Molina Healthcare Reports Fourth Quarter and Year-End 2024 Financial Results

LONG BEACH, Calif.--(BUSINESS WIRE)--Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today reported fourth quarter 2024 GAAP earnings per diluted share of $4.44 and adjusted earnings per diluted share of $5.05. The Company also reported full year 2024 GAAP earnings per diluted share of $20.42 and adjusted earnings per diluted share of $22.65. Financial results are summarized below: Three months ended Year ended December 31, December 31, 2024 2023 2024 2023 (In millions, except per-share results) Premium Revenue $9,983 $8,362 $38,627 $32,529 Total Revenue $10,499 $9,048 $40,650 $34,072 GAAP: Net Income $251 $216 $1,179 $1,091 EPS – Diluted $4.44 $3.70 $20.42 $18.77 Medical Care Ratio (MCR) 90.2% 89.1% 89.1% 88.1% G&A Ratio 6.3% 7.1% 6.7% 7.2% After-tax Margin 2.4% 2.4% 2.9% 3.2% Adjusted: Net Income $286 $255 $1,308 $1,213 EPS – Diluted $5.05 $4.38 $22.65 $20.88 G&A Ratio 6.3% 7.0% 6.7% 7.2% After-tax Margin 2.7% 2.8% 3.2% 3.6% See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release. Full Year Highlights As of December 31, 2024, the Company served approximately 5.5 million members. Premium revenue was approximately $38.6 billion for the full year 2024, an increase of 19% year over year. GAAP net income was $20.42 per diluted share for the full year 2024, an increase of 9% year over year. Adjusted net income was $22.65 per diluted share for the full year 2024, an increase of 8% year over year. The Company issued its full year 2025 earnings guidance with expected premium revenue of approximately $42 billion and adjusted earnings of at least $24.50 per diluted share, which includes approximately $1.00 per diluted share of implementation costs for recent Medicaid and Medicare Duals contract wins scheduled to commence in 2026 and yields approximately 13% growth over 2024. New store embedded earnings is now at $7.75 per diluted share and reflects recent Medicaid and Medicare Duals contract wins. “I am very pleased our 2024 revenue growth exceeded our long-term targets and we produced consolidated pre-tax margins within our long-term target range,” said Joseph Zubretsky, President and Chief Executive Officer. “Our earnings growth profile is solid heading into 2025, and we continue to execute on the long-term growth opportunities within all of our businesses. We remain confident in our ability to achieve our long-term financial targets.” Premium Revenue Premium revenue was approximately $38.6 billion for the full year 2024, an increase of 19% year over year. The higher premium revenue reflects new contract wins, acquisitions, and growth in our current footprint, partially offset by the impact of Medicaid redeterminations. Net Income GAAP net income for the full year 2024 was $20.42 per diluted share, an increase of 9% year over year. Adjusted net income for the full year 2024 was $22.65 per diluted share, an increase of 8% year over year. Medical Care Ratio (MCR) The consolidated MCR for the full year 2024 was 89.1% and reflects continued focus on managing medical costs and a well-balanced portfolio of businesses. The Medicaid MCR for the full year 2024 was 90.3%. Within that result, approximately 30 basis points were due to Medicaid “new store” plans, which have continued to improve in line with the Company’s expectations, and approximately 20 basis points were due to a premium rate reduction retroactive to 2023. Excluding the new stores and retroactive premium adjustment, the Medicaid MCR was approximately 89.8%, which is higher than the Company’s long-term expectations and primarily due to the impact of redetermination-related acuity shifts and higher utilization that occurred during the second half of 2024. The Medicare MCR for the full year 2024 was 89.1%, which primarily reflects higher-than-expected utilization, partially offset by benefit adjustments implemented for 2024. The Marketplace MCR for the full year 2024 was 75.4%, better than the Company’s expectations, reflecting strong operating performance. General and Administrative Expense Ratio The G&A ratio and the adjusted G&A ratio for the full year 2024 were both 6.7%, reflecting disciplined cost management, operating leverage, and several one-time items. Balance Sheet Cash and investments at the parent company were $445 million as of December 31, 2024 compared to $742 million as of December 31, 2023. The Company purchased approximately 1.7 million shares for $500 million in the fourth quarter of 2024. Days in claims payable at December 31, 2024 was 48. Cash Flow Operating cash flow for the year ended December 31, 2024 was $644 million, compared to $1,662 million for the year ended December 31, 2023. The decrease in cash flow year-over-year was primarily driven by the net impact of timing differences in government receivables and payables, specifically risk corridor settlements and accruals. 2025 Guidance Premium revenue for the full year is expected to be approximately $42 billion, an increase of approximately 9% from the full year 2024. The Company expects its full year GAAP earnings per share in 2025 to be at least $22.50 per share and its full year adjusted earnings per share in 2025 to be at least $24.50 per share, representing 8% growth over the full year 2024. This increase primarily reflects growth in the Company’s legacy footprint and continued realization of new store embedded earnings, partially offset by approximately $1.00 per diluted share of expected implementation costs in 2025 for recent Medicaid and Medicare Duals contract wins, and yields approximately 13% growth over 2024. Guidance metrics are summarized below: Full Year 2025 Guidance Premium Revenue $42.0B Total Revenue $44.0B GAAP Net Income $1,251M Adjusted Net Income $1,362M GAAP EPS – Diluted >$22.50 Adjusted EPS – Diluted >$24.50 Diluted weighted average shares 55.6M Year End Total Membership 5.9M Medicaid 5.0M Medicare 250K Marketplace 580K MCR 88.7% GAAP G&A Ratio 7.2% Adjusted G&A Ratio 7.0% Effective Tax Rate 25.3% GAAP After-tax Margin 2.8% Adjusted After-tax Margin 3.1% See the Reconciliations of Unaudited Non-GAAP Financial Measures at the end of this release. Conference Call Management will host a conference call and webcast to discuss Molina Healthcare’s fourth quarter and year ended December 31, 2024 results at 8:00 a.m. Eastern Time on Thursday, February 6, 2025. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 6464707. A telephonic replay of the conference call will be available through Thursday, February 13, 2025, by dialing (877) 344-7529 and entering confirmation number 2353454. A live audio broadcast of this conference call will be available on Molina Healthcare’s investor relations website, investors.molinahealthcare.com. A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast. About Molina Healthcare Molina Healthcare, Inc., a FORTUNE 500 company, provides managed healthcare services under the Medicaid and Medicare programs and through the state insurance marketplaces. For more information about Molina Healthcare, please visit molinahealthcare.com. Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995 This earnings release and the Company’s accompanying oral remarks contain forward-looking statements. The Company intends such forward-looking statements to be covered under the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements provide current expectations of future events based on certain assumptions, and all statements other than statements of historical fact contained in this earnings release and the Company’s accompanying oral remarks may be forward-looking statements. In some cases, you can identify forward-looking statements by words such as “guidance,” “future,” “anticipates,” “believes,” “embedded,” “estimates,” “expects,” “growth,” “intends,” “plans,” “predicts,” “projects,” “will,” “would,” “could,” “can,” “may,” or the negative of these terms or other similar expressions. Forward-looking statements contained in this earnings release include, but are not limited to, statements regarding the Company’s 2025 guidance, expectations with respect to continued realization of embedded earnings and underlying organic growth, and our management’s plans and objectives for future operations and business strategy. 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 Reports on Form 10-Q for the periods ended March 31, 2024, June 30, 2024, and September 30, 2024, which are on file with the SEC, and its Annual Report on Form 10-K for the year ended December 31, 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 forward-looking statements in this release represent the Company’s judgment as of February 5, 2025, 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. MOLINA HEALTHCARE, INC. UNAUDITED CONSOLIDATED STATEMENTS OF INCOME Three Months Ended Year Ended December 31, December 31, 2024 2023 2024 2023 (In millions, except per-share amounts) Revenue: Premium revenue $ 9,983 $ 8,362 $ 38,627 $ 32,529 Premium tax revenue 383 552 1,486 1,069 Investment income 111 114 452 394 Other revenue 22 20 85 80 Total revenue 10,499 9,048 40,650 34,072 Operating expenses: Medical care costs 9,003 7,454 34,428 28,669 General and administrative expenses 665 645 2,743 2,462 Premium tax expenses 383 552 1,486 1,069 Depreciation and amortization 48 43 186 171 Other 20 38 100 128 Total operating expenses 10,119 8,732 38,943 32,499 Operating income 380 316 1,707 1,573 Interest expense 34 27 118 109 Income before income tax expense 346 289 1,589 1,464 Income tax expense 95 73 410 373 Net income $ 251 $ 216 $ 1,179 $ 1,091 Net income per share – Diluted $ 4.44 $ 3.70 $ 20.42 $ 18.77 Diluted weighted average shares outstanding 56.5 58.2 57.7 58.1 MOLINA HEALTHCARE, INC. CONSOLIDATED BALANCE SHEETS December 31, 2024 2023 Unaudited (Dollars in millions, except per-share amounts) ASSETS Current assets: Cash and cash equivalents $ 4,662 $ 4,848 Investments 4,325 4,259 Receivables 3,299 3,104 Prepaid expenses and other current assets 487 331 Total current assets 12,773 12,542 Property, equipment, and capitalized software, net 288 270 Goodwill and intangible assets, net 1,938 1,449 Restricted investments 286 261 Deferred income taxes, net 207 227 Other assets 138 143 Total assets $ 15,630 $ 14,892 LIABILITIES AND STOCKHOLDERS’ EQUITY Current liabilities: Medical claims and benefits payable $ 4,640 $ 4,204 Amounts due government agencies 1,874 2,294 Accounts payable, accrued liabilities and other 1,331 1,252 Deferred revenue 51 418 Total current liabilities 7,896 8,168 Long-term debt 2,923 2,180 Finance lease liabilities 195 205 Other long-term liabilities 120 124 Total liabilities 11,134 10,677 Stockholders’ equity: Common stock, $0.001 par value, 150 million shares authorized; outstanding: 56 million shares at December 31, 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 462 410 Accumulated other comprehensive loss (57 ) (82 ) Retained earnings 4,091 3,887 Total stockholders’ equity 4,496 4,215 Total liabilities and stockholders’ equity $ 15,630 $ 14,892 MOLINA HEALTHCARE, INC. UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS Year Ended December 31, 2024 2023 (In millions) Operating activities: Net income $ 1,179 $ 1,091 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 186 171 Deferred income taxes 53 (31 ) Share-based compensation 116 115 Other, net 8 2 Changes in operating assets and liabilities: Receivables (78 ) (778 ) Prepaid expenses and other current assets (57 ) (69 ) Medical claims and benefits payable (40 ) 580 Amounts due government agencies (453 ) 196 Accounts payable, accrued liabilities and other 115 328 Deferred revenue (367 ) 59 Income taxes (18 ) (2 ) Net cash provided by operating activities 644 1,662 Investing activities: Purchases of investments (1,132 ) (1,433 ) Proceeds from sales and maturities of investments 1,111 772 Net cash paid in business combinations (344 ) (3 ) Purchases of property, equipment, and capitalized software (100 ) (84 ) Other, net 1 4 Net cash used in investing activities (464 ) (744 ) Financing activities: Common stock purchases (1,000 ) — Proceeds from senior notes offering, net of issuance costs 740 — Proceeds from borrowings under credit facility 300 — Repayment of credit facility (300 ) — Common stock withheld to settle employee tax obligations (57 ) (60 ) Other, net (30 ) 2 Net cash used in financing activities (347 ) (58 ) Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents (167 ) 860 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 $ 4,741 $ 4,908 MOLINA HEALTHCARE, INC. UNAUDITED SEGMENT DATA (Dollars in millions) December 31, 2024 2023 Ending Membership by Segment: Medicaid 4,890,000 4,542,000 Medicare 242,000 172,000 Marketplace 403,000 281,000 Total 5,535,000 4,995,000 Three Months Ended December 31, 2024 2023 Premium Revenue Medical Margin MCR (1) Premium Revenue Medical Margin MCR (1) Medicaid $ 8,041 $ 791 90.2 % $ 6,782 $ 731 89.2 % Medicare 1,292 81 93.8 1,057 71 93.3 Marketplace 650 108 83.3 523 106 79.8 Consolidated $ 9,983 $ 980 90.2 % $ 8,362 $ 908 89.1 % Year Ended December 31, 2024 2023 Premium Revenue Medical Margin MCR (1) Premium Revenue Medical Margin MCR (1) Medicaid $ 30,579 $ 2,979 90.3 % $ 26,327 $ 2,973 88.7 % Medicare 5,542 603 89.1 4,179 388 90.7 Marketplace 2,506 617 75.4 2,023 499 75.3 Consolidated $ 38,627 $ 4,199 89.1 % $ 32,529 $ 3,860 88.1 % (1) The MCR represents medical costs as a percentage of premium revenue. 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: Year Ended December 31, 2024 2023 Unaudited Medical claims and benefits payable, beginning balance $ 4,204 $ 3,528 Components of medical care costs related to: Current year 35,103 29,096 Prior year (675 ) (427 ) Total medical care costs 34,428 28,669 Payments for medical care costs related to: Current year 31,060 25,615 Prior year 3,239 2,734 Total paid 34,299 28,349 Acquired balances, net of post-acquisition adjustments 476 96 Change in non-risk and other payables (169 ) 260 Medical claims and benefits payable, ending balance $ 4,640 $ 4,204 Days in Claims Payable (1) 48 50 __________________ (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. 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 December 31, Year Ended December 31, 2024 2023 2024 2023 Amount Per Diluted Share Amount Per Diluted Share Amount Per Diluted Share Amount Per Diluted Share GAAP Net income $ 251 $ 4.44 $ 216 $ 3.70 $ 1,179 $ 20.42 $ 1,091 $ 18.77 Adjustments: Amortization of intangible assets $ 21 $ 0.36 $ 22 $ 0.37 $ 83 $ 1.43 $ 85 $ 1.47 Acquisition-related expenses (1) 20 0.35 3 0.05 66 1.14 7 0.12 Other (2) — — 27 0.47 16 0.28 68 1.17 Subtotal, adjustments 41 0.71 52 0.89 165 2.85 160 2.76 Income tax effect (6 ) (0.10 ) (13 ) (0.21 ) (36 ) (0.62 ) (38 ) (0.65 ) Adjustments, net of tax 35 0.61 39 0.68 129 2.23 122 2.11 Adjusted net income $ 286 $ 5.05 $ 255 $ 4.38 $ 1,308 $ 22.65 $ 1,213 $ 20.88 __________________ (1) Reflects non-recurring costs associated with acquisitions, including various transaction and certain integration costs. (2) The year ended December 31, 2024 includes non-recurring litigation. The year ended December 31, 2023, reflects a non-recurring credit loss on 2022 Marketplace risk adjustment receivables due to the insolvency of an issuer in the Texas risk pool, non-recurring litigation and one-time termination benefits. MOLINA HEALTHCARE, INC. RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED) 2025 GUIDANCE Amount Per Diluted Share (2) GAAP Net income $ 1,251 $ 22.50 Adjustments: Amortization of intangible assets 96 1.73 Acquisition-related expenses 51 0.92 Subtotal, adjustments 147 2.65 Income tax effect (1) (36 ) (0.65 ) Adjustments, net of tax 111 2.00 Adjusted net income $ 1,362 $ 24.50 __________________ (1) Income tax effect calculated at the statutory tax rate of approximately 24.1%. (2) Computations assume approximately 55.6 million diluted weighted average shares outstanding. Non-GAAP Financial Measures The Company includes in this release the financial measure, “new store embedded earnings,” which is a non-GAAP measure. The term is defined as the incremental diluted earnings per share impact that we expect to achieve between 2026 and 2028 related to newly awarded but not yet commenced state Medicaid contracts, and recently closed and announced acquisitions. The incremental impact reflects the expected full-year earnings for the newly-awarded California, Iowa, Nebraska, New Mexico, Texas, and Georgia Medicaid contracts, the newly-awarded Idaho, Massachusetts, Michigan, and Ohio Medicare Duals contracts, and the California Medicare Health Plans and ConnectiCare acquisitions, not yet included in the 2025 full-year guidance issued by the Company. This measure excludes amortization of intangible assets and non-recurring costs associated with acquisitions, including various transaction and integration costs. The Company and management believe this measure is useful to investors in assessing the Company’s expected performance related to new Medicaid contracts and acquisitions, and is used internally to enable management to assess the Company’s performance consistently over time. New store embedded earnings should be considered as a supplement to, and not as a substitute for or superior to, GAAP measures. Management is unable to reconcile this measure to the growth in GAAP earnings per share, the most directly comparable GAAP measure, without unreasonable effort due to the unknown impact from the amortization of intangible assets related to recently announced acquisitions, which cannot be determined until purchase accounting valuations are completed. Non-recurring costs associated with the recently announced acquisitions are estimated at approximately $20 million.

Molina Healthcare Reports Fourth Quarter and Year-End 2024 Financial Results

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