551.6 | 511.2 | 509.6 | ||||||||||||||||
Total Medicare Advantage | 6,100.4 | 6,091.4 | 5,664.2 | 5,918.5 | ||||||||||||||||
Medicare stand-alone PDP | 2,347.0 | 2,380.4 | 2,956.3 | 2,849.1 | ||||||||||||||||
Total Medicare | 8,447.4 | 8,471.8 | 8,620.5 | 8,767.6 | ||||||||||||||||
Medicare supplement | 323.2 | 319.5 | 294.0 | 307.2 | ||||||||||||||||
State-based contracts and other | 1,261.4 | 1,272.5 | 1,371.5 | 1,228.8 | ||||||||||||||||
Military | 5,955.3 | 5,970.4 | 5,930.7 | 5,960.2 | ||||||||||||||||
Total excluding employer group commercial medical | 15,987.3 | 16,034.2 | 16,216.7 | 16,263.8 | ||||||||||||||||
Fully-insured commercial medical | 109.7 | 121.5 | 522.6 | 338.7 | ||||||||||||||||
ASO commercial | 77.7 | 88.8 | 414.8 | 255.3 | ||||||||||||||||
Total employer group commercial medical | 187.4 | 210.3 | 937.4 | 594.0 | ||||||||||||||||
Total Medical Membership | 16,174.7 | 16,244.5 | 17,154.1 | 16,857.8 | ||||||||||||||||
Specialty Membership: | ||||||||||||||||||||
Dental—fully-insured (B) | 2,099.0 | 2,108.5 | 2,327.9 | 2,205.0 | ||||||||||||||||
Dental—ASO | 303.8 | 304.8 | 309.6 | 307.0 | ||||||||||||||||
Total Dental | 2,402.8 | 2,413.3 | 2,637.5 | 2,512.0 | ||||||||||||||||
Vision | 1,884.3 | 1,895.8 | 2,061.6 | 1,971.4 | ||||||||||||||||
Other supplemental benefits | 366.1 | 368.2 | 415.6 | 384.9 | ||||||||||||||||
Total Specialty Membership | 4,653.2 | 4,677.3 | 5,114.7 | 4,868.3 | ||||||||||||||||
March 31, 2024 | Member Mix March 31, 2024 |
March 31, 2023 | Member Mix March 31, 2023 |
|||||||||||||||||
Individual Medicare Advantage Membership | ||||||||||||||||||||
HMO | 2,848.6 | 51 | % | 2,778.0 | 54 | % | ||||||||||||||
PPO/PFFS | 2,700.3 | 49 | % | 2,375.0 | 46 | % | ||||||||||||||
Total Individual Medicare Advantage |
5,548.9 | 100 | % | 5,153.0 | 100 | % | ||||||||||||||
Individual Medicare Advantage Membership | ||||||||||||||||||||
Shared Risk (C) | 2,051.9 | 37 | % | 1,749.9 | 34 | % | ||||||||||||||
Path to Risk (D) | 1,785.4 | 32 | % | 1,755.2 | 34 | % | ||||||||||||||
Total Value-based | 3,837.3 | 69 | % | 3,505.1 | 68 | % | ||||||||||||||
Other | 1,711.6 | 31 | % | 1,647.9 | 32 | % | ||||||||||||||
Total Individual Medicare Advantage | 5,548.9 | 100 | % | 5,153.0 | 100 | % |
For the three months ended March 31, | Per Member per Month (I) For the three months ended March 31, |
|||||||||||||||||||||||||
Dollar | Percentage | |||||||||||||||||||||||||
2024 | 2023 | Change | Change | 2024 | 2023 | |||||||||||||||||||||
Insurance | ||||||||||||||||||||||||||
Individual Medicare Advantage | $ | 22,448 | $ | 19,809 | $ | 2,639 | 13.3 | % | $ | 1,351 | $ | 1,293 | ||||||||||||||
Group Medicare Advantage | 1,989 | 1,765 | 224 | 12.7 | % | 1,202 | 1,146 | |||||||||||||||||||
Medicare stand-alone PDP | 821 | 616 | 205 | 33.3 | % | 115 | 69 | |||||||||||||||||||
State-based contracts and other (E) | 2,311 | 1,909 | 402 | 21.1 | % | 576 | 451 | |||||||||||||||||||
Fully-insured commercial medical (F) | 256 | 1,018 | (762) | -74.9 | % | 565 | 550 | |||||||||||||||||||
Specialty benefits (G) | 239 | 254 | (15) | -5.9 | % | 18 | 18 | |||||||||||||||||||
Medicare Supplement | 197 | 179 | 18 | 10.1 | % | 206 | 202 | |||||||||||||||||||
Military and other (H) | 252 | 185 | 67 | 36.2 | % | |||||||||||||||||||||
Commercial ASO | 24 | 71 | (47) | -66.2 | % | |||||||||||||||||||||
Total | 28,537 | 25,806 | 2,731 | 10.6 | % | |||||||||||||||||||||
CenterWell | ||||||||||||||||||||||||||
Pharmacy solutions | 2,828 | 2,857 | (29) | -1.0 | % | |||||||||||||||||||||
Primary care | 1,170 | 1,020 | 150 | 14.7 | % | |||||||||||||||||||||
Home solutions | 820 | 628 | 192 | 30.6 | % | |||||||||||||||||||||
Total | 4,818 | 4,505 | 313 | 6.9 | % | |||||||||||||||||||||
For the three months ended March 31, 2024 |
For the three months ended March 31, 2023 |
For the three months ended December 31, 2023 |
||||||||||||||||||
Generic Dispense Rate | ||||||||||||||||||||
Total Medicare | 91.0 | % | 91.4 | % | 91.8 | % | ||||||||||||||
Mail-Order Penetration | ||||||||||||||||||||
Total Medicare | 29.0 | % | 30.3 | % | 29.0 | % | ||||||||||||||
As of March 31, 2024 | As of March 31, 2023 | Year-over-Year Growth | |||||||||||||||||||||||||||||||||
Primary | Primary | Primary | |||||||||||||||||||||||||||||||||
Center | Care | Patients | Center | Care | Patients | Center | Care | Patients | |||||||||||||||||||||||||||
Count | Providers | Served (K) | Count | Providers | Served (K) | Count | Providers | Served | |||||||||||||||||||||||||||
De novo | 113 | 275 | 52,000 | 58 | 162 | 26,600 | 94.8 | % | 69.8 | % | 95.5 | % | |||||||||||||||||||||||
Wholly-owned | 186 | 625 | 203,100 | 191 | 586 | 180,700 | (2.6) | % | 6.7 | % | 12.4 | % | |||||||||||||||||||||||
Independent Physician Associations | 62,900 | 58,400 | 7.7 | % | |||||||||||||||||||||||||||||||
299 | 900 | 318,000 | 249 | 748 | 265,700 | 20.1 | % | 20.3 | % | 19.7 | % |
As of December 31, 2023 | Sequential Growth | |||||||||||||||||||||||||
Primary | Primary | |||||||||||||||||||||||||
Center | Care | Patients | Center | Care | Patients | |||||||||||||||||||||
Count | Providers | Served (K) | Count | Providers | Served | |||||||||||||||||||||
De novo | 108 | 274 | 43,100 | 4.6 | % | 0.4 | % | 20.6 | % | |||||||||||||||||
Wholly-owned | 188 | 617 | 189,600 | (1.1) | % | 1.3 | % | 7.1 | % | |||||||||||||||||
Independent Physician Associations | 61,500 | 2.3 | % | |||||||||||||||||||||||
296 | 891 | 294,200 | 1.0 | % | 1.0 | % | 8.1 | % |
For the three months ended March 31, 2024 |
For the three months ended March 31, 2023 |
Year-over-Year Growth | |||||||||
Episodic Admissions (L) | 84,260 | 73,937 | 14.0 | % | |||||||
Total Admissions - Same Store (M) | 102,236 | 96,358 | 6.1 | % |