Actual results could differ materially due to numerous known and unknown risks and uncertainties. These risks and uncertainties are discussed under the headings “Forward-Looking Statements,” and “Risk Factors,” in the Company’s Annual Report on Form 10‑K for the year ended December 31, 2023, which is on file with the U.S. Securities and Exchange Commission (the “SEC”), and in the Company’s other filings with the SEC, including its Quarterly Report on Form 10-Q for the period ended September 30, 2024, to be filed with the SEC.
These reports can be accessed under the investor relations tab of the Company’s website or on the SEC’s website at sec.gov. Given these risks and uncertainties, the Company can give no assurances that its forward-looking statements will prove to be accurate, or that any other results or developments projected or contemplated by its forward-looking statements will in fact occur, and the Company cautions investors not to place undue reliance on these statements. All
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 4
October 23, 2024
forward-looking statements in this release represent the Company’s judgment as of October 23, 2024, and, except as otherwise required by law, the Company disclaims any obligation to update any forward-looking statement to conform the statement to actual results or changes in its expectations.
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 5
October 23, 2024
MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
Three Months Ended
Nine Months Ended
September 30,
September 30,
2024
2023
2024
2023
(In millions, except per-share amounts)
Revenue:
Premium revenue
$
9,694
$
8,240
$
28,644
$
24,167
Premium tax revenue
508
176
1,103
517
Investment income
118
112
341
280
Other revenue
20
20
63
60
Total revenue
10,340
8,548
30,151
25,024
Operating expenses:
Medical care costs
8,643
7,306
25,425
21,215
General and administrative expenses
676
608
2,078
1,817
Premium tax expenses
508
176
1,103
517
Depreciation and amortization
47
42
138
128
Other
(1)
57
80
90
Total operating expenses
9,873
8,189
28,824
23,767
Operating income
467
359
1,327
1,257
Interest expense
29
27
84
82
Income before income tax expense
438
332
1,243
1,175
Income tax expense
112
87
315
300
Net income
$
326
$
245
$
928
$
875
Net income per share – Diluted
$
5.65
$
4.21
$
15.97
$
15.08
Diluted weighted average shares outstanding
57.7
58.1
58.1
58.1
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 6
October 23, 2024
MOLINA HEALTHCARE, INC.
CONSOLIDATED BALANCE SHEETS
September 30,
December 31,
2024
2023
Unaudited
(Dollars in millions, except per-share amounts)
ASSETS
Current assets:
Cash and cash equivalents
$
4,732
$
4,848
Investments
4,482
4,259
Receivables
3,259
3,104
Prepaid expenses and other current assets
408
331
Total current assets
12,881
12,542
Property, equipment, and capitalized software, net
306
270
Goodwill and intangible assets, net
1,923
1,449
Restricted investments
289
261
Deferred income taxes, net
227
227
Other assets
132
143
Total assets
$
15,758
$
14,892
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable
$
4,732
$
4,204
Amounts due government agencies
2,026
2,294
Accounts payable, accrued liabilities and other
1,215
1,252
Deferred revenue
364
418
Total current liabilities
8,337
8,168
Long-term debt
2,332
2,180
Finance lease liabilities
197
205
Other long-term liabilities
122
124
Total liabilities
10,988
10,677
Stockholders’ equity:
Common stock, $0.001 par value, 150 million shares authorized; outstanding: 57 million shares at September 30, 2024, and 58 million at December 31, 2023
—
—
Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding
—
—
Additional paid-in capital
453
410
Accumulated other comprehensive loss
(9)
(82)
Retained earnings
4,326
3,887
Total stockholders’ equity
4,770
4,215
Total liabilities and stockholders’ equity
$
15,758
$
14,892
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 7
October 23, 2024
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Nine Months Ended
September 30,
2024
2023
(In millions)
Operating activities:
Net income
$
928
$
875
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization
138
128
Deferred income taxes
14
(33)
Share-based compensation
98
88
Other, net
8
3
Changes in operating assets and liabilities:
Receivables
(31)
(132)
Prepaid expenses and other current assets
(6)
(69)
Medical claims and benefits payable
65
611
Amounts due government agencies
(289)
377
Accounts payable, accrued liabilities and other
(33)
(137)
Deferred revenue
(53)
332
Income taxes
29
309
Net cash provided by operating activities
868
2,352
Investing activities:
Purchases of investments
(989)
(1,295)
Proceeds from sales and maturities of investments
871
670
Net cash paid in business combinations
(344)
(3)
Purchases of property, equipment, and capitalized software
(89)
(89)
Other, net
68
(2)
Net cash used in investing activities
(483)
(719)
Financing activities:
Common stock purchases
(500)
—
Proceeds from borrowings under credit facility
300
—
Repayment of credit facility
(150)
—
Common stock withheld to settle employee tax obligations
(57)
(60)
Other, net
(7)
(1)
Net cash used in financing activities
(414)
(61)
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents
(29)
1,572
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period
4,908
4,048
Cash, cash equivalents, and restricted cash and cash equivalents at end of period
$
4,879
$
5,620
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 8
October 23, 2024
MOLINA HEALTHCARE, INC.
UNAUDITED SEGMENT DATA
(Dollars in millions)
September 30,
December 31,
September 30,
2024
2023
2023
Ending Membership by Segment:
Medicaid
4,941,000
4,542,000
4,757,000
Medicare
247,000
172,000
173,000
Marketplace
410,000
281,000
276,000
Total
5,598,000
4,995,000
5,206,000
Three Months Ended September 30,
2024
2023
Premium Revenue
Medical Margin
MCR (1)
Premium Revenue
Medical Margin
MCR (1)
Medicaid
$
7,668
$
730
90.5
%
$
6,711
$
752
88.8
%
Medicare
1,367
142
89.6
1,032
78
92.4
Marketplace
659
179
73.0
497
104
78.9
Consolidated
$
9,694
$
1,051
89.2
%
$
8,240
$
934
88.7
%
Nine Months Ended September 30,
2024
2023
Premium Revenue
Medical Margin
MCR (1)
Premium Revenue
Medical Margin
MCR (1)
Medicaid
$
22,538
$
2,188
90.3
%
$
19,545
$
2,242
88.5
%
Medicare
4,250
522
87.7
3,122
317
89.8
Marketplace
1,856
509
72.6
1,500
393
73.8
Consolidated
$
28,644
$
3,219
88.8
%
$
24,167
$
2,952
87.8
%
(1)The MCR represents medical costs as a percentage of premium revenue.
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 9
October 23, 2024
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in millions)
The Company’s claims liabilities include additional reserves to account for moderately adverse conditions based on historical experience and other factors including, but not limited to, variations in claims payment patterns, changes in utilization and cost trends, known outbreaks of disease, and large claims. The Company’s reserving methodology is consistently applied across all periods presented. The amounts displayed for “Components of medical care costs related to: Prior year” represent the amounts by which the original estimates of claims and benefits payable at the beginning of the year were more than the actual liabilities based on information (principally the payment of claims) developed since those liabilities were first reported. The following table presents the components of the change in medical claims and benefits payable for the periods indicated:
Nine Months Ended
September 30,
2024
2023
Unaudited
Medical claims and benefits payable, beginning balance
$
4,204
$
3,528
Components of medical care costs related to:
Current year
26,050
21,573
Prior year
(625)
(358)
Total medical care costs
25,425
21,215
Payments for medical care costs related to:
Current year
22,172
18,228
Prior year
3,215
2,707
Total paid
25,387
20,935
Acquired balances, net of post-acquisition adjustments
463
96
Change in non-risk and other payables
27
331
Medical claims and benefits payable, ending balance
$
4,732
$
4,235
Days in Claims Payable (1)
48
51
__________________
(1)The Company calculates Days in Claims Payable using claims incurred but not paid, or IBNP, and other fee-for-service payables included in medical claims and benefits payable, and quarterly fee-for-service related costs included in medical care costs within the Company’s consolidated financial statements.
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 10
October 23, 2024
MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES
(In millions, except per diluted share amounts)
The Company believes that certain non-GAAP (generally accepted accounting principles) financial measures are useful supplemental measures to investors in comparing the Company’s performance to the performance of other public companies in the health care industry. The non-GAAP financial measures are also used internally to enable management to assess the Company’s performance consistently over time. These non-GAAP financial measures, presented below, should be considered as supplements to, and not as substitutes for or superior to, GAAP measures.
Adjustments represent additions and deductions to GAAP net income as indicated in the table below, which include the non-cash impact of amortization of acquired intangible assets, acquisition-related expenses, and the impact of certain expenses and other items that management believes are not indicative of longer-term business trends and operations.
Adjusted G&A Ratio represents the GAAP G&A ratio, recognizing adjustments.
Adjusted net income represents GAAP net income recognizing the adjustments, net of tax. The Company believes that adjusted net income is helpful to investors in assessing the Company’s financial performance.
Adjusted net income per diluted share represents adjusted net income divided by weighted average common shares outstanding on a fully diluted basis.
Adjusted after-tax margin represents adjusted net income, divided by total revenue.
Three Months Ended September 30,
Nine Months Ended September 30,
2024
2023
2024
2023
Amount
Per Diluted Share
Amount
Per Diluted Share
Amount
Per Diluted Share
Amount
Per Diluted Share
GAAP Net income
$
326
$
5.65
$
245
$
4.21
$
928
$
15.97
$
875
$
15.08
Adjustments:
Amortization of intangible assets
$
21
$
0.35
$
20
$
0.36
$
62
$
1.07
$
63
$
1.09
Acquisition-related expenses (1)
11
0.19
2
0.04
46
0.79
4
0.07
Other (2)
(4)
(0.07)
41
0.70
16
0.27
41
0.70
Subtotal, adjustments
28
0.47
63
1.10
124
2.13
108
1.86
Income tax effect
(7)
(0.11)
(14)
(0.26)
(30)
(0.51)
(25)
(0.44)
Adjustments, net of tax
21
0.36
49
0.84
94
1.62
83
1.42
Adjusted net income
$
347
$
6.01
$
294
$
5.05
$
1,022
$
17.59
$
958
$
16.50
__________________
(1)Reflects non-recurring costs associated with acquisitions, including various transaction and certain integration costs.
(2)The nine months ended September 30, 2024 includes non-recurring litigation and one-time termination benefits. The nine months ended September 30, 2023, reflect a credit loss on 2022 Marketplace risk adjustment receivables due to the insolvency of an issuer in the Texas risk pool.
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Molina Healthcare, Inc. Reports Third Quarter 2024 Financial Results
Page 11
October 23, 2024
MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED)
2024 GUIDANCE
Amount
Per Diluted Share (2)
GAAP Net income
$
1,250
$
21.59
Adjustments:
Amortization of intangible assets
83
1.43
Acquisition-related expenses
49
0.86
Other
16
0.27
Subtotal, adjustments
148
2.56
Income tax effect (1)
(38)
(0.65)
Adjustments, net of tax
110
1.91
Adjusted net income
$
1,360
$
23.50
__________________
(1)Income tax effect calculated at the statutory tax rate of approximately 25.5%.
(2)Computations assume approximately 57.9 million diluted weighted average shares outstanding.