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Humana — Feb 11, 2025 release

Fiscal 2024 fourth-quarter results · 8-K Item 2.02 · Exhibit 99.1 · 0000049071-25-000004
Open on SEC.gov ↗
Showing in the filing
Change in year-end medical membership from prior year-end: State-based contracts
“Growth within 175,000 to 250,000 range”
Period
FY2025
Measure
Company-defined measure
Source
Guidance table
All guidance in this release · 24
Adjusted FY 2025 EPS for FY2025
“at least in line with 2024 results”
GAAP EPS for FY2025
“approximately $15.88”
GAAP EPS for FY2025
“approximately $15.88”
Adjusted (non-GAAP) EPS for FY2025
“approximately $16.25”
Adjusted EPS for FY2025
“approximately $16.25”
Diluted earnings per share (Adjusted non-GAAP) for FY2025
“approximately $16.25”
Individual Medicare Advantage annual members… for FY2025
“approximately 550,000, or approximately 10 percent”
Diluted earnings per common share - GAAP for FY2025
“approximately $15.88”
Total Revenues Consolidated - GAAP for FY2025
“$126 billion to $128 billion”
Total Revenues Insurance segment - GAAP for FY2025
“$121 billion to $123 billion”
Total Revenues CenterWell segment - GAAP for FY2025
“$20.5 billion to $21.5 billion”
Change in year-end medical membership from p… for FY2025
“Decline of approximately 550,000”
Change in year-end medical membership from p… for FY2025
“Relatively flat”
Change in year-end medical membership from p… for FY2025
“Growth of approximately 200,000”
Change in year-end medical membership from p… for FY2025
“Growth within 175,000 to 250,000 range”
Benefit Ratio Insurance segment - GAAP for FY2025
“90.1% to 90.5%”
Operating Cost Ratio - Consolidated GAAP for FY2025
“11.3% to 11.7%”
Segment Results: Insurance segment income fr… for FY2025
“GAAP: $1.5 billion to $2.0 billion”
CenterWell segment income from operations - … for FY2025
“$1.0 billion to $1.5 billion”
CenterWell segment income from operations - … for FY2025
“$1.2 billion to $1.7 billion”
Effective Tax Rate - GAAP for FY2025
“approximately 25.0%”
Weighted Avg. Share Count for Diluted EPS for FY2025
“approximately 121.5 million”
Cash flows from operations - GAAP for FY2025
“$2.4 billion to $2.9 billion”
Capital expenditures for FY2025
“approximately $650 million”
Exhibit 99.1 · full document
n e w s r e l e a s e                                          Exhibit 99.2 Humana Inc. 500 West Main Street P.O. Box 1438 Louisville, KY 40202 http://www.humana.com FOR MORE INFORMATION CONTACT: Lisa Stoner Humana Investor Relations (502) 580-2652 e-mail: LStamper@humana.com Mark Taylor Humana Corporate Communications (317) 753-0345 e-mail: MTaylor108@humana.com Humana Reports Fourth Quarter 2024 Financial Results; Provides Full Year 2025 Financial Guidance • Reports 4Q24 net loss per share of $5.76 on a GAAP basis, Adjusted net loss per share of $2.16; reports FY 2024 earnings per share (EPS) of $9.98 on a GAAP basis, $16.21 on an Adjusted basis • 4Q24 Insurance segment Adjusted benefit ratio of 91.9 percent, which includes a 20-basis point increase related to incremental Star Ratings investments, was consistent with expectations • Affirms previous commentary of Adjusted FY 2025 EPS guidance to be 'at least in line with 2024 results'; anticipating GAAP EPS of approximately $15.88, or approximately $16.25 on an Adjusted basis, inclusive of incremental investments to support operational excellence • Expects individual Medicare Advantage annual membership decline of approximately 550,000, or approximately 10 percent, from 2024, inclusive of the company's decision to exit certain unprofitable plans and counties • Continuing to advance Medicaid and CenterWell strategies; expected to drive increased earnings contribution over the mid and longer term • Publishes prepared management remarks to Investor Relations page of www.humana.com ahead of this morning's 9:00 a.m. ET question and answer session to discuss its financial results for the quarter and expectations for future earnings LOUISVILLE, KY (February 11, 2025) – Humana Inc. (NYSE: HUM) today reported consolidated pretax results and net (loss) earnings per share for the quarter ended December 31, 2024 (4Q24) versus the quarter ended December 31, 2023 (4Q23) and for the year ended December 31, 2024 (FY 2024) versus the year ended December 31, 2023 (FY 2023) as noted in the tables below. 1 Consolidated (loss) income before income taxes and equity in net losses (pretax results) In millions 4Q24 (a) 4Q23 (a) FY 2024 (a) FY 2023 (a) Generally Accepted Accounting Principles (GAAP) ($862) ($591) $1,721   $3,383  Amortization associated with identifiable intangibles 14   15  60   67  Put/call valuation adjustments associated with the company's non-consolidating minority interest investments 155   179  296   320  Impact of exit of employer group commercial medical products business 67   1  144   16  Value creation initiatives 130   384  281   436  Impairment charges 200   91  200   91  Transaction and integration costs —   —  — (48) Accrued charge related to certain anticipated litigation expenses —   —  —   105  Change in fair market value of publicly-traded equity securities —   —  — (1) Adjusted (non-GAAP) ($296) $79  $2,702   $4,369  (Net loss per share) EPS 4Q24 (a) 4Q23 (a) FY 2024 (a) FY 2023 (a) GAAP ($5.76) ($4.42) $9.98   $20.00  Amortization associated with identifiable intangibles 0.12   0.13  0.50   0.54  Put/call valuation adjustments associated with the company's non-consolidating minority interest investments 1.29   1.46  2.45   2.57  Impact of exit of employer group commercial medical products business 0.55   0.01  1.19   0.13  Value creation initiatives 1.08   3.13  2.33   3.50  Impairment charges 1.66   0.74  1.65   0.73  Transaction and integration costs —   —  —   (0.38) Accrued charge related to certain anticipated litigation expenses —   —  —   0.84  Change in fair market value of publicly-traded equity securities —   —  —   (0.01) Cumulative net tax impact of non-GAAP adjustments (1.10) (1.16) (1.89) (1.83) Adjusted (non-GAAP) ($2.16) ($0.11) $16.21   $26.09  Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as additional reconciliations. 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. “We were pleased with Humana’s solid finish to the year, while also reaffirming our outlook for 2025,” said Jim Rechtin, Humana’s President and Chief Executive Officer. “We are confident in our long-term strategy and 2025 will be a critical step in returning to compelling, normalized margins. ” 2 FY 2025 Earnings Guidance Humana provides its GAAP EPS guidance for the year ending December 31, 2025 (FY 2025) of approximately $15.88, or approximately $16.25 on an Adjusted basis. Additional FY 2025 guidance points are included on page 14 of this earnings release. Diluted earnings per share FY 2025  Guidance FY 2024 (a) GAAP approximately $15.88 $9.98  Amortization associated with identifiable intangibles 0.49  0.50  Put/call valuation adjustments associated with the company's non-consolidating minority interest investments —  2.45  Impact of exit of employer group commercial medical products business —  1.19  Value creation initiatives —  2.33  Impairment charges —  1.65  Cumulative net tax impact of non-GAAP adjustments (0.12) (1.89) Adjusted (non-GAAP) – FY 2025 projected (b); FY 2024 Reported approximately $16.25 $16.21  Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as additional reconciliations. Humana Consolidated Highlights Humana Inc. Summary of Results ($ in millions, except per share amounts) 4Q24 (a) 4Q23 (a) FY 2024 (a) FY 2023 (a) Revenues $29,213 $26,462 $117,761 $106,374 Revenues - Adjusted (non-GAAP) $29,199 $25,734 $117,210 $102,645 Pretax results ($862) ($591) $1,721 $3,383 Pretax results - Adjusted (non-GAAP) ($296) $79 $2,702 $4,369 (Net loss per share) EPS ($5.76) ($4.42) $9.98 $20.00 (Net loss per share) EPS - Adjusted (non-GAAP) ($2.16) ($0.11) $16.21 $26.09 Benefits expense ratio 91.5   % 90.7  % 89.8   % 87.3  % Benefits expense ratio - Adjusted (non-GAAP) 91.3   % 90.5  % 89.7   % 87.2  % Operating cost ratio 14.4   % 14.6  % 11.8   % 12.5  % Operating cost ratio - Adjusted (non-GAAP) 13.2   % 12.9  % 11.3   % 11.7  % Operating cash flows $2,966 $3,981 Parent company cash and short term investments $562 $510 Debt-to-total capitalization 41.9   % 41.8  % Days in Claims Payable (DCP) 37.8 41.4 Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as reconciliations. Consolidated Revenues The favorable year-over-year quarter and FY GAAP consolidated revenues comparisons were primarily driven by the following factors: 3 • higher per member Medicare premiums, and • Medicare Advantage and state-based contracts membership growth. These factors were partially offset by the continued decline in stand-alone PDP membership, as well as a decline in membership in the group commercial medical business as a result of the company's decision to exit the business. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated revenues for the respective periods. Consolidated Benefit Ratio The year-over-year quarterly and FY increases in the GAAP consolidated benefit ratio primarily reflected the following items: • continued impact of elevated Medicare Advantage and state-based contracts medical cost trends in 4Q24 and FY 2024, and • lower favorable prior period medical claims reserve development. These factors were partially offset by t he impact of the pricing and benefit design of the company's 2024 Medicare Advantage products, which included a reduction in benefits in response to the net impact of the 2024 final rate notice and the initial emergence of increased medical cost trends in 2023. Furthermore, the year-over-year comparisons continue to reflect a shift in line of business mix, with growth in Medicare Advantage and state-based contracts and other membership, which can carry a higher benefit ratio. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated benefit ratios for the respective periods. Prior Period Medical Claims Reserve Development (Prior Period Development) Consolidated Favorable Prior Period Development $ in millions Basis points (bps) First Quarter Second Quarter Third Quarter Fourth Quarter FY Prior Period Development from prior years recognized in 2024 (c) $535 $134 $24 $8 $701 Decrease to GAAP benefit ratio (190 bps) (50 bps) (10 bps) (0 bps) (60 bps) Prior Period Development from prior years recognized in 2023 (c) $522 $232 $4 $114 $872 Decrease to GAAP benefit ratio (200 bps) (90 bps) (0 bps) (50 bps) (90 bps) Consolidated Operating Cost Ratio The year-over-year quarterly and FY decreases in the GAAP consolidated operating cost ratio from the respective 2023 periods primarily reflected the following: • scale efficiencies associated with growth in the company's Medicare Advantage membership, • administrative cost efficiencies resulting from the company's value creation initiatives, • a lesser impact from commission expense for brokers in 2024 compared to 2023 as a result of the significant individual Medicare Advantage membership growth in 2023, and • a lesser impact of value creation initiative charges in 4Q24 and FY 2024 compared to the prior year periods; these charges were recorded at the corporate level and not allocated to the segments. 4 The year-over-year FY comparison was further impacted by the accrued charge related to certain anticipated litigation expenses included in FY 2023 results. These factors were partially offset by the following items: • impact of significantly reduced compensation accruals in 4Q23 and FY 2023 related to the annual incentive plan offered to employees across all levels of the company as the company's 2023 performance was negatively impacted by higher-than-anticipated Medicare Advantage utilization trends, and • higher impairment costs in 4Q24 and FY 2024. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) consolidated operating cost ratios for the respective periods. Balance sheet • Days in claims payable (DCP) of 37.8 days at December 31, 2024 represented a decrease of 2.9 days from 40.7 days at September 30, 2024 and a decrease of 3.6 days from 41.4 days at December 31, 2023. The 2.9 days sequential decrease was primarily driven by a 2.6-day impact related to a lesser processed claims inventory as of December 31, 2024 compared to September 30, 2024. The 3.6 days year-over-year decrease was primarily driven by lower reserve requirements in provider-capitation accruals due to lower performance-based payment expectations and a lesser processed claims inventory. • Humana's debt-to-total capitalization at December 31 , 2024 decreased 40 basis points to 41.9 percent fro m 42.3 p ercent at September 30, 2024 primarily driven by repayment of senior note and commercial paper debt, partially offset by the impact of the 4Q24 net loss. Operating cash flows The year-over-year decline in FY GAAP operating cash flows primarily reflected lower earnings in 2024, partially offset by the favorable impact of working capital items. 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. Insurance Segment Results ($ in millions) 4Q24 (a) 4Q23 (a) FY 2024 (a) FY 2023 (a) Revenues $28,170 $25,565 $113,764 $102,854 Revenues - Adjusted (non-GAAP) $28,156 $24,801 $113,213 $99,090 Benefits expense ratio 92.1   % 91.5  % 90.4   % 88.0  % Benefits expense ratio - Adjusted (non-GAAP) 91.9   % 91.4  % 90.3   % 88.0  % Operating cost ratio 11.0   % 11.1  % 9.2   % 10.2  % Operating cost ratio - Adjusted (non-GAAP) 11.0   % 10.9  % 9.2   % 9.8  % (Loss) income from operations ($646) ($426) $1,289 $2,654 (Loss) income from operations - Adjusted (non-GAAP) ($575) ($361) $1,483 $2,897 5 Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as recalculations. Insurance Segment Revenues The year-over-year quarter and FY increases in GAAP segment revenues from the respective 2023 periods primarily reflected the following items: • higher per member Medicare premiums, and • Medicare Advantage and state-based contracts membership growth. These factors were partially offset by the continued decline in stand-alone PDP membership, as well as a decline in membership in the group commercial medical business as a result of the company's decision to exit the business. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment revenues for the respective periods. Insurance Segment Benefit Ratio The year-over-year quarter and FY increases in the GAAP segment benefit ratio primarily reflected the following items: • continued impact of elevated Medicare Advantage and state-based contracts medical cost trends in 4Q24 and FY 2024, and • lower favorable prior period medical claims reserve development. These factors were partially offset by t he impact of the pricing and benefit design of the company's 2024 Medicare Advantage products, which included a reduction in benefits in response to the net impact of the 2024 final rate notice and the initial emergence of increased medical cost trends in 2023. Furthermore, the year-over-year comparisons continue to reflect a shift in line of business mix, with growth in Medicare Advantage and state-based contracts and other membership, which can carry a higher benefit ratio. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment benefit ratios for the respective periods. Insurance Segment Operating Cost Ratio The year-over-year quarter and FY decreases in the GAAP segment operating cost ratio from the respective 2023 periods primarily related to the following: • scale efficiencies associated with growth in the company's Medicare Advantage membership, • administrative cost efficiencies resulting from the company's value creation initiatives, and • a lesser impact from commission expense for brokers in 2024 compared to 2023 as a result of the significant individual Medicare Advantage membership growth in 2023. The year-over-year FY comparison was further impacted by the accrued charge related to certain anticipated litigation expenses included in FY 2023 results. These factors were partially offset by the impact of significantly reduced compensation accruals in 4Q23 and FY 2023. Refer to the "Footnotes" section included herein for a reconciliation of GAAP to Adjusted (non-GAAP) Insurance segment operating cost ratios for the respective periods. 6 January 2025 Ending Membership January 2025 individual Medicare Advantage membership approximated 5,217,000, down approximately 444,800, or 8 percent, from December 31, 2024. The decrease reflects net membership losses during the recently completed 2025 Annual Election (AEP) period, inclusive of the company's decision to exit certain unprofitable plans and counties, which impacted approximately 560,000 members. Included within the Individual Medicare Advantage membership are approximately 814,000 Dual Eligible Special Need Plans (D-SNP) members, a decrease of 123,100, or 13 percent, from December 31, 2024. The D-SNP membership decrease was driven in part by delayed redeterminations as a result of the Change Healthcare disruption in 2024. January 2025 group Medicare Advantage membership approximated 576,000, up approximately 30,300, or 6 percent, from December 31, 2024, reflecting net membership additions during the 2025 selling season. January 2025 stand-alone PDP membership approximated 2,465,000, up approximately 176,800, or 8 percent, from December 31, 2024, reflecting net membership additions during the recently completed 2025 AEP. Humana’s CenterWell Segment This segment includes pharmacy (excluding the PBM operations), primary care, 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 Gentiva (formerly Kindred) 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. CenterWell Segment Results ($ in millions) 4Q24 4Q23 FY 2024 FY 2023 Revenues $5,130 $4,710 $19,936 $18,405 Operating cost ratio 92.5   % 90.6  % 92.2   % 91.2  % Income from operations $327 $387 $1,329 $1,404 Income from operations - Adjusted (non-GAAP) (d) $385 $445 $1,553 $1,614 Refer to the "Footnotes" section included herein for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as reconciliations. CenterWell Segment Revenues The favorable year-over-year quarter and FY CenterWell segment revenues comparisons were primarily impacted by the following factors: • greater intersegment revenues associated with the Home Solutions business in 2024 as compared to respective periods in 2023 as a result of the expansion of services to Humana members under value-based contracts, • an increase in Pharmacy Solutions revenues resulting from growth in the specialty pharmacy business, driven by increased penetration of Humana health plan members, as well as payor agnostic consumers, and • higher revenues associated with growth in the company's Primary Care business, partially offset by the impact of the v28 risk model revision. CenterWell Segment Operating Cost Ratio The year-over-year quarterly and FY increases i n the segment's operating cost ratio primarily resulted from the following: 7 • unfavorable impact of the v28 risk model revision to the company's Primary Care business, and • the impact of significantly reduced compensation accruals in 4Q23 and FY 2023. This impact was partially offset by the following factors: • administrative cost efficiencies resulting from the company's value creation initiatives, and • positive prior period medical claims development within the Primary Care Organization . See additional operational metrics for the CenterWell segment on pages S-13 through S-15 of the statistical supplement included in this earnings release. Conference Call Humana will host a live question and answer session for analysts at 9:00 a.m. Eastern time today to discuss its financial results for the quarter and the company’s expectations for future earnings. In advance of the question and answer session, Humana will post prepared management remarks to the Quarterly Results section of its Investor Relations page (https://humana.gcs-web.com/financial-information/quarterly-results). To participate via phone, please register in advance at this link - https://register.vevent.com/register/BIe3b4c275f3cf421383fa6ac8a142593b. 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 4Q24 earnings call may also be accessed via Humana’s Investor Relations page at humana.com. The company suggests 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 (https://humana.gcs-web.com/events-and-presentations), 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 corresponding GAAP measures, provide a comprehensive perspective to more accurately compare and analyze the company’s core operating performance over time. Consequently, management uses these non-GAAP (Adjusted) financial measures as consistent and uniform indicators of the company’s core business operations from period to period, as well as for planning and decision-making purposes and in determination of incentive compensation. 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 earnings 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 non-GAAP (Adjusted) financial measures. (a) For the periods covered in this earnings release, the following items are excluded from the non-GAAP financial measures described above, as applicable: • Amortization associated with identifiable intangibles - Since amortization varies based on the size and timing of acquisition activity, management believes this exclusion provides a more consistent and uniform indicator of performance from period to period. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, (net loss per share) EPS, and Insurance and CenterWell segments income from operations. The table below discloses respective period amortization expense for each segment: 8 4Q24 4Q23 FY 2024 FY 2023 Insurance segment $4 $4 $17 $22 CenterWell segment $10 $11 $43 $45 • Put/call valuation adjustments associated with the company’s non-consolidating minority interest investments - These amounts are the result of fair value measurements associated with the company's Primary Care Organization strategic partnership and are unrelated to the company's core business operations. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results and (net loss per share) EPS . • I mpact of exit of employer group commercial medical products business - These amounts relate to activity from the exit of the employer group commercial medical products business as announced by Humana on February 23, 2023. For all periods shown within this earnings release, GAAP measures affected include consolidated pretax results, (net loss per share) EPS , consolidated revenues, consolidated benefit ratio, consolidated operating cost ratio, Insurance segment revenues, Insurance segment benefit ratio, Insurance segment operating cost ratio, and Insurance segment income from operations. • Value creation initiatives - These charges relate to the company's ongoing initiative to drive additional value for the enterprise through cost saving, productivity initiatives, and value creation from previous investments, and primarily consist of asset impairment and severance charges. These charges were recorded at the corporate level and not allocated to the segments. For all periods shown within this earnings release, GAAP measures affected in this release include consolidated pretax results, (net loss per share) EPS , and the consolidated operating cost ratio. • Impairment charges - The company recognized non-cash impairment charges in 4Q24 and 4Q23 related to certain indefinite-lived intangible assets based on the company's estimate of future financial performance in certain state markets. Additionally, in 4Q23 the company recognized non-cash impairment charges related to minority ownership investments that were deemed to be unrecoverable based on investment performance. These charges were recorded at the corporate level and not allocated to the segments. For all periods, GAAP measures affected include consolidated pretax results, (net loss per share) EPS , and the consolidated operating cost ratio. For 4Q23 and FY 20023, consolidated revenues (specifically investment income) were also affected. • Transaction and integration costs - The transaction and integration costs primarily related to the acquisition of Kindred at Home in 2021 and the subsequent divestiture of majority ownership of Gentiva (formerly Kindred) Hospice in 2022. For FY 2023, GAAP measures affected include consolidated pretax results, (net loss per share) EPS , and the consolidated operating cost ratio. • Accrued charge related to certain anticipated litigation expenses - This charge related to certain anticipated expenses the company accrued in connection with a legal matter. For FY 2023, GAAP measures affected include consolidated pretax results, (net loss per share) EPS , the consolidated and Insurance segment operating cost ratios, and Insurance segment income from operations. • Change in fair market value of publicly-traded equity securities - These gains are a result of market and economic conditions that are unrelated to the company's core business operations. For FY 2023, GAAP measures affected include consolidated pretax results, EPS, and consolidated revenues (specifically investment income). • Cumulative net tax impact of non-GAAP adjustments - This adjustment represents the cumulative net impact of the corresponding tax benefit or expense related to the aforementioned items excluded from the applicable GAAP measures. For all periods presented in this earnings release, (net loss per share) EPS is the sole GAAP measure affected. In addition to the reconciliations shown on page 2 of this release, the following are reconciliations of GAAP to Adjusted (non-GAAP) measures described above and disclosed within this earnings release: Revenues Revenues - CONSOLIDATED (in millions) 4Q24 4Q23 FY 2024 FY 2023 GAAP $29,213 $26,462 $117,761 $106,374 Change in fair market value of publicly-traded equity securities —   —  —   (1) Impact of exit of employer group commercial medical products business (14) (764) (551) (3,764) Impairment charges —   36  —   36  Adjusted (non-GAAP) $29,199 $25,734 $117,210 $102,645 9 Revenues - INSURANCE SEGMENT (in millions) 4Q24 4Q23 FY 2024 FY 2023 GAAP $28,170 $25,565 $113,764 $102,854 Impact of exit of employer group commercial medical products business (14) (764) (551) (3,764) Adjusted (non-GAAP) $28,156 $24,801 $113,213 $99,090 Benefit Ratio Benefit ratio - CONSOLIDATED 4Q24 4Q23 FY 2024 FY 2023 GAAP 91.5   % 90.7  % 89.8   % 87.3  % Impact of exit of employer group commercial medical products business (0.2) % (0.2) % (0.1) % (0.1) % Adjusted (non-GAAP) 91.3   % 90.5  % 89.7   % 87.2  % Benefit ratio - INSURANCE SEGMENT 4Q24 4Q23 FY 2024 FY 2023 GAAP 92.1   % 91.5  % 90.4   % 88.0  % Impact of exit of employer group commercial medical products business (0.2) % (0.1) % (0.1) % —  % Adjusted (non-GAAP) 91.9   % 91.4  % 90.3   % 88.0  % Operating Cost Ratio Operating cost ratio - CONSOLIDATED 4Q24 4Q23 FY 2024 FY 2023 GAAP 14.4   % 14.6  % 11.8   % 12.5  % Impact of exit of employer group commercial medical products business —   % —  % (0.1) % (0.2) % Value creation initiatives (0.5) % (1.5) % (0.2) % (0.4) % Accrued charge related to certain anticipated litigation expenses —   % —  % —   % (0.1) % Impairment charges (0.7) % (0.2) % (0.2) % (0.1) % Adjusted (non-GAAP) 13.2   % 12.9  % 11.3   % 11.7  % Operating cost ratio - INSURANCE SEGMENT 4Q24 4Q23 FY 2024 FY 2023 GAAP 11.0   % 11.1  % 9.2   % 10.2  % Impact of exit of employer group commercial medical products business —   % (0.2) % —   % (0.3) % Accrued charge related to certain anticipated litigation expenses —   % —  % —   % (0.1) % Adjusted (non-GAAP) 11.0   % 10.9  % 9.2   % 9.8  % 10 Insurance Segment - (Loss) Income from Operations (Loss) income from operations - INSURANCE SEGMENT (in millions) 4Q24 4Q23 FY 2024 FY 2023 GAAP ($646) ($426) $1,289 $2,654 Amortization associated with identifiable intangibles 4 4 17 22 Impact of exit of employer group commercial medical products business 67 61 177 116 Accrued charge related to certain anticipated litigation expenses — — — 105 Adjusted (non-GAAP) ($575) ($361) $1,483 $2,897 b) FY 2025 projected Adjusted results exclude the future impact of items that cannot be estimated at this time. (c) Prior Period Development related to the employer group commercial medical products business: Favorable (Unfavorable) Prior Period Development First Quarter Second Quarter Third Quarter Fourth Quarter FY Prior Period Development from prior years recognized in 2024 $34 ($9) ($1) ($3) $21 Prior Period Development from prior years recognized in 2023 $23 ($20) ($2) $— $1 (d) The CenterWell segment Adjusted income from operations includes an adjustment to add back depreciation and amortization expense to the segment's GAAP income from operations since such an adjustment is commonly utilized for valuation purposes within the healthcare delivery industry. Income from operations - CENTERWELL SEGMENT (in millions) 4Q24 4Q23 FY 2024 FY 2023 GAAP $327 $387 $1,329 $1,404 Depreciation and amortization expense 58   58  224   210  Adjusted (non-GAAP) $385   $445  $1,553   $1,614  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,” “assumes,” “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 11 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 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. • The number of Humana’s Medicare Advantage plans rated 4-star or higher will significantly decline in 2025. Humana has filed a lawsuit seeking to set aside and vacate the 2025 Star Ratings of its Medicare Advantage plans, but there is no assurance that the company will prevail in this lawsuit. If the company is not successful, the decline in Star Ratings will negatively impact its 2026 quality bonus payments from CMS and may also significantly adversely affect the company’s revenues, operating results, and cash flows. In addition, there can be no assurances the company will be successful in maintaining or improving its Star Ratings in future years. • If Humana, or the third-party service providers on which it relies, 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, contain such attacks when they occur, 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 plans or retrospective recovery by CMS of previously paid premiums as a result of the final rule related to the risk adjustment data validation audit methodology published by CMS on January 30, 2023 (Final RADV Rule), which Humana believes fails to address adequately the statutory requirement of actuarial equivalence and violates the Administrative Procedure Act due to its failure to include a "Fee for Service Adjuster" 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. 12 • 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. • Volatility or disruption in the securities and credit markets may significantly and adversely affect the value of our investment portfolio and the investment income that we derive from this portfolio. 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 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, 2023; • Form 10-Qs for the quarters ended March 31, 2024, June 30, 2024, and September 30, 2024; and • Form 8-Ks filed during 2024 and 2025. About Humana Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 13 Humana Inc. Full Year 2025 Projections - As of February 11, 2025 Diluted earnings per common share GAAP: approximately $15.88 Non-GAAP: approximately $16.25 Total Revenues Consolidated GAAP: $126 billion to $128 billion Consolidated and segment level revenue projections include expected investment income. Segment level revenues include amounts that eliminate in consolidation. Insurance segment GAAP: $121 billion to $123 billion CenterWell segment GAAP: $20.5 billion to $21.5 billion Change in year-end medical membership from prior year-end Individual Medicare Advantage Decline of approximately 550,000 Group Medicare Advantage Relatively flat Medicare stand-alone PDP Growth of approximately 200,000 State-based contracts Growth within 175,000 to 250,000 range State-based contracts guidance includes membership in Florida, Illinois, Indiana, Kentucky, Louisiana, Ohio, Oklahoma, South Carolina, Virginia, and Wisconsin. Benefit Ratio  Insurance segment GAAP: 90.1% to 90.5% Ratio calculation: benefits expense as a percent of premiums revenues. Operating Cost Ratio Consolidated GAAP: 11.3% to 11.7% Ratio calculation: operating costs excluding depreciation and amortization as a percent of revenues excluding investment income. Segment Results Insurance segment income from operations GAAP: $1.5 billion to $2.0 billion   CenterWell segment Non-GAAP income from operations excludes the projected impact of segment depreciation and amortization. CenterWell segment income from operations GAAP: $1.0 billion to $1.5 billion Non-GAAP: $1.2 billion to $1.7 billion Effective Tax Rate GAAP: approximately 25.0% Weighted Avg. Share Count for Diluted EPS approximately 121.5 million Cash flows from operations GAAP: $2.4 billion to $2.9 billion Capital expenditures approximately $650 million 14 Humana Inc. Statistical Schedules and Supplementary Information 4Q24 Earnings Release S-1 Humana Inc. Statistical Schedules and Supplementary Information 4Q24 Earnings Release (S-3) Summary of Results - Consolidated and Segment Quarter and FY (S-4) Consolidated Statements of Income - Quarter and FY (S-5) Consolidated Balance Sheets (S-6) Consolidated Statements of Cash Flows - FY (S-7) - (S-8) Consolidating Statements of Income - Quarter (S-9) - (S-10) Consolidating Statements of Income - FY (S-11) Membership Detail (S-12) Premiums and Services Revenue Detail (S-13) - (S-15) CenterWell Segment - Pharmacy Solutions, Primary Care, & Home Solutions (S-16) Footnotes S-2 Humana Inc. Summary of Results ($ in millions, except per share amounts) 4Q24 (a) 4Q23 (a) FY 2024 (a) FY 2023 (a) CONSOLIDATED Revenues $29,213 $26,462 $117,761 $106,374 Revenues - Adjusted (non-GAAP) $29,199 $25,734 $117,210 $102,645 Pretax results ($862) ($591) $1,721 $3,383 Pretax results - Adjusted (non-GAAP) ($296) $79 $2,702 $4,369 (Net loss per share) EPS ($5.76) ($4.42) $9.98 $20.00 (Net loss per share) EPS - Adjusted (non-GAAP) ($2.16) ($0.11) $16.21 $26.09 Benefits expense ratio 91.5   % 90.7  % 89.8   % 87.3  % Benefits expense ratio - Adjusted (non-GAAP) 91.3   % 90.5  % 89.7   % 87.2  % Operating cost ratio 14.4   % 14.6  % 11.8   % 12.5  % Operating cost ratio - Adjusted (non-GAAP) 13.2   % 12.9  % 11.3   % 11.7  % Operating cash flows $2,966 $3,981 Parent company cash and short term investments $562 $510 Debt-to-total capitalization 41.9   % 41.8  % Days in Claims Payable (DCP) 37.8 41.4 INSURANCE SEGMENT Revenues $28,170 $25,565 $113,764 $102,854 Revenues - Adjusted (non-GAAP) $28,156 $24,801 $113,213 $99,090 Benefits expense ratio 92.1   % 91.5  % 90.4   % 88.0  % Benefits expense ratio - Adjusted (non-GAAP) 91.9   % 91.4  % 90.3   % 88.0  % Operating cost ratio 11.0   % 11.1  % 9.2   % 10.2  % Operating cost ratio - Adjusted (non-GAAP) 11.0   % 10.9  % 9.2   % 9.8  % (Loss) income from operations ($646) ($426) $1,289 $2,654 (Loss) income from operations - Adjusted (non-GAAP) ($575) ($361) $1,483 $2,897 CENTERWELL SEGMENT Revenues $5,130 $4,710 $19,936 $18,405 Operating cost ratio 92.5   % 90.6  % 92.2   % 91.2  % Income from operations $327 $387 $1,329 $1,404 Income from operations - Adjusted (non-GAAP) (d) $385 $445 $1,553 $1,614 Refer to the "Footnotes" section included in the previous narrative portion of this release (beginning on page 8) for further explanation of disclosures for Adjusted (non-GAAP) financial measures, as well as reconciliations. S-3 Humana Inc. Consolidated Statements of Income (Unaudited) Dollars in millions, except per common share results   For the three months ended  December 31, For the year ended December 31,   2024 2023 2024 2023 Revenues: Premiums $ 27,750   $ 25,128  $ 112,104   $ 101,272  Services 1,166   1,040  4,431   4,033  Investment income 297   294  1,226   1,069  Total revenues 29,213   26,462  117,761   106,374  Operating expenses: Benefits 25,381   22,782  100,664   88,394  Operating costs 4,167   3,827  13,696   13,188  Depreciation and amortization 208   201  839   779  Total operating expenses 29,756   26,810  115,199   102,361  (Loss) income from operations (543) (348) 2,562   4,013  Interest expense 164   146  660   493  Other expense, net 155   97  181   137  (Loss) income before income taxes and equity in net losses (862) (591) 1,721   3,383  (Benefit) provision from income taxes (216) (75) 413   836  Equity in net losses (A) (37) (24) (94) (63) Net (loss) income (683) (540) 1,214   2,484  Net (income) loss attributable to noncontrolling interests (10) (1) (7) 5  Net (loss) income attributable to Humana $ (693) $ (541) $ 1,207   $ 2,489  Basic (loss) earnings per common share $ (5.76) $ (4.42) $ 10.01   $ 20.09  Diluted (loss) earnings per common share $ (5.76) $ (4.42) $ 9.98   $ 20.00  Shares used in computing basic earnings per common share (000’s) 120,455   122,461  120,571   123,866  Shares used in computing diluted earnings (loss) per common share (000’s) 120,455   122,461  120,869   124,441  S-4 Humana Inc. Consolidated Balance Sheets (Unaudited) Dollars in millions, except share amounts   December 31, December 31,   2024 2023 Assets Current assets: Cash and cash equivalents $ 2,221   $ 4,694  Investment securities 18,214   16,626  Receivables, net 2,704   2,035  Other current assets 6,676   6,631  Total current assets 29,815   29,986  Property and equipment, net 2,532   3,030  Long-term investment securities 421   382  Equity method investments 697   740  Goodwill 9,631   9,550  Other long-term assets 3,383   3,377  Total assets $ 46,479   $ 47,065  Liabilities and Stockholders’ Equity Current liabilities: Benefits payable $ 10,440   $ 10,241  Trade accounts payable and accrued expenses 5,259   6,569  Book overdraft 403   353  Unearned revenues 260   266  Short-term debt 577   1,443  Total current liabilities 16,939   18,872  Long-term debt 11,144   10,213  Other long-term liabilities 1,951   1,662  Total liabilities 30,034   30,747  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; 198,718,810 issued at December 31, 2024 33   33  Capital in excess of par value 3,463   3,346  Retained earnings 28,317   27,540  Accumulated other comprehensive loss (1,067) (999) Treasury stock, at cost, 78,077,195 shares at December 31, 2024 (14,371) (13,658) Total stockholders’ equity 16,375   16,262  Noncontrolling interests 70   56  Total equity 16,445   16,318  Total liabilities and equity $ 46,479   $ 47,065  Debt-to-total capitalization ratio 41.9   % 41.8  % S-5 Humana Inc. Consolidated Statements of Cash Flows (Unaudited) Dollars in millions For the year ended December 31,   2024 2023 Cash flows from operating activities Net income $1,214 $2,484 Adjustments to reconcile net income to net cash provided by operating activities: (Gain) loss on investment securities, net (24) 54 Equity in net losses 94 63 Stock-based compensation 207 175 Impairment of indefinite-lived intangible assets 200 55 Depreciation 908 850 Amortization 60 67 Impairment of property and equipment 237 206 Deferred income taxes (192) (167) Changes in operating assets and liabilities, net of effect of businesses acquired and disposed: Receivables (669) (337) Other assets 1,003 (1,318) Benefits payable 199 915 Other liabilities (373) 841 Unearned revenues (6) (20) Other, net 108 113 Net cash provided by operating activities 2,966 3,981 Cash flows from investing activities Acquisitions, net of cash and cash equivalents acquired (89) (233) Purchases of property and equipment (575) (1,004) Proceeds from sale of property and equipment 7 210 Changes in securities lending collateral receivable (418) — Purchases of investment securities (8,185) (7,552) Maturities of investment securities 2,982 1,292 Proceeds from sales of investment securities 3,376 3,795 Other (50) — Net cash used in investing activities (2,952) (3,492) Cash flows from financing activities (Payments) receipts from contract deposits, net (1,933) 828 Proceeds from issuance of senior notes, net 2,232 2,544 Repayments of senior notes (1,107) (1,832) (Repayments) proceeds from issuance of commercial paper, net (907) 211 Proceeds from short-term borrowings — 100 Repayments of short-term borrowings — (100) Repayment of term loan — (500) Debt issue costs (7) (7) Change in book overdraft 50 55 Common stock repurchases (817) (1,573) Dividends paid (431) (431) Change in securities lending payable 418 — Change in rebate factor payable 123 — Other, net (108) (151) Net cash used in financing activities (2,487) (856) Decrease in cash and cash equivalents (2,473) (367) Cash and cash equivalents at beginning of period 4,694 5,061 Cash and cash equivalents at end of period $2,221 $4,694 S-6 Humana Inc. Consolidating Statements of Income—For the three months ended December 31, 2024 (Unaudited) In millions Insurance CenterWell Eliminations/ Corporate Consolidated Revenues—external customers Premiums: Individual Medicare Advantage $ 21,500  $ —  $ —  $ 21,500  Group Medicare Advantage 1,891  —  —  1,891  Medicare stand-alone PDP 728  —  —  728  Total Medicare 24,119  —  —  24,119  State-based contracts and other 3,159  —  —  3,159  Commercial fully-insured 8  —  —  8  Specialty benefits 238  —  —  238   Medicare Supplement 226  —  —  226  Total premiums 27,750  —  —  27,750  Services revenue: Home solutions —  317  —  317  Primary care —  366  —  366  Pharmacy solutions —  232  —  232  Military services and other 245  —  —  245  Commercial ASO 6  —  —  6  Total services revenue 251  915  —  1,166  Total revenues—external customers 28,001  915  —  28,916  Intersegment revenues 1  4,215  (4,216) —  Investment income 168  —  129  297  Total revenues 28,170  5,130  (4,087) 29,213  Operating expenses: Benefits 25,547  —  (166) 25,381  Operating costs 3,089  4,745  (3,667) 4,167  Depreciation and amortization 180  58  (30) 208  Total operating expenses 28,816  4,803  (3,863) 29,756  (Loss) income from operations $ (646) $ 327  $ (224) $ (543) Benefit ratio 92.1  % 91.5  % Operating cost ratio 11.0  % 92.5  % 14.4  % S-7 Humana Inc. Consolidating Statements of Income—For the three months ended December 31, 2023 (Unaudited) In millions Insurance CenterWell Eliminations/ Corporate Consolidated Revenues—external customers Premiums: Individual Medicare Advantage $ 19,642  $ —  $ —  $ 19,642  Group Medicare Advantage 1,677  —  —  1,677  Medicare stand-alone PDP 512  —  —  512  Total Medicare 21,831  —  —  21,831  State-based contracts and other 2,142  —  —  2,142  Commercial fully-insured 717  —  —  717  Specialty benefits 249  —  —  249    Medicare Supplement 189  —  —  189  Total premiums 25,128  —  —  25,128  Services revenue: Home solutions —  345  —  345  Primary care —  237  —  237  Pharmacy solutions —  188  —  188  Military services and other 223  —  —  223  Commercial ASO 47  —  —  47  Total services revenue 270  770  —  1,040  Total revenues—external customers 25,398  770  —  26,168  Intersegment revenues 1  3,940  (3,941) —  Investment income 166  —  128  294  Total revenues 25,565  4,710  (3,813) 26,462  Operating expenses: Benefits 23,004  —  (222) 22,782  Operating costs 2,811  4,265  (3,249) 3,827  Depreciation and amortization 176  58  (33) 201  Total operating expenses 25,991  4,323  (3,504) 26,810  (Loss) income from operations $ (426) $ 387  $ (309) $ (348) Benefit ratio 91.5  % 90.7  % Operating cost ratio 11.1  % 90.6  % 14.6  % S-8 Humana Inc. Consolidating Statements of Income—For the year ended December 31, 2024 (Unaudited) In millions Insurance CenterWell Eliminations/ Corporate Consolidated Revenues—external customers Premiums: Individual Medicare Advantage $ 88,019  $ —  $ —  $ 88,019  Group Medicare Advantage 7,731  —  —  7,731  Medicare stand-alone PDP 3,137  —  —  3,137  Total Medicare 98,887  —  —  98,887  State-based contracts and other 10,915  —   —   10,915  Commercial fully-insured 501  —  —  501  Specialty benefits 955  —  —  955  Medicare Supplement 846  —  —  846  Total premiums 112,104  —  —  112,104  Services revenue: Home solutions —  1,313  —  1,313  Primary care —  1,248  —  1,248  Pharmacy solutions —  904  —  904  Military services and other 916  —  —  916  Commercial ASO 50  —  —  50  Total services revenue 966  3,465  —  4,431  Total revenues—external customers 113,070  3,465  —  116,535  Intersegment revenues 4  16,471  (16,475) —  Investment income 690  —  536  1,226  Total revenues 113,764  19,936  (15,939) 117,761  Operating expenses: Benefits 101,299  —  (635) 100,664  Operating costs 10,443  18,383  (15,130) 13,696  Depreciation and amortization 733  224  (118) 839  Total operating expenses 112,475  18,607  (15,883) 115,199  Income (loss) from operations $ 1,289  $ 1,329  $ (56) $ 2,562  Benefit ratio 90.4  % 89.8  % Operating cost ratio 9.2  % 92.2  % 11.8  % S-9 Humana Inc. Consolidating Statements of Income—For the year ended December 31, 2023 (Unaudited) In millions Insurance CenterWell Eliminations/ Corporate Consolidated Revenues—external customers Premiums: Individual Medicare Advantage $ 78,837  $ —  $ —  $ 78,837  Group Medicare Advantage 6,869  —  —  6,869  Medicare stand-alone PDP 2,189  —  —  2,189  Total Medicare 87,895  —  —  87,895  State-based contracts and other 8,108  —  —  8,108  Commercial fully-insured 3,527  —  —  3,527  Specialty benefits 1,007  —  —  1,007  Medicare Supplement 735  —  —  735  Total premiums 101,272  —  —  101,272  Services revenue: Home solutions —  1,342  —  1,342  Primary care —  842  —  842  Pharmacy solutions —  849  —  849  Military services and other 763  —  —  763  Commercial ASO 237  —  —  237  Total services revenue 1,000  3,033  —  4,033  Total revenues—external customers 102,272  3,033  —  105,305  Intersegment revenues 31  15,372  (15,403) —  Investment income 551  —  518  1,069  Total revenues 102,854  18,405  (14,885) 106,374  Operating expenses: Benefits 89,100  —  (706) 88,394  Operating costs 10,408  16,791  (14,011) 13,188  Depreciation and amortization 692  210  (123) 779  Total operating expenses 100,200  17,001  (14,840) 102,361  Income (loss) from operations $ 2,654  $ 1,404  $ (45) $ 4,013  Benefit ratio 88.0  % 87.3  % Operating cost ratio 10.2  % 91.2  % 12.5  % S-10 Humana Inc. Membership Detail (Unaudited) In thousands   December 31, 2024 Average 4Q24 December 31, 2023 September 30, 2024 Medical Membership: Individual Medicare Advantage* 5,661.8   5,670.2   5,408.9  5,659.2  Group Medicare Advantage 545.7   546.1   509.6  546.7  Total Medicare Advantage 6,207.5   6,216.3   5,918.5  6,205.9  Medicare stand-alone PDP 2,288.2   2,297.5   2,849.1  2,315.7  Total Medicare 8,495.7   8,513.8   8,767.6  8,521.6  Medicare Supplement 377.3   370.2   307.2  357.3  State-based contracts and other 1,459.9   1,455.1   1,228.8  1,446.1  Military services 6,009.1   5,995.3   5,960.2  5,984.8  Total excluding employer group commercial medical 16,342.0   16,334.4   16,263.8  16,309.8  Fully-insured commercial medical 0.3   5.8   338.7  25.9  ASO commercial 4.8   7.2   255.3  22.4  Total employer group commercial medical 5.1 13.0   594.0  48.3  Total Medical Membership 16,347.1   16,347.4   16,857.8  16,358.1  Specialty Membership:     Dental—fully-insured (B) 2,054.5   2,058.1   2,205.0  2,070.6  Dental—ASO 301.3   301.2   307.0  291.3  Total Dental 2,355.8   2,359.3   2,512.0  2,361.9  Vision 1,843.6   1,842.0   1,971.4  1,846.5  Other supplemental benefits 362.6   360.4   384.9  358.4  Total Specialty Membership 4,562.0   4,561.7   4,868.3  4,566.8  December 31, 2024 Member Mix December 31, 2024 December 31, 2023 Member Mix December 31, 2023 Individual Medicare Advantage Membership HMO 2,857.7   50   % 2,853.0  53  % PPO/PFFS 2,804.1   50   % 2,555.9  47  % Total Individual Medicare Advantage 5,661.8   100   % 5,408.9  100  % Individual Medicare Advantage Membership Shared Risk (C) 2,114.9   38   % 1,917.3  36  % Path to Risk (D) 1,879.4   33   % 1,847.0  34  % Total Value-based 3,994.3   71   % 3,764.3  70  % Other 1,667.5   29   % 1,644.6  30  % Total Individual Medicare Advantage 5,661.8   100   % 5,408.9  100  % * Individual Medicare Advantage membership includes 937,100 Dual Eligible Special Need Plans (D-SNP) members as of December 31, 2024, a net increase of 65,800, or 8 percent, from 871,300 as of December 31, 2023, and down 2,500, or less than 1 percent , from 939,600 as of September 30, 2024 S-11 Humana Inc. Premiums and Services Revenue Detail (Unaudited) Dollars in millions, except per member per month; includes intersegment revenues   For the three months ended  December 31, For the year ended December 31, Per Member per Month (I) For the three months ended December 31, Per Member per Month (I) For the year ended December 31,   2024 2023 2024 2023 2024 2023 2024 2023 Insurance Individual Medicare Advantage $ 21,500   $ 19,642  $ 88,019   $ 78,837  $ 1,264   $ 1,210  $ 1,307   $ 1,246  Group Medicare Advantage 1,891   1,677  7,731   6,869  1,154   1,096  1,176   1,121  Medicare stand-alone PDP 728   512  3,137   2,189  106   60  112   63  State-based contracts and other (E) 3,159   2,142  10,915   8,108  699   560  627   496  Commercial fully-insured (F) 8   717  501   3,527  345   570  563   556  Specialty benefits (G) 238   249  955   1,007  19   18  18   18  Medicare Supplement 226   189  846   735  203   207  205   206  Military and other (H) 246   224  920   794  Commercial ASO 6   47  50   237  Total 28,002   25,399  113,074   102,303  CenterWell Pharmacy solutions 2,993   2,791  11,628   11,300  Primary care 1,279   1,073  4,945   4,174  Home solutions 858   846  3,363   2,931  Total 5,130   4,710  19,936   18,405  S-12 Humana Inc. CenterWell Segment - Pharmacy Solutions (Unaudited) For the three months ended December 31, 2024 For the three months ended December 31, 2023 For the three months ended September 30, 2024 Generic Dispense Rate Total Medicare 90.9   % 91.8  % 90.8  % Mail-Order Penetration Total Medicare 27.6   % 29.0  % 28.1  % For the year ended December 31, 2024 For the year ended December 31, 2023 Generic Dispense Rate Total Medicare 91.0   % 91.4  % Mail-Order Penetration Total Medicare 28.3   % 29.7  % S-13 Humana Inc. CenterWell Segment - Primary Care (J) (Unaudited) As of December 31, 2024 As of December 31, 2023 Year-over-Year Growth Primary Primary Primary Center Care Patients Center Care Patients Center Care Patients Count Providers Served (K) Count Providers Served (K) Count Providers Served De novo 133  327 79,400  108  274 43,100  23.1  % 19.3  % 84.2  % Wholly-owned 211 675 246,500  188 617 189,600  12.2  % 9.4  % 30.0  % Independent Physician Associations 64,600  61,500  5.0  % 344 1,002  390,500  296 891  294,200  16.2  % 12.5  % 32.7  % As of September 30, 2024 Sequential Growth Primary Primary Center Care Patients Center Care Patients Count Providers Served (K) Count Providers Served De novo 120  295 64,100  10.8  % 10.8  % 23.9  % Wholly-owned 181 658 217,300  16.6  % 2.6  % 13.4  % Independent Physician Associations 62,800  2.9  % 301 953  344,200  14.3  % 5.1  % 13.5  % S-14 Humana Inc. CenterWell Segment - Home Solutions (Unaudited) For the three months ended December 31, 2024 For the three months ended December 31, 2023 Year-over-Year Growth Episodic Admissions (L) 77,429  75,921  2.0  % Total Admissions - Same Store (M) 100,580  97,363  3.3  % For the year ended December 31, 2024 For the year ended December 31, 2023 Year-over-Year Growth Episodic Admissions (L) 321,862  301,642  6.7  % Total Admissions - Same Store (M) 416,133  384,552  8.2  % S-15 Humana Inc. Footnotes to Statistical Schedules and Supplementary Information 4Q24 Earnings Release A. Net losses associated with the company's non-consolidated minority interest investments. B. Fully-insured dental membership as reported does not include Humana members that have a Medicare Advantage plan that includes an embedded dental benefit. C. In certain circumstances, the company contracts with providers to accept financial risk for a defined set of Medicare Advantage membership. For these Downside Risk arrangements, the provider is measured against a medical expense ratio target and the company may share savings from reduction to the total cost of care of the defined membership. The result is a high level of engagement on the part of the provider. Under these arrangements, the company may contract with providers to accept partial, full, or global financial risk. In certain instances (capitated shared risk) of these arrangements, the company may choose to prepay 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. D. A Path to Risk provider is one who has a high level of engagement and has contracted with the company to participate in an Upside Only/Shared Savings total cost of care arrangement and/or in one of Humana’s Quality Bonus programs (Model Practice), through which the company rewards the provider for achieving quality and utilization targets. Providers who are contracted in an Upside Only/Shared Savings arrangement may receive a portion of 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 targets. These contracts may also include a Downside Risk trigger (future date or membership threshold) which has not yet been met. E. Per Member per Month (PMPM) shown reflects only Medicaid premiums and average Medicaid membership for the period; includes impact of dual eligible demonstration members. F. Fully-insured commercial medical premiums also include stop-loss premiums associated with the commercial ASO product; for purposes of the PMPM metric, the commercial ASO stop-loss premiums have been excluded. G. Specialty per member per month is computed based on reported specialty premiums and average fully-insured specialty membership for the period. H. The amounts primarily reflect services revenues under the TRICARE East Region contract that generally are contracted on a per-member basis. I. 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). J. De novo refers to all new centers opened or acquired since 2020 under a WCAS joint venture . Wholly-owned refers to all centers outside a WCAS joint venture. K. Represents Medicare Advantage (MA) risk, MA path to risk, MA value-based, Direct Contracting Entity, and Accountable Care Organization patients. L. Reflects patient admissions under the Patient Driven Groupings Model (PDGM) payment model. M. Reflects all patient admissions regardless of reimbursement model. Same store is defined as care centers that have been owned and operated at least the last twelve months and startups that are an expansion of a same store care center. S-16
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other guidance in this release
Text is the filed exhibit, verbatim.