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Humana Inc. (NYSE:HUM)

This company has been moved to the archive! The financial data has not been updated since October 30, 2024.

Analysis of Goodwill and Intangible Assets

Microsoft Excel

Goodwill and Intangible Asset Disclosure

Humana Inc., balance sheet: goodwill and intangible assets

US$ in millions

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Goodwill 9,550 9,142 11,092 4,447 3,928
Certificates of need 1,092 1,132 1,771 — —
Medicare licenses 288 286 522 — —
Customer contracts/relationships 956 929 883 849 646
Trade names and technology 139 142 160 122 84
Provider contracts 67 73 72 69 70
Noncompetes and other 84 86 35 29 29
Other intangible assets, cost 2,626 2,648 3,443 1,069 829
Accumulated amortization (933) (883) (804) (740) (652)
Other intangible assets, net 1,693 1,765 2,639 329 177
Goodwill and other intangible assets 11,243 10,907 13,731 4,776 4,105

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).


The total balance of goodwill and other intangible assets exhibited a significant surge between 2019 and 2021, followed by a correction in 2022 and relative stabilization in 2023. Total assets in this category rose from 4,105 million US dollars in 2019 to a peak of 13,731 million US dollars in 2021, representing a substantial increase in the company's intangible asset base, likely driven by major acquisition activity during that period.

Goodwill Volatility
Goodwill experienced a sharp escalation in 2021, reaching 11,092 million US dollars. This was followed by a decline to 9,142 million US dollars in 2022, which may indicate an impairment charge. By December 31, 2023, the balance recovered slightly to 9,550 million US dollars, maintaining a level significantly higher than pre-2021 figures.
Identified Intangible Assets
Certificates of need and Medicare licenses first appeared as distinct line items in 2021, with values of 1,771 million US dollars and 522 million US dollars, respectively. Both categories have since trended downward, with certificates of need declining to 1,092 million US dollars and Medicare licenses decreasing to 288 million US dollars by 2023. Conversely, customer contracts and relationships showed consistent annual growth, increasing from 646 million US dollars in 2019 to 956 million US dollars in 2023.
Other Intangible Assets and Amortization
Other intangible assets at cost peaked in 2021 at 3,443 million US dollars before decreasing to 2,626 million US dollars by 2023. During the same period, accumulated amortization grew steadily from -652 million US dollars in 2019 to -933 million US dollars in 2023. The net value of other intangible assets followed the trend of the gross cost, peaking in 2021 at 2,639 million US dollars and settling at 1,693 million US dollars by the end of 2023.
Ancillary Intangibles
Trade names and technology showed modest growth until 2021, followed by a slight decline to 139 million US dollars in 2023. Provider contracts remained remarkably stable, fluctuating minimally around 70 million US dollars throughout the five-year period. Noncompetes and other intangibles saw a notable increase in 2022, rising to 86 million US dollars from 35 million US dollars in 2021.

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Adjustments to Financial Statements: Removal of Goodwill

Humana Inc., Financial Data: Reported vs. Adjusted

Humana Inc., adjustments to financial statements

US$ in millions

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Adjustment to Total Assets
Total assets (as reported) 47,065 43,055 44,358 34,969 29,074
Less: Goodwill 9,550 9,142 11,092 4,447 3,928
Total assets (adjusted) 37,515 33,913 33,266 30,522 25,146
Adjustment to Stockholders’ Equity
Stockholders’ equity (as reported) 16,262 15,311 16,080 13,728 12,037
Less: Goodwill 9,550 9,142 11,092 4,447 3,928
Stockholders’ equity (adjusted) 6,712 6,169 4,988 9,281 8,109

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).


The financial trajectory from 2019 to 2023 indicates a significant expansion of the balance sheet, characterized by a widening disparity between reported and adjusted asset and equity values. This divergence reflects a substantial increase in the proportion of goodwill and intangible assets relative to the total capital structure.

Asset Composition and Growth Trends
Reported total assets grew from US$ 29,074 million in 2019 to US$ 47,065 million in 2023. While adjusted total assets also increased during this period, the growth was less aggressive, rising from US$ 25,146 million to US$ 37,515 million. The difference between reported and adjusted assets—representing goodwill and intangibles—expanded sharply in 2021, reaching US$ 11,092 million, compared to US$ 3,928 million in 2019. By 2023, this gap remained elevated at US$ 9,550 million.
Stockholders' Equity and Tangibility
A marked divergence is observed in equity trends. Reported stockholders' equity increased steadily from US$ 12,037 million in 2019 to US$ 16,262 million in 2023. In contrast, adjusted stockholders' equity experienced a significant decline, particularly in 2021, where it dropped to US$ 4,988 million from US$ 9,281 million in the previous year. This indicates that the growth in reported equity was driven primarily by the recognition of intangible assets rather than tangible net assets.
Recovery and Structural Shift
Following the sharp decline in 2021, adjusted stockholders' equity showed a moderate recovery, increasing to US$ 6,712 million by December 31, 2023. Despite this recovery, the adjusted equity figure remains substantially lower than the 2019 level of US$ 8,109 million. This trend suggests a structural shift in the balance sheet, where a larger portion of the company's book value is now tied to non-physical assets.

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Adjusted Financial Ratios: Removal of Goodwill (Summary)

Humana Inc., Financial Ratios: Reported vs. Adjusted

Humana Inc., adjusted financial ratios

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Total Asset Turnover
Reported total asset turnover 2.24 2.15 1.87 2.17 2.21
Adjusted total asset turnover 2.81 2.73 2.49 2.49 2.56
Financial Leverage
Reported financial leverage 2.89 2.81 2.76 2.55 2.42
Adjusted financial leverage 5.59 5.50 6.67 3.29 3.10
Return on Equity (ROE)
Reported ROE 15.31% 18.33% 18.24% 24.53% 22.49%
Adjusted ROE 37.08% 45.49% 58.80% 36.28% 33.38%
Return on Assets (ROA)
Reported ROA 5.29% 6.52% 6.61% 9.63% 9.31%
Adjusted ROA 6.63% 8.27% 8.82% 11.03% 10.77%

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).


The removal of goodwill and intangible assets from the balance sheet reveals a significant divergence between reported and adjusted financial performance from 2019 to 2023. The adjustments consistently elevate efficiency and profitability metrics while substantially increasing the perceived financial risk through higher leverage ratios. This suggests that a considerable portion of the asset base consists of non-productive intangible assets that dilute reported returns and mask the true efficiency of the company's tangible operating assets.

Asset Turnover and Operational Efficiency
Reported total asset turnover remained relatively stable, fluctuating between 1.87 and 2.24. In contrast, the adjusted total asset turnover shows a consistent upward trend, rising from 2.56 in 2019 to 2.81 in 2023. The widening gap between these two figures indicates that the tangible asset base is being utilized more efficiently over time to generate revenue, whereas the inclusion of goodwill suppresses the reported efficiency metrics.
Financial Leverage and Capital Structure
A marked increase in financial leverage is observed upon the removal of goodwill. While reported leverage rose moderately from 2.42 to 2.89, the adjusted leverage experienced a sharp escalation, particularly in 2021 when it peaked at 6.67 before stabilizing around 5.59 by 2023. This suggests that goodwill represents a significant component of the equity base; its removal results in a much thinner equity cushion and a significantly higher reliance on debt relative to tangible assets.
Return on Equity (ROE)
The disparity in ROE is the most pronounced of all analyzed ratios. Reported ROE exhibited a downward trajectory, falling from 22.49% in 2019 to 15.31% in 2023. However, the adjusted ROE remained substantially higher throughout the period, peaking at 58.80% in 2021 and ending at 37.08% in 2023. This indicates that the underlying business generates a far superior return on its tangible equity than is apparent in the reported figures.
Return on Assets (ROA)
Both reported and adjusted ROA follow a similar downward trend, reflecting a general decline in profitability relative to the asset base. Reported ROA decreased from 9.31% to 5.29%, while adjusted ROA decreased from 10.77% to 6.63%. Although the adjusted figures are consistently higher, the parallel decline suggests that the reduction in profitability is a systemic issue not solely attributable to the presence of goodwill on the balance sheet.

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Adjusted Total Asset Turnover

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
External revenues 105,305 92,488 82,877 76,001 64,387
Total assets 47,065 43,055 44,358 34,969 29,074
Activity Ratio
Total asset turnover1 2.24 2.15 1.87 2.17 2.21
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
External revenues 105,305 92,488 82,877 76,001 64,387
Adjusted total assets 37,515 33,913 33,266 30,522 25,146
Activity Ratio
Adjusted total asset turnover2 2.81 2.73 2.49 2.49 2.56

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

2023 Calculations

1 Total asset turnover = External revenues ÷ Total assets
= 105,305 ÷ 47,065 = 2.24

2 Adjusted total asset turnover = External revenues ÷ Adjusted total assets
= 105,305 ÷ 37,515 = 2.81


An analysis of the asset base and corresponding turnover ratios from 2019 to 2023 reveals a consistent expansion of total assets and an improvement in operational efficiency when non-operating assets are excluded.

Asset Base Expansion and Adjustment
Reported total assets grew steadily from US$ 29,074 million in 2019 to US$ 47,065 million in 2023. During the same period, adjusted total assets rose from US$ 25,146 million to US$ 37,515 million. The widening gap between reported and adjusted figures indicates a significant increase in the proportion of goodwill and intangible assets held on the balance sheet, which grew from approximately US$ 3,928 million in 2019 to US$ 9,550 million by 2023.
Reported Total Asset Turnover
The reported total asset turnover ratio remained relatively stable over the five-year period, starting at 2.21 in 2019 and ending at 2.24 in 2023. A notable contraction occurred in 2021, where the ratio dipped to 1.87, before recovering to 2.15 in 2022 and 2.24 in 2023. This volatility suggests that the growth in the total asset base, including intangibles, occasionally outpaced revenue growth.
Adjusted Total Asset Turnover
The adjusted total asset turnover ratio, which excludes the impact of goodwill and intangible assets, consistently outperformed the reported ratio. After a slight decline from 2.56 in 2019 to 2.49 in 2021, the ratio exhibited a strong upward trend, reaching 2.73 in 2022 and peaking at 2.81 in 2023. This upward trajectory indicates that the core, tangible asset base is being utilized with increasing efficiency to generate revenue.
Comparative Efficiency Analysis
The persistent variance between the reported and adjusted turnover ratios underscores the distorting effect of intangible assets on productivity metrics. While reported turnover remained nearly flat, the adjusted turnover increased by approximately 9.7% over the period. This divergence suggests that the underlying operational productivity is improving, even as the company increases its investment in intangible assets.

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Adjusted Financial Leverage

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Total assets 47,065 43,055 44,358 34,969 29,074
Stockholders’ equity 16,262 15,311 16,080 13,728 12,037
Solvency Ratio
Financial leverage1 2.89 2.81 2.76 2.55 2.42
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Adjusted total assets 37,515 33,913 33,266 30,522 25,146
Adjusted stockholders’ equity 6,712 6,169 4,988 9,281 8,109
Solvency Ratio
Adjusted financial leverage2 5.59 5.50 6.67 3.29 3.10

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

2023 Calculations

1 Financial leverage = Total assets ÷ Stockholders’ equity
= 47,065 ÷ 16,262 = 2.89

2 Adjusted financial leverage = Adjusted total assets ÷ Adjusted stockholders’ equity
= 37,515 ÷ 6,712 = 5.59


Between 2019 and 2023, reported total assets experienced consistent growth, increasing from US$ 29,074 million to US$ 47,065 million. However, adjusted total assets grew at a slower rate, rising from US$ 25,146 million to US$ 37,515 million. This widening gap indicates a significant increase in the proportion of goodwill and intangible assets relative to the total asset base over the analyzed period.

Equity Comparison
Reported stockholders' equity maintained a steady upward trend, growing from US$ 12,037 million in 2019 to US$ 16,262 million in 2023. Conversely, adjusted stockholders' equity demonstrated significant instability, increasing to US$ 9,281 million in 2020 before experiencing a sharp decline to US$ 4,988 million in 2021. A partial recovery followed, with the value reaching US$ 6,712 million by the end of 2023.
Reported Financial Leverage
The reported financial leverage ratio exhibited a gradual and linear increase over the five-year span, moving from 2.42 in 2019 to 2.89 in 2023. This trend suggests a steady, moderate increase in the relationship between total assets and reported equity.
Adjusted Financial Leverage
The adjusted financial leverage ratio shows a markedly different and more volatile profile. The ratio rose from 3.10 in 2019 to a peak of 6.67 in 2021, coinciding with the period of lowest adjusted equity. While the ratio decreased to 5.50 in 2022 and ended at 5.59 in 2023, it remained substantially higher than the reported leverage ratio throughout the period.
Leverage Divergence Analysis
A growing disparity is observed between reported and adjusted leverage. In 2019, the difference between the two ratios was 0.68; by 2023, this gap expanded to 2.70. This divergence suggests that the reported leverage figures may understate the organization's financial risk by including intangible assets and goodwill in the equity base, which does not provide the same level of tangible security as hard assets.

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Adjusted Return on Equity (ROE)

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Net income attributable to Humana 2,489 2,806 2,933 3,367 2,707
Stockholders’ equity 16,262 15,311 16,080 13,728 12,037
Profitability Ratio
ROE1 15.31% 18.33% 18.24% 24.53% 22.49%
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Net income attributable to Humana 2,489 2,806 2,933 3,367 2,707
Adjusted stockholders’ equity 6,712 6,169 4,988 9,281 8,109
Profitability Ratio
Adjusted ROE2 37.08% 45.49% 58.80% 36.28% 33.38%

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

2023 Calculations

1 ROE = 100 × Net income attributable to Humana ÷ Stockholders’ equity
= 100 × 2,489 ÷ 16,262 = 15.31%

2 Adjusted ROE = 100 × Net income attributable to Humana ÷ Adjusted stockholders’ equity
= 100 × 2,489 ÷ 6,712 = 37.08%


A comparative analysis of reported and adjusted equity figures reveals a divergent trajectory between total stockholders' equity and tangible equity from 2019 to 2023.

Equity Growth Patterns
Reported stockholders' equity exhibited a consistent upward trend, increasing from US$ 12,037 million in 2019 to US$ 16,262 million by 2023. In contrast, adjusted stockholders' equity fluctuated, peaking in 2020 at US$ 9,281 million before experiencing a significant contraction to US$ 4,988 million in 2021 and subsequently recovering to US$ 6,712 million by 2023.
Reported Return on Equity (ROE) Trends
The reported ROE followed a general downward trajectory over the five-year period. After reaching a high of 24.53% in 2020, the metric declined steadily to 15.31% by 2023. This suggests that the growth in the reported equity base has outpaced the growth in net income.
Adjusted Return on Equity (ROE) Performance
Adjusted ROE remained substantially higher than reported ROE throughout the analyzed period, indicating that the exclusion of goodwill and intangible assets significantly elevates the efficiency of the tangible capital base. A notable peak occurred in 2021, where adjusted ROE reached 58.80%, coinciding with the lowest recorded point of adjusted stockholders' equity. While this figure moderated to 37.08% by 2023, it continues to maintain a significant premium over the reported return.
Impact of Intangible Assets
The persistent gap between reported and adjusted equity highlights a substantial volume of goodwill and intangible assets on the balance sheet. The disparity between the declining reported ROE and the relatively robust adjusted ROE confirms that these non-tangible assets are the primary driver of the compression observed in reported return metrics.

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Adjusted Return on Assets (ROA)

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
As Reported
Selected Financial Data (US$ in millions)
Net income attributable to Humana 2,489 2,806 2,933 3,367 2,707
Total assets 47,065 43,055 44,358 34,969 29,074
Profitability Ratio
ROA1 5.29% 6.52% 6.61% 9.63% 9.31%
Adjusted for Goodwill
Selected Financial Data (US$ in millions)
Net income attributable to Humana 2,489 2,806 2,933 3,367 2,707
Adjusted total assets 37,515 33,913 33,266 30,522 25,146
Profitability Ratio
Adjusted ROA2 6.63% 8.27% 8.82% 11.03% 10.77%

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

2023 Calculations

1 ROA = 100 × Net income attributable to Humana ÷ Total assets
= 100 × 2,489 ÷ 47,065 = 5.29%

2 Adjusted ROA = 100 × Net income attributable to Humana ÷ Adjusted total assets
= 100 × 2,489 ÷ 37,515 = 6.63%


A consistent expansion of the asset base is observed between 2019 and 2023, though the growth rate of reported total assets exceeded that of adjusted total assets. Reported assets increased from 29,074 million US$ to 47,065 million US$, while adjusted assets grew from 25,146 million US$ to 37,515 million US$. The widening gap between these two figures indicates a significant increase in the valuation of goodwill and intangible assets over the analyzed period.

Asset Composition Trends
The difference between reported and adjusted total assets grew from 3,928 million US$ in 2019 to 9,550 million US$ in 2023. This trend suggests that a larger portion of the company's balance sheet is composed of non-physical or acquired intangible assets, which are excluded from the adjusted asset calculation.
Return on Assets (ROA) Trajectory
A downward trend is evident in both reporting metrics. Reported ROA declined from 9.31% in 2019 to 5.29% in 2023. Similarly, Adjusted ROA decreased from 10.77% in 2019 to 6.63% in 2023. The decline in Adjusted ROA indicates a reduction in earning efficiency relative to tangible assets, independent of the impact of goodwill.
Impact of Intangible Asset Adjustment
Adjusted ROA remained consistently higher than Reported ROA across all five years. This positive variance demonstrates that the inclusion of goodwill and intangible assets dilutes the reported return on assets. By removing these non-earning or amortized components from the denominator, a more favorable view of operational asset efficiency is revealed, although the overall trajectory for both metrics remains negative.

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