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, 2004
OR
| ¨ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number 1-5975
HUMANA INC.
(Exact name of registrant as specified in its charter)
| Delaware | 61-0647538 | |
| (State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification Number) |
500 West Main Street
Louisville, Kentucky 40202
(Address of principal executive offices, including zip code)
(502) 580-1000
(Registrants telephone number, including area code)
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 by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Act). Yes x No ¨
Indicate the number of shares outstanding of each of the issuers classes of common stock as of the latest practicable date.
| Class of Common Stock | Outstanding at April 30, 2004 | |
| $0.16 2/3 par value | 161,473,643 shares |
Humana Inc.
FORM 10-Q
MARCH 31, 2004
| Part I: Financial Information | Page | |||
| Item 1. | ||||
| Condensed Consolidated Balance Sheets at March 31, 2004 and December 31, 2003 |
3 | |||
| Condensed Consolidated Statements of Income for the three months ended March 31, 2004 and 2003 |
4 | |||
| Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2004 and 2003 |
5 | |||
| 6 | ||||
| Item 2. | Managements Discussion and Analysis of Financial Condition and Results of Operations |
16 | ||
| Item 3. | 33 | |||
| Item 4. | 33 | |||
| Part II: Other Information | ||||
| Item 1. | 34 | |||
| Item 2. | Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities |
34 | ||
| Item 4 | 34 | |||
| Item 6. | 35 | |||
| 36 | ||||
2
Humana Inc.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
| March 31, 2004 |
December 31, 2003 |
|||||||
| (in thousands, except share amounts) |
||||||||
| ASSETS |
||||||||
| Current assets: |
||||||||
| Cash and cash equivalents |
$ | 417,647 | $ | 931,404 | ||||
| Investment securities |
2,115,784 | 1,676,642 | ||||||
| Receivables, less allowance for doubtful accounts of $38,459 at March 31, 2004, and $40,400 at December 31, 2003: |
||||||||
| Premiums |
511,931 | 452,404 | ||||||
| Administrative services fees |
16,627 | 13,583 | ||||||
| Other |
306,831 | 247,298 | ||||||
| Total current assets |
3,368,820 | 3,321,331 | ||||||
| Property and equipment, net |
397,212 | 416,472 | ||||||
| Other assets: |
||||||||
| Long-term investment securities |
311,409 | 319,167 | ||||||
| Goodwill |
776,874 | 776,874 | ||||||
| Other |
421,430 | 459,479 | ||||||
| Total other assets |
1,509,713 | 1,555,520 | ||||||
| Total assets |
$ | 5,275,745 | $ | 5,293,323 | ||||
| LIABILITIES AND STOCKHOLDERS EQUITY |
||||||||
| Current liabilities: |
||||||||
| Medical and other expenses payable |
$ | 1,396,784 | $ | 1,272,156 | ||||
| Trade accounts payable and accrued expenses |
422,568 | 440,340 | ||||||
| Book overdraft |
210,437 | 219,054 | ||||||
| Unearned revenues |
131,372 | 333,071 | ||||||
| Total current liabilities |
2,161,161 | 2,264,621 | ||||||
| Long-term debt |
646,897 | 642,638 | ||||||
| Other long-term liabilities |
558,741 | 550,115 | ||||||
| Total liabilities |
3,366,799 | 3,457,374 | ||||||
| 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; 174,559,254 shares issued at March 31, 2004, and 173,909,127 shares issued at December 31, 2003 |
29,093 | 28,984 | ||||||
| Capital in excess of par value |
986,369 | 974,975 | ||||||
| Retained earnings |
1,017,641 | 949,811 | ||||||
| Accumulated other comprehensive income |
24,641 | 16,909 | ||||||
| Unearned stock compensation |
(78 | ) | (754 | ) | ||||
| Treasury stock, at cost, 12,739,251 shares at March 31, 2004, and 12,018,281 shares at December 31, 2003 |
(148,720 | ) | (133,976 | ) | ||||
| Total stockholders equity |
1,908,946 | 1,835,949 | ||||||
| Total liabilities and stockholders equity |
$ | 5,275,745 | $ | 5,293,323 | ||||
See accompanying notes to condensed consolidated financial statements.
3
Humana Inc.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
| For the three months ended March 31, | ||||||
| 2004 |
2003 | |||||
| (in thousands, except per share results) | ||||||
| Revenues: |
||||||
| Premiums |
$ | 3,179,181 | $ | 2,842,949 | ||
| Administrative services fees |
78,237 | 61,136 | ||||
| Investment and other income |
29,531 | 27,631 | ||||
| Total revenues |
3,286,949 | 2,931,716 | ||||
| Operating expenses: |
||||||
| Medical |
2,683,516 | 2,371,434 | ||||
| Selling, general and administrative |
469,629 | 464,278 | ||||
| Depreciation and amortization |
26,312 | 44,667 | ||||
| Total operating expenses |
3,179,457 | 2,880,379 | ||||
| Income from operations |
107,492 | 51,337 | ||||
| Interest expense |
4,719 | 3,935 | ||||
| Income before income taxes |
102,773 | 47,402 | ||||
| Provision for income taxes |
34,943 | 16,172 | ||||
| Net income |
$ | 67,830 | $ | 31,230 | ||
| Basic earnings per common share |
$ | 0.42 | $ | 0.20 | ||
| Diluted earnings per common share |
$ | 0.41 | $ | 0.19 | ||
See accompanying notes to condensed consolidated financial statements.
4
Humana Inc.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
| For the three months ended March 31, |
||||||||
| 2004 |
2003 |
|||||||
| (in thousands) | ||||||||
| Cash flows from operating activities |
||||||||
| Net income |
$ | 67,830 | $ | 31,230 | ||||
| Adjustments to reconcile net income to net cash used in operating activities: |
||||||||
| Writedown of property and equipment |
| 17,233 | ||||||
| Depreciation and amortization |
26,312 | 44,667 | ||||||
| Provision for deferred income taxes |
12,223 | 3,646 | ||||||
| Changes in operating assets and liabilities: |
||||||||
| Receivables |
(20,546 | ) | (25,349 | ) | ||||
| Other assets |
(15,472 | ) | 20,008 | |||||
| Medical and other expenses payable |
124,628 | 83,912 | ||||||
| Other liabilities |
(32,431 | ) | (66,539 | ) | ||||
| Unearned revenues |
(201,699 | ) | (218,153 | ) | ||||
| Other |
(900 | ) | 1,115 | |||||
| Net cash used in operating activities |
(40,055 | ) | (108,230 | ) | ||||
| Cash flows from investing activities |
||||||||
| Purchases of property and equipment |
(22,732 | ) | (22,096 | ) | ||||
| Proceeds from sales of property and equipment |
19,385 | 462 | ||||||
| Purchases of investment securities |
(1,491,272 | ) | (1,545,241 | ) | ||||
| Maturities of investment securities |
246,845 | 196,923 | ||||||
| Proceeds from sales of investment securities |
786,868 | 1,320,246 | ||||||
| Net cash used in investing activities |
(460,906 | ) | (49,706 | ) | ||||
| Cash flows from financing activities |
||||||||
| Common stock repurchases |
(12,836 | ) | (20,817 | ) | ||||
| Change in book overdraft |
(8,617 | ) | (10,303 | ) | ||||
| Proceeds from stock option exercises and other |
8,657 | 351 | ||||||
| Net cash used in financing activities |
(12,796 | ) | (30,769 | ) | ||||
| Decrease in cash and cash equivalents |
(513,757 | ) | (188,705 | ) | ||||
| Cash and cash equivalents at beginning of period |
931,404 | 721,357 | ||||||
| Cash and cash equivalents at end of period |
$ | 417,647 | $ | 532,652 | ||||
| Supplemental cash flow disclosures: |
||||||||
| Interest payments |
$ | 6,581 | $ | 4,068 | ||||
| Income tax payments, net |
$ | 4,353 | $ | 3,716 | ||||
See accompanying notes to condensed consolidated financial statements.
5
Humana Inc.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Unaudited
| (1) | Basis of Presentation |
The accompanying condensed consolidated financial statements are presented in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the disclosures normally required by accounting principles generally accepted in the United States of America, or those normally made in an Annual Report on Form 10-K. References throughout this document to we, us, our, the Company, and Humana, mean Humana Inc. and all entities we own. For further information, the reader of this Form 10-Q should refer to our Form 10-K for the year ended December 31, 2003, that was filed with the Securities and Exchange Commission, or the SEC, on March 5, 2004.
The preparation of our condensed consolidated financial statements, in conformity with accounting principles generally accepted in the United States of America, requires us to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. The areas involving the most significant use of estimates are the estimation of medical expenses payable, the recognition of revenue related to our TRICARE contracts, the valuation and related impairment recognition of investment securities, and the valuation and related impairment recognition of long-lived assets, including goodwill. Although our estimates are based on knowledge of current events and anticipated future events, actual results may ultimately differ materially from those estimates. Refer to Critical Accounting Policies and Estimates in Humanas 2003 Annual Report on Form 10-K for information on accounting policies that the Company considers critical in preparing its Consolidated Financial Statements.
The financial information has been prepared in accordance with our customary accounting practices and has not been audited. In our opinion, the information presented reflects all adjustments necessary for a fair statement of interim results. All such adjustments are of a normal and recurring nature.
| (2) | Significant Accounting Policies |
Stock-Based Compensation
We have stock-based employee compensation plans, which are described more fully in Note 10 to the consolidated financial statements in Humanas 2003 Annual Report on Form 10-K. We account for our stock option plans under Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees and related interpretations, or APB No. 25. No employee compensation cost is reflected in net income related to fixed-based stock option awards because these options had an exercise price equal to the market value of the underlying common stock on the date of grant. Generally, if a fixed-based stock option award is subsequently modified, compensation expense, if any, is recorded for the amount that the market price of Humana common stock exceeds the options exercise price on the date the option is modified. Compensation expense is recorded for restricted stock grants over their vesting periods based on fair value, which is equal to the market price of Humana common stock on the date of the grant.
6
Humana Inc.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Unaudited
The effect on net income and earnings per share if we had applied the fair value recognition provisions of Statement of Financial Accounting Standards No. 123, Accounting for Stock-Based Compensation, to our fixed-based stock option awards was as follows for the three months ended March 31, 2004 and 2003.
| 2004 |
2003 |
|||||||
| (in thousands, except per share results) |
||||||||
| Net income, as reported |
$ | 67,830 | $ | 31,230 | ||||
| Add: Stock-based employee compensation expense included in reported net income, net of related tax |
782 | 1,403 | ||||||
| Deduct: Total stock-based employee compensation expense determined under fair value based method for all awards, net of related tax |
(3,038 | ) | (2,396 | ) | ||||
| Adjusted net income |
$ | 65,574 | $ | 30,237 | ||||
| Earnings per share: |
||||||||
| Basic, as reported |
$ | 0.42 | $ | 0.20 | ||||
| Basic, pro forma |
$ | 0.40 | $ | 0.19 | ||||
| Diluted, as reported |
$ | 0.41 | $ | 0.19 | ||||
| Diluted, pro forma |
$ | 0.40 | $ | 0.19 | ||||
New Accounting Standards
In January 2003, the Financial Accounting Standards Board (FASB) issued Interpretation No. 46, Consolidation of Variable Interest Entities, an Interpretation of ARB 51, or FIN 46. The primary objectives of FIN 46 are to provide guidance on the identification of entities for which control is achieved through means other than through voting rights (variable interest entities, or VIEs) and how to determine when and which business enterprise should consolidate the VIE (the primary beneficiary). In December 2003, the FASB issued FIN 46-R, Consolidation of Variable Interest Entities an interpretation of ARB 51 (revised December 2003), which amended certain provisions of FIN 46 and delayed implementation for entities that are not considered special purpose entities until the first quarter of 2004. The adoption of FIN 46 or FIN 46-R did not have a material impact on our financial position, results of operations, or cash flows.
| (3) | Acquisition |
On April 1, 2004, we acquired Ochsner Health Plan, or Ochsner, from Ochsner Clinic Foundation for $82.5 million in cash, subject to adjustment based upon completion of a final balance sheet necessary to determine, among other items, Ochsners ultimate claims liability as of the purchase date using claims paid data during a 6-month run-out period. In addition, the purchase price includes provisions to pay additional consideration up to $45.0 million assuming certain earnings targets are met. Ochsner is a Louisiana health plan serving approximately 152,000 Commercial medical members, primarily in fully insured large group accounts, and approximately 33,000 members in the MedicareAdvantage program.
7
Humana Inc.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Continued)
Unaudited
| (4) | Long-lived Asset Impairment |
A decision to eliminate the Jacksonville, Florida customer service center prompted a review for the possible impairment of long-lived assets associated with this center. Under a transition plan, we continued to use the long-lived assets of the Jacksonville customer service center until mid-2003, the completion date for consolidating this customer service center. The long-lived assets of this customer service center were supported by the future cash flows expected to result from members serviced by that center. Cash flo