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8-K

Molina Healthcare, Inc. (MOH)

8-K 2025-04-23 For: 2025-04-23
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Added on April 10, 2026
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

______________

FORM 8-K

______________

Current Report

Pursuant to Section 13 OR 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): April 23, 2025

______________

MOLINA HEALTHCARE, INC.

(Exact name of registrant as specified in its charter)

Delaware 1-31719 13-4204626
(State or other jurisdiction of incorporation) (Commission File Number) (IRS Employer Identification No.)

______________

200 Oceangate, Suite 100, Long Beach, California 90802
(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code: (562) 435-3666

N/A

(Former name or former address, if changed since last report.)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $0.001 Par Value MOH New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

| Emerging growth company | ☐ | | --- | --- || If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section13(a) of the Exchange Act. | | | --- | --- | | | ☐ |

Item 2.02.    Results of Operations and Financial Condition.

On April 23, 2025, Molina Healthcare, Inc. (the “Company”) issued a press release reporting its financial results for the first quarter ended March 31, 2025 and reaffirming the Company’s full-year 2025 revenue and earnings guidance. The full text of the press release is included as Exhibit 99.1 to this report. The information contained in the Company’s website cited in the press release is not part of this report.

Note: The information in this Form 8-K and the exhibits attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

Item 9.01.    Financial Statements and Exhibits.

(d)     Exhibits:

Exhibit No. Description
99.1 Press release of Molina Healthcare, Inc., issued April 23, 2025.
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

MOLINA HEALTHCARE, INC.
Date: April 23, 2025 By: /s/ Jeff D. Barlow
Jeff D. Barlow
Chief Legal Officer and Secretary

Document

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News Release

Investor Contact: Jeffrey Geyer, Jeffrey.Geyer@molinahealthcare.com, 305-317-3012

Media Contact: Caroline Zubieta, Caroline.Zubieta@molinahealthcare.com, 562-951-1588

Molina Healthcare Reports First Quarter 2025 Financial Results

Reaffirms Full Year 2025 Guidance

Long Beach, Calif, April 23, 2025 – Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today reported first quarter 2025 GAAP earnings per diluted share of $5.45 and adjusted earnings per diluted share of $6.08. Financial results are summarized below:

Three months ended
March 31,
2025 2024
(In millions, except per-share results)
Premium Revenue 10,628 9,504
Total Revenue 11,147 9,931
GAAP:
Net Income 298 301
EPS – Diluted 5.45 5.17
Medical Care Ratio (MCR) 89.2 88.5
G&A Ratio 6.9 7.2
After-tax Margin 2.7 3.0
Adjusted:
Net Income 333 334
EPS – Diluted 6.08 5.73
G&A Ratio 6.8 7.1
After-tax Margin 3.0 3.4
See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release.

All values are in US Dollars.

Quarter Highlights

•As of March 31, 2025, the Company served approximately 5.8 million members, an increase of 25,000 members compared to March 31, 2024.

•Premium revenue was approximately $10.6 billion for the first quarter of 2025, an increase of 12% year over year.

•GAAP net income was $5.45 per diluted share for the first quarter of 2025, an increase of 5% year over year.

•Adjusted net income was $6.08 per diluted share for the first quarter of 2025, an increase of 6% year over year.

•The Company reaffirmed 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.

•New store embedded earnings are now at $8.65 per diluted share.

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

“Our first quarter results reflect our team’s disciplined approach to medical cost management in an improving rate environment,” said Joseph Zubretsky, President and Chief Executive Officer. “Our 2025 earnings and growth profiles are solid, and we remain confident in our ability to achieve our 13% to 15% long-term adjusted EPS growth target.”

Premium Revenue

Premium revenue was approximately $10.6 billion for the first quarter of 2025, an increase of 12% year over year. The higher premium revenue reflects new contract wins, acquisitions, growth in the Company’s current footprint, and rate increases, partially offset by the impact of Medicaid redeterminations in 2024.

Net Income

GAAP net income for the first quarter of 2025 was $5.45 per diluted share, an increase of 5% year over year. Adjusted net income for the first quarter of 2025 was $6.08 per diluted share, an increase of 6% year over year.

Medical Care Ratio (MCR)

•The consolidated MCR for the first quarter of 2025 was 89.2% and reflects strong medical cost management.

•The Medicaid MCR for the first quarter of 2025 was 90.3% and in line with the Company’s expectations. Medical costs increased moderately as expected due to utilization of long-term services and supports, pharmacy, and behavioral health services, as well as seasonal illnesses. These higher medical costs were offset by the new rate cycle.

•The Medicare MCR for the first quarter of 2025 was 88.3%, and in line with the Company’s expectations, reflecting pricing and benefit adjustments implemented for 2025 and the exit from MAPD in thirteen states.

•The Marketplace MCR for the first quarter of 2025 was 81.7%. Within that result, approximately 400 basis points was due to prior year final risk adjustment and member reconciliations and a higher “new store” MCR related to the ConnectiCare acquisition. Excluding these items, the Marketplace MCR was approximately 77.7% and in line with the Company’s expectations.

General and Administrative Expense Ratio

The G&A ratio and the adjusted G&A ratio for the first quarter of 2025 were 6.9% and 6.8%, respectively, reflecting disciplined cost management and the continued benefit of operating leverage.

Balance Sheet

Cash and investments at the parent company were $191 million as of March 31, 2025, compared to $445 million as of December 31, 2024. The Company purchased approximately 1.7 million shares for $500 million in the first quarter of 2025.

Days in claims payable at March 31, 2025, was 46 and reflects the timing of claim payments.

Cash Flow

Operating cash flow for the three months ended March 31, 2025, was $190 million, compared to $214 million for the three months ended March 31, 2024.

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

2025 Guidance

Premium revenue guidance for the full year is unchanged and expected to be approximately $42 billion, an increase of approximately 9% from the full year 2024.

The Company expects its full year GAAP earnings in 2025 to be at least $22.32 per share and reaffirms its full year adjusted earnings in 2025 to be at least $24.50 per share, representing 8% growth over the full year 2024.

Conference Call

Management will host a conference call and webcast to discuss Molina Healthcare’s first quarter results for the period ended March 31, 2025, at 8:00 a.m. Eastern Time on Thursday, April 24, 2025. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 3317326. A telephonic replay of the conference call will be available through Thursday, May 1, 2025, by dialing (877) 344-7529 and entering confirmation number 6106565. 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 and long-term adjusted EPS growth target, trends with respect to rates, 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, 2024, 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, 2025, 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 23, 2025, and, except as otherwise required by law, the Company disclaims any obligation to

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

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 First Quarter 2025 Financial Results

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April 23, 2025

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF INCOME

Three Months Ended
March 31,
2025 2024
(In millions, except per-share amounts)
Revenue:
Premium revenue $ 10,628 $ 9,504
Premium tax revenue 388 297
Investment income 108 108
Other revenue 23 22
Total revenue 11,147 9,931
Operating expenses:
Medical care costs 9,479 8,414
General and administrative expenses 774 711
Premium tax expenses 388 297
Depreciation and amortization 48 45
Other 25 38
Total operating expenses 10,714 9,505
Operating income 433 426
Interest expense 43 27
Income before income tax expense 390 399
Income tax expense 92 98
Net income $ 298 $ 301
Net income per share – Diluted $ 5.45 $ 5.17
Diluted weighted average shares outstanding 54.8 58.3

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

MOLINA HEALTHCARE, INC.

CONSOLIDATED BALANCE SHEETS

March 31, December 31,
2025 2024
Unaudited
(Dollars in millions,<br>except per-share amounts)
ASSETS
Current assets:
Cash and cash equivalents $ 4,856 $ 4,662
Investments 4,438 4,325
Receivables 3,491 3,299
Prepaid expenses and other current assets 472 487
Total current assets 13,257 12,773
Property, equipment, and capitalized software, net 287 288
Goodwill and intangible assets, net 2,175 1,938
Restricted investments 311 286
Deferred income taxes, net 193 207
Other assets 163 138
Total assets $ 16,386 $ 15,630
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable $ 4,804 $ 4,640
Amounts due government agencies 1,863 1,874
Accounts payable, accrued liabilities and other 1,119 1,331
Deferred revenue 369 51
Total current liabilities 8,155 7,896
Long-term debt 3,574 2,923
Finance lease liabilities 192 195
Other long-term liabilities 155 120
Total liabilities 12,076 11,134
Stockholders’ equity:
Common stock, $0.001 par value, 150 million shares authorized; outstanding: 54 million shares at March 31, 2025, and 56 million at December 31, 2024
Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding
Additional paid-in capital 434 462
Accumulated other comprehensive loss (28) (57)
Retained earnings 3,904 4,091
Total stockholders’ equity 4,310 4,496
Total liabilities and stockholders’ equity $ 16,386 $ 15,630

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS

Three Months Ended
March 31,
2025 2024
(In millions)
Operating activities:
Net income $ 298 $ 301
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization 48 45
Deferred income taxes 13 26
Share-based compensation 27 36
Other, net 2 2
Changes in operating assets and liabilities:
Receivables (90) (123)
Prepaid expenses and other current assets (56) 8
Medical claims and benefits payable (81) (24)
Amounts due government agencies (32) 183
Accounts payable, accrued liabilities and other (268) (215)
Deferred revenue 252 (90)
Income taxes 77 65
Net cash provided by operating activities 190 214
Investing activities:
Purchases of investments (189) (380)
Proceeds from sales and maturities of investments 331 211
Net cash paid in business combinations (245) (295)
Purchases of property, equipment, and capitalized software (22) (27)
Other, net 2 3
Net cash used in investing activities (123) (488)
Financing activities:
Common stock purchases (500)
Proceeds from borrowings under credit facility 150
Proceeds from borrowings under term loan 500
Common stock withheld to settle employee tax obligations (36) (56)
Other, net 33 (6)
Net cash provided by (used in) financing activities 147 (62)
Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents 214 (336)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,741 4,908
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,955 $ 4,572

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

MOLINA HEALTHCARE, INC.

UNAUDITED SEGMENT DATA

(Dollars in millions)

March 31, December 31, March 31,
2025 2024 2024
Ending Membership by Segment:
Medicaid 4,812,000 4,890,000 5,123,000
Medicare 260,000 242,000 258,000
Marketplace 662,000 403,000 346,000
Other 18,000
Total 5,752,000 5,535,000 5,727,000
Three Months Ended March 31,
--- --- --- --- --- --- --- --- --- --- --- --- ---
2025 2024
Premium Revenue Medical<br>Margin MCR (1) Premium Revenue Medical<br>Margin MCR (1)
Medicaid $ 8,130 $ 791 90.3 % $ 7,492 $ 775 89.7 %
Medicare 1,468 172 88.3 1,442 163 88.7
Marketplace 1,004 183 81.7 570 152 73.3
Other 26 3 87.7
Consolidated $ 10,628 $ 1,149 89.2 % $ 9,504 $ 1,090 88.5 %
(1)The MCR represents medical costs as a percentage of premium revenue.

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

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,
2025 2024
Unaudited
Medical claims and benefits payable, beginning balance $ 4,640 $ 4,204
Components of medical care costs related to:
Current year 9,665 8,748
Prior year (186) (334)
Total medical care costs 9,479 8,414
Payments for medical care costs related to:
Current year 5,789 5,409
Prior year 3,684 2,879
Total paid 9,473 8,288
Acquired balances, net of post-acquisition adjustments 245 391
Change in non-risk and other payables (87) (150)
Medical claims and benefits payable, ending balance $ 4,804 $ 4,571
Days in Claims Payable (1) 46 49

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(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 First Quarter 2025 Financial Results

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April 23, 2025

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,
2025 2024
Amount Per Diluted Share Amount Per Diluted Share
GAAP Net income $ 298 $ 5.45 $ 301 $ 5.17
Adjustments:
Amortization of intangible assets $ 21 $ 0.39 $ 20 $ 0.35
Acquisition-related expenses (1) 23 0.41 17 0.29
Other (2) 2 0.03 6 0.10
Subtotal, adjustments 46 0.83 43 0.74
Income tax effect (11) (0.20) (10) (0.18)
Adjustments, net of tax 35 0.63 33 0.56
Adjusted net income $ 333 $ 6.08 $ 334 $ 5.73

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(1)Reflects non-recurring costs associated with acquisitions, including various transaction and certain integration costs.

(2)The three months ended March 31, 2025, includes non-recurring litigation costs. The three months ended March 31, 2024, includes non-recurring litigation costs and one-time termination benefits.

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Molina Healthcare, Inc. Reports First Quarter 2025 Financial Results

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April 23, 2025

MOLINA HEALTHCARE, INC.

RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED)

2025 GUIDANCE

Amount Per Diluted Share (2)
GAAP Net income $ 1,208 $ 22.32
Adjustments:
Amortization of intangible assets 86 1.59
Acquisition-related expenses 66 1.23
Other 2 0.03
Subtotal, adjustments 154 2.85
Income tax effect (1) (37) (0.67)
Adjustments, net of tax 117 2.18
Adjusted net income $ 1,325 $ 24.50

__________________

(1)Income tax effect calculated at the statutory tax rate of approximately 23.7%.

(2)Computations assume approximately 54.1 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, Illinois, 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 $23 million.

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