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Humana Inc. – ‘8-K’ for 2/1/23 – ‘EX-99.2’

On:  Wednesday, 2/1/23, at 6:35am ET   ·   For:  2/1/23   ·   Accession #:  49071-23-7   ·   File #:  1-05975

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  As Of               Filer                 Filing    For·On·As Docs:Size

 2/01/23  Humana Inc.                       8-K:2,7,9   2/01/23   12:2.3M

Current Report   —   Form 8-K

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 8-K         Current Report                                      HTML     38K 
 2: EX-99.1     Miscellaneous Exhibit                               HTML    221K 
 3: EX-99.2     Miscellaneous Exhibit                               HTML   1.75M 
 7: R1          Cover Page                                          HTML     45K 
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 9: EXCEL       IDEA Workbook of Financial Reports                  XLSX      8K 
 5: EX-101.LAB  XBRL Labels -- hum-20230201_lab                      XML     67K 
 6: EX-101.PRE  XBRL Presentations -- hum-20230201_pre               XML     33K 
 4: EX-101.SCH  XBRL Schema -- hum-20230201                          XSD     10K 
11: JSON        XBRL Instance as JSON Data -- MetaLinks               12±    17K 
12: ZIP         XBRL Zipped Folder -- 0000049071-23-000007-xbrl      Zip    144K 


‘EX-99.2’   —   Miscellaneous Exhibit


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n e w s r e l e a s e
Exhibit 99.2
Humana Inc.
500 West Main Street
P.O. Box 1438
FOR MORE INFORMATION CONTACT:
Lisa Stoner
Humana Investor Relations
(502) 580-2652
e-mail: LStamper@humana.com
humanalogoa051.jpg
Mark Taylor
Humana Corporate Communications
(317) 753-0345
e-mail: MTaylor108@humana.com

Humana Reports Fourth Quarter 2022 Financial Results;
Provides Full Year 2023 Financial Guidance

Reports 4Q22 loss per share of $0.12 on a GAAP basis, Adjusted EPS of $1.62; reports full year (FY) 2022 EPS of $22.08 on a GAAP basis, $25.24 on an Adjusted basis
Announces FY 2023 EPS guidance of at least $27.57 on a GAAP basis; at least $28.00 on an Adjusted basis
Affirms strong 2023 individual Medicare Advantage membership growth of at least 625,000, or 13.7 percent growth over FY 2022 ending membership; anticipates growth to be meaningfully higher than the industry growth
Completes realignment into two segments, Insurance and CenterWell, to drive greater collaboration and synergistic growth across the enterprise
LOUISVILLE, KY (February 1, 2023) – Humana Inc. (NYSE: HUM) today reported consolidated pretax results and net earnings (loss) per share (EPS) for the quarter ended December 31, 2022 (4Q22) versus the quarter ended December 31, 2021 (4Q21) and for the year ended December 31, 2022 (FY 2022) versus the year ended December 31, 2021 (FY 2021) as noted in the tables below.

Consolidated (loss) income before income taxes and equity in net earnings (pretax results) In millions
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
Generally Accepted Accounting Principles (GAAP)($71)($60)$3,568 $3,354 
Amortization associated with identifiable intangibles20 17 81 65 
Gain on Kindred at Home equity method investment — — (1,129)
Put/call valuation adjustments associated with company's non-consolidating minority interest investments84 30 68 597 
Transaction and integration costs35 35 105128 
Change in fair market value of publicly-traded equity securities4 144 123341 
Charges associated with productivity initiatives related to the previously disclosed $1 billion value creation plan188 — 473 — 
Adjustment (gain) on sale of Kindred at Home's Hospice and Personal Care divisions (KAH Hospice)3 — (237)— 
Adjusted (non-GAAP)$263 $166 $4,181 $3,356 
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Net (loss) earnings per share (EPS) 4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
GAAP($0.12)($0.11)$22.08 $22.67 
Amortization associated with identifiable intangibles0.16 0.14 0.64 0.50 
Gain on Kindred at Home equity method investment —  (8.73)
Put/call valuation adjustments associated with company's non-consolidating minority interest investments0.66 0.23 0.53 4.62 
Transaction and integration costs0.28 0.28 0.83 0.99 
Change in fair market value of publicly-traded equity securities0.03 1.11 0.97 2.63 
Charges associated with productivity initiatives related to the previously disclosed $1 billion value creation plan1.49 — 3.72 — 
Adjustment (gain) on the sale of KAH Hospice0.03 — (1.86)— 
Tax impact of non-GAAP adjustments(0.91)(0.41)(1.67)(2.04)
Adjusted (non-GAAP)$1.62 $1.24 $25.24 $20.64 

“Humana is pleased to start the year in a position of strength, with robust 2023 individual Medicare Advantage (MA) membership growth expected to be at least 625,000 for the year, a year-over-year increase of 13.7 percent,” said Bruce D. Broussard, Humana’s President and Chief Executive Officer. "This robust membership outlook reflects high quality growth, with our improvement in retention more than doubling expectations, and marks a continuation of our strong track record of membership growth, with our compounded annual growth from 2018 to 2022 at 10.4 percent as compared to industry growth of 9.7 percent. Humana significantly advanced its strategy in 2022 for continued leadership in integrated value-based care, while delivering 22 percent Adjusted EPS growth. Looking ahead, we are confident in achieving our 2025 Adjusted EPS commitment of $37."
Please refer to the tables above, as well as the consolidated and segment highlight sections that follow for additional discussion of the factors impacting the year-over-year comparisons.
In addition, a summary of key consolidated and segment statistics comparing 4Q22 to 4Q21 and FY 2022 to FY 2021 follows the Segment Realignment discussion.

Segment Realignment

During December 2022, Humana realigned certain of its businesses among its previously reportable segments, Retail, Group and Specialty and Healthcare Services, into two distinct segments: Insurance and CenterWell. The Insurance segment includes the businesses that were previously included in the Retail and Group and Specialty segments, as well as the Pharmacy Benefit Manager (PBM) business which was previously included in the Healthcare Services segment. The PBM is included in the Insurance segment as the operations of the business are highly interdependent with the capability needs of the health plan businesses included in the Insurance segment. The CenterWell segment represents the company's payor-agnostic healthcare services offerings, including pharmacy dispensing services, provider services, and home services. In addition to the new segment classifications being utilized to assess performance and allocate resources, Humana believes this simpler structure will create greater collaboration across the Insurance and CenterWell businesses and will accelerate work that is underway to centralize and integrate operations within the organization.
Prior period segment financial information has been recast to conform to the new segment presentation. For recast of prior period segment financial information, refer to Segment Realignment Supplementary Information starting on page S-20 of this earnings release.
In addition to the recast of prior periods to align to the new segmentation, Humana has also provided a view of 4Q22 and FY 2022 results under the previous segment presentation to align with guidance points included as part of the company's third quarter 2022 earnings release dated November 2, 2022. Refer to Segment Realignment Supplementary Information starting on page S-23 of this earnings release.

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Humana Inc. Summary of Results
(in millions, except per share amounts)
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
CONSOLIDATED
Revenues $22,439$21,054$92,870$83,064
Revenues - Adjusted (non-GAAP)$22,443$21,198$92,993$83,405
Pretax results($71)($60)$3,568$3,354
Pretax results - Adjusted (non-GAAP)$263$166$4,181$3,356
(Net loss per share) EPS($0.12)($0.11)$22.08$22.67
EPS - Adjusted (non-GAAP)$1.62$1.24$25.24$20.64
Benefits expense ratio87.3 %87.9 %86.3 %86.7 %
Operating cost ratio15.9 %16.1 %13.7 %12.2 %
Operating cost ratio - Adjusted (non-GAAP)14.9 %15.9 %13.1 %12.1 %
Operating cash flows($5,127)($96)$4,587$2,262
Operating cash flows - Adjusted (non-GAAP) (e)$651($96)$4,587$2,262
Parent company cash and short term investments$934$1,334
Debt-to-total capitalization42.0 %43.7 %
Days in Claims Payable45.943.7
INSURANCE SEGMENT
Revenues$21,599$20,137$88,841$80,930
Benefits expense ratio87.5 %88.5 %86.6 %87.2 %
Operating cost ratio12.8 %12.7 %10.4 %10.3 %
Income (loss) from operations$46($105)$3,022$2,412
Income (loss) from operations - Adjusted (non-GAAP) (f)$53($100)$3,052$2,433
CENTERWELL SEGMENT
Revenues$4,141$4,085$17,307$14,058
Operating cost ratio92.6 %91.7 %91.5 %92.3 %
Income from operations$263$299$1,291$938
Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) (non-GAAP) (g)$325$337$1,488$1,206





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2023 Earnings Guidance
The company provided its GAAP and Adjusted EPS guidance for the year ending December 31, 2023 (FY 2023) as detailed below.
GAAP and Adjusted EPS results for FY 2022 are also shown for comparison.
Additional FY 2023 guidance points are included in the table on page 17 of this earnings release.


Diluted earnings per common share
FY 2023
 Guidance (h)
FY 2022 (c)
GAAP at least $27.57$22.08 
Amortization of identifiable intangibles0.55 0.64 
Put/call valuation adjustments associated with company's non-consolidating minority interest investments 0.53 
Transaction and integration costs 0.83 
Change in fair market value of publicly-traded equity securities 0.97 
Charges associated with productivity initiatives related to the previously disclosed $1 billion value creation plan 3.72 
Net gain on the sale of KAH Hospice  (1.86)
Tax impact of non-GAAP adjustments(0.12)(1.67)
Adjusted (non-GAAP) – FY 2023 projected; FY 2022 reportedat least $28.00$25.24 





























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Humana Consolidated Highlights

Humana Inc. Summary of Results
(in millions, except per share amounts)
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
CONSOLIDATED
Revenues $22,439$21,054$92,870$83,064
Revenues - Adjusted (non-GAAP)$22,443$21,198$92,993$83,405
Pretax results($71)($60)$3,568$3,354
Pretax results - Adjusted (non-GAAP)$263$166$4,181$3,356
(Net loss per share) EPS($0.12)($0.11)$22.08$22.67
EPS - Adjusted (non-GAAP)$1.62$1.24$25.24$20.64
Benefits expense ratio87.3 %87.9 %86.3 %86.7 %
Operating cost ratio15.9 %16.1 %13.7 %12.2 %
Operating cost ratio - Adjusted (non-GAAP)14.9 %15.9 %13.1 %12.1 %
Operating cash flows($5,127)($96)$4,587$2,262
Operating cash flows - Adjusted (non-GAAP) (e)$651($96)$4,587$2,262
Parent company cash and short term investments$934$1,334
Debt-to-total capitalization42.0 %43.7 %
Days in Claims Payable45.943.7
Consolidated revenues
The favorable year-over-year GAAP consolidated revenues comparison for both the quarter and the FY period were primarily driven by the following factors:
individual Medicare Advantage and state-based contracts membership growth,
higher per member individual Medicare Advantage premiums, and
specific to FY 2022, the impact of Home solutions revenues (The acquisition of the remaining 60 percent interest in Kindred at Home (KAH) was completed in August 2021; this impact was partially offset by the divestiture of the company's 60 percent ownership of KAH Hospice that was completed in August 2022).
These increases were partially offset by the following factors:
declining year-over-year membership associated with the company's group commercial medical products; and
the phase-out of COVID-19 sequestration relief in FY 2022.
Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted consolidated revenues for the respective periods.


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Consolidated benefits expense
The year-over-year quarterly and FY declines in the ratio reflect the favorable impact of higher per member individual Medicare Advantage premiums and lower inpatient utilization associated with the individual Medicare Advantage business.
These factors were partially offset by lower favorable prior period medical claims reserve development (Prior Period Development) in 2022. Excluding the impact of the lower favorable Prior Period Development, the consolidated benefit ratio would have been 87.4 percent in 4Q22 compared to 88.2 percent in 4Q21, and 86.8 percent in FY 2022 compared to 87.7 percent in FY 2021.
Furthermore, the 4Q22 and FY 2022 ratios continue to reflect a shift in line of business mix with continued growth in certain government programs, which carry a higher benefits expense ratio, combined with a decline in Medicare stand-alone PDP, which has a lower benefits expense ratio.
Prior Period Medical Claims Reserve Development (Prior Period Development)
The higher levels of favorable Prior Period Development in 2021 reflected the reversal of actions taken in 2020, including the suspension of certain financial recovery programs for a period of time to provide financial and administrative relief for providers facing unprecedented strain as a result of the pandemic.
Consolidated Favorable Prior Period Development
$ in millions
Basis points (bps)
First
Quarter
Second
Quarter
Third QuarterFourth
Quarter
FY
Prior Period Development from prior years recognized in 2022$360$37$7$11$415
Decrease to benefits expense ratio(160 bps)(20 bps)(- bps)(10 bps)(50 bps)
Prior Period Development from prior years recognized in 2021$555$164$49$57$825
Decrease to benefits expense ratio(280 bps)(80 bps)(20 bps)(30 bps)(100 bps)
Consolidated operating expenses
The increase in the GAAP consolidated operating cost ratio from FY 2021 to FY 2022 primarily related to the following factors:
the impact of KAH operations; the business has a significantly higher operating cost ratio than the company's historical consolidated operating cost ratio; the operations added approximately 110 basis points and 170 basis points, respectively, to the 4Q22 and FY 2022 consolidated operating cost ratios compared to 230 basis points and 90 basis points, respectively, to the 4Q21 and FY 2021 ratios,
the net impact of charges associated with initiatives undertaken associated with the company's previously disclosed $1 billion value creation plan, primarily related to asset and software impairment and abandonment and severance. The charges were recorded at the corporate level and not allocated to the segments, and
the impact of higher marketing spend in 2022 to support individual Medicare Advantage growth.
These increases were partially offset by scale efficiencies associated with growth in the company's individual Medicare Advantage membership.
The year-over-year quarterly comparison was impacted by the same factors impacting the FY comparison. The slight decrease in the GAAP consolidated operating cost ratio from 4Q21 to 4Q22 was primarily the result of the divestiture of the company's 60 percent ownership of KAH Hospice operations in August 2022.
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Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted consolidated operating cost ratios for the respective periods.
Balance sheet
Days in claims payable (DCP) of 45.9 days at December 31, 2022 represented a decrease of 0.3 days from 46.2 days at September 30, 2022, and an increase of 2.2 days from 43.7 days at December 31, 2021.
Humana's debt-to-total capitalization at December 31, 2022 increased 260 basis points to 42.0 percent from 39.4 percent at September 30, 2022. The increase primarily resulted from the company's decrease in total capitalization as a result of the November 2022 accelerated stock repurchase (ASR) program.
Operating cash flows

GAAP cash flows provided by operations in 4Q22 were significantly impacted by the timing of the premium payment from CMS, as the early receipt of the October 2022 Medicare premium payment of $5.78 billion was received in September 2022.

The year-over-year favorable comparison of FY operating cash flows further reflects higher earnings in 2022, excluding the impact of the gains recognized from the respective KAH transactions in each year, combined with positive working capital impacts in 2022, and the 2021 cash flow impact associated with the pay down of claims inventory and capitation for provider surplus amounts earned in 2020, as well as additional provider support.
Net cash from operating activities
(in millions)
(Used in) provided by
4Q224Q21FY 2022FY 2021
GAAP$(5,127)$(96)$4,587 $2,262 
Timing of premium payment from CMS (e)5,778 — — — 
Adjusted (non-GAAP)
$651 $(96)$4,587 $2,262 
Share repurchases
FY 2022*
Total Number of Shares Repurchased4,303,800
January 2022 ASR
November 2022 ASR
2,431,200
1,872,600
Average Price Paid per Share$464.71 
January 2022 ASR
November 2022 ASR
$411.32
$534.02
Remaining Repurchase Authorization as of January 31, 2023$1.00 billion
*Represents shares purchased under the previously announced ASR programs in January 2022 ($1.00 billion) and November 2022 ($1.00 billion), each part of the $3.00 billion repurchase program authorized by the Board of Directors on February 18, 2021. Final settlement of the January 2022 ASR was completed during the first quarter of 2022, while final settlement of the November 2022 ASR was completed in 4Q22.
Humana’s Insurance Segment
This segment is comprised of insurance products serving Medicare and state-based contract beneficiaries, as well as individuals and employers. The segment also includes the company's Pharmacy Benefit Manager, or PBM, business.
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Insurance Segment Results
in millions, except percentages
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
Revenues$21,599$20,137$88,841$80,930
Benefits expense ratio87.5 %88.5 %86.6 %87.2 %
Operating cost ratio12.8 %12.7 %10.4 %10.3 %
Income (loss) from operations$46($105)$3,022$2,412
Income (loss) from operations - Adjusted (non-GAAP) (f)$53($100)$3,052$2,433
Insurance Segment Revenues:
The year-over-year increases in Insurance segment revenues, on both a quarter and FY basis, primarily reflect the following items:
individual Medicare Advantage and state-based contracts membership growth; and
higher per member individual Medicare Advantage and commercial fully-insured medical premiums.
These factors were partially offset by the phase-out of COVID-19 sequestration relief in FY 2022, along with declining year-over-year membership associated with the company's group commercial medical product.
Insurance Segment Benefits Expense:
The year-over-year quarterly and FY declines in the ratio reflect the favorable impact of higher per member individual Medicare Advantage premiums and lower inpatient utilization associated with the individual Medicare Advantage business.
These factors were partially offset by lower favorable Prior Period Development in 2022. Excluding the impact of the lower favorable Prior Period Development, the segment's benefit ratio would have been 87.6 percent in 4Q22 compared to 88.8 percent in 4Q21, and 87.1 percent in FY 2022 compared to 88.2 percent in FY 2021.
Furthermore, the 4Q22 and FY 2022 ratios continue to reflect a shift in line of business mix within the segment, with growth in individual Medicare Advantage and state-based contracts and other membership, which carry a higher benefits expense ratio, combined with a decline in Medicare stand-alone PDP, which has a lower benefits expense ratio.
Insurance Segment Operating Costs:
The slight increases in the segment's 4Q22 and FY 2022 operating cost ratios from the respective periods in 2021 primarily reflect strategic investments to position the segment for long-term success, including the impact of higher marketing spend in 2022 to support individual Medicare Advantage growth.
These factors were partially offset by scale efficiencies associated with growth in the company's individual Medicare Advantage membership.
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Insurance Segment Enrollment:

 in thousands
  Year-over-Year ChangeSequential Change
 December 31, 2022December 31, 2021September 30, 2022AmountPercentAmountPercent
Medical Membership:
Individual Medicare Advantage4,565.6 4,409.1 4,564.2 156.5 3.5 %1.4 — %
Group Medicare Advantage565.1 560.6 564.6 4.5 0.8 %0.5 0.1 %
Total Medicare Advantage5,130.7 4,969.7 5,128.8 161.0 3.2 %1.9 — %
Medicare stand-alone PDP3,551.3 3,606.2 3,569.1 (54.9)-1.5 %(17.8)-0.5 %
Total Medicare8,682.0 8,575.9 8,697.9 106.1 1.2 %(15.9)-0.2 %
State-based contracts and other1,137.3 940.1 1,098.9 197.2 21.0 %38.4 3.5 %
Medicare Supplement313.6 331.9 316.5 (18.3)-5.5 %(2.9)-0.9 %
Fully-insured commercial medical556.3 674.6 574.5 (118.3)-17.5 %(18.2)-3.2 %
ASO commercial430.1 495.5 438.6 (65.4)-13.2 %(8.5)-1.9 %
Military services5,959.9 6,049.0 5,977.9 (89.1)-1.5 %(18.0)-0.3 %
Total Medical Membership17,079.2 17,067.0 17,104.3 12.2 0.1 %(25.1)0.1 %
Specialty Membership:     
Dental—fully-insured2,416.3 2,543.4 2,435.3 (127.1)-5.0 %(19.0)-0.8 %
Dental—ASO288.1 279.3 287.1 8.8 3.2 %1.0 0.3 %
Total Dental2,704.4 2,822.7 2,722.4 (118.3)-4.2 %(18.0)-0.7 %
Vision2,081.7 2,062.0 2,078.3 19.7 1.0 %3.4 0.2 %
Other supplemental benefits408.7 409.6 409.4 (0.9)-0.2 %(0.7)-0.2 %
Total Specialty Membership (i)
5,194.8 5,294.3 5,210.1 (99.5)-1.9 %(15.3)-0.3 %
Individual Medicare Advantage membership includes 668,900 Dual Eligible Special Need Plans (D-SNP) members as of December 31, 2022, a net increase of 92,800, or 16 percent, from 576,100 as of December 31, 2021, and up 1,900, or less than 1 percent, from 667,000 as of September 30, 2022.
January     2023 Ending Membership

January 2023 individual Medicare Advantage membership approximated 5,060,000, up approximately 494,400, or 11 percent from December 31, 2022, reflecting net membership additions during the recently completed 2023 Annual Election Period (AEP). Included within this membership is approximately 741,000 D-SNP members, an increase of 72,100, or 11 percent, from December 31, 2022.

January     2023 group Medicare Advantage membership approximated 517,000, down approximately 48,100, or 9 percent from December 31, 2022, reflecting net membership declines during the 2023 selling season.

January     2023 stand-alone PDP membership approximated 2,985,000, down approximately 566,300, or 16 percent from December 31, 2022, reflecting net membership losses during the recently completed 2023 AEP.

Humana’s CenterWell Segment
This segment includes pharmacy (excluding the PBM operations), provider, and home solutions. The segment also includes the impact of non-consolidating minority interest investments related to the company's strategic partnerships with Welsh, Carson, Anderson & Stowe (WCAS) to develop and operate senior-focused, payor-agnostic, primary care centers, as well as the KAH Hospice operations. Services offered by this segment are designed to enhance the overall healthcare experience. These services may lead to lower utilization associated with improved member health and/or lower drug costs.
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CenterWell Segment Results
in millions, except percentages
4Q22 4Q21FY 2022FY 2021
Revenues$4,141$4,085$17,307$14,058
Operating cost ratio92.6 %91.7 %91.5 %92.3 %
Income from operations$263$299$1,291$938
Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) (non-GAAP) (g)$325$337$1,488$1,206
CenterWell Segment Revenues:
CenterWell segment revenues in 4Q22 and FY 2022 increased compared to the respective periods in 2021; these changes were impacted by the following factors:
the company's individual Medicare Advantage membership growth, combined with the impact of greater mail-order pharmacy penetration for Medicare Advantage members, which led to higher pharmacy revenues,
higher revenues associated with growth in the company's provider business, and
specifically for FY 2022, the impact of Home Solutions revenues (The acquisition of the remaining 60 percent interest in KAH was completed in August 2021; this impact was partially offset by the divestiture of the company's 60 percent ownership of KAH Hospice that was completed in August 2022).
CenterWell Segment Operating Costs:
The year-over-year increase in the 4Q22 operating cost ratio from 4Q21 primarily resulted from the divestiture of the company's 60 percent ownership of KAH Hospice operations in August 2022.
The year-over-year decline in the segment's FY operating cost ratio from 2021 to 2022 primarily represents the impact of the KAH operations being consolidated for the entire FY 2022 period compared to a partial period in 2021 due to the timing of the previously discussed transactions. The KAH operations have a lower operating cost ratio than other businesses within the segment. The year-over-year FY favorability was further impacted by the company's pharmacy operations.
The FY favorability was partially offset by investments in KAH to abate the pressures of the current nursing labor environment.
See additional operational metrics for the CenterWell segment on pages S-15 through S-17 of the statistical supplement included in this release.
Conference Call
Humana will host a conference call at 9:00 a.m. Eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings.
To participate via phone, please register in advance at this link - https://register.vevent.com/register/BI4189468fb19c466d8457e67cf5a59540.

Upon registration, telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number and a unique registrant ID that can be used to access the call. A webcast of the 4Q22 earnings call may also be accessed via Humana’s Investor Relations page at humana.com. The company suggests
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participants for both the conference call and those listening via the web dial in or sign on at least 15 minutes in advance of the call.
For those unable to participate in the live event, the archive will be available in the Historical Webcasts and Presentations section of the Investor Relations page at humana.com, approximately two hours following the live webcast.
Footnotes
The company has included financial measures throughout this earnings release that are not in accordance with GAAP. Management believes that these measures, when presented in conjunction with the comparable GAAP measures, are useful to both management and its investors in analyzing the company’s ongoing business and operating performance. Consequently, management uses these non-GAAP (Adjusted) financial measures as indicators of the company’s business performance, as well as for operational planning and decision making purposes. Non-GAAP (Adjusted) financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP. All financial measures in this press release are in accordance with GAAP unless otherwise indicated. Please refer to the footnotes for a detailed description of each item adjusted out of GAAP financial measures to arrive at a non-GAAP (Adjusted) financial measure.

(a) 4Q22 Adjusted results exclude the following:
Amortization expense for identifiable intangibles - GAAP measures affected in this release include consolidated pretax results, EPS, and segment income from operations (including amortization expense of $7 million in the Insurance segment and $13 million in the CenterWell segment).
Put/call valuation adjustments associated with Humana’s non-consolidating minority interest investments - GAAP measures affected include consolidated pretax results and EPS.
Transaction and integration costs - GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation below for respective period.
Change in fair market value of publicly-traded equity securities - GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues. See Consolidated revenues reconciliation below for respective period.
Initiatives undertaken associated with the company's previously disclosed $1 billion value creation plan - GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation below for respective period.
Gain related to the sale of a 60 percent interest in KAH Hospice in August 2022 - Consolidated pretax results and EPS are the only GAAP measures affected.
Cumulative net tax benefit of adjustments - EPS is the only GAAP measure affected.

Consolidated revenues
(in millions)
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
GAAP$22,439$21,054$92,870$83,064
Change in fair market value of publicly-traded equity securities4 144 123341 
Adjusted (non-GAAP)$22,443 $21,198 $92,993 $83,405 

Operating cost ratio
Operating costs excluding depreciation and amortization as a percent of revenues excluding investment income
4Q22 (a)4Q21 (b)FY 2022 (c)FY 2021 (d)
GAAP15.9 %16.1 %13.7 %12.2 %
Transaction and integration costs(0.2)%(0.2)%(0.1)%(0.1)%
Charges associated with productivity initiatives related to the previously disclosed $1 billion value creation plan(0.8)%— %(0.5)%— %
Adjusted (non-GAAP)14.9 %15.9 %13.1 %12.1 %

(b) 4Q21 Adjusted results exclude the following:
Amortization expense for identifiable intangibles - GAAP measures affected include consolidated pretax results, EPS, and segment loss from operations (including amortization expense of $5 million in the Insurance segment and $12 million in the CenterWell segment).
11


Put/call valuation adjustments associated with Humana’s non-consolidating minority interest investments - GAAP measures affected include consolidated pretax results and EPS.
Transaction and integration costs - GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation above for respective period.
Change in fair market value of publicly-traded equity securities - GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues. See Consolidated revenues reconciliation above for respective period.
Cumulative net tax benefit of adjustments - EPS is the only GAAP measure affected.

c) FY 2022 Adjusted results exclude the following:
Amortization expense for identifiable intangibles - GAAP measures affected include consolidated pretax results, EPS, and segment income from operations (including amortization expense of $30 million in the Insurance segment and $51 million in the CenterWell segment).
Put/call valuation adjustments associated with Humana’s non-consolidating minority interest investments - GAAP measures affected include consolidated pretax results and EPS.
Transaction and integration costs - GAAP measure affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation above for respective period.
Change in fair market value of publicly-traded equity securities - GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues. See Consolidated revenues reconciliation above for respective period.
Charges related to initiatives undertaken associated with the company's previously disclosed $1 billion value creation plan - GAAP measures affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation above for respective period.
Gain related to the sale of a 60 percent interest in KAH Hospice in August 2022 - Consolidated pretax results and EPS are the only GAAP measures affected.
Cumulative net tax benefit of adjustments - EPS is the only GAAP measure affected.

d) FY 2021 Adjusted results exclude the following:
Amortization expense for identifiable intangibles - GAAP measures affected include consolidated pretax results, EPS, and segment income from operations (including amortization expense of $21 million in the Insurance segment and $44 million in the CenterWell segment).
Gain associated with Kindred at Home equity method investment; the gain was recorded upon closing of the Kindred at Home transaction in August 2021 - GAAP measures affected include consolidated pretax results and EPS.
Put/call valuation adjustments associated with Humana’s non-consolidating minority interest investments, including the impact of the termination of the put/call agreement related to Kindred at Home as a result of the transaction announced on April 27, 2021 - GAAP measures affected include consolidated pretax results and EPS.
Transaction and integration costs - GAAP measure affected include consolidated pretax results, EPS, and the consolidated operating cost ratio. See Operating cost ratio reconciliation above for respective period.
Change in fair market value of publicly-traded equity securities - GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues. See Consolidated revenues reconciliation above for respective period.
Cumulative net tax benefit of adjustments - EPS is the only GAAP measure affected.

(e) Generally, when the first day of a month falls on a weekend of holiday, with the exception of January 1 (New Year's Day), the company receives its monthly Medicare premium payment from CMS on the last business day of the previous month. On a GAAP basis, this can result in certain quarterly cash flows from operations including more or less than three monthly payments. Consequently, when this occurs, the company reports Adjusted cash flows from operations to reflect three payments in each quarter to match the related expenses.

(f) Reconciliation of Insurance segment income (loss) from operations:
Insurance segment income (loss) from operations4Q224Q21FY 2022FY 2021
Income (loss) from operations $46($105)$3,022$2,412
Amortization associated with identifiable intangibles7 30 21 
Income (loss) from operations - Adjusted (non-GAAP)$53 ($100)$3,052 $2,433 
(g) The CenterWell segment Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) includes the segment's income from operations with adjustments to add back depreciation and amortization expense, interest expense, and income taxes. Adjusted EBITDA includes results from all lines of business within the segment. Adjusted EBITDA also includes the
12


impact of Humana’s minority interest related to the strategic partnership with Welsh, Carson, Anderson & Stowe (WCAS) to develop and operate senior-focused, payor-agnostic, primary care centers, as well as Humana's minority interest ownership of KAH operations based on the timing of previously disclosed transactions.
CenterWell segment Adjusted EBITDA
(in millions)
4Q224Q21FY 2022FY 2021
Income from operations$263$299$1,291$938
Equity in (losses) earnings(7)(4)(22)65 
Non-controlling interest income (1)(1)(1)
Depreciation and amortization expense47 43 186 165 
Interest and taxes22 — 34 39 
Adjusted EBITDA (non-GAAP)
4Q and FY 2022 Adjusted EBITDA excludes impact of KAH Hospice gain/adjustment
$325 $337 $1,488 $1,206 

(h) FY 2023 projected Adjusted results exclude the following:
FY 2023 GAAP EPS excludes the impact of fair value changes of the put/call options associated with Humana's non-consolidating minority interest investments as future value changes can't be estimated.
The fair value of publicly traded securities, their impact on GAAP EPS, and the related non-GAAP adjustment will fluctuate depending on the public trading value of the stock. The guidance set forth herein assumes no further change in the fair value of those investments.

(i) The company provides a full range of insured specialty products including dental, vision, and life insurance benefits marketed to individuals and groups. Members included in these products may not be unique to each product since members have the ability to enroll in a medical product and one or more specialty products.
Cautionary Statement
This news release includes forward-looking statements regarding Humana within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humana’s executive officers, the words or phrases like “expects,” “believes,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements.
These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of the company’s SEC filings, a summary of which includes but is not limited to the following:
If Humana does not design and price its products properly and competitively, if the premiums Humana receives are insufficient to cover the cost of healthcare services delivered to its members, if the company is unable to implement clinical initiatives to provide a better healthcare experience for its members, lower costs and appropriately document the risk profile of its members, or if its estimates of benefits expense are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. The company continually reviews estimates of future payments relating to benefit expenses for services incurred in the current and prior periods and makes necessary adjustments to its reserves, including premium deficiency reserves, where appropriate. These estimates involve extensive judgment, and have considerable inherent variability because they are extremely sensitive to changes in claim payment patterns and medical cost trends. Accordingly, Humana's reserves may be insufficient.
If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, which are of particular importance given the concentration of the company's revenues in
13


these products, state-based contract strategy, the growth of its CenterWell business, and its integrated care delivery model, the company’s business may be materially adversely affected. In addition, there can be no assurances that the company will be successful in maintaining or improving its Star ratings in future years.
If Humana fails to properly maintain the integrity of its data, to strategically maintain existing or implement new information systems, to protect Humana’s proprietary rights to its systems, or to defend against cyber-security attacks or prevent other privacy or data security incidents that result in security breaches that disrupt the company's operations or in the unintentional dissemination of sensitive personal information or proprietary or confidential information, the company’s business may be materially adversely affected.
Humana is involved in various legal actions, or disputes that could lead to legal actions (such as, among other things, provider contract disputes and qui tam litigation brought by individuals on behalf of the government), governmental and internal investigations, and routine internal review of business processes any of which, if resolved unfavorably to the company, could result in substantial monetary damages or changes in its business practices. Increased litigation and negative publicity could also increase the company’s cost of doing business.
As a government contractor, Humana is exposed to risks that may materially adversely affect its business or its willingness or ability to participate in government healthcare programs including, among other things, loss of material government contracts; governmental audits and investigations; potential inadequacy of government determined payment rates; potential restrictions on profitability; including by comparison of profitability of the company’s Medicare Advantage business to non-Medicare Advantage business; or other changes in the governmental programs in which Humana participates. Changes to the risk-adjustment model utilized by CMS to adjust premiums paid to Medicare Advantage, or MA, plans according to the health status of covered members, including changes to the methodology used by CMS for risk adjustment data validation audits that fail to address adequately the statutory requirement of actuarial equivalence, if implemented, could have a material adverse effect on the company's operating results, financial position and cash flows.
Humana's business activities are subject to substantial government regulation. New laws or regulations, or legislative, judicial, or regulatory changes in existing laws or regulations or their manner of application could increase the company's cost of doing business and have a material adverse effect on Humana’s results of operations (including restricting revenue, enrollment and premium growth in certain products and market segments, restricting the company’s ability to expand into new markets, increasing the company’s medical and operating costs by, among other things, requiring a minimum benefit ratio on insured products, lowering the company’s Medicare payment rates and increasing the company’s expenses associated with a non-deductible health insurance industry fee and other assessments); the company’s financial position (including the company’s ability to maintain the value of its goodwill); and the company’s cash flows.
Humana’s failure to manage acquisitions, divestitures and other significant transactions successfully may have a material adverse effect on the company’s results of operations, financial position, and cash flows.
If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business may be adversely affected.
Humana faces significant competition in attracting and retaining talented employees. Further, managing succession for, and retention of, key executives is critical to the Company’s success, and its failure to do so could adversely affect the Company’s businesses, operating results and/or future performance.
Humana’s pharmacy business is highly competitive and subjects it to regulations and supply chain risks in addition to those the company faces with its core health benefits businesses.
Changes in the prescription drug industry pricing benchmarks may adversely affect Humana’s financial performance.
Humana’s ability to obtain funds from certain of its licensed subsidiaries is restricted by state insurance regulations.
Downgrades in Humana’s debt ratings, should they occur, may adversely affect its business, results of operations, and financial condition.
14


The securities and credit markets may experience volatility and disruption, which may adversely affect Humana’s business.
The spread of, and response to, the novel coronavirus, or COVID-19, underscores certain risks Humana faces, including those discussed above, and the ongoing, heightened uncertainty created by the pandemic precludes any prediction as to the ultimate adverse impact to Humana of COVID-19.

As the COVID-19 pandemic continues, the premiums the company charges may prove to be insufficient to cover the cost of health care services delivered to its members, each of which could be impacted by many factors, including the impacts that Humana has experienced, and may continue to experience, to its revenues due to limitations on its ability to implement clinical initiatives to manage health care costs and chronic conditions of its members, and appropriately document their risk profiles, as a result of the company’s members being unable or unwilling to see their providers due to actions taken to mitigate the spread of COVID-19; increased costs that may result from higher utilization rates of medical facilities and services and other increases in associated hospital and pharmaceutical costs; and shifts in the company’s premium and medical claims cost trends to reflect the demographic impact of higher mortality during the COVID-19 pandemic. In addition, Humana is offering, and has been mandated by legislative and regulatory action (including the Families First Act and CARES Act) to provide, certain expanded benefit coverage to its members, such as waiving, or reimbursing, certain costs for COVID-19 testing, vaccinations and treatment. These measures taken by Humana, or governmental action, to respond to the ongoing impact of COVID-19 (including further expansion or modification of the services delivered to its members, the adoption or modification of regulatory requirements associated with those services and the costs and challenges associated with ensuring timely compliance with such requirements), and the potential for widespread testing, treatments and the distribution and administration of COVID-19 vaccines, could adversely impact the company’s profitability.

The spread and impact of COVID-19 and additional variants, or actions taken to mitigate this spread, could have material and adverse effects on Humana’s ability to operate effectively, including as a result of the complete or partial closure of facilities or labor shortages. Disruptions in public and private infrastructure, including communications, availability of in-person sales and marketing channels, financial services and supply chains, could materially and adversely disrupt the company’s normal business operations. A significant subset of the company's and the company's third party providers' employee population are in a remote work environment in an effort to mitigate the spread of COVID-19, which may exacerbate certain risks to Humana’s business, including an increased demand for information technology resources, increased risk of phishing and other cybersecurity attacks, and increased risk of unauthorized dissemination of sensitive personal, proprietary, or confidential information. The continued COVID-19 pandemic has severely impacted global economic activity, including the businesses of some of Humana’s commercial customers, and caused significant volatility and negative pressure in the financial markets. In addition to disrupting Humana’s operations, these developments may adversely affect the timing of commercial customer premium collections and corresponding claim payments, the value of the company’s investment portfolio, or future liquidity needs.
The ongoing, heightened uncertainty created by the pandemic precludes any prediction as to the ultimate adverse impact to Humana of COVID-19. Humana is continuing to monitor the spread of COVID-19, changes to the company’s benefit coverages, and the ongoing costs and business impacts of dealing with COVID-19, including the potential costs and impacts associated with lifting or reimposing restrictions on movement and economic activity, the timing and degree in resumption of demand for deferred healthcare services, the pace of administration of COVID-19 vaccines and the effectiveness of those vaccines, and related risks. The magnitude and duration of the pandemic remain uncertain, and its impact on Humana’s business, results of operations, financial position, and cash flows could be material.
In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is unable to
15


predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
Form 10-K for the year ended December 31, 2021;
Form 10-Q for the quarters ended March 31, 2022; June 30, 2022; September 30, 2022; and
Form 8-Ks filed during 2022 and 2023.

About Humana
Humana Inc. (NYSE: HUM) is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.
To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.
More information regarding Humana is available to investors via the Investor Relations page of the company’s website at humana.com, including copies of:
Annual reports to stockholders
Securities and Exchange Commission filings
Most recent investor conference presentations
Quarterly earnings news releases and conference calls
Calendar of events
Corporate Governance information
16


Humana Inc. Full Year 2023 Projections - AS OF FEBRUARY 1, 2023
in accordance with GAAP unless otherwise noted
Comments
Diluted earnings per common share
GAAP
at least $27.57
Adjustments~$0.43
Non-GAAP
at least $28.00
Total Revenues
Consolidated$102.7 billion to $104.7 billionConsolidated and segment level revenue projections include expected investment income.

Segment level revenues include amounts that eliminate in consolidation.
Insurance segment$99.5 billion to $101.0 billion
CenterWell segment$18.0 billion to $18.5 billion
Change in year-end medical membership from prior year-end
Individual Medicare Advantage
Growth of at least 625,000
Group Medicare AdvantageDecline of approx. 60,000
Medicare stand-alone PDPDecline of approx. 800,000
State-based contractsGrowth in range of 25,000 to 100,000State-based contracts guidance includes membership in Florida, Illinois, Kentucky, Louisiana, Ohio, South Carolina, and Wisconsin. Assumes redeterminations to begin on April 1, 2023.
Group commercial medicalDecline of approx. 300,000Group commercial medical membership includes fully-insured and ASO (self-insured).
Benefit Ratio - Insurance segment
86.3% to 87.3%Ratio calculation: benefits expense as a percent of premiums revenues.
Operating Cost Ratio - Consolidated
11.6% to 12.6%Ratio calculation: operating costs excluding depreciation and amortization as a percent of revenues excluding investment income.
Segment Results
Insurance segment income from operations$3.24 billion to $3.54 billionNo material impact to segment earnings anticipated from non-GAAP adjustments.
CenterWell segment Adjusted EBITDA$1.30 billion to $1.45 billion
Effective Tax Rate22.9% to 23.5%
Weighted Avg. Share Count for Diluted EPS125.4 million to 126.4 million
Cash flows from operations~$4.5 billion
Capital expenditures$1.2 billion
17




Humana Inc.
Statistical Schedules
and
Supplementary Information
4Q22 Earnings Release



S-1







Humana Inc.
Statistical Schedules and Supplementary Information
4Q22 Earnings Release
(S-3 - S-4)Consolidated Statements of Income
(S-5)Consolidated Balance Sheets
(S-6 - S-7)Consolidated Statements of Cash Flows
(S-8 - S-9)Consolidating Statements of Income - Quarter
(S-10 - S-11)Consolidating Statements of Income - Year Ended December 31
(S-12)Membership Detail
(S-13 - S-14)Premiums and Services Revenue Detail
(S-15 - S-17)CenterWell Segment - Pharmacy Solutions, Provider Services, & Home Solutions
(S-18)Footnotes
Segment Realignment Supplemental Information
(S-20 - S-22)Consolidating Statements of Income - Recast of 2022 Quarters in Current Segment Format
(S-23)
Non-GAAP Presentation of Segment Information - Prior Segment Format Summary of Results - 4Q22, 4Q21, FY 2022, and FY 2021
(S-24 - S-25)
Non-GAAP Presentation of Segment Information - Prior Segment Format Consolidating Statements of Income—For the quarters ended December 31, 2022 and December 31, 2021
(S-26 - S-27)
Non-GAAP Presentation of Segment Information - Prior Segment Format Consolidating Statements of Income—For the years ended December 31, 2022 and December 31, 2021
(S-28)Footnotes
S-2


Humana Inc.
Consolidated Statements of Income (Unaudited)
Dollars in millions, except per common share results
 For the three months ended December 31,
DollarPercentage
 20222021ChangeChange
Revenues:
Premiums$21,275 $19,835 $1,440 7.3 %
Services1,004 1,253 (249)-19.9 %
Investment income (loss)160 (34)194 570.6 %
Total revenues22,439 21,054 1,385 6.6 %
Operating expenses:
Benefits18,582 17,438 1,144 6.6 %
Operating costs3,551 3,395 156 4.6 %
Depreciation and amortization182 160 22 13.8 %
Total operating expenses22,315 20,993 1,322 6.3 %
Income from operations124 61 63 103.3 %
Adjustment on sale of KAH Hospice3 — n/a
Interest expense108 91 17 18.7 %
Other expense, net (A)84 30 54 180.0 %
Loss before income taxes and equity in net earnings(71)(60)(11)18.3 %
Benefit from income taxes(58)(51)13.7 %
Equity in net losses (B)(5)(4)25.0 %
Net loss(18)(13)(5)-38.5 %
Net loss (income) attributable to noncontrolling interests3 (1)400.0 %
Net loss attributable to Humana$(15)$(14)$(1)-7.1 %
Basic loss per common share$(0.12)$(0.11)$(0.01)-9.1 %
Diluted loss per common share$(0.12)$(0.11)$(0.01)-9.1 %
Shares used in computing basic loss per common share (000’s)125,644 128,612 
Shares used in computing diluted loss per common share (000’s)125,644 128,612 


S-3


Humana Inc.
Consolidated Statements of Income (Unaudited)
Dollars in millions, except per common share results
 For the year ended December 31,
DollarPercentage
 20222021ChangeChange
Revenues:
Premiums$87,712 $79,822 $7,890 9.9 %
Services4,776 3,055 1,721 56.3 %
Investment income382 187 195 104.3 %
Total revenues92,870 83,064 9,806 11.8 %
Operating expenses:
Benefits75,690 69,199 6,491 9.4 %
Operating costs12,671 10,121 2,550 25.2 %
Depreciation and amortization709 596 113 19.0 %
Total operating expenses89,070 79,916 9,154 11.5 %
Income from operations3,800 3,148 652 20.7 %
Gain on sale of KAH Hospice(237)— 237 n/a
Interest expense401 326 75 23.0 %
Other expense (income), net (A)68 (532)600 112.8 %
Income before income taxes and equity in net earnings3,568 3,354 214 6.4 %
Provision for income taxes762 485 277 57.1 %
Equity in net (losses) earnings (B)(4)65 69 106.2 %
Net income2,802 2,934 (132)-4.5 %
Net loss (income) attributable to noncontrolling interests4 (1)500.0 %
Net income attributable to Humana$2,806 $2,933 $(127)-4.3 %
Basic earnings per common share$22.20 $22.79 $(0.59)-2.6 %
Diluted earnings per common share$22.08 $22.67 $(0.59)-2.6 %
Shares used in computing basic earnings per common share (000’s)126,419 128,688 
Shares used in computing diluted earnings per common share (000’s)127,094 129,396 
S-4


Humana Inc.
Consolidated Balance Sheets (Unaudited)
Dollars in millions, except share amounts
 December 31,December 31,
 20222021
Assets
Current assets:
Cash and cash equivalents$5,061 $3,394 
Investment securities13,881 13,192 
Receivables, net1,674 1,814 
Other current assets5,567 6,493 
Total current assets26,183 24,893 
Property and equipment, net3,221 3,073 
Long-term investment securities380 780 
Equity method investments749 141 
Goodwill9,142 11,092 
Other long-term assets3,380 4,379 
Total assets$43,055 $44,358 
Liabilities and Stockholders’ Equity
Current liabilities:
Benefits payable$9,264 $8,289 
Trade accounts payable and accrued expenses5,238 4,509 
Book overdraft298 326 
Unearned revenues286 254 
Short-term debt2,092 1,953 
Total current liabilities17,178 15,331 
Long-term debt9,034 10,541 
Other long-term liabilities1,473 2,383 
Total liabilities27,685 28,255 
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $1 par; 10,000,000 shares authorized, none issued — 
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,666,598 issued at December 31, 2022
33 33 
Capital in excess of par value3,246 3,082 
Retained earnings25,492 23,086 
Accumulated other comprehensive (loss) income(1,304)42 
Treasury stock, at cost, 73,691,955 shares at December 31, 2022(12,156)(10,163)
Noncontrolling interests59 23 
Total stockholders’ equity15,370 16,103 
Total liabilities and stockholders’ equity$43,055 $44,358 
Debt-to-total capitalization ratio42.0 %43.7 %

S-5




Humana Inc.
Consolidated Statements of Cash Flows (Unaudited) Dollars in millions
 For the three months ended December 31,
 20222021
Cash flows from operating activities
Net loss$(18)$(13)
Adjustments to reconcile net loss to net cash used in operating activities:
Adjustment on sale of KAH Hospice3 — 
Loss on investment securities, net69 112 
Equity in net losses5 
Impairment on property and equipment104 — 
Depreciation194 172 
Amortization23 22 
Stock-based compensation43 48 
(Benefit) provision from deferred income taxes(67)15 
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:
Receivables(65)14 
Other assets2 (15)
Benefits payable27 (469)
Other liabilities239 (31)
Unearned revenues(5,726)19 
Other, net40 26 
Net cash used in operating activities(5,127)(96)
Cash flows from investing activities
Acquisitions, net of cash and cash equivalents acquired(44)(228)
Proceeds from sale of KAH Hospice, net(7)— 
Purchases of property and equipment, net(258)(371)
Purchases of investment securities(1,309)(624)
Maturities of investment securities151 494 
Proceeds from sales of investment securities455 627 
Net cash used in investing activities(1,012)(102)
Cash flows from financing activities
Withdrawals from contract deposits, net(1,794)(911)
Proceeds from issuance of senior notes1,238 — 
Repayment of senior notes(1,000)— 
Proceeds from commercial paper, net284 159 
Debt issue costs(4)(2)
Proceeds from issuance of term loan 2,000 
Repayment of term loan (1,928)
Change in book overdraft61 86 
Common stock repurchases(1,064)(43)
Dividends paid(101)(91)
Other22 18 
Net cash used in financing activities(2,358)(712)
Decrease in cash and cash equivalents(8,497)(910)
Cash and cash equivalents at beginning of period13,558 4,304 
Cash and cash equivalents at end of period$5,061 $3,394 
S-6




Humana Inc.
Consolidated Statements of Cash Flows (Unaudited) Dollars in millions
 
 For the year ended December 31,
 20222021
Cash flows from operating activities
Net income$2,802 $2,934 
Adjustments to reconcile net income to net cash provided by operating activities:
Gain on sale of KAH Hospice(237)— 
Gain on Kindred at Home equity method investment (1,129)
Loss on investment securities, net205 130 
Equity in net loss (earnings)4 (65)
Impairment of property and equipment248 — 
Depreciation749 640 
Amortization96 73 
Stock-based compensation216 180 
(Benefit) provision from deferred income taxes(100)15 
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:
Receivables(54)(280)
Other assets(463)(491)
Benefits payable975 104 
Other liabilities44 176 
Unearned revenues32 (65)
Other, net70 40 
Net cash provided by operating activities4,587 2,262 
Cash flows from investing activities
Acquisitions, net of cash and cash equivalents acquired(337)(4,187)
Proceeds from sale of KAH Hospice, net2,701 — 
Purchases of property and equipment, net(1,120)(1,316)
Purchases of investment securities(6,049)(7,197)
Maturities of investment securities1,365 2,597 
Proceeds from sales of investment securities2,434 3,547 
Net cash used in investing activities(1,006)(6,556)
Cash flows from financing activities
Receipts (withdrawals) from contract deposits, net1,993 (306)
Proceeds from issuance of senior notes1,982 2,984 
Repayment of senior notes(1,000)— 
(Repayment) proceeds from the issuance of commercial paper, net(376)352 
Proceeds from issuance of term loan 2,500 
Repayment of term loan(2,000)(2,078)
Debt issue costs(6)(31)
Change in book overdraft(28)
Common stock repurchases(2,096)(79)
Dividends paid(392)(354)
Other9 21 
Net cash (used in) provided by financing activities(1,914)3,015 
Increase (decrease) in cash and cash equivalents1,667 (1,279)
Cash and cash equivalents at beginning of period3,394 4,673 
Cash and cash equivalents at end of period $5,061 $3,394 
S-7


Humana Inc.
Consolidating Statements of Income—For the three months ended December 31, 2022 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$15,840 $— $— $15,840 
Group Medicare Advantage1,773 — — 1,773 
Medicare stand-alone PDP490 — — 490 
Total Medicare18,103 — — 18,103 
Fully-insured1,094 — — 1,094 
Specialty422 — — 422 
Medicaid and other (C)1,656 — — 1,656 
Total premiums21,275 — — 21,275 
Services revenue:
Home solutions (D)— 336 — 336 
Pharmacy solutions— 279 — 279 
Provider services— 159 — 159 
ASO and other (E)230 — — 230 
Total services revenue230 774 — 1,004 
Total revenues—external customers21,505 774 — 22,279 
Intersegment revenues14 3,365 (3,379)— 
Investment income80 78 160 
Total revenues21,599 4,141 (3,301)22,439 
Operating expenses:
Benefits18,623 — (41)18,582 
Operating costs2,765 3,833 (3,047)3,551 
Depreciation and amortization165 45 (28)182 
Total operating expenses21,553 3,878 (3,116)22,315 
Income (loss) from operations46 263 (185)124 
Adjustment on sale of KAH Hospice— — 
Interest expense— — 108 108 
Other expense, net (A)— — 84 84 
Income (loss) before income taxes and equity in net earnings46 260 (377)(71)
Equity in net earnings (losses) (B)(7)— (5)
Segment earnings (loss)48 253 (377)(76)
Net loss attributable to non-controlling interests— — 
Segment earnings (loss) attributable to Humana$51 $253 $(377)$(73)
Benefit ratio87.5 %87.3 %
Operating cost ratio12.8 %92.6 %15.9 %

S-8


Humana Inc.
Consolidating Statements of Income—For the three months ended December 31, 2021 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$14,612 $— $— $14,612 
Group Medicare Advantage1,688 — — 1,688 
Medicare stand-alone PDP504 — — 504 
Total Medicare16,804 — — 16,804 
Fully-insured1,228 — — 1,228 
Specialty433 — — 433 
Medicaid and other (C)1,370 — — 1,370 
Total premiums19,835 — — 19,835 
Services revenue:
Home solutions (D)— 743 — 743 
Pharmacy solutions— 151 — 151 
Provider services— 115 — 115 
ASO and other (E)244 — — 244 
Total services revenue244 1,009 — 1,253 
Total revenues—external customers20,079 1,009 — 21,088 
Intersegment revenues10 3,075 (3,085)— 
Investment income (loss)48 (83)(34)
Total revenues20,137 4,085 (3,168)21,054 
Operating expenses:
Benefits17,552 — (114)17,438 
Operating costs2,546 3,743 (2,894)3,395 
Depreciation and amortization144 43 (27)160 
Total operating expenses20,242 3,786 (3,035)20,993 
(Loss) income from operations(105)299 (133)61 
Interest expense— — 91 91 
Other expense, net (A)— — 30 30 
(Loss) income before income taxes and equity in net earnings(105)299 (254)(60)
Equity in net losses (B)— (4)— (4)
Segment (loss) earnings (105)295 (254)(64)
Net income attributable to non-controlling interests— (1)— (1)
Segment (loss) earnings attributable to Humana$(105)$294 $(254)$(65)
Benefit ratio88.5 %87.9 %
Operating cost ratio12.7 %91.7 %16.1 %
S-9


Humana Inc.
Consolidating Statements of Income—For the year ended December 31, 2022 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$65,591 $— $— $65,591 
Group Medicare Advantage7,297 — — 7,297 
Medicare stand-alone PDP2,269 — — 2,269 
Total Medicare75,157 — — 75,157 
Fully-insured4,476 — — 4,476 
Specialty1,703 — — 1,703 
Medicaid and other (C)6,376 — — 6,376 
Total premiums87,712 — — 87,712 
Services revenue:
Home solutions (D)— 2,333 — 2,333 
Pharmacy solutions — 1,025 — 1,025 
Provider services— 568 — 568 
ASO and other (E)850 —  850 
Total services revenue850 3,926 — 4,776 
Total revenues—external customers88,562 3,926 — 92,488 
Intersegment revenues56 13,373 (13,429)— 
Investment income223 151 382 
Total revenues88,841 17,307 (13,278)92,870 
Operating expenses:
Benefits75,934 — (244)75,690 
Operating costs9,251 15,835 (12,415)12,671 
Depreciation and amortization634 181 (106)709 
Total operating expenses85,819 16,016 (12,765)89,070 
Income (loss) from operations3,022 1,291 (513)3,800 
Gain on sale of KAH Hospice— (237)— (237)
Interest expense— — 401 401 
Other expense, net (A)— — 68 68 
Income (loss) before income taxes and equity in net earnings3,022 1,528 (982)3,568 
Equity in net earnings (losses) (B)18 (22)— (4)
Segment earnings (loss)3,040 1,506 (982)3,564 
Net loss (income) attributable to non-controlling interests(1)— 
Segment earnings (loss) attributable to Humana$3,045 $1,505 $(982)$3,568 
Benefit ratio86.6 %86.3 %
Operating cost ratio10.4 %91.5 %13.7 %


S-10


Humana Inc.
Consolidating Statements of Income—For the year ended December 31, 2021 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$58,654 $— $— $58,654 
Group Medicare Advantage6,955 — — 6,955 
Medicare stand-alone PDP2,371 — — 2,371 
Total Medicare67,980 — — 67,980 
Fully-insured5,002 — — 5,002 
Specialty1,731 — — 1,731 
Medicaid and other (C)5,109 — — 5,109 
Total premiums79,822 — — 79,822 
Services revenue:
Home solutions (D)— 1,166 — 1,166 
Pharmacy solutions— 623 — 623 
Provider services— 413 — 413 
ASO and other (E)853 — — 853 
Total services revenue853 2,202 — 3,055 
Total revenues—external customers80,675 2,202 — 82,877 
Intersegment revenues41 11,852 (11,893)— 
Investment income214 (31)187 
Total revenues80,930 14,058 (11,924)83,064 
Operating expenses:
Benefits69,639 — (440)69,199 
Operating costs8,340 12,968 (11,187)10,121 
Depreciation and amortization539 152 (95)596 
Total operating expenses78,518 13,120 (11,722)79,916 
Income (loss) from operations2,412 938 (202)3,148 
Interest expense— — 326 326 
Other income, net (A)— — (532)(532)
Income before income taxes and equity in net earnings2,412 938 3,354 
Equity in net earnings (B)— 65 — 65 
Segment earnings2,412 1,003 3,419 
Net income attributable to non-controlling interests— (1)— (1)
Segment earnings attributable to Humana$2,412 $1,002 $$3,418 
Benefit ratio87.2 %86.7 %
Operating cost ratio10.3 %92.3 %12.2 %
S-11


Humana Inc.
Membership Detail (Unaudited)
In thousands


    Year-over-Year Change Sequential Change
 December 31, 2022Average 4Q22December 31, 2021AmountPercentSeptember 30, 2022AmountPercent
Medical Membership:
Individual Medicare Advantage4,565.6 4,565.4 4,409.1 156.5 3.5 %4,564.2 1.4 — %
Group Medicare Advantage565.1 565.2 560.6 4.5 0.8 %564.6 0.5 0.1 %
Total Medicare Advantage5,130.7 5,130.6 4,969.7 161.0 3.2 %5,128.8 1.9 — %
Medicare stand-alone PDP3,551.3 3,556.3 3,606.2 (54.9)-1.5 %3,569.1 (17.8)-0.5 %
Total Medicare8,682.0 8,686.9 8,575.9 106.1 1.2 %8,697.9 (15.9)-0.2 %
State-based contracts and other (F)1,137.3 1,126.5 940.1 197.2 21.0 %1,098.9 38.4 3.5 %
Medicare Supplement313.6 314.7 331.9 (18.3)-5.5 %316.5 (2.9)-0.9 %
Fully-insured commercial medical556.3 560.7 674.6 (118.3)-17.5 %574.5 (18.2)-3.2 %
ASO commercial430.1 432.9 495.5 (65.4)-13.2 %438.6 (8.5)-1.9 %
Military services5,959.9 5,971.7 6,049.0 (89.1)-1.5 %5,977.9 (18.0)-0.3 %
Total Medical Membership17,079.2 17,093.4 17,067.0 12.2 0.1 %17,104.3 (25.1)0.1 %
Specialty Membership:      
Dental—fully-insured (G)2,416.3 2,425.7 2,543.4 (127.1)-5.0 %2,435.3 (19.0)-0.8 %
Dental—ASO288.1 287.8 279.3 8.8 3.2 %287.1 1.0 0.3 %
Total Dental2,704.4 2,713.5 2,822.7 (118.3)-4.2 %2,722.4 (18.0)-0.7 %
Vision2,081.7 2,080.6 2,062.0 19.7 1.0 %2,078.3 3.4 0.2 %
Other supplemental benefits (H)408.7 409.0 409.6 (0.9)-0.2 %409.4 (0.7)-0.2 %
Total Specialty Membership5,194.8 5,203.1 5,294.3 (99.5)-1.9 %5,210.1 (15.3)-0.3 %
December 31, 2022Member Mix
December 31, 2022
December 31, 2021Member Mix
December 31, 2021
Individual Medicare Advantage Membership
HMO2,618.6 57 %2,610.0 59 %
PPO/PFFS1,947.0 43 %1,799.1 41 %
Total Individual Medicare Advantage
4,565.6 100 %4,409.1 100 %
Individual Medicare Advantage Membership (I)
Shared Risk (J)1,562.9 35 %1,427.0 32 %
Path to Risk (K)1,612.6 35 %1,582.6 36 %
Total Value-based3,175.5 70 %3,009.6 68 %
Other1,390.1 30 %1,399.5 32 %
Total Individual Medicare Advantage4,565.6 100 %4,409.1 100 %
S-12


Humana Inc.
Premiums and Services Revenue Detail (Unaudited)
Dollars in millions, except per member per month
 For the three months ended December 31,Per Member per Month (N)
For the three months ended December 31,
DollarPercentage
 20222021ChangeChange20222021
Insurance
Individual Medicare Advantage$15,840 $14,612 $1,228 8.4 %$1,157 $1,104 
Group Medicare Advantage1,773 1,688 85 5.0 %1,046 1,004 
Medicare stand-alone PDP490 504 (14)-2.8 %46 46 
State-based contracts and other (C)1,656 1,370 286 20.9 %490 490 
Medicare Supplement188 186 1.1 %199 187 
Fully-insured commercial medical 906 1,042 (136)-13.1 %539 511 
Commercial ASO & other services (E)67 76 (9)-11.8 %
Military services (L)152 158 (6)-3.8 %
Specialty (M)422 433 (11)-2.5 %29 29 
Other services25 20 25.0 %
Total 21,519 20,089 1,430 7.1 %
CenterWell
Pharmacy solutions2,724 2,459 265 10.8 %
Provider services878 733 145 19.8 %
Home solutions (D)537 892 (355)-39.8 %
Total4,139 4,084 55 1.3 %










S-13


Humana Inc.
Premiums and Services Revenue Detail (Unaudited)
Dollars in millions, except per member per month

 For the year ended December 31,Per Member per Month (N)
For the year ended December 31,
DollarPercentage
 20222021ChangeChange20222021
Insurance
Individual Medicare Advantage$65,591 $58,654 $6,937 11.8 %$1,200 $1,124 
Group Medicare Advantage7,297 6,955 342 4.9 %1,079 1,038 
Medicare stand-alone PDP2,269 2,371 (102)-4.3 %53 54 
State-based contracts and other (C)6,376 5,109 1,267 24.8 %500 484 
Medicare Supplement 743 731 12 1.6 %195 184 
Fully-insured commercial medical3,733 4,271 (538)-12.6 %523 506 
Commercial ASO & other services (E)267 288 (21)-7.3 %
Military services (L)540 528 12 2.3 %
Specialty (M)1,703 1,731 (28)-1.6 %29 29 
Other services99 78 21 26.9 %
Total 88,618 80,716 7,902 9.8 %
CenterWell
Pharmacy solutions10,865 9,647 1,218 12.6 %
Provider services3,548 2,889 659 22.8 %
Home solutions (D)2,886 1,518 1,368 90.1 %
Total 17,299 14,054 3,245 23.1 %





S-14


Humana Inc.
CenterWell Segment - Pharmacy Solutions (Unaudited)


For the three months ended
December 31, 2022
For the three months ended
December 31, 2021
Year-over-Year
Difference
For the three months ended
September 30, 2022
Sequential
Difference
Generic Dispense Rate
Total Medicare91.7 %91.7 %— %91.7 %— %
Mail-Order Penetration
Total Medicare30.6 %30.7 %-0.1 %30.6 %— %

For the year ended
December 31, 2022
For the year ended
December 31, 2021
Year-over-Year
Difference
Generic Dispense Rate
Total Medicare91.7 %91.6 %0.1 %
Mail-Order Penetration
Total Medicare30.5 %30.2 %0.3 %


S-15


Humana Inc.
CenterWell Segment - Provider Services (O) (Unaudited)


As of December 31, 2022As of December 31, 2021Year-over-Year Growth
PrimaryPrimaryPrimary
CenterCarePatientsCenterCarePatientsCenterCarePatients
CountProvidersServed (P)CountProvidersServed (P)CountProvidersServed
De novo50 10419,300 326610,100 56.3 %57.6 %91.1 %
Wholly-owned185567171,900 174473167,600 6.3 %19.9 %2.6 %
Independent Physician Associations56,700 57,100 (0.7)%
235671 247,900 206539 234,800 14.1 %24.5 %5.6 %


As of September 30, 2022Sequential Growth
PrimaryPrimary
CenterCarePatientsCenterCarePatients
CountProvidersServed (P)CountProvidersServed
De novo42 9217,500 19.0 %13.0 %10.3 %
Wholly-owned180563164,600 2.8 %0.7 %4.4 %
Independent Physician Associations60,600 (6.4)%
222655 242,700 5.9 %2.4 %2.1 %







S-16


Humana Inc.
CenterWell Segment - Home Solutions (Unaudited)


For the quarter ended
December 31, 2022
For the quarter ended
December 31, 2021
Year-over-Year Growth
Episodic Admissions (Q)68,306 63,478 7.6 %
Total Admissions - Same Store (R)88,118 80,796 9.1 %


For the year ended
December 31, 2022
For the year ended
December 31, 2021
Year-over-Year Growth
Episodic Admissions (Q)276,245 263,610 4.8 %
Total Admissions - Same Store (R)354,994 333,972 6.3 %


December 31, 2022December 31, 2021Year-over-Year
Growth
Members covered by a value-based home care model (S)760,600271,100180.6%
S-17


Humana Inc.
Footnotes to Statistical Schedules and Supplementary Information
4Q22 Earnings Release
(A)Put/call valuation adjustments associated with the company's non-consolidating minority interest investments.
(B)Net earnings (losses) associated with the company's non-consolidating minority interest investments.
(C)The Medicaid and other category includes premiums associated with the company’s Medicaid business, as well as premiums associated with the health plan's direct contracting entity.
(D)Reflects results from the company's home health line of business, including the impact of the previously disclosed transactions in August 2021 and August 2022.
(E)The ASO and other category is primarily comprised of Administrative Services Only (ASO) fees and other ancillary services fees, including military services unless separately disclosed. The line also includes external revenues associated with the PBM.
(F)Membership includes Medicaid Temporary Assistance for Needy Families (TANF), dual-eligible demonstration, and Long-Term Support Services (LTSS) from state-based contracts, as well as members associated with the health plan's direct contracting entity.
(G)Fully-insured dental membership as reported does not include Humana members that have a Medicare Advantage plan that includes an embedded dental benefit.
(H)Other supplemental benefits include group life policies.
(I)Members and plans connected to Humana's 2021 Independent Care Health Plan (iCare) acquisition are being integrated into the company's systems, as such, there may be fluctuations in the value-based care distribution as the integration effort is finalized.
(J)In certain circumstances, the company contracts with providers to accept financial risk for a defined set of Medicare Advantage membership. In transferring this risk, the company prepays these providers a monthly fixed-fee per member to coordinate substantially all of the medical care for their Medicare Advantage members assigned or attributed to their provider panel, including some health benefit administrative functions and claims processing. For these capitated Shared Risk arrangements, the company generally agrees to payment rates that target a benefit expense ratio. The result is a high level of engagement on the part of the provider.
(K)A Path to Risk provider is one who has a high level of engagement and participates in one of Humana’s pay-for-performance programs (Model Practice or Medical Home) or has a risk contract in place with a trigger (future date or membership threshold) which has not yet been met. In addition to earning incentives, these providers may also have a shared savings component by which they can share in achieved surpluses when the actual cost of the medical services provided to patients assigned or attributed to their panel is less than the agreed upon medical expense target.
(L)The amounts primarily reflect services revenues under the TRICARE East Region contract that generally are contracted on a per-member basis.
(M)Specialty per member per month is computed based on reported specialty premiums and average fully-insured specialty membership for the period. Included with specialty premiums are stop-loss ASO premiums.
(N)Computed based on average membership for the period (i.e. monthly ending membership during the period divided by the number of months in the period).
(O)De novo refers to all new centers opened since 2020 under a WCAS joint venture. Wholly-owned refers to all centers outside a WCAS joint venture.
(P)Represents Medicare Advantage (MA) risk, MA path to risk, MA value-based, Direct Contracting Entity, and Accountable Care Organization patients.
(Q)Reflects patient admissions under the Patient Driven Groupings Model (PDGM) payment model.
(R)Reflects all patient admissions regardless of reimbursement model. Same store is defined as care centers that have been operated at least the last twelve months and startups that are an expansion of a same store care center.
(S)Members covered under the full value-based home model, which coordinates care and optimizes spend across home health, DME, and infusion provider categories.
S-18












Humana Inc.
Segment Realignment
Supplementary Information
2/1/23




S-19


Recast of 2022 Quarters in Current Segment Format
Consolidating Statements of Income—For the quarter ended March 31, 2022 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$17,052 $— $— $17,052 
Group Medicare Advantage1,875 — — 1,875 
Medicare stand-alone PDP639 — — 639 
Total Medicare19,566 — — 19,566 
Fully-insured1,154 — — 1,154 
Specialty429 — — 429 
Medicaid and other1,554 — — 1,554 
Total premiums22,703 — — 22,703 
Services revenue:
Home solutions— 726 726 
Pharmacy solutions— 221 — 221 
Provider services— 113 — 113 
ASO and other204 — — 204 
Total services revenue204 1,060 — 1,264 
Total revenues—external customers22,907 1,060 — 23,967 
Intersegment revenues14 3,303 (3,317)— 
Investment income46 (45)
Total revenues22,967 4,365 (3,362)23,970 
Operating expenses:
Benefits19,734 — (109)19,625 
Operating costs2,087 3,948 (3,149)2,886 
Depreciation and amortization150 47 (27)170 
Total operating expenses21,971 3,995 (3,285)22,681 
Income (loss) from operations996 370 (77)1,289 
Interest expense— — 90 90 
Other income, net— — (21)(21)
Income (losses) before income taxes and equity in net earnings996 370 (146)1,220 
Equity in net losses— (4)— (4)
Segment earnings (losses)$996 $366 $(146)$1,216 
Benefit ratio86.9 %86.4 %
Operating cost ratio9.1 %90.5 %12.0 %


S-20


Recast of 2022 Quarters in Current Segment Format
Consolidating Statements of Income—For the quarter ended June 30, 2022 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$16,692 $— $— $16,692 
Group Medicare Advantage1,857 — — 1,857 
Medicare stand-alone PDP606 — — 606 
Total Medicare19,155 — — 19,155 
Fully-insured1,128 — — 1,128 
Specialty427 — — 427 
Medicaid and other1,556 — — 1,556 
Total premiums22,266 — — 22,266 
Services revenue:
Home solutions— 752 752 
Pharmacy solutions— 254 — 254 
Provider services— 137 — 137 
ASO and other206 — — 206 
Total services revenue206 1,143 — 1,349 
Total revenues—external customers22,472 1,143 — 23,615 
Intersegment revenues14 3,383 (3,397)— 
Investment income46 — 47 
Total revenues22,532 4,527 (3,397)23,662 
Operating expenses:
Benefits19,164 — (65)19,099 
Operating costs2,105 4,125 (3,057)3,173 
Depreciation and amortization156 44 (25)175 
Total operating expenses21,425 4,169 (3,147)22,447 
Income (loss) from operations1,107 358 (250)1,215 
Interest expense— — 101 101 
Other income, net— — (8)(8)
Income (loss) before income taxes and equity in net earnings1,107 358 (343)1,122 
Equity in net earnings (losses)(6)— 
Segment earnings (losses)1,115 352 (343)1,124 
Net income attributable to non-controlling interests— (1)— (1)
Segment earnings (loss) attributable to Humana$1,115 $351 $(343)$1,123 
Benefit ratio86.1 %85.8 %
Operating cost ratio9.4 %91.1 %13.4 %

S-21


Recast of 2022 Quarters in Current Segment Format
Consolidating Statements of Income—For the quarter ended September 30, 2022 (Unaudited)
In millions
InsuranceCenterWellEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$16,007 $— $— $16,007 
Group Medicare Advantage1,792 — — 1,792 
Medicare stand-alone PDP534 — — 534 
Total Medicare18,333 — — 18,333 
Fully-insured1,100 — — 1,100 
Specialty425 — — 425 
Medicaid and other1,610 — — 1,610 
Total premiums21,468 — — 21,468 
Services revenue:
Home solutions— 519 519 
Pharmacy solutions— 271 — 271 
Provider services— 159 — 159 
ASO and other210 — — 210 
Total services revenue210 949 — 1,159 
Total revenues—external customers21,678 949 — 22,627 
Intersegment revenues14 3,322 (3,336)— 
Investment income51 118 172 
Total revenues21,743 4,274 (3,218)22,799 
Operating expenses:
Benefits18,413 — (29)18,384 
Operating costs2,294 3,929 (3,162)3,061 
Depreciation and amortization163 45 (26)182 
Total operating expenses20,870 3,974 (3,217)21,627 
Income (loss) from operations873 300 (1)1,172 
Gain on sale of KAH Hospice— (240)— (240)
Interest expense— — 102 102 
Other expense, net— — 13 13 
Income (loss) before income taxes and equity in net earnings873 540 (116)1,297 
Equity in net earnings (losses)(5)— 
Segment earnings (losses)881 535 (116)1,300 
Net loss attributable to non-controlling interests— — 
Segment earnings (losses) attributable to Humana$883 $535 $(116)$1,302 
Benefit ratio85.8 %85.6 %
Operating cost ratio10.6 %92.0 %13.5 %

S-22


Non-GAAP Presentation of Segment Information - Prior Segment Format Summary of Results - 4Q22, 4Q21, FY 2022, and FY 2021 (Unaudited)
Footnotes follow on page S-28
Humana Inc. Summary of Results
(dollars in millions, except per share amounts)
4Q224Q21FY 2022FY 2021
Non-GAAP RETAIL SEGMENT
Revenues $20,030$18,411$82,516$74,044
Benefits expense ratio 88.4 %89.0 %87.5 %87.9 %
Operating cost ratio 11.8 %11.5 %9.3 %9.2 %
(Loss) income from operations($93)($149)$2,341$1,937
(Loss) income from operations - Adjusted (a)($87)($145)$2,366$1,953
Non-GAAP GROUP AND SPECIALTY SEGMENT
Revenues$1,566$1,722$6,314$6,872
Benefits expense ratio78.5 %86.6 %77.0 %82.5 %
Operating cost ratio27.8 %26.8 %26.8 %24.6 %
Income (loss) from operations$66($37)$348$149
Income (loss) from operations - Adjusted (b)$67($36)$353$154
Non-GAAP HEALTHCARE SERVICES SEGMENT
Revenues$8,747$8,482$35,277$31,242
Operating cost ratio 95.6 %94.9 %94.8 %95.4 %
Income from operations$336$380$1,624$1,264
Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) (c) $405$425$1,845$1,557





S-23


Non-GAAP Presentation of Segment Information - Prior Segment Format
Consolidating Statements of Income—For the quarter ended December 31, 2022 (Unaudited)

RetailGroup and
Specialty
Healthcare ServicesEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$15,840 $— $— $— $15,840 
Group Medicare Advantage1,773 — — — 1,773 
Medicare stand-alone PDP490 — — — 490 
Total Medicare18,103 — — — 18,103 
Fully-insured188 906 — — 1,094 
Specialty— 422 — — 422 
Medicaid and other1,656 — — — 1,656 
Total premiums19,947 1,328 — — 21,275 
Services revenue:
Home Solutions— — 336 — 336 
Pharmacy Solutions— — 282 — 282 
Provider Services— — 159 — 159 
ASO and other218 — — 227 
Total services revenue218 777 — 1,004 
Total revenues—external customers19,956 1,546 777 — 22,279 
Intersegment revenues— 14 7,968 (7,982)— 
Investment income74 78 160 
Total revenues20,030 1,566 8,747 (7,904)22,439 
Operating expenses:
Benefits17,633 1,043 — (94)18,582 
Operating costs2,354 434 8,359 (7,596)3,551 
Depreciation and amortization136 23 52 (29)182 
Total operating expenses20,123 1,500 8,411 (7,719)22,315 
(Loss) income from operations(93)66 336 (185)124 
Adjustment on sale of KAH Hospice— — — 
Interest expense— — — 108 108 
Other expense, net— — — 84 84 
(Loss) income before income taxes and equity in net earnings(93)66 333 (377)(71)
Equity in net earnings (losses)— (7)— (5)
Segment (loss) earnings(91)66 326 (377)(76)
Net loss attributable to non-controlling interests— — — 
Segment (loss) earnings attributable to Humana$(88)$66 $326 $(377)$(73)
Benefit ratio88.4 %78.5 %87.3 %
Operating cost ratio11.8 %27.8 %95.6 %15.9 %


S-24



Non-GAAP Presentation of Segment Information - Prior Segment Format
Consolidating Statements of Income—For the quarter ended December 31, 2021 (Unaudited)

RetailGroup and
Specialty
Healthcare ServicesEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$14,612 $— $— $— $14,612 
Group Medicare Advantage1,688 — — — 1,688 
Medicare stand-alone PDP504 — — — 504 
Total Medicare16,804 — — — 16,804 
Fully-insured186 1,042 — — 1,228 
Specialty— 433 — — 433 
Medicaid and other1,370 — — — 1,370 
Total premiums18,360 1,475 — — 19,835 
Services revenue:
Home Solutions— — 743 — 743 
Pharmacy Solutions— — 155 — 155 
Provider Services— — 115 — 115 
ASO and other234 — — 240 
Total services revenue234 1,013 — 1,253 
Total revenues—external customers18,366 1,709 1,013 — 21,088 
Intersegment revenues— 10 7,468 (7,478)— 
Investment income (loss)45 (83)(34)
Total revenues18,411 1,722 8,482 (7,561)21,054 
Operating expenses:
Benefits16,333 1,277 — (172)17,438 
Operating costs2,111 460 8,052 (7,228)3,395 
Depreciation and amortization116 22 50 (28)160 
Total operating expenses18,560 1,759 8,102 (7,428)20,993 
(Loss) income from operations(149)(37)380 (133)61 
Interest expense— — — 91 91 
Other expense, net— — — 30 30 
(Loss) income before income taxes and equity in net earnings(149)(37)380 (254)(60)
Equity in net losses— — (4)— (4)
Segment (loss) earnings(149)(37)376 (254)(64)
Net income attributable to non-controlling interests— — (1)— (1)
Segment (loss) earnings attributable to Humana$(149)$(37)$375 $(254)$(65)
Benefit ratio89.0 %86.6 %87.9 %
Operating cost ratio11.5 %26.8 %94.9 %16.1 %


S-25


Non-GAAP Presentation of Segment Information - Prior Segment Format
Consolidating Statements of Income—For the year ended December 31, 2022 (Unaudited)

RetailGroup and
Specialty
Healthcare ServicesEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$65,591 $— $— $— $65,591 
Group Medicare Advantage7,297 — — — 7,297 
Medicare stand-alone PDP2,269 — — — 2,269 
Total Medicare75,157 — — — 75,157 
Fully-insured 743 3,733 — — 4,476 
Specialty— 1,703 — — 1,703 
Medicaid and other6,376 — — — 6,376 
Total premiums82,276 5,436 — — 87,712 
Services revenue:
Home Solutions— — 2,333 — 2,333 
Pharmacy Solutions— — 1,036 — 1,036 
Provider Services— — 568 — 568 
ASO and other 33 806 — — 839 
Total services revenue 33 806 3,937 — 4,776 
Total revenues—external customers82,309 6,242 3,937 — 92,488 
Intersegment revenues— 56 31,332 (31,388)— 
Investment income207 16 151 382 
Total revenues82,516 6,314 35,277 (31,237)92,870 
Operating expenses:
Benefits71,985 4,186 — (481)75,690 
Operating costs7,663 1,689 33,448 (30,129)12,671 
Depreciation and amortization527 91 205 (114)709 
Total operating expenses80,175 5,966 33,653 (30,724)89,070 
Income (loss) from operations2,341 348 1,624 (513)3,800 
Gain on sale of KAH Hospice— — (237)— (237)
Interest expense— — — 401 401 
Other expense, net— — — 68 68 
Income (loss) before income taxes and equity in net earnings2,341 348 1,861 (982)3,568 
Equity in net earnings (losses)18 — (22)— (4)
Segment earnings (loss)2,359 348 1,839 $(982)3,564 
Net loss (income) attributable to non-controlling interests— (1)— 
Segment earnings (loss) attributable to Humana$2,364 $348 $1,838 $(982)$3,568 
Benefit ratio87.5 %77.0 %86.3 %
Operating cost ratio9.3 %26.8 %94.8 %13.7 %


S-26


Non-GAAP Presentation of Segment Information - Prior Segment Format
Consolidating Statements of Income—For the year ended December 31, 2021 (Unaudited)


RetailGroup and
Specialty
Healthcare ServicesEliminations/
Corporate
Consolidated
Revenues—external customers Premiums:
Individual Medicare Advantage$58,654 $— $— $— $58,654 
Group Medicare Advantage6,955 — — — 6,955 
Medicare stand-alone PDP2,371 — — — 2,371 
Total Medicare67,980 — — — 67,980 
Fully-insured731 4,271 — — 5,002 
Specialty— 1,731 — — 1,731 
Medicaid and other5,109 — — — 5,109 
Total premiums73,820 6,002 — — 79,822 
Services revenue:
Home Solutions— — 1,166 — 1,166 
Pharmacy Solutions— — 637 — 637 
Provider Services— — 413 — 413 
ASO and other23 816 — — 839 
Total services revenue23 816 2,216 — 3,055 
Total revenues—external customers73,843 6,818 2,216 — 82,877 
Intersegment revenues40 29,022 (29,063)— 
Investment income200 14 (31)187 
Total revenues74,044 6,872 31,242 (29,094)83,064 
Operating expenses:
Benefits64,907 4,951 — (659)69,199 
Operating costs6,764 1,687 29,801 (28,131)10,121 
Depreciation and amortization436 85 177 (102)596 
Total operating expenses72,107 6,723 29,978 (28,892)79,916 
Income (loss) from operations1,937 149 1,264 (202)3,148 
Interest expense— — — 326 326 
Other income, net— — — (532)(532)
Income before income taxes and equity in net earnings1,937 149 1,264 3,354 
Equity in net earnings— — 65 — 65 
Segment earnings1,937 149 1,329 3,419 
Net income attributable to non-controlling interests— — (1)— (1)
Segment earnings attributable to Humana$1,937 $149 $1,328 $$3,418 
Benefit ratio87.9 %82.5 %86.7 %
Operating cost ratio9.2 %24.6 %95.4 %12.2 %
S-27


Footnotes
(a) Reconciliation of Retail segment (loss) income from operations:
Non-GAAP Retail (loss) income from operations
(in millions)
4Q224Q21FY 2022FY 2021
(Loss) income from operations($93)($149)$2,341$1,937
Amortization associated with identifiable intangibles6 25 16 
(Loss) income from operations - Adjusted($87)($145)$2,366 $1,953 
(b) Reconciliation of Group and Specialty income (loss) from operations:
Non-GAAP Group and Specialty income (loss) from operations
(in millions)
4Q224Q21FY 2022FY 2021
Income (loss) from operations$66($37)$348$149
Amortization associated with identifiable intangibles1 5 
Income (loss) from operations - Adjusted$67 ($36)$353 $154 
(c) The Healthcare Services segment Adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA) includes GAAP segment earnings attributable to Humana with adjustments to add back depreciation and amortization expense, interest expense, and income taxes. Adjusted EBITDA includes results from all lines of business within the segment. Adjusted EBITDA also includes the impact of Humana’s minority interest related to the strategic partnership with Welsh, Carson, Anderson & Stowe (WCAS) to develop and operate senior-focused, payor-agnostic, primary care centers, as well as Humana's minority interest ownership of KAH operations based on the timing of previously disclosed transactions..
Non-GAAP Healthcare Services Adjusted EBITDA
(in millions)
4Q224Q21FY 2022FY 2021
Income from operations$336$380$1,624$1,264
Equity in net (losses) earnings(7)(4)(22)65 
Non-controlling interest income (1)(1)(1)
Depreciation and amortization expense54 50 210 190 
Interest and taxes22 — 34 39 
Adjusted EBITDA
4Q and FY 2022 Adjusted EBITDA excludes impact of KAH Hospice gain/adjustment
$405 $425 $1,845 $1,557 
S-28

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘8-K’ Filing    Date    Other Filings
12/31/23
4/1/23
Filed on / For Period end:2/1/23
1/31/23
12/31/224
11/2/2210-Q,  8-K
9/30/2210-Q,  4
6/30/2210-Q,  4
3/31/2210-Q,  3,  4
12/31/2110-K,  11-K,  4
4/27/21
2/18/2110-K,  3,  8-K
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