Exhibit 13
FINANCIAL SECTION
|
23 |
Selected Financial Data
|
|
24 |
Management's Discussion and Analysis of Financial
Condition and Results of Operations |
|
35 |
Consolidated Balance Sheets |
|
36 |
Consolidated Statements of Operations |
|
37 |
Consolidated Statements of Stockholders'
Equity |
|
38 |
Consolidated Statements of Cash Flows |
|
39 |
Notes to Consolidated Financial
Statements |
|
51 |
Report of Independent Accountants |
|
52 |
Quarterly Financial Information
(Unaudited) |
|
53 |
Board of Directors |
|
54 |
Senior Officers |
|
55 |
Additional Information |
SELECTED FINANCIAL DATA
(Dollars in millions, except
per share results)
For the years ended December 31,
|
1999 (a) |
1998 (b) |
1997 (c) |
1996 (d) |
1995 (c) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUMMARY OF OPERATIONS |
|
|
|
|
|
|
|
|
|
|
|
|
|
Premiums |
|
$
9,959 |
|
$
9,597 |
|
$
7,880 |
|
$
6,677 |
|
$
4,605 |
|
|
Interest and other income |
|
154 |
|
184 |
|
156 |
|
111 |
|
97 |
|
|
|
Total
revenues |
|
10,113 |
|
9,781 |
|
8,036 |
|
6,788 |
|
4,702 |
|
|
|
(Loss) income before income taxes |
|
(404 |
) |
203 |
|
270 |
|
18 |
|
288 |
|
|
Net (loss) income |
|
(382 |
) |
129 |
|
173 |
|
12 |
|
190 |
|
|
(Loss) earnings per common share |
|
(2.28 |
) |
0.77 |
|
1.06 |
|
0.07 |
|
1.17 |
|
|
(Loss) earnings per common share
assuming dilution |
(2.28 |
) |
0.77 |
|
1.05 |
|
0.07 |
|
1.16 |
|
|
Net cash provided by operations |
|
217 |
|
55 |
|
279 |
|
341 |
|
150 |
|
|
|
|
FINANCIAL POSITION |
|
|
Cash and investments |
|
$
2,738 |
|
$
2,812 |
|
$
2,798 |
|
$
1,880 |
|
$
1,696 |
|
|
Total assets |
|
4,900 |
|
5,496 |
|
5,600 |
|
3,306 |
|
3,056 |
|
|
Medical and other expenses payable |
|
1,756 |
|
1,908 |
|
2,075 |
|
1,099 |
|
866 |
|
|
Debt and other long-term obligations |
|
830 |
|
977 |
|
1,057 |
|
361 |
|
399 |
|
|
Stockholdersequity |
|
1,268 |
|
1,688 |
|
1,501 |
|
1,292 |
|
1,287 |
|
|
|
|
OPERATING DATA |
|
|
Medical expense ratio |
|
85.7 |
% |
83.8 |
% |
82.8 |
% |
84.3 |
% |
81.7 |
% |
|
Administrative expense ratio |
|
15.0 |
% |
15.2 |
% |
15.5 |
% |
15.5 |
% |
13.9 |
% |
|
Medical membership by segment: |
|
Health Plan: |
|
Large group
commercial |
|
1,420,500 |
|
1,559,700 |
|
1,661,900 |
|
1,435,000 |
|
1,502,500 |
|
|
Medicare HMO |
|
488,500 |
|
502,000 |
|
480,800 |
|
364,500 |
|
310,400 |
|
|
Medicaid and
other |
|
661,100 |
|
700,400 |
|
704,000 |
|
152,900 |
|
164,000 |
|
|
TRICARE |
|
1,058,000 |
|
1,085,700 |
|
1,112,200 |
|
1,103,000 |
|
Administrative
services |
|
648,000 |
|
646,200 |
|
651,200 |
|
471,000 |
|
495,100 |
|
|
|
Total Health Plan |
|
4,276,100 |
|
4,494,000 |
|
4,610,100 |
|
3,526,400 |
|
2,472,000 |
|
|
Small Group: |
|
Small group
commercial |
|
1,663,100 |
|
1,701,800 |
|
1,596,700 |
|
1,324,600 |
|
1,332,400 |
|
|
|
Total medical membership |
|
5,939,200 |
|
6,195,800 |
|
6,206,800 |
|
4,851,000 |
|
3,804,400 |
|
|
|
Specialty membership: |
|
Dental |
|
1,628,200 |
|
1,375,500 |
|
936,400 |
|
844,800 |
|
797,000 |
|
|
Other |
|
1,333,100 |
|
1,257,800 |
|
1,504,200 |
|
1,039,400 |
|
1,063,000 |
|
|
|
Total specialty membership |
|
2,961,300 |
|
2,633,300 |
|
2,440,600 |
|
1,884,200 |
|
1,860,000 |
|
|
|
(a) |
Includes expenses of $585 million pretax ($499 million after tax,
or $2.97 per diluted share) primarily related to goodwill write-down,
losses on non-core asset sales, professional liability reserve
strengthening, premium deficiency and medical reserve strengthening.
|
(b) |
Includes expenses of $132 million pretax ($84 million after
tax, or $0.50 per diluted share) primarily related to the costs of certain
market exits and product discontinuances, asset write-offs, premium
deficiency and a one-time non-officer employee incentive.
|
(c) |
Includes the operations of Health Direct, Inc., Physician
Corporation of America, ChoiceCare Corporation and EMPHESYS Financial
Group, Inc. since their dates of acquisition, February 28, 1997, September
8, 1997, October 17, 1997 and October 11, 1995, respectively.
|
(d) |
Includes expenses of $215 million pretax ($140 million after
tax, or $0.85 per diluted share) primarily related to the closing of the
Washington, D.C. and certain other markets, severance and facility costs
for workforce reductions, product discontinuance costs, premium
deficiency, litigation and other costs.
|
HUMANA INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
The consolidated financial statements of Humana Inc.
(the "Company" or "Humana") in this Annual Report
present the Company's financial position, results of operations and cash
flows, and should be read in conjunction with the following discussion and
analysis. This discussion and analysis contains both historical and
forward-looking information. The forward-looking statements may be
significantly impacted by risks and uncertainties, and are made pursuant to
the safe harbor provisions of the Private Securities Litigation Reform Act
of 1995. There can be no assurance that anticipated future results will be
achieved because actual results may differ materially from those projected
in the forward-looking statements. Readers are cautioned that a number of
factors, which are described herein and in the Company's Annual Report on
Form 10-K for the year ended December 31, 1999, could adversely affect the
Company's ability to obtain these results. These include the effects of
either federal or state health care reform or other legislation, including
the Patients' Bill of Rights, any expanded right to sue managed care
companies and alleged class action litigation directed against the managed
care industry, changes in the Medicare reimbursement system, the ability of
health care providers (including physician practice management companies) to
comply with current contract terms, renewal of the Company's Medicare
contracts with the federal government, renewal of the Company's contract
with the federal government to administer the TRICARE program and renewal of
the Company's Medicaid contracts with various state governments and the
Health Insurance Administration in Puerto Rico. Such factors also include
the effects of other general business conditions, including but not limited
to, the success of the Company's improvement initiatives including its
electronic business strategies, premium rate and yield changes,
retrospective premium adjustments relating to federal government contracts,
changes in commercial and Medicare HMO membership, medical and pharmacy cost
trends, compliance with debt covenants, changes in the Company's debt rating
and its ability to borrow under its commercial paper program, operating
subsidiary capital requirements, competition, general economic conditions
and the retention of key employees. In addition, past financial performance
is not necessarily a reliable indicator of future performance and investors
should not use historical performance to anticipate results or future period
trends.
INTRODUCTION
Humana is one of the nation's largest publicly
traded health services companies that facilitates the delivery of health
care services through networks of providers to its approximately 5.9 million
medical members. The Company's products are marketed primarily through
health maintenance organizations ("HMOs") and preferred provider
organizations ("PPOs") that encourage or require the use of
contracted providers. HMOs and PPOs control health care costs by various
means, including pre- admission approval for hospital inpatient services,
pre-authorization of outpatient surgical procedures, and risk-sharing
arrangements with providers. These providers may share medical cost risk or
have other incentives to deliver quality medical services in a
cost-effective manner. The Company also offers various specialty products to
employers, including dental, group life and workers' compensation and
administrative services ("ASO") to those who self-insure their
employee health plans. The Company has entered into a definitive agreement
to sell its workers' compensation business. In total, the Company's products
are licensed in 49 states, the District of Columbia and Puerto Rico, with
approximately 20 percent of its membership in the state of
Florida.
During 1999, the Company realigned its organization
to achieve greater accountability in its lines of business. As a result of
this realignment, the Company organized into two business units: the Health
Plan segment and the Small Group segment. The Health Plan segment includes
the Company's large group commercial (100 employees and over), Medicare,
Medicaid, ASO, workers' compensation and military or TRICARE business. The
small group segment includes small group commercial (under 100 employees)
and specialty benefit lines, including dental, life and short-term
disability. Results of each segment are measured based upon results of
operations before income taxes. The Company allocates administrative
expenses, interest income and interest expense, but no assets, to the
segments. Members served by the two segments generally utilize the same
medical provider networks, enabling the Company to obtain more favorable
contract terms with providers. As a result, the profitability of each segment is
somewhat interdependent. In addition, premium revenue pricing
to large group commercial employers has historically been more competitive
than that to small group commercial employers, resulting in less favorable underwriting
margins for the large group commercial line of business. Costs to distribute
and administer products to small group commercial employers are higher compared to large
group commercial employers resulting in small group's higher administrative
expense ratio.
ACQUISITIONS AND DISPOSITIONS
Between December 30, 1999 and February 4, 2000, the
Company entered into definitive agreements to sell its
workers' compensation, Medicare supplement and North Florida Medicaid
businesses for proceeds of approximately $115 million. The Company recorded
a $118 million loss in 1999 related to these sale transactions.
On January 31, 2000, the Company acquired the
Memorial Sisters of Charity Health Network ("MSCHN"), a Houston
based health plan for approximately $50 million in cash.
On June 1, 1999, the Company reached an agreement
with FPA Medical Management, Inc. ("FPA"), FPA's lenders and a
federal bankruptcy court under which the Company acquired the operations of
50 medical centers from FPA for approximately $14 million in cash. The
Company has subsequently reached agreements with 14 provider groups to
assume operating responsibility for 38 of the 50 acquired FPA medical
centers under long-term provider agreements with the Company.
On October 17, 1997, the Company acquired ChoiceCare
Corporation ("ChoiceCare") for approximately $250 million in cash.
The purchase was funded with borrowings under the Company's commercial paper
program. ChoiceCare provided health services products to members in the
Greater Cincinnati, Ohio, area.
On September 8, 1997, the Company acquired Physician
Corporation of America ("PCA") for total consideration of $411
million in cash, consisting primarily of $7 per share for PCA's outstanding
common stock and the assumption of $121 million in debt. The purchase was
funded with borrowings under the Company's commercial paper program. PCA
provided comprehensive health services through its HMOs in Florida, Texas
and Puerto Rico. In addition, PCA provided workers' compensation third-party
administrative management services. Prior to November 1996, PCA also was a
direct writer of workers' compensation insurance in Florida. Long-term
medical and other expenses payable in the accompanying Consolidated Balance
Sheets includes the long-term portion of workers' compensation liabilities
related to this business.
On February 28, 1997, the Company acquired Health
Direct, Inc. ("Health Direct") from Advocate Health Care for
approximately $23 million in cash.
The above acquisitions were accounted for under the
purchase method of accounting. In connection with these acquisitions, the
Company allocated the acquisition costs to net tangible and identifiable
intangible assets based upon their fair values. Identifiable intangible
assets, which are included in other long-term assets in the accompanying
Consolidated Balance Sheets, primarily relate to subscriber and provider
contracts. Any remaining value not assigned to net tangible or identifiable
intangible assets was then allocated to cost in excess of net assets
acquired, or goodwill. Goodwill and identifiable intangible assets acquired,
recorded in connection with the acquisitions, was $17 million and $754
million in 1999 and 1997, respectively. Subscriber and provider contracts
are amortized over their estimated useful lives (seven to 14 years), while
goodwill has been amortized over periods from six to 40 years.
At December 31, 1999, goodwill and identifiable
intangible assets represent 67% of total stockholders' equity. In accordance
with the Company's policy, the carrying values of all long-lived assets
including goodwill and identifiable intangible assets are periodically
reviewed by management for impairment whenever adverse events or changes in
circumstances occur. In addition, management periodically reviews the
reasonableness of the estimated useful life assigned to goodwill and
identifiable intangible assets. Impairment losses and/or changes in the
estimated useful life related to these assets could have a material adverse
impact on the Company's financial position and results of
operations.
During 1999, the Company recorded an impairment loss
and, effective January 1, 2000, adopted a 20 year amortization period from
the date of acquisition for goodwill previously amortized over 40 years as
discussed in the following section.
ASSET WRITE-DOWNS AND OPERATIONAL EXPENSES
The following table presents the components of the
asset write-downs and operational expenses and their respective
classifications in the 1999 and 1998 Consolidated Statements of
Operations:
(In millions)
|
Medical |
Selling,
General and
Administrative |
Asset
Write-Downs
and Other |
Total |
|
1999: |
|
|
|
|
|
|
|
|
|
FIRST QUARTER 1999: |
|
|
|
Premium deficiency |
|
$ 50 |
|
|
|
|
|
$ 50 |
|
Reserve strengthening |
|
35 |
|
|
|
|
|
35 |
|
Provider costs |
|
5 |
|
|
|
|
|
5 |
|
|
Total
first quarter 1999 |
|
90 |
|
|
|
|
|
90 |
|
|
|
|
FOURTH QUARTER 1999: |
|
|
Long-lived asset
impairment |
|
|
|
|
|
$ 342 |
|
342 |
|
Losses on non-core asset
sales |
|
|
|
|
|
118 |
|
118 |
|
Professional liability
reserve strengthening and other costs |
|
|
|
$ 35 |
|
|
|
35 |
|
|
Total
fourth quarter 1999 |
|
|
|
35 |
|
460 |
|
495 |
|
|
Total 1999 |
|
$ 90 |
|
$ 35 |
|
$ 460 |
|
$585 |
|
HUMANA INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
(In millions)
|
Medical |
Selling,
General and
Administrative |
Asset
Write-Downs
and Other |
Total |
1998: |
|
|
|
|
|
|
|
|
|
THIRD QUARTER 1998: |
|
|
|
|
|
|
|
|
|
Premium deficiency |
|
$ 46 |
|
|
|
|
|
$ 46 |
|
Provider costs |
|
27 |
|
|
|
|
|
27 |
|
Market exit costs |
|
|
|
|
|
$ 15 |
|
15 |
|
Losses on non-core asset
sales |
|
|
|
|
|
12 |
|
12 |
|
Merger dissolution
costs |
|
|
|
|
|
7 |
|
7 |
|
Non-officer employee
incentive and other costs |
|
|
|
$ 25 |
|
|
|
25 |
|
|
Total third quarter 1998 |
|
$ 73 |
|
$ 25 |
|
$ 34 |
|
$ 132 |
|
|
1999 EXPENSES
Premium Deficiency, Reserve Strengthening and
Provider Costs
As a result of management's assessment of the
profitability of its contracts for providing health care services to its
members in certain markets, the Company recorded a provision for probable
future losses (premium deficiency) of $50 million during the first
quarter of 1999. Ineffective provider risk-sharing contracts and the
impact of the March 31, 1999 Columbia/HCA Healthcare Corporation (
"Columbia/HCA") hospital agreement in Florida on current and
projected future medical costs contributed to the premium deficiency. The
beneficial effect from losses charged to the premium deficiency liability
throughout 1999 was $50 million. Because the majority of the Company's
customers' contracts renew annually, the Company does not anticipate the
need for a premium deficiency in 2000, absent unanticipated adverse
events or changes in circumstances.
Prior period adverse claims development primarily
in the Company's PPO and Medicare products initially identified during an
analysis of February and March 1999 medical claims resulted in the $35
million reserve strengthening. The Company releases or strengthens
medical claims reserves when favorable or adverse development in prior
periods exceed actuarial margins existing in the reserves. In addition,
the Company paid Columbia/HCA $5 million to settle certain contractual
issues associated with the March 31, 1999 hospital agreement in
Florida.
Long-Lived Asset Impairment
Historical and current period operating losses in
certain of the Company's markets prompted a review during the fourth
quarter of 1999 for the possible impairment of long-lived assets. This
review indicated that estimated future undiscounted cash flows were
insufficient to recover the carrying value of long-lived assets,
primarily goodwill, associated with the Company's Austin, Dallas and
Milwaukee markets. Accordingly, the Company adjusted the carrying value
of these long-lived assets to their estimated fair value resulting in a
non-cash impairment charge of $342 million. Estimated fair value was
based on discounted cash flows.
The long-lived assets associated with the Austin
and Dallas markets primarily result from the Company's 1997 acquisition
of PCA. Operating losses in Austin and Dallas were related to the
deterioration of risk-sharing arrangements with providers and the failure
to effectively convert the PCA operating model and computer platform to
Humana's. The long-lived assets associated with the Milwaukee market
primarily result from the Company's 1994 acquisition of CareNetwork, Inc.
Operating losses in Milwaukee were the result of competitor pricing
strategies resulting in lower premium levels to large employer groups as
well as market dynamics dominated by limited provider groups causing
higher than expected medical costs.
The Company also re-evaluated the amortization
period of its goodwill and as a result, effective January 1, 2000,
adopted a 20 year amortization period from the date of acquisition for
goodwill previously amortized over 40 years.
The $342 million long-lived asset impairment will
decrease depreciation and amortization expense $13 million annually ($13
million after tax, or $0.08 per diluted share), while the change in the
amortization period of goodwill will increase amortization expense $25
million annually ($24 million after tax, or $0.15 per diluted
share).
Losses on Non-Core Asset Sales
The Company has entered into definitive
agreements for the disposition of its workers' compensation, Medicare
supplement and North Florida Medicaid businesses, which are considered
non-core. As a result of the carrying value of the net assets of these
businesses exceeding the estimated sale proceeds, the Company has
recorded a loss of $118 million. Estimated fair value was established
based upon definitive sale agreements, net of expected transaction costs.
These transactions are expected to be completed in the first and second
quarters of 2000. Total assets of $725 million, primarily consisting of
marketable securities and reinsurance recoverables and total liabilities
of $490 million, primarily consisting of worker's compensation reserves
related to these businesses are included in the accompanying Consolidated
Balance Sheets. The accompanying Consolidated Statements of Operations
include 1999 revenues of $214 million and pretax operating income of $38
million from these businesses. Included in 1999 and 1998 pretax operating
(loss) income is $36 million and $5 million of workers' compensation
reserve releases resulting from favorable claim liability
development.
Professional Liability Reserve Strengthening and
Other Costs
The Company insures substantially all
professional liability risks through a wholly owned captive insurance
subsidiary (the "Subsidiary"). The Subsidiary recorded an
additional $25 million expense during the fourth quarter of 1999
primarily related to expected claim and legal costs to be incurred by the
Company.
In addition, other expenses of $10 million were
recorded during the fourth quarter related to a claim payment dispute
with a contracted provider and government audits.
Activity related to the 1999 expenses
follows:
(In millions)
|
1999
Expenses |
1999 Activity |
Balance at
December 31,
1999
|
Cash |
Non-Cash |
|
Premium deficiency |
|
$ 50 |
|
$ (50 |
) |
|
|
|
|
Reserve strengthening |
|
35 |
|
(35 |
) |
|
|
|
|
Provider costs |
|
5 |
|
(5 |
) |
|
|
|
|
Long-lived asset impairment |
|
342 |
|
|
|
$ (342 |
) |
|
|
Losses on non-core asset sales |
|
118 |
|
|
|
(28 |
) |
$ 90 |
|
Professional liability reserve |
|
strengthening and
other costs |
|
35 |
|
|
|
|
|
35 |
|
|
|
|
$ 585 |
|
$ (90 |
) |
$ (370 |
) |
$ 125 |
|
|
1998 EXPENSES
Market Exits, Non-Core Asset Sales and Merger
Dissolution Costs
On August 10, 1998, the Company and UnitedHealth
Group Company ("United") announced their mutual agreement to
terminate the previously announced Agreement and Plan of Merger, dated
May 27, 1998. The planned merger, among other things, was expected to
improve the operating results of the Company's products and markets due
to overlapping markets with United. Following the merger's termination,
the Company conducted a strategic evaluation, which included assessing
the Company's competitive market positions and profit potential. As a
result, the Company recognized expenses of $34 million during the third
quarter of 1998. The expenses included costs associated with exiting five
markets ($15 million), losses on disposals of non-core assets ($12
million) and merger dissolution costs ($7 million).
The costs associated with the market exits of $15
million included severance, lease termination costs as well as write-offs
of equipment and uncollectible provider receivables. The planned market
exits were Sarasota and Treasure Coast, Florida, Springfield and
Jefferson City, Missouri and Puerto Rico. Severance costs were estimated
based upon the provisions of the Company's employee benefit plans. The
plan to exit these markets was expected to reduce the Company's market
office workforce, primarily in Puerto Rico, by approximately 470
employees. In 1999, the Company reversed $2 million of the severance and
lease discontinuance liabilities after the Company contractually agreed
with the Health Insurance Administration in Puerto Rico to extend the
Company's Medicaid contract, with more favorable terms. The Company
estimated annual pretax savings of approximately $40 million, after all
market exits were completed by June 30, 1999, primarily from a reduction
in underwriting losses. Approximately 100 employees were ultimately
terminated resulting in insignificant severance payments.
In accordance with the Company's policy on
impairment of long-lived assets, equipment of $5 million in the exited
markets was written down to its fair value after an evaluation of
undiscounted cash flow in each of the markets. The fair value of
equipment was based upon discounted cash flows for the same markets.
Following the write-down, the equipment was fully depreciated.
Premium Deficiency and Provider
Costs
As a result of management's assessment of the
profitability of its contracts for providing health care services to its
members in certain markets, the Company recorded a provision for probable
future losses (premium deficiency) of $46 million during the third
quarter of 1998. The premium deficiency resulted from events prompted by
the terminated merger with United wherein the Company had expected to
realize improved operating results in those markets that overlapped with
United, including more favorable risk-sharing arrangements. The
beneficial effect from losses charged to the premium deficiency liability
in 1999 and 1998 was $23 million and $17 million, respectively. In 1999,
the Company reversed $6 million of premium deficiency liabilities after
the Company contractually agreed with the Health Insurance Administration
in Puerto Rico to extend the Company's Medicaid contract, with more
favorable terms.
The Company also recorded $27 million of expense
related to receivables written-off from financially troubled physician
groups, including certain bankrupt providers.
Non-Officer Employee Incentive and Other
Costs
During the third quarter of 1998, the Company
recorded a one-time incentive of $16 million paid to non-officer
employees and a $9 million settlement related to a third party pharmacy
processing contract.
Activity related to the 1998 expenses
follows:
(In millions)
|
1998
Expenses |
1998 Activity |
Balance at
December 31,
1998 |
1999 Activity |
Balance at
December 31,
1999 |
Cash |
Non-cash |
Cash |
Adjustment |
|
Premium deficiency |
|
$ 46 |
|
$ (17 |
) |
|
|
$ 29 |
|
$ (23 |
) |
$ (6 |
) |
$ |
|
Provider costs |
|
27 |
|
|
|
$ (27 |
) |
|
|
|
|
Market exit costs |
|
15 |
|
|
|
(10 |
) |
5 |
|
(2 |
) |
(2 |
) |
1 |
|
Losses from non-core asset sales |
|
12 |
|
(5 |
) |
(7 |
) |
|
|
|
|
Merger dissolution costs |
|
7 |
|
(5 |
) |
|
|
2 |
|
(2 |
) |
|
|
|
|
Non-officer employee incentive |
|
and other costs |
|
25 |
|
(25 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
$ 132 |
|
$ (52 |
) |
$ (44 |
) |
$ 36 |
|
$ (27 |
) |
$ (8 |
) |
$ 1 |
|
|
COMPARISON OF RESULTS OF OPERATIONS
In order to enhance comparability as well as to
provide a baseline against which historical and prospective periods can
be measured, the following discussion comparing results for the years
ended December 31, 1999, 1998 and 1997, excludes the previously described
expenses, but does include the beneficial effect related to premium
deficiency on operating results for the periods shown. There were no
adjustments to results for 1997. The following table reconciles the
results reported in the Consolidated Statements of Operations (
"Reported Results") to the results contained in the following
discussion ("Adjusted Results") for 1999 and 1998:
|
Reported Results |
Excluded Expenses |
Adjusted Results |
|
(In millions, except per
share results)
|
1999 |
1998 |
1999 (a) |
1998 (b) |
1999 |
1998 |
|
Consolidated Statements of Operations
caption items that are adjusted: |
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Medical |
|
$ 8,532 |
|
$ 8,041 |
|
$ (90 |
) |
$ (73 |
) |
$8,442 |
|
$7,968 |
|
Selling,
general and administrative |
|
1,368 |
|
1,328 |
|
(35 |
) |
(25 |
) |
1,333 |
|
1,303 |
|
Depreciation
and amortization |
|
124 |
|
128 |
|
|
|
|
|
124 |
|
128 |
|
Asset
write-downs and other expenses |
|
460 |
|
34 |
|
(460 |
) |
(34 |
) |
|
|
|
|
|
Total operating expenses |
|
10,484 |
|
9,531 |
|
(585 |
) |
(132 |
) |
9,899 |
|
9,399 |
|
(Loss) income from operations |
|
(371 |
) |
250 |
|
585 |
|
132 |
|
214 |
|
382 |
|
(Loss) income before income taxes |
|
(404 |
) |
203 |
|
585 |
|
132 |
|
181 |
|
335 |
|
Net (loss) income |
|
$ (382
|
) |
$ 129 |
|
$ 499 |
|
$ 84 |
|
$ 117 |
|
$ 213 |
|
(Loss) earnings per common share |
|
$ (2.28 |
) |
$ 0.77 |
|
$ 2.97 |
|
$ 0.50 |
|
$ 0.69 |
|
$ 1.28 |
|
Diluted (loss) earnings per common share
|
|
$ (2.28 |
) |
$ 0.77 |
|
$ 2.97 |
|
$ 0.50 |
|
$ 0.69 |
|
$ 1.27 |
|
|
Reported Ratios |
Ratio Effect of Excluded Expenses |
Adjusted Ratios |
|
|
|
1999 |
1998 |
1999 (a) |
1998 (b) |
1999 |
1998 |
|
Medical expense ratios: |
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Plan |
|
87 |
.4% |
85 |
.3% |
(1 |
.0)% |
(0 |
.9)% |
86 |
.4% |
84 |
.4% |
Small Group |
|
81 |
.9% |
80 |
.2% |
(0 |
.7)% |
(0 |
.5)% |
81 |
.2% |
79 |
.7% |
|
Total |
|
85 |
.7% |
83 |
.8% |
(0 |
.9)% |
(0 |
.8)% |
84 |
.8% |
83 |
.0% |
|
Administrative expense ratios: |
|
Health Plan |
|
12 |
.5% |
12 |
.8% |
(0 |
.4)% |
(0 |
.2)% |
12 |
.1% |
12 |
.6% |
Small Group |
|
20 |
.4% |
20 |
.7% |
(0 |
.3)% |
(0 |
.4)% |
20 |
.1% |
20 |
.3% |
|
Total |
|
15 |
.0% |
15 |
.2% |
(0 |
.4)% |
(0 |
.3)% |
14 |
.6% |
14 |
.9% |
|
(a) |
Reflects the previously discussed medical,
administrative, asset write-downs and other expenses of $90 million,
$35 million and $460 million, respectively.
|
(b) |
Reflects the previously discussed medical,
administrative, asset write-downs and other expenses of $73 million,
$25 million and $34 million, respectively.
|
YEARS ENDED DECEMBER 31, 1999 AND 1998
Adjusted income before income taxes totaled $181
million for the year ended December 31, 1999, compared to $335 million
for the year ended December 31, 1998. Adjusted net income was $117
million or $0.69 per diluted share in 1999, compared to $213 million or
$1.27 per diluted share in 1998. The earnings decline was attributable to
higher medical cost trends which were not adequately anticipated by the
Company when it established premium rates for 1999. These higher medical
cost trends primarily resulted from the introduction and rapid growth of
an open access product, ineffective risk-sharing arrangements,
significant increases in pharmacy costs and the unfavorable negotiations
of the Florida Columbia/HCA provider contract. During 1999, the Company
implemented initiatives to mitigate the effect of these issues. The
initiatives include pricing products commensurate with the higher medical
costs, rationalizing markets and products, rehabilitating the large group
commercial business, re-contracting with providers and cost management
improvements focused mainly on medical and claims cost management
disciplines. These initiatives began to improve operating results in the
second half of 1999 but in large part will be realized in January 2000
when the majority of the Company's large group commercial customers renew
and when the Company's Medicare product offerings were
adjusted.The Company's premium revenues increased 3.8
percent to a record $10.0 billion for 1999, compared to $9.6 billion for
1998. Higher premium revenues resulted from increased premium yields of
7.4 percent and 3.4 percent for the Company's commercial and Medicare HMO
products, respectively. This increase was partially offset by a decline
in commercial membership of 177,900, due to selling the Florida
individual business line and the result of substantial premium increases
delivered to large group and small group commercial customers. Membership
levels are expected to decline in 2000 due to the sale of certain
non-core businesses and substantial premium rate increases. The Company
expects commercial and Medicare HMO premium yields to approximate 10 to
12 percent and 6 to 7 percent, respectively, in 2000, the result of
commercial premium rate increases and newly introduced Medicare member
premiums.
The Company's adjusted medical expense ratio for
1999 was 84.8 percent, compared to 83.0 percent for 1998. The increase
was the result of medical cost increases in the Company's commercial
products exceeding premium rate increases. Offsetting the impact of the
increasing commercial medical costs was the continued favorable claim
liability development in the Company's run-off workers' compensation
business acquired in connection with its acquisition of PCA. After
evaluating the workers' compensation claim liabilities against claim
payments and
file closings, the Company reduced these liabilities by $36 million ($23
million after tax, or $0.14 per diluted share) and $5 million ($3 million
after tax, or $0.02 per diluted share) in 1999 and 1998,
respectively.
The adjusted administrative expense ratio
improved during 1999 to 14.6 percent from 14.9 percent in 1998. The
year-over-year improvement in the administrative expense ratio reflects
continued rationalization of staffing levels commensurate with membership
levels. The administrative expense ratio is expected to increase slightly
in 2000 from increased spending on information technology.
Interest income totaled $132 million for 1999 and
$150 million for 1998. This decrease resulted from a decrease in realized
investment gains, lower average invested balances and lower investment
yields. The tax equivalent yield on invested assets approximated 7.1
percent for 1999 and 7.7 percent for 1998. Tax equivalent yield is the
rate earned on invested assets, excluding unrealized gains and losses,
adjusted for the benefit of nontaxable investment income. The weighted
average investment life was 2.7 years at both December 31, 1999 and 1998.
Other income declined $12 million during 1999, due to the reduction of
income from ancillary businesses the Company sold in 1998 and a lower
contribution from the Company's ASO business, partially offset by a $12
million gain from the sale of a tangible asset in 1999. Interest expense
declined $14 million during 1999 as a result of lower average outstanding
borrowings.
BUSINESS SEGMENT INFORMATION FOR THE YEARS ENDED
DECEMBER 31, 1999 AND 1998
The following table presents segment medical
membership and activity for 1999 and 1998:
|
1999
|
|
1998
|
|
|
|
|
(In thousands) |
Health Plan
|
Small Group
|
Total
|
Health
Plan
|
Small Group |
|
Total
|
|
Beginning medical membership |
4,494
|
|
1,702
|
|
6,196
|
|
4,610
|
|
1,597
|
|
|
6,207
|
|
|
Sales |
588
|
|
436
|
|
1,024
|
|
610
|
|
571
|
|
|
1,181
|
|
|
Cancellations |
(778
|
) |
(475
|
) |
(1,253
|
) |
(700
|
) |
(466
|
) |
|
(1,166
|
) |
|
TRICARE change |
(28
|
) |
|
|
(28
|
) |
(26
|
) |
|
|
|
(26
|
) |
|
|
Ending medical membership |
4,276
|
|
1,663
|
|
5,939
|
|
4,494
|
|
1,702
|
|
|
6,196
|
|
|
|
Ending specialty membership |
477
|
|
2,484
|
|
2,961
|
|
444
|
|
2,189
|
|
|
2,633
|
|
|
|
The following table presents certain financial
data for the Company's two segments for the years ended December 31, 1999
and 1998:
(In millions)
|
1999 (a) |
1998 (b) |
|
Premium revenues: |
|
|
|
|
|
Health Plan
|
|
$ 6,827 |
|
$ 6,734 |
|
Small Group
|
|
3,132 |
|
2,863 |
|
|
|
|
$ 9,959 |
|
$ 9,597 |
|
|
Adjusted income (loss) before income taxes:
|
|
Health Plan
|
|
$
184 |
|
$
304 |
|
Small Group
|
|
(3 |
) |
31 |
|
|
|
|
$
181 |
|
$
335 |
|
|
Adjusted medical expense ratios: |
|
Health Plan
|
|
86 |
.4% |
84 |
.4% |
Small Group
|
|
81 |
.2% |
79 |
.7% |
|
|
|
84 |
.8% |
83 |
.0% |
|
Adjusted administrative expense ratios: |
|
Health Plan
|
|
12 |
.1% |
12 |
.6% |
Small Group
|
|
20 |
.1% |
20 |
.3% |
|
|
|
14 |
.6% |
14 |
.9% |
|
(a) |
Excludes the previously discussed medical expenses
of $90 million ($66 million Health Plan and $24 million Small Group),
administrative expenses of $35 million ($27 million Health Plan and $8
million Small Group) and asset write-downs and other expenses of $460
million ($460 million Health Plan).
|
(b) |
Excludes the previously discussed medical expenses
of $73 million ($60 million Health Plan and $13 million Small Group),
administrative expenses of $25 million ($13 million Health Plan and $12
million Small Group) and asset write-downs and other expenses of $34
million ($23 million Health Plan and $11 million Small Group).
|
Health Plan
Adjusted income before income taxes totaled $184
million for 1999 compared to $304 million for 1998. The earnings decline
was attributable to higher medical cost trends which were not adequately
anticipated by the Company when it established premium rates for 1999.
These higher medical cost trends primarily resulted from ineffective
risk-sharing arrangements, pharmacy cost increases and the result of
unfavorable negotiations of the Florida Columbia/HCA provider contract.
Initiatives to mitigate the effect of these issues include significant
large group commercial rate increases, re-contracting with, or
eliminating certain risk-sharing providers, implementing three-tier
pharmacy benefit designs, instituting Medicare HMO member premium and
benefit changes and exiting various Medicare markets. These initiatives
began to improve operating results in the second half of 1999 but in
large part will be realized in January 2000 when the majority of the
Company's large group commercial customers renew and when the Company's
Medicare product offerings were adjusted.
The Health Plan segment's premium revenues
increased 1.4 percent to $6.8 billion for 1999. Large group commercial
and Medicare HMO premiums remained unchanged at $2.3 billion and $2.9
billion, respectively. Higher premium yields of 5.5 percent and 3.4
percent for the large group commercial and Medicare HMO lines,
respectively, were offset by membership reductions. Large group
commercial membership decreased 139,200 from 1998 reflecting the effects
of the Company's commercial premium pricing actions intended to maintain
profitability. Medicare HMO membership decreased 13,500 members from the
exit of the Treasure Coast and Sarasota, Florida markets. The Medicare
HMO membership reduction from market exits was somewhat mitigated by
increased membership achieved through the redirecting of sales and
marketing efforts focused on key Medicare markets like Chicago, Tampa and
South Florida. The Company's Medicaid premiums increased 8.8 percent to
$603 million for 1999 compared to $554 million in 1998. This increase
resulted from the more favorable rates obtained from the renewal of the
Company's contract with the Health Insurance
Administration in Puerto Rico in the second quarter of 1999. TRICARE
premium revenues increased 8.3 percent to $866 million in 1999, from $800
million in 1998, resulting from an annual contract rate increase and
additional premiums recorded related to TRICARE's risk-sharing
arrangement with the government.
The Health Plan segment's adjusted medical
expense ratio for 1999 was 86.4 percent, increasing from 84.4 percent in
1998. The increase was the result of large group commercial and Medicare
HMO medical costs exceeding premium increases. These higher medical cost
trends were attributable to the inability of certain risk-sharing
providers to effectively manage medical costs within their contractual
arrangements, higher pharmacy utilization and generally higher medical
cost trends across the industry. The Company expects to realize
improvements in its medical cost trends in 2000 resulting from
implementation of the three-tier pharmacy benefit designs, improvements
in risk-sharing arrangements, the exit of unprofitable Medicare HMO
counties and the sale of its Medicare supplement and North Florida
Medicaid businesses.
The adjusted administrative expense ratio
improved 50 basis points from 1998 to 12.1 percent, the result of the
continued rationalization of staffing levels commensurate with membership
levels.
Small Group
The Small Group segment's adjusted loss before
income taxes was $3 million for 1999 compared to adjusted income before
income taxes of $31 million for 1998. The decline in profitability is
attributable to higher medical costs which were not adequately
anticipated by the Company when it established premium rates for 1999. To
mitigate the effect of higher medical costs, the Small Group segment's
improvement initiatives include significant premium rate increases,
improving claim payment processes, provider re-contracting, rationalizing
markets and products and implementing three-tier pharmacy benefit
designs.
The Small Group segment's premium revenues
increased 9.4 percent for 1999 to $3.1 billion from $2.9 billion for
1998. This premium increase was the result of increased premium yields,
offset by a reduction of 38,700 members from the sale of the individual
line of business in Florida.
The Small Group segment's adjusted medical
expense ratio for 1999 was 81.2 percent, increasing from 79.7 percent for
1998. The medical expense ratio increase was the result of medical costs
exceeding premium yields. These higher medical cost trends were the
result of the rapid growth of the Company's more costly open access
products, higher pharmacy utilization and the greater than expected
impact of the Health Insurance Portability and Accountability Act or
HIPAA and its guarantee issue requirements.
The adjusted administrative expense ratio
improved during 1999 to 20.1 percent from 20.3 percent for
1998.
YEARS ENDED DECEMBER 31, 1998 AND 1997
Adjusted income before income taxes totaled $335
million for the year ended December 31, 1998, compared to $270 million
for the year ended December 31, 1997. Adjusted net income was $213
million or $1.27 per diluted share in 1998, compared to $173 million or
$1.05 per diluted share in 1997. The earnings increase was a result of
the full year contribution from the 1997 PCA and ChoiceCare acquisitions,
higher commercial premium yields, provider risk-sharing initiatives,
improved claims payment accuracy across various product lines, and
increased interest and other income. These favorable items were partially
offset by higher interest expense and increased pharmacy
costs.The Company's 1998 premium revenues increased
21.8 percent to $9.6 billion, from $7.9 billion for the year ended
December 31, 1997. This increase was attributable to the current year
effect of 1997 acquisitions, commercial and Medicare HMO same-plan
membership growth and increased premium rates for the Company's
commercial products. PCA and ChoiceCare premium revenues contributed
approximately $1.6 billion, a $1.1 billion increase over 1997. Same-plan
membership growth contributed $120 million and commercial premium rate
increases added approximately $186 million, as same-plan commercial
premium yields increased 4.8 percent. Changes in Medicare HMO premium
yield had little effect on premium revenues as same-plan yields declined
0.4 percent in 1998. The Medicare 2 percent statutory rate increase for
1998 was offset by membership growth in geographic areas with lower
reimbursement rates.
During 1998, the Company's adjusted medical
expense ratio increased to 83.0 percent from 82.8 percent for the year
ended December 31, 1997. The year to year increase was the result of the
higher medical expense ratio of acquired plans being included for a full
year during 1998. The same-plan medical expense ratio improved 20 basis
points to 82.2 percent from 82.4 percent in 1997, the result of the
aforementioned premium rate increases, provider risk-sharing initiatives
and improved claim payment accuracy. These improvements were partially
offset by increased year-over-year pharmacy costs of 16 percent and 9
percent for the Company's commercial and Medicare HMO products,
respectively.
The Company's adjusted administrative expense
ratio was 14.9 percent and 15.5 percent for the years ended December 31,
1998 and 1997, respectively. This improvement was the result of efforts
to streamline the organization, as well as realized cost savings from the
Company's 1997 acquisitions.
Interest income totaled $150 million for the year
ended December 31, 1998, compared to $131 million for the year ended
December 31, 1997. The increase was attributable to the full year impact
of including PCA's and ChoiceCare's investment portfolios, as well as
increased realized investment gains. The tax equivalent yield on invested
assets approximated 7.7 percent and 7.5 percent for the years ended
December 31, 1998 and 1997, respectively. Tax equivalent yield is the
rate earned on invested assets, excluding unrealized gains and losses,
adjusted for the benefit of nontaxable investment income. The weighted
average investment life increased to 2.7 years at December 31, 1998, from
2.6 years at December 31, 1997. Interest expense increased $27 million
during 1998 from funding the PCA and ChoiceCare acquisitions with
additional borrowings.
BUSINESS SEGMENT INFORMATION FOR THE YEARS ENDED
DECEMBER 31, 1998 AND 1997
The following table presents segment medical
membership and activity for 1998 and 1997:
|
1998 |
1997 |
|
|
|
|
(In
thousands)
|
Health Plan |
Small Group |
Total |
Health Plan |
Small Group |
Total |
|
|
|
|
Beginning medical membership |
|
4,610 |
|
1,597 |
|
6,207 |
|
|
3,526 |
|
1,325 |
|
4,851 |
|
Sales |
|
610 |
|
571 |
|
1,181 |
|
|
499 |
|
458 |
|
957 |
|
Cancellations |
|
(700 |
) |
(466 |
) |
(1,166 |
) |
|
(465 |
) |
(392 |
) |
(857 |
) |
Acquisitions |
|
|
|
|
|
|
|
|
1,188 |
|
206 |
|
1,394 |
|
Dispositions |
|
|
|
|
|
|
|
|
(147 |
) |
|
|
(147 |
) |
TRICARE
change |
|
(26 |
) |
|
|
(26 |
) |
|
9 |
|
|
|
9 |
|
|
Ending medical membership |
|
4,494 |
|
1,702 |
|
6,196 |
|
|
4,610 |
|
1,597 |
|
6,207 |
|
|
Ending specialty membership |
|
444 |
|
2,189 |
|
2,633 |
|
|
507 |
|
1,934 |
|
2,441 |
|
|
The following table presents certain financial
data for the Company's two segments for the years ended December 31, 1998
and 1997:
(In millions)
|
1998 (a) |
1997 |
|
Premium revenues: |
|
|
|
|
|
Health Plan
|
|
$ 6,734 |
|
$ 5,487 |
|
Small Group
|
|
2,863 |
|
2,393 |
|
|
|
|
$ 9,597 |
|
$ 7,880 |
|
|
Adjusted income before income taxes: |
|
Health Plan
|
|
$ 304 |
|
$ 244 |
|
Small Group
|
|
31 |
|
26 |
|
|
|
|
$ 335 |
|
$ 270 |
|
|
Adjusted medical expense ratios: |
|
Health Plan
|
|
84.4 |
% |
84.3 |
% |
Small Group
|
|
79.7 |
% |
79.4 |
% |
|
|
|
83.0 |
% |
82.8 |
% |
|
Adjusted administrative expense ratios: |
|
Health Plan
|
|
12.6 |
% |
13.1 |
% |
Small Group
|
|
20.3 |
% |
21.0 |
% |
|
|
|
14.9 |
% |
15.5 |
% |
|
(a) |
Excludes the previously discussed medical expenses
of $73 million ($60 million Health Plan and $13 million Small Group),
administrative expenses of $25 million ($13 million Health Plan and $12
million Small Group) and asset write-downs and other expenses of $34
million ($23 million Health Plan and $11 million Small Group).
|
Health Plan
Adjusted income before income taxes totaled $304
million in 1998 compared to $244 million in 1997. The earnings increase
is attributable to the full year contribution from 1997 acquisitions of
PCA and ChoiceCare, improved claim payment accuracy and administrative
expense reductions.
The Health Plan segment's premium revenues
increased 22.7 percent to $6.7 billion in 1998. This increase was
attributable to the current year effect of the 1997 acquisitions, large
group commercial and Medicare HMO same-plan membership growth and higher
large group commercial premium yields.
The Health Plan segment's adjusted medical
expense ratio increased 10 basis points to 84.4 percent. The increase was
the result of the higher medical expense ratio of acquired plans being
included for a full year during 1998 and higher pharmacy costs.
The adjusted administrative expense ratio
improved during 1998 to 12.6 percent from 13.1 percent in 1997 in the
Health Plan segment. This improvement reflects realized cost savings from
integrating the PCA and ChoiceCare acquisitions into Humana's operating
model.
Small Group
Adjusted income before income taxes was $31
million in 1998 compared to $26 million in 1997. The earnings increase is
primarily attributable to improved claims payment accuracy, increased
interest and other income and administrative expense reductions. These
favorable items were partially offset by higher interest expense and
increased pharmacy costs.
The Small Group segment's premium revenues
increased 19.6 percent to $2.9 billion in 1998. This increase was
primarily attributable to the current year effect of the 1997
acquisitions and small group commercial and specialty same-plan
membership growth.
The Small Group segment's adjusted medical
expense ratio increased 30 basis points to 79.7 percent. The year to year
increase was the result of the higher medical expense ratio of acquired
plans being included for a full year during 1998 and higher pharmacy
costs.
The adjusted administrative expense ratio
improved during 1998 to 20.3 percent from 21.0 percent in 1997 in the
Small Group segment. This improvement reflects the continued
rationalization of staffing levels commensurate with membership
levels.
LIQUIDITY
Operating cash flows improved to $217 million in
1999 from $55 million in 1998, due to increased premium receipts and
reduced payments for accrued expenses, taxes, severance and professional
liabilities. Partially offsetting these improvements were higher claim
payments related to the Company's run-off workers' compensation
business.
Cash provided by investing activities was $18
million in 1999, compared to $28 million in 1998. These amounts reflect
the net effect of investment and capital expenditure
transactions.
Cash used in financing activities totaled $170
million in 1999 compared to cash provided by financing activities of $51
million in 1998. This decrease primarily resulted from 1999 debt
repayments and changes in book overdrafts.
The Company's subsidiaries operate in states that
require minimum 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 of the subsidiaries'
ability to obtain regulatory approval to pay dividends.
The National Association of Insurance
Commissioners has recommended that states adopt a risk-based capital (
"RBC") formula for companies established as HMO entities,
similar to the current requirement for insurance companies. The RBC
provisions may require new minimum capital and surplus levels for some of
the Company's HMO subsidiaries. Many states have not yet determined when
they will adopt the RBC formula or if they will allow a phase-in to the
required levels of capital and surplus.
The Company currently maintains approximately
$768 million of capital and surplus in its health insurance and HMO
entities, compared to the minimum statutory required capital and surplus
levels of approximately $569 million. If the states in which the Company
conducts business adopt the proposed RBC formula, without a phase-in
provision, the Company estimates it would be required to fund additional
capital into its various subsidiaries of approximately $45 million. After
this capital infusion, the Company would have $138 million of capital and
surplus above the required RBC level.
The Company maintains a revolving credit
agreement ("Credit Agreement") which provides a line of credit
of up to $1.0 billion and expires in August 2002. Principal amounts
outstanding under the Credit Agreement bear interest at either a fixed
rate or a floating rate, ranging from LIBOR plus 35 basis points to LIBOR
plus 80 basis points, depending on the Company's credit ratings. The
Credit Agreement, which was amended in 1999 to reduce the line of credit
by $500 million from $1.5 billion and modify certain covenants, contains
customary covenants and events of default including, but not limited to,
financial tests for interest coverage and leverage. The Company is in
compliance with all covenants. The Company also maintains and issues
short-term debt securities under a commercial paper program.
Management believes that funds from planned
divestitures, future operating cash flows and funds available under the
existing Credit Agreement and commercial paper program are sufficient to
meet future liquidity needs. Management also believes the aforementioned
sources of funds are adequate to allow the Company to pursue selected
acquisition and expansion opportunities, as well as to fund capital
requirements.
RISK-SENSITIVE FINANCIAL INSTRUMENTS AND
POSITIONS
The Company's risk of fluctuation in earnings due
to changes in interest income from its fixed income portfolio is
partially mitigated by the Company's debt position, as well as the short
duration of the fixed income portfolio.The Company has evaluated the interest income and
debt expense impact resulting from a hypothetical change in interest
rates of 100, 200 and 300 basis points over the next twelve-month period,
as reflected in the following table. In the past ten years, annual
changes in commercial paper rates have never exceeded 300 basis points,
changed between 200 and 300 basis points twice and changed between 100
and 200 basis points once. The modeling technique used to calculate the
pro forma net change considered the cash flows related to fixed income
investments and debt, which are subject to interest rate changes during a
prospective twelve-month period.
(In millions)
|
Increase (decrease) in earnings given an interest rate
decrease of X basis points |
|
Increase (decrease) in earnings given an interest rate
increase of X basis points |
|
(300)
|
(200)
|
(100)
|
100 |
200 |
300 |
1999 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed income portfolio |
|
$ (10 |
.1) |
$ (6 |
.7) |
$ (3 |
.4) |
|
$ 3 |
.4 |
$ 6 |
.8 |
$ 10 |
.2 |
Debt |
|
9 |
.1 |
6 |
.1 |
3 |
.0 |
|
(3 |
.0) |
(6 |
.1) |
(9 |
.1) |
|
Total |
|
$ (1 |
.0) |
$ (0 |
.6) |
$ (0 |
.4) |
|
$ 0 |
.4 |
$ 0 |
.7 |
$ 1 |
.1 |
|
1998 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fixed income portfolio |
|
$ (11 |
.9) |
$ (7 |
.9) |
$ (4 |
.0) |
|
$ 4 |
.0 |
$ 8 |
.0 |
$ 12 |
.0 |
Debt |
|
5 |
.7 |
3 |
.8 |
1 |
.9 |
|
(1 |
.9) |
(3 |
.8) |
(5 |
.7) |
|
Total |
|
$ (6 |
.2) |
$ (4 |
.1) |
$ (2 |
.1) |
|
$ 2 |
.1 |
$ 4 |
.2 |
$ 6 |
.3 |
|
The following table presents the hypothetical
change in fair market values of common equity securities held by the
Company at December 31, 1999 and 1998, which are sensitive to changes in
stock market values. These common equity securities are held for purposes
other than trading.
(In millions)
|
Decrease in valuation of securities
given an X% decrease in
each equity securitys value |
Fair Value at
December 31, |
Increase in valuation of securities
given an X% increase in
each equity securitys value |
|
|
(30%) |
(20%) |
(10%) |
|
10% |
20% |
30% |
|
1999 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common equity securities |
|
$ (5 |
.6) |
$ (3 |
.7) |
$ (1 |
.9) |
$ 18 |
.6 |
$ 1 |
.9 |
$ 3 |
.7 |
$ 5 |
.6 |
|
1998 |
|
Common equity securities |
|
$ (18 |
.6) |
$ (12 |
.4) |
$ (6 |
.2) |
$ 62 |
.1 |
$ 6 |
.2 |
$ 12 |
.4 |
$ 18 |
.6 |
|
Changes in equity valuations (based upon the
Standard & Poor's 500 stock index) over the past ten years which were
in excess of 30 percent occurred four times, between 20 percent and 30
percent occurred three times and between 10 percent and 20 percent also
occurred three times.
CAPITAL RESOURCES
The Company's ongoing capital expenditures relate
primarily to information systems and administrative facilities necessary
for activities such as claims processing, billing and collections,
medical utilization review and customer service. Total capital
expenditures, excluding acquisitions, were $89 million, $104 million and
$73 million for the years ended December 31, 1999, 1998 and 1997,
respectively. Capital expenditures during 1998 included the $32 million
purchase and renovation of a regional customer service center in
Jacksonville, Florida.Excluding acquisitions, planned capital spending
in 2000 will approximate $130 million to $140 million for the funding of
the Company's technology initiatives and expansion and improvement of its
administrative facilities.
EFFECTS OF INFLATION AND CHANGING
PRICES
The Company's operations are regulated by various
state and federal government agencies. Actuarially determined premium
rate increases for commercial products are generally approved by the
respective state insurance commissioners, while increases in premiums for
Medicaid and Medicare HMO products are established by various state
governments and the Health Care Financing Administration. Premium rates
under the TRICARE contract with the United States Department of Defense
may be adjusted on a year by year basis to reflect inflation, changes in
the workload volumes of military medical facilities and contract
modifications.The Company's 2000 average rate of statutory
increase under the Medicare HMO contracts is approximately two percent.
Over the last five years, annual increases have ranged from as low as the
January 1999 increase of two percent to as high as nine percent in
January 1996, with an average of approximately five percent. The
Company's Medicare HMO contracts with the federal government are renewed
for a one-year term each December 31 unless terminated 90 days prior
thereto.
Legislative proposals are being considered which
may revise the Medicare program's current support of the use of managed
health care for Medicare beneficiaries and the future reimbursement rates
thereunder. Management is unable to predict the outcome of these
proposals or the impact they may have on the Company's financial
position, results of operations or cash flows. The Company's Medicaid
contracts are generally annual contracts with various states except for
the two-year contract with the Health Insurance Administration in Puerto
Rico. Additionally, the Company's TRICARE contract is a one-year contract
renewable on July 1, 2000, for one additional year. The loss of these
contracts or significant changes in these programs as a result of
legislative action, 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.
In addition, the Company continually contracts
and seeks to renew contracts with providers at rates designed to ensure
adequate profitability. To the extent the Company is unable to obtain
such rates, its financial position, results of operations and cash flows
could be adversely impacted.
THE COMPANY'S YEAR 2000 DISCLOSURE
STATEMENT
The Company commenced its assessment of Year 2000
exposures in early 1996. In December 1998, the Company was 100 percent
complete with the remediation of its core business systems and by
December 1999 had remediated 100 percent of its business application
systems. As of December 31, 1999, the Company had completed all Year 2000
initiatives.To date, the Company has experienced no outages
or problems related to the Year 2000 date rollover. All business systems
are functioning normally and the Company has not experienced any
disruptions in service with third party organizations with which it
interacts related to the century change.
The Company's application systems are largely
developed and maintained in-house by a staff of 400 application
programmers who are versed in the utilization of state-of-the-art
technology. All application systems are fully integrated and
automatically pass data through various system processes. The Company's
primary data center and the majority of its programming and support staff
are located at the Company's corporate offices in Louisville, Kentucky.
In order to create the necessary internal focus surrounding the Year 2000
issue, the Company established a centralized Year 2000 Program Management
Office ("PMO") which is charged with overall coordination of
enterprise wide Year 2000 initiatives and regular progress reporting to
the Company's senior management.
The Year 2000 project is currently estimated to
have a minimum total cost of approximately $30 million of which
approximately $10 million was spent during 1999. Year 2000 expenses
represented less than ten percent of the Information Systems budget
during 1999. Year 2000 costs are expensed as incurred and funded with
cash flows from operations. The Company does not expect to incur
significant Year 2000 project costs in the year 2000.
The extent and magnitude of the Year 2000
project, as it will affect the Company for some period after January 1,
2000, is difficult to predict or quantify. In order to mitigate these
risks, the Company developed business continuity and contingency plans
which were finalized in the second quarter of 1999. These plans would be
enacted if Year 2000 problems were to occur within the Company, or if
third party constituents have failures due to the millennium change.
Contingency plans were developed for six major functional areas
encompassing 22 operational subdivisions
that require contingency plan development. The six major functional areas
are: providers, service centers, suppliers and vendors, customers and
brokers, banking and finance and legal services.
While the Company presently believes that the
timely completion of its Year 2000 project limited the exposure, so that
the Year 2000 issue has not posed material operational problems, the
Company recognizes that it does not control third party constituents. If
these third party organizations have failures related to the Year 2000
century change and/or fail to properly implement appropriate contingency
plans, Year 2000 failures may result. These failures could potentially
have a material adverse impact on the Company's financial position,
results of operations and cash flows.
LEGAL PROCEEDINGS
During 1999, six purported class action
complaints have been filed against the Company and certain of its current
and former directors and officers claiming that the Company and the
individual defendants knowingly or recklessly made false or misleading
statements in press releases and public filings concerning the Company's
financial condition. All seek money damages of unspecified
amounts.Since October 1999, the Company has received
purported class action complaints alleging, among other things, that
Humana intentionally concealed from its members information concerning
the various ways Humana decides what claims will be paid, what procedures
will be deemed medically necessary, and what criteria and procedures are
used to determine the extent and type of their coverage. The complaints
also allege that Humana concealed from members the existence of direct
financial incentives to treating physicians and other health care
providers to deny coverage. The complaints, generally, do not allege that
any member was denied coverage for services that should have been covered
but, instead, claim that Humana provided health insurance benefits of
lesser value than promised. All seek money damages of unspecified
amounts. The Company has requested to consolidate these complaints to a
single court.
The Company believes the allegations in all of
the above complaints are without merit and intends to pursue the defense
of the actions vigorously.
On January 4, 2000, a jury in Palm Beach County,
Florida, issued a verdict against Humana Health Insurance Company of
Florida, Inc., awarding $79 million to Mark Chipps, an insured who had
sued individually and on behalf of his minor daughter. The claim arose
from the removal of the child from a case management program which had
provided her with benefits in excess of those available under her policy.
The award included $78 million for punitive damages, $1 million for
emotional distress and $28,000 for contractual benefits. The Company is
in the process of appealing the verdict.
During 1999, the Company reached an agreement in
principle with the United States Department of Justice and the Department
of Health and Human Services on a $15 million settlement relating to
Medicare premium overpayments. The settlement is expected to be paid
sometime during 2000. The Company had previously established adequate
liabilities for the resolution of these issues and, therefore, the
settlement did not have a material impact on the Company's financial
position or results of operations.
Damages for claims for personal injuries and
medical benefit denials are usual in the Company's business. Personal
injury and medical benefit denial claims are covered by insurance from
the Company's wholly owned captive insurance Subsidiary and excess
carriers, except to the extent that claimants seek punitive damages, in
states which prohibit insurable coverage for punitive damages. In
connection with the Chipps case, the excess carriers have preliminarily
indicated that they believe no coverage may be available for a punitive
damages award.
During the ordinary course of its business, the
Company is or may become subject to pending or threatened litigation or
other legal actions. Management does not believe that any pending and
threatened legal actions against the Company or audits by agencies will
have a material adverse effect on the Company's financial position or
results of operations.
RECENTLY ISSUED ACCOUNTING
PRONOUNCEMENTS
In June 1998, the Financial Accounting Standards
Board issued Statement of Financial Accounting Standards No. 133,
"Accounting for Derivative Instruments and Hedging Activities" (
"SFAS No. 133"). In general, SFAS No. 133 requires that all
derivatives be recognized as either assets or liabilities in the balance
sheet at their fair value, and sets forth the manner in which gains or
losses thereon are to be recorded. The treatment of such gains or losses
is dependent upon the type of exposure, if any, for which the derivative
is designated as a hedge. This standard is effective for the Company's
financial statements beginning January 1, 2001, with early adoption
permitted. Management of the Company anticipates that the adoption of
SFAS No. 133 on January 1, 2001 will not have a material impact on the
Company's financial position, results of operations or cash
flows.
HUMANA INC.
CONSOLIDATED BALANCE SHEETS
(In millions, except share amounts)
December 31,
|
1999
|
1998
|
|
ASSETS |
|
|
|
|
|
|
Current assets: |
|
Cash and cash
equivalents |
|
$ 978 |
|
$ 913 |
|
Marketable securities |
|
1,507 |
|
1,594 |
|
Premiums receivable, less
allowance for doubtful accounts |
|
of
$61 in 1999 and $62 in 1998 |
|
225 |
|
276 |
|
Deferred income taxes |
|
161 |
|
129 |
|
Other |
|
193 |
|
207 |
|
|
Total current assets |
|
3,064 |
|
3,119 |
|
|
Property and equipment, net |
|
418 |
|
433 |
|
Other assets: |
|
Long-term marketable
securities |
|
253 |
|
305 |
|
Cost in excess of net
assets acquired |
|
806 |
|
1,188 |
|
Deferred income taxes |
|
54 |
|
64 |
|
Other |
|
305 |
|
387 |
|
|
Total other assets |
|
1,418 |
|
1,944 |
|
|
Total assets |
|
$ 4,900 |
|
$ 5,496 |
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
|
|
Current liabilities: |
|
|
Medical and other expenses
payable |
|
$ 1,432 |
|
$ 1,470 |
|
Trade accounts payable and
accrued expenses |
|
392 |
|
395 |
|
Book overdraft |
|
215 |
|
234 |
|
Unearned premium
revenues |
|
349 |
|
294 |
|
Accrued losses on asset
sales |
|
90 |
|
Commercial paper |
|
686 |
|
730 |
|
|
Total current liabilities |
|
3,164 |
|
3,123 |
|
|
Long-term medical and other expenses payable |
|
324 |
|
438 |
|
Professional liability and other obligations |
|
144 |
|
154 |
|
Debt |
|
|
|
93 |
|
|
Total liabilities |
|
3,632 |
|
3,808 |
|
|
Commitments and contingencies |
|
Stockholders' equity: |
|
Preferred stock, $1 par;
authorized 10,000,000 shares; none issued |
|
Common stock, $0.16
2/3 par; authorized 300,000,000 shares; issued and |
|
outstanding 167,514,710 shares 1999 and 167,515,362 shares
1998 |
|
28 |
|
28 |
|
Capital in excess of par
value |
|
899 |
|
903 |
|
Deferred compensation
restricted stock |
|
(2 |
) |
(9 |
) |
Retained earnings |
|
371 |
|
753 |
|
Accumulated other
comprehensive (loss) income |
|
(28 |
) |
13 |
|
|
Total stockholders equity |
|
1,268 |
|
1,688 |
|
|
Total liabilities and
stockholders equity |
|
$ 4,900 |
|
$ 5,496 |
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
HUMANA INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In millions, except per share
results)
For the years ended December 31,
|
1999 |
1998 |
1997 |
|
Revenues: |
|
|
|
|
|
|
|
Premiums |
|
$ 9,959 |
|
$ 9,597 |
|
$ 7,880 |
|
Interest and other
income |
|
154 |
|
184 |
|
156 |
|
|
Total revenues |
|
10,113 |
|
9,781 |
|
8,036 |
|
|
Operating expenses: |
|
Medical |
|
8,532 |
|
8,041 |
|
6,522 |
|
Selling, general and
administrative |
|
1,368 |
|
1,328 |
|
1,116 |
|
Depreciation and
amortization |
|
124 |
|
128 |
|
108 |
|
Asset write-downs and
other expenses |
|
460 |
|
34 |
|
|
Total operating expenses |
|
10,484 |
|
9,531 |
|
7,746 |
|
|
(Loss) income from operations |
|
(371 |
) |
250 |
|
290 |
|
Interest expense |
|
33 |
|
47 |
|
20 |
|
|
|
|
|
|
|
|
|
|
(Loss) income before income taxes |
|
(404 |
) |
203 |
|
270 |
|
|
|
|
|
|
|
|
|
(Benefit) provision for income taxes |
|
(22 |
) |
74 |
|
97 |
|
|
|
|
|
|
|
|
|
|
Net (loss) income |
|
$ (382 |
) |
$ 129 |
|
$ 173 |
|
|
|
|
|
|
|
|
|
|
(Loss) earnings per common share |
|
$ (2.28 |
) |
$ 0.77 |
|
$ 1.06 |
|
|
(Loss) earnings per common share assuming
dilution |
|
$ (2.28 |
) |
$ 0.77 |
|
$ 1.05 |
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY
(In millions)
|
|
Capital
In Excess
of Par
Value |
Deferred
Compensation
Restricted
Stock |
Retained
Earnings |
Accumulated
Other
Comprehensive
(Loss) Income |
Total
Stockholders
Equity |
Common Stock |
Shares |
Amount |
|
Balances, January 1, 1997 |
|
163 |
|
$ 27 |
|
$ 824 |
|
$ (2 |
) |
$ 451 |
|
$ (8 |
) |
$ 1,292 |
|
Comprehensive income: |
|
Net income |
|
|
|
|
|
|
|
|
|
173 |
|
|
|
173 |
|
Other comprehensive
income: |
|
Net unrealized investment gains, |
|
net of $10 tax |
|
|
|
|
|
|
|
|
|
|
|
17 |
|
17 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income |
|
|
|
|
|
|
|
|
|
|
|
|
|
190 |
|
Change in deferred compensation |
|
|
|
|
|
2 |
|
(2 |
) |
|
|
|
|
|
|
Restricted stock amortization |
|
|
|
|
|
|
|
1 |
|
|
|
|
|
1 |
|
Stock option exercises |
|
1 |
|
|
|
11 |
|
|
|
|
|
|
|
11 |
|
Stock option tax benefit |
|
|
|
|
|
7 |
|
|
|
|
|
|
|
7 |
|
|
Balances, December 31, 1997 |
|
164 |
|
27 |
|
844 |
|
(3 |
) |
624 |
|
9 |
|
1,501 |
|
Comprehensive income: |
|
Net income |
|
|
|
|
|
|
|
|
|
129 |
|
|
|
129 |
|
Other comprehensive
income: |
|
Net unrealized investment gains, |
|
net of $2 tax |
|
|
|
|
|
|
|
|
|
|
|
4 |
|
4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive income |
|
|
|
|
|
|
|
|
|
|
|
|
|
133 |
|
Change in deferred compensation |
|
|
|
|
|
8 |
|
(8 |
) |
|
|
|
|
|
|
Restricted stock amortization |
|
|
|
|
|
|
|
2 |
|
|
|
|
|
2 |
|
Stock option exercises |
|
4 |
|
1 |
|
35 |
|
|
|
|
|
|
|
36 |
|
Stock option tax benefit |
|
|
|
|
|
16 |
|
|
|
|
|
|
|
16 |
|
|
Balances, December 31, 1998 |
|
168 |
|
28 |
|
903 |
|
(9 |
) |
753 |
|
13 |
|
1,688 |
|
Comprehensive loss: |
|
Net loss |
|
|
|
|
|
|
|
|
|
(382 |
) |
|
|
(382 |
) |
Other comprehensive
loss: |
|
Net unrealized investment losses, |
|
net of $27 tax |
|
|
|
|
|
|
|
|
|
|
|
(41 |
) |
(41 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Comprehensive loss |
|
|
|
|
|
|
|
|
|
|
|
|
|
(423 |
) |
Change in deferred compensation |
|
|
|
|
|
(5 |
) |
5 |
|
|
|
|
|
|
|
Restricted stock amortization |
|
|
|
|
|
|
|
2 |
|
|
|
|
|
2 |
|
Stock option exercises |
|
|
|
|
|
1 |
|
|
|
|
|
|
|
1 |
|
|
Balances, December 31, 1999 |
|
168 |
|
$ 28 |
|
$ 899 |
|
$ (2 |
) |
$ 371 |
|
$ (28 |
) |
$ 1,268 |
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
HUMANA INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In millions)
For the years ended December 31,
|
1999 |
1998 |
1997 |
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM OPERATING ACTIVITIES |
|
|
|
|
|
|
|
|
Net (loss)
income |
|
$(382 |
) |
$ 129 |
|
$ 173 |
|
Adjustments to
reconcile net (loss) income |
|
to net cash provided by operating activities: |
|
Asset write-downs and other expenses |
|
460 |
|
17 |
|
|
|
Depreciation and amortization |
|
124 |
|
128 |
|
108 |
|
Gain on sale of property and equipment |
|
(12 |
) |
Gain on sale of marketable securities |
|
(11 |
) |
(21 |
) |
(10 |
) |
Deferred income taxes |
|
5 |
|
26 |
|
40 |
|
Provision for doubtful accounts |
|
12 |
|
11 |
|
10 |
|
Changes in operating assets and liabilities: |
|
Premiums receivable |
|
39 |
|
34 |
|
(112 |
) |
Other assets |
|
54 |
|
32 |
|
(47 |
) |
Medical and other expenses
payable |
|
(23 |
) |
(22 |
) |
(118 |
) |
Workers compensation
liabilities |
|
(150 |
) |
(134 |
) |
(31 |
) |
Other liabilities |
|
45 |
|
(135 |
) |
57 |
|
Unearned premium revenues |
|
56 |
|
(10 |
) |
203 |
|
Other |
|
|
|
|
|
6 |
|
|
Net cash provided by operating activities |
|
217 |
|
55 |
|
279 |
|
|
|
|
CASH FLOWS FROM INVESTING ACTIVITIES |
|
|
Acquisitions
of health plan assets, net of cash acquired |
|
(14 |
) |
|
|
(669 |
) |
Purchases of
property and equipment |
|
(89 |
) |
(104 |
) |
(73 |
) |
Dispositions
of property and equipment |
|
54 |
|
12 |
|
15 |
|
Purchases of
marketable securities |
|
(781 |
) |
(1,037 |
) |
(608 |
) |
Maturities of
marketable securities |
|
391 |
|
380 |
|
341 |
|
Proceeds from
sales of marketable securities |
|
472 |
|
815 |
|
317 |
|
Other |
|
(15 |
) |
(38 |
) |
23 |
|
|
Net cash provided by (used in) investing activities |
|
18 |
|
28 |
|
(654 |
) |
|
|
|
CASH FLOWS FROM FINANCING ACTIVITIES |
|
|
Issuance of
long-term debt |
|
|
|
123 |
|
300 |
|
Repayment of
long-term debt |
|
(93 |
) |
(330 |
) |
Net commercial
paper (repayments) borrowings |
|
(44 |
) |
141 |
|
367 |
|
Change in book
overdraft |
|
(19 |
) |
82 |
|
(1 |
) |
Other |
|
(14 |
) |
35 |
|
13 |
|
|
Net cash (used in) provided by financing activities |
|
(170 |
) |
51 |
|
679 |
|
|
Increase in cash and cash equivalents |
|
65 |
|
134 |
|
304 |
|
Cash and cash equivalents at beginning of
period |
|
913 |
|
779 |
|
475 |
|
|
Cash and cash equivalents at end of
period |
|
$ 978 |
|
$ 913 |
|
$ 779 |
|
|
|
|
Supplemental cash flow disclosures: |
|
Interest
payments |
|
$ 33 |
|
$ 49 |
|
$ 15 |
|
Income tax
(refunds) payments, net |
|
(58 |
) |
69 |
|
8 |
|
Details of businesses acquired in purchase
transactions: |
|
Fair value of
assets acquired |
|
$ 20 |
|
|
|
$ 1,973 |
|
Less:
liabilities assumed |
|
(6 |
) |
|
|
(1,304 |
) |
|
Cash paid for
acquired businesses, net of cash acquired |
|
$ 14 |
|
|
|
$ 669 |
|
|
The accompanying notes are an integral part of the consolidated
financial statements.
HUMANA INC.
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS
1. REPORTING ENTITY
Nature of Operations
Humana Inc. (the "Company" or
"Humana") is one of the nation's largest publicly traded health
services companies that facilitates the delivery of health care services
through networks of providers to its approximately 5.9 million medical
members. The Company's products are marketed primarily through health
maintenance organizations ("HMOs") and preferred provider
organizations ("PPOs") that encourage or require the use of
contracted providers. HMOs and PPOs control health care costs by various
means, including pre-admission approval for hospital inpatient services,
pre-authorization of outpatient surgical procedures, and risk-sharing
arrangements with providers. These providers may share medical cost risk
or have other incentives to deliver quality medical services in a
cost-effective manner. The Company also offers various specialty products
to employers, including dental, group life and workers' compensation and
administrative services ("ASO") to those who self-insure their
employee health plans. The Company has entered into a definitive
agreement to sell its workers' compensation business. In total, the
Company's products are licensed in 49 states, the District of Columbia
and Puerto Rico, with approximately 20 percent of its membership in the
state of Florida. During 1999, the Company realigned its
organization to achieve greater accountability in its lines of business.
As a result of this realignment, the Company organized into two business
units: the Health Plan segment and the Small Group segment. The Health
Plan segment includes the Company's large group commercial (100 employees
and over), Medicare, Medicaid, ASO, workers' compensation and military or
TRICARE business. The small group segment includes small group commercial
(under 100 employees) and specialty benefit lines, including dental, life
and short-term disability. Results of each segment are measured based
upon results of operations before income taxes. The Company allocates
administrative expenses, interest income and interest expense, but no
assets, to the segments. Members served by the two segments generally
utilize the same medical provider networks, enabling the Company to
obtain more favorable contract terms with providers. As a result, the
profitability of each segment is somewhat interdependent. In addition,
premium revenue pricing to large group commercial employers has
historically been more competitive than that to small group commercial
employers, resulting in less favorable underwriting margins for the large
group commercial line of business. Costs to distribute and administer
products to small group commercial employers are higher compared to large
group commercial employers resulting in small group's higher
administrative expense ratio.
2. SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES
Consolidation
The consolidated financial statements include all
subsidiaries of the Company. All significant intercompany accounts and
transactions have been eliminated.Use of Estimates in Preparation of Financial
Statements
The preparation of financial statements in
accordance with generally accepted accounting principles requires
management to make estimates and assumptions that affect the amounts
reported in the financial statements and accompanying notes. Although
these estimates are based on knowledge of current events and anticipated
future events, actual results may ultimately differ from those
estimates.
Cash and Cash Equivalents
Cash and cash equivalents include cash, time
deposits, money market funds, commercial paper and certain U.S.
Government securities with an original maturity of three months or less.
Carrying value approximates fair value due to the short-term maturity of
the investments.
Marketable Securities
Marketable debt and equity securities have been
categorized as available for sale and, as a result, are stated at fair
value based generally on quoted market prices. Marketable debt and equity
securities available for current operations are classified as current
assets. Marketable securities available for the Company's capital
spending, professional liability, long-term insurance product
requirements and payment of long-term workers' compensation claims are
classified as long-term assets. Unrealized holding gains and losses, net
of applicable deferred taxes, are included as a component of
stockholders' equity until realized.
For the purpose of determining gross realized
gains and losses, the cost of securities sold is based upon specific
identification.
Long-Lived Assets
Property and equipment is carried at cost, and is
comprised of the following at December 31, 1999 and 1998:
(In millions)
|
1999 |
1998 |
|
Land |
|
$ 32
|
|
$ 33
|
|
Buildings |
|
364 |
|
355 |
|
Equipment and computer software |
|
432 |
|
400 |
|
|
|
|
828 |
|
788 |
|
Accumulated depreciation |
|
(410 |
) |
(355 |
) |
|
|
|
$ 418 |
|
$ 433 |
|
|
Depreciation is computed using the straight-line
method over estimated useful lives ranging from three to ten years for
equipment, three to five years for computer software and twenty years for
buildings. Depreciation expense was $79 million, $75 million and $66
million for the years ended December 31, 1999, 1998 and 1997,
respectively.
Cost in excess of net assets acquired, or
goodwill, represents the unamortized excess of cost over the fair value
of net tangible and identifiable intangible assets acquired. Identifiable
intangible assets, which are included in other long-term assets in the
accompanying Consolidated Balance Sheets, primarily relate to subscriber
and provider contracts. Goodwill and identifiable intangible assets are
amortized on a straight-line method over their estimated useful lives.
Goodwill has been amortized over periods ranging from six to 40 years and
identifiable intangible assets are being amortized over periods ranging
from seven to 14 years. After a re-evaluation, effective January 1, 2000,
the Company adopted a 20 year amortization period from the date of
acquisition for goodwill previously amortized over 40 years. Amortization
expense was $45 million, $53 million and $42 million for the years ended
December 31, 1999, 1998 and 1997, respectively.
The carrying values of all long-lived assets are
periodically reviewed by management for impairment, based upon
undiscounted market level cash flows, whenever adverse events or changes
in circumstances occur. Losses are recognized when the carrying value of
a long-lived asset may not be recoverable. See Note 3 for a discussion
related to the Company's impairment review.
Revenue and Medical Cost Recognition
Premium revenues are recognized as income in the
period members are entitled to receive services. Premiums received prior
to such period are recorded as unearned premium revenues.
Medical costs include claim payments, capitation
payments, physician salaries, allocations of certain centralized expenses
and various other costs incurred to provide medical care to members, as
well as estimates of future payments to hospitals and others for medical
care provided prior to the balance sheet date. Capitation payments
represent monthly prepaid fees disbursed to participating primary care
physicians and other providers who are responsible for providing medical
care to members. The estimates of future medical claim and other expense
payments are developed using actuarial methods and assumptions based upon
payment patterns, medical inflation, historical development and other
relevant factors. Estimates of future payments relating to services
incurred in the current and prior periods are continually reviewed by
management and adjusted as necessary.
The Company assesses the profitability of its
contracts for providing health care services to its members when current
market operating results or forecasts indicate probable future losses.
The Company records a premium deficiency in current operations to the
extent that the sum of expected health care costs, claim adjustment
expenses and maintenance costs exceeds related future premiums.
Anticipated investment income is not considered for purposes of computing
the premium deficiency. Because the majority of the Company's member
contracts renew annually, the Company does not anticipate premium
deficiencies, except when unanticipated adverse events or changes in
circumstances indicate otherwise. See Note 3 for a discussion related to
premium deficiencies.
Management believes the Company's medical and
other expenses payable are adequate to cover future claims payments
required, however, such estimates are based on knowledge of current
events and anticipated future events, and, therefore, the actual
liability could differ from amounts provided.
Book Overdraft
Under the Company's cash management system,
checks issued but not presented to banks frequently result in overdraft
balances for accounting purposes and are classified as a current
liability in the Consolidated Balance Sheets.
Stock Options
The Company has adopted the disclosure-only
provisions of Statement of Financial Accounting Standards No. 123,
"Accounting for Stock-Based Compensation" ("SFAS 123
") and uses Accounting Principles Board Opinion No. 25 and related
interpretations in the accounting for its stock option plans. No
compensation expense has been recognized in connection with the granting
of stock options. See Note 8 for discussion of stock options and the
disclosures required by SFAS 123.
(Loss) Earnings Per Common Share
Detail supporting the computation of (loss)
earnings per common share and (loss) earnings per common share-assuming
dilution follows:
(Dollars in millions, except per
share results)
|
Net (Loss) Income |
Shares |
Per Share Results |
|
|
|
|
|
|
|
|
|
YEAR ENDED DECEMBER 31, 1999 |
|
|
|
|
|
|
|
|
Loss per common share |
|
$ (382 |
) |
167,555,917 |
|
$ (2 |
.28) |
Effect of dilutive stock options |
|
Loss per common share assuming dilution
|
|
$ (382 |
) |
167,555,917 |
|
$ (2 |
.28) |
|
|
|
YEAR ENDED DECEMBER 31, 1998 |
|
|
Earnings per common share |
|
$ 129 |
|
166,471,824 |
|
$ 0 |
.77 |
Effect of dilutive stock options |
|
|
|
1,792,756 |
|
Earnings per common share assuming
dilution |
|
$ 129 |
|
168,264,580 |
|
$ 0 |
.77 |
|
|
|
YEAR ENDED DECEMBER 31, 1997 |
|
|
Earnings per common share |
|
$ 173 |
|
163,406,460 |
|
$ 1 |
.06 |
Effect of dilutive stock options |
|
|
|
2,436,019 |
|
(0 |
.01) |
Earnings per common share assuming
dilution |
|
$ 173 |
|
165,842,479 |
|
$ 1 |
.05 |
|
Options to purchase 9,427,060, 1,562,949 and
2,414,148 shares for the years ended December 31, 1999, 1998 and 1997,
respectively, were not included in the computation of (loss) earnings per
common share-assuming dilution due to the Company's loss in 1999 and
because the options' exercise prices were greater than the average market
price of the Company's common stock in 1998 and 1997.
Reclassifications
Certain reclassifications have been made to the
prior years' consolidated financial statements to conform with the
current year presentation.
Recently Issued Accounting
Pronouncements
In June 1998, the Financial Accounting Standards
Board issued Statement of Financial Accounting Standards No. 133,
"Accounting for Derivative Instruments and Hedging Activities" (
"SFAS No. 133"). In general, SFAS No. 133 requires that all
derivatives be recognized as either assets or liabilities in the balance
sheet at their fair value, and sets forth the manner in which gains or
losses thereon are to be recorded. The treatment of such gains or losses
is dependent upon the type of exposure, if any, for which the derivative
is designated as a hedge. This standard is effective for the Company's
financial statements beginning January 1, 2001, with early adoption
permitted. Management of the Company anticipates that the adoption of
SFAS No. 133 on January 1, 2001 will not have a material impact on the
Company's financial position, results of operations or cash
flows.
3. ASSET WRITE-DOWNS AND OPERATIONAL
EXPENSES
The following table presents the components of
the asset write-downs and operational expenses and their respective
classifications in the 1999 and 1998 Consolidated Statements of
Operations:
(In millions)
|
Medical |
Selling,
General and
Administrative |
Asset
Write-Downs
and Other |
Total |
1999: |
|
|
|
|
|
|
|
|
|
FIRST QUARTER 1999: |
|
|
|
|
|
|
|
|
|
|
Premium deficiency |
|
$ 50 |
|
|
|
|
|
$ 50 |
|
Reserve strengthening |
|
35 |
|
|
|
|
|
35 |
|
Provider costs |
|
5 |
|
|
|
|
|
5 |
|
|
Total first quarter 1999 |
|
90 |
|
|
|
|
|
90 |
|
|
FOURTH QUARTER 1999: |
|
|
Long-lived asset
impairment |
|
|
|
|
|
$ 342 |
|
342 |
|
Losses on non-core asset
sales |
|
|
|
|
|
118 |
|
118 |
|
Professional
liability reserve strengthening and other costs |
|
|
|
$ 35 |
|
|
|
35 |
|
|
Total fourth quarter 1999 |
|
|
|
35 |
|
460 |
|
495 |
|
|
Total 1999 |
|
$ 90 |
|
$ 35 |
|
$ 460 |
|
$ 585 |
|
|
1998: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
THIRD QUARTER 1998: |
|
|
Premium deficiency |
|
$ 46 |
|
|
|
|
|
$ 46 |
|
Provider costs |
|
27 |
|
|
|
|
|
27 |
|
Market exit costs |
|
|
|
|
|
$ 15 |
|
15 |
|
Losses on non-core asset
sales |
|
|
|
|
|
12 |
|
12 |
|
Merger dissolution costs |
|
|
|
|
|
7 |
|
7 |
|
Non-officer
employee incentive and other costs |
|
|
|
$ 25 |
|
|
|
25 |
|
|
Total third quarter 1998 |
|
$ 73 |
|
$ 25 |
|
$ 34 |
|
$ 132 |
|
|
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS
1999 EXPENSES
Premium Deficiency, Reserve Strengthening and
Provider Costs
As a result of management's assessment of the
profitability of its contracts for providing health care services to its
members in certain markets, the Company recorded a provision for probable
future losses (premium deficiency) of $50 million during the first
quarter of 1999. Ineffective provider risk-sharing contracts and the
impact of the March 31, 1999 Columbia/HCA Healthcare Corporation (
"Columbia/HCA") hospital agreement in Florida on current and
projected future medical costs contributed to the premium deficiency. The
beneficial effect from losses charged to the premium deficiency liability
throughout 1999 was $50 million. Because the majority of the Company's
customers' contracts renew annually, the Company does not anticipate the
need for a premium deficiency in 2000, absent unanticipated adverse
events or changes in circumstances.Prior period adverse claims development primarily
in the Company's PPO and Medicare products initially identified during an
analysis of February and March 1999 medical claims resulted in the $35
million reserve strengthening. The Company releases or strengthens
medical claims reserves when favorable or adverse development in prior
periods exceed actuarial margins existing in the reserves. In addition,
the Company paid Columbia/HCA $5 million to settle certain contractual
issues associated with the March 31, 1999 hospital agreement in
Florida.
Long-Lived Asset Impairment
Historical and current period operating losses in
certain of the Company's markets prompted a review during the fourth
quarter of 1999 for the possible impairment of long-lived assets. This
review indicated that estimated future undiscounted cash flows were
insufficient to recover the carrying value of long-lived assets,
primarily goodwill, associated with the Company's Austin, Dallas and
Milwaukee markets. Accordingly, the Company adjusted the carrying value
of these long-lived assets to their estimated fair value resulting in a
non-cash impairment charge of $342 million. Estimated fair value was
based on discounted cash flows.
The long-lived assets associated with the Austin
and Dallas markets primarily result from the Company's 1997 acquisition
of Physician Corporation of America ("PCA"). Operating losses
in Austin and Dallas were related to the deterioration of risk-sharing
arrangements with providers and the failure to effectively convert the
PCA operating model and computer platform to Humana's. The long-lived
assets associated with the Milwaukee market primarily result from the
Company's 1994 acquisition of CareNetwork, Inc. Operating losses in
Milwaukee were the result of competitor pricing strategies resulting in
lower premium levels to large employer groups as well as market dynamics
dominated by limited provider groups causing higher than expected medical
costs.
The Company also re-evaluated the amortization
period of its goodwill and as a result, effective January 1, 2000,
adopted a 20 year amortization period from the date of acquisition for
goodwill previously amortized over 40 years.
The $342 million long-lived asset impairment will
decrease depreciation and amortization expense $13 million annually ($13
million after tax, or $0.08 per diluted share), while the change in the
amortization period of goodwill will increase amortization expense $25
million annually ($24 million after tax, or $0.15 per diluted
share).
Losses on Non-Core Asset Sales
The Company has entered into definitive
agreements for the disposition of its workers' compensation, Medicare
supplement and North Florida Medicaid businesses, which are considered
non-core. As a result of the carrying value of the net assets of these
businesses exceeding the estimated sale proceeds, the Company has
recorded a loss of $118 million. Estimated fair value was established
based upon definitive sale agreements, net of expected transaction costs.
These transactions are expected to be completed in the first and second
quarters of 2000. Total assets of $725 million, primarily consisting of
marketable securities and reinsurance recoverables, and total liabilities
of $490 million, primarily consisting of workers' compensation reserves
related to these businesses are included in the accompanying Consolidated
Balance Sheets. The accompanying Consolidated Statements of Operations
include 1999 revenues of $214 million and pretax operating income of $38
million from these businesses. Included in 1999 and 1998 pretax operating
(loss) income is $36 million and $5 million of workers' compensation
reserve releases resulting from favorable claim liability
development.
Professional Liability Reserve Strengthening
and Other Costs
The Company insures substantially all
professional liability risks through a wholly owned captive insurance
subsidiary (the "Subsidiary"). The Subsidiary recorded an
additional $25 million expense during the fourth quarter of 1999
primarily related to expected claim and legal costs to be incurred by the
Company.
In addition, other expenses of $10 million were
recorded during the fourth quarter related to a claim payment dispute
with a contracted provider and government audits.
Activity related to the 1999 expenses
follows:
|
|
1999 Activity
|
Balance at
December 31, 1999 |
(In millions)
|
1999
Expenses
|
|
Cash |
|
Non-Cash |
|
Premium deficiency |
|
$ 50 |
|
$ (50 |
) |
|
|
|
|
Reserve strengthening |
|
35 |
|
(35 |
) |
|
|
|
|
Provider costs |
|
5 |
|
(5 |
) |
|
|
|
|
Long-lived asset impairment |
|
342 |
|
|
|
$ (342 |
) |
|
|
Losses on non-core asset sales |
|
118 |
|
|
|
(28 |
) |
$ 90 |
|
Professional liability reserve |
|
strengthening and
other costs |
|
35 |
|
|
|
|
|
35 |
|
|
|
|
$ 585 |
|
$ (90 |
) |
$ (370 |
) |
$ 125 |
|
|
1998 EXPENSES
Market Exits, Non-Core Asset Sales and Merger
Dissolution Costs
On August 10, 1998, the Company and UnitedHealth
Group Company ("United") announced their mutual agreement to
terminate the previously announced Agreement and Plan of Merger, dated
May 27, 1998. The planned merger, among other things, was expected to
improve the operating results of the Company's products and markets due
to overlapping markets with United. Following the merger's termination,
the Company conducted a strategic evaluation, which included assessing
the Company's competitive market positions and profit potential. As a
result, the Company recognized expenses of $34 million during the third
quarter of 1998. The expenses included costs associated with exiting five
markets ($15 million), losses on disposals of non-core assets ($12
million) and merger dissolution costs ($7 million).The costs associated with the market exits of $15
million included severance, lease termination costs as well as write-offs
of equipment and uncollectible provider receivables. The planned market
exits were Sarasota and Treasure Coast, Florida, Springfield and
Jefferson City, Missouri and Puerto Rico. Severance costs were estimated
based upon the provisions of the Company's employee benefit plans. The
plan to exit these markets was expected to reduce the Company's market
office workforce, primarily in Puerto Rico, by approximately 470
employees. In 1999, the Company reversed $2 million of the severance and
lease discontinuance liabilities after the Company contractually agreed
with the Health Insurance Administration in Puerto Rico to extend the
Company's Medicaid contract, with more favorable terms. The Company
estimated annual pretax savings of approximately $40 million, after all
market exits were completed by June 30, 1999, primarily from a reduction
in underwriting losses. Approximately 100 employees were ultimately
terminated resulting in insignificant severance payments.
In accordance with the Company's policy on
impairment of long-lived assets, equipment of $5 million in the exited
markets was written down to its fair value after an evaluation of
undiscounted cash flow in each of the markets. The fair value of
equipment was based upon discounted cash flows for the same markets.
Following the write-down, the equipment was fully depreciated.
Premium Deficiency and Provider
Costs
As a result of management's assessment of the
profitability of its contracts for providing health care services to its
members in certain markets, the Company recorded a provision for probable
future losses (premium deficiency) of $46 million during the third
quarter of 1998. The premium deficiency resulted from events prompted by
the terminated merger with United wherein the Company had expected to
realize improved operating results in those markets that overlapped with
United, including more favorable risk-sharing arrangements. The
beneficial effect from losses charged to the premium deficiency liability
in 1999 and 1998 was $23 million and $17 million, respectively. In 1999,
the Company reversed $6 million of premium deficiency liabilities after
the Company contractually agreed with the Health Insurance Administration
in Puerto Rico to extend the Company's Medicaid contract, with more
favorable terms.
The Company also recorded $27 million of expense
related to receivables written-off from financially troubled physician
groups, including certain bankrupt providers.
Non-Officer Employee Incentive and Other
Costs
During the third quarter of 1998, the Company
recorded a one-time incentive of $16 million paid to non-officer
employees and a $9 million settlement related to a third party pharmacy
processing contract.
Activity related to the 1998 expenses
follows:
(In millions)
|
1998
Expenses |
1998 Activity |
Balance at
December 31,
1998 |
1999 Activity |
Balance at
December 31,
1999 |
|
|
Cash |
Non-cash
|
Cash |
Adjustment |
|
Premium deficiency
|
$ 46
|
|
$ (17)
|
|
$ 29
|
|
$ (23)
|
$ (6)
|
|
$
|
|
Provider costs
|
27
|
|
|
$ (27)
|
|
|
|
|
|
|
Market exit costs
|
15
|
|
|
(10)
|
|
5
|
|
(2)
|
(2)
|
|
1
|
|
Losses from
non-core asset sales
|
12
|
|
(5)
|
(7)
|
|
|
|
|
|
|
Merger dissolution
costs
|
7
|
|
(5)
|
|
2
|
|
(2)
|
|
|
|
Non-officer employee incentive |
|
|
|
|
|
|
|
and other costs
|
25
|
|
(25)
|
|
|
|
|
|
|
|
|
$ 132 |
|
$ (52) |
$ (44)
|
|
$ 36
|
|
$ (27)
|
$ (8)
|
|
$ 1
|
|
|
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
4. MARKETABLE SECURITIES
Marketable securities classified as current
assets at December 31, 1999 and 1998 included the following:
|
1999 |
1998 |
|
|
|
(In millions)
|
Amortized
Cost |
Gross
Unrealized
Gains |
Gross
Unrealized
Losses |
Fair
Value |
Amortized
Cost |
Gross
Unrealized
Gains |
Gross
Unrealized
Losses |
Fair
Value |
|
U.S. Government obligations |
$
|
178 |
|
|
|
|
(3 |
) |
$ |
175 |
|
$ |
165 |
|
$ |
4 |
|
|
|
|
$ |
169 |
|
Tax exempt municipal bonds |
|
889 |
|
|
|
$ |
(24 |
) |
|
865 |
|
|
845 |
|
|
6 |
|
|
|
|
|
851 |
|
Corporate Bonds |
|
234 |
|
|
|
|
(7 |
) |
|
227 |
|
|
250 |
|
|
8 |
|
|
|
|
|
258 |
|
Redeemable preferred stocks |
|
67 |
|
|
|
|
(2 |
) |
|
65 |
|
|
124 |
|
|
1 |
|
|
|
|
|
125 |
|
Marketable equity securities |
|
96 |
|
$ |
9
|
|
(6 |
) |
|
99 |
|
|
129 |
|
|
2 |
|
$ |
(2 |
) |
|
129 |
|
Other |
|
77 |
|
|
|
|
(1 |
) |
|
76 |
|
|
59 |
|
|
3 |
|
|
|
|
|
62 |
|
|
|
$
|
1,541 |
|
$ |
9
|
$ |
(43 |
) |
$ |
1,507 |
|
$ |
1,572 |
|
$ |
24 |
|
$ |
(2
|
) |
$ |
1,594 |
|
|
Marketable securities classified as long-term
assets at December 31, 1999 and 1998 included the following:
|
1999 |
1998 |
|
|
|
(In millions)
|
Amortized
Cost |
Gross
Unrealized
Gains |
Gross
Unrealized
Losses |
Fair
Value |
Amortized
Cost |
Gross
Unrealized
Gains |
Gross
Unrealized
Losses |
Fair
Value |
|
U.S. Government obligations |
|
$ |
16 |
|
|
|
|
|
|
$ |
16 |
|
$ |
5 |
|
|
|
|
|
|
|
$
|
5 |
|
Tax exempt municipal bonds |
|
|
180 |
|
|
|
$ |
(7 |
) |
|
173 |
|
|
234 |
|
$ |
4 |
|
$ |
(1 |
) |
|
237 |
|
Redeemable preferred stocks |
|
|
27 |
|
|
|
|
(1 |
) |
|
26 |
|
|
31 |
|
|
|
|
|
|
|
|
31 |
|
Marketable equity securities |
|
|
10 |
|
|
|
|
(1 |
) |
|
9 |
|
|
2 |
|
|
|
|
|
|
|
|
2 |
|
Other |
|
|
29 |
|
|
|
|
|
|
|
29 |
|
|
30 |
|
|
|
|
|
|
|
|
30 |
|
|
|
|
$ |
262 |
|
|
|
$ |
(9 |
) |
$ |
253 |
|
$ |
302 |
|
$ |
4 |
|
$ |
(1 |
) |
$
|
305 |
|
|
The contractual maturities of debt securities
available for sale at December 31, 1999, regardless of their balance
sheet classification, are shown below. Expected maturities may differ
from contractual maturities because borrowers may have the right to call
or prepay obligations with or without call or prepayment
penalties.
(In millions)
|
Amortized
Cost |
Fair
Value |
|
Due within one year |
|
$ |
209 |
|
$ |
207 |
|
Due after one year through five years |
|
|
499 |
|
|
490 |
|
Due after five years through ten years |
|
|
384 |
|
|
370 |
|
Due after ten years |
|
|
210 |
|
|
204 |
|
Not due at a single maturity date |
|
|
395 |
|
|
381 |
|
|
|
|
$ |
1,697 |
|
$ |
1,652 |
|
|
Gross realized investment gains were $18 million,
$30 million and $11 million and gross realized investment losses were $7
million, $9 million and $1 million in 1999, 1998 and 1997,
respectively.
5. INCOME TAXES
The (benefit) provision for income taxes
consisted of the following:
|
Years Ended December 31, |
|
|
(In millions)
|
1999 |
1998 |
1997 |
|
Current (benefit) provision: |
|
|
|
|
|
|
|
|
|
|
Federal |
|
$ |
(18 |
) |
$ |
39 |
|
$ |
51 |
|
State |
|
|
(9 |
) |
|
9 |
|
|
6 |
|
|
|
|
|
(27 |
) |
|
48 |
|
|
57 |
|
|
Deferred provision: |
|
|
|
|
|
|
|
|
|
|
Federal |
|
|
4 |
|
|
24 |
|
|
36 |
|
State |
|
|
1 |
|
|
2 |
|
|
4 |
|
|
|
|
|
5 |
|
|
26 |
|
|
40 |
|
|
|
|
$ |
(22 |
) |
$ |
74 |
|
$ |
97 |
|
|
The (benefit) provision for income taxes was
different from the amount computed using the federal statutory rate due
to the following:
|
Years Ended December 31, |
|
|
(In millions)
|
1999 |
1998 |
1997 |
|
Income tax (benefit) provision at federal statutory
rate |
|
$ |
(142 |
) |
$ |
71 |
|
$ |
95 |
|
State income taxes, net of federal benefit |
|
|
(16 |
) |
|
8 |
|
|
10 |
|
Tax exempt investment income |
|
|
(19 |
) |
|
(18 |
) |
|
(13 |
) |
Amortization |
|
|
11 |
|
|
17 |
|
|
10 |
|
Long-lived asset impairment |
|
|
143 |
|
|
|
|
|
|
|
Other |
|
|
1 |
|
|
(4 |
) |
|
(5 |
) |
|
|
|
$ |
(22 |
) |
$ |
74 |
|
$ |
97 |
|
|
Deferred income tax balances reflect the impact
of temporary differences between the carrying amounts of assets and
liabilities and their tax bases, and are stated at enacted tax rates
expected to be in effect when taxes are actually paid or recovered.
Principal components of the net deferred tax balances for the Company at
December 31, 1999 and 1998 are as follows:
|
Assets (Liabilities) |
(In millions)
|
|
1999
|
|
|
1998
|
|
|
Marketable securities |
|
$ |
18 |
|
$ |
(8 |
) |
Long-term assets |
|
|
(55 |
) |
|
(46 |
) |
Medical and other expenses payable |
|
|
95 |
|
|
95 |
|
Asset write-downs and operational
expenses |
|
|
36 |
|
|
16 |
|
Professional liability risks |
|
|
9 |
|
|
7 |
|
Net operating loss carryforwards |
|
|
58 |
|
|
58 |
|
Workers compensation liabilities |
|
|
25 |
|
|
40 |
|
Compensation and other accruals |
|
|
29 |
|
|
31 |
|
|
|
|
$ |
215 |
|
$ |
193 |
|
|
At December 31, 1999, the Company has available
tax net operating loss carryforwards of approximately $150 million
related to prior acquisitions. These loss carryforwards, if unused to
offset future taxable income, will expire in 2000 through 2011.
Based on the Company's historical taxable income
record and estimates of future profitability, management has concluded
that operating income will more likely than not be sufficient to give
rise to tax expense to recover all deferred tax assets.
6. DEBT
The Company maintains a revolving credit
agreement ("Credit Agreement") which provides a line of credit
of up to $1.0 billion and expires in August 2002. Principal amounts
outstanding under the Credit Agreement bear interest at either a fixed
rate or a floating rate, ranging from LIBOR plus 35 basis points to LIBOR
plus 80 basis points, depending on the Company's credit ratings. The
Credit Agreement, which was amended in 1999 to reduce the line of credit
by $500 million from $1.5 billion and modify certain covenants, contains
customary covenants and events of default including, but not limited to,
financial tests for interest coverage and leverage. The Company is in
compliance with all covenants. The Company also maintains and issues
short-term debt securities under a commercial paper program. The carrying
value of commercial paper approximates fair value due to its short-term
maturity.Borrowings and the weighted average interest rate
on those borrowings at December 31, 1999 and 1998 are as
follows:
|
1999 |
1998 |
|
|
|
(In millions)
|
Amount |
Weighted Average
Interest Rate |
Amount |
Weighted Average
Interest Rate |
|
|
Credit agreement |
|
|
|
|
5 |
.7% |
$ |
93 |
|
5 |
.9% |
Commercial paper program |
|
$ |
686 |
|
5 |
.6% |
|
730 |
|
5 |
.9% |
|
|
|
$ |
686 |
|
|
|
$ |
823 |
|
|
|
|
7. PROFESSIONAL LIABILITY AND OTHER
OBLIGATIONS
The components of professional liability and
other obligations at December 31, 1999 and 1998 are as follows:
(in millions)
|
1999 |
1998 |
|
Allowance for professional liabilities |
|
$ 133 |
|
$ 123 |
|
Liabilities for disability and other
long-term insurance products,
the Companys retirement and benefit plans and other |
|
44 |
|
53 |
|
Less: current portion of allowance for
professional liabilities |
|
(33 |
) |
(22 |
) |
|
|
|
$ 144 |
|
$ 154 |
|
|
The Company insures substantially all
professional liability risks through a wholly owned subsidiary (the
"Subsidiary"). Provisions for such risks, including expenses
incident to claim settlements, were $57 million, $27 million and $32
million for the years ended December 31, 1999, 1998 and 1997,
respectively. The amount for 1999 includes $25 million of professional
liability reserve strengthening discussed in Note 3. The Subsidiary
reinsures levels of coverage for losses in excess of its retained limits
with unrelated insurance carriers. Reinsurance recoverables were $29
million and $40 million at December 31, 1999 and 1998, respectively. The
current portion of allowance for professional liabilities is included
with trade accounts payable and accrued expenses in the Consolidated
Balance Sheets.
In 1998, the Subsidiary entered into a loss
portfolio transfer agreement with unrelated insurance carriers for
approximately $39 million, providing for the transfer of all professional
and workers' compensation liabilities on claims incurred prior to
December 31, 1997 limited to individual and maximum claim retention
levels.
NOTES TO CONSOLIDATED FINANCIAL
STATEMENTS
8. EMPLOYEE BENEFIT PLANS
Employee Savings Plan
The Company has defined contribution retirement
and savings plans covering qualified employees. The Company's
contribution to these plans are based on various percentages of
compensation, and in some instances, are based upon the amount of the
employees' contributions to the plans. The cost of these plans amounted
to approximately $27 million, $40 million and $24 million in 1999, 1998
and 1997, respectively, the substantial portion of which was funded
currently. The amount for 1998 includes the $16 million one-time
incentive paid to non-officer employees discussed in Note
3.Stock Based Compensation
The Company has plans under which restricted
stock awards and options to purchase common stock have been granted to
officers, directors and key employees. In 1998, the Company awarded
400,000 shares of performance-based restricted stock to officers and key
employees. The shares had the potential to vest in equal one-third
installments beginning January 1, 2000, provided the Company met certain
earnings goals. As the goal was not met for 1999, and the awards are
cumulative, two-thirds has the potential to vest in 2000 and one-third in
2001. Unearned compensation under the restricted stock awards plan is
amortized over the vesting period. Compensation expense recognized
related to the restricted stock award plans was $2 million for each of
the years ended December 31, 1999 and 1998 and $1 million for the year
ended December 31, 1997.
Options are granted at the average market price
on the date of grant. Exercise provisions vary, but most options vest in
whole or in part one to five years after grant and expire ten years after
grant. At December 31, 1999, there were 13,977,221 shares reserved for
employee and director stock option plans. At December 31, 1999, there
were 2,658,040 shares of common stock available for future
grants.
On September 17, 1998, the Company repriced
5,503,491 of its stock options with original exercise prices ranging from
$18.31 to $26.31 to the market price of the Company's common stock on
that date of $15.59. Outstanding stock options with an exercise price in
excess of $18.13 per share could be exchanged in return for a reduced
number of options, with a deferred vesting date of one year after the
exchange date. The repricing resulted in the cancellation of 5,503,491
options and the granting of 4,559,438 options.
The Company's option plan activity for the years
ended December 31, 1999, 1998 and 1997 is summarized below:
|
|
|
|
|
|
|
|
|
Shares
Under Option
|
|
Exercise Price
Per Share
|
Weighted Average
Exercise Price
|
|
Balance, January 1, 1997 |
10,921,887
|
|
$ 4.32
|
to
|
$ 26.94
|
$ 13.71
|
|
|
Granted |
2,819,000
|
|
18.31
|
to
|
23.69
|
19.79
|
|
|
Exercised |
(1,247,793
|
)
|
4.32
|
to
|
23.06
|
8.67
|
|
|
Canceled or lapsed |
(270,830
|
)
|
6.56
|
to
|
23.06
|
17.32
|
|
|
Balance, December 31, 1997 |
12,222,264
|
|
5.80
|
to
|
26.94
|
15.54
|
|
|
Granted |
6,403,788
|
|
15.59
|
to
|
26.22
|
17.04
|
|
|
Exercised |
(3,067,202
|
)
|
5.80
|
to
|
26.31
|
11.72
|
|
|
Canceled or lapsed |
(6,753,198
|
)
|
6.56
|
to
|
26.31
|
20.03
|
|
|
Balance, December 31, 1998 |
8,805,652
|
|
6.56
|
to
|
26.94
|
14.52
|
|
|
Granted |
3,966,750
|
|
6.88
|
to
|
19.25
|
14.16
|
|
|
Exercised |
(105,232
|
)
|
6.56
|
to
|
8.91
|
16.75
|
|
|
Canceled or lapsed |
(1,347,989
|
)
|
8.00
|
to
|
26.31
|
18.32
|
|
|
Balance, December 31, 1999 |
11,319,181
|
|
$ 6.56
|
to
|
$ 26.94
|
$ 14.00
|
|
|
A summary of stock options outstanding and
exercisable at December 31, 1999 follows:
|
Stock Options
Outstanding
|
Stock Options
Exercisable
|
|
|
|
Range of Exercise
Prices
|
|
Shares
|
Weighted
Average
Remaining Contractual Life
|
Weighted
Average
Exercise Price
|
|
Shares
|
Weighted
Average
Exercise Price
|
|
$ |
6.56
|
to
|
$
|
9.64
|
|
3,820,428
|
6.5 years
|
|
$
|
8.05
|
|
1,914,178
|
|
$
|
6.95
|
|
10.54
|
to
|
|
13.31
|
|
225,200
|
6.2 years
|
|
|
11.89
|
|
89,700
|
|
|
10.86
|
|
14.44
|
to
|
|
17.94
|
|
4,530,671
|
6.3 years
|
|
|
15.69
|
|
3,268,920
|
|
|
15.73
|
|
18.72
|
to
|
|
21.94
|
|
2,518,082
|
7.1 years
|
|
|
19.32
|
|
811,761
|
|
|
19.41
|
|
22.44
|
to
|
|
26.94
|
|
224,800
|
5.3 years
|
|
|
23.48
|
|
202,267
|
|
|
23.53
|
|
$ |
6.56
|
to
|
$
|
26.94
|
|
11,319,181
|
6.5 years
|
|
$
|
14.00
|
|
6,286,826
|
|
$
|
13.71
|
|
As of December 31, 1998 and 1997, there were
3,636,481 and 6,215,776 options exercisable, respectively. The weighted
average exercise price of options exercisable during 1998 and 1997 was
$12.32 and $13.32, respectively. If the Company had adopted the expense
recognition provisions of SFAS 123 for purposes of determining
compensation expense related to stock options granted during the years
ended December 31, 1999, 1998 and 1997, net (loss) income and (loss)
earnings per common share would have been changed to the pro forma
amounts shown below:
|
|
Years Ended December 31,
|
|
|
|
(In millions, except per share results) |
|
1999
|
1998
|
1997
|
|
Net (loss) income |
As reported |
$ (382)
|
|
$
|
129
|
|
$
|
173
|
|
|
Pro forma |
(402)
|
|
|
116
|
|
|
159
|
|
|
(Loss) earnings per common share |
As reported |
$ (2.28)
|
|
$
|
0.77
|
|
$
|
1.06
|
|
|
Pro forma |
(2.40)
|
|
|
0.69
|
|
|
0.97
|
|
(Loss) earnings per common share
- |
As reported |
$ (2.28)
|
|
$
|
0.77
|
|
$
|
1.05
|
|
|
assuming dilution |
Pro forma |
(2.40)
|
|
|
0.69
|
|
|
0.96
|
|
|
The fair value of each option granted during
1999, 1998 and 1997 was estimated on the date of grant using the
Black-Scholes pricing model with the following weighted average
assumptions:
|
1999 |
1998 |
1997 |
|
Dividend yield |
|
No |
ne |
|
No |
ne |
No |
ne |
Expected volatility |
|
43 |
.8% |
|
40 |
.9% |
38 |
.5% |
Risk-free interest rate |
|
5 |
.6% |
|
4 |
.9% |
6 |
.1% |
Expected option life (years) |
|
8 |
.3 |
|
6 |
.8 |
5 |
.4 |
Weighted average fair value at grant date |
$
|
8 |
.10 |
$ |
8 |
.59 |
$ 8 |
.88 |
|
The effects of applying SFAS 123 in the pro forma
disclosures are not likely to be representative of the effects on pro
forma net income for future years since variables such as option grants,
exercises and stock price volatility included in the disclosures may not
be indicative of future activity.
9. STOCKHOLDERS' EQUITY
The Company adopted a stockholders' rights plan
designed to deter takeover initiatives not considered to be in the best
interests of the Company's stockholders. The rights are redeemable by
action of the Company's Board of Directors at a price of $0.01 per right
at any time prior to their becoming exercisable. Pursuant to the plan,
under certain conditions, each share of stock has a right to acquire
1/100th of a share of Series A Participating Preferred Stock at a price
of $145 per share. The plan expires in 2006.
10. COMMITMENTS AND CONTINGENCIES
Leases
The Company leases facilities, computer hardware
and other equipment under long-term operating leases that are
noncancelable and expire on various dates through 2017. Rent expense and
sublease income for all operating leases are as follows:
|
Years Ended December 31, |
|
|
(In millions)
|
1999 |
1998 |
1997 |
|
Rent expense |
|
$ 61 |
|
$ 42 |
|
$ 31 |
|
Sublease rental income |
|
(25 |
) |
(9 |
) |
(3 |
) |
|
Net rent expense |
|
$ 36 |
|
$ 33 |
|
$ 28 |
|
|
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Future annual minimum payments under all
noncancelable operating leases in excess of one year subsequent to
December 31, 1999 are as follows:
(In millions)
|
|
|
2000 |
$
|
54 |
|
|
2001 |
|
46 |
|
|
2002 |
|
31 |
|
|
2003 |
|
26 |
|
|
2004 |
|
22 |
|
|
Thereafter |
|
62 |
|
|
Total minimum lease payments |
$
|
241 |
|
Less: minimum sublease rental income |
|
(112 |
) |
|
Net minimum lease payments |
$
|
129 |
|
|
Government and Other Contracts
The Company's Medicare HMO contracts with the
federal government are renewed for a one-year term each December 31,
unless terminated 90 days prior thereto. Legislative proposals are being
considered which may revise the Medicare program's current support of the
use of managed health care for Medicare beneficiaries and future
reimbursement rates thereunder. Management is unable to predict the
outcome of these proposals or the impact they may have on the Company's
financial position, results of operations or cash flows. The Company's
Medicaid contracts are generally annual contracts with various states
except for the two-year contract with the Health Insurance Administration
in Puerto Rico. Additionally, the Company's TRICARE contract is a
one-year contract renewable on July 1, 2000, for one additional year. The
loss of these contracts or significant changes in these programs as a
result of legislative action, 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. In addition, the Company continually
contracts and seeks to renew contracts with providers at rates designed
to ensure adequate profitability. To the extent the Company is unable to
obtain such rates, its financial position, results of operations and cash
flows could be adversely impacted.
Legal Proceedings
During 1999, six purported class action
complaints have been filed against the Company and certain of its current
and former directors and officers claiming that the Company and the
individual defendants knowingly or recklessly made false or misleading
statements in press releases and public filings concerning the Company's
financial condition. All seek money damages of unspecified
amounts.
Since October 1999, the Company has received
purported class action complaints alleging, among other things, that
Humana intentionally concealed from its members information concerning
the various ways Humana decides what claims will be paid, what procedures
will be deemed medically necessary, and what criteria and procedures are
used to determine the extent and type of their coverage. The complaints
also allege that Humana concealed from members the existence of direct
financial incentives to treating physicians and other health care
providers to deny coverage. The complaints, generally, do not allege that
any member was denied coverage for services that should have been covered
but, instead, claim that Humana provided health insurance benefits of
lesser value than promised. All seek money damages of unspecified
amounts. The Company has requested to consolidate these complaints to a
single court.
The Company believes the allegations in all of
the above complaints are without merit and intends to pursue the defense
of the actions vigorously.
On January 4, 2000, a jury in Palm Beach County,
Florida, issued a verdict against Humana Health Insurance Company of
Florida, Inc., awarding $79 million to Mark Chipps, an insured who had
sued individually and on behalf of his minor daughter. The claim arose
from the removal of the child from a case management program which had
provided her with benefits in excess of those available under her policy.
The award included $78 million for punitive damages, $1 million for
emotional distress and $28,000 for contractual benefits. The Company is
in the process of appealing the verdict.
During 1999, the Company reached an agreement in
principle with the United States Department of Justice and the Department
of Health and Human Services on a $15 million settlement relating to
Medicare premium overpayments. The settlement is expected to be paid
sometime during 2000. The Company had previously established adequate
liabilities for the resolution of these issues and, therefore, the
settlement did not have a material impact on the Company's financial
position or results of operations.
Damages for claims for personal injuries and
medical benefit denials are usual in the Company's business. Personal
injury and medical benefit denial claims are covered by insurance from
the Company's wholly owned captive insurance Subsidiary and excess
carriers, except to the extent that claimants seek punitive damages, in
states which prohibit insurable coverage for punitive damages. In
connection with the Chipps case, the excess carriers have preliminarily
indicated that they believe no coverage may be available for a punitive
damages award.
During the ordinary course of its business, the
Company is or may become subject to pending or threatened litigation or
other legal actions. Management does not believe that any pending and
threatened legal actions against the Company or audits by agencies will
have a material adverse effect on the Company's financial position or
results of operations.
11. ACQUISITIONS AND DISPOSITIONS
Between December 30, 1999 and February 4, 2000,
the Company entered into definitive agreements to sell its workers'
compensation, Medicare supplement and North Florida Medicaid businesses
for proceeds of approximately $115 million. The Company recorded a $118
million loss in 1999 related to these sale transactions.On January 31, 2000, the Company acquired the
Memorial Sisters of Charity Health Network ("MSCHN"), a Houston
based health plan for approximately $50 million in cash.
On June 1, 1999, the Company reached an agreement
with FPA Medical Management, Inc. ("FPA"), FPA's lenders and a
federal bankruptcy court under which the Company acquired the operations
of 50 medical centers from FPA for approximately $14 million in cash. The
Company has subsequently reached agreements with 14 provider groups to
assume operating responsibility for 38 of the 50 acquired FPA medical
centers under long-term provider agreements with the Company.
On October 17, 1997, the Company acquired
ChoiceCare Corporation ("ChoiceCare") for approximately $250
million in cash. The purchase was funded with borrowings under the
Company's commercial paper program. ChoiceCare provided health services
products to members in the Greater Cincinnati, Ohio, area.
On September 8, 1997, the Company acquired PCA
for total consideration of $411 million in cash, consisting primarily of
$7 per share for PCA's outstanding common stock and the assumption of
$121 million in debt. The purchase was funded with borrowings under the
Company's commercial paper program. PCA provided comprehensive health
services through its HMOs in Florida, Texas and Puerto Rico. In addition,
PCA provided workers' compensation third-party administrative management
services. Prior to November 1996, PCA also was a direct writer of
workers' compensation insurance in Florida. Long-term medical and other
expenses payable in the accompanying Consolidated Balance Sheets includes
the long-term portion of workers' compensation liabilities related to
this business.
On February 28, 1997, the Company acquired Health
Direct, Inc. ("Health Direct") from Advocate Health Care for
approximately $23 million in cash.
The above acquisitions were accounted for under
the purchase method of accounting. In connection with these acquisitions,
the Company allocated the acquisition costs to net tangible and
identifiable intangible assets based upon their fair values. Identifiable
intangible assets, which are included in other long-term assets in the
accompanying Consolidated Balance Sheets, primarily relate to subscriber
and provider contracts. Any remaining value not assigned to net tangible
or identifiable intangible assets was then allocated to cost in excess of
net assets acquired, or goodwill. Goodwill and identifiable intangible
assets acquired, recorded in connection with the acquisitions, was $17
million and $754 million in 1999 and 1997, respectively. Subscriber and
provider contracts are amortized over their estimated useful lives (seven
to 14 years), while goodwill has been amortized over periods from six to
40 years. After a re-evaluation, effective January 1, 2000, the Company
adopted a 20 year amortization period from the date of acquisition for
goodwill previously amortized over 40 years.
The results of operations for the previously
mentioned acquisitions have been included in the accompanying
Consolidated Statements of Operations since the date of acquisition. The
following unaudited pro forma data summarize the consolidated results of
operations for the year ended December 31, 1997 as if the 1997
acquisitions referred to above had been completed as of the beginning of
1997:
(In millions, except per share
results)
|
|
|
Revenues |
|
$ 9,272 |
|
Net income |
|
64 |
|
Earnings per common share |
|
$ 0.39 |
|
Earnings per common share assuming dilution |
|
0.39 |
|
The unaudited pro forma information above may not
necessarily reflect future results of operations or what the results of
operations would have been had the acquisitions actually been consummated
at the beginning of 1997.
12. SEGMENT INFORMATION
During 1999, the Company realigned its
organization to achieve greater accountability in its lines of business.
As a result of this realignment, the Company organized into two business
units: the Health Plan segment and the Small Group segment. The Health
Plan segment includes the Company's large group commercial (100 employees
and over), Medicare, Medicaid, ASO, workers' compensation and military or
TRICARE business. The small group segment includes small group commercial
(under 100 employees) and specialty benefit lines, including dental, life
and short-term disability. Results of each segment are measured based
upon results of operations before income taxes. The Company does not
allocate assets to the segments, but allocates administrative expenses,
interest income and interest expense to the segments. These allocations
are based on systematic and rational methods which consider the nature of
activities and volume of business associated with the segments' products.
Members served by the two segments generally utilize the same medical
provider networks, enabling the Company to obtain more favorable contract
terms with providers. As a result, the profitability of each segment is
somewhat interdependent. In addition, premium revenue pricing to large
group commercial employers has historically been more competitive than
that to small group commercial employers, resulting in less favorable
underwriting margins for the large group commercial line of business.
Costs to distribute and administer products to small group commercial
employers are higher compared to large group commercial employers
resulting in small group's higher administrative expense ratio. The
accounting policies of each segment are similar and are described in Note
2.
The segment results for the years ended December
31, 1999, 1998 and 1997 are as follows:
(In millions)
|
Health Plan |
Small Group |
Total |
|
1999 |
|
|
|
|
|
|
|
Revenues: |
|
Premiums |
|
$ 6,827 |
|
$ 3,132 |
|
$ 9,959 |
|
Interest and other
income |
|
106 |
|
48 |
|
154 |
|
|
Total revenues |
|
6,933 |
|
3,180 |
|
10,113 |
|
Underwriting margin |
|
861 |
|
566 |
|
1,427 |
|
|
Depreciation and amortization |
|
70 |
|
54 |
|
124 |
|
|
Loss before income taxes |
|
(369 |
) |
(35 |
) |
(404 |
) |
|
|
|
|
|
|
|
|
|
(In millions)
|
Health Plan |
Small Group |
Total |
|
1998 |
|
|
|
|
|
|
|
Revenues: |
|
Premiums |
|
$ 6,734 |
|
$ 2,863 |
|
$ 9,597 |
|
Interest and other
income |
|
140 |
|
44 |
|
184 |
|
|
Total revenues |
|
6,874 |
|
2,907 |
|
9,781 |
|
Underwriting margin |
|
988 |
|
568 |
|
1,556 |
|
|
Depreciation and amortization |
|
76 |
|
52 |
|
128 |
|
|
Income (loss) before income taxes |
|
208 |
|
(5 |
) |
203 |
|
|
|
|
|
|
|
|
|
|
(In millions)
|
Health Plan |
Small Group |
Total |
|
1997 |
|
|
|
|
|
|
|
Revenues: |
|
Premiums |
|
$ 5,487 |
|
$ 2,393 |
|
$ 7,880 |
|
Interest and other
income |
|
115 |
|
41 |
|
156 |
|
|
Total revenues |
|
5,602 |
|
2,434 |
|
8,036 |
|
Underwriting margin |
|
864 |
|
494 |
|
1,358 |
|
|
Depreciation and amortization |
|
64 |
|
44 |
|
108 |
|
|
Income before income taxes |
|
244 |
|
26 |
|
270 |
|
|
As previously discussed, during 1999 and 1998,
the Company recorded pretax expenses of $585 million and $132 million,
respectively. The following table details the reduction on operating
results from these expenses for the Health Plan and Small Group segments
for the years ended December 31, 1999 and 1998:
|
1999 |
1998 |
|
|
|
|
(In millions)
|
Health Plan |
Small Group |
Total |
|
Health Plan |
Small Group |
Total |
|
|
|
Underwriting margin |
|
$ |
66 |
|
$ |
24 |
|
$ |
90 |
|
$ |
60 |
|
$ |
13 |
|
$ |
73 |
|
|
Income before income taxes |
|
$ |
553 |
|
$ |
32 |
|
$ |
585 |
|
$ |
96 |
|
$ |
36 |
|
$ |
132 |
|
|
The Company's product offerings include managed
health care products and specialty products. Managed health care product
premiums were approximately $9.7 billion, $9.4 billion and $7.7 billion
for the years ended December 31, 1999, 1998 and 1997, respectively.
Specialty product premiums were approximately $277 million, $239 million,
and $230 million for the years ended December 31, 1999, 1998 and 1997,
respectively.
Premium revenues derived from contracts with the
federal government in 1999, 1998 and 1997 represent approximately 40
percent, 41 percent and 43 percent, respectively, of total premium
revenues.
HUMANA INC.
REPORT OF INDEPENDENT ACCOUNTANTS
To the Board of Directors and Stockholders
Humana Inc.
In our opinion, the accompanying consolidated
balance sheets and the related consolidated statements of operations,
stockholders' equity and cash flows present fairly, in all material
respects, the consolidated financial position of Humana Inc. and its
subsidiaries at December 31, 1999 and 1998, and the results of their
operations and their cash flows for each of the three years in the period
ended December 31, 1999, in conformity with accounting principles
generally accepted in the United States. These financial statements are
the responsibility of the Company's management; our responsibility is to
express an opinion on these financial statements based on our audits. We
conducted our audits of these statements in accordance with auditing
standards generally accepted in the United States, which require that we
plan and perform the audit to obtain reasonable assurance about whether
the financial statements are free of material misstatement. An audit
includes examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements, assessing the accounting
principles used and significant estimates made by management, and
evaluating the overall financial statement presentation. We believe that
our audits provide a reasonable basis for the opinion expressed
above.
/s/ PricewaterhouseCoopers LLP
Louisville, Kentucky
February 9, 2000
HUMANA INC.
QUARTERLY FINANCIAL INFORMATION
(UNAUDITED)
A summary of the Company's quarterly unaudited
results of operations for the years ended December 31, 1999 and 1998
follows:
(In millions, except per share
results)
|
1999 |
|
|
First (a) |
Second |
Third |
Fourth (b) |
|
Revenues |
|
$ 2,477 |
|
$2,505 |
|
$ 2,557 |
|
$ 2,574 |
|
(Loss) income before income taxes |
|
(25 |
) |
44 |
|
34 |
|
(457 |
) |
Net (loss) income |
|
(16 |
) |
28 |
|
22 |
|
(416 |
) |
(Loss) earnings per common share |
|
(0.10 |
) |
0.17 |
|
0.13 |
|
(2.48 |
) |
(Loss) earnings per common share |
|
assuming dilution |
|
(0.10 |
) |
0.17 |
|
0.13 |
|
(2.48 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(In millions, except per share
results)
|
1998
|
|
|
First
|
Second
|
Third
(c)
|
Fourth
|
|
Revenues |
|
$ 2,402 |
|
$2,446 |
|
$ 2,464 |
|
$ 2,469 |
|
Income (loss) before income taxes |
|
79 |
|
82 |
|
(47 |
) |
89 |
|
Net income (loss) |
|
50 |
|
52 |
|
(30 |
) |
57 |
|
Earnings (loss) per common share |
|
0.30 |
|
0.31 |
|
(0.18 |
) |
0.34 |
|
Earnings (loss) per common share |
|
assuming dilution |
|
0.30 |
|
0.31 |
|
(0.18 |
) |
0.34 |
|
(a) |
Includes expenses of $90 million pretax ($58 million
after tax, or $0.34 per diluted share) primarily related to premium
deficiency and medical reserve strengthening.
|
(b) |
Includes expenses of $495 million pretax ($441 after
tax, or $2.63 per diluted share) primarily related to goodwill
write-down, losses on non-core asset sales and professional liability
reserve strengthening.
|
(c) |
Includes expenses of $132 million ($84 million after
tax, or $0.50 per diluted share) primarily related to the costs of
certain market exits and product discontinuances, asset write-downs,
premium deficiency and a one-time non-officer employee incentive.
|
HUMANA INC.
BOARD OF DIRECTORS
K. Frank Austen, M.D. |
John R. Hall |
Irwin Lerner |
|
|
|
Theodore B. Bayles Professor of |
Retired Chairman of the Board |
Retired Chairman of the Board |
Medicine, Harvard Medical School |
and Chief Executive Officer, |
and of the Executive Committee, |
and the Brigham and Women's |
Ashland Inc. |
Hoffmann-LaRoche Inc. |
Hospital |
|
|
|
|
|
Michael E. Gellert
|
David A. Jones |
Michael B. McCallister |
|
|
|
General Partner, Windcrest Partners,
|
Chairman of the Board, Humana Inc. |
President and Chief Executive Officer, |
private investment partnership
|
|
Humana Inc. |
|
|
|
|
David A. Jones, Jr. |
|
|
|
W. Ann Reynolds, Ph.D. |
|
Vice Chairman, Humana Inc. |
|
|
Chairman and Managing Director, |
President, University of Alabama at |
|
Chrysalis Ventures, L.L.C. |
Birmingham |
|
venture capital firm |
|
BOARD COMMITTEES
Executive Committee |
Audit Committee |
Investment Committee |
|
|
|
David A. Jones, Chairman |
Michael E. Gellert, Chairman |
W. Ann Reynolds, Ph.D., Chairwoman |
Michael E. Gellert |
K. Frank Austen, M.D. |
K. Frank Austen, M.D. |
David A. Jones, Jr. |
John R. Hall |
Michael E. Gellert |
Michael B. McCallister |
Irwin Lerner |
David A. Jones, Jr. |
|
|
|
|
|
|
Medical Affairs Committee |
Nominating and Corporate |
Organization and Compensation |
|
Governance Committee |
Committee |
K. Frank Austen, M.D., Chairman |
|
|
Irwin Lerner |
John R. Hall, Chairman |
Irwin Lerner, Chairman |
W. Ann Reynolds, Ph.D. |
David A. Jones, Jr. |
K. Frank Austen, M.D. |
|
W. Ann Reynolds, Ph.D. |
Michael E. Gellert |
|
|
John R. Hall |
HUMANA INC.
SENIOR OFFICERS
Michael B. McCallister |
Kenneth J. Fasola |
Heidi S. Margulis |
President and Chief Executive Officer |
Chief Operating Officer |
Senior Vice President |
|
Small Group Division |
Government Affairs |
|
|
|
|
|
|
|
James E. Murray |
Sheri E. Mitchell |
|
Chief Operating Officer |
Senior Vice President and |
|
Health Plan Division |
Chief Compliance Officer |
|
and Chief Financial Officer |
|
|
|
Thomas T. Noland, Jr. |
|
Douglas R. Carlisle |
Senior Vice President |
|
Senior Vice President |
Corporate Communications |
|
Market Operations |
|
|
|
Bruce D. Perkins |
|
Bruce J. Goodman |
Senior Vice President |
|
Senior Vice President and |
National Networks |
|
Chief Information Officer |
|
|
|
George W. Vieth, Jr. |
|
Bonita C. Hathcock |
Senior Vice President |
|
Senior Vice President |
Large Group Commercial |
|
Human Resources |
|
|
|
|
|
|
|
|
Arthur P. Hipwell |
|
|
Senior Vice President and |
|
|
General Counsel |
|
ADDITIONAL INFORMATION
TRANSFER AGENT |
|
CORPORATE HEADQUARTERS |
|
|
|
National City Bank |
|
Humana Inc. |
Stock Transfer Department |
|
The Humana Building |
Post Office Box 92301 |
|
500 West Main Street |
Cleveland, Ohio 44193-0900 |
|
Louisville, Kentucky 40202 |
(800) 622-6757 |
|
(502) 580-1000 |
|
|
|
|
|
|
|
|
|
FORM 10-K |
|
INDEPENDENT ACCOUNTANTS |
|
|
|
Copies of the Company's Form 10-K filed with the
|
|
PricewaterhouseCoopers LLP |
Securities and Exchange Commission may be
obtained, |
|
Louisville, Kentucky |
without charge, by writing: |
|
|
|
|
|
|
Investor Relations |
|
ANNUAL MEETING |
|
|
|
|
|
Humana Inc.
Post Office Box 1438
Louisville, Kentucky 40201-1438 |
|
The Company's Annual Meeting of Stockholders will
be held on Thursday, May 18, 2000, at 10:00 a.m. EDT in
the Auditorium on the 25th floor of the Humana
Building. |
|
|
|
|
Copies of the Company's Form 10-K and other
Company
information can also be obtained through the Internet at the following
address:
STOCK LISTING
The Company's common stock trades on the New York
Stock Exchange under the symbol HUM. The following table shows the range
of high and low closing sales prices as reported on the New York Stock
Exchange Composite Tape:
1999
|
High
|
Low
|
|
First Quarter
|
20-3/4
|
16-15/16
|
Second Quarter
|
16-7/16
|
11
|
Third Quarter
|
13-1/8
|
6-7/8
|
Fourth Quarter
|
8-1/4
|
5-7/8
|
|
|
|
|
|
|
1998
|
High
|
Low
|
|
First Quarter
|
26-3/8
|
19-1/2
|
Second Quarter
|
31-11/16
|
24-15/16
|
Third Quarter
|
31-7/8
|
12-7/8
|
Fourth Quarter
|
21-9/16
|
14-3/8
|