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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

(Registrant’s 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 issuer’s 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

 



Table of Contents

Humana Inc.

FORM 10-Q

MARCH 31, 2004

 

INDEX

 

Part I: Financial Information    Page

Item 1.   

Financial Statements

    
    

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
    

Notes to Condensed Consolidated Financial Statements

   6
Item 2.   

Management’s Discussion and Analysis of Financial Condition and Results of Operations

   16
Item 3.   

Quantitative and Qualitative Disclosures about Market Risk

   33
Item 4.   

Controls and Procedures

   33
Part II: Other Information     
Item 1.   

Legal Proceedings

   34
Item 2.   

Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities

   34
Item 4   

Submission of Matters to a Vote of Security Holders

   34
Item 6.   

Exhibits and Reports on Form 8-K

   35
    

Signatures and Certifications

   36

 

2


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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


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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


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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


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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 Humana’s 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 Humana’s 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 option’s 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.

 

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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, Ochsner’s 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


Table of Contents

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