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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 September 30, 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 October 31, 2004


$0.16 2/3 par value   159,407,737 shares

 



Table of Contents

Humana Inc.

FORM 10-Q

SEPTEMBER 30, 2004

 

INDEX

 

          Page

     Part I: Financial Information     

Item 1.

  

Financial Statements

    
    

Condensed Consolidated Balance Sheets at September 30, 2004 and December 31, 2003

   3
    

Condensed Consolidated Statements of Income for the three and nine months ended September 30, 2004 and 2003

   4
    

Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 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

   18

Item 3.

  

Quantitative and Qualitative Disclosures about Market Risk

   37

Item 4.

  

Controls and Procedures

   37
     Part II: Other Information     

Item 1.

  

Legal Proceedings

   38

Item 2.

  

Unregistered Sales of Equity Securities and Use of Proceeds

   38

Item 6.

  

Exhibits

   38
    

Signatures and Certifications

   40

 

2


Table of Contents

Item 1. Financial Statements

 

Humana Inc.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

     September 30,
2004


   

December 31,

2003


 
     (in thousands, except share amounts)  

ASSETS

                

Current assets:

                

Cash and cash equivalents

   $ 375,090     $ 931,404  

Investment securities

     2,332,522       1,676,642  

Receivables, less allowance for doubtful accounts of $29,475 at September 30, 2004 and $40,400 at December 31, 2003:

                

Premiums

     405,067       452,404  

Administrative services fees

     19,803       13,583  

Other

     273,240       247,298  
    


 


Total current assets

     3,405,722       3,321,331  
    


 


Property and equipment, net

     390,735       416,472  

Other assets:

                

Long-term investment securities

     333,796       319,167  

Goodwill

     859,734       776,874  

Other

     421,623       459,479  
    


 


Total other assets

     1,615,153       1,555,520  
    


 


Total assets

   $ 5,411,610     $ 5,293,323  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY

                

Current liabilities:

                

Medical and other expenses payable

   $ 1,436,135     $ 1,272,156  

Trade accounts payable and accrued expenses

     504,892       440,340  

Book overdraft

     116,106       219,054  

Unearned revenues

     132,659       333,071  
    


 


Total current liabilities

     2,189,792       2,264,621  

Long-term debt

     630,912       642,638  

Other long-term liabilities

     568,911       550,115  
    


 


Total liabilities

     3,389,615       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; 175,062,193 shares issued at September 30, 2004 and 173,909,127 shares issued at December 31, 2003

     29,177       28,984  

Capital in excess of par value

     994,975       974,975  

Retained earnings

     1,182,697       949,811  

Accumulated other comprehensive income

     13,797       16,909  

Unearned stock compensation

     (203 )     (754 )

Treasury stock, at cost, 15,689,251 shares at September 30, 2004 and 12,018,281 shares at December 31, 2003

     (198,448 )     (133,976 )
    


 


Total stockholders’ equity

     2,021,995       1,835,949  
    


 


Total liabilities and stockholders’ equity

   $ 5,411,610     $ 5,293,323  
    


 


 

See accompanying notes to condensed consolidated financial statements.

 

3


Table of Contents

Humana Inc.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(Unaudited)

 

     Three months ended
September 30,


   Nine months ended
September 30,


     2004

   2003

   2004

   2003

     (in thousands, except per share results)

Revenues:

                           

Premiums

   $ 3,083,554    $ 3,016,298    $ 9,566,447    $ 8,772,652

Administrative services fees

     59,837      66,984      219,420      199,788

Investment and other income

     32,882      28,483      108,833      100,999
    

  

  

  

Total revenues

     3,176,273      3,111,765      9,894,700      9,073,439
    

  

  

  

Operating expenses:

                           

Medical

     2,550,911      2,528,123      8,024,167      7,344,534

Selling, general and administrative

     460,171      458,381      1,416,695      1,371,196

Depreciation and amortization

     31,238      27,112      84,715      100,232
    

  

  

  

Total operating expenses

     3,042,320      3,013,616      9,525,577      8,815,962
    

  

  

  

Income from operations

     133,953      98,149      369,123      257,477

Interest expense

     6,480      4,737      16,524      12,473
    

  

  

  

Income before income taxes

     127,473      93,412      352,599      245,004

Provision for income taxes

     43,170      31,293      119,713      82,379
    

  

  

  

Net income

   $ 84,303    $ 62,119    $ 232,886    $ 162,625
    

  

  

  

Basic earnings per common share

   $ 0.53    $ 0.39    $ 1.45    $ 1.03
    

  

  

  

Diluted earnings per common share

   $ 0.52    $ 0.38    $ 1.43    $ 1.01
    

  

  

  

 

See accompanying notes to condensed consolidated financial statements.

 

4


Table of Contents

Humana Inc.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

     For the nine months ended
September 30,


 
     2004

    2003

 
     (in thousands)  

Cash flows from operating activities

                

Net income

   $ 232,886     $ 162,625  

Adjustments to reconcile net income to net cash provided by operating activities:

                

Writedown of property and equipment

     —         17,233  

Depreciation and amortization

     84,715       100,232  

Provision for deferred income taxes

     27,545       30,213  

Changes in operating assets and liabilities, net of effect of business acquired:

                

Receivables

     106,709       13,516  

Other assets

     (18,776 )     42,435  

Medical and other expenses payable

     92,916       154,435  

Other liabilities

     26,675       (151,363 )

Unearned revenues

     (204,426 )     (227,596 )

Other, net

     (19,920 )     (18,810 )
    


 


Net cash provided by operating activities

     328,324       122,920  
    


 


Cash flows from investing activities

                

Acquisition, net of cash and cash equivalents acquired

     (115,972 )     —    

Purchases of property and equipment

     (72,900 )     (64,980 )

Proceeds from sales of property and equipment

     28,972       2,483  

Purchases of investment securities

     (3,614,781 )     (3,659,394 )

Maturities of investment securities

     840,275       585,461  

Proceeds from sales of investment securities

     2,203,853       2,768,446  
    


 


Net cash used in investing activities

     (730,553 )     (367,984 )
    


 


Cash flows from financing activities

                

Net commercial paper conduit repayments

     —         (265,000 )

Proceeds from issuance of senior notes

     —         299,139  

Common stock repurchases

     (64,472 )     (44,147 )

Proceeds from swap exchange

     —         31,556  

Change in book overdraft

     (102,948 )     123,869  

Proceeds from stock option exercises and other

     13,335       14,127  
    


 


Net cash (used in) provided by financing activities

     (154,085 )     159,544  
    


 


Decrease in cash and cash equivalents

     (556,314 )     (85,520 )

Cash and cash equivalents at beginning of period

     931,404       721,357  
    


 


Cash and cash equivalents at end of period

   $ 375,090     $ 635,837  
    


 


Supplemental cash flow disclosures:

                

Interest payments

   $ 22,663     $ 11,324  

Income tax payments, net

   $ 44,922     $ 43,335  

 

See accompanying notes to condensed consolidated financial statements.

 

5


Table of Contents

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 condensed consolidated 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.

 

6


Table of Contents

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 and restricted stock awards was as follows for the three and nine months ended September 30, 2004 and 2003.

 

     Three months ended
September 30,


    Nine months ended
September 30,


 
     2004