Reaffirms Full Year 2024 Guidance
Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today
reported first quarter 2024 GAAP earnings per diluted share of
$5.17 and adjusted earnings per diluted share of $5.73. Financial
results are summarized below:
Three months ended
March 31,
2024
2023
(In millions, except per-share
results)
Premium Revenue
$9,504
$7,885
Total Revenue
$9,931
$8,149
GAAP:
Net Income
$301
$321
EPS – Diluted
$5.17
$5.52
Medical Care Ratio (MCR)
88.5%
87.1%
G&A Ratio
7.2%
7.2%
After-tax Margin
3.0%
3.9%
Adjusted:
Net Income
$334
$337
EPS – Diluted
$5.73
$5.81
G&A Ratio
7.1%
7.2%
After-tax Margin
3.4%
4.1%
See the Reconciliation of Unaudited
Non-GAAP Financial Measures at the end of this release.
Quarter Highlights
- As of March 31, 2024, the Company served approximately 5.7
million members, an increase of 9% compared to March 31, 2023.
- Premium revenue was approximately $9.5 billion for the first
quarter of 2024, an increase of 21% year over year.
- GAAP net income was $5.17 per diluted share for the first
quarter of 2024, a decrease of 6% year over year.
- Adjusted net income was $5.73 per diluted share for the first
quarter of 2024, a decrease of 1% year over year.
- The Company reaffirmed its full year 2024 guidance with
expected premium revenue of approximately $38 billion and adjusted
earnings of at least $23.50 per diluted share.
“We are very pleased with our first quarter performance,” said
Joseph Zubretsky, President and Chief Executive Officer. “We
delivered strong financial performance supported by excellent
operating metrics across our business, while sustaining profitable
growth consistent with our long-term targets.”
Premium Revenue
Premium revenue was approximately $9.5 billion for the first
quarter of 2024, an increase of 21% year over year. The higher
premium revenue reflects new contract wins, acquisitions, and
growth in the current footprint, partially offset by Medicaid
redeterminations.
Net Income
GAAP net income for the first quarter of 2024 was $5.17 per
diluted share, a decrease of 6% year over year. Adjusted net income
for the first quarter of 2024 was $5.73 per diluted share, a
decrease of 1% year over year. The year over year decrease in
earnings per share reflects a shift in the quarterly earnings
pattern based on the significant increase in new business in
2024.
Medical Care Ratio (MCR)
- The consolidated MCR for the first quarter of 2024 was 88.5%,
reflecting changes in member mix due to growth across all segments
and continued, strong medical cost management, and is in line with
the Company’s expectation.
- The Medicaid MCR for the first quarter of 2024 was 89.7%, in
line with the Company’s expectation and normal quarter to quarter
trend fluctuations within our guidance. The new store additions in
California and Nebraska, as well as Iowa and the My Choice
Wisconsin acquisition in late-2023, drove a higher reported MCR in
the first quarter of 2024.
- The Medicare MCR for the first quarter of 2024 was 88.7%, in
line with the Company’s expectations. Utilization in the legacy
portfolio was consistent with the second half of 2023, but was
offset by operational improvements and benefit adjustments.
- The Marketplace MCR for the first quarter of 2024 was 73.3%,
reflecting the Company’s pricing strategy and seasonality.
General and Administrative Expense Ratio
The G&A ratio and the adjusted G&A ratio for the first
quarter of 2024 was 7.2% and 7.1%, respectively.
Balance Sheet
Cash and investments at the parent company were $194 million as
of March 31, 2024 compared to $742 million as of December 31,
2023.
Days in claims payable at March 31, 2024 was 49.
Cash Flow
Operating cash flow for the three months ended March 31, 2024
was $214 million, compared to $916 million for the three months
ended March 31, 2023. The decrease in 2024 cash flow was driven by
the net impact of timing differences in government receivables and
payables.
2024 Guidance
Premium revenue for the full year is expected to be
approximately $38 billion, an increase of approximately 17% from
the full year 2023.
The Company expects its full year adjusted earnings per diluted
share in 2024 to be at least $23.50, representing approximately 13%
growth over the full year 2023. While the Company is experiencing
underlying strength in its core business, its full year guidance is
unchanged to account for any potential earnings headwind in the
second half of the year from potential contract losses in Virginia
and Florida.
Conference Call
Management will host a conference call and webcast to discuss
Molina Healthcare’s first quarter results at 8:00 a.m. Eastern Time
on Thursday, April 25, 2024. The number to call for the interactive
teleconference is (877) 883-0383 and the confirmation number is
0974846. A telephonic replay of the conference call will be
available through Thursday, May 9, 2024, by dialing (877) 344-7529
and entering confirmation number 7039934. 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. 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 its 2024 guidance and long-term targets, expected
headwinds, and 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
Report on Form 10-Q for the periods ended March 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 April 24, 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.
MOLINA HEALTHCARE,
INC.
UNAUDITED CONSOLIDATED
STATEMENTS OF INCOME
Three Months Ended
March 31,
2024
2023
(In millions, except per-share
amounts)
Revenue:
Premium revenue
$
9,504
$
7,885
Premium tax revenue
297
172
Investment income
108
71
Other revenue
22
21
Total revenue
9,931
8,149
Operating expenses:
Medical care costs
8,414
6,871
General and administrative expenses
711
591
Premium tax expenses
297
172
Depreciation and amortization
45
44
Other
38
16
Total operating expenses
9,505
7,694
Operating income
426
455
Interest expense
27
28
Income before income tax expense
399
427
Income tax expense
98
106
Net income
$
301
$
321
Net income per share – Diluted
$
5.17
$
5.52
Diluted weighted average shares
outstanding
58.3
58.0
MOLINA HEALTHCARE,
INC.
CONSOLIDATED BALANCE
SHEETS
March 31,
December 31,
2024
2023
Unaudited
(Dollars in millions,
except per-share
amounts)
ASSETS
Current assets:
Cash and cash equivalents
$
4,513
$
4,848
Investments
4,424
4,259
Receivables
3,350
3,104
Prepaid expenses and other current
assets
381
331
Total current assets
12,668
12,542
Property, equipment, and capitalized
software, net
295
270
Goodwill and intangible assets, net
1,927
1,449
Restricted investments
261
261
Deferred income taxes, net
228
227
Other assets
134
143
Total assets
$
15,513
$
14,892
LIABILITIES AND STOCKHOLDERS’
EQUITY
Current liabilities:
Medical claims and benefits payable
$
4,571
$
4,204
Amounts due government agencies
2,501
2,294
Accounts payable, accrued liabilities and
other
1,114
1,252
Deferred revenue
328
418
Total current liabilities
8,514
8,168
Long-term debt
2,180
2,180
Finance lease liabilities
202
205
Other long-term liabilities
124
124
Total liabilities
11,020
10,677
Stockholders’ equity:
Common stock, $0.001 par value, 150
million shares authorized; outstanding: 59 million shares at March
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
390
410
Accumulated other comprehensive loss
(85
)
(82
)
Retained earnings
4,188
3,887
Total stockholders’ equity
4,493
4,215
Total liabilities and stockholders’
equity
$
15,513
$
14,892
MOLINA HEALTHCARE,
INC.
UNAUDITED CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
Three Months Ended
March 31,
2024
2023
(In millions)
Operating activities:
Net income
$
301
$
321
Adjustments to reconcile net income to net
cash provided by operating activities:
Depreciation and amortization
45
44
Deferred income taxes
26
1
Share-based compensation
36
25
Other, net
2
5
Changes in operating assets and
liabilities:
Receivables
(123
)
(234
)
Prepaid expenses and other current
assets
8
7
Medical claims and benefits payable
(24
)
296
Amounts due government agencies
183
270
Accounts payable, accrued liabilities and
other
(215
)
(215
)
Deferred revenue
(90
)
295
Income taxes
65
101
Net cash provided by operating
activities
214
916
Investing activities:
Purchases of investments
(380
)
(646
)
Proceeds from sales and maturities of
investments
211
371
Net cash paid in business combinations
(295
)
—
Purchases of property, equipment, and
capitalized software
(27
)
(32
)
Other, net
3
5
Net cash used in investing activities
(488
)
(302
)
Financing activities:
Common stock withheld to settle employee
tax obligations
(56
)
(58
)
Other, net
(6
)
(7
)
Net cash used in financing activities
(62
)
(65
)
Net (decrease) increase in cash, cash
equivalents, and restricted cash and cash equivalents
(336
)
549
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
$
4,572
$
4,597
MOLINA HEALTHCARE,
INC.
UNAUDITED SEGMENT DATA
(Dollars in millions)
March 31,
December 31,
March 31,
2024
2023
2023
Ending Membership by Segment:
Medicaid
5,123,000
4,542,000
4,834,000
Medicare
258,000
172,000
161,000
Marketplace
346,000
281,000
271,000
Total
5,727,000
4,995,000
5,266,000
Three Months Ended March
31,
2024
2023
Premium Revenue
Medical Margin
MCR (1)
Premium Revenue
Medical Margin
MCR (1)
Medicaid
$
7,492
$
775
89.7
%
$
6,349
$
734
88.4
%
Medicare
1,442
163
88.7
1,046
126
88.0
Marketplace
570
152
73.3
490
154
68.6
Consolidated
$
9,504
$
1,090
88.5
%
$
7,885
$
1,014
87.1
%
(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:
Three Months Ended
March 31,
2024
2023
Unaudited
Medical claims and benefits payable,
beginning balance
$
4,204
$
3,528
Components of medical care costs related
to:
Current year
8,748
7,169
Prior year
(334
)
(298
)
Total medical care costs
8,414
6,871
Payments for medical care costs related
to:
Current year
5,409
4,487
Prior year
2,879
2,358
Total paid
8,288
6,845
Acquired balances, net of post-acquisition
adjustments
391
—
Change in non-risk and other payables
(150
)
270
Medical claims and benefits payable,
ending balance
$
4,571
$
3,824
Days in Claims Payable (1)
49
48
__________________
(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 March
31,
2024
2023
Amount
Per Diluted Share
Amount
Per Diluted Share
GAAP Net income
$
301
$
5.17
$
321
$
5.52
Adjustments:
Amortization of intangible assets
$
20
$
0.35
$
21
$
0.38
Acquisition-related expenses (1)
17
0.29
—
—
Other (2)
6
0.10
—
—
Subtotal, adjustments
43
0.74
21
0.38
Income tax effect
(10
)
(0.18
)
(5
)
(0.09
)
Adjustments, net of tax
33
0.56
16
0.29
Adjusted net income
$
334
$
5.73
$
337
$
5.81
__________________
(1)
Reflects non-recurring costs associated with acquisitions,
including various transaction and certain integration costs.
(2)
The three months ended March 31, 2024 includes non-recurring
litigation costs and one-time termination benefits.
MOLINA HEALTHCARE,
INC.
RECONCILIATION OF UNAUDITED
NON-GAAP FINANCIAL MEASURES (CONTINUED)
2024 GUIDANCE
Amount
Per Diluted Share (2)
GAAP Net income
$
1,266
$
21.79
Adjustments:
Amortization of intangible assets
92
1.57
Acquisition-related expenses
33
0.58
Other
6
0.10
Subtotal, adjustments
131
2.25
Income tax effect (1)
(31
)
(0.54
)
Adjustments, net of tax
100
1.71
Adjusted net income
$
1,366
$
23.50
__________________
(1)
Income tax effect calculated at the statutory tax rate of
approximately 23.9%.
(2)
Computations assume approximately 58.1 million diluted weighted
average shares outstanding.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240424989297/en/
Investor Contact: Jeffrey Geyer, Jeffrey.Geyer@molinahealthcare.com, 305-317-3012
Media Contact: Caroline Zubieta, Caroline.Zubieta@molinahealthcare.com,
562-951-1588
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