UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 1994
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Commission file number 1-5975
HUMANA INC.
(Exact name of registrant as specified in its charter)
Delaware 61-0647538
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
500 West Main Street, Louisville, Kentucky 40202
(Address of principal executive offices) (Zip Code)
(502) 580-1000
(Registrant's telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if
changed since last report)
Exhibit Index on Page 13 of Form 10-Q
Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15 (d) of the Securities Exchange
Act of 1934 during the preceding 12 months, and (2) has been subject to
such filing requirements for the past 90 days.
YES X NO
Indicate the number of shares outstanding of each of the issuer's classes
of common stock, as of the latest practicable date.
Outstanding at
Class of Common Stock May 6, 1994
$.16 2/3 par value 160,827,710 shares
1 of 14
HUMANA INC.
FORM 10-Q
MARCH 31, 1994
Page of
Form 10-Q
Part I: Financial Information
Item 1. Financial Statements
Consolidated Statement of Income for
the quarters ended March 31, 1994 and 1993 . . . . . . . 3
Condensed Consolidated Balance Sheet
at March 31, 1994 and December 31, 1993. . . . . . . . . 4
Condensed Consolidated Statement of Cash Flows for the
quarters ended March 31, 1994 and 1993 . . . . . . . . . 5
Notes to Condensed Consolidated Financial Statements . . 6
Item 2. Management's Discussion and Analysis of Financial
Condition and Results of Operations . . . . . . . . 7-10
Part II: Other Information
Items 1 to 6 . . . . . . . . . . . . . . . . . . . . . .11-12
2
HUMANA INC.
CONSOLIDATED STATEMENT OF INCOME
For the quarters ended March 31, 1994 and 1993
Unaudited
(Dollars in millions except per share results)
1994 1993
Revenues:
Premiums. . . . . . . . . . . . . . $853 $786
Interest. . . . . . . . . . . . . . 13 10
Other . . . . . . . . . . . . . . . 3 2
Total revenues. . . . . . . . . . 869 798
Operating expenses:
Medical costs . . . . . . . . . . . 703 662
Selling, general and administrative 102 93
Depreciation and amortization . . . 12 12
Total operating expenses. . . . . 817 767
Income from operations . . . . . . . 52 31
Interest expense. . . . . . . . . . 1 2
Income before income taxes . . . . . 51 29
Provision for income taxes . . . . 19 11
Net income . . . . . . . . . . . . . $ 32 $ 18
Earnings per common share. . . . . . $.20 $.11
Shares used in earnings per share
computation (000) . . . . . . . . . 160,482 158,900
See accompanying notes.
3
HUMANA INC.
CONDENSED CONSOLIDATED BALANCE SHEET
Unaudited
(Dollars in millions except per share amounts)
March 31, December 31,
1994 1993
ASSETS
Current assets:
Cash and cash equivalents . . . . . . . . . . . $ 370 $ 372
Marketable securities . . . . . . . . . . . . . 525 427
Premiums receivable, less allowance for
loss of $24 - March 31, 1994 and
$17 - December 31, 1993 . . . . . . . . . . . 51 37
Deferred income taxes . . . . . . . . . . . . . 135 129
Other . . . . . . . . . . . . . . . . . . . . . 50 37
Total current assets. . . . . . . . . . . . 1,131 1,002
Property and equipment, net . . . . . . . . . . 344 300
Long-term marketable securities. . . . . . . . . 309 335
Cost in excess of net tangible assets acquired . 101 60
Other. . . . . . . . . . . . . . . . . . . . . . 34 34
TOTAL ASSETS . . . . . . . . . . . . . . . $1,919 $1,731
LIABILITIES AND COMMON STOCKHOLDERS' EQUITY
Current liabilities:
Medical costs payable . . . . . . . . . . . . . $ 533 $ 448
Trade accounts payable and accrued expenses . . 208 154
Unearned premium revenues . . . . . . . . . . . 116 110
Income taxes payable. . . . . . . . . . . . . . 79 59
Total current liabilities . . . . . . . . . 936 771
Long-term obligations. . . . . . . . . . . . . . 65 71
Total liabilities . . . . . . . . . . . . . 1,001 842
Common stockholders' equity:
Common stock, 16 2/3 cents par; authorized
300,000,000 shares; issued and outstanding
160,709,193 shares - March 31, 1994 and
160,343,788 shares - December 31, 1993. . . . 27 27
Other . . . . . . . . . . . . . . . . . . . . . 891 862
Total common stockholders' equity . . . . . 918 889
TOTAL LIABILITIES AND
COMMON STOCKHOLDERS' EQUITY. . . . . . . $1,919 $1,731
See accompanying notes.
4
HUMANA INC.
CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS
For the quarters ended March 31, 1994 and 1993
Unaudited
(Dollars in millions)
1994 1993
Cash flows from operating activities:
Net income . . . . . . . . . . . . . . . . . . . . . $ 32 $ 18
Adjustments to reconcile net income to net cash
provided by (used in) operating activities:
Depreciation and amortization . . . . . . . . . . 12 12
Deferred income taxes . . . . . . . . . . . . . . (4) 2
Changes in operating assets and liabilities. . . . 106 (109)
Other . . . . . . . . . . . . . . . . . . . . . . 2 13
Net cash provided by (used in) operating activities 148 (64)
Cash flows from investing activities:
Purchase of property and equipment . . . . . . . . . (14) (8)
Acquisition of health plan assets . . . . . . . . . . (36)
Disposition of property and equipment . . . . . . . . 5 2
Change in marketable securities . . . . . . . . . . . (85) 2
Other investing activities. . . . . . . . . . . . . . (21)
Net cash used in investing activities . . . . . . (151) (4)
Cash flows from financing activities:
Cash contribution from Galen. . . . . . . . . . . . . 135
Other . . . . . . . . . . . . . . . . . . . . . . . . 1
Net cash provided by financing activities . . . . 1 135
Increase (decrease) in cash and cash equivalents . . . (2) 67
Cash and cash equivalents at beginning of period . . . 372 233
Cash and cash equivalents at end of period . . . . . . $370 $300
Income tax payments, net . . . . . . . . . . . . . . . $ 1 $ 7
See accompanying notes.
5
HUMANA INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Unaudited
(A) Reporting Entity
On March 1, 1993, Humana Inc. ("Humana" or the "Company") separated its
acute-care hospital and managed care health plan businesses into two
independent publicly-held companies (the "Spinoff"). The Company
continues to operate the health plan business. The condensed consolidated
financial statements in this Form 10-Q for the quarter ended March 31,
1993, are the separate financial statements of what had historically been
the health plan business of Humana and do not correspond with or represent
the historical consolidated financial statements of Humana.
(B) Basis of Presentation
The accompanying financial statements are presented in accordance with the
requirements of Form 10-Q and consequently do not include all of the
disclosures normally required by generally accepted accounting principles
or those normally made in an annual report on Form 10-K. Accordingly, for
further information, the reader of this Form 10-Q may wish to refer to
Humana's Form 10-K for the year ended December 31, 1993.
The financial information has been prepared in accordance with the
Company's customary accounting practices and has not been audited. In the
opinion of management, the information presented reflects all adjustments
necessary for a fair statement of interim results. All such adjustments
are of a normal and recurring nature.
(C) Line of Credit
On January 12, 1994, the Company entered into an unsecured credit
agreement with a group of banks which provides for a $200 million
revolving line of credit ("the Credit Agreement") expiring January 12,
1997. Principal amounts outstanding under the Credit Agreement will bear
interest depending on average borrowings over a six-month period at rates
ranging from LIBOR plus 32.5 basis points to LIBOR plus 57.5 basis points.
The Credit Agreement contains customary events of default and covenant
terms. At March 31, 1994, no amounts were outstanding under the Credit
Agreement.
(D) Acquisition
On February 28, 1994 the Company acquired a health maintenance organization
("HMO") in Washington, D.C. with approximately 116,700 Commercial members
and 10,200 administrative services members for approximately $55 million.
The acquisition was accounted for by the purchase method and accordingly,
the results of operations of the acquired HMO have been included in the
accompanying consolidated statement of income since the date of acquisition.
6
Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
The Company offers managed health care products which integrate financing
and management with the delivery of health care services through a network
of providers who share financial risk or who have incentives to deliver
cost-effective medical services. These products are marketed primarily
through health maintenance organizations ("HMOs") and preferred provider
organizations ("PPOs") that encourage, and in most HMO products require,
use of contracting providers. HMOs and PPOs also control health care
costs by various means including the use of utilization controls such as
pre-admission approval for hospital inpatient services and pre-
authorization of outpatient surgical procedures.
The HMO and PPO products of Humana are primarily marketed to employer and
other groups ("Commercial") and Medicare-eligible individuals. The
products marketed to Medicare-eligible individuals are either HMO products
that provide health care services which include all Medicare benefits and,
in certain circumstances, additional health care services that are not
included in Medicare benefits ("Medicare risk") or indemnity insurance
policies that supplement Medicare benefits ("Medicare supplement").
Results of Operations
The Company's premium revenues increased 9 percent to $853 million for the
quarter ended March 31, 1994, compared to $786 million for the same period
in 1993. The increase is due to premium rate increases for Commercial and
Medicare risk products ranging from 3 percent to 4 percent, increases in
Commercial membership and the acquisition of Group Health Association
("GHA"), an HMO located in Washington, D.C.
Membership in Humana's Commercial products increased 167,100 or 14 percent
in the first quarter ended March 31, 1994, which includes both same-store
growth and the acquisition of GHA. On a same-store basis, Commercial
membership increased 50,400 during the quarter. This membership gain
continued the trend which began in the third quarter of 1993 and is
primarily due to the Company being able to offer more competitive premium
rates as a result of medical cost improvements. Also during the first
quarter, Medicare risk membership increased 5,800 members compared to an
increase of 2,300 members during the first quarter of 1993. Medicare
supplement membership declined 9,500 members. The decline in Medicare
supplement membership is the result of management's decision to increase
Medicare supplement premiums during 1993 to more closely approximate
competitive levels, as well as the closure of certain markets.
Interest income totaled $13 million and $10 million for the quarters ended
March 31, 1994 and 1993, respectively. The increase in investment income
is primarily attributable to increased levels of cash, cash equivalents
and marketable securities resulting from cash contributions associated
with the Spinoff and an increased level of cash flows. Tax equivalent
yield on invested assets approximated 6 percent for the quarters ended
March 31, 1994 and 1993.
7
Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS (Continued)
The medical loss ratio for the quarter ended March 31, 1994, was 82.4
percent compared to 84.3 percent for the same period in 1993. The
improvement was primarily due to decreased hospital utilization in both
the Commercial and Medicare risk products. Patient days per thousand
members decreased 3 percent to 290 days per thousand for Commercial
products and 5 percent to 1,590 days per thousand for Medicare risk
products. Additional improvements in hospital and other medical services
costs are necessary to achieve further reductions in the medical loss
ratio because premium rate increases, in both the Commercial and Medicare
risk products, will continue to range between 3 percent and 4 percent for
the remainder of 1994.
Administrative costs as a percentage of premiums was 13.4 percent for the
quarters ended March 31, 1994 and 1993. Administrative costs in the first
quarter of 1994 include increased marketing spending to support the Company's
sales efforts. In the remaining 1994 quarters, additional development
spending is anticipated as the Company expands to contiguous markets.
The Company's income before income taxes totaled $51 million for the
quarter ended March 31, 1994, compared to $29 million for the same period
in 1993. Income before income taxes in 1993 included the beneficial
effect of $2.5 million in claims and other costs charged to reserves for
restructuring and unusual charges which were recorded in August, 1992.
Liquidity
Cash provided by the Company's operations totaled $148 million for the
quarter ended March 31, 1994 as compared to cash used by operations of $64
million for the quarter ended March 31, 1993. The timing of the receipt
of Medicare risk premiums increased cash provided by operations by $6
million for the quarter ended March 31, 1994 and reduced cash provided by
operations by $102 million for the quarter ended March 31, 1993.
Excluding the effect of the timing of Medicare risk premiums, cash
provided by operations was $142 million and $38 million for the quarters
ended March 31, 1994 and 1993, respectively. This increase in cash
provided by operations was primarily attributable to increased net income
and the timing of payments for medical costs and other payables.
The Company's current assets exceeded current liabilities by $195 million
and $231 million at March 31, 1994 and December 31, 1993, respectively.
The reduction in net working capital is primarily attributable to the timing
of payments for medical costs and other payables, described above.
Management believes that existing working capital, availability of the
line of credit discussed below, and cash flows from operations will be
sufficient to meet future liquidity needs.
The Company's subsidiaries operate in states which require certain levels
of equity and regulate the payment of dividends to the parent company. As
a result, the Company's ability to use operating subsidiaries' cash flows
is restricted to the extent that the subsidiaries' ability to pay
dividends to its parent company requires regulatory approval. At March
31, 1994, the Company had approximately $210 million of unrestricted cash,
cash equivalents and marketable securities.
8
Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS (Continued)
Capital Resources
The Company's ongoing capital expenditures relate primarily to medical
care facilities used by either employed or affiliated physicians as well
as administrative facilities and related computer information systems
necessary for activities such as claims processing, billing and
collections, medical utilization review and customer service.
Excluding acquisitions, planned capital spending in 1994 will approximate
$40 million to $45 million compared to $28 million in 1993. Management
believes that its capital spending program is adequate to expand, improve
and equip its existing business.
On January 12, 1994, the Company entered into a $200 million line of
credit with a group of banks which will be available, in addition to the
Company's $210 million of unrestricted cash, to pursue acquisition and
expansion opportunities.
Other Information
The Company provides medical services to Medicare risk members under
contracts with the Health Care Financing Administration that are renewed
for a one-year term each December 31 unless terminated 90 days prior
thereto. The loss of these contracts or significant changes in the
program, including reductions in payments or increases in benefits without
corresponding increases in payments, would have a material adverse effect
on the revenues, profitability and business prospects of the Company.
Effective January 1, 1994, the average rate of increase under these
contracts approximated 3.8 percent.
Congress is in the process of evaluating a number of legislative proposals
that would effect major changes in the United States health care system.
Among the proposals under consideration are government imposed cost
controls, measures to increase the availability of group health insurance
coverage to employees, and the creation of statewide health alliances that
would cover individuals and families not enrolled in large employer health
plans. Legislative reform, if any, is not anticipated before the latter
part of 1994 and implementation of any reform package could take several
additional years. In general, managed care is being considered as a means
by which health care costs may be reduced. Although management believes
the Company is well positioned to take advantage of the opportunities
which will be afforded by health care reform, it is not possible to
predict the final form these proposals will take or the effect these
proposals may have on the Company.
In addition to federal reform, various states in which the Company
operates have implemented or are in the process of implementing changes in
the delivery of health care. Again, it is not possible to predict the
final form these proposals will take or the effect these changes may have
on the Company.
Resolution of various loss contingencies, including litigation pending
against the Company in the ordinary course of business, is not expected to
have a material adverse effect on its financial position or results of
operations.
9
Item 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS (Continued)
1994 1993
Commercial members enrolled at:
March 31 . . . . . . . . . . . . . . 1,381,100 1,196,000
June 30 . . . . . . . . . . . . . . 1,195,200
September 30 . . . . . . . . . . . . 1,201,500
December 31. . . . . . . . . . . . . 1,214,000
Medicare risk members enrolled at:
March 31 . . . . . . . . . . . . . . 276,600 268,600
June 30 . . . . . . . . . . . . . . 268,200
September 30 . . . . . . . . . . . . 268,400
December 31. . . . . . . . . . . . . 270,800
Medicare supplement members enrolled at:
March 31 . . . . . . . . . . . . . . 144,100 178,600
June 30. . . . . . . . . . . . . . . 168,000
September 30 . . . . . . . . . . . . 161,100
December 31. . . . . . . . . . . . . 153,600
Total members enrolled at:
March 31 . . . . . . . . . . . . . . 1,801,800 1,643,200
June 30. . . . . . . . . . . . . . . 1,631,400
September 30 . . . . . . . . . . . . 1,631,000
December 31. . . . . . . . . . . . . 1,638,400
10
Part II: Other Information
Items 1 - 4:
None
Item 5: Other Information
(a) Ratio of Earnings to Fixed Charges
The Company's ratio of earnings to fixed charges was 20.8
and 11.8 for the quarters ended March 31, 1994 and 1993,
respectively.
Item 6: Exhibits and Reports on Form 8-K
(a) Exhibits
Exhibit 12 - Statement re Computation of Ratio of Earnings
to Fixed Charges
(b) No reports on Form 8-K have been filed during the quarter
ended March 31, 1994.
11
Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
HUMANA INC.
Date: May 12, 1994 /s/ James E. Murray
James E. Murray
Vice President and Controller
(Principal Accounting Officer)
Date: May 12, 1994 /s/ Walter E. Neely
Walter E. Neely
Vice President,
General Counsel and Secretary
12
EXHIBIT INDEX
Exhibit No. Description
12 Ratio of Earnings to Fixed Charges.
13
Exhibit 12
HUMANA INC.
RATIO OF EARNINGS TO FIXED CHARGES
For the quarters ended March 31, 1994 and 1993
Quarter Ended
March 31,
1994 1993
Ratio of earnings to fixed charges . . . . . . . .20.8 11.8
For the purpose of determining earnings in the calculation of the ratio of
earnings to fixed charges, earnings have been increased by the provision
for income taxes and fixed charges. Fixed charges consist of interest
expense on borrowings and one-third (the proportion deemed representative
of the interest portion) of rents.
14
