Humana (HUM)

Company ID: 241 | CIK: 0000049071
10-Q view:
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Segments are charted by their disclosed metrics (revenue, segment profit, etc.). Each line is a single segment. Reconciliation/corporate items are excluded. Major customers are shown as a percentage of revenue. Operational KPIs are grouped by metric concept; sub-metrics appear as separate lines.

Geographic Segments

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Business Unit / Product Segments

Major Customers (% of Revenue)

Operational KPIs

Medicare per member premium growth (arpu)

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CHAMPUS contract value (backlog)

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Hospital beds (beds)

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Claims on hand valuation (claims_count)

Operating cost ratio (combined_ratio)

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Medical professionals (contractors)

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Medical membership by state (customers)

Medicaid members (customers_served)

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Associate engagement (engagement)

Employees covered by collective bargaining (headcount)

Claims On-hand (inventory_units)

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TRICARE medical expense ratio (loss_ratio)

Accredited HMO markets (other)

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Administrative Cost Ratio (other)

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Administrative cost ratio (other)

Administrative expense ratio (other)

Average Commercial group size (other)

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Average duration of investment portfolio (other)

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Average group size (other)

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Average investment securities yield (other)

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Average investment yield (other)

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Average membership growth (other)

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Average portfolio duration (other)

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Brokers and agents (other)

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CHAMPUS eligible beneficiaries (other)

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Capital expenditures (other)

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Capitated HMO expense (other)

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Care management program members (other)

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CenterWell Operating cost ratio (other)

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CenterWell Segment Operating Cost Ratio (other)

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CenterWell Segment Operating cost ratio (other)

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CenterWell segment operating cost ratio (other)

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Chronic Care Program enrollees (other)

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Chronic Care Program members (other)

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Chronic care management enrollees (other)

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Chronic care management enrollment (other)

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Chronic care management membership (other)

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Chronic care program enrollees (other)

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Chronic care program members (other)

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Chronic condition program enrollment (other)

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Claim receipt cycle time (other)

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Claims On-hand Valuation (other)

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Claims incurred but not reported (other)

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Claims on-hand (other)

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Claims on-hand valuation (other)

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Commercial brokers and agents (other)

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Commercial medical cost trend (other)

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Commercial premium rate change (other)

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Commercial premium yield (other)

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Commercial premium yield growth (other)

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Commercial sales employees (other)

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Common shares outstanding (other)

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Contracted hospitals (other)

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Contracted physicians (other)

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Contracted providers (other)

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Core systems remediated (other)

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D-SNP members (other)

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Days Claims On-hand (other)

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Days claims on hand (other)

Days claims on-hand (other)

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Debt to capitalization (other)

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Dividends declared per share (other)

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Dual Eligible Special Needs Plan members (other)

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Effective tax rate (other)

Electronic claims adjudication (other)

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Electronic inbound contacts (other)

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Employed physicians (other)

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Favorable claim development (other)

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Favorable claims reserve development (other)

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Favorable prior-period claim development (other)

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Favorable prior-period claims development (other)

Favorable prior-period reserve development (other)

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Favorable prior-year claims development (other)

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Favorable prior-year medical claims reserve development (other)

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Favorable prior-year reserve development (other)

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Federal government revenue share (other)

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Federally qualified HMOs (other)

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Florida Medicare Advantage members (other)

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Generic dispensing rate (other)

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Government program revenue share (other)

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HCFA Medicare risk contracts (other)

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HMO Hospitals (other)

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HMO Physicians (other)

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HMO contracted hospitals (other)

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HMO contracted physicians (other)

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HMO primary care physicians (other)

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HMOs owned and operated (other)

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Health insurance industry fee paid (other)

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Home health states (other)

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Hospital share of medical costs (other)

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Hospitals Contracted (other)

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Hospitals contracted (other)

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IBNR balance (other)

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IBNR claims reserve (other)

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Incurred but not reported benefits (other)

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Incurred but not reported claims (other)

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Incurred but not reported reserves (other)

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Independent brokers and agents (other)

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Individual MA members in value-based relationships (other)

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Insurance Operating cost ratio (other)

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Insurance Segment Operating Cost Ratio (other)

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Insurance Segment Operating cost ratio (other)

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Insurance segment operating cost ratio (other)

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Interest coverage ratio (other)

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Investment portfolio duration (other)

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Investment yield (other)

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Large group membership mix (other)

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Large group membership share (other)

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Leverage ratio (other)

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Licensed HMOs (other)

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Licensed brokers and agents (other)

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MA members in four-star or better plans (other)

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MA members in quality-bonus plans (other)

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Market value of non-affiliate stock (other)

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Medicaid revenue share (other)

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Medical expense ratio (other)

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Medicare Advantage contracts rated 4-star or above (other)

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Medicare Advantage members in 4+ star plans (other)

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Medicare HMO medical cost trend (other)

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Medicare HMO premium yield (other)

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Medicare HMO premium yield growth (other)

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Medicare and Medicaid sales representatives (other)

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Medicare counties being exited (other)

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Medicare membership in 4-Star plans (other)

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Medicare product markets (other)

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Medicare revenue share (other)

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Medicare risk members paying premiums (other)

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Medicare risk premium rate change (other)

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Medicare risk rate increase (other)

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Medicare share of premiums and services revenue (other)

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Medicare/Medicaid brokers (other)

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Medicare/Medicaid sales representatives (other)

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Members in 4+ Star plans (other)

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Members in 4-star or higher contracts (other)

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Members in 4-star or higher plans (other)

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Members in 4.5-star or higher contracts (other)

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Members in 5-star contracts (other)

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Members in chronic care program (other)

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Members in integrated care risk arrangements (other)

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Members in quality bonus plans (other)

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Members in risk arrangements (other)

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Members in risk-based contracts (other)

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Members in shared risk value-based arrangements (other)

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Members in value-based relationships (other)

Members under risk-based contracts (other)

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Membership in 4-Star plans (other)

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Membership in 4-star rated plans (other)

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Military services revenue share (other)

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Network-based share of Medicare Advantage (other)

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Non-core membership share (other)

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Number Of Reportable Segments (other)

Number of Reportable Segments (other)

On-exchange individual states (other)

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Operating Cost Ratio (other)

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Operating cost ratio (other)

PFFS plan members (other)

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PFFS share of membership (other)

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PPO Hospitals (other)

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PPO Physicians (other)

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PPO contracted hospitals (other)

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PPO contracted physicians (other)

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Pharmacy cost trend (other)

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Physicians Contracted (other)

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Physicians contracted (other)

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Plans with 4+ Star Rating (other)

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Plans with 4.5 Star Rating (other)

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Positions eliminated (other)

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Premium rate change (other)

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Premium rate increase (other)

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Primary care providers (other)

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Primary care providers in CDO (other)

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Primary care providers in value-based relationships (other)

Prior-period claim development (other)

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Prior-period claims development (other)

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Provider Contracts (other)

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Provider contracts (other)

Provider network contracts (other)

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SG&A Expense Ratio (other)

SG&A expense ratio (other)

Sales representatives (other)

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Same-plan premium yield change (other)

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Same-plan premium yield growth (other)

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Shares outstanding (other)

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Shares repurchased (other)

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Specialty administrative membership (other)

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Specialty members (other)

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Specialty membership (other)

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Specialty product membership (other)

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States licensed (other)

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States with Commercial products (other)

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Statutory capital and surplus (other)

Stockholders of record (other)

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Tax equivalent yield on invested assets (other)

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Tax-equivalent investment yield (other)

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Telemarketing representatives (other)

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Total benefits payable (other)

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Unprocessed claim inventory (other)

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Unprocessed claim inventory valuation (other)

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Unprocessed claims on hand (other)

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Value creation charges (other)

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Value-based arrangement members (other)

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Value-based care members (other)

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Value-based care penetration (other)

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Value-based membership (other)

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Value-based membership penetration (other)

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Value-based membership share (other)

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Value-based penetration (other)

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Value-based relationship members (other)

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Value-based relationship penetration (other)

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Value-based relationship providers (other)

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Voluntary Turnover Rate (other)

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Voluntary turnover rate (other)

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Year 2000 project cost (other)

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Year 2000 remediation progress (other)

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Humana Chronic Care Program members (patients)

Long-term care policies in force (policies_in_force)

Specialty product revenues (premiums_written)

Script volume (prescriptions_filled)

In-home health assessments (procedures)

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HMOs owned and operated (properties)

Primary care providers in value-based relationships (providers)

Specialty Membership (subscribers)

HumanaVitality membership (users)

Medical utilization rate (utilization_rate)

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Human capital disclosures. Workforce totals and demographics are point-in-time. Flow metrics use the year-to-date period for 10-Q and full year for 10-K. Workforce actions (RIFs, restructurings, acquisition-related changes) are listed in the table at the bottom.

Workforce Totals

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Demographics

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Workforce Breakdowns

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HCM Metrics — Point-in-Time

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HCM Metrics — Flow (Annual / YTD)

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Workforce Actions

Period EndTypeStatusAffected% WorkforceAnnouncedExpected CompletionGeographySegment / FunctionChargeSourceNote
2026-06-30restructuringin_progressNot specifiedEnterprise-wide (cost structure, operating model and technology footprint)USD 154 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Multi-year transformation program; charges of $56M in Q2 2026 and $154M YTD 2026 recorded in operating costs, primarily severance, associate exit costs, asset impairments and consulting. No employee count, announcement date or completion date disclosed; company expects additional charges over the program's course.
2026-06-30acquisition_additioncompleted2026-02-132026-02-13United States (Florida)CenterWell — primary carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired MaxHealth, a Florida primary care organization, for approximately $908M cash net of cash acquired; closed 2026-02-13. Headcount added through the acquisition is not disclosed.
2026-06-30restructuringin_progressUSD 56 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges of $56 million for the three months ended June 30, 2026, primarily relate to severance and associate exit costs, asset impairments, and external consulting expenses. Employee count not disclosed.
2026-06-30restructuringin_progressUSD 154 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges of $154 million for the six months ended June 30, 2026, primarily relate to severance and associate exit costs, asset impairments, and external consulting expenses. Employee count not disclosed.
2026-06-30acquisition_additioncompleted2026-02-13FloridaPrimary CareUSD 908 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired MaxHealth, a Florida-based primary care organization, for cash consideration of approximately $908 million. Headcount added is not explicitly disclosed.
2026-03-31restructuringin_progressUnited StatesEnterpriseUSD 98 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Multi-year transformation program; charges cover consulting, severance, workforce optimization, and asset impairments. No employee count or completion date disclosed; additional charges expected.
2026-03-31acquisition_additioncompleted2026-02-132026-02-13Florida, United StatesCenterWell — Primary Carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		MaxHealth acquisition closed 2026-02-13 for ~$908M cash; headcount added not disclosed.
2026-03-31restructuringin_progressUSD 98 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges related to 'Value Creation Initiatives' including external consulting, severance, and workforce optimization. Employee count not disclosed.
2026-03-31acquisition_additioncompleted2026-02-13FloridaPrimary CareUSD 908 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of MaxHealth, a primary care organization. Headcount added not explicitly disclosed.
2025-12-31restructuringin_progressGlobalEnterprise-wide (cost structure, operating model and technology footprint)USD 449 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		FY2025 charges of $449M, primarily within operating costs; includes $329M severance and other employee-related charges for workforce optimization plus $40M asset impairments, remainder largely external consulting. Company expects additional charges over the program; no employee count or completion date disclosed. Prior-year program charges (2024, 2023) not extracted.
2025-12-31othercompletedUnited StatesInsurance segment — Employer Group Commercial Medical Products businessMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Full exit of all fully insured, self-funded and Federal Employee Health Benefit medical plans plus associated wellness and rewards programs, completed in 2025 after a strategic review. No headcount or charge attributed to the exit is disclosed for 2025 (a $70M severance charge related to the exit was recorded in 2023, not extracted).
2025-12-31divestiture_reductioncompletedUnited StatesNot specifiedUSD 67 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		One business divested during 2025; net proceeds of $115M and $138M of intangible assets disposed. Individual or aggregate impact described as not material; no headcount disclosed.
2025-12-31acquisition_additioncompleted2026-02-13United StatesCenterWell segment — Primary Caresubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Subsequent event after fiscal year-end; consideration of approximately $941 million. No headcount added disclosed.
2025-12-31restructuringin_progressUSD 449 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Charges include $329M in severance and other employee-related charges for workforce optimization, and $40M in asset impairments. Filer states 'we expect to incur additional charges over the course of the program.' Employee count not disclosed.
2025-12-31divestiture_reductioncompletedInsuranceMD&A
f5-10k / Qwen3.6-27B-Q8_0		Finalized exit from Employer Group Commercial Medical Products business. No specific headcount reduction disclosed for this action in the current year (severance of $70M was recorded in 2023).
2025-09-30restructuringin_progressCorporate (charges recorded at corporate level, not allocated to segments)USD 320 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Nine-month 2025 charges of $320M, primarily severance for workforce optimization and consulting spend; $267M in Q3 alone. No employee count disclosed; company expects additional 2025 charges.
2025-09-30divestiture_reductioncompletedCenterWell (goodwill disposition of $17M)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		A business was divested in Q3 2025 with a $63M loss on sale and $17M goodwill disposition; no headcount impact disclosed.
2025-09-30restructuringin_progressUSD 267 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges primarily in severance in connection with workforce optimization and external consulting spend for the three months ended Sept 30, 2025. Employee count not disclosed.
2025-09-30restructuringin_progressUSD 320 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges primarily in severance in connection with workforce optimization and external consulting spend for the nine months ended Sept 30, 2025. Employee count not disclosed.
2025-06-30restructuringin_progressUnited StatesEnterprise-wideUSD 29 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q2 2025 charges of $29M (H1 2025: $53M) primarily for asset impairments, severance tied to workforce optimization, and consulting; no employee count disclosed; further charges expected in 2025.
2025-06-30restructuringin_progressUSD 29 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges primarily in asset impairments, severance charges in connection with workforce optimization and external consulting spend for the three months ended June 30, 2025. Employee count not disclosed.
2025-06-30restructuringin_progressUSD 53 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges primarily in asset impairments, severance charges in connection with workforce optimization and external consulting spend for the six months ended June 30, 2025. Employee count not disclosed.
2025-03-31restructuringin_progressUnited StatesEnterprise-wide (value creation initiatives)USD 24 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q1 2025 charge of $24M within operating costs; includes asset impairments, severance for workforce optimization, and external consulting. No employee count or completion date disclosed. Prior-year comparative charge of $29M not extracted.
2025-03-31restructuringin_progressUSD 24 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges of $24 million recorded for Q1 2025 related to 'value creation initiatives,' primarily asset impairments and severance charges in connection with workforce optimization.
2024-12-31restructuringin_progress2022-01-01Enterprise-wideUSD 25 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		FY2024 severance component of the multi-year value creation program (workforce optimization); total FY2024 program charges were $281M, including $256M asset impairments. Employees affected not disclosed. Program began in 2022; only FY2024 activity captured.
2024-12-31restructuringin_progress2023-02-012025-06-30United StatesInsurance — Employer Group Commercial Medical ProductsMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Exit of all fully insured, self-funded and FEHB medical plans plus associated wellness/rewards programs; anticipated to finalize in H1 2025. A $70M severance charge was recorded in FY2023 (prior year, not captured here); no FY2024 severance amount separately disclosed. Employees affected not disclosed.
2024-12-31restructuringcompleted2022-01-01USD 25 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Severance charges in connection with workforce optimization under value creation initiatives. Employee count not disclosed.
2024-12-31restructuringcompleted2023-02-012025-06-30Employer Group Commercial Medical ProductsUSD 70 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Severance charges resulting from exit of Employer Group Commercial Medical Products business. Exit anticipated to be finalized in first half of 2025. Employee count not disclosed.
2024-09-30restructuringin_progress20222024-12-31CorporateUSD 151 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cost-saving and productivity program begun in 2022; charges primarily asset impairments recorded at corporate level ($55M in Q3 2024, $151M YTD 2024). No employee-affected count disclosed; additional charges expected through end of 2024.
2023-12-31restructuringin_progress2024-12-31United StatesCorporate (not allocated to segments)USD 199 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Value creation initiatives began in 2022; exact announcement date not disclosed. FY2023 severance portion of $199M within total FY2023 charges of $436M (which also include $237M asset impairments). Additional charges expected through end of 2024; no employees-affected count disclosed.
2023-12-31restructuringin_progress2023-02-01United StatesInsurance — Employer Group Commercial Medical ProductsUSD 70 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Announcement month disclosed only as February 2023. Exit phased over 18 to 24 months from announcement (completion between August 2024 and February 2025). FY2023 severance of $70M; separate FY2023 impairment charges of $91M (including $55M indefinite-lived intangibles) also recorded in connection with the exit. No employees-affected count disclosed.
2023-12-31restructuringin_progress2023-02-012025-02-01United StatesEmployer Group Commercial Medical ProductsUSD 70 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Exit from Employer Group Commercial Medical Products business; phased over 18 to 24 months following February 2023 announcement. Recorded $70 million in severance charges in 2023.
2023-12-31restructuringin_progress2022-01-012024-12-31United StatesCorporateUSD 199 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Value creation initiatives including workforce optimization. Recorded $199 million in severance charges in 2023. Additional charges expected through end of 2024.
2023-09-30restructuringin_progress20222024-12-31CorporateUSD 52 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Ongoing cost-saving and productivity program committed during 2022; charges recorded at corporate level and not allocated to segments. Q3 2023 charge of $52 million was primarily asset impairments (software and abandonment); no employee-affected count disclosed for the current quarter. Prior-period severance charges under the program related to workforce optimization. Additional charges expected through the end of 2024.
2023-09-30restructuringin_progress2023-02United StatesInsurance — Employer Group Commercial Medical ProductsMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Planned phased exit from all fully insured, self-funded and Federal Employee Health Benefit medical plans plus associated wellness and rewards programs, to be phased over 18 to 24 months following the February 2023 announcement (i.e., completion window approximately February 2024 to February 2025). No headcount reduction or associated charge quantified in the filing; commercial fully-insured membership declined 165,200 and commercial ASO membership declined 154,300 year over year.
2023-09-30restructuringin_progress2022-01-012024-12-31CorporateCorporateUSD 52 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Value Creation Initiatives: Recorded charges of $52 million primarily in asset impairments relating to software and abandonment during Q3 2023. Charges are recorded at the corporate level. Expected to incur additional charges through end of 2024.
2023-09-30restructuringin_progress2023-02-012025-02-01United StatesInsuranceMD&A
f5-10q / Qwen3.6-27B-Q8_0		Employer Group Commercial Medical Products Business Exit: Announced planned exit from fully insured, self-funded and Federal Employee Health Benefit medical plans. Exit to be phased over 18 to 24 months following February 2023 announcement.
2023-06-30restructuringin_progress2023-02United StatesInsurance — Employer Group Commercial Medical ProductsMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Planned phased exit over 18 to 24 months from the February 2023 announcement; covers fully insured, self-funded and FEHB medical plans plus wellness/rewards programs. No employee count or charge disclosed. Membership declines of 119,900 fully-insured and 52,800 ASO members by June 30, 2023 reflect the exit.
2023-06-30restructuringin_progress2023-02-012025-02-01United StatesEmployer Group Commercial Medical ProductsMD&A
f5-10q / Qwen3.6-27B-Q8_0		Announced planned exit from Employer Group Commercial Medical Products business. Exit to be phased over 18 to 24 months following February 2023 announcement. No specific employee count or severance charge disclosed for this action in the current period.
2023-03-31otherin_progress2023-022024-09United StatesInsurance — Employer Group Commercial Medical ProductsMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Planned exit from the Employer Group Commercial Medical Products business (fully insured, self-funded, FEHB medical plans and related wellness/rewards programs), announced February 2023 and to be phased over 18 to 24 months. No employee count or severance charge disclosed for the exit; commercial fully-insured membership already declined 16.3% and commercial ASO membership 8.2% year over year at March 31, 2023.
2023-03-31restructuringcompleted2022-12-312022-12-31CorporateCorporateUSD 116 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges recorded in 2022 for workforce optimization. No employee count disclosed. No recurring charges in 2023.
2023-03-31otherannounced2023-02-012025-06-30United StatesEmployer Group Commercial Medical ProductsMD&A
f5-10q / Qwen3.6-27B-Q8_0		Announced planned exit from Employer Group Commercial Medical Products business. Exit to be phased over 18 to 24 months. No specific headcount or charge disclosed.
2022-12-31restructuringin_progressUnited StatesCorporateUSD 116 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		2022 workforce optimization under a $473M value creation program; severance of $116M plus $248M asset impairments and consulting fees. Charges recorded at corporate level, not allocated to segments. Employee count not disclosed.
2022-12-31divestiture_reductioncompleted2022-08-112022-08-11United StatesCenterWell — Hospiceother
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of 60% interest in Kindred at Home Hospice subsidiary to Clayton, Dubilier & Rice; pre-tax gain of $237M recognized. Headcount removed not disclosed.
2022-12-31restructuringcompleted2022-12-312022-12-31GlobalCorporateUSD 116 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Recorded $116 million of severance charges in connection with workforce optimization as part of value creation initiatives. Employee count not explicitly disclosed.
2022-09-30restructuringin_progressUnited StatesCorporate (not allocated to segments)USD 65 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Nine-month severance accrual of $65M ($44M in Q3) tied to workforce optimization under 2022 value creation program; total charges $285M YTD ($82M in Q3), including $144M YTD asset/software impairment. No employee count disclosed; company expects additional charges in Q4 2022.
2022-09-30restructuringin_progress2022-01-01CorporateUSD 44 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges related to 'optimization of our workforce' for the three months ended Sept 30, 2022. Employee count not disclosed.
2022-09-30restructuringin_progress2022-01-01CorporateUSD 65 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charges related to 'optimization of our workforce' for the nine months ended Sept 30, 2022. Employee count not disclosed.
2022-06-30restructuringin_progress2022-06-30United StatesCorporate (not allocated to segments)USD 203 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q2 2022 charge of $203M for cost-saving and productivity initiatives, including $140M asset/software impairment and abandonment, and $21M future severance for workforce optimization. No employee count disclosed; additional charges expected later in 2022.
2022-06-30divestiture_reductionin_progress2022-04-212022-09-30United StatesHealthcare Services — KAH Hospice (Hospice and Personal Care divisions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Agreement to divest 60% interest in Kindred at Home Hospice and Personal Care divisions at $3.4B enterprise value; classified held-for-sale at 2022-06-30. No headcount impact quantified.
2022-06-30restructuringin_progress2022-04-012023-06-30United StatesCorporateUSD 21 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Part of 'Value Creation Initiatives' recorded in Q2 2022. Includes $21 million in future severance payments for workforce optimization. Total charge was $203 million, primarily asset/software impairment. Employee count not disclosed.
2022-03-31divestiture_reductionannounced2022-04-212022-09-30United StatesHealthcare Services — Kindred at Home (Hospice and Personal Care divisions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Agreement to divest a 60% interest in KAH Hospice at a $3.4B enterprise valuation; ~$2.8B cash proceeds expected. No affected-employee count disclosed; closing expected in Q3 2022 subject to regulatory approvals.
2021-12-31acquisition_additioncompleted2021-04-272021-08-17United StatesHealthcare Services (Home solutions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining 60% interest in Kindred at Home on 2021-08-17 for $8.2B enterprise value; definitive agreement signed 2021-04-27. Headcount added through the acquisition not disclosed; approximately $45M of acquisition-related costs recognized in operating costs.
2021-12-31restructuringannouncedUnited StatesEnterpriseMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Company committed to cost savings, productivity and value-acceleration initiatives to fund 2023 growth; stated it anticipates incurring certain charges in 2022. No employee count, charge amount, or timing disclosed in this filing.
2021-09-30acquisition_additioncompleted2021-04-272021-08-17United StatesHealthcare Services (Home Solutions)USD 45 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of remaining 60% of Kindred at Home closed 2021-08-17; no employee headcount added was disclosed. Associated charge reflects acquisition-related costs (compensation, banker and professional fees) recognized in operating costs.
2021-06-30acquisition_additionannounced2021-04-272021-09-30United States (40 states)Healthcare Services (home health and hospice)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to acquire remaining 60% of Kindred at Home at $8.1B enterprise value; no employee count disclosed. Expected close Q3 2021, subject to regulatory approvals.
2021-03-31acquisition_additioncompleted2002021-01-01United StatesHealthcare Services (Conviva primary care centers)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Filer states 'over 200' new Conviva team members, including more than 40 physicians, PAs and APRNs; also added 12 centers and 49 affiliate practices. Exact announcement date not disclosed; occurred during Q1 2021.
2021-03-31acquisition_additionannounced2021-04-272021-09-30United States (40 states)Healthcare Services (Kindred at Home home health and hospice)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to acquire remaining 60% of Kindred at Home at $8.1B enterprise value; expected to close Q3 2021 subject to regulatory approvals. No employee count disclosed. Approximate completion date inferred from 'third quarter of 2021'.
2021-03-31acquisition_additioncompleted2002021-03-31United StatesHealthcare Servicesbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Conviva Medical Centers acquired assets of four entities, adding 'over 200 new Conviva team members, including more than 40 physicians, physician assistants and advanced practice registered nurses'.
2021-03-31acquisition_additionannounced2021-04-272021-09-30United StatesHealthcare ServicesUSD 8,100 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Agreement to acquire remaining 60% interest in Kindred at Home for enterprise value of $8.1 billion. Expected to close in Q3 2021. Employee count not disclosed.
2020-12-31restructuringcompleted20192020-12-31United StatesNot specifiedother
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Program initiated in 2019 impacted approximately 1,000 associates with a $47M charge recorded in 2019; the remaining $45M severance obligation was fully settled during 2020. No employees affected or charge attributed to fiscal 2020.
2020-12-31acquisition_additioncompleted20202020-03-31United StatesHealthcare Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Enclara Healthcare, a hospice pharmacy and benefit management provider, completed in Q1 2020 for approximately $709 million cash consideration, net of cash received; headcount added not disclosed.
2020-12-31restructuringcompleted1,00020192020-12-31USD 47 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Involuntary workforce reduction program initiated in 2019 impacting approximately 1,000 associates. Remaining obligation settled as of December 31, 2020.
2020-03-31acquisition_additioncompleted2020-01-31United StatesHealthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Enclara Healthcare for ~$709M cash, net of cash received; goodwill of $515M assigned to Healthcare Services. No employee headcount added disclosed.
2019-12-31reduction_in_forcein_progress1,0002019CorporateUSD 47 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Involuntary workforce reduction program initiated during 2019 affecting approximately 1,000 associates; charge recorded at corporate level within operating costs. Remaining obligation of $45 million at 2019-12-31, expected to be primarily paid within 12 months. Announcement date disclosed only to year granularity.
2019-12-31restructuringin_progress1,0002019USD 47 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Involuntary workforce optimization program initiated in 2019. Estimated charges of $47 million recorded. Approximately 1,000 associates impacted.
2019-12-31restructuringin_progress1,000USD 47,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr		Expected positions to be eliminated
2019-09-30restructuringin_progressUnited StatesCorporateUSD 46 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Involuntary workforce optimization program initiated in Q3 2019; $46M charge ($0.26 per diluted share) recorded in corporate operating costs, classified as current liability expected to be paid within 12 months. Number of employees affected not disclosed.
2019-09-30restructuringin_progress2019-09-30CorporateUSD 46 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Involuntary workforce optimization program initiated in Q3 2019. Estimated charges of $46 million recorded on corporate level. Liability expected to be primarily paid within 12 months.
2018-12-31divestiture_reductioncompleted2018-08-092018-08-09United StatesOther Businesses (closed block long-term care / voluntary benefits)USD 786 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of KMG America Corporation (including Kanawha Insurance Company) to Continental General Insurance Company; pretax loss of $786 million including transaction costs, with a $452 million tax benefit. Headcount transferred not disclosed.
2018-12-31acquisition_additioncompleted2018-03-012018-03-01United States (Florida, Texas)Retail / Healthcare Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of the remaining equity interest in MCCI Holdings, LLC, a management service organization; purchase price included $169 million cash plus existing investment and notes. Employees added not disclosed.
2018-12-31acquisition_additioncompleted2018-04-102018-04-10United States (Greater Orlando, Florida)Retail / Healthcare Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Family Physicians Group, an at-risk provider serving Medicare Advantage and Managed Medicaid HMO patients, for approximately $185 million cash net of cash received. Employees added not disclosed.
2018-12-31acquisition_additioncompleted2018-07-112018-07-11United StatesHealthcare Services (home health and hospice)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		40% minority interest in the combined Kindred at Home and Curo Health Services venture for approximately $1.1 billion total cash consideration (closed July 2 and July 11, 2018); accounted for under the equity method, so headcount is not consolidated. Employees added not disclosed.
2018-12-31voluntary_separationcompleted3,6007.8%2017-07-012018-12-31GlobalCorporateUSD 148 (millions)Note 2. Summary of Significant Accounting Policies
f5-10k / Qwen3.6-27B-Q8_0		Initiated in Q3 2017; charges recorded in 2017. Remaining liability of $12 million expected to be paid in 2019.
2018-09-30restructuringin_progress3,6007.8%2017-09-302018-12-31United StatesEnterprise-wideUSD 148 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Combined voluntary early retirement and involuntary workforce reduction initiated in Q3 2017; announcement date reflects quarter only. Charge of $148M ($0.64/diluted share) recorded in 2017; remaining liability $29M at 2018-09-30, expected to be substantially paid during 2018. Implied workforce of ~46,000 not stated by filer.
2018-09-30divestiture_reductioncompleted2018-08-092018-08-09United StatesOther Businesses (closed-block commercial long-term care — KMG America Corporation / Kanawha Insurance Company)USD 786 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of KMG to Continental General Insurance Company completed 2018-08-09; pretax loss of $786M including transaction costs (offset by $430M tax benefit). No employee headcount associated with the divestiture is disclosed.
2018-09-30acquisition_additioncompleted2018-03-012018-03-01United States (Florida, Texas)Retail; Healthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of remaining equity interest in MCCI, a Medicare Advantage care-coordination MSO; $169M cash plus existing investment and notes. No headcount added disclosed.
2018-09-30acquisition_additioncompleted2018-04-102018-04-10United States (Greater Orlando, Florida)Retail; Healthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of FPG, an at-risk provider serving Medicare Advantage and Managed Medicaid HMO patients, for approximately $185M cash net of cash received. No headcount added disclosed.
2018-09-30voluntary_separationin_progress3,6007.8%2017-07-012018-12-31United StatesCorporate / All SegmentsUSD 148 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Initiated in Q3 2017. Includes voluntary early retirement and involuntary reduction. Remaining liability of $29 million at Sept 30, 2018 expected to be substantially paid in 2018.
2018-06-30restructuringin_progress3,6007.8%2017-09-302018-12-31USD 148 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Program initiated during third quarter of 2017 (exact announcement date not disclosed); combined voluntary early retirement and involuntary workforce reduction programs affecting approximately 3,600 associates, or 7.8% of the 2017 workforce. Charge of $148 million ($0.64 per diluted share) recorded in 2017; $140 million classified as current liability at 2017-12-31; remaining liability of $52 million at 2018-06-30, expected to be paid during 2018. Geography and function breakdown not disclosed.
2018-06-30acquisition_additioncompleted2018-03-01United StatesRetail; Healthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining equity interest in MCCI Holdings, LLC (Miami, Florida-based Medicare Advantage care coordination MSO operating in Florida and Texas); goodwill of $479 million assigned to Retail and Healthcare Services segments. Headcount added not disclosed.
2018-06-30acquisition_additioncompleted2018-04-10United StatesRetail; Healthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired Family Physicians Group (FPG), an at-risk provider group in Greater Orlando, Florida, for approximately $185 million cash net of cash received; goodwill of $135 million assigned to Retail and Healthcare Services segments. Headcount added not disclosed.
2018-06-30divestiture_reductionin_progress2018-09-30United StatesOther Businesses — closed block commercial long-term care (KMG America Corporation / Kanawha Insurance Company)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Expected sale of KMG to Continental General Insurance Company in third quarter of 2018; KMG classified as held-for-sale at 2018-06-30 with assets of $3,467 million and liabilities of $2,694 million. Transaction to be funded with approximately $200 million of parent cash plus approximately $150 million of statutory capital transferred. Headcount removed not disclosed; announcement date not disclosed.
2018-06-30acquisition_additionannounced2018-07-02United StatesHome health and hospice (Kindred at Home)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter event: completed acquisition of a 40% minority interest in Kindred at Home for approximately $850 million cash, as part of a consortium with TPG and WCAS. Minority interest rather than full acquisition; headcount added not disclosed.
2018-06-30acquisition_additionannounced2018-07-11United StatesHospice (Curo Health Services)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter event: consortium completed acquisition of Curo Health Services (245 locations across 22 states), merged with Kindred at Home's hospice business; Humana purchased a 40% minority interest for approximately $250 million cash. Headcount added not disclosed.
2018-06-30voluntary_separationin_progress3,6007.8%2017-07-012018-12-31United StatesCorporate / All SegmentsUSD 148 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Program initiated in Q3 2017. Remaining liability of $52 million at June 30, 2018 expected to be paid in 2018.
2018-03-31voluntary_separationin_progress3,6007.8%2017-07-012018-12-31United StatesEnterprise-wideUSD 148 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Program initiated in Q3 2017 combining voluntary early retirement and involuntary workforce reduction; impacted approximately 3,600 associates, or 7.8% of workforce, in 2017. Remaining liability of $94 million at 2018-03-31, expected to be paid during 2018. Announcement date approximated to Q3 2017 as only the quarter is disclosed.
2018-03-31acquisition_additioncompleted2018-03-012018-03-01United States (Florida, Texas)Retail; Healthcare Servicesbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired remaining equity interest in MCCI Holdings, a management service organization; no headcount added disclosed
2018-03-31acquisition_additioncompleted2018-04-102018-04-10United States (Greater Orlando, Florida)Retailsubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Subsequent-event acquisition of at-risk provider group for approximately $190 million cash; no headcount added disclosed
2018-03-31divestiture_reductionannounced2017-11-062018-09-30United StatesOther Businesses (closed-block long-term care insurance)USD 350 (millions)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of KMG America Corporation announced 2017-11-06; estimated net loss of approximately $350 million (pretax loss ~$760 million offset by ~$410 million tax benefit); anticipated close by Q3 2018; no headcount reduction disclosed
2018-03-31restructuringin_progress3,6007.8%2017-07-012018-12-31GlobalCorporate / All SegmentsUSD 148 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Initiated in Q3 2017 via voluntary early retirement and involuntary reduction. 3,600 associates impacted (7.8% of workforce). Total charges recorded in 2017 were $148 million. Remaining liability at March 31, 2018 was $94 million, expected to be paid in 2018.
2017-12-31restructuringin_progress3,6007.8%United StatesCompany-wideUSD 148 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Combined voluntary early retirement program and involuntary workforce reduction program initiated during 2017; charge equals $0.64 per diluted common share. Payments begin in Q1 2018 and are expected to be paid primarily within 12 months; disclosed as a current liability in trade accounts payable and accrued expenses. Filer presents a single consolidated count, so voluntary and involuntary components are not separately quantified.
2017-12-31divestiture_reductionannounced2017-11-06United StatesOther Businesses (KMG / Kanawha Insurance Company — closed block long-term care)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to sell KMG to Continental General Insurance Company; anticipated to close by Q3 2018 subject to South Carolina Department of Insurance approval. Employee headcount affected not disclosed; expected net loss of approximately $365 million (pretax loss of approximately $780 million offset by approximately $415 million expected tax benefit) relates to the business sale, not severance.
2017-12-31restructuringcompleted3,6007.8%2017-01-012018-03-31GlobalCorporateUSD 148 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Initiated voluntary early retirement and involuntary workforce reduction programs impacting 7.8% of workforce. Payments begin in Q1 2018.
2017-12-31restructuringin_progress3,600USD 148,000,000 (absolute)restructuring_footnote
f5-10k / no-ai-xblr		Expected positions to be eliminated
2017-09-30restructuringin_progress2,7005.7%CorporateUSD 124 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Initiated during Q3 2017; exact announcement date not disclosed. Programs expected to affect about 2,700 associates, or 5.7% of the workforce. Charge of $124 million ($0.54 per diluted share) recorded at corporate level, not allocated to segments; included in operating costs. Payments begin with terminations primarily from the start of Q1 2018 and the liability is expected to be paid mainly within 12 months, classified as current in trade accounts payable and accrued expenses. Percent basis is the disclosed 5.7% of workforce; implied total (~47,400) is consistent with the 47,200 headcount disclosed as of October 31, 2017.
2017-09-30divestiture_reductionannounced2017-11-062018-09-30Other Businesses (closed block commercial long-term care insurance)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter agreement to sell KMG America Corporation (subsidiary Kanawha Insurance Company) to Continental General Insurance Company; serves approximately 30,100 policyholders (policyholders, not employees). No employee count disclosed. Expected net loss of approximately $400 million ($2.75 per diluted share), including a pretax loss of about $900 million offset by roughly $500 million of tax benefit; funded with about $203 million of parent cash plus roughly $150 million of statutory capital transferred. Anticipated close by Q3 2018, subject to South Carolina Department of Insurance approval.
2017-09-30restructuringin_progress2,7005.7%2017-09-30CorporateUSD 124 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Initiated voluntary early retirement and involuntary workforce reduction programs in Q3 2017. Charges recorded at corporate level. Payments primarily start Q1 2018.
2017-09-30restructuringin_progress2,700USD 124,000,000 (absolute)restructuring_footnote
f5-10q / no-ai-xblr		Expected positions to be eliminated
2016-12-31otherannounced2017-02-142018-01-01United StatesRetail — individual commercial medical businesssubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Announced full exit of the individual commercial medical business effective January 1, 2018 following the 2017 open enrollment period; no affected-employee count or charge disclosed.
2016-12-31divestiture_reductioncompleted2015-06-012015-06-01United StatesHealthcare ServicesItem 1. Business
f5-10k / Qwen3.6-27B-Q8_0		Sale of wholly owned subsidiary Concentra Inc. completed June 1, 2015. Employee count not explicitly disclosed in filing.
2016-06-30divestiture_reductionannounced2016-08-02United StatesRetail — Medicare Advantagesubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter agreement to sell certain Medicare Advantage assets to Molina for approximately $117 million in aggregate (with a substantially identical Aetna APA); no employee count disclosed. Closing conditioned on Merger completion, DOJ litigation resolution, and CMS/state approvals.
2015-12-31divestiture_reductioncompleted2015-06-01United StatesHealthcare Services (Concentra — occupational medicine, urgent care, physical therapy, wellness)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of Concentra Inc. completed June 1, 2015 for approximately $1,055 million cash; classified as held-for-sale in March 2015. Number of employees divested not disclosed.
2015-12-31divestiture_reductioncompleted2015-06-012015-06-01United StatesHealthcare ServicesItem 1_Business
f5-10k / Qwen3.6-27B-Q8_0		Sale of wholly owned subsidiary Concentra Inc. completed June 1, 2015. Employee count not explicitly disclosed in filing.
2015-06-30divestiture_reductioncompleted2015-03-012015-06-01United StatesHealthcare Services (Concentra)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of Concentra Inc. completed June 1, 2015 for ~$1,055M cash; no employee count disclosed for the divested workforce.
2015-03-31divestiture_reductionannounced2015-03-222015-06-30United StatesHealthcare Services (Concentra Inc.)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to sell wholly-owned subsidiary Concentra for approximately $1,055 million cash; expected to close Q2 2015 subject to HSR clearance. No employee count associated with the divestiture is disclosed in the filing.
2013-12-31acquisition_additioncompleted2013-09-062013-09-06United States (Florida)Retailbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of American Eldercare Inc. (Florida Medicaid long-term support services); headcount added through the acquisition was not disclosed.
2013-06-30otherin_progress2013-06-262013-09-30Puerto RicoOther Businesses — state-based MedicaidUSD 31 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Puerto Rico Health Insurance Administration elected not to renew three Medicaid contracts ending 2013-06-30; Q2 2013 loss of $31.0 million driven by premium deficiency and employee termination costs. No affected-employee count disclosed; coverage runs through 2013-09-30 plus claims run-out.
2013-06-30acquisition_additionannounced2013-07-242013-12-31United States — FloridaRetail / Healthcare Services — Medicaid long-term carebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to acquire American Eldercare Inc., a Florida nursing home diversion services provider; subject to state regulatory approvals, anticipated close by Q4 2013. No headcount or purchase price disclosed in this filing.
2013-06-30restructuringcompletedPuerto RicoOther BusinessesUSD 31 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Loss of $31.0 million recorded in Q2 2013 related to premium deficiency and employee termination costs due to non-renewal of Medicaid contracts.
2012-12-31acquisition_additioncompleted2012-03-312012-03-31United StatesRetailbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired a Medicare Advantage HMO serving members in 15 states; acquired employee headcount not disclosed. Goodwill of $44 million assigned to Retail segment.
2012-12-31acquisition_additioncompleted2012-07-062012-07-06United StatesHealth and Well-Being Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Chronic-care in-home care provider for seniors; acquired employee headcount not disclosed.
2012-12-31acquisition_additioncompleted2012-10-292012-10-29United StatesHealth and Well-Being Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Noncontrolling equity interest in an MSO headquartered in Miami, Florida; acquired employee headcount not disclosed.
2012-12-31acquisition_additioncompleted2012-12-212012-12-21United StatesHealth and Well-Being Servicesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Transaction value of $851 million; acquired employee headcount not disclosed. Metropolitan excluded from management's and the auditor's internal control assessment as of December 31, 2012.
2011-12-31acquisition_additioncompleted2011-12-06United States (San Diego, California)Health and Well-Being Services / analyticsbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Anvita, Inc., a health care analytics company; acquired headcount not disclosed.
2011-12-31acquisition_additioncompleted2011-12-30United States (California)Retail — Medicare Advantagebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of MD Care, Inc., a California Medicare Advantage HMO; grew Medicare enrollment by approximately 12,100 members, but acquired employee headcount not disclosed.
2011-12-31acquisition_additionannouncedUnited States (15 states)Retail — Medicare Advantagebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement entered into during the second half of 2011 to acquire Arcadian Management Services, Inc.; closing subject to regulatory approval; headcount not disclosed.
2011-12-31acquisition_additionannouncedUnited StatesHealth and Well-Being Services — home/chronic carebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement entered into during the second half of 2011 to acquire SeniorBridge, a chronic-care provider; closing subject to regulatory approval; headcount not disclosed.
2010-12-31acquisition_additioncompleted2010-12-212010-12-21United StatesCommercial — Specialty / Concentra medical centers and worksite medical facilitiesbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Cash consideration of $804.7 million; total acquired headcount not disclosed. Filing separately notes approximately 1,900 medical professionals working at Concentra medical centers as of 2010-12-31, and that Concentra represented approximately 6% of total assets.
2010-12-31restructuringcompleted8002010-12-31United StatesCorporate and administrative functionsMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Net year-over-year decrease of 800 employees (to 27,300 from 28,100), excluding Concentra additions, attributed to administrative cost reduction strategies including planned 2010 workforce reductions; figure is a net change, not a gross separation count. No severance charge quantified.
2010-12-31restructuringcompleted2010MD&A
f5-10k / Qwen3.6-27B-Q8_0		Planned workforce reductions resulted in a decrease of 800 employees (excluding Concentra acquisition) to 27,300 at year-end.
2010-12-31acquisition_additioncompleted2010-12-21business_combinations_footnote
f5-10k / Qwen3.6-27B-Q8_0		Acquired Concentra Inc. on December 21, 2010. Total headcount includes approximately 1,900 medical professionals from Concentra.
2010-09-30restructuringin_progress2010-12-31United StatesCompany-wide administrative functionsMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Filer references planned 2010 workforce reductions as part of administrative cost-reduction strategies but discloses no affected-employee count, severance charge, or announcement date; the 1,900 year-over-year headcount decline is not attributed to a discrete program.
2010-06-30restructuringin_progress2010-12-31United StatesCompany-wideMD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		MD&A cites administrative cost reduction strategies including planned workforce reductions in 2010, with continued workforce attrition expected for the remainder of 2010; no discrete affected-employee count or severance charge is disclosed. Headcount declined by a net 1,200 to 26,900 during the six months ended June 30, 2010.
2009-06-30otherannounced2009-07United States — TRICARE South RegionGovernment segment — Military servicessubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		DoD notified Humana in July 2009 it was not awarded the third-generation TRICARE South Region contract; GAO protest filed. Contract runs through 2010-03-31. Company is evaluating potential goodwill impairment ($50M carrying value at 2009-06-30), exit costs, and asset sales; no headcount impact quantified. TRICARE premiums and ASO fees were $1.8B (11.7% of total) for the six months ended 2009-06-30.
2008-12-31acquisition_additioncompleted2008-04-302008-04-30United States — Las Vegas, NevadaGovernment — Medicare Advantage HMObusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired UnitedHealth Group's Las Vegas SecureHorizons Medicare Advantage HMO business for approximately $185.3 million cash plus $40 million subsidiary capital; added approximately 26,700 Medicare HMO members. Employee headcount added not disclosed.
2008-12-31acquisition_additioncompleted2008-05-222008-05-22United States — central IllinoisGovernment and Commercial — Medicare and commercial health planbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired OSF Health Plans, Inc. for approximately $84.0 million cash; added approximately 33,400 commercial fully-insured, 29,700 commercial ASO, and 14,000 Medicare HMO/PPO members. Employee headcount added not disclosed.
2008-12-31acquisition_additioncompleted2008-08-292008-08-29United States — central FloridaGovernment — Medicare HMObusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired Metcare Health Plans, Inc. for approximately $14.9 million cash; added approximately 7,300 Medicare HMO members. Employee headcount added not disclosed.
2008-12-31acquisition_additioncompleted2008-10-312008-10-31United States — eastern TennesseeGovernment and Commercial — Medicare HMO, commercial fully-insured and ASO, Medicaid ASObusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired PHP Companies, Inc. (Cariten Healthcare) for approximately $256.1 million cash; added approximately 49,700 commercial fully-insured, 21,600 commercial ASO, 46,900 Medicare HMO, and 85,700 Medicaid ASO members (the Medicaid contract expired 2008-12-31 and was not renewed). Employee headcount added not disclosed.
2008-09-30acquisition_additioncompleted2008-04-302008-04-30Las Vegas, Nevada, United StatesGovernment — Medicare Advantage HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired UnitedHealth Group's Las Vegas SecureHorizons Medicare Advantage HMO business for about $185.3 million plus $40 million subsidiary capital. Added approximately 26,700 Medicare HMO members; no employee count disclosed.
2008-09-30acquisition_additioncompleted2008-05-222008-05-22Central Illinois, United StatesGovernment and Commercialbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired OSF Health Plans for about $82.9 million cash. Added approximately 33,400 fully-insured and 29,700 ASO commercial members plus about 14,000 Medicare PPO and HMO members; no employee count disclosed.
2008-09-30acquisition_additioncompleted2008-08-292008-08-29Central Florida, United StatesGovernment — Medicare HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired Metcare Health Plans for about $14.9 million cash. Added approximately 7,300 Medicare HMO members; no employee count disclosed.
2008-09-30acquisition_additioncompleted2008-10-312008-10-31Eastern Tennessee, United StatesCommercial (fully-insured and ASO) and Government — Medicare HMOsubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter acquisition of PHP Companies (Cariten Healthcare) for about $252.9 million cash, funded with a $250 million borrowing under the credit agreement on 2008-10-30. Added approximately 51,400 fully-insured and 22,100 ASO commercial members and about 46,900 Medicare Advantage members; no employee count disclosed.
2008-06-30acquisition_additioncompleted2008-04-302008-04-30Las Vegas, Nevada, United StatesGovernment (Medicare Advantage)USD 185 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired UnitedHealth Group's SecureHorizons Medicare Advantage HMO business for about $185.3 million cash plus $40 million subsidiary capital; added roughly 26,700 Medicare HMO members. Employee headcount added not disclosed.
2008-06-30acquisition_additioncompleted2008-05-222008-05-22Illinois, United StatesGovernment and CommercialUSD 82 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired OSF Health Plans for about $82.0 million cash; added roughly 33,400 fully-insured and 29,700 ASO commercial members plus about 14,000 Medicare PPO members. Employee headcount added not disclosed.
2008-06-30acquisition_additionannounced2008-06-272008-12-31Florida, United StatesGovernment (Medicare)USD 14 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed to acquire Metcare Health Plans for about $14 million cash; adds about 7,000 Medicare HMO members. Subject to regulatory approval; employee headcount not disclosed.
2008-06-30acquisition_additionannounced2008-08-012008-12-31Tennessee, United StatesCommercial and Government (Medicare Advantage)USD 245 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed after quarter end to acquire PHP Companies (Cariten Healthcare) for about $245 million cash; adds about 34,000 fully-insured and 30,000 ASO commercial members and about 46,000 Medicare Advantage members. Subject to regulatory approval; employee headcount not disclosed.
2007-12-31acquisition_additioncompleted2007-10-012007-10-01United StatesCommercialUSD 369 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		CompBenefits Corporation acquired for $369.1 million cash; dental and vision benefits provider. Headcount added not disclosed.
2007-12-31acquisition_additioncompleted2007-11-302007-11-30United StatesCommercialUSD 156 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		KMG America Corporation acquired for $156.3 million cash plus $36.1 million assumed long-term debt; supplemental health and life benefits. Headcount added not disclosed.
2007-12-31acquisition_additioncompleted2007-03-012007-03-01United StatesGovernmentUSD 27 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		DefenseWeb Technologies, Inc. acquired for $27.0 million cash; software provider to the Department of Defense. Headcount added not disclosed.
2007-09-30acquisition_additionannounced2007-092007-12-31United StatesCommercialbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to acquire KMG America Corporation for about $155 million cash plus about $35 million assumed debt; employee headcount not disclosed.
2007-09-30acquisition_additioncompleted2007-10-012007-10-01United StatesCommercialbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Subsequent-event acquisition of CompBenefits Corporation (dental and vision benefits) for $368.7 million cash; employee headcount not disclosed.
2007-06-30acquisition_additionannounced2007-06-302007-12-31United States (Atlanta, Georgia)CommercialUSD 360 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Agreement to acquire CompBenefits Corporation (dental and vision plans) for approx. $360 million cash, financed with cash and debt; subject to regulatory approval, expected to close later in 2007. No headcount disclosed.
2007-06-30acquisition_additioncompleted2007-03-012007-03-01United StatesGovernmentUSD 27 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of DefenseWeb Technologies, Inc. (software solutions for the Department of Defense) for approx. $26.9 million cash; goodwill of $19.95 million recorded in Government segment. No headcount disclosed.
2007-03-31acquisition_additioncompleted2007-03-01United StatesGovernment segmentUSD 27 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		DefenseWeb Technologies acquired for cash consideration of approximately $26.7 million; headcount added not disclosed.
2006-12-31acquisition_additioncompleted2006-05-012006-05-01KentuckyCommercialbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of CHA Service Company (CHA Health) for $67.5 million cash consideration, including a $1.7 million contingent settlement paid January 2007. Added approximately 60,100 fully insured group members and 28,300 ASO members; acquired employee headcount not disclosed. No material impact on 2006 results or operating cash flows.
2006-12-31acquisition_additioncompleted2006-05-012006-05-01KentuckyCommercialMD&A
f5-10k / Qwen3.6-27B-Q8_0		Acquired CHA Service Company. Added approximately 60,100 fully insured group members and 28,300 ASO members to Commercial segment medical membership. Employee headcount added not explicitly disclosed.
2006-12-31acquisition_additioncompleted2005-12-202005-12-20CommercialMD&A
f5-10k / Qwen3.6-27B-Q8_0		Acquired Corphealth, Inc. Employee headcount added not explicitly disclosed.
2006-09-30acquisition_additioncompleted2006-05-01Kentucky, United StatesCommercialUSD 66 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cash consideration of approximately $65.8 million including estimated transaction costs; filing discloses only member additions (about 60,100 fully insured group and 28,300 ASO members), not employee headcount added.
2006-09-30acquisition_additioncompleted2006-05-01KentuckyCommercialUSD 66 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired CHA Health for $65.8 million. Added approx. 60,100 fully insured group members and 28,300 ASO members. Employee headcount added not explicitly disclosed.
2006-06-30acquisition_additioncompleted2006-05-01Kentucky, United StatesCommercial segmentUSD 65 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Cash consideration of approximately $65.4 million including estimated transaction costs; added approximately 60,100 fully-insured group members and 28,300 ASO members per MD&A, but no employee headcount added was disclosed
2006-06-30acquisition_additioncompleted88,4002006-05-01KentuckyCommercialUSD 65 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of CHA Health added 88,400 members. Note: Filing distinguishes 'members' from 'employees'. The 1,800 employee increase cited in SG&A section is net growth, not solely from this acquisition. No explicit employee headcount for CHA is provided, only member count. This action is recorded based on the explicit mention of the acquisition adding members, but strictly speaking, the schema asks for employees. However, in health insurance, 'members' are customers. The 1,800 employee increase is the only explicit employee flow. The prompt asks for workforce actions. An acquisition is a workforce action. The text says 'CHA acquisition which added 88,400 members'. It does NOT say it added X employees. Therefore, employees_affected_count should be null or derived if possible. But rule 2 says 'Do Not Calculate'. I will set employees_affected_count to null because the text only gives member count. Wait, looking at the SG&A section: 'The number of employees increased by 1,800... primarily in the sales and customer service functions associated with the growth in the Medicare business.' This implies the 1,800 is organic growth, not the acquisition. The acquisition added members. I will not create a workforce action for the acquisition with a specific employee count because it is not disclosed. I will leave workforce_actions empty or include the acquisition with null employee count? The instructions say 'Acquisition-related headcount additions (in business combination footnotes)'. Note 3 discusses the acquisition but does not mention headcount. MD&A mentions members. I will omit the acquisition from workforce_actions as no employee count is disclosed.
2006-03-31acquisition_additioncompleted2006-05-012006-05-01Kentucky, United StatesCommercialUSD 65 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter acquisition of CHA Service Company (CHA Health) for about $65.0 million cash including estimated transaction costs; no employee headcount disclosed — filing reports only member additions of approximately 64,400 fully-insured group members and 28,100 ASO members. Purchase price subject to adjustment after a six-month claims settlement period.
2006-03-31acquisition_additionannounced92,5002006-03-312006-05-01KentuckyCommercialUSD 65 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of CHA Health adds approx. 64,400 fully-insured group members and 28,100 ASO members. Note: These figures represent membership, not employee headcount, but are the only workforce-related metrics disclosed for this acquisition.
2005-12-31acquisition_additioncompleted1,2002005-02-162005-02-16Florida, United StatesGovernment segment — Medicare AdvantageMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Approximately 1,200 employees added with the CarePlus Health Plans of Florida acquisition (closed 2005-02-16); acquisition also added ~50,400 Medicare Advantage members
2005-12-31acquisition_additioncompleted2005-12-202005-12-20Texas, United StatesCommercial segment — behavioral health care managementbusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired 2005-12-20 for ~$54.2 million cash; headcount added not disclosed
2005-12-31acquisition_additionannounced2006-01-312006-06-30Kentucky, United StatesCommercial segmentsubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Agreement reached January 2006 to acquire CHA Health for ~$60.0 million cash plus excess statutory surplus; expected to add ~96,800 members (not employees) to Commercial segment; expected close Q2 2006 subject to regulatory approval
2005-12-31acquisition_additioncompleted1,2002005-02-162005-02-16FloridaGovernmentMD&A
f5-10k / Qwen3.6-27B-Q8_0		Approximately 1,200 employees added with the CarePlus acquisition.
2005-12-31acquisition_additioncompleted2005-12-202005-12-20CommercialMD&A
f5-10k / Qwen3.6-27B-Q8_0		Acquired Corphealth, Inc. Employee count not explicitly disclosed in text.
2005-09-30acquisition_additioncompleted2005-02-16Florida (Miami-Dade, Broward and Palm Beach counties)Government segment — Medicare Advantagebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of CarePlus plus 10 affiliated medical centers and a pharmacy company for ~$444.9M cash; added ~50,400 Medicare-eligible members. No employee headcount added through the acquisition is disclosed.
2005-06-30acquisition_additioncompleted2005-02-16United States — Miami-Dade, Broward and Palm Beach counties, FloridaGovernment segment — Medicare AdvantageUSD 445 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Purchase price paid in cash including transaction costs; filing discloses approximately 50,400 Medicare-eligible members added but does not disclose employee headcount acquired.
2005-03-31acquisition_additioncompleted2005-02-16Florida (Miami-Dade, Broward and Palm Beach counties)Government — Medicare Advantagebusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired for approximately $444.4 million in cash; added approximately 50,400 Medicare-eligible members and 10 medical centers plus a pharmacy company. Employee headcount added through the acquisition was not disclosed.
2004-12-31acquisition_additioncompleted2004-04-012004-04-01Louisiana, United StatesCommercial and Government segmentsUSD 157 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Cash purchase price of $157.1 million including transaction costs. Filer discloses member additions (approximately 152,600 commercial and 33,100 Medicare Advantage members) but no employee headcount added.
2004-12-31acquisition_additioncompleted2005-02-162005-02-16South Florida, United StatesGovernment segment — Medicare AdvantageUSD 450 (millions)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Subsequent event after fiscal year-end; closed 2005-02-16 before the 2005-03-01 filing date. Financed with $156 million cash and $294 million credit agreement borrowings. No employee headcount disclosed; filer notes approximately 50,000 Medicare Advantage members added.
2004-12-31otherin_progressUnited StatesEnterprise-wideUSD 16 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Filer reports approximately $15.5 million of severance and related employee benefit cost for 2004 but does not describe a specific program, affected headcount, or completion timeline.
2004-12-31restructuringcompleted2004-12-312004-12-31United StatesAdministrativeUSD 16 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Severance costs of $15.5 million recorded in 2004. No specific employee count disclosed for 2004 actions, though 2002 plan affected approx 2,600 positions.
2004-12-31acquisition_additioncompleted2004-04-012004-04-01LouisianaCommercial and Governmentbusiness_combinations_footnote
f5-10k / Qwen3.6-27B-Q8_0		Acquired Ochsner Health Plan on April 1, 2004. Added approx 152,600 commercial medical members and 33,100 Medicare Advantage members. Employee headcount not explicitly disclosed.
2004-09-30acquisition_additioncompleted2003-12-312004-04-01United States (Louisiana)Commercial and Government segmentsbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition closed 2004-04-01 for $131.3 million cash; the filing discloses member counts added (approximately 152,600 Commercial and 33,100 MedicareAdvantage members) but no employee headcount added.
2004-09-30restructuringcompleted2003-06-30Jacksonville, FloridaCustomer ServiceUSD 17 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Filing references $17.2 million impairment expense from Jacksonville service center building writedown included in 2003 period results. Completion date inferred from 'mid-2003' transition completion mentioned in Note 4.
2004-09-30restructuringin_progressMD&A
f5-10q / Qwen3.6-27B-Q8_0		MD&A mentions 'workforce reductions favorably impacting both segments' and 'consolidation of seven service centers into four' as drivers of SG&A efficiency, but does not quantify employee counts or charges for the current period.
2004-06-30acquisition_additioncompleted2004-04-012004-04-01Louisiana, United StatesCommercial and Government segmentsUSD 84 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Ochsner Health Plan acquired April 1, 2004; $83.9M cash paid including transaction costs. Filing discloses member counts (approx. 152,600 Commercial and 33,100 MedicareAdvantage members) but no employee headcount added. Purchase agreement signed December 2003; a $45.0M earnings-contingency payment was made in Q3 2004 (subsequent event) increasing goodwill.
2004-06-30plant_closurecompleted2004-03Jacksonville, Florida, United StatesCustomer service operationsother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Decision to eliminate the Jacksonville customer service center; center consolidated by mid-2003 and building sold during Q1 2004 for $14.8M proceeds with a $0.2M loss. Related 2003 impairment of $17.2M and accelerated software depreciation of $13.5M are prior-period charges. No employee count disclosed for the workforce reduction.
2004-06-30restructuringcompletedFloridaCustomer ServiceUSD 17 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Elimination of Jacksonville customer service center. Filing notes 'workforce reductions' contributed to SG&A efficiency. Specific employee count not disclosed; $17.2M impairment charge recorded in Q1 2003.
2004-03-31acquisition_additionannounced2004-04-012004-04-01United States (Louisiana)Commercial; Government (Medicare Advantage)USD 83 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Ochsner Health Plan acquired for $82.5M cash plus up to $45.0M contingent consideration; no employee count disclosed. Serves ~152,000 Commercial and ~33,000 Medicare Advantage members.
2004-03-31plant_closurecompleted2004-03-31United States (Jacksonville, Florida)Customer serviceUSD 17 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Jacksonville customer service center eliminated; consolidation completed mid-2003 with $17.2M impairment in Q1 2003. Building sale completed during Q1 2004 ($14.8M proceeds, $0.2M loss). No employee count disclosed.
2004-03-31restructuringcompleted2003-06-30Jacksonville, FloridaCustomer ServiceUSD 17 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Elimination of Jacksonville customer service center. Non-cash impairment expenses of $17.2 million recorded in Q1 2003. Transition plan completed mid-2003. Building sold in Q1 2004.
2004-03-31restructuringcompleted2003-03-31Information TechnologyUSD 14 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Abandonment of software used in operations. Accelerated depreciation of remaining software balance of $13.5 million recorded in Q1 2003.
2004-03-31othercompletedMD&A
f5-10q / Qwen3.6-27B-Q8_0		Workforce reductions in 2002 and 2003 contributed to operational efficiencies and decreased SG&A expense ratio.
2003-12-31restructuringcompleted2003-06-30United StatesCustomer service centers / administrativeUSD 11 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Completion of consolidation from seven service centers to four during 2003; 2003 severance cost of $11.2M. Affected-employee count for 2003 not separately disclosed (the related 2002 plan affected approximately 2,600 positions).
2003-12-31plant_closurecompleted2002-10-312003-06-30United States (Jacksonville, FL; San Antonio, TX)Customer service centersUSD 17 (millions)other
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Building impairment of $17.2M recognized in Q1 2003 as Jacksonville center wound down; San Antonio and Jacksonville centers consolidated into other service centers by mid-2003. Headcount reductions not quantified.
2003-12-31acquisition_additionannounced2003-12-192004-06-30United States (New Orleans, Louisiana)Commercial and Medicare+Choicebusiness_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to purchase Ochsner Health Plan; expected to close Q2 2004 subject to state regulatory approval. Plan had approximately 152,000 commercial members and 36,000 Medicare+Choice members; employee headcount added not disclosed.
2003-12-31restructuringcompleted2002-Q42003-06-30United StatesAdministrative / Customer ServiceUSD 11 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Enterprise-wide workforce reduction and consolidation of seven service centers to four. 2003 severance costs were $11.2 million. The 2002 plan affected approximately 2,600 positions.
2003-09-30restructuringin_progress2,60020022004-06-30United StatesEnterprise-wide; consolidation of seven customer service centers into four (Jacksonville FL, San Antonio TX, Madison WI closures)USD 33 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Plan finalized in Q4 2002: $32.1M severance plus $1.3M lease discontinuance provision. Approximately 2,100 of 2,600 positions eliminated as of 2003-09-30; 1,600 separations in the nine months ended 2003-09-30 with $16.9M cash payments; remaining $15.6M accrual balance. Remaining positions to be eliminated no later than 2004-06-30. Related non-cash asset impairments of $30.8M (nine months 2003) are excluded from this charge figure.
2003-09-30restructuringin_progress2,6002002-12-312004-06-30Enterprise-wideAdministrative, Customer Service, Claim Administration, Clinical Operations, Provider Network AdministrationUSD 33 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Plan finalized in Q4 2002 to consolidate seven customer service centers into four and reduce workforce. As of Sept 30, 2003, approx 2,100 positions eliminated. Remaining positions expected eliminated by June 30, 2004. Total provision $33.4M ($32.1M severance, $1.3M lease discontinuance).
2003-06-30restructuringin_progress2,60020022003-12-31United StatesEnterprise-wide (customer service, claim administration, clinical operations, provider network administration, corporate and field positions)USD 32 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Plan finalized in Q4 2002; consolidates seven customer service centers into four plus an enterprise-wide workforce reduction. Approximately 1,910 of the 2,600 positions had been eliminated as of 2003-06-30, with the remainder expected by 2003-12-31. Severance provision of $32.1M recorded in Q4 2002; a separate $30.8M non-cash long-lived asset impairment provision (Jacksonville building $17.2M, accelerated software depreciation $13.5M) was recorded in Q1 2003. Severance accrual balance was $21.9M at 2003-06-30 (690 employees remaining).
2003-06-30restructuringin_progress2,6002002-12-312003-12-31Enterprise-wideAdministrative cost structure; customer service, claim administration, clinical operations, provider network administration, corporate and field-based positionsUSD 30,760 (thousands)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Plan finalized in Q4 2002 to realign administrative cost structure by consolidating seven customer service centers into four and reducing workforce. As of June 30, 2003, approximately 1,910 positions had been eliminated. Remaining positions expected to be eliminated by Dec 31, 2003. YTD 2003 provision includes $30.8M for long-lived asset impairment (non-cash).
2003-03-31restructuringin_progress2,6002003-12-31United StatesEnterprise-wide (customer service, claim administration, clinical operations, provider network administration, corporate and field positions)USD 67 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Plan finalized in Q4 2002; consolidates seven customer service centers into four plus enterprise-wide workforce reduction. Approximately 955 positions eliminated as of 2003-03-31; plan expects to hire ~300 to support consolidated operations, net reduction ~2,300. Charge comprises $35.9M in Q4 2002 (severance $32.1M, long-lived assets $2.4M, lease discontinuance $1.3M) and $30.8M non-cash long-lived asset impairment in Q1 2003 (Jacksonville building $17.2M, accelerated software depreciation $13.5M). Severance accrual balance at 2003-03-31 was $27.1M plus $1.1M lease discontinuance. Announcement date not specified beyond 'fourth quarter of 2002'.
2003-03-31restructuringin_progress2,6002002-12-312003-12-31Enterprise-wideAdministrative (Customer service, claim administration, clinical operations, provider network administration, corporate, field-based)USD 35,877 (thousands)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Plan finalized in Q4 2002 to consolidate seven customer service centers into four and reduce workforce. Total charge $35.9M (Q4 2002). Q1 2003 charge of $30.8M related to long-lived asset impairments. Approx 955 positions eliminated as of March 31, 2003. Net reduction expected to be approx 2,300 positions after hiring 300 for consolidated operations.
2002-12-31restructuringin_progress2,6002002-12-052003-12-31United StatesEnterprise-wide; customer service, claim administration, clinical operations, provider network administration, corporate and field positionsUSD 36 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Plan finalized in Q4 2002 (Form 8-K filed 2002-12-05) to consolidate seven customer service centers into four plus an enterprise-wide workforce reduction. Affects approximately 2,600 positions gross, with about 300 hires to support consolidated operations for a net reduction of approximately 2,300 employees. Approximately 500 positions eliminated as of 2002-12-31; remainder expected by 2003-12-31. FY2002 charge of $35.877M comprises severance $32.105M, long-lived asset impairment $2.448M and leased equipment discontinuance $1.324M; $32.519M remained accrued at year-end as expected future cash outlays.
2002-12-31restructuringin_progress2,6002002-10-012003-12-31Enterprise-wideAdministrative and Customer ServiceUSD 36 (millions)restructuring_footnote
f5-10k / Qwen3.6-27B-Q8_0		Plan to reduce administrative cost structure via consolidation of seven customer service centers into four and enterprise-wide workforce reduction. Expected to affect approximately 2,600 positions. As of Dec 31, 2002, approx. 500 positions eliminated. Remaining expected to be eliminated by Dec 31, 2003. Includes $32.1M severance, $2.4M asset impairment, $1.3M leased equipment costs.
2001-12-31acquisition_additioncompleted2001-05-312001-05-31United States (TRICARE Regions 2 and 5)Government segment — TRICAREUSD 44 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired Anthem Alliance/Anthem Health Insurance Company TRICARE subsidiary for $43.5M cash net of transaction costs; added approximately 1.2 million eligible TRICARE members (approximately 648,000 fully insured medical members); employee headcount added not disclosed
2001-12-31divestiture_reductioncompletedUnited States (workers' compensation, north Florida, Milwaukee WI, Austin/Houston/San Antonio TX)Commercial and Government segments — Medicaid, workers' compensation, Medicare supplementMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Two-year divestiture program completed during 2000 and 2001; a $117.2M pretax loss was recorded in 1999 on these dispositions; employee headcount removed not disclosed (divested businesses had revenues of $102.9M in 2000)
2001-12-31othercompleted2001-01-01United States (45 Medicare+Choice counties)Government segment — Medicare+ChoiceItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Market exit effective January 1, 2001 affecting approximately 54,000 members (member counts, not employee counts, disclosed); attributed in part to lower CMS reimbursement rates
2001-12-31otherannounced2002-01-01United States (5 Kentucky counties; DuPage County, Illinois)Government segment — Medicare+ChoiceMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Post-fiscal-year-end market exits effective January 1, 2002 affecting approximately 14,000 members in Kentucky and approximately 8,000 members in DuPage County; member counts, not employee counts, disclosed; company participating in a private fee-for-service pilot covering approximately 2,000 members in DuPage County
2001-06-30acquisition_additioncompleted2001-05-31United StatesGovernment (TRICARE)USD 45 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired TRICARE administration business for $45M cash plus ~$2M transaction costs; no employee headcount disclosed, only member counts (1.2M eligible members). Purchase price allocated $12M to intangibles and $35M to goodwill.
2001-06-30divestiture_reductionannounced2001-08-012001-08-01Houston, TexasGovernment (Medicaid)MD&A
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Houston Medicaid sale completed August 1, 2001 (subsequent event); reduces Medicaid membership by approximately 24,000 members in Q3 2001. No employee headcount impact disclosed.
2000-12-31divestiture_reductioncompleted2000-02-04United States (incl. North Florida)Workers' compensation, North Florida Medicaid, and Medicare supplement businessesUSD 118 (millions)discontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive sale agreements entered between 1999-12-30 and 2000-02-04; transactions completed during first half of 2000. $118M loss recorded in 1999 with no change in estimate during 2000. Divested assets $653M, liabilities $437M, cash proceeds $98M. No employee counts disclosed.
2000-12-31acquisition_additioncompletedUnited States (Houston, Texas and other)Houston-based health plan; two operating shell entities; hospital in-patient management services firmUSD 77 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Purchase price $77 million ($13 million net of acquired subsidiaries' cash); $52M goodwill and $17M identifiable intangibles recorded. No headcount added disclosed.
2000-12-31othercompleted2000-01-01United StatesMedicare HMO (Health Plan segment) — exit of 30 countiesMD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Market/product exit effective 2000-01-01; no employee impact or charge disclosed.
2000-12-31othercompleted2001-01-01United States (45 Medicare counties)Medicare HMO (Health Plan segment)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Company ceased Medicare+Choice product in 45 counties effective 2001-01-01, affecting approximately 54,000 members; attributed in part to lower HCFA reimbursement rates. No employee counts disclosed.
2000-12-31othercompleted2001-01-0117 statesSmall Group commercialsubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Substantially completed exit from 17 small group commercial states on 2001-01-01 as part of non-core business elimination strategy. No employee counts or charges disclosed.
2000-12-31divestiture_reductioncompleted2001-01WisconsinMedicaid (Health Plan segment)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Wisconsin Medicaid business transferred to Managed Health Services Insurance Corp. in January 2001. Wisconsin and Texas Medicaid transactions together affect approximately 70,000 Medicaid members. No employee counts disclosed.
2000-12-31divestiture_reductionannouncedTexas (selective markets)Medicaid (Health Plan segment)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Agreement reached to transfer Medicaid business to Superior Health Plan, Inc., subject to Texas regulatory approval; no completion date or employee counts disclosed.
2000-12-31restructuringannounced2001-03United StatesCorporate-wide; repositioning toward commercial lines of business and self-insured customerssubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Management realignment announced during Q1 2001; future quarterly and annual reports to give effect to the realignment. No employee counts or charges disclosed.
2000-12-31restructuringcompleted1001998-08-101999-06-30Puerto Rico, Florida, MissouriMarket OfficesUSD 15 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Approximately 100 employees ultimately terminated resulting in insignificant severance payments. Part of 1998 strategic evaluation following merger termination.
2000-12-31restructuringcompleted2000-12-312001-01-01United StatesSmall Group CommercialMD&A
f5-10k / Qwen3.6-27B-Q8_0		Substantially completed exit from 17 small group commercial states. Specific headcount reduction not disclosed.
2000-09-30divestiture_reductioncompleted2000-07-012000-07-01United StatesHealth Plan — Medicare supplement business (reinsured)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Reinsurance of the Medicare supplement business effective July 1, 2000; reduced Health Plan premiums $15 million in the quarter. No employee count disclosed; part of a four-transaction program with an estimated $118 million loss recorded in 1999.
2000-09-30divestiture_reductioncompleted2000-07-012000-07-01United States — North FloridaHealth Plan — Medicaid business (sold)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of the North Florida Medicaid business effective July 1, 2000, affecting 96,000 non-core members. No employee count disclosed.
2000-09-30divestiture_reductioncompleted2000-04-102000-04-10United StatesWorkers' compensation administrative services business (sold)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of workers' compensation administrative services business completed April 10, 2000. No employee count disclosed.
2000-09-30divestiture_reductioncompleted2000-03-312000-03-31United StatesWorkers' compensation run-off business (sold)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of workers' compensation run-off business completed March 31, 2000. No employee count disclosed.
2000-09-30acquisition_additioncompleted2000-08-172000-08-17United StatesHospital in-patient management servicesUSD 5 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of Jacobson Management Group, Inc. for approximately $5 million cash; purchase price, not a severance charge. No headcount added disclosed.
2000-09-30acquisition_additioncompleted2000-06-092000-06-09United Statese-business (American Physicians Life Insurance Company)USD 7 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of an operating shell entity for approximately $7 million cash; purchase price, not a severance charge. No headcount added disclosed.
2000-09-30acquisition_additioncompleted2000-05-102000-05-10United StatesDental business (Wisconsin National Life Insurance Company)USD 12 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of an operating shell entity for approximately $12 million cash; purchase price, not a severance charge. No headcount added disclosed.
2000-09-30acquisition_additioncompleted2000-01-312000-01-31United States — Houston, TexasHealth Plan — Memorial Sisters of Charity Health NetworkUSD 50 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquisition of a Houston-based health plan for approximately $50 million cash; purchase price, not a severance charge. Added membership cited in Medicare, Medicaid and large group commercial discussion; no headcount added disclosed.
1999-12-31restructuringcompleted1001998-07-011999-06-30Puerto Rico, Florida, MissouriMarket officesUSD 15 (millions)MD&A
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Program announced Q3 1998; completed by June 30, 1999. Originally planned to reduce workforce by ~470 employees, but only ~100 ultimately terminated after Puerto Rico Medicaid contract extension. Charge of $15M recorded in Q3 1998; $2M reversed in 1999.
1999-12-31acquisition_additioncompleted1999-06-011999-06-01United StatesHealth Plan — medical centersUSD 14 (millions)Item_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquired operations of 50 medical centers from FPA Medical Management via federal bankruptcy court. Employee count not disclosed. 38 of 50 centers later placed with 14 provider groups under long-term agreements.
1999-12-31divestiture_reductionannounced1999-12-302000-06-30United StatesWorkers' compensation, Medicare supplement, North Florida MedicaidUSD 118 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreements entered between 1999-12-30 and 2000-02-04 for ~$115M proceeds. Loss of $118M recorded in 1999. Employee headcount impact not disclosed. Expected completion Q1-Q2 2000.
1999-12-31acquisition_additionannounced2000-01-312000-01-31United States — Houston, TexasHealth PlanUSD 50 (millions)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Subsequent event after fiscal year-end. Employee headcount impact not disclosed.
1999-12-31restructuringcompleted1001999-01-011999-06-30United StatesHealth PlanUSD 15 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Market exit costs associated with exiting five markets (Sarasota, Treasure Coast, Springfield, Jefferson City, Puerto Rico). Approximately 100 employees ultimately terminated. $15 million charge recorded in Q3 1998 but activity completed in 1999.
1999-12-31restructuringcompleted1999-01-011999-12-31United StatesCorporateUSD 50 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		One-time charges related to reduction in workforce and increase in provisions for reserves. Specific headcount not disclosed.
1999-09-30restructuringcompleted4701998-08-101999-06-30Sarasota and Treasure Coast, Florida; Springfield and Jefferson City, Missouri; Puerto RicoMultiple marketsUSD 15 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Market exit program announced Aug 1998; all cash charges paid and activities completed before end of Q2 1999. $2M severance/lease liabilities reversed in Q2 1999 after Puerto Rico Medicaid contract extension.
1999-09-30acquisition_additioncompleted1999-06-011999-06-01United StatesHealth Plan — medical centersUSD 20 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired operations of 50 medical centers from FPA Medical Management for ~$20M serving ~121,000 Humana members. No employee headcount disclosed for the acquisition.
1999-09-30restructuringcompleted4701998-08-101999-06-30Sarasota and Treasure Coast, Florida; Springfield and Jefferson City, Missouri; Puerto RicoUSD 15 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Market exits completed by June 30, 1999. $2 million of severance/lease liabilities reversed in Q2 1999 due to Puerto Rico Medicaid contract extension.
1999-09-30acquisition_additioncompleted1999-06-01USD 20 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired operations of 50 medical centers from FPA Medical Management, Inc. Employee count not disclosed; 121,000 members served.
1999-06-30acquisition_additioncompleted1999-06-01United StatesOperationsUSD 20 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired 50 medical centers from FPA Medical Management for ~$20M; no employee count disclosed. Centers serve ~121,000 Humana members.
1998-12-31restructuringin_progress1998-08-101999-06-30United States and Puerto RicoCommercial and Public SectorUSD 34 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Post-merger-dissolution strategic review; $5M severance and lease termination for five market closures, $10M asset write-downs, $12M non-strategic asset losses, $7M merger dissolution costs. Headcount not disclosed.
1998-12-31plant_closurein_progress1998-08-101999-06-30Sarasota and Treasure Coast, Florida; Springfield and Jefferson City, Missouri; Puerto RicoCommercial and Public SectorUSD 5 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Severance and lease termination costs for closing five markets and discontinuing products; closure activities expected complete by end of Q2 1999 as membership lapses or contracts expire
1998-12-31divestiture_reductionannounced1998-12-311999-04-30Puerto RicoPublic Sector — MedicaidItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Puerto Rico Medicaid contract extended to April 30, 1999; company announced intention to close market. Approximately 442,000 Medicaid members affected; employee headcount not disclosed.
1998-12-31othercompleted4401998-12-311998-12-31United StatesHealth centers / staff model HMO operationsItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Separate 1998 agreements transferred operations of most Humana health centers to provider groups; approximately 440 physicians formerly employed by Humana and approximately 361,000 members transitioned
1998-12-31acquisition_additioncompleted1997-09-081997-09-08Florida, Texas, Puerto RicoCommercial and Public SectorUSD 411 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Physician Corporation of America acquired for $411M; served approximately 1.1 million medical members. Employee headcount added not disclosed.
1998-12-31acquisition_additioncompleted1997-10-171997-10-17Greater Cincinnati, OhioCommercialUSD 250 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		ChoiceCare Corporation acquired for approximately $250M; approximately 250,000 medical members. Employee headcount added not disclosed.
1998-12-31acquisition_additioncompleted1997-02-281997-02-28Chicago, IllinoisCommercialUSD 23 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Health Direct, Inc. acquired for $23M; approximately 50,000 medical members added. Employee headcount added not disclosed.
1998-12-31restructuringin_progress1998-08-101999-06-30United States, Puerto RicoVariousUSD 34 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Charges included severance and lease termination costs associated with closing five markets (Sarasota and Treasure Coast, Florida, Springfield and Jefferson City, Missouri and Puerto Rico) and discontinuing products ($5 million), write-downs of certain receivables and property and equipment associated with closing markets ($10 million), losses on disposals of non-strategic assets ($12 million) and merger dissolution costs ($7 million). Significant market closure activities are expected to be completed by the end of the second quarter of 1999.
1998-09-30restructuringin_progress1998-09-15United StatesMultiple markets and productsUSD 132 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Followed termination of the United HealthCare merger; includes market exits, product discontinuances, asset write-downs, and a one-time associate incentive. No employee count disclosed.
1998-09-30restructuringcompleted1998-08-10USD 132 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Company recognized special charges of $132 million related to exiting markets, discontinuing products, asset write-downs, and a one-time associate incentive. Employee count not disclosed.
1997-12-31restructuringcompleted1996-12-311997-12-31United StatesMultiple marketsUSD 15 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Q4 1996 charge of $15M pretax for severance and facility costs; workforce reductions scheduled to complete throughout 1997. 1997 cash usage of $12M against asset write-downs & workforce reductions line. No employee count disclosed.
1997-12-31acquisition_additioncompleted1997-09-081997-09-08Florida, Texas, Puerto RicoHMO / Managed CareUSD 411 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		PCA acquisition for $411M total consideration; served ~1.1M medical members. Employee headcount added not disclosed.
1997-12-31acquisition_additioncompleted1997-10-171997-10-17Greater Cincinnati, OhioHMO / Managed CareUSD 250 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		ChoiceCare acquisition for ~$250M cash; served ~250K medical members. Employee headcount added not disclosed.
1997-12-31acquisition_additioncompleted1997-02-281997-02-28Chicago, IllinoisHMO / Managed CareUSD 23 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Health Direct acquisition for $23M cash; added ~50K medical members. Employee headcount added not disclosed.
1997-12-31divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Health Plandiscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of Washington D.C. health plan to Kaiser Foundation Health Plan. Employee headcount removed not disclosed.
1997-12-31divestiture_reductioncompleted1997-04-011997-04-01AlabamaHealth Plandiscontinued_operations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of Alabama operations (excluding small group and TRICARE) to PrimeHealth of Alabama. Employee headcount removed not disclosed.
1997-12-31divestiture_reductioncompleted1997-10-311997-10-31Lexington, KentuckyHospital OperationsItem_1_Business
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of The Lexington Hospital to Jewish Hospital Healthcare Services. Employee headcount removed not disclosed.
1997-12-31otherannounced1651998-03-01Chicago, IllinoisStaff Model HMO Operationssubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		March 1998 agreement in principle with Advocate Health Care to assume operations of 13 staff model centers; encompasses 165 Humana-employed providers and ~164K members. Date approximate (month only).
1997-12-31restructuringcompleted1996-06-301997-12-31VariousVariousUSD 15 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Fourth quarter 1996 special charge of $15 million pretax for severance and facility costs related to planned workforce reductions, scheduled to be completed throughout 1997. Employee count not disclosed.
1997-12-31acquisition_additioncompleted1997-02-281997-02-28IllinoisCommercialUSD 23 (millions)Item_1_Business
f5-10k / Qwen3.6-27B-Q8_0		Acquisition of Health Direct, Inc. added approximately 50,000 medical members. Employee headcount not disclosed.
1997-12-31acquisition_additioncompleted1997-09-081997-09-08Florida, Texas, Puerto RicoCommercial, Medicare, MedicaidUSD 411 (millions)Item_1_Business
f5-10k / Qwen3.6-27B-Q8_0		Acquisition of Physician Corporation of America (PCA) served approximately 1.1 million medical members. Employee headcount not disclosed.
1997-12-31acquisition_additioncompleted1997-10-171997-10-17OhioCommercialUSD 250 (millions)Item_1_Business
f5-10k / Qwen3.6-27B-Q8_0		Acquisition of ChoiceCare Corporation provided services to approximately 250,000 medical members. Employee headcount not disclosed.
1997-09-30acquisition_additioncompleted1997-09-081997-09-08Florida, Texas, Puerto RicoHealth Plans / HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		PCA acquired for $411M cash including $121M debt assumption; serves ~1.1M medical members. No employee headcount disclosed.
1997-09-30acquisition_additioncompleted1997-02-281997-02-28Chicago, IllinoisHealth Plans / HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Health Direct acquired for $23M cash; added ~50,000 medical members. No employee headcount disclosed.
1997-09-30divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Health Plans / HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Washington D.C. health plan sold to Kaiser Foundation Health Plan. No employee headcount disclosed.
1997-09-30divestiture_reductioncompleted1997-04-011997-04-01AlabamaHealth Plans / HMObusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Alabama operations sold to PrimeHealth of Alabama; excluded small group and CHAMPUS business. No employee headcount disclosed.
1997-09-30restructuringin_progress1996-10-011997-12-31United StatesCorporate / MultipleUSD 15 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q4 1996 charge of $15M pre-tax for severance and facility costs tied to planned workforce reductions completing through 1997; ~$6M liability remains at 9/30/97. No employee count disclosed.
1997-09-30acquisition_additionannounced1997-10-171997-10-17Greater Cincinnati, OhioHealth Plans / HMOsubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		ChoiceCare acquired for ~$250M cash ($16.38/share); serves >247,000 members. No employee headcount disclosed.
1997-09-30divestiture_reductionannounced1997-10-311997-10-31Southern CaliforniaHealth Plans / HMOsubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		California HMO with ~6,000 members sold. No employee headcount disclosed.
1997-09-30divestiture_reductionannounced1997-10-311997-10-31Lexington, KentuckyHospital Operationssubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		The Lexington Hospital sold to Jewish Hospital Healthcare Services. No employee headcount disclosed.
1997-09-30restructuringin_progress1996-10-011997-12-31USD 15 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Fourth quarter 1996 special charge of $15 million before tax for severance and facility costs related to planned workforce reductions, scheduled to be completed throughout 1997. Approximately $6 million of liability remains at September 30, 1997. Employee count not disclosed.
1997-09-30acquisition_additioncompleted1997-09-081997-09-08Florida, Texas, Puerto RicoUSD 411 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Physician Corporation of America (PCA) for $411 million. PCA serves approximately 1.1 million medical members. Employee headcount not disclosed.
1997-09-30acquisition_additioncompleted1997-02-281997-02-28ChicagoUSD 23 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of Health Direct, Inc. for $23 million. Added approximately 50,000 medical members. Employee headcount not disclosed.
1997-09-30divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sale of Washington, D.C. health plan to Kaiser Foundation Health Plan. Employee headcount not disclosed.
1997-09-30divestiture_reductioncompleted1997-04-011997-04-01Alabamabusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sale of Alabama operations to PrimeHealth of Alabama, Inc. Employee headcount not disclosed.
1997-09-30acquisition_additionannounced1997-10-17Greater Cincinnati, OhioUSD 250 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Acquisition of ChoiceCare Corporation for approximately $250 million. Serves more than 247,000 members. Employee headcount not disclosed.
1997-09-30divestiture_reductioncompleted1997-10-311997-10-31Southern Californiasubsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Sale of California HMO (HMO California) with approximately 6,000 members. Employee headcount not disclosed.
1997-09-30divestiture_reductioncompleted1997-10-311997-10-31Lexington, Kentuckysubsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Sale of The Lexington Hospital to Jewish Hospital Healthcare Services, Inc. Employee headcount not disclosed.
1997-06-30restructuringin_progress1996-10-011997-12-31United StatesMultiple marketsUSD 9 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q4 1996 special charge of $15M pre-tax for severance and facility costs tied to planned workforce reductions completing through 1997; ~$9M liability remained at 1997-06-30. No employee count disclosed.
1997-06-30divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Health plan operationsother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of Washington, D.C. health plan to Kaiser Foundation Health Plan completed 1997-01-31; reduced medical membership by ~141,000 (combined with Alabama sale). No employee count disclosed.
1997-06-30divestiture_reductioncompleted1997-04-011997-04-01AlabamaHealth plan operationsother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of Alabama operations to PrimeHealth of Alabama completed 1997-04-01; excluded small group business and CHAMPUS operations. No employee count disclosed.
1997-06-30acquisition_additionannounced1997-06-021997-09-30Florida, Texas, Puerto RicoHMO operationsUSD 400 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to merge subsidiary into Physician Corporation of America (PCA); ~$400M total consideration including ~$130M debt assumption. PCA services 1.1M members. No employee count disclosed.
1997-06-30acquisition_additionannounced1997-06-031997-10-01Cincinnati, OhioHMO / POS operationsUSD 250 (millions)other
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement to acquire ChoiceCare Corporation for $16.38/share, ~$250M cash. ChoiceCare serves 245,000+ members. No employee count disclosed.
1997-06-30divestiture_reductionannounced1997-07-101997-09-30Southern CaliforniaHMO Californiasubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Post-quarter agreement to sell HMO California (~6,000 members) to HealthMax, Inc.; subject to regulatory approval. No employee count disclosed.
1997-06-30restructuringin_progress1996-10-011997-12-31United StatesCorporate / GeneralUSD 15 (millions)restructuring_footnote
f5-10q / Qwen3.6-27B-Q8_0		Special charge recognized in Q4 1996 for severance and facility costs related to planned workforce reductions. Scheduled to be completed throughout 1997. Approximately $9 million of liability remains at June 30, 1997. Employee count not disclosed.
1997-06-30acquisition_additioncompleted1997-02-281997-02-28Chicago, IllinoisCommercialUSD 23 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired Health Direct, Inc. for $23 million cash. Added more than 50,000 medical members. Employee headcount added not disclosed.
1997-06-30divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Commercial / Medicarebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sold Washington, D.C. health plan to Kaiser Foundation. Part of transactions reducing total medical membership by approx 141,000. Employee headcount removed not disclosed.
1997-06-30divestiture_reductioncompleted1997-04-011997-04-01AlabamaCommercial / Medicarebusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sold Alabama operations to PrimeHealth of Alabama, Inc. Excluded small group and CHAMPUS. Part of transactions reducing total medical membership by approx 141,000. Employee headcount removed not disclosed.
1997-06-30acquisition_additionannounced1997-06-021997-09-30Florida, Texas, Puerto RicoCommercial / MedicareUSD 400 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Agreement to acquire Physician Corporation of America (PCA). PCA services 1.1 million members. Total consideration approx $400 million. Expected to close in Q3 1997. Employee headcount not disclosed.
1997-06-30acquisition_additionannounced1997-06-031997-10-01Cincinnati, OhioCommercial / MedicareUSD 250 (millions)subsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Agreement to acquire ChoiceCare Corporation. ChoiceCare serves more than 245,000 members. Total consideration approx $250 million. Expected to close near beginning of Q4 1997. Employee headcount not disclosed.
1997-03-31restructuringin_progress1996-12-311997-12-31United StatesCorporate / multipleUSD 15 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q4 1996 charge for severance and facility costs tied to planned workforce reductions, scheduled to complete throughout 1997. No employee count disclosed.
1997-03-31restructuringin_progress1996-06-301997-12-31United StatesMultiple markets (16 market areas)USD 200 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q2 1996 special charges included market closures and product line discontinuations across 16 markets; $42M of insurance-loss liability and $4M of other reserves remained at 1997-03-31. No employee count disclosed.
1997-03-31acquisition_additioncompleted1997-02-281997-02-28Chicago, United StatesHealth plan operationsUSD 23 (millions)business_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Acquired Health Direct, Inc. from Advocate Health Care for $23M cash; added over 50,000 medical members. No employee headcount disclosed.
1997-03-31divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C., United StatesHealth plan operationsbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sold Washington, D.C. health plan to Kaiser Foundation Health Plan of the Mid-Atlantic States. Part of a combined ~141,000 medical member reduction across DC and Alabama sales. No employee headcount disclosed.
1997-03-31divestiture_reductioncompleted1997-04-011997-04-01Alabama, United StatesHealth plan operationsbusiness_combinations_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sold Alabama operations to PrimeHealth of Alabama, effective 1997-04-01 (subsequent to quarter end); excluded small group business and Alabama CHAMPUS operations. No employee headcount disclosed.
1997-03-31restructuringin_progress1996-10-011997-12-31United StatesCorporate / GeneralUSD 15 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Charge recognized in Q4 1996 for severance and facility costs related to planned workforce reductions scheduled to be completed throughout 1997. Specific employee count not disclosed.
1997-03-31acquisition_additioncompleted1997-02-281997-02-28ChicagoHealth PlanUSD 23 (millions)business_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Acquired Health Direct, Inc. for $23 million cash. Added more than 50,000 medical members. Employee headcount added not explicitly disclosed.
1997-03-31divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Health Planbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sold Washington, D.C. health plan to Kaiser Foundation. Removed 92,500 medical members. Employee headcount removed not explicitly disclosed.
1997-03-31divestiture_reductioncompleted1997-04-011997-04-01AlabamaHealth Planbusiness_combinations_footnote
f5-10q / Qwen3.6-27B-Q8_0		Sold Alabama operations to PrimeHealth of Alabama, Inc. Effective April 1, 1997 (subsequent event). Employee headcount removed not explicitly disclosed.
1996-12-31restructuringin_progress1996-06-30United States — Washington D.C. and 16 service areasHealth plan operationsUSD 200 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Q2 1996 special charges of $200M pretax included restructuring of Washington D.C. health plan, closing markets or discontinuing product lines in 16 service areas, asset write-downs, litigation settlement, and provisions for expected future losses on insurance contracts. No employee count disclosed.
1996-12-31restructuringin_progress1996-12-311997-12-31United StatesCorporate / operationsUSD 15 (millions)restructuring_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Q4 1996 special charge of $15M pretax ($10M after tax) for severance and facility costs related to planned workforce reductions, scheduled to be completed in 1997. No employee count disclosed.
1996-12-31divestiture_reductioncompleted1997-01-311997-01-31Washington, D.C.Health plan operationssubsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Sale of Washington D.C. health plan to Kaiser Foundation Health Plan of the Mid-Atlantic States completed January 31, 1997. No employee count disclosed.
1996-12-31divestiture_reductionannounced1997-01-16AlabamaHealth plan operations (excludes small group business and Alabama CHAMPUS operations)subsequent_events
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Definitive agreement signed January 16, 1997 to sell Alabama operations to PrimeHealth of Alabama, Inc. No employee count disclosed.
1996-12-31acquisition_additionannounced1996-12-30Chicago, IllinoisManaged health care servicesUSD 23 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Stock purchase agreement to acquire Health Direct, Inc. from Advocate Health Care for $23M; serves approximately 50,000 members. No employee headcount disclosed.
1996-12-31restructuringin_progress1996-06-301997-12-31United StatesCorporate and Regional OperationsUSD 15 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Fourth quarter 1996 special charge of $15 million pretax for severance and facility costs related to planned workforce reductions, scheduled to be completed in 1997.
1996-12-31restructuringcompleted1996-06-301996-12-31Washington, D.C.Health Plan OperationsUSD 200 (millions)MD&A
f5-10k / Qwen3.6-27B-Q8_0		Second quarter 1996 special charges of $200 million pretax included costs for restructuring the Washington, D.C., health plan, closing markets, and discontinuing product lines. The D.C. plan was sold in January 1997.
1996-09-30restructuringin_progress1996-06-30United StatesMultiple markets (16 market areas)USD 200 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Q2 1996 special charges of $200M pretax ($130M after tax) covering Washington D.C. health plan restructuring, market closures/product discontinuations in 16 market areas, and litigation settlement. Severance payments referenced in MD&A but no employee count disclosed.
1996-09-30divestiture_reductionannounced1996-10-291997-03-31Washington, D.C.Health plan operationssubsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Sale of Washington D.C. health plan assets to Kaiser Foundation Health Plan of the Mid-Atlantic States; conditions include membership retention and regulatory approvals. No headcount impact disclosed.
1996-09-30restructuringin_progress1996-04-30Washington D.C. and 16 market areasHealth Plan OperationsUSD 200 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Second quarter 1996 special charges of $200 million pretax included costs for restructuring the Washington D.C. health plan, closing markets, and discontinuing product lines. Employee count not disclosed.
1996-09-30plant_closureannounced1996-10-291997-03-31Washington D.C.Health Plan Operationssubsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Agreement to sell assets of Washington D.C. health plan to Kaiser Foundation. Disposition anticipated in first quarter 1997. Employee count not disclosed.
1996-06-30restructuringin_progress1996-06-30Washington, D.C. and 16 market areasHealth plan operationsUSD 70 (millions)restructuring_footnote
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Restructuring of Washington, D.C. health plan and closing or discontinuing product lines in 16 market areas; no employee count disclosed. Related $105M provision for expected future losses on insurance contracts recorded in medical costs.
1996-06-30otherannounced1996-07-10United StatesExecutive managementother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Retirement of president and COO Wayne T. Smith; Gregory H. Wolf appointed COO.
1996-06-30otherannounced1996-07-29United StatesExecutive managementother
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Management reorganization including resignation of CFO W. Roger Drury.
1996-06-30restructuringin_progress1996-06-30Washington, D.C.Health Plan OperationsUSD 70 (millions)MD&A
f5-10q / Qwen3.6-27B-Q8_0		Restructuring of Washington, D.C. health plan and closing/discontinuing product lines in 16 market areas. Employee count not disclosed.
1996-06-30othercompleted1996-07-10Executive Managementsubsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Retirement of President and COO Wayne T. Smith; appointment of Gregory H. Wolf as COO.
1996-06-30othercompleted1996-07-29Executive Managementsubsequent_events
f5-10q / Qwen3.6-27B-Q8_0		Resignation of CFO W. Roger Drury and management reorganization.
1995-12-31acquisition_additioncompleted1995-10-111995-10-11United StatesManaged care — small business productsUSD 650 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		EMPHESYS Financial Group acquisition; purchase price ~$650M funded with $400M cash and $250M borrowings. Headcount added not disclosed; EMPHESYS had ~1.3 million medical members at acquisition.
1995-12-31acquisition_additioncompleted1995-11-301995-11-30Florida — South Florida and TampaPrimary care centersUSD 50 (millions)business_combinations_footnote
f5-10k / MiMo-V2.6-Flash-fp8-HTML		Acquisition of 47 primary care centers previously owned by Coastal Physician Group, Inc. for approximately $50 million; associated headcount not disclosed.
1995-09-30acquisition_additioncompleted1995-08-161995-10-11United StatesCommercial group health insuranceUSD 650 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		All-cash tender offer for EMPHESYS Financial Group closed 1995-10-11; purchase price ~$650M funded with cash and ~$250M bank borrowings. EMPHESYS had 1.3 million medical members at 1995-09-30; employee headcount added not disclosed.
1995-09-30acquisition_additionannounced1995-10-191995-12-31South Florida and Tampa, United StatesPrimary care centersUSD 50 (millions)subsequent_events
f5-10q / MiMo-V2.6-Flash-fp8-HTML		Wholly owned subsidiary agreed to acquire 47 primary care centers serving ~75,000 Commercial and Medicare risk members for ~$50M cash; subject to regulatory approvals, expected to close in Q4 1995. Employee headcount added not disclosed.