Patents

Humana Reports Third Quarter and First Nine Months Of 2002 Results

Humana Reports Third Quarter and First Nine Months Of 2002 Results

October 28, 2002 at 12:00 AM EST

* Third quarter net income of $52.3 million, or $.31 per diluted share
* Cash flows from operations of $82.6 million in the third quarter
* Commercial segment medical membership increases 3.1 percent year-to-date

LOUISVILLE, Ky., Oct 28, 2002 /PRNewswire-FirstCall via COMTEX/ -- Humana Inc. (NYSE: HUM) today reported earnings of $.31 per diluted share for the third quarter ended September 30, 2002 versus $.26 adjusted earnings per diluted share for the third quarter of 2001. (Adjusted earnings for 2001 exclude amortization expense for goodwill. New accounting rules require all companies to cease amortizing goodwill effective January 1, 2002.) Earnings per diluted share for the first nine months were $.86 compared to adjusted earnings per diluted share of $.73 a year ago.

Net income for the third quarter of 2002 was $52.3 million versus adjusted net income of $43.5 million for the same period in the prior year, a 20.2 percent increase. Net income for the first nine months of $144.5 million compares with $121.1 million adjusted net income in the same period a year ago, a 19.3 percent increase.

Income before income taxes for the quarter was up 25.4 percent to $77.0 million versus adjusted income before income taxes of $61.4 million a year ago. Comparable amounts for the nine months ended September 30, 2002 and 2001 were $212.4 million and $169.3 million, respectively, an improvement of $43.1 million, or 25.5 percent.

"We are pleased with the improvement in our earnings," said Michael B. McCallister, Humana's president and chief executive officer. "In addition, we have opportunities to further enhance our existing operational processes and thereby align our administrative costs with our current membership levels, enabling improved earnings from the Commercial segment while maintaining our strength in the Government segment."

Humana's pretax margin improved to 2.7 percent in the third quarter of 2002 compared with 2.4 percent in the prior year's quarter, on an adjusted basis.

Revenue and Membership

Revenues in the third quarter were $2.84 billion versus $2.61 billion in the third quarter of 2001, an increase of 8.8 percent. Total medical membership at September 30, 2002 was 6,631,400 versus 6,428,600 a year ago.

Third quarter 2002 premium revenues and administrative service fees for the Commercial segment totaled $1.49 billion, an increase over $1.33 billion in the third quarter 2001. Medical membership at September 30, 2002 for the Commercial segment of 2,982,200 increased by 71,700 members year-over-year and by 35,100 members sequentially. Year-to-date Commercial segment medical membership has increased 88,400 members, or 3.1 percent. Premium yields for fully insured medical business within the segment continued to fall within a range of 12 to 14 percent for the third quarter of 2002.

Government segment premium revenues and administrative services fees totaled $1.32 billion in the third quarter of 2002 versus $1.25 billion for the prior year's quarter. Medicare+Choice membership at September 30, 2002 was 349,000 versus 406,100 at September 30, 2001, a decline of 57,100 members. The company's Medicare+Choice premium yields ranged from 4 to 6 percent during the third quarter of 2002.

TRICARE premium revenues and administrative services fees increased to $556.0 million in the third quarter versus $417.7 million in the prior year's quarter. The year-over-year increase in TRICARE premium revenues and administrative services fees primarily is attributable to Congressionally legislated benefits, an increase in eligible beneficiaries, and a decrease in the use of military treatment facilities.

TRICARE's insured membership increased year over year by 43,000, or 2.5 percent, totaling 1,755,700 as of September 30, 2002 versus 1,712,700 at September 30, 2001. TRICARE ASO membership also increased by 95,700, or 10.2 percent, year over year. As of September 30, 2002, 1,038,400 TRICARE members were in ASO programs compared to 942,700 at September 30, 2001.

Medical and SG&A Expenses

The company's medical expense ratio (medical expenses as a percent of premium revenues) for the third quarter was 83.6 percent, versus a ratio of 83.3 percent for the same period in 2001.

Medical cost trends experienced for the third quarter and year-to-date 2002 were in the range of 11 to 13 percent for the commercial fully insured medical line of business and in the range of 4 to 6 percent for the Medicare+Choice line of business.

The company's selling, general and administrative ("SG&A") expense ratio (SG&A expenses as a percent of premiums and administrative service fees) of 15.2 percent in the third quarter of 2002 compares favorably to a ratio of 15.4 percent in the year-ago quarter.

Segment Results

Pre-tax income for the Commercial segment was $4.5 million in the third quarter of 2002 compared to adjusted pre-tax income of $6.4 million in the prior year period. Increased unit medical costs in the company's Chicago market resulted in a 250 basis point increase year-over-year in the medical expense ratio for that market, equating to higher medical expenses for Chicago of approximately $8 million during the third quarter of 2002. Same-store Commercial segment results excluding Chicago improved more than $7 million on a pre-tax basis when comparing the third quarter of 2002 to the third quarter of 2001.

Pre-tax income for the Government segment increased to $72.4 million in the third quarter of 2002 from $54.9 million in the third quarter of 2001. Improving segment pre-tax profits related to incremental TRICARE premiums during the third quarter of 2002.

Days in Claims Payable

Days in claims payable for the third quarter of 2002 of 46.6 were essentially flat with days in claims payable for the second quarter of 2002.

Cash Flows

Normalized cash flows provided by operations totaled $82.6 million in the third quarter of 2002 compared to normalized cash flows provided by operations of $94.9 million in the third quarter 2001. (Normalized cash flows provided by operations give effect to the usual adjustment for the timing of the receipt of the Medicare premium payment from the Centers for Medicare and Medicaid Services (CMS)). For the first nine months of 2002, normalized cash flows provided by operations were $115.3 million versus $65.6 million for the first nine months of 2001, an increase of $49.7 million.

Guidance

The company now anticipates diluted earnings per share for the fourth quarter of 2002 of $.32 to $.33, and continues to anticipate diluted earnings per share of $1.35 to $1.40 for 2003.

Conference Call

Humana will host a conference call, as well as a virtual slide presentation, at 10:00 a.m. EST today to discuss its financial results for the quarter and earnings guidance.

All parties interested in the audio only portion of the conference call are invited to dial 888-625-7430. No password is required. The company suggests participants dial in approximately ten minutes in advance of the call.

A live virtual presentation (audio with slides) will be available and may be accessed via Humana's Investor Relations page at http://www.humana.com. The company suggests web participants sign on approximately 15 minutes in advance of the call. The company also suggests web participants visit the site well in advance of the call to run a system test and to download any free software needed to view the presentation.

For those unable to participate in the live event, the virtual presentation archive will be available in the Presentations section of the Investor Relations page at http://www.humana.com, approximately two hours following the live web cast. An audio recording of the conference call will be available in the Audio Archives located on the Investor Relations page at http://www.humana.com approximately two hours after the live call.

This news release contains forward-looking statements. The forward-looking statements made in this news release are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be significantly impacted by certain risks and uncertainties described in the following documents as filed by Humana with the Securities and Exchange Commission:

     * Form 10-K for the year ended December 31, 2001,
     * Form 10-Qs for the quarters ended March 31, 2002 and June 30, 2002, and
     * Form S-3 (No. 333-100419) filed October 8, 2002.

    Summary of operating results for the three months ended September 30:

                                                      2002       Adjusted 2001

    Revenues                               $ 2,841,627,000     $ 2,610,874,000
    Income before income taxes             $    76,957,000     $    61,357,000
    Net income                             $    52,331,000     $    43,514,000
    Basic earnings per common share        $           .32     $           .27
    Diluted earnings per common share      $           .31     $           .26

     Summary of operating results for the nine months ended September 30:

                                                      2002       Adjusted 2001

    Revenues                              $  8,406,149,000     $ 7,572,170,000
    Income before income taxes            $    212,441,000     $   169,340,000
    Net income                            $    144,460,000     $   121,136,000
    Basic earnings per common share       $            .88     $           .74
    Diluted earnings per common share     $            .86     $           .73
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies, with approximately 6.6 million medical members located primarily in 18 states and Puerto Rico. Humana offers coordinated health insurance coverage and related services ? through traditional and Internet based plans - to employer groups government- sponsored plans, and individuals.

More information regarding Humana is available via the Internet at http://www.humana.com, including on-line:

     * Copies of annual reports to stockholders;
     * Securities and Exchange Commission filings including Form 10-Ks, Form
       10-Qs, proxy statements, Form 4s, Form S-3s, and Form 8-Ks;
     * Copy of most recent investor presentation;
     * Copies of quarterly earnings press releases;
     * Audio archive of the most recent earnings release conference call;
     * Calendar of events (includes upcoming earnings conference call dates,
       related conference call access number, and planned participation in
       investor conferences).


      Humana Inc.
      In thousands


                                        September 30,                  Percent
      Ending Medical Membership      2002        2001     Difference   Change

      Commercial:
       Fully insured              2,323.6     2,332.7        (9.1)       (0.4)
       ASO                          658.6       577.8        80.8        14.0
      Total Commercial            2,982.2     2,910.5        71.7         2.5

      Government:
       Medicare+Choice              349.0       406.1       (57.1)      (14.1)
       Medicaid                     506.1       456.6        49.5        10.8
       TRICARE                    1,755.7     1,712.7        43.0         2.5
       TRICARE ASO                1,038.4       942.7        95.7        10.2
      Total Government            3,649.2     3,518.1       131.1         3.7
       Total ending medical
        membership                6,631.4     6,428.6       202.8         3.2


                                       September 30,                   Percent
      Ending Specialty Membership    2002        2001     Difference   Change

      Commercial:
       Dental                     1,672.8     1,676.4        (3.6)       (0.2)
       Group life                   522.1       564.2       (42.1)       (7.5)
       Short-term disability         23.0        27.1        (4.1)      (15.1)
       Total ending specialty
        membership                2,217.9     2,267.7       (49.8)       (2.2)


                                    Three months ended      Nine months ended
                                       September 30,           September 30,
      Premiums                       2002        2001        2002        2001

      Commercial:
       Fully insured medical   $1,379,897  $1,230,769  $4,076,431  $3,683,358
       Specialty                   84,806      76,954     251,347     226,540
      Total Commercial          1,464,703   1,307,723   4,327,778   3,909,898

      Government:
       Medicare+Choice            647,265     721,079   1,981,931   2,190,491
       Medicaid                   118,902     113,991     343,389     357,893
       TRICARE                    521,466     398,690   1,484,789     936,293
      Total Government          1,287,633   1,233,760   3,810,109   3,484,677
      Total premiums           $2,752,336  $2,541,483  $8,137,887  $7,394,575




                                                    September 30,
       Percentage of Ending Membership
        Under Capitation Arrangements            2002        2001   Difference

       Fully-insured Commercial:
        Capitated HMO - hospital system based    6.5%        6.8%       -0.3%
        Capitated HMO - physician group based    3.0%        4.0%       -1.0%
        Risk-sharing                             3.0%        3.6%       -0.6%
       Total risk-sharing arrangements          12.5%       14.4%       -1.9%
        Fee-for-service (no risk-sharing)       87.5%       85.6%        1.9%
       Total fully-insured Commercial          100.0%      100.0%         n/a

       Medicare+Choice:
        Capitated HMO - hospital system based   13.5%       14.5%       -1.0%
        Capitated HMO - physician group based    3.3%        4.4%       -1.1%
        Risk-sharing                            42.8%       30.5%       12.3%
       Total risk-sharing arrangements          59.6%       49.4%       10.2%
        Fee-for-service (no risk-sharing)       40.4%       50.6%      -10.2%
       Total Medicare+Choice                   100.0%      100.0%         n/a

       Providers under hospital-based capitated HMO arrangements generally
       receive a monthly payment for all of the services within their system
       for their HMO membership. Providers under physician group-based
       capitated HMO arrangements generally have subcontracted directly with
       hospitals and specialist physicians, and are responsible for
       reimbursement to their downstream providers for a portion of the
       medical expenses for their HMO membership.

       Providers under risk-sharing arrangements have assumed some level of
       risk for all or a portion of the medical costs of their HMO membership.
       Although these arrangements do include capitation payments for services
       rendered, we process substantially all of the claims under these
       arrangements.



      Humana Inc.
      Dollars in thousands, except per share results


                                      Three months ended    Nine months ended
                                         September 30,         September 30,
      Consolidated Statements
      of Operations                   2002       2001        2002        2001
      Revenues:
       Premiums                $2,752,336  $2,541,483  $8,137,887  $7,394,575
       Administrative services
        fees                       61,056      39,943     189,900      87,773
       Investment and other
        income                     28,235      29,448      78,362      89,822
        Total revenues          2,841,627   2,610,874   8,406,149   7,572,170

      Operating expenses:
       Medical                  2,301,021   2,117,283   6,811,748   6,171,657
       Selling, general and
        administrative            429,019     398,799   1,278,516   1,132,660
       Depreciation                26,592      23,497      78,763      68,627
       Goodwill amortization           --      13,966          --      41,116
       Other intangible
        amortization                3,931       3,993      11,793       9,418
        Total operating
         expenses               2,760,563   2,557,538   8,180,820   7,423,478
      Income from operations       81,064      53,336     225,329     148,692
       Interest expense             4,107       5,945      12,888      20,468
      Income before income taxes   76,957      47,391     212,441     128,224
       Provision for income taxes  24,626      17,061      67,981      46,161
      Net income                  $52,331     $30,330    $144,460     $82,063
       Add back:  Goodwill
        amortization expense,
         net of tax                    --      13,184          --      39,073
      Adjusted net income         $52,331     $43,514    $144,460    $121,136


      Basic earnings per
       common share                 $0.32       $0.18       $0.88       $0.50
       Add back:  Goodwill
        amortization expense,
        net of tax                     --        0.08          --        0.24
      Adjusted basic earnings
       per common share             $0.32       $0.27       $0.88       $0.74

      Diluted earnings per
       common share                 $0.31       $0.18       $0.86       $0.49
       Add back:  Goodwill
        amortization expense,
        net of tax                     --        0.08          --        0.23
      Adjusted diluted
       earnings per common share    $0.31       $0.26       $0.86       $0.73

      Shares used in basic
       earnings per common
       share computation (000)    163,933     164,110     164,348     164,088
      Shares used in diluted
       earnings per common
       share computation (000)    167,534     166,743     168,242     166,864

      Pretax Results by
       Segment

      Commercial, as reported      $4,540     $(1,728)    $45,528      $8,743
       Add back:  Goodwill
        amortization expense           --       8,155          --      25,427
      Commercial, as adjusted      $4,540      $6,427     $45,528     $34,170


      Government, as reported     $72,417     $49,119    $166,913    $119,481
       Add back:  Goodwill
        amortization expense           --       5,811          --      15,689
      Government, as adjusted     $72,417     $54,930    $166,913    $135,170

      Key Ratios

      Medical expense ratio
       Commercial                   84.3%       83.2%       83.4%       82.7%
       Government                   82.8%       83.4%       84.1%       84.3%
        Total                       83.6%       83.3%       83.7%       83.5%

      Selling, general, and
       administrative expense ratio
       Commercial                   17.0%       17.5%       17.0%       17.6%
       Government                   13.3%       13.2%       13.5%       12.3%
        Total                       15.2%       15.4%       15.4%       15.1%

      EBITDA  *
      Commercial                  $25,986     $26,049    $107,860     $94,883
      Government                   85,601      68,743     208,025     172,970
       Total EBITDA              $111,587     $94,792    $315,885    $267,853

      *EBITDA is defined as earnings (including investment and other income)
       before interest expense, income taxes, depreciation and
       amortization.


      Humana Inc.
      Dollars in thousands, except per share results



                                        September 30,   June 30,  December 31,
      Consolidated Balance Sheets               2002       2002          2001
      Assets
      Current assets:
       Cash and cash equivalents             $375,736    $450,700    $651,420
       Investment securities                1,420,524   1,337,776   1,389,596
       Receivables, net:
        Premiums                              489,518     454,855     299,601
        Administrative services fees           67,762      62,606      26,667
       Deferred income taxes                   50,691      59,082      64,221
       Other                                  180,272     214,858     191,433
        Total current assets                2,584,503   2,579,877   2,622,938

      Property and equipment, net             462,453     462,786     461,761

      Other assets:
       Long-term investment securities        317,346     301,792     280,320
       Goodwill                               776,874     776,874     776,874
       Deferred income taxes                      147      14,277      36,582
       Other                                  238,007     225,897     225,163
        Total other assets                  1,332,374   1,318,840   1,318,939
       Total assets                        $4,379,330  $4,361,503  $4,403,638
      Liabilities and Stockholders' Equity
      Current liabilities:
       Medical and other expenses payable  $1,164,431  $1,194,689  $1,086,386
       Trade accounts payable and accrued
        expenses                              475,885     472,122     479,996
       Book overdraft                         104,402     133,279     152,757
       Unearned premium revenues               89,977      82,962     325,040
       Short-term debt                        265,000     265,000     263,000
        Total current liabilities           2,099,695   2,148,052   2,307,179
       Long-term debt                         334,061     323,366     315,489
       Professional liability risks           247,690     237,298     241,431
       Other long-term liabilities             30,440      31,649      31,590
        Total liabilities                   2,711,886   2,740,365   2,895,689
      Commitments and contingencies
      Stockholders' equity:
       Preferred stock                             --          --          --
       Common stock                            28,551      28,579      28,449
       Capital in excess of par value         930,942     931,834     922,439
       Retained earnings                      722,583     670,252     578,122
       Accumulated other comprehensive
        income                                 35,819      18,635      11,670
       Unearned restricted stock
        compensation                           (9,059)    (12,209)    (17,882)
       Treasury stock, at cost                (41,392)    (15,953)    (14,849)
        Total stockholders' equity          1,667,444   1,621,138   1,507,949
       Total liabilities and stockholders'
        equity                             $4,379,330  $4,361,503  $4,403,638


      Debt to total capitalization ratio        26.4%       26.6%       27.8%


      Claims Data:
      Number of claims on-hand                496,200     513,100     518,100
      Estimated value of claims on-hand      $108,800    $110,300    $125,448



      Humana Inc.
      Dollars in thousands

                                 Three months ended    Nine months ended
                                   September 30,         September 30,
      Consolidated Statements of
      Cash Flows                       2002      2001      2002        2001
      Cash flows from operating
       activities
       Net income                   $52,331   $30,330    $144,460     $82,063
       Adjustments to reconcile
        net income to net
        cash provided by (used in)
         operating activities:
        Depreciation and
         amortization                30,523    41,456      90,556     119,161
        Provision for deferred
         income taxes                11,183    14,473      34,221      40,288
        Payment for government
         audit settlement                --        --          --      (8,000)
        Changes in operating
         assets and liabilities
          excluding effects of
           acquisitions and
            divestitures:

             Receivables            (39,819)  (13,904)   (231,012)     14,251
             Other assets            27,996     9,859         268      13,839
             Medical and other
              expenses payable      (30,258)    8,622      78,045    (155,907)
             Other liabilities       21,424    23,871       4,742      10,236
             Unearned premium
              revenues                7,015   (30,107)   (235,063)    (55,491)
        Other                         2,218     2,050      12,481        (602)
        Net cash provided by (used
         in) operating activities    82,613    86,650    (101,302)     59,838
        Timing of Medicare+Choice
         premium payment from CMS        --     8,220     216,628       5,766
        Normalized net cash
         provided by operating
         activities                  82,613    94,870     115,326      65,604

      Cash flows from investing
       activities
        Acquisitions, net of cash
         and cash equivalents acquired   --        --          --     (32,700)
        Divestitures, net of cash
         and cash equivalents disposed   --        --       1,109       1,050
        Purchases of property and
         equipment                  (26,851)  (28,120)    (83,581)    (82,173)
        Purchases of marketable
         securities                (641,706) (490,998) (1,639,803) (1,359,676)
        Proceeds from maturities
         of marketable securities    95,228   165,199     273,199     421,498
        Proceeds from sales of
         marketable securities      469,688   292,803   1,339,124     964,520
        Net cash used in investing
         activities                (103,641)  (61,116)   (109,952)    (87,481)

      Cash flows from financing
       activities
        Revolving credit agreement
         (repayments) borrowings         --  (250,000)         --    (250,000)
        Net commercial paper
         conduit borrowings              --        --       2,000          --
        Net commercial paper
         repayments                      --   (59,769)         --     (79,952)
        Proceeds from issuance of
         senior notes                    --   299,277          --     299,277
        Proceeds from other
         borrowings                      --     5,700          --       5,700
        Debt issue costs                 --    (3,240)       (559)     (3,240)
        Change in book overdraft    (28,877)  (26,311)    (48,355)     (7,630)
        Common stock repurchases    (25,439)   (1,867)    (25,439)     (1,867)
        Other                           380      (231)      7,923        (374)
        Net cash used in financing
         activities                 (53,936)  (36,441)    (64,430)    (38,086)

        Decrease in cash and cash
         equivalents                (74,964)  (10,907)   (275,684)    (65,729)
        Cash and cash equivalents
         at beginning of period     450,700   602,740     651,420     657,562
        Cash and cash equivalents
         at end of period          $375,736  $591,833    $375,736    $591,833

                     
SOURCE Humana Inc.

CONTACT:          Regina Nethery, Investor Relations, +1-502-580-3644, or
                  Rnethery@humana.com; or Tom Noland, Corporate Communications,
                  +1-502-580-3674, or Tnoland@humana.com, both of Human