Introduces Full Year 2025 Revenue and Earnings
Guidance
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.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20250205459828/en/
Investor Contact: Jeffrey Geyer,
Jeffrey.Geyer@molinahealthcare.com, 305-317-3012 Media
Contact: Caroline Zubieta,
Caroline.Zubieta@molinahealthcare.com, 562-951-1588
Molina Healthcare (NYSE:MOH)
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