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spk01: Humana's President and Chief Executive Officer and Susan Diamond, Chief Financial Officer, will discuss our second quarter 2022 results and our updated financial outlook for 2022. Following these prepared remarks, we will open up the line for a question and answer session with industry analysts. Joe Ventura, our Chief Legal Officer, will also be joining Bruce and Susan for the Q&A session. We encourage the investing public and media to listen to both management's prepared remarks and the related Q&A with analysts. This call is being recorded for replay purposes. That replay will be available on the investor relations page of Humana's website, Humana.com, later today. Before we begin our discussion, I need to advise call participants of our cautionary statement. Certain of the matters discussed in this conference call are forward-looking and involve a number of risks and uncertainties. Actual results could differ materially. Investors are advised to read the detailed risk factors discussed in our latest Form 10-K and other filings with the Securities and Exchange Commission in our second quarter 2022 earnings press release as they relate to forward-looking statements and to note in particular, that these forward-looking statements could be impacted by risks related to the spread of in response to the COVID-19 pandemic. Our forward-looking statements should therefore be considered in light of these additional uncertainties and risks, along with the other risks discussed in our SEC filings. We undertake no obligation to publicly address or update any forward-looking statements in future filings or communications regarding our business or results. Today's press release, our historical financial news releases, and our filings with the SEC are also available on our investor relations site. Call participants should note that today's discussion includes financial measures that are not in accordance with generally accepted accounting principles or GAAP. Management's explanation for the use of these non-GAAP measures and reconciliations of GAAP to non-GAAP financial measures are included in today's press release. Finally, any reference to earnings per share or EPS made during this conference call refer to diluted earnings per common share. With that, I'll turn the call over to Bruce Broussard.
spk16: Thank you, Lisa, and good morning, and thank you for joining us. Today, Humana reported financial results for the second quarter of 2022 that reflected our solid fundamentals and strong execution across the enterprise. In the second quarter, our adjusted earnings per share was $8.67, which was above our initial expectations. Our outperformance in the quarter was driven by broad-based strength across the organization. Our updated full year guidance of approximately $24.75 represents compelling earnings growth of over 20% over our 2021 results. Susan will share additional detail on our second quarter performance and our full year outlook in a moment. As we look ahead, we are confident that we continue to deliver strong results as a leader in Medicare Advantage and value-based care delivery. Over the last several months, we've taken deliberate steps to meaningfully advance our strategy. In our Medicare Advantage business, we finalized our 2023 product strategy as reflected in our bids and are confident the investments we've made will significantly enhance the value proposition of our offerings. These investments were supported by the enterprise commitment to delivering on our billion-dollar value creation initiative, which we expect to significantly improve membership growth in 2023, while still delivering compelling earnings growth consistent with our long-term target. Beyond our product investments, we worked with our external sales partners to enhance recruiting, training, and incentive programs, which we believe will lead to improved member retention. We've enhanced the way we work with over all of our 40 external care partners, creating increased alignment by linking incentives to quality and retention metrics. And many of our partners have also revised agent-level incentives to emphasize retention. We continue to see an increase in member satisfaction year over year, demonstrating the positive impact of our efforts. We held our annual external sales partner conference last week and are encouraged by the optimism and excitement expressed by our distribution partners on our commitment to return to market-leading growth and in the specific investments we've made. We are also making significant progress in advancing our Medicaid strategy. We received notification of a contract award from Louisiana in June. We are very proud of the team's success articulating Humana's unique Medicaid capabilities and our ability to organically grow our Medicaid footprint. We are actively preparing for the Ohio contract implementation later this year, as well as the implementation in Louisiana, which is expected in early 2023. In addition, we continue to actively work towards procuring additional awards, and our priority states. Within our healthcare services segment, we continue to expand our CenterWell assets. We established a second joint venture with Welsh Carson that will deploy up to $1.2 billion of capital to develop up to 100 new CenterWell senior primary care clinics between 2023 and 2025. In the home business, we began expansion of the value-based model in June with the implementation in Virginia, increasing the number of MA members covered by the model to 331,000, a 22% increase. These actions are building significant momentum within the organization and position us for continued strong growth and leadership in the delivery of integrated value-based care. Turning to our billion-dollar value creation initiative, we've made strong progress towards our target and now have line of sight into initiatives valued at over $900 million in 2023 in design, execute, or full realization stages. This is up from $575 million when we last provided an update in April. We are confident in our ability to fully deliver against the important commitment and ultimately realize $1 billion of value in 2023. As I've just highlighted, we've made meaningful progress advancing our strategy in recent months, resulting in significant expansion of our healthcare service businesses and further strengthening our Medicare Advantage and Medicaid platform. In addition to our strategy advancement, the work completed on our value creation initiative has led to an organizational simplification that enables us to accelerate our previously planned organizational streamline. Beginning in 2023, we will realign the company into two distinct units, insurance services and center wealth. Insurance services will be made up of the businesses that currently sit in the retail and group and specialty segments, while CenterWell represent the current healthcare service segment. We believe this simpler structure will create greater collaboration across our insurance and CenterWell business and will accelerate work that is underway to centralize and integrate operations within the organization. The realignment also expands the scope of authority for leaders and allows us to operate with greater agility and focus and increasing capture synergies across our portfolio. Importantly, we are committed to providing the transparency you are accustomed to receiving from Humana when we transition to the new segments to ensure you have the information needed to follow our progress and understand the economics of our material businesses. To lead this new segment, we've launched an external search for a president of insurance and enterprise services. We are targeting candidates who can look across insurance business and key centralized platforms and services driving enterprise-level strategic execution. We also look for this individual to bring deep experience in running complex organizations. A key focus of this role will be to help us continue to simplify our structure. to make us more agile and to further improve our ability to increase synergies between our businesses and improve outcomes for our customers. We anticipate naming this individual by the end of the year. As announced in our 8K this morning, after a long, successful career at Humana, Alan Wheatley will transition from his role at the end of the year. Alan has had a distinguished 31-year career at Humana and I'm grateful for his significant contribution to the organization. We are confident that the momentum Alan and team have created throughout 2022 in the Medicare business will drive a successful 2023 AEP. I appreciate Alan's commitment to Humana and am pleased that he has agreed to serve as a strategic advisor until next year to ensure a seamless transition. Alan has developed a strong leadership team with in the retail organization, and we are fortunate to have the opportunity for these talented and experienced leaders to expand their responsibilities. Effective August 5th, George Renadin will take on the new role of President of Medicare, and Susan Smith, Senior VP, will take on the expanded role of leading our enterprise services, which includes our clinical, consumer experience, STARS, and Medicare risk adjustment teams. John Barger will continue leading our Medicaid organization in his role as president of Medicaid. George, Susan, and John, who have 55 years plus of combined experience across different functions at Humana, will report to Alan until the new role of president is filled. In addition, Sue Schick will continue to lead our group and specialty segment business. also ultimately reporting to the new president of insurance and enterprise services when the segment of realignment is finalized in 2023. In conclusion, I would leave you with the following. First, we are pleased with the momentum we have executing our strategy, our strong year-to-date results, positive outlook for the remainder of the year, and in the significant progress we've made in our billion-dollar value creation initiative to improve membership growth for 2023. Second, we are confident that the evolution of our organizational structure will accelerate the advancement of our strategy and result in a more efficient and integrated organization. And finally, we remain confident in our ability to drive compelling returns for our shareholders. We invite you to join us at our virtual investor update on September 15th. where we plan to give you more insight into our go-forward strategy and our positioning for continued success. We will provide you with a deeper view into our attractive financial outlook and appropriate KPIs, our leadership position in the industry, and our long-term strategy, including additional detail into our home and primary care businesses. With that, I'll turn the call over to Susan.
spk11: Thank you, Bruce, and good morning, everyone. I will start by echoing Bruce's confidence in our current year performance, the steps we have taken to improve membership growth in 2023, and our ability to drive compelling returns for our shareholders. Our second quarter 2022 adjusted earnings per share of $8.67 represents 26% growth over second quarter 2021, and is approximately $1 higher than our previous expectations. The favorable results in the quarter were supported by strong performance across many of our lines of business and were driven primarily by lower than anticipated medical cost trends in our individual Medicare Advantage and Medicaid businesses, partially offset by higher than expected non-inpatient costs in group Medicare Advantage. We also experienced lower than anticipated administrative costs some of which was timing in nature. Importantly, I want to reiterate that utilization in our core individual Medicare Advantage business is running favorable to expectations. The lower utilization trends and lack of COVID headwinds seen to date give us confidence in raising our full year adjusted EPS guide by 25 cents to approximately $24.75 while still maintaining a 50-cent EPS COVID headwind for the back half of the year. In addition, the revised guide contemplates an investment of approximately 75 cents EPS in additional marketing and distribution in the back half of the year to further support our improved 2023 Medicare Advantage product offerings. Finally, the revised guide covers 65 cents EPS dilution related to the pending hospice divestiture versus the $0.50 contemplated in our previous guide, which is expected to close in the third quarter. Our updated full-year guidance reflects a compelling 20% growth in adjusted earnings for 2022 while funding additional investments to support our long-term growth. If we see additional favorability emerge in the back half of the year, including the remaining $0.50 in embedded COVID headwind, we will be prudent in balancing further investments in support of long-term growth and additional shareholder returns in 2022. We are focused on maximizing long-term value and will be transparent in our approach. With respect to quarterly earnings seasonality, at this time, we expect third quarter earnings to be approximately 25% of our full year estimate. Finally, as Bruce shared, we have made significant progress toward our $1 billion value creation plan. actions during the quarter resulted in certain one-time costs of $203 million, which have been adjusted for non-GAAP purposes. These expenses were primarily driven by consolidation and retirement of technology assets during the quarter, resulting in more efficient operations and lower investment requirements going forward. As we continue to advance the value creation plan, we expect to incur additional one-time costs in the back half of the year, which will also be adjusted for non-GAAP purposes. With that, I will now provide additional details on our second quarter performance by segment, beginning with retail. Medicare Advantage membership growth and revenue are trending in line with expectations. As previously mentioned, total medical costs in our individual Medicare Advantage business ran favorable to expectations in the second quarter. We continue to see lower than anticipated inpatient utilization partially offset by higher inpatient unit costs, while non-inpatient costs were slightly favorable to expectations. With respect to entry year development, you will recall that our first quarter estimates considered the higher unit costs experienced in the fourth quarter of 2021. We were encouraged to see the first quarter restate favorably and have seen some moderation in inpatient unit costs relative to our previous estimates, while non-inpatient costs also restated slightly lower. With respect to COVID, we have seen an uptick in cases in recent weeks, but hospitalization rates remain lower than we have seen in previous surges. While we are not concerned with the utilization patterns observed to date, we acknowledge the continued uncertainty related to the pandemic and therefore maintained 50 cents of COVID contingency in our revised EPS guidance. We are pleased with the performance of our individual Medicare Advantage business to date, and remain on track to deliver at least 50 basis points of improvement in pre-tax margin in 2022. Group Medicare Advantage non-inpatient costs were higher in the quarter than our initial expectations, in part due to higher surgical volumes, which we have assumed will continue for the remainder of the year. In 2021, we saw more significant depressed utilization in group Medicare than individual Medicare and expected some normalization in 2022. While group Medicare inpatient costs are consistent with our expectations year to date, non-inpatient costs have been higher in recent months, some of which may be reflective of pent-up demand post the Omicron surge. We will continue to monitor emerging group Medicare trends to determine if the higher than initially expected utilization continues as currently contemplated in our full year guide, or if we ultimately see the trends moderate. Our Medicaid business performed well in the quarter, experiencing lower than expected medical costs. We updated our full-year Medicaid membership guidance from a range of down $25,000 to $50,000 to a range of up $75,000 to $100,000 to reflect the extension of the public health emergency to mid-October. We increased our retail segment revenue guidance by $350 million at the midpoint from a range of $81.2 to $82.2 billion to a range of $81.7 billion to $82.4 billion, primarily reflecting the increase in Medicaid membership expectations for the year. Despite the increase in expected Medicaid membership for the year, which carries a higher benefit ratio, as well as the higher than anticipated non-inpatient cost in group Medicare, we have maintained our original full-year retail benefit ratio guidance as outperformance in our individual Medicare Advantage business is providing an offset in the segment. Group and specialty segment results were slightly favorable for the quarter, largely driven by the specialty business and lower dental utilization trends in particular. As previously shared, we are focused on margin stability in the employer group medical business near term, and as a result of rating actions taken in the back half of 2021 to incorporate expected ongoing COVID costs we are experiencing higher attrition in our fully insured group medical business than originally anticipated. We are updating our full-year commercial medical membership guidance from down $125,000 to $165,000 to down approximately $200,000. In addition, we are reducing our revenue guidance for this segment by $200 million at the midpoint, reflective of the lower membership expectations. Full year pre-tax earnings for this segment remain on track, aided by this specialty outperformance. I will now discuss our healthcare services businesses. Recall that this segment had a strong start to the year, with pharmacy meaningfully outperforming in the first quarter, which we expected to persist throughout the year, although with some moderation. Pharmacy results in the second quarter tracked in line with our increased expectations. Mail order penetration was 38.5% year to date for our individual Medicare Advantage members, a 90 basis point increase year over year. Primary care organization results were slightly favorable to expectations for the quarter, driven by ongoing operational improvements combined with administrative expense favorability. We added four de novo centers and 10 wholly owned centers through acquisition in the second quarter, bringing our total center count to 222 after center consolidations. We are on pace with our targets for the year and continue to expect to operate approximately 250 centers by year end. Turning to the home, home health episodic admissions are up 3.1% year over year, while total admissions are up 4.9% year over year, consistent with expectations. For the full year, we continue to expect total home health admissions to be up mid-single digits. The hospice business performed well in the quarter, with total admissions up approximately 5% year over year, driven by increased access to facility-based referral sources and incremental investments in the business to expand clinical capacity. The Kindred Hospice Investiture is on pace to close in the third quarter. We have updated our full-year guidance ranges to reflect this anticipated transaction, resulting in a reduction in healthcare services segment revenue of approximately $400 million at the midpoint, which reflects the hospice divestiture partially offset by the increased pharmacy expectations discussed in the first quarter. In addition, we have reduced our full-year consolidated adjusted operating cost ratio guidance from a range of 13.2% to 14.2%. to a range of 13% to 13.5% as the hospice business carries a higher operating cost ratio than the company's consolidated operating cost ratio. From a capital deployment perspective, we anticipate a customary level of share repurchases in 2022 and expect our debt to capitalization ratio to be in the low 40s at the end of the year as we utilize proceeds from the kindred hospice divestiture to deleverage. Before closing, I would again reiterate that we are pleased with our performance to date, fueled by broad-based strength across the enterprise, supporting our full-year guidance raise and providing capacity to make additional investments in marketing and distribution in the back half of 2022 to further support our improved 2023 Medicare Advantage product offerings. We are well-positioned to achieve our $1 billion value creation goal, which has allowed further investment in our Medicare Advantage offerings for 2023, and expansion of our healthcare services capabilities while remaining on track to generate earnings growth in 2023 within our long-term target range. With that, we will open the lines up for your questions. In fairness to those waiting in the queue, we ask that you limit yourself to one question. Operator, please introduce the first caller.
spk07: Certainly. Our first question comes from within the line BMO Capital Markets. Pardon me, Matt, please check your mute button. Matt Borch, please check your mute button. Your line is now open. And our next question comes from the line of Justin Lake with Wolf Research. Thanks. Good morning.
spk00: Can you hear me?
spk11: We can. Hi, Justin.
spk00: Good morning. So I'm going to try to squeeze in a couple of numbers questions. First, on MLR in the quarter, it sounded like the MLR had some moving parts but was in-line-ish, give or take, with your own expectations. obviously consensus was a little bit lower than this. So I was hoping you gave us some EPS seasonality. Given your retail business still has 100 basis points of a range, maybe you could tell us where you think you're going to be in that range for the back half of the year and then think about 3Q versus 4Q so people like me don't mismodel it again for the back half. And then on the divestiture, Susan, can you walk us through the numbers a little bit more? I mean, the $0.65 is a little bit bigger than I had expected. And just trying to understand how much revenue are you selling annualized, how much profit was there? What are you doing with the divestiture proceeds in terms of just like mapping out? Because if you're $0.65 for, let's just say, a third of the year of dilution, that would indicate to me that you have another $1.30 difference. next year of dilution. So that's a pretty decent headwind to next year. And just how do you offset that? Because it sounds like you reiterated the 11% to 15% growth next year. Thanks for all that.
spk11: Sure, Justin. I'll try to address those. So yes, in terms of MLR, as you said, internally, it is meeting our expectations. As you mentioned, analyst expectations did vary. I think there was on the consolidated MER about a 200 basis point spread in analyst expectations and about 150% basis point spread in retail. There is a wide variation. What came out in terms of consensus was based on just a few who happened to respond to the survey. So we do want to reiterate that what we are seeing internally from an individual Medicare Advantage perspective, we are seeing better than expected results and better than expected MERs based on primarily the lower inpatient utilization we mentioned. Within this segment, though, as we said, there is some mix. impact in terms of the higher Medicaid membership that comes with the higher MER typically, as well as the group Medicare pressure that we mentioned in my commentary. But when you consider all of that, as we said, we are very pleased with our performance, and in particular, the strength of the individual MA improvement, which is reflective of the more conservative pricing approach we took in our bids that we've been talking about all year. For the full year, we also remain confident in what we are seeing. We'll certainly continue to watch the emerging trends to see if that results in any additional favorability in the back half of the year relative to our estimates. But currently, we are forecasting that we will be in line with our expectations for the retail segment for the year, despite the higher Medicaid membership and group MA pressure. On the hospice transaction, as far as the divestiture, you're correct that $0.65 is reflective of the expectation that we will close that divestiture in the third quarter. It is a little bit higher than you might expect if you just run rate some of the numbers that we shared when we did the initial transaction. There's about 1.5 billion in revenue associated with that segment. The reason that there's a little bit higher dilution is the fact that the entity expects to take on debt once it divests. So the interest expense, particularly in this rate environment, is a little bit higher than we had initially expected in our guide at the first quarter. and then also some of the dis-energies that will occur as a result of operating independently from the home health organization. All of that was considered when we contemplated the divestiture, and so as we've been thinking about 2023 planning, we were contemplating the divestiture of that position, and so we still expect to deliver within our long-term targeted range and be able to cover the impact of the hospice transaction, which we continue to believe is the right thing to do strategically. As for the proceeds, as we've said before, we do intend to use the majority of those proceeds to pay down debt to deliver on the Humana side, which will allow us to get back down to about the low 40s, as we mentioned in my commentary.
spk07: Thanks.
spk11: Welcome.
spk07: Thank you. And our next question comes from the line of Matt Borsch with BMO Capital Markets.
spk08: All right. Let's try it this time. Can you hear me?
spk11: Hi, Matt. We can hear you.
spk08: Okay, great. Sorry about my mute button malfunction. I was obviously quite a bit here. Maybe I could just ask about the inpatient higher unit costs that you mentioned. Is that simply a function of lower admissions and therefore higher acuity on what remains, or is that reflecting some other factors that maybe you could touch on?
spk11: Yeah, Matt, good question. And we spoke to some of this in the first quarter as we were seeing this in our first quarter estimate. So if you recall, some of it is, as you said, just a reflection of when you see lower inpatient utilization, typically some of the lower cost admissions are the ones that are no longer occurring. And so you tend to see a little bit higher unit cost than what's left over. So we did see some of that. But we did see some higher unit costs for certain underlying procedures, and we continue to evaluate that. And as I mentioned, in our second quarter, entry-year development, we were pleased to see some of that moderate relative to what we had seen and booked as of the first quarter. So we will continue to watch that. The one other thing I would point out, and we mentioned this in the first quarter, some of the reason we're seeing lower inpatient volumes is a continued shift of procedures from the inpatient to the outpatient setting. And when that occurs, that typically results in activity that is lower than average unit cost within the inpatient setting shifting to that outpatient setting, also putting pressure on the unit cost. That was something that we had not fully anticipated as we entered the year. CMS, if you recall, reinstated the inpatient only list. And so, we did not expect to see continued shifting, both in our utilization and unit cost estimates. And so, as we've seen that continue to, transition despite CMS's actions, we saw the benefits of that on utilization, but then some increase to the unit costs. The unit costs are still higher than all of that said than we would have expected, so we'll continue to watch that and see if in the coming months that doesn't continue to moderate. We have great visibility in real time to inpatient utilization, but to fully evaluate the unit costs, we're dependent on those claims coming in over time. And so we'll continue to watch that and keep you apprised of what we're seeing.
spk08: Just a quick follow-up, is there any driver that you know of for the shift to outpatient?
spk11: It's primarily orthopedic, which we saw in 2021 as well. And so we saw significant shifts in 21 and continue to see additional shifts, and it is primarily in the orthopedic space.
spk07: Okay. Thank you. And our next question comes from the line of Kevin Fishbeck with Bank of America.
spk06: Great, thanks. I want to try and better understand what you're doing around 2023 growth. You're committed to re-accelerating growth, and obviously part of that is driven by the billion dollars of cost savings that you've identified. But then try to understand a little bit how the outperformance and reinvestment into growth affects that. It sounds like that's in addition to whatever you did on the benefit side. and we're already planning to do from the marketing side. I just want to make sure I understand that. And then also the outperformance in retail, every individual MA, was that captured when you submitted your bids, or is that something that's kind of developed more favorably since you submitted your bids?
spk11: Sure, Kevin. I'm happy to take that. In terms of 2023 growth, You know, we are very pleased with the progress we've made on the billion-dollar value creation goal. And as we've been saying, the intent is to use the benefit of that work to primarily support investment in our Medicare business, but also support some acceleration within our healthcare services capabilities. And within the Medicare business, we've commented that, you know, the majority of the dollars that will be directed to Medicare will support improved value propositions. and our Medicare Advantage offerings, but also support increased investment in marketing and distribution to support that. As we completed all of the planning work by the Medicare organization, as they thought through their product strategy, I would say the Medicare team was really pleased with the capacity that that billion-dollar value creation effort created for them, and they feel really good about the investments it allowed them to make and are feeling confident that we will be able to demonstrate significant improvement in our Medicare growth in 2023. As Bruce mentioned in his comments, we had a chance to meet with our external distribution partners recently and share some of those details. And we're really pleased with the reaction and positive sentiment and optimism expressed and commitment to returning to growth that our investments demonstrated. In our commentary this morning, we were pleased to announce that given the outperformance we've seen in 2022 and the second quarter in particular, that did give us some capacity to invest some of that outperformance into additional marketing and distribution. that's anticipated to support the 2023 AEP. And we felt really strongly that given the amount of investment we made in our Medicare products for 23, we wanted to certainly make sure we appropriately supported it with marketing and distribution investments to ensure that we maximize the return off of those investments. So the team's really thrilled with what we've been able to do and we're feeling confident. We'll obviously have to see how the landscape data comes out to see exactly how we're positioned and refine our estimates. And we typically give you some sense in our third quarter call. So I'm not prepared to do that today, but do want to express that we feel very optimistic and confident that we'll see significantly higher growth relative to 2022 off the strength of the investments that we've made. In terms of the lower utilization, I would say, you know, we certainly talked in our first quarter commentary of some of the utilization depression that we saw. I would say though, generally, we attributed that to COVID at that time. as you recall, we were seeing a much faster decline in COVID hospitalizations with this latest surge than we'd seen previously. And so we attributed the lower non-COVID utilization to simply a slower bounce back because that was not anticipated generally. So when you think about our bids, we would not have anticipated any of the favorability we've seen this year to signal sort of sustained below baseline utilization or medical costs and would have assumed in 2023 a more you know, steady state sort of normal course level of medical cost trend. So to the degree we see further improvement that we think is reflective of just lower core trend, then that would be favorable to what we would have anticipated at the time of bids.
spk06: All right, great. Thank you.
spk11: You're welcome.
spk07: Thank you. And our next question comes from the line of A.J. Rice with Credit Suisse.
spk12: Hi, everybody. Thanks. Maybe just to clean up quickly some of the questions that have been already asked. I know you're saying hospice is a headwind for next year and value creation is a positive. I wonder if I could broaden it out and get you to talk about, at this early day, without giving guidance, what your headwinds and tailwinds are in the major buckets for next year, and maybe also what the 11% to 15% growth target, what's the jumping off point in your mind for 2020? 22 to get to that and then Bruce you've mentioned the reorganization insurance business and special and services business it sounds like that's mostly to facilitate better coordination internally can you tell us where some of those opportunities are and then second is this a prelude to the services business is beginning to focus on external clients more I know home health does that already but I wondered, the PBM and some of those other areas that have historically just supported Humana, are you thinking about opening that up? Let Susan take the first question.
spk11: Hey, AJ. Yeah, I'll take the first and then transition it to Bruce. As it respects 2023, our first quarter commentary did confirm that you can think about the baseline for 23 as the 2450 that we adjusted to then. I would say that for right now, we're not going to comment on any further adjustment to the 2023 baseline or 2022 baseline rather for 23. And that's just because we've got our investor day conference scheduled for September 15th, where we do intend to talk about our long-term growth expectations. And so don't want to get in front of any of that. But I will say that, you know, broadly speaking, as we think of thought about our bid planning and our planning for 2023, you know, we were mindful of our, you know, stated long-term growth targets. There's always a variety of puts and takes that go into the planning every year. I would say some of the known headwinds would have been, obviously, the anticipated hospice divestiture that has always been contemplated and are thinking for 23, so that's not a surprise. More recently, we have seen the proposed negative rate adjustment for home health. That would not have been something we previously contemplated. And we'll have to see ultimately where the final proposal comes out and whether that sees some improvement relative to the current proposal. But that would be something that we hadn't contemplated and one of those puts and takes we'd have to manage. From a positive perspective, you know, certainly membership growth in 2023, we're expecting to see improvement. We'll have to see as AEP plays out whether that is more favorable than we might have expected, which could be a positive. And also the medical cost trends, obviously, that we're seeing this year, as I mentioned in my commentary, we'll continue to evaluate those and see whether some of that continues to be positive through 2023. We always have to think about then any risk adjustment implications of any utilization variation that we see, and we'll certainly be mindful of that. And I would say the one other thing we continue to watch is flu. We've seen very low flu the last few years. Some of the early indicators from Australia in particular do suggest a higher flu season potentially for the fourth quarter. So we continue to watch that. But again, that would be one of those puts and takes that we continue to watch. So a variety of things, but I would say nothing that's such an outlier that is giving us concern at this point, but rather normal course things that we would manage through for 2023.
spk16: And then Bruce, do you want to? Yep. AJ, just on the... segmentation and the recruiting of a new president. A few things from that. First, we are seeing in our work on the billion dollars some really great opportunity to create some simplification and the ability to leverage a number of our different areas within the insurance area. So there's a lot of work now going into really consolidating service centers into one service center. The ability to use our clinical programs, not only in the Medicare side, but also in our and our commercial book of business in a much more integrated way. And then the third area, we're seeing a lot of work being done and being able to utilize a lot of our consumer technology. And so in the work that we've done in the simplification through our billion-dollar initiative, we just saw some great opportunity to be able to bring it together in a much more efficient way. In addition, what we do see in our work in the local markets of being able to integrate our our various different healthcare services, that there's a wonderful opportunity. We refer to it as the flywheel. And we'll provide you a further update at the investor meeting on September 15th about the ability to integrate across the various different services and be able to create a much more holistic approach in being able to move from primary care to home and even into our pharmacy utilization, both mail order and onsite. And so we see the opportunity to leverage that, along with the fact that you brought up the payer agnostic. We do see some great opportunity today. Both Centerwell Primary Care and the home are agnostic and continue to see great growth, serving both other payers and other parts of the Medicare system. And at the same time, we're also seeing opportunity within our pharmacy area to offer some agnostic opportunities there. So the ability for it to integrate and also to expand beyond the Medicare side of the business is really at the heart of what you see as more formally creating the center of all service side, while on the insurance side, continuing to leverage the efficiencies across the various different insurance platforms. Okay, great. Thanks a lot.
spk07: Thank you. And our next question comes from the line of Nathan Rich with Goldman Sachs.
spk17: Good morning. Thanks for the questions. You talked about utilization in the individual MA business running favorable to expectations. Is the lower admits per thousand that you called out, is that related to COVID or are you also seeing favorability on non-COVID utilization as well? And can you talk about what you expect over the balance of the year? And then, Susan, could you also address the increase in days claims payable in the quarter? What drove that and what you were expecting in the guidance? And given that it is sort of above the longer-term rate that you target, how do you expect that to trend over the balance of the year?
spk11: Sure, Nathan, happy to answer that. So as you mentioned, we are seeing lower inpatient utilization, which we have seen all year. The first quarter, we did see certainly a faster decline in COVID. That's obviously now subsided. As we've gotten further away from that last surge, we've continued to see lower inpatient utilization. As we've analyzed it, there are a few things that are primarily driving that. One is lower flu. As I mentioned, we have seen lower levels than historical. That, you know, impacted the first half of the year. That will certainly moderate in the third quarter because you see low flu activity in general. And as I mentioned, we'll have to watch and see how the flu develops in the fourth quarter. For right now, we are assuming that we don't return fully to sort of pre-COVID levels, but rather it's some moderation from that. But we are assuming it doesn't run quite as low as we have seen through the pandemic. We'll have to watch and see how the flu develops in the fourth quarter. Right now, we are assuming that we don't return fully to sort of pre-COVID levels, but rather it's some moderation from that, but we are assuming it doesn't run quite as low as we have seen through the pandemic. We also saw, as I mentioned, continued inpatient to outpatient shifts. That was something, as I said, we did not contemplate in our initial guide, and so that's positively impacting the inpatient utilization. We are seeing some higher unit cost as a result in utilization. We are seeing some higher unit cost as a result But as I mentioned, on the non-inpatient side, while we're seeing that higher utilization, we are seeing in total, though, slightly positive overall non-inpatient costs relative to expectations. So, we've been able to absorb that higher volume shift within the non-inpatient estimates as well. And then we are seeing some improved impact from some of our utilization management programs that are also positively impacting inpatient activity. So, other than the flu that will moderate some, we don't have any reason to think that inpatient to outpatient or the positive utilization management impacts won't continue for the rest of the year, and so that is contemplated in our full year guide. In terms of DCP, as you said, it is up three days sequentially, and that was primarily driven, as you can see in some of our disclosures, by additional provider accruals as well as fee-for-service days and claims payable. and so is reflective of a stronger reserve positioning as of the end of the second quarter versus what you saw first quarter. You can also see that reflected in the higher IBNR trends relative to premium. I think our IBNR trends were up 2.9% versus premium trends of about 1.9%. So we think reflective of an appropriate conservative posture with respect to reserves at the end of the second quarter.
spk01: Next question, please.
spk07: Thank you. And our next question comes from the line of Joshua Raskin with Nefron Research.
spk03: Hi, thanks. Good morning. My question is, how do you accelerate the movement of membership to value-based care providers other than sort of building out the capacity? How are you working with the centers or external partners to get more of the MA lives into value-based care next year?
spk16: Yeah, that's a constant work for us, and we are up a little bit this quarter as a result of of our efforts, a few things there. We continue to look at our partners that are apt to wanting to move to value base. And we've seen some really great opportunities there, especially over the last year or so as we've exited out of COVID. The ability for us to then provide resources for them in both the technology area and the human resource area to allow them to make that transition and then provide them a contract It allows them to appropriately manage that risk. Sometimes they want to take just upside risk. Sometimes they want to take up and down risk with some kind of collar or full risk. So we really want to walk with them as they evolve into their risk tolerance. But what we see the most is really building on the partnerships that we have and growing our membership base in those partnerships. And what we've seen in a number of markets where we've had once a fairly antagonistic relationship with both hospital systems and physician groups that they have evolved to be very positive. And as they evolve to be positive, we see much more membership growth in that relationship, which has been very positive for us. What we also measured there, Josh, is not only how many members we have in value-based, but also their surplus. Because we could get them into value-based, but if they're not really performing both in the STARS risk adjustment and in addition the health outcomes, it's really for naught. And so a lot of the work we're doing not only is about getting more members in there, but also making it more effective for our members to be, I mean, our value-based relationships to be more effective. We've been averaging, you know, in the 60s, the mid 60s, we've increased a little bit this year, I would suspect that we will continue to see more members, but also as our membership growth grows, that percentage doesn't move as much. And so we are getting more and more members in there, but on a percentage basis, it might not look like we're moving as much, but we are actually both effectively getting more members in there, but as importantly, being much more effective in the way that we're performing as value-based providers are getting more into the surplus.
spk11: And Josh, I would add to what Bruce mentioned. I think in terms of some specific things we do to try to encourage the utilization of those high-performing providers, we certainly work with our distribution partners who have an opportunity at the time of enrollment to help with PCP selection. And so they're certainly educated on all the benefits of those high-performing primary care providers and know who they are in each market and can help with that. We certainly work to make sure our provider sort of physician finder tools that both agents and consumer use properly reflect the quality and the services that are available by those providers. And you'll see that if you ever go out to the site and how those providers are ranked based on cost and quality. And then finally, I would say certainly our provider organization and our health plans work in coordination on marketing efforts and continue to try various campaigns and learn what's proving to be effective in driving greater awareness and adoption of those high-performing models. So all of those things, I think, contribute in addition to what Bruce mentioned to some of the progress that we've seen.
spk03: Gotcha. And then if I could just sneak in, I just want to confirm, Susan, did you say that the baseline for 22 is still the 2450 and has not changed, or were you just saying we'll update it on September 15th?
spk11: Yeah, I think, you know, given that we've got the September 15th investor day coming up where we've, you know, committed to providing an update on how we think about our long-term EPS growth range, we would just prefer to wait and have that discussion in investor day more comprehensively versus, you know, a discreet sort of commentary on the baseline today. So it's not that we're saying it won't change. We just want to go ahead and provide a more comprehensive update on September 15th.
spk07: Perfect. Thanks. Sure. Thank you. And our next question comes from the line of Ricky Golwas. Later.
spk10: Yeah, hi, good morning and thank you for all the details. So Bruce, a question for you. I mean, clearly there's a lot of moving parts in core utilization, but just as we think kind of like big picture, two and a half years into the pandemic, you're seeing that move to sort of lower cost inpatient. You talk a lot about home telehealth. What are you seeing in the market? If you think about things, how do you think about sort of just kind of like structurally sort of core utilization? Because I'm assuming that that's something that will continue will be part of how you're thinking about those long-term targets that you're going to provide us in September.
spk16: Yeah, we continue to believe two things are happening that are structural changes in healthcare. One is around the continued movement to a specialty-oriented mindset to more generalist, whether that's primary care, but also the ability to leverage nursing and nursing physician assistants, et cetera. So just who's doing the work we see as continuing to be pushed down. And then the second thing that we see is where it's being conducted and how the procedures are being and the interventions are being offered. And we see a continued movement to more convenient settings that are also more cost effective. So moving, obviously the outpatient's been a long, long term trend, but in addition, moving to the primary care office, but moving to the home, moving to telehealth, and in addition, leveraging digital. And so we see that all moving towards a much more proactive and convenient setting, leveraging many other professional clinicians into the healthcare system. And we see that as an opportunity to continue to not only drive down where the cost is, but also the health outcomes where we can continue to be much more proactive in the ability to
spk10: slow down disease progression and really prevent preventable events next question so sorry sorry ricky i said i'm just kind of like thinking how you kind of like think about that as you think about mlr i mean clearly you saw kind of like the mlr in the quarter that was a little bit higher than than um than street expectations but but are you starting to see that impacting the mlr when you parse out the membership mix?
spk11: Yeah, so Ricky, I'll take that. So I would say, as you mentioned, while MLR, you know, was different than and didn't meet consensus, that's, again, reflective of how I mentioned earlier. There's a wide range in the consensus estimates. Those are not necessarily reflective of internal estimates. And so relative to our internal estimates, we did see outperformance, particularly in our individual MA business. And so it's important to keep that in mind. I would say that we are seeing so far, you know, certainly in ER use, and observations there continue to run lower than we saw pre-COVID. Some of that I do think is probably reflective of people seeking out other sites of care that are more appropriate, whether that's physician and urgent care that they became accustomed to during the pandemic and has continued. We do acknowledge, however, that we know there's capacity constraints within the healthcare system today. How much impact that's having on some of the lower utilization is hard to know for sure. And that is something I think on the longer term trajectory we're going to have to continue to monitor. and see ultimately where the utilization levels come in. The other thing to keep in mind is the higher mortality as a result of COVID, as we've said, has an impact on medical cost trend and overall utilization and a negative trend because those that passed away due to COVID tended to be higher utilizers. They had multiple comorbidities. And so that's also reflected in our estimates and we'll see continued impacts from that going forward. But otherwise, I would say a lot still to be learned. We are seeing some favorability and we'll have to continue to assess The team's thinking on how much of that will continue into 2023, but might see some moderation as capacity hopefully starts to return within the clinical community.
spk07: Thank you. And our next question comes from the line of Steven Baxter with Wells Fargo.
spk18: Yeah, hi, thanks. Just wanted to ask about the guidance to make sure I can follow what you're doing there. It sounds like a quarter was a dollar better, and then I think you also removed 50 cents of the conservatism. That sounds like $1.50 of favorability, although maybe there's some double counting between those items. Then you're reinvesting $0.75, and I think I heard you say there's an extra $0.15 of dilution from the hospice divestiture. It seems like those items in aggregate would result in a guidance increase above the $0.25, so I'm clearly missing something. Can you help us understand how you see the moving parts there and how we should be thinking about that? Thank you.
spk11: Hi, Stephen. Happy to do that. So, yes, the outperformance for the quarter was $1. That does, though, include what you can think of as the 50 cent conservatism that we had included in our original guide in the first half of the year related to COVID. So, you can consider that as us releasing the 50 cents of conservatism within the second quarter results and part of the dollar, not additive to it. We have maintained the 50 cents in our back half of year estimates, as I mentioned in my commentary, however. So as you think about the dollar and then how we've used the dollar, 25 cents goes to the guidance raise, the 75 cents of additional marketing and distribution investments that was not previously contemplated in our full-year guidance, and so 75 cents is being used for that. And then as you mentioned, we have acknowledged 15 cents of additional hospice dilution that was not contemplated in the revised guide as of the end of the first quarter. So technically that's a little bit more than a dollar, and that just recognizes that we do have still the 50 cents of COVID contingency in the back half, And we also have, you know, any continuation of the outperformance we've seen in the second quarter that might trend into the third and fourth quarters, which is reasonable to think that we may see some additional improvement relative to our current estimates. So that's how we think about the dollar and how we've spent it based on the current performance.
spk07: Thank you. And our next question comes from the line of Scott Fidel with Stevens.
spk04: Hi, thanks. Good morning. I was hoping you could just drill a bit more into the proposed 4% home health cuts for next year. And I guess sort of two parts to that. One, if those cuts actually did go forward in the final, how much impact you would see on home health margins or EBITDA, and then how that influences the shift that you're making over to value-based care. I would assume that that would even sort of further motivate the acceleration over to VBC contracting from fee-for-service, but just interested in how you would think about that if the cuts did go through. Thanks.
spk11: Hi, Scott. Yeah, happy to take that. So, as you said, this is a 4%, you know, rate reduction that's proposed. We certainly are, you know, we'll continue to advocate and educate in terms of just some, you know, while it's predicated on the behavioral adjustment as the driver of that, you know, we certainly want to make sure that people also consider the inflationary environment, the you know, challenges with clinician labor. I think there's broad support for continued shift of care to the home and the benefits of home health care. And so we do hope to see some moderation that's more reflective of the current cost trends within this space. But if it were to move forward as proposed at about the 4% cut, for the enterprise, you can think of that as about a $30 million impact. It's slightly higher for the Kindred business specifically. But within our Medicare business, we did not contemplate that level of rate reduction in our thinking for the health plan for 23. And so there is some mitigation within the year relative to that. So that net impact at the proposed rate is about 30 million. As you said, you know, given that rate cut, certainly there's more emphasis on value-based payment models. We've seen that from, you know, other providers as well, which we're pleased to see. As it respects our plans, we were already well down the path of working on a value-based payment model, and as Bruce said in his commentary, we were pleased to see that we were able to expand our broader value-based home health DME and infusion model in the state of Virginia this quarter, as we had initially planned, and remain committed to expanding that model to about 50% of our MA members. within the next five years. So we're, I think, ahead of that curve, but we are encouraged by some of the discussions we're having with some other home health providers who I think are becoming more focused on value-based payment models, which we do think is important and will provide an opportunity to get after some of the adverse consequences implications in terms of hospitalizations and avoidable admissions that we think home health has an opportunity to impact if they become more focused on it. So we're pleased with that.
spk16: And Scott, just to add to Susan's comments, I think over time you're going to continue to see this as being a great opportunity to leverage home health as being much more proactive as opposed to oriented to just the fee-for-service side and that more payment begins to be made on outcomes relative to lower emergency room visits and admissions etc we're excited about that change obviously there's there's static in the air as a result of rate changes but we do think rate changes will accelerate the move to value-based thank you and our next question even comes from valaket with barclays great thanks good morning everybody so
spk02: In this earnings season, we heard one of your major peers talk about the annual wellness visits among their MA members only now tracking back to pre-pandemic levels. So I guess I was curious to hear how that's progressing for you guys so far this year relative to your book, what the early implications might be for MRA payments you might receive next year in 23 versus 22. And also, I'm not sure if I missed this, but if you have any – Just to call around the MRA payments that you might have just received in 22 relative to your expectations, that would also be great. Thanks.
spk11: Hi, Steven. Happy to answer that. So in terms of annual wellness visits, I would say our experience this year is in line with expectations. So no significant outperformance or underperformance, but generally in line. And haven't heard anything in terms of any concerns in terms of the ability to get into patients' homes. I think that's tracking as expected. In terms of MRA for 2023, certainly, as I mentioned, to the degree we continue to see lower utilization in 2022, relative to expectations, we'll certainly do the assessment to understand whether there would be any implications to 2023 risk adjustment, but I would expect net-net for that still to be positive, even after considering MRA. On the group MA side, where we're seeing higher utilization, as you think about 2023, we would expect to see some mitigation as a result of that with increased MRA expectations as well. So, it works both ways. In terms of 2022, we did receive the mid-year payment, and I would say it's generally in line with expectations, maybe just slightly positive, but broadly in line with expectations. So, no meaningful variance there.
spk02: Okay. That's perfect. Thanks. You're welcome.
spk07: And our next question comes from the line of David Windley with Jefferies.
spk15: Hi. Thanks for taking my question. I was hoping to follow up on margin progression as a topic and thinking particularly in retail, you'll expect to have a bigger incoming membership cohort in 23, which will not be coded, you know, relatively lower margin. You'll have a smaller cohort kind of maturing out of 22. And then I presume you'll have some offsets from investments from the value creation billion dollars. I guess I'm just wondering how we should think about the relative toggle of revenue growth versus margin expansion contribution to your earnings growth in 23, if you're willing to talk about it.
spk11: Hi, David. Yeah, happy to address that. So as we think about it, as you said, the higher 23 membership growth, as you mentioned, does tend to bring members who would have lower margins until they're appropriately coded over time. We get their star scores up, et cetera. So that is true. But keep in mind that we are also anticipating as a result of our product investments that we will also see higher retention. And so the higher retention that we'll see, those are going to be members who will positively contribute. So ultimately, we'll just have to see what the ultimate mix is, you know, from a combination of sales and retention in terms of any, you know, year-over-year change that that might imply in terms of the margin. In terms of the investment that we've made, as you mentioned, you know, the billion-dollar value creation goal, that is going to generate savings across the enterprise, so it will not obviously be fully generated within the Medicare organization, but we intend to disproportionately invest those savings into the Medicare organization. So, all in, you would think of that from just a pure individual MA perspective as being somewhat dilutive to the margin, because we will be investing more dollars in that product than the savings that that that line of business alone will generate. Within retail, we'll get some further offset, obviously, from the savings that the rest of the retail organization will contribute, but then some will obviously be outside of that retail segment. So we'll certainly give you some more visibility to that as we talk in September about how we're thinking about our margin progression and EPS growth over time. But for right now, those are some of the bigger things that you can think about impacting 2023.
spk15: That's helpful. Thank you.
spk11: Sure.
spk07: Thank you. And our next question comes from the line of George Hill with Deutsche Bank.
spk14: Yeah, good morning, guys, and thanks for taking the question. I think a lot of my topics have been covered, just two quick numbers ones. I guess, Susan, on the 75 cents in marketing spend, I guess, can you talk about where that's going? More specifically, how much do you think about is going to brokers versus maybe member outreach, given that retention was an issue in 22?
spk11: Yeah, George, happy to do that. So we've been talking a lot about just, you know, our distribution strategy and the goal of over time trying to see a little bit more volume shift back to our proprietary channels to create a little bit more balance and also recognizing that we tend to see better retention and customer satisfaction in our proprietary channels versus external. So as you think about the incremental investment that we're making year over year, that will be more weighted towards our internal channels in terms of the marketing and then investment and resources in our proprietary channels. But some of it will be going to external partners as well to make sure that we get the return that we would expect and the growth out of that channel as well. Within the external partner support that we're providing, I would say some of it is going towards making sure that our reimbursement is sort of the sales partner level is on par with peers. I think we talked before about the fact that we were trailing behind the compensation level that some of our peers are providing. So some of the dollars are going to address that and get to more of a parity position and also support some increased marketing in order to make sure that we can get the sales volume out of that channel that we would expect in order to achieve our overall improvement in Medicare growth.
spk14: Okay. Thank you.
spk07: Thank you. And our next question comes from the line of Gary Taylor with Cowan.
spk13: Hey, good morning. Just a quick two-parter, just one numbers question and then my real question. It looked like the proprietary shared risk providers went down 200% sequentially. Um, and I presume most of those were like employed in your own center. So just wondering why that went down. Um, and then the broader question I wanted to ask about 23, glad to hear you're still optimistic and confident about, you know, higher growth in 23, but just wondering conceptually, is there an enrollment growth number that that's too high that, you know, that's too much. I mean, I think there's, I think there are over under on a, growth number where the street would be worried about adverse selection and your benefit offering and, you know, impact on margin and that trade-off. But wondering if you really think that's the case, or do you just look at the net present value of an incremental member and your ability to retain them, you know, in the earnings contribution over time, and you're not really thinking about a higher bound as being an issue for 23?
spk11: Hi, Gary. Yeah, I'll take your second question first. And we may have to get back to you on the first one. But for the second question, I'll say, you know, certainly, as I said a minute ago, new members do tend to pressure. They come within a lower underwriting margin and tend to be about breakeven, as we said, I think, in years past. So they can pressure sort of some of the returns that you might expect. I would say, though, given how the trends we've seen the last number of years and, you know, I think we've been really smart about the investments we've made in 2023. We weren't trying to position ourselves to be in the number one sort of product value position everywhere that would result in outsized growth or anything that I can think of from an anti-selection perspective. So I'm not overly concerned about that. I think, you know, we've stated, you know, our goal is to get back to industry leading growth as quickly as we can. We'd love to do that in one year. We'll just have to see, you know, whether peers made other investments for 2023 and how our ultimate offerings stack up. But I would say that's not something that I'm concerned about. In terms of your first question, Lisa, did you want to address that?
spk01: Hey, Gary. So, I think all that is, it's just a difference in the way we're kind of showing our PCPs related to some IPAs. This is really to ensure we're aligned with the new disclosures we're giving around our primary care business back in the stat pages. So, no big shift there. It's just a little reporting difference that you're seeing there.
spk13: Okay. Thank you.
spk07: Thank you. And our next question comes from the line of Rob Cottrell with Cleveland Research.
spk05: Hi, good morning. Thanks for taking my question. Just wanted to dig into the divergent experience you're seeing in the individual MA book versus group MA. What is it about the group MA membership that utilization is higher than expected in 2Q and that you expect that to continue through the rest of the year?
spk11: Sure. I'm happy to take that. So, as I mentioned in my commentary, in 2021, we did see different utilization patterns across individual MA and group. And as I mentioned, in group MA, we saw significantly more depressed utilization relative to individual. Some of that we attributed to the fact that we did see lower overall COVID hospitalizations in the group MA population, and we attribute that to the fact that they tend to have a higher vaccination rate than the individual. So, we had lower COVID utilization, but similar levels of sort of depression and non-covid utilization resulting in overall lower utilization in group ma as we assess that going into 2022 you know we also had to assess the impact of mortality um as a result of covet and what the resulting impact was to morbidity um and as we've you know been able to review the trends that we're seeing you know as we entered the year we believe that some of that lower utilization was reflective of lower morbidity. And I think based on the trends we've seen, what we would say is some of what we thought was lower morbidity has turned out to be more reflective of just deferred utilization and pent-up demand that's working its way through now. We are seeing higher surgical volumes in particular in Group MA relative to individual. The volumes are about, you know, 600 basis points higher year-to-date in the Group MA side than individual. That's one of the reasons we have some reason to believe that this may be to some degree reflective of pen of demand that may still moderate in the back half of the year. And we'll certainly continue to monitor it. But as I said, it is trending a little bit differently. Some of that was probably just a reflection of sort of what we anticipated and allocated and attributed to morbidity versus pen of demand. We'll continue to watch it. As I said, as you think about 23, if this does persist, we would expect to mitigate some portion of it through higher risk adjustment than we previously contemplated. And we view it as, you know, on a net basis manageable within our 2023. But it is, you know, particularly reflective in the non-inpatient side. And like I said, we are seeing in particular some higher surgical volumes.
spk05: Got it. Thank you.
spk07: Thank you. I'm showing no further questions at this time. So with that, I'll hand the call back over to CEO Bruce Broussard for any closing remarks.
spk16: Well, thank you and thank everyone for your support and continued confidence in the organization. And obviously, I want to thank our 70,000 teammates that make this successful company and this quarter be such a successful quarter. And we do look forward to seeing each of you at our September 15th virtual investor conference that we'll go over a lot of more details about our long-range views, along with our continued services businesses. So, again, I thank you and look forward to services businesses. So, again, I thank you and look forward to seeing you on September 15th.
spk07: Ladies and gentlemen, this concludes today's conference call. Thank you for participating, and you may now disconnect.
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