Molina Healthcare Reports Fourth Quarter and Year-End 2025 Financial Results

Introduces Full Year 2026 Revenue and Earnings Guidance LONG BEACH, Calif.--(BUSINESS WIRE)--Feb. 5, 2026-- Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today reported fourth quarter 2025 GAAP loss per diluted share of $3.15 and adjusted loss per diluted share of $2.75. The Company also reported full year 2025 GAAP earnings per diluted share of $8.92 and adjusted earnings per diluted share of $11.03. Financial results are summarized below: Three months ended Year ended December 31, December 31, 2025 2024 2025 2024 (In millions, except per-share results) Premium Revenue $10,715 $9,983 $43,052 $38,627 Total Revenue $11,375 $10,499 $45,426 $40,650 GAAP: Net (Loss) Income ($160) $251 $472 $1,179 EPS – Diluted ($3.15) $4.44 $8.92 $20.42 Medical Care Ratio (MCR) 94.6% 90.2% 91.7% 89.1% G&A Ratio 7.0% 6.3% 6.6% 6.7% After-tax Margin (1.4%) 2.4% 1.0% 2.9% Adjusted: Net (Loss) Income ($140) $286 $584 $1,308 EPS – Diluted ($2.75) $5.05 $11.03 $22.65 G&A Ratio 6.9% 6.3% 6.5% 6.7% After-tax Margin (1.2%) 2.7% 1.3% 3.2% See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release. Full Year Highlights Fourth quarter 2025 GAAP loss per diluted share of $3.15 and adjusted loss per diluted share of $2.75 were burdened by approximately $2.00 of unfavorable retroactive revenue items. Adjusted net income was $11.03 per diluted share for the full year 2025. The Company issued its full year 2026 earnings guidance with expected premium revenue of approximately $42 billion and adjusted earnings of at least $5.00 per diluted share. The adjusted earnings guidance is burdened by $2.50 per share related to the implementation of a new Medicaid contract and underperformance in the traditional Medicare Advantage Part D (“MAPD”) product, which the Company will exit for 2027. New store embedded earnings are now over $11.00 per diluted share. “We remain confident in our durable and sustaining operating platform,” said Joseph Zubretsky, President and Chief Executive Officer. “We believe that the imbalance between rates and trend marks 2026 as a trough year for Medicaid industry margins. Even at this low point in the cycle, we continue to produce positive pretax margins in Medicaid. We remain optimistic about the future earnings trajectory of the enterprise which includes anticipated rate restoration and future embedded earnings.” Premium Revenue Premium revenue was approximately $43.1 billion for the full year 2025, an increase of 11% year over year. The higher premium revenue reflects recent acquisitions, rate increases, and organic growth. Net Income GAAP net income for the full year 2025 was $8.92 per diluted share, a decrease of 56% year over year. Adjusted net income for the full year 2025 was $11.03 per diluted share, a decrease of 51% year over year. The fourth quarter and full year 2025 results were burdened by approximately $2.00 per share of unfavorable retroactive premium adjustments attributable to the Company’s Medicaid business in California and ongoing medical cost pressure in Medicare and Marketplace. Medical Care Ratio (MCR) The consolidated MCR for the full year 2025 was 91.7%. The Medicaid MCR for the full year 2025 was 91.8%. The Company experienced medical cost pressure due to continued high levels of utilization. These medical costs were offset by the rate updates that went into effect during the year. The Medicare MCR for the full year 2025 was 92.4% and reflects higher utilization among high-acuity members, particularly for long-term services and supports and pharmacy, and slower margin recovery in the Medicare Advantage Part D product. The Marketplace MCR for the full year 2025 was 90.6%. The Company continued to experience much higher levels of utilization relative to risk adjustment revenue. General and Administrative Expense Ratio The G&A ratio and the adjusted G&A ratio for the full year 2025 were 6.6% and 6.5%, respectively, reflecting continued operating discipline and operating leverage. Balance Sheet Cash and investments at the parent company were approximately $223 million as of December 31, 2025, compared to $445 million as of December 31, 2024. Days in claims payable at December 31, 2025, was 47. Cash Flow Operating cash flow for the year ended December 31, 2025, was an outflow of $535 million, compared to an inflow of $644 million for the year ended December 31, 2024. The decrease in cash flow for the period year-over-year was driven mainly by Medicaid risk corridor settlement activity, the timing of tax payments, and lower operating performance in the second half of 2025. 2026 Guidance Premium revenue guidance for the full year is approximately $42 billion, a decline of approximately 2% from the full year 2025. The planned reduction in the Company’s Marketplace segment is expected to be partially offset by growth from the new Florida CMS contract in Medicaid and higher premium in Medicare. The Company expects its full year 2026 GAAP earnings to be at least $3.20 per diluted share and its full year 2026 adjusted earnings to be at least $5.00 per diluted share. The guidance is burdened by $2.50 per diluted share, which includes $1.50 per diluted share due to implementation of the new Florida CMS Medicaid contract and $1.00 per diluted share due to underperformance in the traditional Medicare Advantage Part D product. The Company has determined the MAPD product with approximately $1 billion in annual premium does not align with its strategic shift to focus exclusively on its $5 billion dual eligible business in Medicare. The Company will exit the MAPD product for 2027. Guidance metrics are summarized below: Full Year 2026 Guidance Premium Revenue $42.2B Total Revenue $44.5B GAAP Net Income $164M Adjusted Net Income $256M GAAP EPS – Diluted ≥ $3.20 Adjusted EPS – Diluted ≥ $5.00 Diluted weighted average shares 51.1M Year End Total Membership 5.1M Medicaid 4.6M Medicare 230K Marketplace 220K MCR 92.6% Medicaid 92.9% Medicare 94.0% Marketplace 85.5% GAAP G&A Ratio 6.5% Adjusted G&A Ratio 6.4% Effective Tax Rate 30.0% GAAP Pre-tax Margin 0.5% Adjusted Pre-tax Margin 0.8% 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 ending December 31, 2025 results, at 8:00 a.m. Eastern Time on Friday, February 6, 2026. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 0597929. A telephonic replay of the conference call will be available through Friday, February 13, 2026, by dialing (855) 669-9658 and entering confirmation number 4621527. 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 2026 guidance and long-term performance outlook, trends with respect to rates, utilization, and medical costs, including the timing thereof and the anticipated impact on the Company’s business, 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, June 30, 2025, and September 30, 2025, which are on file with the SEC, and its Annual Report on Form 10-K for the year ended December 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 February 5, 2026, 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 OPERATIONS Three Months Ended Year Ended December 31, December 31, 2025 2024 2025 2024 (In millions, except per-share amounts) Revenue: Premium revenue $ 10,715 $ 9,983 $ 43,052 $ 38,627 Premium tax revenue 538 383 1,863 1,486 Investment income 98 111 420 452 Other revenue 24 22 91 85 Total revenue 11,375 10,499 45,426 40,650 Operating expenses: Medical care costs 10,136 9,003 39,488 34,428 General and administrative expenses 795 665 3,009 2,743 Premium tax expenses 538 383 1,863 1,486 Depreciation and amortization 44 48 195 186 Other 24 20 90 100 Total operating expenses 11,537 10,119 44,645 38,943 Operating (loss) income (162 ) 380 781 1,707 Interest expense 52 34 192 118 (Loss) income before income tax (benefit) expense (214 ) 346 589 1,589 Income tax (benefit) expense (54 ) 95 117 410 Net (loss) income $ (160 ) $ 251 $ 472 $ 1,179 Net (loss) income per share – Diluted $ (3.15 ) $ 4.44 $ 8.92 $ 20.42 Diluted weighted average shares outstanding 50.8 56.5 52.9 57.7 MOLINA HEALTHCARE, INC. CONSOLIDATED BALANCE SHEETS December 31, December 31, 2025 2024 Unaudited (Dollars in millions, except per-share amounts) ASSETS Current assets: Cash and cash equivalents $ 4,248 $ 4,662 Investments 4,008 4,325 Receivables 3,533 3,299 Prepaid expenses and other current assets 655 487 Total current assets 12,444 12,773 Property, equipment, and capitalized software, net 301 288 Goodwill and intangible assets, net 2,195 1,938 Restricted investments 299 286 Deferred income taxes, net 178 207 Other assets 147 138 Total assets $ 15,564 $ 15,630 LIABILITIES AND STOCKHOLDERS’ EQUITY Current liabilities: Medical claims and benefits payable $ 4,887 $ 4,640 Amounts due government agencies 1,326 1,874 Accounts payable, accrued liabilities and other 1,093 1,331 Deferred revenue 66 51 Total current liabilities 7,372 7,896 Long-term debt 3,766 2,923 Finance lease liabilities 184 195 Other long-term liabilities 173 120 Total liabilities 11,495 11,134 Stockholders’ equity: Common stock, $0.001 par value, 150 million shares authorized; outstanding: 51 million shares at December 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 452 462 Accumulated other comprehensive income (loss) 15 (57 ) Retained earnings 3,602 4,091 Total stockholders’ equity 4,069 4,496 Total liabilities and stockholders’ equity $ 15,564 $ 15,630 MOLINA HEALTHCARE, INC. UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS Year Ended December 31, 2025 2024 (In millions) Operating activities: Net income $ 472 $ 1,179 Adjustments to reconcile net income to net cash (used in) provided by operating activities: Depreciation and amortization 195 186 Deferred income taxes 43 53 Share-based compensation 47 116 Other, net (3 ) 8 Changes in operating assets and liabilities: Receivables (145 ) (78 ) Prepaid expenses and other current assets 52 (57 ) Medical claims and benefits payable (132 ) (40 ) Amounts due government agencies (591 ) (453 ) Accounts payable, accrued liabilities and other (221 ) 115 Deferred revenue (51 ) (367 ) Income taxes (201 ) (18 ) Net cash (used in) provided by operating activities (535 ) 644 Investing activities: Purchases of investments (751 ) (1,132 ) Proceeds from sales and maturities of investments 1,408 1,111 Net cash paid in business combinations (245 ) (344 ) Purchases of property, equipment, and capitalized software (101 ) (100 ) Other, net 1 1 Net cash provided by (used in) investing activities 312 (464 ) Financing activities: Proceeds from borrowings under credit facility and term loans 1,100 300 Repayment of credit facility and term loans (1,100 ) (300 ) Common stock purchases (1,000 ) (1,000 ) Proceeds from senior notes offering, net of issuance costs 838 740 Common stock withheld to settle employee tax obligations (37 ) (57 ) Other, net 29 (30 ) Net cash used in financing activities (170 ) (347 ) Net decrease in cash, cash equivalents, and restricted cash and cash equivalents (393 ) (167 ) 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 $ 4,348 $ 4,741 MOLINA HEALTHCARE, INC. UNAUDITED SEGMENT DATA (Dollars in millions) December 31, 2025 2024 Ending Membership by Segment: Medicaid 4,568,000 4,890,000 Medicare 262,000 242,000 Marketplace 655,000 403,000 Other 6,000 — Total 5,491,000 5,535,000 Three Months Ended December 31, 2025 2024 Premium Revenue Medical Margin MCR (1) Premium Revenue Medical Margin MCR (1) Medicaid $ 8,066 $ 525 93.5 % $ 8,041 $ 791 90.2 % Medicare 1,549 39 97.5 1,292 81 93.8 Marketplace 1,086 12 99.0 650 108 83.3 Other 14 3 77.6 — — — Consolidated $ 10,715 $ 579 94.6 % $ 9,983 $ 980 90.2 % Year Ended December 31, 2025 2024 Premium Revenue Medical Margin MCR (1) Premium Revenue Medical Margin MCR (1) Medicaid $ 32,240 $ 2,652 91.8 % $ 30,579 $ 2,979 90.3 % Medicare 6,235 475 92.4 5,542 603 89.1 Marketplace 4,487 423 90.6 2,506 617 75.4 Other 90 14 83.6 — — — Consolidated $ 43,052 $ 3,564 91.7 % $ 38,627 $ 4,199 89.1 % (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, 2025 2024 Unaudited Medical claims and benefits payable, beginning balance $ 4,640 $ 4,204 Components of medical care costs related to: Current year 39,586 35,103 Prior year (98 ) (675 ) Total medical care costs 39,488 34,428 Payments for medical care costs related to: Current year 35,504 31,060 Prior year 4,154 3,239 Total paid 39,658 34,299 Acquired balances, net of post-acquisition adjustments 379 476 Change in non-risk and other payables 38 (169 ) Medical claims and benefits payable, ending balance $ 4,887 $ 4,640 Days in Claims Payable (1) 47 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 December 31, Year Ended December 31, 2025 2024 2025 2024 Amount Per Diluted Share Amount Per Diluted Share Amount Per Diluted Share Amount Per Diluted Share GAAP Net (loss) income $ (160 ) $ (3.15 ) $ 251 $ 4.44 $ 472 $ 8.92 $ 1,179 $ 20.42 Adjustments: Amortization of intangible assets $ 18 $ 0.35 $ 21 $ 0.36 $ 91 $ 1.71 $ 83 $ 1.43 Acquisition-related expenses (1) 9 0.18 20 0.35 55 1.04 66 1.14 Other (2) — — — — 1 0.02 16 0.28 Subtotal, adjustments 27 0.53 41 0.71 147 2.77 165 2.85 Income tax effect (7 ) (0.13 ) (6 ) (0.10 ) (35 ) (0.66 ) (36 ) (0.62 ) Adjustments, net of tax 20 0.40 35 0.61 112 2.11 129 2.23 Adjusted net (loss) income $ (140 ) $ (2.75 ) $ 286 $ 5.05 $ 584 $ 11.03 $ 1,308 $ 22.65 __________________ (1) Reflects non-recurring costs associated with acquisitions, including various transaction and certain integration costs. (2) The year ended December 31, 2025, includes non-recurring litigation costs. The year ended December 31, 2024, includes non-recurring litigation costs and one-time termination benefits. MOLINA HEALTHCARE, INC. RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED) 2026 GUIDANCE Amount Per Diluted Share (2) GAAP Net income $ 164 $ 3.20 Adjustments: Acquisition-related expenses 75 1.47 Amortization of intangible assets 46 0.90 Subtotal, adjustments 121 2.37 Income tax effect (1) (29 ) (0.57 ) Adjustments, net of tax 92 1.80 Adjusted net income $ 256 $ 5.00 __________________ (1) Income tax effect calculated at the statutory tax rate of approximately 24.1%. (2) Computations assume approximately 51.1 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 2027 and 2029 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, Georgia, and Florida 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 2026 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 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 exit or disposal activities related to the MAPD product, and amortization of intangible assets related to acquisitions, which cannot be determined until purchase accounting valuations are completed. Non-recurring costs associated with acquisitions are estimated at approximately $55 million. View source version on businesswire.com: https://www.businesswire.com/news/home/20260205167248/en/ Investor Contact: Jeffrey Geyer, [email protected], 305-317-3012 Media Contact: Caroline Zubieta, [email protected], 562-951-1588 Source: Molina Healthcare, Inc.