Humana Reports Second Quarter 2024 Financial Results; Affirms Full Year Adjusted 2024 Financial Guidance
Humana has reported its financial results for the second quarter of 2024. Key metrics include a GAAP EPS of $5.62 and an Adjusted EPS of $6.96. Year-to-date figures show a GAAP EPS of $11.74 and an Adjusted EPS of $14.19. Revenue for the quarter rose to $29.54 billion from $26.75 billion in 2Q23, while Adjusted Revenue increased to $29.38 billion from $25.73 billion.
However, the company revised its full-year GAAP EPS guidance to approximately $12.81 from $13.93, but maintained its Adjusted EPS guidance at $16.00. Additionally, Humana projected an increase in its individual Medicare Advantage membership growth by 75,000, anticipating a total growth of 225,000 members, or 4.2%, for 2024.
Operating cost ratio improved to 10.8% from 11.8% last year. The Insurance segment showed a benefits expense ratio of 89.5%, up from 86.8% in 2Q23. Operating cash flows decreased to $1.64 billion. The announcement included a Q&A session at 9 a.m. ET and updates on their Investor Relations page.
Humana ha riportato i risultati finanziari per il secondo trimestre del 2024. I principali indicatori includono un GAAP EPS di $5.62 e un Adjusted EPS di $6.96. I dati da inizio anno mostrano un GAAP EPS di $11.74 e un Adjusted EPS di $14.19. I ricavi del trimestre sono aumentati a $29.54 miliardi rispetto ai $26.75 miliardi del 2Q23, mentre i ricavi aggiustati sono saliti a $29.38 miliardi dai $25.73 miliardi.
Tuttavia, l'azienda ha rivisto al ribasso la sua guida per il GAAP EPS dell'intero anno a circa $12.81, rispetto ai $13.93 precedentemente stimati, mantenendo invece la guida per l'Adjusted EPS a $16.00. Inoltre, Humana prevede un aumento nella crescita degli iscritti individuali al Medicare Advantage di 75.000 membri, con una crescita totale prevista di 225.000 membri, ovvero il 4.2%, per il 2024.
Il rapporto dei costi operativi è migliorato al 10.8% rispetto all'11.8% dell'anno scorso. Il segmento assicurativo ha mostrato un rapporto di spese per benefici dell'89.5%, in aumento rispetto all'86.8% del 2Q23. I flussi di cassa operativi sono diminuiti a $1.64 miliardi. L'annuncio includeva una sessione di domande e risposte alle 9 del mattino ET e aggiornamenti sulla loro pagina delle Relazioni con gli Investitori.
Humana ha reportado sus resultados financieros para el segundo trimestre de 2024. Los principales indicadores incluyen un GAAP EPS de $5.62 y un Adjusted EPS de $6.96. Las cifras acumuladas hasta la fecha muestran un GAAP EPS de $11.74 y un Adjusted EPS de $14.19. Los ingresos del trimestre aumentaron a $29.54 mil millones desde $26.75 mil millones en el 2Q23, mientras que los ingresos ajustados crecieron a $29.38 mil millones desde $25.73 mil millones.
No obstante, la compañía revisó a la baja su guía de GAAP EPS para todo el año a aproximadamente $12.81 desde $13.93, pero mantuvo su guía de Adjusted EPS en $16.00. Además, Humana proyectó un aumento en el crecimiento de su membresía individual de Medicare Advantage de 75,000, anticipando un crecimiento total de 225,000 miembros, o el 4.2%, para 2024.
El ratio de costos operativos mejoró al 10.8% desde el 11.8% del año pasado. El segmento de seguros mostró una relación de gastos de beneficios del 89.5%, en comparación con el 86.8% en el 2Q23. Los flujos de efectivo operativo disminuyeron a $1.64 mil millones. El anuncio incluyó una sesión de preguntas y respuestas a las 9 a.m. ET y actualizaciones en su página de Relaciones con Inversores.
휴마나가 2024년 2분기 재무 실적을 발표했습니다. 주요 지표에는 GAAP EPS가 $5.62이고 Adjusted EPS가 $6.96입니다. 연초부터 현재까지의 수치는 GAAP EPS가 $11.74, Adjusted EPS가 $14.19임을 보여줍니다. 분기 수익은 2Q23의 $26.75억에서 $29.54억으로 증가했으며, 조정된 수익은 $25.73억에서 $29.38억으로 증가했습니다.
그러나 회사는 전체 연도의 GAAP EPS 가이드를 $13.93에서 약 $12.81로 하향 조정했지만 조정된 EPS 가이드는 $16.00로 유지했습니다. 또한, 휴마나는 Medicare Advantage 개인 회원 수가 75,000명 증가할 것으로 예상하고 있으며, 2024년에는 총 225,000명 성장을 예상하고 있습니다. 이는 4.2% 증가에 해당합니다.
운영 비용 비율은 작년 11.8%에서 10.8%로 개선되었습니다. 보험 부문은 2Q23의 86.8%에서 89.5%로 혜택 비용 비율을 나타냈습니다. 운영 현금 흐름은 $1.64억으로 감소했습니다. 발표에는 오전 9시 ET에 질의응답 세션이 포함된 동시에 투자자 관계 페이지에 대한 업데이트도 포함되었습니다.
Humana a publié ses résultats financiers pour le deuxième trimestre de 2024. Les principales indicateurs incluent un GAAP EPS de 5,62 $ et un Adjusted EPS de 6,96 $. Les chiffres cumulés depuis le début de l'année montrent un GAAP EPS de 11,74 $ et un Adjusted EPS de 14,19 $. Les revenus pour le trimestre ont augmenté à 29,54 milliards de dollars, contre 26,75 milliards de dollars au 2Q23, tandis que les revenus ajustés ont augmenté à 29,38 milliards de dollars contre 25,73 milliards de dollars.
Cependant, la société a révisé ses prévisions de GAAP EPS pour l'année entière à environ 12,81 $ contre 13,93 $, tout en maintenant ses prévisions d'Adjusted EPS à 16,00 $. De plus, Humana a projeté une augmentation de sa croissance d'adhésion individuelle au Medicare Advantage de 75 000, anticipant une croissance totale de 225 000 membres, soit 4,2 %, pour 2024.
Le ratio des coûts d'exploitation s'est amélioré à 10,8 % contre 11,8 % l'année dernière. Le segment d'assurance a montré un ratio des dépenses liées aux prestations de 89,5 %, contre 86,8 % au 2Q23. Les flux de trésorerie d'exploitation ont diminué à 1,64 milliard de dollars. L'annonce comprenait une session de questions-réponses à 9 h du matin ET et des mises à jour sur leur page des Relations Investisseurs.
Humana hat seine finanziellen Ergebnisse für das zweite Quartal 2024 veröffentlicht. Zu den wichtigsten Kennzahlen gehören ein GAAP EPS von $5,62 und ein Adjusted EPS von $6,96. Die kumulierten Zahlen zeigen ein GAAP EPS von $11,74 und ein Adjusted EPS von $14,19. Der Umsatz des Quartals stieg auf $29,54 Milliarden von $26,75 Milliarden im 2Q23, während der angepasste Umsatz auf $29,38 Milliarden von $25,73 Milliarden anstieg.
Das Unternehmen hat jedoch die Prognose für den GAAP EPS für das gesamte Jahr auf etwa $12,81 von vorher $13,93 gesenkt, während die Prognose für das Adjusted EPS bei $16,00 bleibt. Darüber hinaus prognostizierte Humana einen Anstieg des Wachstums der individuellen Medicare Advantage-Mitgliedschaften um 75.000, mit einer Gesamtwachstumsprognose von 225.000 Mitgliedern, oder 4,2%, für 2024.
Die Betriebskostenquote verbesserte sich auf 10,8% von 11,8% im letzten Jahr. Der Versicherungsbereich wies eine Kostenquote für Leistungen von 89,5% aus, gegenüber 86,8% im 2Q23. Die operativen Cashflows sanken auf $1,64 Milliarden. Die Ankündigung enthielt eine Fragen- und Antwortsitzung um 9 Uhr morgens ET sowie Aktualisierungen auf ihrer Investor Relations-Seite.
- 2Q24 revenue increased to $29.54B from $26.75B in 2Q23.
- Adjusted 2Q24 revenue rose to $29.38B from $25.73B.
- Operating cost ratio improved to 10.8% from 11.8% in 2Q23.
- Projected individual Medicare Advantage membership growth increased by 75,000, totaling 225,000 members or 4.2% for 2024.
- GAAP EPS guidance for FY 2024 revised down to $12.81 from $13.93.
- Benefits expense ratio for the Insurance segment increased to 89.5% from 86.8% in 2Q23.
- Operating cash flows decreased to $1.64B.
Insights
Humana's Q2 2024 results present a mixed picture for investors. While the company reported adjusted EPS of
On a positive note, Humana raised its 2024 individual Medicare Advantage membership growth forecast by 75,000 to approximately 225,000, indicating strong demand for its core products. This
However, the company revised its full-year 2024 GAAP EPS guidance downward to
Investors should closely monitor Humana's ability to control medical costs and improve its benefit ratio in the coming quarters. The company's success in growing its Medicare Advantage membership could provide a buffer against these cost pressures, but sustained profitability will depend on effective cost management strategies.
Humana's Q2 results reflect broader trends in the healthcare industry, particularly the challenges faced by insurers in managing rising medical costs. The increase in the benefits expense ratio to
The company's focus on Medicare Advantage growth is strategically sound, given the aging U.S. population and the program's popularity. Humana's projected
However, the downward revision of GAAP EPS guidance while maintaining adjusted EPS guidance raises questions about the sustainability of Humana's earnings quality. Investors should scrutinize the nature and frequency of adjustments made to reconcile GAAP and non-GAAP figures.
Looking ahead, potential changes in healthcare policy, such as drug pricing reforms or adjustments to Medicare Advantage reimbursement rates, could significantly impact Humana's profitability. The company's ability to navigate these potential regulatory changes will be important for long-term success in the evolving healthcare landscape.
-
Reports 2Q24 earnings per share (EPS) of
on a GAAP basis, Adjusted EPS of$5.62 ; reports YTD 2024 EPS of$6.96 on a GAAP basis,$11.74 on an Adjusted basis$14.19 -
Revises FY 2024 EPS guidance to 'approximately
' (previously 'approximately$12.81 ') on a GAAP basis, while affirming Adjusted EPS of 'approximately$13.93 '; affirms FY 2024 Insurance segment benefit ratio of approximately 90 percent$16.00 - Raises 2024 individual Medicare Advantage annual membership growth by 75,000 to now anticipate annual growth of approximately 225,000, or 4.2 percent
- Publishes Letter from the CEO and prepared management remarks to Investor Relations page of www.humana.com ahead of this morning's 9:00 a.m. ET question and answer session to discuss its financial results for the quarter and expectations for future earnings
Consolidated income before income taxes and equity in net earnings (pretax results) In millions |
2Q24 (a) |
2Q23 (a) |
YTD 2024 (a) |
YTD 2023 (a) |
Generally Accepted Accounting Principles (GAAP) |
|
|
|
|
Amortization associated with identifiable intangibles |
15 |
16 |
31 |
34 |
Put/call valuation adjustments associated with the company's non-consolidating minority interest investments |
68 |
53 |
199 |
107 |
Impact of exit of employer group commercial medical products business |
59 |
45 |
60 |
(37) |
Value creation initiatives |
68 |
— |
97 |
— |
Transaction and integration costs |
— |
4 |
— |
(48) |
Accrued charge related to certain anticipated litigation expenses |
— |
90 |
— |
90 |
Change in fair market value of publicly-traded equity securities |
— |
— |
— |
(1) |
Adjusted (non-GAAP) |
|
|
|
|
Diluted earnings per share (EPS) |
2Q24 (a) |
2Q23 (a) |
YTD 2024 (a) |
YTD 2023 (a) |
GAAP |
|
|
|
|
Amortization associated with identifiable intangibles |
0.13 |
0.13 |
0.25 |
0.27 |
Put/call valuation adjustments associated with the company's non-consolidating minority interest investments |
0.57 |
0.43 |
1.65 |
0.85 |
Impact of exit of employer group commercial medical products business |
0.49 |
0.35 |
0.50 |
(0.30) |
Value creation initiatives |
0.56 |
— |
0.80 |
— |
Transaction and integration costs |
— |
0.03 |
— |
(0.38) |
Accrued charge related to certain anticipated litigation expenses |
— |
0.72 |
— |
0.72 |
Change in fair market value of publicly-traded equity securities |
— |
— |
— |
(0.01) |
Cumulative net tax impact of non-GAAP adjustments |
(0.41) |
(0.38) |
(0.75) |
(0.37) |
Adjusted (non-GAAP) |
|
|
|
|
Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as additional reconciliations. |
Please refer to the tables above, as well as the consolidated and segment highlight sections in the detailed earnings release for additional discussion of the factors impacting the year-over-comparisons.
In addition, a summary of key consolidated and segment statistics comparing 2Q24 to 2Q23 and YTD 2024 to YTD 2023 follows.
Humana Inc. Summary of Results
|
2Q24 (a) |
2Q23 (a) |
YTD 2024 (a) |
YTD 2023 (a) |
||||||||
CONSOLIDATED |
|
|
|
|
||||||||
Revenues |
$ |
29,540 |
|
$ |
26,747 |
|
$ |
59,151 |
|
$ |
53,489 |
|
Revenues - Adjusted (non-GAAP) |
$ |
29,380 |
|
$ |
25,733 |
|
$ |
58,711 |
|
$ |
51,385 |
|
Pretax results |
$ |
918 |
|
$ |
1,262 |
|
$ |
1,932 |
|
$ |
2,876 |
|
Pretax results - Adjusted (non-GAAP) |
$ |
1,128 |
|
$ |
1,470 |
|
$ |
2,319 |
|
$ |
3,021 |
|
EPS |
$ |
5.62 |
|
$ |
7.66 |
|
$ |
11.74 |
|
$ |
17.54 |
|
EPS - Adjusted (non-GAAP) |
$ |
6.96 |
|
$ |
8.94 |
|
$ |
14.19 |
|
$ |
18.32 |
|
Benefits expense ratio |
|
89.0 |
% |
|
86.3 |
% |
|
88.9 |
% |
|
85.9 |
% |
Benefits expense ratio - Adjusted (non-GAAP) |
|
88.9 |
% |
|
86.1 |
% |
|
88.9 |
% |
|
86.0 |
% |
Operating cost ratio |
|
10.8 |
% |
|
11.8 |
% |
|
10.6 |
% |
|
11.5 |
% |
Operating cost ratio - Adjusted (non-GAAP) |
|
10.5 |
% |
|
11.2 |
% |
|
10.4 |
% |
|
11.0 |
% |
Operating cash flows |
|
|
$ |
1,636 |
|
$ |
9,863 |
|
||||
Operating cash flows - Adjusted (non-GAAP) (b) |
|
|
$ |
1,636 |
|
$ |
2,861 |
|
||||
Parent company cash and short term investments |
|
|
$ |
1,256 |
|
$ |
1,109 |
|
||||
Debt-to-total capitalization |
|
|
|
43.6 |
% |
|
41.0 |
% |
||||
Days in Claims Payable (DCP) |
|
41.6 |
|
|
42.6 |
|
|
|
||||
|
|
|
|
|
||||||||
INSURANCE SEGMENT |
|
|
|
|
||||||||
Revenues |
$ |
28,525 |
|
$ |
25,875 |
|
$ |
57,224 |
|
$ |
51,778 |
|
Revenues - Adjusted (non-GAAP) |
$ |
28,365 |
|
$ |
24,861 |
|
$ |
56,784 |
|
$ |
49,675 |
|
Benefits expense ratio |
|
89.5 |
% |
|
86.8 |
% |
|
89.4 |
% |
|
86.4 |
% |
Benefits expense ratio - Adjusted (non-GAAP) |
|
89.4 |
% |
|
86.6 |
% |
|
89.4 |
% |
|
86.5 |
% |
Operating cost ratio |
|
8.4 |
% |
|
9.9 |
% |
|
8.4 |
% |
|
9.6 |
% |
Operating cost ratio - Adjusted (non-GAAP) |
|
8.4 |
% |
|
9.2 |
% |
|
8.3 |
% |
|
9.1 |
% |
Income from operations |
$ |
763 |
|
$ |
1,031 |
|
$ |
1,661 |
|
$ |
2,358 |
|
Income from operations - Adjusted (non-GAAP) |
$ |
826 |
|
$ |
1,172 |
|
$ |
1,730 |
|
$ |
2,422 |
|
|
|
|
|
|
||||||||
CENTERWELL SEGMENT |
|
|
|
|
||||||||
Revenues |
$ |
4,947 |
|
$ |
4,530 |
|
$ |
9,765 |
|
$ |
9,035 |
|
Operating cost ratio |
|
92.0 |
% |
|
92.6 |
% |
|
92.5 |
% |
|
92.1 |
% |
Income from operations |
$ |
338 |
|
$ |
287 |
|
$ |
620 |
|
$ |
617 |
|
Income from operations - Adjusted (non-GAAP) (c) |
$ |
394 |
|
$ |
337 |
|
$ |
729 |
|
$ |
716 |
|
Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as reconciliations. |
FY 2024 Earnings Guidance
Humana revised its GAAP EPS guidance for the year ending December 31, 2024 (FY 2024) to approximately
Diluted earnings per share |
FY 2024 Guidance |
GAAP |
approximately |
Amortization of identifiable intangibles |
0.50 |
Put/call valuation adjustments associated with the company's non-consolidating minority interest investments (d) |
1.65 |
Impact of exit of employer group commercial medical products business |
1.21 |
Value creation initiatives (d) |
0.80 |
Cumulative net tax impact of non-GAAP adjustments |
(0.97) |
Adjusted (non-GAAP) – FY 2024 projected |
approximately |
Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as additional reconciliations. |
Detailed Press Release
Humana’s full earnings press release, including the statistical pages, has been posted to the company’s Investor Relations site and may be accessed at https://humana.gcs-web.com/ or via a current report on Form 8-K filed by the company with the Securities and Exchange Commission this morning (available at www.sec.gov or on the company’s website).
Conference Call
Humana will host a live question and answer session for analysts at 9:00 a.m. Eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings. In advance of the question and answer session, Humana will post a Letter from the CEO and prepared management remarks to the Quarterly Results section of its Investor Relations page (https://humana.gcs-web.com/financial-information/quarterly-results).
To participate via phone, please register in advance at this link - https://register.vevent.com/register/BI4837b56336d1453fb10a8fdaada5e1c0.
Upon registration, telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number and a unique registrant ID that can be used to access the call.
A webcast of the 2Q24 earnings call may also be accessed via Humana’s Investor Relations page at humana.com. The company suggests participants for both the conference call and those listening via the web dial in or sign on at least 15 minutes in advance of the call.
For those unable to participate in the live event, the archive will be available in the Historical Webcasts and Presentations section of the Investor Relations page (https://humana.gcs-web.com/events-and-presentations), approximately two hours following the live webcast.
Footnotes
The company has included financial measures throughout this earnings release that are not in accordance with GAAP. Management believes that these measures, when presented in conjunction with the corresponding GAAP measures, provide a comprehensive perspective to more accurately compare and analyze the company’s core operating performance over time. Consequently, management uses these non-GAAP (Adjusted) financial measures as consistent and uniform indicators of the company’s core business operations from period to period, as well as for planning and decision-making purposes and in determination of incentive compensation. Non-GAAP (Adjusted) financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. All financial measures in this earnings release are in accordance with GAAP unless otherwise indicated. Please refer to the footnotes for a detailed description of each item adjusted out of GAAP financial measures to arrive at non-GAAP (Adjusted) financial measures.
(a) For the periods covered in this earnings press release, the following items are excluded from the non-GAAP financial measures described above, as applicable:
- Amortization associated with identifiable intangibles - Since amortization varies based on the size and timing of acquisition activity, management believes this exclusion provides a more consistent and uniform indicator of performance from period to period. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, and Insurance and CenterWell segments income from operations. The table below discloses respective period amortization expense for each segment:
|
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
Insurance segment |
|
|
|
|
CenterWell segment |
|
|
|
|
- Put/call valuation adjustments associated with the company’s non-consolidating minority interest investments - These amounts are the result of fair value measurements associated with the company's Primary Care Organization strategic partnership and are unrelated to the company's core business operations. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results and EPS.
- Impact of exit of employer group commercial medical products business - These amounts relate to activity from the exit of the employer group commercial medical products business as announced by Humana on February 23, 2023. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, EPS, consolidated revenues, consolidated benefit ratio, consolidated operating cost ratio, Insurance segment revenues, Insurance segment benefit ratio, Insurance segment operating cost ratio, and Insurance segment income from operations.
- Value creation initiatives - These charges relate to the company's ongoing initiative to drive additional value for the enterprise through cost saving, productivity initiatives, and value creation from previous investments, and primarily consist of asset impairment and severance charges. For 2Q24 and YTD 2024, GAAP measures affected in this release include consolidated pretax results, EPS, and the consolidated operating cost ratio.
- Transaction and integration costs - The transaction and integration costs primarily relate to the acquisition of Kindred at Home in 2021 and the subsequent divestiture of Gentiva (formerly Kindred) Hospice in 2022. For 2Q23 and YTD 2023, GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio.
- Accrued charge related to certain anticipated litigation expenses - This charge relates to certain anticipated expenses the company has accrued in connection with a legal matter. For 2Q23 and YTD 2023, GAAP measures affected include consolidated pretax results, EPS, the consolidated and Insurance segment operating cost ratios, and Insurance segment income from operations.
- Change in fair market value of publicly-traded equity securities - These gains and losses are a result of market and economic conditions that are unrelated to the company's core business operations. For YTD 2023, GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues (specifically investment income).
- Cumulative net tax impact of non-GAAP adjustments - This adjustment represents the cumulative net impact of the corresponding tax benefit or expense related to the aforementioned items excluded from the applicable GAAP measures. For all periods presented in this earnings release, EPS is the sole GAAP measure affected.
In addition to the reconciliations shown on page 2 of this release, the following are reconciliations of GAAP to Adjusted (non-GAAP) measures described above and disclosed within this earnings release:
Revenues
Revenues - CONSOLIDATED (in millions) |
|
2Q24 |
|
|
2Q23 |
|
YTD 2024 |
YTD 2023 |
||||
GAAP |
$ |
29,540 |
|
$ |
26,747 |
|
$ |
59,151 |
|
$ |
53,489 |
|
Change in fair market value of publicly-traded equity securities |
|
— |
|
|
— |
|
|
— |
|
|
(1 |
) |
Impact of exit of employer group commercial medical products business |
|
(160 |
) |
|
(1,014 |
) |
|
(440 |
) |
|
(2,103 |
) |
Adjusted (non-GAAP) |
$ |
29,380 |
|
$ |
25,733 |
|
$ |
58,711 |
|
$ |
51,385 |
|
Revenues - INSURANCE SEGMENT (in millions) |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||||||
GAAP |
$ |
28,525 |
|
$ |
25,875 |
|
$ |
57,224 |
|
$ |
51,778 |
|
Impact of exit of employer group commercial medical products business |
|
(160 |
) |
|
(1,014 |
) |
|
(440 |
) |
|
(2,103 |
) |
Adjusted (non-GAAP) |
$ |
28,365 |
|
$ |
24,861 |
|
$ |
56,784 |
|
$ |
49,675 |
|
Benefit Ratio
Benefit ratio - CONSOLIDATED |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||
GAAP |
89.0 |
% |
86.3 |
% |
88.9 |
% |
85.9 |
% |
Impact of exit of employer group commercial medical products business |
(0.1 |
)% |
(0.2 |
)% |
— |
% |
0.1 |
% |
Adjusted (non-GAAP) |
88.9 |
% |
86.1 |
% |
88.9 |
% |
86.0 |
% |
Benefit ratio - INSURANCE SEGMENT |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||
GAAP |
89.5 |
% |
86.8 |
% |
89.4 |
% |
86.4 |
% |
Impact of exit of employer group commercial medical products business |
(0.1 |
)% |
(0.2 |
)% |
— |
% |
0.1 |
% |
Adjusted (non-GAAP) |
89.4 |
% |
86.6 |
% |
89.4 |
% |
86.5 |
% |
Operating Cost Ratio
Operating cost ratio - CONSOLIDATED |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||
GAAP |
10.8 |
% |
11.8 |
% |
10.6 |
% |
11.5 |
% |
Impact of exit of employer group commercial medical products business |
(0.1 |
)% |
(0.2 |
)% |
(0.1 |
)% |
(0.3 |
)% |
Value creation initiatives |
(0.2 |
)% |
— |
% |
(0.1 |
)% |
— |
% |
Accrued charge related to certain anticipated litigation expenses |
— |
% |
(0.4 |
)% |
— |
% |
(0.2 |
)% |
Adjusted (non-GAAP) |
10.5 |
% |
11.2 |
% |
10.4 |
% |
11.0 |
% |
Operating cost ratio - INSURANCE SEGMENT |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||
GAAP |
8.4 |
% |
9.9 |
% |
8.4 |
% |
9.6 |
% |
Impact of exit of employer group commercial medical products business |
— |
% |
(0.3 |
)% |
(0.1 |
)% |
(0.3 |
)% |
Accrued charge related to certain anticipated litigation expenses |
— |
% |
(0.4 |
)% |
— |
% |
(0.2 |
)% |
Adjusted (non-GAAP) |
8.4 |
% |
9.2 |
% |
8.3 |
% |
9.1 |
% |
Income from Operations
Income from operations - INSURANCE SEGMENT |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
|||||
GAAP |
$ |
763 |
$ |
1,031 |
$ |
1,661 |
$ |
2,358 |
|
Amortization associated with identifiable intangibles |
|
4 |
|
6 |
|
9 |
|
11 |
|
Impact of exit of employer group commercial medical products business |
|
59 |
|
45 |
|
60 |
|
(37 |
) |
Accrued charge related to certain anticipated litigation expenses |
|
— |
|
90 |
|
— |
|
90 |
|
Adjusted (non-GAAP) |
$ |
826 |
$ |
1,172 |
$ |
1,730 |
$ |
2,422 |
|
(b) Generally, when the first day of a month falls on a weekend or holiday, with the exception of January 1 (New Year's Day), the company receives its monthly Medicare premium payment from CMS on the last business day of the previous month. On a GAAP basis, this can result in certain quarterly cash flows from operations including more or less than three monthly payments. Consequently, when this occurs, the company reports Adjusted cash flows from operations to reflect three payments in each quarter to match the related expenses.
Net cash from operating activities (in millions) |
YTD 2024 |
YTD 2023 |
|||
GAAP |
$ |
1,636 |
$ |
9,863 |
|
Timing of premium payment from CMS |
|
— |
|
(7,002 |
) |
Adjusted (non-GAAP) |
$ |
1,636 |
$ |
2,861 |
|
(c) The CenterWell segment Adjusted income from operations includes an adjustment to add back depreciation and amortization expense to the segment's GAAP income from operations since such an adjustment is commonly utilized for valuation purposes within the healthcare delivery industry.
Income from operations - CENTERWELL SEGMENT (in millions) |
2Q24 |
2Q23 |
YTD 2024 |
YTD 2023 |
||||
GAAP |
$ |
338 |
$ |
287 |
$ |
620 |
$ |
617 |
Depreciation and amortization expense |
|
56 |
|
50 |
|
109 |
|
99 |
Adjusted (non-GAAP) |
$ |
394 |
$ |
337 |
$ |
729 |
$ |
716 |
(d) FY 2024 projected Adjusted results exclude the future impact of items that cannot be estimated at this time; YTD 2024 amounts shown.
Cautionary Statement
This news release includes forward-looking statements regarding Humana within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humana’s executive officers, the words or phrases like “expects,” “believes,” “anticipates,” “assumes,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements.
These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of the company’s SEC filings, a summary of which includes but is not limited to the following:
- If Humana does not design and price its products properly and competitively, if the premiums Humana receives are insufficient to cover the cost of healthcare services delivered to its members, if the company is unable to implement clinical initiatives to provide a better healthcare experience for its members, lower costs and appropriately document the risk profile of its members, or if its estimates of benefits expense are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. The company continually reviews estimates of future payments relating to benefit expenses for services incurred in the current and prior periods and makes necessary adjustments to its reserves, including premium deficiency reserves, where appropriate. These estimates involve extensive judgment, and have considerable inherent variability because they are extremely sensitive to changes in claim payment patterns and medical cost trends. Accordingly, Humana's reserves may be insufficient.
- If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, which are of particular importance given the concentration of the company's revenues in these products, state-based contract strategy, the growth of its CenterWell business, and its integrated care delivery model, the company’s business may be materially adversely affected. In addition, there can be no assurances that the company will be successful in maintaining or improving its Star ratings in future years.
- If Humana, or the third-party service providers on which it relies, fails to properly maintain the integrity of its data, to strategically maintain existing or implement new information systems, to protect Humana’s proprietary rights to its systems, or to defend against cyber-security attacks, contain such attacks when they occur, or prevent other privacy or data security incidents that result in security breaches that disrupt the company's operations or in the unintentional dissemination of sensitive personal information or proprietary or confidential information, the company’s business may be materially adversely affected.
- Humana is involved in various legal actions, or disputes that could lead to legal actions (such as, among other things, provider contract disputes and qui tam litigation brought by individuals on behalf of the government), governmental and internal investigations, and routine internal review of business processes any of which, if resolved unfavorably to the company, could result in substantial monetary damages or changes in its business practices. Increased litigation and negative publicity could also increase the company’s cost of doing business.
- As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government healthcare programs including, among other things, loss of material government contracts; governmental audits and investigations; potential inadequacy of government determined payment rates; potential restrictions on profitability, including by comparison of profitability of the company’s Medicare Advantage business to non-Medicare Advantage business; or other changes in the governmental programs in which Humana participates. Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage plans or retrospective recovery by CMS of previously paid premiums as a result of the final rule related to the risk adjustment data validation audit methodology published by CMS on January 30, 2023 (Final RADV Rule), which Humana believes fails to address adequately the statutory requirement of actuarial equivalence and violates the Administrative Procedure Act due to its failure to include a "Fee for Service Adjuster" could have a material adverse effect on the company's operating results, financial position and cash flows.
- Humana's business activities are subject to substantial government regulation. New laws or regulations, or legislative, judicial, or regulatory changes in existing laws or regulations or their manner of application could increase the company's cost of doing business and have a material adverse effect on Humana’s results of operations (including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the company’s ability to expand into new markets, increasing the company’s medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products, lowering the company’s Medicare payment rates and increasing the company’s expenses associated with a non-deductible health insurance industry fee and other assessments); the company’s financial position (including the company’s ability to maintain the value of its goodwill); and the company’s cash flows.
- Humana’s failure to manage acquisitions, divestitures and other significant transactions successfully may have a material adverse effect on the company’s results of operations, financial position, and cash flows.
- If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business may be adversely affected.
- Humana faces significant competition in attracting and retaining talented employees. Further, managing succession for, and retention of, key executives is critical to the Company’s success, and its failure to do so could adversely affect the Company’s businesses, operating results and/or future performance.
- Humana’s pharmacy business is highly competitive and subjects it to regulations and supply chain risks in addition to those the company faces with its core health benefits businesses.
- Changes in the prescription drug industry pricing benchmarks may adversely affect Humana’s financial performance.
- Humana’s ability to obtain funds from certain of its licensed subsidiaries is restricted by state insurance regulations.
- Downgrades in Humana’s debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition.
- Volatility or disruption in the securities and credit markets may significantly and adversely affect the value of our investment portfolio and the investment income that we derive from this portfolio.
In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
- Form 10-K for the year ended December 31, 2023;
- Form 10-Q for the quarter ended March 31, 2024; and
- Form 8-Ks filed during 2024.
About Humana
Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
View source version on businesswire.com: https://www.businesswire.com/news/home/20240731887420/en/
Lisa Stoner
Humana Investor Relations
(502) 580-2652
e-mail: LStamper@humana.com
Mark Taylor
Humana Corporate Communications
(317) 753-0345
e-mail: MTaylor108@humana.com
Source: Humana Inc.
FAQ
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