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Humana Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 11 February 2026: press release. Guidance figures: 5 new. The quarter’s numbers.

Key takeaways

  • Fourth quarter loss per share: The company reported 4Q25 GAAP net loss per share of $6.61 and adjusted net loss per share of $3.96, against $(5.76) and $(2.16) in 4Q24. Source
  • Full-year EPS on both bases: FY 2025 EPS was $9.84 on a GAAP basis and $17.14 on an Adjusted basis, against $9.98 and $16.21 for FY 2024. Source
  • Insurance quarterly operating loss: Insurance segment GAAP loss from operations was $927 million in 4Q25, against $646 million in 4Q24; FY 2025 GAAP income from operations was $1,664 million against $1,289 million. Source
  • Insurance quarterly benefit ratio rose: The Insurance segment GAAP benefit ratio was 93.1 percent in 4Q25, against 92.1 percent in 4Q24. Source
  • CenterWell patient base grew: CenterWell Senior Primary Care grew by 100,600 patients in 2025, or over 25 percent. Source
  • Sales and retention drive 2026 growth: Management attributes expected 2026 individual Medicare Advantage membership growth to new sales, improved retention, a customer-led benefit strategy and changes to its customer service approach. Source
  • Impairment charges in fourth quarter: Impairment charges were $221 million in 4Q25 and $253 million for FY 2025, covering indefinite-lived intangibles and a minority joint-venture investment. Source
  • Transformation program charges: Value creation charges were $129 million in 4Q25 and $449 million for FY 2025, for a multi-year program re-aligning cost structure, operating model and technology. Source

“We were pleased with our solid financial performance and operational progress in 2025,”

Humana President and CEO Jim Rechtin

Guidance

AreaPeriodFigureAgainst last quarter
GAAP diluted EPS SourceFY 2026at least $8.89New
Adjusted EPS SourceFY 2026at least $9.00New
Individual Medicare Advantage membership growth SourceFY 2026 versus 2025approximately 25 percentNew
Amortization add-back per share SourceFY 20260.15New
Cumulative net tax impact per share SourceFY 2026(0.04)New

What changed from last quarter

  • New guidance: FY 2026 GAAP and Adjusted EPS guidance was introduced, and the company said the projection anticipates a year-over-year decline. Source
  • New: The acquisition of The Villages Health is associated with about 32,000 CenterWell Senior Primary Care patients added in 2025. Source

Results and earnings per share

  • Fourth quarter loss per share: The company reported 4Q25 GAAP net loss per share of $6.61 and adjusted net loss per share of $3.96, against $(5.76) and $(2.16) in 4Q24. Source
  • Full-year EPS on both bases: FY 2025 EPS was $9.84 on a GAAP basis and $17.14 on an Adjusted basis, against $9.98 and $16.21 for FY 2024. Source
  • Consolidated GAAP pretax loss widened: Consolidated GAAP pretax loss was $1,011 million in 4Q25 against $862 million in 4Q24; the adjusted pretax loss was $596 million against $296 million. Source
  • Consolidated revenue rose year on year: Consolidated revenues were $32,515 million in 4Q25 against $29,213 million, and $129,664 million for FY 2025 against $117,761 million. Source

Segments and business platforms

  • Insurance quarterly operating loss: Insurance segment GAAP loss from operations was $927 million in 4Q25, against $646 million in 4Q24; FY 2025 GAAP income from operations was $1,664 million against $1,289 million. Source
  • Insurance adjusted results year on year: Insurance adjusted loss from operations was $923 million in 4Q25 against $575 million; FY 2025 adjusted income from operations was $1,696 million against $1,483 million. Source
  • Insurance revenue grew: Insurance segment GAAP revenues were $31,343 million in 4Q25 against $28,170 million, and $124,563 million for FY 2025 against $113,764 million. Source

“We continue to feel good about our consumer-focused strategy and our individual Medicare Advantage membership growth in 2026, which will allow us to build for the future with even better outcomes and experiences.”

Humana President and CEO Jim Rechtin

Benefit ratio and cost ratios

  • Insurance quarterly benefit ratio rose: The Insurance segment GAAP benefit ratio was 93.1 percent in 4Q25, against 92.1 percent in 4Q24. Source
  • Consolidated benefit ratio rose: Consolidated GAAP benefit ratio was 93.0 percent in 4Q25 against 91.5 percent in 4Q24, and 90.2 percent for FY 2025 against 89.8 percent. Source
  • Consolidated operating cost ratio: The consolidated GAAP operating cost ratio was 13.7 percent in 4Q25 against 14.4 percent in 4Q24; the adjusted ratio was 13.0 percent against 13.2 percent. Source
  • Insurance operating cost ratio eased: The Insurance segment operating cost ratio was 10.8 percent in 4Q25 against 11.0 percent in 4Q24, and 9.1 percent for FY 2025 against 9.2 percent. Source

Membership, patients and retention

  • CenterWell patient base grew: CenterWell Senior Primary Care grew by 100,600 patients in 2025, or over 25 percent. Source
  • Sales and retention drive 2026 growth: Management attributes expected 2026 individual Medicare Advantage membership growth to new sales, improved retention, a customer-led benefit strategy and changes to its customer service approach. Source
  • Consumer-focused strategy cited: Management said it continues to feel good about its consumer-focused strategy and its 2026 membership growth. Source

Impairments, disposals and capital

  • Impairment charges in fourth quarter: Impairment charges were $221 million in 4Q25 and $253 million for FY 2025, covering indefinite-lived intangibles and a minority joint-venture investment. Source
  • Primary care partnership fair value swings: Put/call valuation adjustments on minority interest investments were $53 million in 4Q25 and $513 million for FY 2025, reflecting fair value measurements of the primary care partnership. Source
  • Impairment also hit investment income: The impairment charges further affected GAAP consolidated revenues, specifically investment income, in 4Q25 and FY 2025. Source
  • Loss on sale of a business: The company recorded a loss on sale of business of $4 million in 4Q25 and $67 million for FY 2025, from a discrete disposition. Source

Strategy, transformation and platforms

  • Transformation program charges: Value creation charges were $129 million in 4Q25 and $449 million for FY 2025, for a multi-year program re-aligning cost structure, operating model and technology. Source
  • Medicaid footprint spans 13 states: The Medicaid footprint now covers 13 states. Source
  • CenterWell and Medicaid platforms grew: Management described continued growth in its CenterWell and Medicaid platforms. Source

Coming up, as management said on 11 February 2026

  • Georgia and Texas Medicaid launches: Management said Georgia and Texas are expected to launch their Medicaid programs in 2027. Source

Risks management discussed

  • Regulatory: Management said the FY 2026 guidance decline reflects the Star Ratings headwind for Bonus Year 2026, net of mitigation. Source
  • Financial: Impairment testing for indefinite-lived intangibles relies on estimates of future financial performance in certain state markets. Source

Earlier plans management reported on

  • Ahead: The FY 2025 Insurance segment GAAP benefit ratio was 90.4 percent, which management described as slightly better than its guidance. Source
  • Met: Management said the quarterly and full-year Adjusted results were in line with its expectations. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.