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Humana Inc (HUM) KPIs and segments

HUMNYSEHospital & Medical Service PlansFiscal year ends December 31
Financials through Q3 FY2026, quarter ended Sep 30, 2026Last filing: 10-Q on Nov 6, 2026Score 10/3051% above fair value
$450.00+6.32 (+1.42%)

Close on Nov 13, 2026Market cap $54.04BP/E 43.6Yield 0.79%

KPIs & segments

Operating metrics and segments that drive Humana's business · fiscal year ends December 31

Humana KPIs at a glance: 62 operating metrics, including Total Medical Membership, Total Specialty Membership and CMS Medicare Advantage Star Ratings, drawn from 328 source documents, alongside revenue by segment, product and region from SEC filings. Each figure links to the document it came from. All metrics shows the full sheet; Core narrows it to segments and headline KPIs. The segment tables also offer a trailing-twelve-month view.

The chart is empty. Tick the box next to any metric in the table below to plot it — tick several to compare them on one chart.

Segments, headline KPIs and every operating metric from filings, earnings releases and presentations.

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Q2 2026
Q1 2026
Q4 2025
Q3 2025
Q2 2025
Q1 2025
Q4 2024
Q3 2024
Q2 2024
Q1 2024
Q4 2023
Q3 2023
Insurance($M)2
39,14038,05931,34331,18931,09430,93728,17028,37028,52528,69925,56525,511
External Revenues($M)
39,03337,95631,17630,97830,92230,76628,00128,17728,35628,53625,39825,356
Services($M)
199247292267206252251226214275270257
CenterWell($M)2
6,7906,1005,9625,8795,5375,0955,1305,0414,9474,8184,7104,660
Services($M)
1,5811,4281,2071,3331,1941,082915877886787770759
External Revenues($M)
1,5811,4281,2071,3331,1941,082915877886787770759
External Revenues($M)
40,61439,38632,38332,31132,11631,84828,91629,05429,24229,32326,16826,115
Services($M)
1,7801,6771,4991,6001,4001,3341,1661,1031,1001,0621,0401,016
Insurance($M)
8201,435-9272517661,574-646274763898-426722
CenterWell($M)
466289298305344392327382338282387400
Earlier reporting (last reported 2023)2
Earlier reporting (last reported 2024)2
Total Medical Membership — Period-End (thousands)6
17,91217,71115,00014,99214,84214,83916,34716,35816,30416,17516,85816,964
Total Medical Membership — Quarterly Average (k)
17,87417,67014,99914,98314,83714,81916,34716,33116,32816,24516,91416,981
Total Medicare Membership (MA + Stand-Alone PDP) — Period-End (k)3
11,12710,9838,2808,2538,2268,2228,4968,5228,5048,4478,7688,771
Total Medicare Membership — Quarterly Average (k)
11,08710,9358,2728,2438,2228,2188,5148,5128,4938,4728,7808,743
Total Medicare Advantage Membership — Period-End (k)3
7,1817,1235,8185,8075,7995,7886,2086,2066,1636,1005,9195,885
Total Medicare Advantage Membership — Quarterly Average (k)
7,1747,0775,8155,8025,7955,8016,2166,1896,1436,0915,9195,849
Individual Medicare Advantage Membership — Period-End (k)5
6,4546,3935,2495,2375,2295,2165,6625,6595,6185,5495,4095,374
Individual MA Membership — Quarterly Average (k)
6,4466,3475,2465,2325,2255,2275,6705,6425,5965,5405,4095,339
Dual Eligible Special Needs Plan (D-SNP) Membership — Period-End (k)
960945761766786799937940953922871868
Individual MA — HMO Plan Membership (k)1
3,2143,1722,6252,6252,6452,6582,8582,8662,8672,8492,8532,849
Individual MA — HMO Plan Mix (%)(%)
50.0%50.0%50.0%50.0%51.0%51.0%50.0%51.0%51.0%51.0%53.0%53.0%
Individual MA — PPO / PFFS Plan Membership (k)1
3,2403,2212,6242,6122,5852,5572,8042,7932,7512,7002,5562,525
Individual MA — PPO / PFFS Plan Mix (%)(%)
50.0%50.0%50.0%50.0%49.0%49.0%50.0%49.0%49.0%49.0%47.0%47.0%
Individual MA — Total Value-Based Care Membership (k)4
4,1194,0893,5863,5533,5423,5023,9943,9853,9233,8373,7643,728
Individual MA — Total Value-Based Care Share (%)(%)
64.0%64.0%68.0%68.0%68.0%67.0%71.0%70.0%70.0%69.0%70.0%69.0%
Individual MA — Shared Risk (Downside Risk) Membership (k)1
2,0932,1161,9481,9401,9471,9312,1152,1112,0862,0521,9171,890
Individual MA — Shared Risk Share (%)(%)
33.0%33.0%37.0%37.0%37.0%37.0%38.0%37.0%37.0%37.0%36.0%35.0%
Individual MA — Path to Risk (Upside / Shared Savings) Membership (k)1
2,0261,9731,6381,6131,5951,5711,8791,8741,8381,7851,8471,838
Individual MA — Path to Risk Share (%)(%)
31.0%31.0%31.0%31.0%31.0%30.0%33.0%33.0%33.0%32.0%34.0%34.0%
Individual MA — Non-Value-Based (Other) Membership (k)1
2,3352,3051,6631,6841,6871,7141,6681,6741,6941,7121,6451,647
Individual MA — Non-Value-Based Share (%)(%)
36.0%36.0%32.0%32.0%32.0%33.0%29.0%30.0%30.0%31.0%30.0%31.0%
Group Medicare Advantage Membership — Period-End (k)1
727729568570570573546547545552510510
Group MA Membership — Quarterly Average (k)
727730569570571574546547547552510510
Medicare Stand-Alone PDP Membership — Period-End (k)1
3,9463,8612,4632,4462,4272,4332,2882,3162,3412,3472,8492,886
Medicare Stand-Alone PDP Membership — Quarterly Average (k)
3,9143,8572,4572,4402,4272,4172,2982,3232,3492,3802,8612,894
State-Based Contracts & Other (Medicaid / Healthy Horizons) — Period-End (k)1
1,6031,5611,6161,6591,5831,6081,4601,4461,3921,2611,2291,265
State-Based Contracts & Other — Quarterly Average (k)
1,6101,5741,6301,6711,5901,5981,4551,4341,4031,2731,2381,289
Medicare Supplement (Medigap) Membership — Period-End (k)1
552537498475444421377357339323307299
Medicare Supplement Membership — Quarterly Average (k)
546532491465436414370351333320304298
Military Services (TRICARE East Region) Membership — Period-End (k)1
4,6304,6304,6054,6054,5894,5896,0095,9855,9595,9555,9605,935
Military Services Membership — Quarterly Average (k)
4,6304,6304,6054,6054,5894,5895,9955,9695,966
Employer Group Commercial Medical Membership (Legacy — Exited in 2025)2
Total Specialty Membership — Period-End (thousands)4
4,8994,9124,7434,7114,7004,6884,5624,5674,6024,6534,8684,964
Total Specialty Membership — Quarterly Average (k)
4,9034,9194,7264,7074,6944,6914,5624,5734,5304,6774,8974,982
Total Dental Membership — Period-End (k)3
2,5072,5242,4152,4072,4062,4092,3562,3622,3832,4032,5122,569
Total Dental Membership — Quarterly Average (k)
2,5122,5272,4092,4042,4062,4112,3592,3662,3032,4132,5312,576
Dental — Fully-Insured Membership (k)1
2,1932,2072,1082,0982,0972,0962,0552,0712,0912,0992,2052,262
Dental Fully-Insured — Quarterly Average (k)
2,1982,2072,1022,0952,0952,0982,0582,0742,0992,1092,2242,268
Dental — ASO Membership (k)1
314318308309310313301291292304307307
Dental ASO — Quarterly Average (k)
314319307309311314301292204305308308
Vision Membership — Period-End (k)1
1,9691,9721,9261,9111,9101,9061,8441,8471,8581,8841,9711,998
Vision Membership — Quarterly Average (k)
1,9691,9771,9201,9121,9091,9071,8421,8481,8651,8961,9772,006
Other Supplemental Benefits Membership — Period-End (k)1
423417401393384374363358361366385397
Other Supplemental Benefits — Quarterly Average (k)
422415397391380372360359362368388400
Consolidated Benefit Ratio / Medical Loss Ratio (GAAP %)(%)1
91.1%89.4%93.0%91.1%89.7%87.0%91.5%89.9%89.0%88.9%90.7%86.6%
Insurance Segment Benefit Ratio (GAAP %)(%)
91.2%89.4%93.1%91.1%89.9%87.4%92.1%90.6%89.5%89.3%
Consolidated Operating Cost Ratio (GAAP %)(%)3
9.8%10.2%13.7%12.6%11.0%10.6%14.4%11.5%10.8%10.4%14.6%12.5%
Consolidated Operating Cost Ratio — Adjusted (Non-GAAP %)(%)
9.7%10.0%13.0%11.8%10.9%10.5%13.2%11.3%10.5%10.2%12.9%12.0%
Insurance Segment Operating Cost Ratio (GAAP %)(%)
7.1%7.3%10.8%9.1%8.3%8.2%11.0%9.2%8.4%8.3%11.1%10.4%
CenterWell Segment Operating Cost Ratio (GAAP %)(%)
92.4%94.5%94.2%93.9%92.7%91.1%92.5%91.3%92.0%93.0%90.6%90.3%
Individual Medicare Advantage Premiums Revenue ($M)($M)1
28,87528,25222,50222,45622,76422,68121,50021,85622,21522,44819,64219,637
Individual Medicare Advantage — Published PMPM ($/member-month)($)
1,4931,4841,4301,4311,4521,4461,2641,2911,3231,3511,2101,226
Group Medicare Advantage Premiums Revenue ($M)($M)1
2,8512,9112,1922,2402,2602,3221,8911,9131,9381,9891,6771,695
Group Medicare Advantage — Published PMPM ($/member-month)($)
1,3061,3301,2841,3101,3201,3471,1541,1661,1801,2021,0961,108
Medicare Stand-Alone PDP Premiums Revenue ($M)($M)1
2,9952,6171,9201,7551,7211,448728721867821512493
Medicare Stand-Alone PDP — Published PMPM ($/member-month)($)
2552262612402362001061031231156057
State-Based Contracts & Other (Medicaid) Premiums Revenue ($M)($M)1
3,5013,3323,7203,7293,4603,5683,1592,9212,5242,3112,1421,995
State-Based Contracts (Medicaid) — Published PMPM ($/member-month)($)
715697729708688709699653573576560493
Medicare Supplement Premiums Revenue ($M)($M)1
344329299283265251226217206197189185
Medicare Supplement — Published PMPM ($/member-month)($)
210206203203203202203206206206207207
Specialty Benefits Premiums Revenue ($M)($M)1
268268251248246244238238240239249252
Specialty Benefits — Published PMPM ($/member-month)($)
191919191919191918181818
Military Services & Other Services Revenue ($M)($M)
201248293268207253246215207252224203
Commercial Fully-Insured Medical Premiums Revenue ($M, legacy)($M)1
152256717842
CenterWell Senior Primary Care — Total Patients Served4
622,000601,600491,100447,100430,300417,800390,500344,200331,900318,000294,200284,700
Total Primary Care Patients — Published YoY Growth (%)(%)
44.6%44.0%25.8%29.9%29.6%31.4%32.7%20.9%21.9%19.7%18.7%17.3%
Wholly-Owned Centers — Patients Served
374,400366,300304,900266,400257,800254,200246,500217,300209,300203,100189,600187,200
De Novo (WCAS Joint Venture) Centers — Patients Served
137,300130,500111,400106,20099,50092,00079,40064,10058,40052,00043,10036,400
Independent Physician Associations (IPA) — Patients Served
110,300104,80074,80074,50073,00071,60064,60062,80064,20062,90061,50061,100
CenterWell Senior Primary Care — Total Center Count3
398398350342335329344301299299296296
Total Primary Care Centers — Published YoY Growth (%)(%)
18.8%21.0%1.7%13.6%12.0%10.0%16.2%1.7%15.9%20.1%26.0%33.3%
Wholly-Owned Primary Care Centers
252252204195194193211181183186188196
De Novo (WCAS Joint Venture) Primary Care Centers
146146146147141136133120116113108100
CenterWell Senior Primary Care — Total Primary Care Providers3
1,4781,5021,3191,1921,1341,1041,002953894900891882
Total Primary Care Providers — Published YoY Growth (%)(%)
30.3%36.1%31.6%25.1%26.8%22.7%12.5%8.0%12.5%20.3%32.8%34.7%
Wholly-Owned Primary Care Providers
1,0281,037874769759759675658627625617614
De Novo (WCAS Joint Venture) Primary Care Providers
450465445423375345327295267275274268
CenterWell Home Solutions — Same-Store Total Admissions2
110,893114,507103,521106,628107,620110,569102,457103,356104,963107,82797,36397,593
Same-Store Total Admissions — Published YoY Growth (%)(%)
3.3%3.6%1.0%3.2%0.7%0.8%3.3%5.5%9.6%6.1%5.0%3.7%
Home Solutions — Episodic Admissions (PDGM)1
83,15085,65076,21578,24878,76082,14677,42979,14981,02484,26075,92176,270
Episodic Admissions — Published YoY Growth (%)(%)
4.9%4.3%-1.6%-1.1%-2.8%-2.5%2.0%3.8%7.3%14.0%11.1%10.5%
CenterWell Pharmacy — Total Medicare Generic Dispense Rate (%)(%)1
90.6%91.0%90.1%90.4%90.7%91.0%90.9%90.8%90.9%91.0%91.8%91.8%
CenterWell Pharmacy — Total Medicare Mail-Order Penetration (%)(%)
23.8%23.8%25.7%25.9%26.0%26.0%27.6%28.1%28.4%29.0%29.0%29.6%
CenterWell Total Segment Revenue ($M, incl. Intersegment)($M)3
6,7906,1005,9625,8795,5375,0955,1305,0414,9474,8184,7104,660
CenterWell Pharmacy Solutions Revenue ($M)($M)
3,7933,1523,5503,4303,1352,8442,9932,9332,8742,8282,7912,797
CenterWell Primary Care Revenue ($M)($M)
2,0081,9221,5241,5641,4791,4191,2791,2571,2391,1701,0731,068
CenterWell Home Solutions Revenue ($M)($M)
9891,026888885923832858851834820846795
Benefits Payable — Total Medical & Pharmacy Claims Liability ($M)($M)5
12,87612,6919,96710,08811,06011,45110,44011,12511,44611,72910,24110,196
Incurred But Not Reported (IBNR) Medical Claims Reserve ($M)($M)
8,9008,9006,6006,9007,0007,2007,3007,2007,1007,3006,6006,400
Days in Claims Payable — DCP (days)(days)
333432333739384142434143
Actuarial Rollforward — Total Benefits Incurred, Excl. Military ($M)($M)2
35,37033,70728,72127,99127,56526,53525,38125,12025,03925,12422,78221,745
Benefits Incurred Related to Current Year ($M)($M)
35,42334,09628,83728,26627,72627,01225,38925,14425,17325,65922,89621,749
Benefits Incurred Related to Prior Years — Prior Period Development / PPD ($M)($M)
-53-389-116-275-161-477-8-24-134-535-114-4
Actuarial Rollforward — Total Benefits Paid, Excl. Military ($M)($M)2
35,18530,98328,84328,96227,95625,52426,06625,44125,32223,63622,73721,853
Benefits Paid Related to Current Year ($M)($M)
34,51222,99928,75528,64227,21317,60525,99924,99824,22316,06122,84521,421
Benefits Paid Related to Prior Years ($M)($M)
6737,984883207437,919674431,0997,575-108432
Consolidated Benefits Expense — GAAP Income Statement ($M)($M)
35,37033,70728,72127,99127,56526,53525,38125,12025,03925,12422,78221,745
CMS Medicare Part D Risk-Corridor & Reinsurance Net Receivable / (Payable) ($M)($M)
1,4001,2001,600800225-167126
Parent Company Cash & Short-Term Investments — Quarterly Supplement ($M)($M)1
1,5901111,5431,9401,3341,2345626091,256509510518
Consolidated Debt-to-Total Capitalization (%)(%)
42.7%43.0%41.1%40.3%40.7%42.8%41.9%42.3%43.6%45.1%41.8%41.1%
Available-for-Sale (AFS) Debt Securities — Total Fair Value ($M)($M)16
17,62817,64016,19617,17618,09918,29818,63519,43317,81217,07717,00815,515
Goodwill by Segment, Intangibles, PP&E Classes, Operating Leases & Debt Maturities (XBRL)4
Managed Care Industry Peers — SEC XBRL Financial & Claims Benchmarks (UNH, ELV, CVS, CI, CNC, MOH)6
BLS PPI — Direct Health & Medical Insurance Carriers (Index)1
Consolidated Pretax Income — Adjusted (Non-GAAP, $M)($M)1
1,2481,670-5965271,0171,893-2966791,1281,191791,268
Non-GAAP Add-Back: Value Creation Transformation Initiatives ($M)($M)
0112001068038452
Diluted Earnings Per Share — Adjusted (Non-GAAP, $/sh)($)
7.6110.31-3.963.246.2711.58-2.164.166.967.23-0.117.78
Insurance Segment Operating Income — Adjusted (Non-GAAP, $M)($M)
8241,439-9232707701,578-575329826903-361794
CenterWell Segment Operating Income — Adjusted / EBITDA-Basis ($M)($M)1
514338345358404451385439394335445453
CenterWell Non-GAAP Add-Back: Segment D&A Expense ($M)($M)
48494753605958575653
Consolidated Total Revenues ($M, DB)($M)6
40,86739,64832,51532,64932,38832,11229,21329,39729,54029,61126,46226,423
Consolidated Insurance Premiums Earned ($M, DB)($M)
38,83437,70930,88430,71130,71630,51427,75027,95128,14228,26125,12825,099
Consolidated Operating / SG&A Expenses ($M, DB)($M)
3,9784,0244,4384,0853,5473,3804,1673,3393,1483,0423,8273,271
Consolidated Net Investment Income ($M, DB)($M)
253262132338272264297343298288294308
Consolidated Operating Income ($M, DB)($M)
1,3601,754-8084001,0982,014-5437281,1411,236-3481,206
Consolidated Pretax Income ($M, DB)($M)
9521,595-1,1281347411,691-9636519181,014-6101,086
Consolidated Net Income Attributable to Humana ($M, DB)($M)
6941,186-7961955451,244-693480679741-541832
Consolidated Total Assets ($M, DB)($M)3
57,19655,28048,90949,71950,35750,93046,47950,00750,09350,09147,06555,905
Consolidated Premiums & Accounts Receivable ($M, DB)($M)
5,6955,2183,2702,6844,5044,4592,7042,1444,0903,9252,0351,824
Consolidated Goodwill ($M, DB)($M)
10,48510,4899,6869,6199,6339,6319,6319,5909,5679,5639,5509,540
Consolidated Total Stockholders' Equity ($M, DB)($M)
19,21318,58017,65718,52218,23417,75116,37517,56516,67116,13016,26216,949
Consolidated Operating Cash Flow ($M, DB)($M)3
1,9661,254-1,6529711,271331-5281,8581,213423-7,1341,252
Consolidated Capital Expenditures ($M, DB)($M)
13212120213511495154130114177283234
Consolidated Depreciation & Amortization ($M, DB)($M)
159163164173178183208210212209201201
Consolidated Stock-Based Compensation ($M, DB)($M)
655148836149545355453353

48 metrics have no data in the last 12 quarters — .

Italic numbers are calculated by StockData from reported figures (hover for the formula). Numbers with a dotted underline are read from the text of earnings releases and presentations; hover to see the exact sentence. Tick a row to add it to the chart above (up to 8 lines).

Methodology and excluded metrics
  • Core rows come from the segment and revenue-disaggregation notes of 10-K and 10-Q filings (XBRL), linked to each filing. Fourth-quarter figures are the fiscal year less the first nine months (shown in italic).
  • Fiscal Calendar & Latest Filings: Humana Inc. (CIK 0000049071) operates on a calendar fiscal year ending December 31. Latest reported company filings on SEC EDGAR: Q2 2026 Form 10-Q & Form 8-K Statistical Supplement (ended June 30, 2026, filed July 29, 2026), FY2025 Form 10-K (filed February 19, 2026), and October 2026 Form 8-K Item 7.01 releases (2027 CMS Star Ratings on Oct 9, 2026; BlackRock Primary Care JV on Oct 13, 2026). Official CMS Monthly Enrollment files extend 4 months further through October 2026.
  • 2022 Segment Reorganization & Commercial Exit: In Q4 2022, Humana realigned its segments from Retail / Group & Specialty / Healthcare Services into two reportable segments: Insurance and CenterWell (recast back to FY2021). On Feb 23, 2023, Humana announced its exit from Employer Group Commercial Medical products (completed at end of FY2024); discontinued Commercial Medical and pre-2022 Pharmacy Script Volume series are labeled 'legacy'.
  • Parent-Company Schedule I Evaluation (Step 3 / Step 4): Humana Inc. files Schedule I (Condensed Financial Information of Registrant) in Form 10-K because state-regulated HMO/insurance subsidiaries face statutory Risk-Based Capital dividend restrictions (Note 15). Because the Parent Registrant is a pure holding company with zero direct insurance premiums (only intercompany management fees), Consolidated − Parent subtraction is invalid under Step 3(b); Schedule I Parent and Note 15 Statutory figures are presented directly as published in Group 7.
  • Subsidiary Disclosures (Groups 5 & 6): Group 5 presents single-contract monthly CMS enrollment (never summed across rows) for Humana's 16 flagship regulated insurance subsidiaries (S5884, H5216, H7617, H1036, CarePlus H1019, Arcadian H5619, Cariten H4461, etc.) through October 2026. Group 6 presents standalone pre-acquisition Home Health & Hospice KPIs of Kindred Healthcare, Inc. (CIK 0001060009, FY2015–Q1 2018).
  • Strict Step 4 & Step 5 Compliance: Only published point figures and permitted cumulative-to-period subtractions (`Q4 = full year − nine months` and `quarter = year-to-date − previous year-to-date`, italicized with formula) are displayed. Bound statements ('at least $9.00 Adjusted EPS', 'at least $160B revenue', 'over', 'more than') are excluded.

Not shown because recent periods are missing (14)

  • Washington — Share of Total Medical Membership (%): annual series missing 2 latest consecutive years up to FY2025
  • Washington — Individual Medicare Advantage Membership (k): annual series missing 2 latest consecutive years up to FY2025
  • Washington — Total Medical Membership (k): annual series missing 2 latest consecutive years up to FY2025
  • Alabama — Share of Total Medical Membership (%): annual series missing 2 latest consecutive years up to FY2025
  • Alabama — Individual Medicare Advantage Membership (k): annual series missing 2 latest consecutive years up to FY2025
  • Alabama — Total Medical Membership (k): annual series missing 2 latest consecutive years up to FY2025
  • Home Health — Same-Store Total Admissions (legacy): legacy series lacks 3 consecutive periods before discontinuation
  • Home Health — Medicare Revenue Mix (%, legacy): legacy series lacks 3 consecutive periods before discontinuation
  • Hospice — Same-Store Admissions (legacy): legacy series lacks 3 consecutive periods before discontinuation
  • Common Shares Outstanding — Period-End (millions): quarterly series missing 3 latest consecutive quarters up to FY2026Q2
  • Humana Healthy Horizons in Oklahoma — SoonerSelect Enrollment (CMS): annual series missing 2 latest consecutive years up to FY2024
  • Humana Healthy Horizons in Indiana — PathWays MLTSS Enrollment (CMS): annual series missing 2 latest consecutive years up to FY2024
  • Centene Corp. (CNC) — Insurance Premiums ($M): annual series missing 2 latest consecutive years up to FY2025
  • Molina Healthcare (MOH) — Medical Benefits Expense ($M): annual series missing 2 latest consecutive years up to FY2025

Data updated 2026-11-02.

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