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Humana Inc (HUM)
NYSE:HUM

Humana (HUM) AI Stock Analysis

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HU

Humana

(NYSE:HUM)

69Neutral
Humana's stock score reflects strong financial performance with robust revenue growth and profitability, though technical indicators present a neutral outlook. The valuation is moderate, and the earnings call highlights strategic achievements. External regulatory uncertainties pose challenges, but operational efficiencies provide stability.
Positive Factors
Earnings
HUM posted solid Q1 results with slight favorability in insurance MLR and reiterated 2025 guidance.
Medicare Advantage
The upgrade is based on an improving backdrop for Medicare Advantage (MA), with potential for margin expansion over the next two years due to flattening cost trends and an improving rate environment.
Operational Performance
EBITDA was 27.2% above the estimate, indicating strong operational performance.
Negative Factors
Cost Trends
There are risks such as the potential for MA cost trends to reaccelerate, which could limit margin expansion, and the possibility of losing the 2025 MA Stars lawsuit.
Medical Membership
Total medical membership decreased 7.2% year over year.
Star Ratings Lawsuit
The outcome of the Stars lawsuit presents binary optionality and is the next key catalyst.

Humana (HUM) vs. S&P 500 (SPY)

Humana Business Overview & Revenue Model

Company DescriptionHumana Inc. is a leading American health insurance company headquartered in Louisville, Kentucky. The company primarily operates in the healthcare sector, providing a diverse range of health insurance products and services. Humana offers Medicare Advantage plans, Medicare prescription drug plans, and commercial health insurance, serving millions of members across the United States. With a focus on wellness and preventive care, Humana aims to deliver integrated and value-based health solutions to its members.
How the Company Makes MoneyHumana makes money primarily through the sale of health insurance products and services. The company's revenue model is centered around its health plan offerings, including Medicare Advantage plans, which are a significant portion of its income. Humana also provides Medicare Part D (prescription drug) plans and commercial health insurance products. The company earns revenue through premiums paid by individual members and employers, as well as reimbursements from government programs like Medicare. Additionally, Humana benefits from strategic partnerships with healthcare providers and pharmacy benefit managers, which help manage costs and improve service delivery, contributing to its financial performance.

Humana Financial Statement Overview

Summary
Humana exhibits strong financial performance with consistent revenue growth and robust profitability metrics. The balance sheet is stable with controlled leverage, though ROE has seen a slight decline. Cash flow generation is efficient, supporting ongoing operations despite mixed free cash flow growth.
Income Statement
Humana's income statement reflects strong profitability with a consistent increase in total revenue from 2020 to TTM 2025. The Gross Profit Margin remains robust at 100% due to the accounting classification. The Net Profit Margin for TTM stands at 1.42% and shows improvement over prior years despite some fluctuations. Revenue growth has been steady, with a notable 28.6% increase from 2022 to 2023. EBIT and EBITDA margins show resilience, though slightly varied, indicating operational efficiency. Overall, the income statement reflects a positive trajectory in revenue growth and profitability.
Balance Sheet
75
The balance sheet shows a solid equity base with Stockholders' Equity consistently growing. The Debt-to-Equity Ratio for TTM stands at 0.75, indicating a manageable level of leverage. The Equity Ratio is at 34.84%, reflecting a stable equity position relative to total assets. Return on Equity (ROE) for TTM is 9.63%, which is reasonable, though it has decreased compared to previous years. Overall, the balance sheet reflects financial stability with controlled leverage and a solid equity base, though ROE has seen a slight decline.
Cash Flow
Cash flow analysis indicates strong operational cash flow with an Operating Cash Flow to Net Income Ratio of 1.68 for TTM, suggesting efficient cash generation from operations. Free Cash Flow remains stable, showing slight growth with the Free Cash Flow to Net Income Ratio at 1.39. However, Free Cash Flow growth has been inconsistent, as seen in modest changes from 2022 to TTM. Overall, cash flow statements reflect healthy operational cash generation and sufficient free cash flow, though growth has been mixed.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
117.76B106.37B92.87B83.06B77.16B
Gross Profit
117.76B106.37B92.87B83.06B77.16B
EBIT
2.56B4.01B3.80B3.15B4.99B
EBITDA
3.53B4.93B4.64B3.86B5.60B
Net Income Common Stockholders
1.21B2.49B2.81B2.93B3.37B
Balance SheetCash, Cash Equivalents and Short-Term Investments
20.43B21.32B5.06B3.39B4.67B
Total Assets
46.48B47.06B43.05B44.36B34.97B
Total Debt
11.72B11.66B11.42B12.82B6.98B
Net Debt
9.50B6.96B6.36B9.43B2.31B
Total Liabilities
30.03B30.75B9.03B10.54B6.06B
Stockholders Equity
16.38B16.26B15.31B16.08B13.73B
Cash FlowFree Cash Flow
2.39B2.98B3.47B946.00M4.67B
Operating Cash Flow
2.97B3.98B4.59B2.26B5.64B
Investing Cash Flow
-2.95B-3.49B-1.01B-6.56B-3.06B
Financing Cash Flow
-2.49B-856.00M-1.91B3.02B-1.96B

Humana Technical Analysis

Technical Analysis Sentiment
Negative
Last Price253.12
Price Trends
50DMA
264.51
Negative
100DMA
266.66
Negative
200DMA
287.30
Negative
Market Momentum
MACD
-3.89
Positive
RSI
42.08
Neutral
STOCH
9.13
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For HUM, the sentiment is Negative. The current price of 253.12 is below the 20-day moving average (MA) of 267.70, below the 50-day MA of 264.51, and below the 200-day MA of 287.30, indicating a bearish trend. The MACD of -3.89 indicates Positive momentum. The RSI at 42.08 is Neutral, neither overbought nor oversold. The STOCH value of 9.13 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for HUM.

Humana Risk Analysis

Humana disclosed 16 risk factors in its most recent earnings report. Humana reported the most risks in the “Production” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Humana Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
MOMOH
79
Outperform
$17.14B15.2726.72%16.71%12.23%
CNCNC
75
Outperform
$29.70B8.8912.59%8.85%33.30%
HLHLN
73
Outperform
$48.20B26.348.90%1.59%2.16%43.24%
HUHUM
69
Neutral
$30.39B18.1510.09%1.41%10.09%-12.18%
64
Neutral
$35.18B-414.62%17.21%21.16%
55
Neutral
$10.06B-3.24%5.66%-4.58%-1269.23%
52
Neutral
$5.23B3.70-41.86%2.84%16.58%-0.16%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
HUM
Humana
253.12
-77.57
-23.46%
ALNY
Alnylam Pharma
276.55
125.18
82.70%
CNC
Centene
62.92
-14.73
-18.97%
MOH
Molina Healthcare
327.02
-23.01
-6.57%
VTRS
Viatris
8.60
-2.15
-20.00%
HLN
Haleon PLC Sponsored ADR
10.76
2.64
32.51%

Humana Earnings Call Summary

Earnings Call Date:Apr 30, 2025
(Q1-2025)
|
% Change Since: -2.41%|
Next Earnings Date:Jul 30, 2025
Earnings Call Sentiment Neutral
Humana's earnings call reflected a strong start to 2025 with reaffirmed guidance and operational progress in key areas such as clinical excellence and member growth. However, the sentiment was tempered by uncertainties related to Stars ratings litigation and regulatory challenges. The company is focused on controlling internal factors and strategic growth, but external uncertainties pose ongoing challenges.
Q1-2025 Updates
Positive Updates
Strong Start to 2025
Humana reaffirmed its full-year guidance and reported Q1 performance ahead of plan, mainly driven by timing-related outperformance.
Medicare Product and Experience
No changes to membership guidance for 2025, with strong performance in the Open Enrollment Period (OEP) and a positive trend outlook for the year.
Operational Progress in Clinical Excellence
Efforts are leading to a projected 25% year-over-year closure of care gaps and a 30-50% reduction in members with weight refills.
Efficient Back Office Operations
G&A costs were slightly better than expectations with progress in cost management efforts, including AI use in contact centers.
Growth in CenterWell and Medicaid
Robust patient and membership growth in primary care and Medicaid with 30 new centers added through acquisition and partnership.
EPS and Revenue Guidance
Reaffirmed full-year adjusted EPS guidance of approximately $16.25 and expected insurance segment benefit ratio of 90.1% to 90.5%.
Medicaid Business Success
Successful growth with a 100,000 member increase year-to-date and expansion into 13 states.
Negative Updates
Stars Ratings Litigation Uncertainty
No new updates on litigation related to CMS' 2026 star ratings, with timing and outcomes still uncertain.
Continued Regulatory Headwinds
Ongoing challenges related to external regulatory environments affecting business operations.
Impact of V28 on Health Plan
A significant 160 basis point impact due to V28, with efforts in place for mitigation.
Medicare Advantage Margin Target
Path to 3% MA margin target remains tied to uncertain outcomes on Stars ratings.
Membership Decline
Exiting certain plans led to membership decline, although it was strategically aimed at improving margins.
Company Guidance
During Humana's First Quarter 2025 Earnings Call, the company reaffirmed its full-year guidance, highlighting several key metrics and operational strategies. For the full year, Humana expects an adjusted EPS of approximately $16.25 and an insurance segment benefit ratio between 90.1% and 90.5%. The company's performance in the first quarter exceeded expectations, partly due to timing-related outperformance, with a significant portion of the EPS outperformance attributed to a shift in the timing of certain expenses. Humana reported strong membership growth in its primary care and Medicaid segments, with the addition of 30 new centers over the past year. Operationally, Humana aims to close care gaps by 25% year-over-year through in-person home visits paired with virtual health and has observed a 30% to 50% reduction in members with weight refills due to medication adherence campaigns. Despite challenges, Humana is focused on achieving a 3% margin target for its Medicare Advantage (MA) business by 2027, contingent on external factors such as the outcome of CMS' 2026 star ratings litigation. The company also highlighted its efficient back-office operations, noting that Q1 G&A costs were slightly better than expected, driven by cost management efforts, including increased AI use in contact centers. Humana plans to provide further insights into its earnings potential and operational progress at an upcoming investor conference.

Humana Corporate Events

Business Operations and StrategyFinancial Disclosures
Humana Reports Strong Q1 2025 Financial Results
Positive
Apr 30, 2025

Humana Inc. reported its financial results for the first quarter of 2025, noting a GAAP earnings per share (EPS) of $10.30 and an adjusted EPS of $11.58. The company affirmed its full-year 2025 adjusted EPS guidance of approximately $16.25, while revising its GAAP EPS guidance to approximately $14.68. Despite an anticipated decline in individual Medicare Advantage membership, Humana remains confident in its pricing strategy and long-term value creation. The company also highlighted progress in its CenterWell and Medicaid businesses, including a new contract in Illinois for a dual eligible special needs plan program.

Spark’s Take on HUM Stock

According to Spark, TipRanks’ AI Analyst, HUM is a Neutral.

Humana’s overall stock score reflects a mix of strengths and challenges. Strong revenue growth and strategic expansions bolster its market position, but declining profitability margins and increasing leverage present financial risks. Technical indicators provide a neutral outlook, while valuation is moderate. The earnings call highlights strategic achievements and operational challenges that balance out these factors. Continued focus on operational efficiency and managing costs will be crucial to improving its financial performance.

To see Spark’s full report on HUM stock, click here.

Financial Disclosures
Humana Reaffirms 2025 Earnings Guidance to Investors
Neutral
Mar 3, 2025

Between March 3, 2025, and March 31, 2025, Humana Inc.’s senior management will meet with investors and analysts to reaffirm their guidance for the fiscal year ending December 31, 2025. The company projects diluted earnings per common share of approximately $15.88 and adjusted earnings per common share of approximately $16.25. This reaffirmation aligns with previous guidance issued in February 2025 and highlights Humana’s use of Adjusted EPS as a tool for evaluating core business operations and decision-making. The announcement underscores Humana’s commitment to providing a comprehensive perspective on its financial performance, which could influence stakeholder confidence and market positioning.

Business Operations and StrategyFinancial Disclosures
Humana Reports Q4 2024 Net Loss Amid Strategy Shift
Negative
Feb 11, 2025

Humana Inc. reported a net loss for Q4 2024, with a GAAP net loss per share of $5.76 and an adjusted net loss per share of $2.16, but the company affirmed its guidance for 2025, expecting adjusted earnings per share to be at least in line with 2024 results. Despite a decline in individual Medicare Advantage membership due to exiting unprofitable plans, Humana continues to advance its Medicaid and CenterWell strategies, expected to enhance earnings in the long term.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.