Molina Healthcare Reports Second Quarter 2020 Financial Results

Molina Healthcare, Inc. (NYSE: MOH) today reported net income for the second quarter of 2020 of $276 million, or $4.65 per diluted share, compared to net income of $196 million, or $3.06 per diluted share, for the second quarter of 2019. Adjusted EPS for the second quarter of 2020 was $4.79, compared to $2.96 for the second quarter of 2019. Financial results for the second quarter of 2020 are summarized below:

Three Months Ended

Six Months Ended

June 30,

June 30,

2020

2019

2020

2019

(In millions, except per share results)

Premium Revenue

$4,372

$4,049

$8,676

$8,001

Total Revenue

$4,618

$4,193

$9,167

$8,312

Pre-Tax Income

$395

$257

$648

$517

Net Income

$276

$196

$454

$394

GAAP EPS – Diluted

$4.65

$3.06

$7.54

$6.04

Adjusted EPS – Diluted (1)

$4.79

$2.96

$7.79

$5.99

MCR

82.3

%

85.6

%

84.3

%

85.5

%

G&A Ratio

7.5

%

7.8

%

7.2

%

7.6

%

Effective Tax Rate

30.0

%

24.0

%

29.9

%

23.9

%

After-Tax Margin

6.0

%

4.7

%

5.0

%

4.7

%

__________________

(1) See reconciliation of GAAP EPS to Non-GAAP Adjusted EPS at the end of this release.

Quarter Highlights:

  • Premium revenue was $4.4 billion for the second quarter of 2020, an 8.0% increase compared to the second quarter of 2019.
  • Medical care ratio (MCR) was 82.3% for the second quarter of 2020, compared to 85.6% for the second quarter of 2019.
  • General and administrative (G&A) expense ratio decreased to 7.5% for the second quarter of 2020, compared to 7.8% for the second quarter of 2019.
  • After-tax margin was 6.0% for the second quarter of 2020, compared to 4.7% for the second quarter of 2019.
  • Net income was $276 million for the second quarter of 2020, compared to $196 million for second quarter of 2019.
  • The Company estimates that the impacts of COVID-19 increased second quarter after-tax income by approximately $65 million to $100 million, or $1.10 to $1.65 per diluted share.
  • The Company’s full year earnings guidance range remains at $11.20 to $11.70 per diluted share.
  • The Company introduced full year 2021 premium revenue guidance of approximately $21.5 billion, or 20% growth over 2020.

“Despite the unprecedented environment of the ongoing COVID-19 pandemic, our company performed well in the second quarter,” said Joe Zubretsky, President and CEO. “Most importantly, we worked tirelessly to make sure our members, provider partners, state and federal government customers, as well as our 10,000 associates, were well served and cared for in this clinically and economically challenging time.”

Mr. Zubretsky continued, “We also delivered on our performance commitments in the quarter, producing solid earnings and cash flow, executing on our revenue growth strategy, and putting the finishing touches on our two year-long process to optimize our capital structure. We are very pleased with these achievements, particularly with the COVID-19 challenges we faced.”

Kentucky RFP Win and Passport Acquisition
In May 2020, Molina was selected as an awardee pursuant to the statewide Medicaid managed care RFP issued on January 10, 2020, by the Kentucky Cabinet for Health and Family Services, Department for Medicaid Services. The contract is expected to begin on January 1, 2021.

In July 2020, Molina announced that it has entered into a definitive agreement to acquire certain assets related to the Medicaid and DSNP lines of business of Passport Health Plan. The acquisition of these Passport assets allows Molina to enhance operational readiness and promote continuity of care for members in advance of Molina’s new contract in the Kentucky Medicaid market. The transaction is expected to close before the end of 2020. Molina intends to use cash on hand to fund the approximately $20 million purchase price, plus contingent consideration that is payable in 2021 based on open enrollment results for the 2021 plan year.

Acquisition of YourCare Assets Completed
On July 1, 2020, Molina completed its acquisition of certain assets of YourCare Health Plan, Inc., under which Molina assumed the right to serve approximately 47,000 Medicaid members in seven counties in western New York. Molina used cash on hand to fund the $42 million purchase price.

Quarterly Performance Review

Premium Revenue
Premium revenue for the second quarter of 2020 increased 8.0% to $4.4 billion, compared to $4.0 billion for the second quarter of 2019.

For the six months ended June 30, 2020, premium revenue increased 8.4% to $8.7 billion, compared to $8.0 billion for the comparable period in 2019. In both periods, the higher premium revenue reflects the increase in membership, primarily in Medicaid.

Medical Care Ratio
The consolidated MCR for the second quarter of 2020 improved to 82.3%, compared to 85.6% for the second quarter of 2019, reflecting the impact of reduced demand for medical services across all programs due to the COVID-19 pandemic, partially offset by COVID-related premium rate refunds, the impact of lower pricing in the Marketplace program, and direct COVID-19 medical costs.

MCR by line of business:

  • Medicaid MCR: decreased to 83.6%, compared to 88.1% for the second quarter of 2019, reflecting the impact of reduced demand for medical services due to the COVID-19 pandemic, partially offset by COVID-related premium reductions and direct COVID-19 medical costs.
  • Medicare MCR: decreased to 80.0%, compared to 85.2% for the second quarter of 2019, due to rate increases and the aforementioned reduced demand for medical services.
  • Marketplace MCR: increased to 74.0%, compared to 67.2% for the second quarter of 2019, which is in line with expectations and reflects the lower pricing the Company enacted in 2020.

The MCR for the six months ended June 30, 2020, improved to 84.3% compared to 85.5% for the comparable period in 2019. Reserve development for the first six months of 2020 was negligible. The comparable period in the prior year was positively impacted by 110 basis points of favorable reserve development.

General and Administrative Expense Ratio
General and administrative expenses decreased to 7.5% of total revenues for the second quarter of 2020, compared to 7.8% for the second quarter of 2019.

For the six months ended June 30, 2020, the G&A ratio was 7.2% compared to 7.6% in the comparable prior-year period. In both periods, the ratio improved as increased costs associated with the COVID-19 pandemic were offset by increased revenue.

Balance Sheet
Cash and investments at the parent company amounted to $1,166 million as of June 30, 2020, compared to $997 million as of December 31, 2019.

On June 2, 2020, the Company closed on its private offering of $800 million aggregate principal amount of 4.375% senior notes due June 15, 2028. The Company used a portion of the proceeds to repay $600 million outstanding under its term loan facility. In addition, on June 8, 2020, the Company entered into a new credit agreement that contains a $1 billion revolving credit facility, among other features.

Cash Flow
Operating cash flows for the six months ended June 30, 2020, amounted to $749 million, and were higher compared to the six months ended June 30, 2019, primarily due to stronger operating results and the normal fluctuations in timing of premium receipts and government payments.

Guidance
Given the environmental uncertainty that is expected to exist through the end of the year, the Company has not adjusted its full year earnings guidance of $11.20 to $11.70 per diluted share.

The Company has increased its full year 2020 total revenue outlook to approximately $18.8 billion, from its previous estimate of $18.3 billion.

The Company introduced full year 2021 premium revenue guidance of approximately $21.5 billion, or 20% growth over 2020.

Conference Call
Management will host a conference call and webcast to discuss Molina Healthcare’s second quarter 2020 results at 8:00 a.m. Eastern Time on Friday, July 31, 2020. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 8510588. A telephonic replay of the conference call will be available through Friday, August 7, 2020, by dialing (877) 344-7529 and entering confirmation number 10145440. A live audio broadcast of this conference call will be available on Molina Healthcare’s website, 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. Through its locally operated health plans, Molina Healthcare served approximately 3.6 million members as of June 30, 2020. 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 our accompanying oral remarks contain forward-looking statements regarding our 2020 guidance, as well as our plans, expectations, and our anticipation regarding future developments. 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 our Annual Report on Form 10-K for the year ended December 31, 2019, and also in our Quarterly Report on Form 10-Q for the period ended June 30, 2020.

These reports can be accessed under the investor relations tab of our website or on the SEC’s website at sec.gov. Given these risks and uncertainties, we can give no assurances that our forward-looking statements will prove to be accurate, or that any other results or developments projected or contemplated by our forward-looking statements will in fact occur, and we caution investors not to place undue reliance on these statements. All forward-looking statements in this release represent our judgment as of July 30, 2020, and, except as otherwise required by law, we disclaim any obligation to update any forward-looking statement to conform the statement to actual results or changes in our expectations.

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF INCOME

Three Months Ended

Six Months Ended

June 30,

June 30,

2020

2019

2020

2019

(In millions, except per-share amounts)

Revenue:

Premium revenue

$

4,372

$

4,049

$

8,676

$

8,001

Premium tax revenue

157

110

307

248

Health insurer fees reimbursed

71

137

Investment income and other revenue

18

34

47

63

Total revenue

4,618

4,193

9,167

8,312

Operating expenses:

Medical care costs

3,598

3,466

7,314

6,837

General and administrative expenses

345

328

662

630

Premium tax expenses

157

110

307

248

Health insurer fees

71

139

Depreciation and amortization

21

22

41

47

Other

2

2

6

5

Total operating expenses

4,194

3,928

8,469

7,767

Operating income

424

265

698

545

Other expenses, net:

Interest expense

24

22

45

45

Other expense (income), net

5

(14)

5

(17)

Total other expenses, net

29

8

50

28

Income before income tax expense

395

257

648

517

Income tax expense

119

61

194

123

Net income

$

276

$

196

$

454

$

394

Net income per share - Diluted

$

4.65

$

3.06

$

7.54

$

6.04

Diluted weighted average shares outstanding

59.4

64.0

60.2

65.1

Operating Statistics:

Medical care ratio

82.3

%

85.6

%

84.3

%

85.5

%

G&A ratio

7.5

%

7.8

%

7.2

%

7.6

%

Premium tax ratio

3.5

%

2.6

%

3.4

%

3.0

%

Effective income tax rate

30.0

%

24.0

%

29.9

%

23.9

%

After-tax margin

6.0

%

4.7

%

5.0

%

4.7

%

MOLINA HEALTHCARE, INC.

CONSOLIDATED BALANCE SHEETS

June 30,

Dec. 31,

2020

2019

Unaudited

(Dollars in millions,
except per-share
amounts)

ASSETS

Current assets:

Cash and cash equivalents

$

3,303

$

2,452

Investments

1,906

1,946

Receivables

1,580

1,406

Prepaid expenses and other current assets

273

163

Total current assets

7,062

5,967

Property, equipment, and capitalized software, net

399

385

Goodwill and intangible assets, net

164

172

Restricted investments

87

79

Deferred income taxes

65

79

Other assets

99

105

Total assets

$

7,876

$

6,787

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities:

Medical claims and benefits payable

$

1,960

$

1,854

Amounts due government agencies

865

664

Accounts payable, accrued liabilities and other

876

502

Deferred revenue

54

249

Total current liabilities

3,755

3,269

Long-term debt

1,812

1,237

Finance lease liabilities

229

231

Other long-term liabilities

84

90

Total liabilities

5,880

4,827

Stockholders’ equity:

Common stock, $0.001 par value, 150 million shares authorized; outstanding: 59 million shares at June 30, 2020, and 62 million shares at December 31, 2019

Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding

Additional paid-in capital

166

175

Accumulated other comprehensive income

32

4

Retained earnings

1,798

1,781

Total stockholders’ equity

1,996

1,960

Total liabilities and stockholders’ equity

$

7,876

$

6,787

MOLINA HEALTHCARE, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

Six Months Ended

June 30,

2020

2019

(In millions)

Operating activities:

Net income

$

454

$

394

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

41

47

Deferred income taxes

6

19

Share-based compensation

28

19

Loss (gain) on debt repayment

5

(17)

Other, net

(1)

7

Changes in operating assets and liabilities:

Receivables

(174)

91

Prepaid expenses and other current assets

(157)

18

Medical claims and benefits payable

106

(194)

Amounts due government agencies

201

17

Accounts payable, accrued liabilities and other

251

(61)

Deferred revenue

(195)

(181)

Income taxes

184

(3)

Net cash provided by operating activities

749

156

Investing activities:

Purchases of investments

(670)

(1,162)

Proceeds from sales and maturities of investments

750

791

Purchases of property, equipment, and capitalized software

(45)

(20)

Other, net

3

(2)

Net cash provided by (used in) investing activities

38

(393)

Financing activities:

Proceeds from senior notes offering, net of issuance costs

789

Repayment of term loan facility

(600)

Common stock purchases

(453)

Proceeds from borrowings under term loan facility

380

220

Cash paid for partial termination of warrants

(30)

(424)

Cash paid for partial settlement of conversion option

(27)

(473)

Cash received for partial settlement of call option

27

473

Repayment of principal amount of convertible senior notes

(12)

(185)

Other, net

(3)

27

Net cash provided by (used in) financing activities

71

(362)

Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents

858

(599)

Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period

2,508

2,926

Cash, cash equivalents, and restricted cash and cash equivalents at end of period

$

3,366

$

2,327

MOLINA HEALTHCARE, INC.

UNAUDITED HEALTH PLANS SEGMENT DATA

(Dollars in millions)

June 30,

Dec. 31,

June 30,

2020

2019

2019

Ending Membership by Government Program:

Medicaid

3,122,000

2,956,000

2,962,000

Medicare

108,000

101,000

100,000

Marketplace

325,000

274,000

308,000

Total

3,555,000

3,331,000

3,370,000

Ending Membership by Health Plan:

California

572,000

565,000

590,000

Florida

131,000

132,000

142,000

Illinois

242,000

224,000

221,000

Michigan

377,000

362,000

360,000

Ohio

329,000

288,000

297,000

Puerto Rico

167,000

176,000

200,000

South Carolina

145,000

131,000

130,000

Texas

352,000

341,000

360,000

Washington

913,000

832,000

811,000

Other (1)

327,000

280,000

259,000

Total

3,555,000

3,331,000

3,370,000

__________________

(1)

 

“Other” includes the Idaho, Mississippi, New Mexico, New York, Utah and Wisconsin health plans, which are not individually significant to the Company’s consolidated operating results.

Three Months Ended June 30,

2020

2019

Premium
Revenue

Medical
Care Costs

MCR (1)

Premium
Revenue

Medical
Care Costs

MCR (1)

Medicaid

$

3,375

$

2,822

83.6

%

$

3,067

$

2,703

88.1

%

Medicare

630

505

80.0

572

488

85.2

Marketplace

367

271

74.0

410

275

67.2

Consolidated

$

4,372

$

3,598

82.3

%

$

4,049

$

3,466

85.6

%

Six Months Ended June 30,

2020

2019

Premium
Revenue

Medical
Care Costs

MCR (1)

Premium
Revenue

Medical
Care Costs

MCR (1)

Medicaid

$

6,661

$

5,743

86.2

%

$

6,071

$

5,361

88.3

%

Medicare

1,264

1,022

80.8

1,123

954

85.0

Marketplace

751

549

73.1

807

522

64.7

Consolidated

$

8,676

$

7,314

84.3

%

$

8,001

$

6,837

85.5

%

__________________

(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 liability includes an additional reserve 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 amount by which the original estimate of claims and benefits payable at the beginning of the year was more than the actual amount of the liability based on information (principally the payment of claims) developed since that liability was first reported. The following table presents the components of the change in medical claims and benefits payable for the periods indicated:

Six Months Ended

Year Ended
Dec. 31,
2019

June 30,

2020

2019

Unaudited

Medical claims and benefits payable, beginning balance

$

1,854

$

1,961

$

1,961

Components of medical care costs related to:

Current year

7,372

7,069

14,176

Prior year

(58)

(232)

(271)

Total medical care costs

7,314

6,837

13,905

Change in non-risk and other provider payables

(34)

4

24

Payments for medical care costs related to:

Current year

5,688

5,585

12,554

Prior year

1,486

1,450

1,482

Total paid

7,174

7,035

14,036

Medical claims and benefits payable, ending balance

$

1,960

$

1,767

$

1,854

Days in claims payable, fee for service (1)

52

48

50

______________________

(1)

 

Claims payable includes primarily claims incurred but not paid, or IBNP. It also includes certain fee-for-service payables reported in medical claims and benefits payable amounting to $71 million, $35 million and $50 million, as of June 30, 2020, June 30, 2019, and December 31, 2019, respectively.

MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES
(In millions, except per diluted share amounts)

The Company believes that certain non-generally accepted accounting principles, or non-GAAP, 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. These non-GAAP financial measures, presented below, should be considered as supplements to, and not as substitutes for or superior to, GAAP measures.

Earnings before interest, taxes, depreciation and amortization (“EBITDA”): GAAP net income less depreciation and amortization, interest expense and income tax expense. The Company believes that EBITDA is helpful to investors in assessing the Company’s ability to meet the cash demands of its operating units.

Three Months Ended

Six Months Ended

June 30,

June 30,

2020

2019

2020

2019

Net income

$

276

$

196

$

454

$

394

Adjustments:

Depreciation and amortization

21

22

41

47

Interest expense

24

22

45

45

Income tax expense

119

61

194

123

EBITDA

$

440

$

301

$

734

$

609

Adjusted net income: GAAP net income less amortization of intangible assets, restructuring costs, loss (gain) on debt repayment, and the aggregate income tax effect calculated at the blended federal and state statutory tax rate. The Company believes that adjusted net income is helpful to investors in assessing the Company’s financial performance exclusive of the non-cash impact of the amortization of purchased intangibles and the impact of certain expenses and other items that management believes are not indicative of longer-term business trends and operations.

Adjusted net income per diluted share: Adjusted net income divided by weighted average common shares outstanding on a fully diluted basis.

Three Months Ended June 30,

Six Months Ended June 30,

2020

2019

2020

2019

Amount

Per
Diluted
Share

Amount

Per
Diluted
Share

Amount

Per
Diluted
Share

Amount

Per
Diluted
Share

Net income

$

276

$

4.65

$

196

$

3.06

$

454

$

7.54

$

394

$

6.04

Adjustments:

Amortization of intangible assets

4

0.06

4

0.07

8

0.13

9

0.14

Restructuring costs

2

0.04

2

0.03

6

0.11

5

0.07

Loss (gain) on debt repayment

5

0.08

(14)

(0.23)

5

0.08

(17)

(0.27)

Subtotal, adjustments

11

0.18

(8)

(0.13)

19

0.32

(3)

(0.06)

Income tax effect

(2)

(0.04)

1

0.03

(4)

(0.07)

0.01

Adjustments, net of tax

9

0.14

(7)

(0.10)

15

0.25

(3)

(0.05)

Adjusted net income

$

285

$

4.79

$

189

$

2.96

$

469

$

7.79

$

391

$

5.99

Contacts:

Investor Contact: Julie Trudell, Julie.Trudell@molinahealthcare.com, 562-912-6720
Media Contact: Caroline Zubieta, Caroline.Zubieta@molinahealthcare.com, 562-951-1588

Data & News supplied by www.cloudquote.io
Stock quotes supplied by Barchart
Quotes delayed at least 20 minutes.
By accessing this page, you agree to the following
Privacy Policy and Terms and Conditions.