8-K
UNITEDHEALTH GROUP INC (UNH)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
—————————————
FORM 8-K
—————————————
Current Report
Pursuant to Section 13 or 15(d) of
The Securities Exchange Act of 1934
Date of report (Date of earliest event reported): October 14, 2022
—————————————
UNITEDHEALTH GROUP INCORPORATED
(Exact name of registrant as specified in its charter)
—————————————
| Delaware | 1-10864 | 41-1321939 | |||||
|---|---|---|---|---|---|---|---|
| (State or other jurisdiction of incorporation) | (Commission File Number) | (I.R.S. Employer Identification No.) | UnitedHealth Group Center, 9900 Bren Road East, | Minnetonka, | Minnesota | 55343 | |
| --- | --- | --- | --- | ||||
| (Address of principal executive offices) | (Zip Code) |
Registrant’s telephone number, including area code: (952) 936-1300
N/A
(Former name or former address, if changed since last report.)
—————————————
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
|---|---|---|
| Common Stock, $.01 par value | UNH | New York Stock Exchange |
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
☐ Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 2.02. Results of Operations and Financial Condition.
On October 14, 2022, UnitedHealth Group Incorporated (the “Company”) issued a press release announcing its third quarter 2022 results. A copy of the press release is furnished herewith as Exhibit 99.1 and incorporated herein by reference.
The information in this Item 2.02 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, nor shall it be deemed incorporated by reference in any Company filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except as shall be expressly set forth by specific reference in such filing.
Item 9.01. Financial Statements and Exhibits.
| Exhibit | Description |
|---|---|
| 99.1 | Press Release dated October 14, 2022 |
| 104 | Cover Page Interactive Data File (formatted as Inline XBRL). |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Date: October 14, 2022
| UNITEDHEALTH GROUP INCORPORATED | |
|---|---|
| By: | /s/ Kuai H. Leong |
| Kuai H. Leong | |
| Deputy Corporate Secretary |
Document
UnitedHealth Group Reports Third Quarter 2022 Results
•Revenues of $80.9 Billion Grew 12% Year-Over-Year, with Diversified Growth across Optum and UnitedHealthcare
•Earnings from Operations were $7.5 Billion
•Cash Flows from Operations were $18.5 Billion; Adjusted Cash Flows from Operations were $8.8 Billion, 1.6x Net Income
•Net Earnings $5.55 Per Share; Adjusted Earnings $5.79 Per Share
MINNETONKA, Minn. (October 14, 2022) – Strong and well-balanced performance continued across UnitedHealth Group (NYSE: UNH) in the third quarter of 2022.
“The strength of our performance reflects the diligence and determination of our colleagues to improve people’s experience across the health care system and make high-quality care simpler, more accessible and more affordable,” said Andrew Witty, chief executive officer of UnitedHealth Group.
Growth in the third quarter was driven by continued expansion in the number of people served throughout UnitedHealthcare and in the value-based care initiatives at Optum Health. The company increased its full year 2022 net earnings outlook to $20.85 to $21.05 per share and adjusted net earnings to $21.85 to $22.05 per share.
Page 1 of 6
| Quarterly Financial Performance | |||
|---|---|---|---|
| Three Months Ended | |||
| September 30, | September 30, | June 30, | |
| 2022 | 2021 | 2022 | |
| Revenues | $80.9 billion | $72.3 billion | $80.3 billion |
| Earnings from Operations | $7.5 billion | $5.7 billion | $7.1 billion |
| Net Margin | 6.5% | 5.6% | 6.3% |
•UnitedHealth Group’s third quarter 2022 revenues were $80.9 billion, growth of $8.6 billion or 12% year-over-year, reflecting double-digit growth at both Optum and UnitedHealthcare.
•Third quarter 2022 earnings from operations were $7.5 billion, growth of 31% year-over-year, with strong contributions from both Optum and UnitedHealthcare. Adjusted net earnings of $5.79 per share increased 28% compared to the third quarter of 2021.
•The third quarter 2022 medical care ratio was 81.6% compared to 81.5% in the second quarter 2022 and 83.0% in the third quarter of 2021, due to COVID effects and business mix. Favorable medical reserve development of $870 million compared to $890 million in the second quarter 2022 and $700 million in the year ago third quarter. Days claims payable were 50.8, compared to 50.6 in the second quarter of 2022 and 50.4 in the third quarter of 2021.
•The third quarter 2022 operating cost ratio of 14.4% compares to 14.6% in the second quarter 2022 and 14.8% in the year ago quarter, reflecting continued productivity gains, offset by business mix and investments in growth initiatives.
•Adjusted cash flows from operations for the third quarter 2022 were $8.8 billion or 1.6-times net income, excluding the impact of October CMS payments received in September. Year-to-date, the company has returned $10.5 billion to shareholders through dividends and share repurchases. Return on equity of 28.5% in the quarter reflected the company’s sustained growth and efficient capital structure.
Page 2 of 6
UnitedHealthcare provides health care benefits globally, serving individuals and employers, and Medicare and Medicaid beneficiaries. UnitedHealthcare is dedicated to improving the value customers and consumers receive by improving health and wellness, enhancing the quality of care received, simplifying the health care experience and reducing the total cost of care.
| Quarterly Financial Performance | |||
|---|---|---|---|
| Three Months Ended | |||
| September 30, | September 30, | June 30, | |
| 2022 | 2021 | 2022 | |
| Revenues | $62.0 billion | $55.9 billion | $62.1 billion |
| Earnings from Operations | $3.8 billion | $2.7 billion | $3.9 billion |
| Operating Margin | 6.1% | 4.7% | 6.2% |
•UnitedHealthcare third quarter revenues of $62.0 billion grew $6.1 billion or 11% year-over-year, reflecting broad-based growth.
•Third quarter 2022 operating earnings were $3.8 billion compared to $2.7 billion last year, reflecting growth in people served, COVID effects, and continued medical and operating cost management.
•Total people served domestically by UnitedHealthcare has grown by approximately 850,000 in 2022, including 185,000 in the third quarter. Growth was led by UnitedHealthcare’s community-based and senior offerings. The number of people served with domestic commercial benefit insurance offerings has grown by more than 100,000 over the past six months.
Page 3 of 6
Optum’s health services businesses serve the global health care marketplace, including payers, care providers, employers, governments, life sciences companies and consumers. Using market-leading information, analytics, technology and clinical insights, Optum helps improve overall health system performance: optimizing care quality, reducing care costs and improving the consumer experience.
| Quarterly Financial Performance | |||
|---|---|---|---|
| Three Months Ended | |||
| September 30, | September 30, | June 30, | |
| 2022 | 2021 | 2022 | |
| Revenues | $46.6 billion | $39.8 billion | $45.1 billion |
| Earnings from Operations | $3.7 billion | $3.1 billion | $3.3 billion |
| Operating Margin | 7.9% | 7.7% | 7.3% |
•Optum third quarter revenues of $46.6 billion grew $6.8 billion or 17% year-over-year, led by Optum Health. Operating earnings were $3.7 billion compared to $3.1 billion last year.
•Optum Health revenue per consumer served increased 31% over the year ago period, driven by growth in value-based care arrangements and continued expansion of care delivery platforms, including in-home, clinic-based, ambulatory surgery, behavioral and digital.
•Optum Insight revenue grew 18% in the third quarter led by the growth of payer and provider services. Revenue backlog increased by $1.8 billion over the year ago period to $24.1 billion. The combination with Change Healthcare was completed at the beginning of the fourth quarter 2022 and will accelerate efforts to better connect and simplify the core clinical, administrative and payment processes health care providers and payers depend on to serve patients.
•Optum Rx’s revenue growth of 8% in the third quarter reflects the impact of serving new clients and further expansion of pharmacy care services offerings, including specialty and community pharmacy. Adjusted scripts grew to 359 million compared to 344 million last year.
Page 4 of 6
About UnitedHealth Group
UnitedHealth Group (NYSE: UNH) is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone through two distinct and complementary businesses. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. Visit UnitedHealth Group at www.unitedhealthgroup.com and follow @UnitedHealthGrp on Twitter.
Earnings Conference Call
As previously announced, UnitedHealth Group will discuss the company’s results, strategy and future outlook on a conference call with investors at 8:45 a.m. Eastern Time today. UnitedHealth Group will host a live webcast of this conference call from the Investor Relations page of the company’s website (www.unitedhealthgroup.com). Following the call, a webcast replay will be on the Investor Relations page and at https://uhg.co/Replay through October 28, 2022. This earnings release and the Form 8-K dated October 14, 2022, can also be accessed from the Investor Relations page of the company’s website.
Non-GAAP Financial Information
This news release presents non-GAAP financial information provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of the non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release.
Forward-Looking Statements
The statements, estimates, projections, guidance or outlook contained in this document include “forward-looking” statements which are intended to take advantage of the “safe harbor” provisions of the federal securities law. The words “believe,” “expect,” “intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,” “project,” “should” and similar expressions identify forward-looking statements. These statements may contain information about financial prospects, economic conditions and trends and involve risks and uncertainties. Actual results could differ materially from those that management expects, depending on the outcome of certain factors including: risks associated with public health crises, large-scale medical emergencies and pandemics, such as the COVID-19 pandemic; our ability to effectively estimate, price for and manage medical costs; new or changes in existing health care laws or regulations, or their enforcement or application; the DOJ’s legal action relating to the risk
Page 5 of 6
adjustment submission matter; our ability to maintain and achieve improvement in quality scores impacting revenue; reductions in revenue or delays to cash flows received under government programs; changes in Medicare, the CMS star ratings program or the application of risk adjustment data validation audits; failure to maintain effective and efficient information systems or if our technology products do not operate as intended; cyberattacks, other privacy/data security incidents, or our failure to comply with related regulations; failure to protect proprietary rights to our databases, software and related products; risks and uncertainties associated with our businesses providing pharmacy care services; competitive pressures, including our ability to develop and deliver innovative products to health care payers and expand access to virtual care; changes in or challenges to our public sector contract awards; failure to develop and maintain satisfactory relationships with health care payers, physicians, hospitals and other service providers; failure to attract, develop, retain, and manage the succession of key employees and executives; the impact of potential changes in tax laws and regulations (including any increase in the U.S. income tax rate applicable to corporations); failure to achieve targeted operating cost productivity improvements; increases in costs and other liabilities associated with litigation, government investigations, audits or reviews; failure to manage successfully our strategic alliances or complete or receive anticipated benefits of strategic transactions; fluctuations in foreign currency exchange rates; downgrades in our credit ratings; our investment portfolio performance; impairment of our goodwill and intangible assets; and our ability to obtain sufficient funds from our regulated subsidiaries or from external financings to fund our obligations, maintain our debt to total capital ratio at targeted levels, maintain our quarterly dividend payment cycle, or continue repurchasing shares of our common stock. This above list is not exhaustive. We discuss these matters, and certain risks that may affect our business operations, financial condition and results of operations more fully in our filings with the SEC, including our reports on Forms 10-K, 10-Q and 8-K. By their nature, forward-looking statements are not guarantees of future performance or results and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may vary materially from expectations expressed or implied in this document or any of our prior communications. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made. We do not undertake to update or revise any forward-looking statements, except as required by law.
#
| Investor Contact: | Media Contact: |
|---|---|
| Zack Sopcak | Matt Stearns |
| Senior Vice President | Senior Vice President |
| 952-936-7215 | 202-276-0085 |
| zack.sopcak@uhg.com | matt.stearns@uhg.com |
Page 6 of 6
UNITEDHEALTH GROUP
Earnings Release Schedules and Supplementary Information
Quarter Ended September 30, 2022
•Condensed Consolidated Statements of Operations
•Condensed Consolidated Balance Sheets
•Condensed Consolidated Statements of Cash Flows
•Supplemental Financial Information - Businesses
•Supplemental Financial Information - Business Metrics
•Reconciliation of Non-GAAP Financial Measures
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share data)
(unaudited)
| Three Months Ended <br>September 30, | Nine Months Ended <br>September 30, | |||
|---|---|---|---|---|
| 2022 | 2021 | 2022 | 2021 | |
| Revenues | ||||
| Premiums | $64,491 | $56,967 | $192,457 | $168,686 |
| Products | 9,190 | 8,703 | 28,026 | 25,476 |
| Services | 6,700 | 6,164 | 19,717 | 18,181 |
| Investment and other income | 513 | 503 | 1,175 | 1,511 |
| Total revenues | 80,894 | 72,337 | 241,375 | 213,854 |
| Operating costs | ||||
| Medical costs | 52,635 | 47,302 | 157,251 | 138,752 |
| Operating costs | 11,663 | 10,725 | 34,773 | 31,307 |
| Cost of products sold | 8,306 | 7,802 | 25,389 | 23,034 |
| Depreciation and amortization | 828 | 796 | 2,418 | 2,332 |
| Total operating costs | 73,432 | 66,625 | 219,831 | 195,425 |
| Earnings from operations | 7,462 | 5,712 | 21,544 | 18,429 |
| Interest expense | (516) | (422) | (1,416) | (1,229) |
| Earnings before income taxes | 6,946 | 5,290 | 20,128 | 17,200 |
| Provision for income taxes | (1,562) | (1,099) | (4,397) | (3,659) |
| Net earnings | 5,384 | 4,191 | 15,731 | 13,541 |
| Earnings attributable to noncontrolling interests | (122) | (105) | (372) | (327) |
| Net earnings attributable to UnitedHealth Group common shareholders | $5,262 | $4,086 | $15,359 | $13,214 |
| Diluted earnings per share attributable to UnitedHealth Group common shareholders | $5.55 | $4.28 | $16.15 | $13.82 |
| Adjusted earnings per share attributable to UnitedHealth Group common shareholders (a) | $5.79 | $4.52 | $16.85 | $14.54 |
| Diluted weighted-average common shares outstanding | 948 | 955 | 951 | 956 |
(a)See page 6 for a reconciliation of the non-GAAP measure
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED BALANCE SHEETS
(in millions)
(unaudited)
| September 30,<br>2022 | December 31,<br>2021 | |
|---|---|---|
| Assets | ||
| Cash and short-term investments | $42,527 | $23,907 |
| Accounts receivable, net | 17,047 | 14,216 |
| Other current assets | 23,363 | 23,635 |
| Total current assets | 82,937 | 61,758 |
| Long-term investments | 41,557 | 43,114 |
| Other long-term assets | 118,570 | 107,334 |
| Total assets | $243,064 | $212,206 |
| Liabilities, redeemable noncontrolling interests and equity | ||
| Medical costs payable | $29,064 | $24,483 |
| Short-term borrowings and current maturities of long-term debt | 3,229 | 3,620 |
| Other current liabilities | 68,642 | 50,189 |
| Total current liabilities | 100,935 | 78,292 |
| Long-term debt, less current maturities | 45,438 | 42,383 |
| Other long-term liabilities | 13,770 | 15,052 |
| Redeemable noncontrolling interests | 4,857 | 1,434 |
| Equity | 78,064 | 75,045 |
| Total liabilities, redeemable noncontrolling interests and equity | $243,064 | $212,206 |
UNITEDHEALTH GROUP
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in millions)
(unaudited)
| Nine Months Ended <br>September 30, | ||
|---|---|---|
| 2022 | 2021 | |
| Operating Activities | ||
| Net earnings | $15,731 | $13,541 |
| Noncash items: | ||
| Depreciation and amortization | 2,418 | 2,332 |
| Deferred income taxes and other | (590) | 178 |
| Share-based compensation | 675 | 591 |
| Net changes in operating assets and liabilities | 12,505 | 2,483 |
| Cash flows from operating activities | 30,739 | 19,125 |
| Investing Activities | ||
| Purchases of investments, net of sales and maturities | (4,067) | (3,702) |
| Purchases of property, equipment and capitalized software | (1,936) | (1,759) |
| Cash paid for acquisitions, net | (7,154) | (4,727) |
| Other, net | 50 | (900) |
| Cash flows used for investing activities | (13,107) | (11,088) |
| Financing Activities | ||
| Common share repurchases | (6,000) | (3,950) |
| Dividends paid | (4,450) | (3,915) |
| Net change in short-term borrowings and long-term debt | 3,806 | 3,733 |
| Other, net | 6,478 | 304 |
| Cash flows used for financing activities | (166) | (3,828) |
| Effect of exchange rate changes on cash and cash equivalents | 4 | (45) |
| Increase in cash and cash equivalents | 17,470 | 4,164 |
| Cash and cash equivalents, beginning of period | 21,375 | 16,921 |
| Cash and cash equivalents, end of period | $38,845 | $21,085 |
UNITEDHEALTH GROUP
SUPPLEMENTAL FINANCIAL INFORMATION - BUSINESSES
(in millions, except percentages)
(unaudited)
| Three Months Ended September 30, | Nine Months Ended September 30, | |||
|---|---|---|---|---|
| 2022 | 2021 | 2022 | 2021 | |
| Revenues | ||||
| UnitedHealthcare | 61,995 | 55,927 | 186,695 | 166,515 |
| Optum | 46,559 | 39,785 | 134,900 | 114,472 |
| Eliminations | (27,660) | (23,375) | (80,220) | (67,133) |
| Total consolidated revenues | 80,894 | 72,337 | 241,375 | 213,854 |
| Earnings from Operations | ||||
| UnitedHealthcare | 3,799 | 2,651 | 11,447 | 9,854 |
| Optum (a) | 3,663 | 3,061 | 10,097 | 8,575 |
| Total consolidated earnings from operations | 7,462 | 5,712 | 21,544 | 18,429 |
| Operating Margin | ||||
| UnitedHealthcare | 6.1 | 4.7 | 6.1 | 5.9 |
| Optum | 7.9 | 7.7 | 7.5 | 7.5 |
| Consolidated operating margin | 9.2 | 7.9 | 8.9 | 8.6 |
| Revenues | ||||
| UnitedHealthcare Employer & Individual - Domestic | 15,929 | 15,094 | 47,318 | 44,668 |
| UnitedHealthcare Employer & Individual - Global | 2,120 | 2,139 | 6,500 | 6,292 |
| UnitedHealthcare Employer & Individual - Total | 18,049 | 17,233 | 53,818 | 50,960 |
| UnitedHealthcare Medicare & Retirement | 27,895 | 24,931 | 85,620 | 75,709 |
| UnitedHealthcare Community & State | 16,051 | 13,763 | 47,257 | 39,846 |
| Optum Health | 18,463 | 13,812 | 52,728 | 39,515 |
| Optum Insight | 3,693 | 3,139 | 10,194 | 8,948 |
| Optum Rx | 25,203 | 23,337 | 73,919 | 67,465 |
| Optum eliminations | (800) | (503) | (1,941) | (1,456) |
All values are in US Dollars.
(a)Earnings from operations for Optum for the three and nine months ended September 30, 2022 included $1,575 and $4,340 for Optum Health; $1,007 and $2,693 for Optum Insight; and $1,081 and $3,064 for Optum Rx, respectively. Earnings from operations for Optum for the three and nine months ended September 30, 2021 included $1,143 and $3,233 for Optum Health; $906 and $2,447 for Optum Insight; and $1,012 and $2,895 for Optum Rx, respectively.
UNITEDHEALTH GROUP
SUPPLEMENTAL FINANCIAL INFORMATION - BUSINESS METRICS
UNITEDHEALTHCARE CUSTOMER PROFILE
(in thousands)
| People Served | September 30, 2022 | June 30, 2022 | December 31, 2021 | September 30, 2021 |
|---|---|---|---|---|
| Commercial - Domestic: | ||||
| Risk-based | 8,055 | 8,010 | 7,985 | 7,960 |
| Fee-based | 18,500 | 18,480 | 18,595 | 18,595 |
| Total Commercial - Domestic | 26,555 | 26,490 | 26,580 | 26,555 |
| Medicare Advantage | 7,035 | 6,945 | 6,490 | 6,455 |
| Medicaid | 8,005 | 7,990 | 7,655 | 7,510 |
| Medicare Supplement (Standardized) | 4,370 | 4,355 | 4,395 | 4,405 |
| Total Community and Senior | 19,410 | 19,290 | 18,540 | 18,370 |
| Total UnitedHealthcare - Domestic Medical | 45,965 | 45,780 | 45,120 | 44,925 |
| Commercial - Global | 5,360 | 5,465 | 5,510 | 5,490 |
| Total UnitedHealthcare - Medical | 51,325 | 51,245 | 50,630 | 50,415 |
| Supplemental Data | ||||
| Medicare Part D stand-alone | 3,310 | 3,330 | 3,700 | 3,725 |
OPTUM PERFORMANCE METRICS
| September 30, 2022 | June 30, 2022 | December 31, 2021 | September 30, 2021 | |
|---|---|---|---|---|
| Optum Health Consumers Served (in millions) | 101 | 101 | 100 | 99 |
| Optum Insight Contract Backlog (in billions) | $24.1 | $23.6 | $22.4 | $22.3 |
| Optum Rx Quarterly Adjusted Scripts (in millions) | 359 | 357 | 353 | 344 |
Note: UnitedHealth Group served 149 million unique individuals across all businesses at September 30, 2022.
UNITEDHEALTH GROUP
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
(in millions, except per share data)
(unaudited)
ADJUSTED NET EARNINGS PER SHARE(a)
| Three Months Ended <br>September 30, | Nine Months Ended <br>September 30, | Projected Year Ended <br>December 31, | |||
|---|---|---|---|---|---|
| 2022 | 2021 | 2022 | 2021 | 2022 | |
| GAAP net earnings attributable to UnitedHealth Group common shareholders | $5,262 | $4,086 | $15,359 | $13,214 | $19,800 - $20,025 |
| Intangible amortization | 323 | 305 | 896 | 904 | ~1,290 |
| Tax effect of intangible amortization | (92) | (74) | (233) | (220) | ~(330) |
| Adjusted net earnings attributable to UnitedHealth Group common shareholders | $5,493 | $4,317 | $16,022 | $13,898 | $20,750 - $20,975 |
| GAAP diluted earnings per share | $5.55 | $4.28 | $16.15 | $13.82 | $20.85 - $21.05 |
| Intangible amortization per share | 0.34 | 0.32 | 0.94 | 0.95 | ~1.35 |
| Tax effect per share of intangible amortization | (0.10) | (0.08) | (0.24) | (0.23) | ~(0.35) |
| Adjusted diluted earnings per share | $5.79 | $4.52 | $16.85 | $14.54 | $21.85 - $22.05 |
ADJUSTED CASH FLOWS FROM OPERATIONS(a)
| Three Months Ended <br>September 30, 2022 | Nine Months Ended <br>September 30, 2022 | |
|---|---|---|
| GAAP cash flows from operations | $18,549 | $30,739 |
| Less: October CMS premium payments received in September | (9,763) | (9,763) |
| Adjusted cash flows from operations | $8,786 | $20,976 |
(a)Adjusted net earnings per share and adjusted cash flows from operations are non-GAAP financial measures. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.
Adjusted net earnings per share excludes from the relevant GAAP metric, as applicable, intangible amortization and other items, if any, that do not relate to the Company's underlying business performance. Management believes that the use of adjusted net earnings per share provides investors and management useful information about the earnings impact of acquisition-related intangible asset amortization. As amortization fluctuates based on the size and timing of the Company’s acquisition activity, management believes this exclusion provides a more useful comparison of the Company's underlying business performance and trends from period to period. While intangible assets contribute to the Company’s revenue generation, the intangible amortization is not directly related. Therefore, the related revenues are included in adjusted earnings per share.
Management believes the use of adjusted cash flows from operations provides investors and management with useful information to compare our cash flows from operations for the current period to other periods, when the Company does not receive its monthly payment from the Centers for Medicare and Medicaid Services (CMS) in the applicable quarter. CMS generally remits their monthly payments on the first calendar day of the applicable month. However, if the first calendar day of the month falls on a weekend or a holiday, CMS has typically paid the Company on the last business day of the preceding calendar month. Adjusted cash flows from operating activities presents operating cash flows assuming all CMS payments were received on the first calendar day of the applicable month.
6