|
||||
Delaware
|
|
1-31719
|
|
13-4204626
|
(State
of incorporation)
|
|
(Commission
File Number)
|
|
(I.R.S.
Employer Identification
Number)
|
99.1
|
Press
release of Molina Healthcare, Inc. issued November 7, 2006, as
to
financial results for the third quarter and nine months ended September
30, 2006.
|
|
|
|
|
MOLINA
HEALTHCARE, INC.
|
Date:
November 7, 2006
|
|
By: /s/
Mark L. Andrews
|
||
|
|
Mark
L. Andrews
Chief
Legal Officer, General Counsel
and
Corporate Secretary
|
99.1
|
Press
release of Molina Healthcare, Inc. issued November 7, 2006, as
to
financial results for the third quarter and nine months ended September
30, 2006.
|
· |
The
transition of members from fee-for-service to a managed care environment
requires that both members and providers be educated in the appropriate
practices of managed care, such as relying on primary care physicians
rather than on emergency rooms. Such broad-based educational efforts
require time for assimilation before they can result in changed patterns
of behavior and treatment.
|
· |
The
transition of members into managed care may result in the identification
of previously unmet health care needs, which can create a temporary
spike
in health care costs.
|
· |
The
Company’s Indiana plan, and to a lesser degree its Ohio plan, has
experienced higher than average pharmacy
costs.
|
Sept.
30,
|
June
30,
|
Sept.
30,
|
||||||||
2006
|
2006
|
2005
|
||||||||
California
|
302,000
|
307,000
|
333,000
|
|||||||
Indiana
|
54,000
|
37,000
|
21,000
|
|||||||
Michigan
|
227,000
|
232,000
|
145,000
|
|||||||
New
Mexico
|
62,000
|
59,000
|
62,000
|
|||||||
Ohio
|
33,000
|
30,000
|
N/A(1)
|
|
||||||
Texas
|
3,000
|
N/A(2)
|
|
N/A(2)
|
|
|||||
Utah
|
54,000
|
57,000
|
56,000
|
|||||||
Washington
|
280,000
|
286,000
|
287,000
|
|||||||
Total
|
1,015,000
|
1,008,000
|
904,000
|
Quarter
Ended
|
Nine
Months Ended
|
|||||||||||||||
Sept.
30,
|
June
30,
|
Sept.
30,
|
Sept.
30,
|
Sept.
30,
|
||||||||||||
2006
|
2006
|
2005
|
2006
|
2005
|
||||||||||||
California
|
911,000
|
927,000
|
1,006,000
|
2,785,000
|
2,598,000
|
|||||||||||
Indiana
|
150,000
|
99,000
|
59,000
|
328,000
|
79,000
|
|||||||||||
Michigan
|
681,000
|
565,000
|
441,000
|
1,677,000
|
1,375,000
|
|||||||||||
New
Mexico
|
181,000
|
176,000
|
183,000
|
535,000
|
553,000
|
|||||||||||
Ohio
|
95,000
|
86,000
|
N/A(1)
|
|
229,000
|
N/A(1)
|
|
|||||||||
Texas
|
3,000
|
N/A(2)
|
|
N/A(2)
|
|
3,000
|
N/A(2)
|
|
||||||||
Utah
|
167,000
|
179,000
|
164,000
|
527,000
|
492,000
|
|||||||||||
Washington
|
846,000
|
858,000
|
856,000
|
2,572,000
|
2,521,000
|
|||||||||||
Total
|
3,034,000
|
2,890,000
|
2,709,000
|
8,656,000
|
7,618,000
|
MOLINA
HEALTHCARE, INC.
|
|||||||||||||
CONDENSED
CONSOLIDATED STATEMENTS OF INCOME
|
|||||||||||||
(Dollars
in thousands, except for per share data)
|
|||||||||||||
(Unaudited)
|
|||||||||||||
|
Three
Months Ended
|
Nine
Months Ended
|
|||||||||||
|
September
30,
|
September
30,
|
|||||||||||
2006
|
2005
|
2006
|
2005
|
||||||||||
Revenue:
|
|||||||||||||
Premium
revenue
|
$
|
512,080
|
$
|
425,943
|
$
|
1,441,197
|
$
|
1,220,045
|
|||||
Investment
income
|
5,385
|
2,668
|
14,278
|
6,792
|
|||||||||
Total
revenue
|
517,465
|
428,611
|
1,455,475
|
1,226,837
|
|||||||||
Expenses:
|
|||||||||||||
Medical
care costs:
|
|||||||||||||
Medical
services
|
95,961
|
70,677
|
256,839
|
201,948
|
|||||||||
Hospital
and specialty services
|
284,728
|
255,120
|
815,287
|
740,668
|
|||||||||
Pharmacy
|
50,181
|
40,815
|
143,706
|
126,600
|
|||||||||
Total
medical care costs
|
430,870
|
366,612
|
1,215,832
|
1,069,216
|
|||||||||
Salary,
general and administrative expenses
|
60,504
|
47,005
|
168,025
|
117,611
|
|||||||||
Loss
contract charge (1)
|
—
|
—
|
—
|
939
|
|||||||||
Depreciation
and amortization
|
5,633
|
4,113
|
15,265
|
10,869
|
|||||||||
Total
expenses
|
497,007
|
417,730
|
1,399,122
|
1,198,635
|
|||||||||
Operating
income
|
20,458
|
10,881
|
56,353
|
28,202
|
|||||||||
Other
expense:
|
|||||||||||||
Interest
expense
|
(645
|
)
|
(581
|
)
|
(1,636
|
)
|
(1,288
|
)
|
|||||
Other,
net (2)
|
—
|
—
|
—
|
(400
|
)
|
||||||||
Total
other expense
|
(645
|
)
|
(581
|
)
|
(1,636
|
)
|
(1,688
|
)
|
|||||
Income
before income taxes
|
19,813
|
10,300
|
54,717
|
26,514
|
|||||||||
Income
tax expense
|
7,472
|
3,489
|
20,634
|
9,650
|
|||||||||
Net
income
|
$
|
12,341
|
$
|
6,811
|
$
|
34,083
|
$
|
16,864
|
|||||
Net
income per share:
|
|||||||||||||
Basic
|
$
|
0.44
|
$
|
0.25
|
$
|
1.22
|
$
|
0.61
|
|||||
Diluted
|
$
|
0.44
|
$
|
0.24
|
$
|
1.21
|
$
|
0.60
|
|||||
Weighted
average number of common shares and potential dilutive common shares
outstanding
|
28,346,000
|
28,067,000
|
28,253,000
|
28,010,000
|
|||||||||
Operating
Statistics:
|
|||||||||||||
Medical
care ratio (3)
|
84.1
|
%
|
86.1
|
%
|
84.4
|
%
|
87.6
|
%
|
|||||
Salary,
general and administrative expense ratio (4), excluding premium
taxes
|
8.6
|
%
|
7.4
|
%
|
8.5
|
%
|
6.7
|
%
|
|||||
Premium
taxes included in salary, general and administrative
expenses
|
3.1
|
%
|
3.6
|
%
|
3.0
|
%
|
2.9
|
%
|
|||||
Total
salary, general and administrative expense ratio
|
11.7
|
%
|
11.0
|
%
|
11.5
|
%
|
9.6
|
%
|
|||||
Members
(5)
|
1,015,000
|
904,000
|
|||||||||||
Days
in claims payable
|
54
|
52
|
MOLINA
HEALTHCARE, INC.
|
|||||||
CONDENSED
CONSOLIDATED BALANCE SHEETS
|
|||||||
(Dollars
in thousands, except per share data)
|
|||||||
Sept.
30,
|
|
|
Dec.
31,
|
|
|||
|
|
|
2006
|
|
|
2005
|
|
(Unaudited)
|
|||||||
ASSETS
|
|||||||
Current
assets:
|
|||||||
Cash
and cash equivalents
|
$
|
337,084
|
$
|
249,203
|
|||
Investments
|
91,659
|
103,437
|
|||||
Receivables
|
84,540
|
70,532
|
|||||
Income
tax receivable
|
6,037
|
3,014
|
|||||
Deferred
income taxes
|
2,073
|
2,339
|
|||||
Prepaid
expenses and other current assets
|
8,564
|
10,321
|
|||||
Total
current assets
|
529,957
|
438,846
|
|||||
Property
and equipment, net
|
37,158
|
31,794
|
|||||
Goodwill
and intangible assets, net
|
146,953
|
124,914
|
|||||
Restricted
investments
|
19,980
|
18,242
|
|||||
Receivable
for ceded life and annuity contracts
|
34,987
|
38,113
|
|||||
Other
assets
|
8,539
|
8,018
|
|||||
Total
assets
|
$
|
777,574
|
$
|
659,927
|
|||
LIABILITIES
AND STOCKHOLDERS’ EQUITY
|
|||||||
Current
liabilities:
|
|||||||
Medical
claims and benefits payable
|
$
|
256,927
|
$
|
217,354
|
|||
Deferred
revenue
|
12,472
|
803
|
|||||
Accounts
payable and accrued liabilities
|
40,297
|
31,457
|
|||||
Total
current liabilities
|
309,696
|
249,614
|
|||||
Long-term
debt
|
15,000
|
—
|
|||||
Deferred
income taxes
|
6,705
|
4,796
|
|||||
Liability
for ceded life and annuity contracts
|
34,987
|
38,113
|
|||||
Other
long-term liabilities
|
4,596
|
4,554
|
|||||
Total
liabilities
|
370,984
|
297,077
|
|||||
Stockholders’
equity:
|
|||||||
Common
stock, $0.001 par value; 80,000,000 shares authorized; issued
and
outstanding: 28,070,646 shares at September 30, 2006, and 27,792,360
shares at December 31, 2005
|
28
|
28
|
|||||
Preferred
stock, $0.001 par value; 20,000,000 shares authorized, no shares
issued
and outstanding
|
—
|
—
|
|||||
Additional
paid-in capital
|
172,112
|
162,693
|
|||||
Accumulated
other comprehensive loss
|
(391
|
)
|
(629
|
) | |||
Retained
earnings
|
255,231
|
221,148
|
|||||
Treasury
stock (1,201,174 shares, at cost)
|
(20,390
|
)
|
(20,390
|
) | |||
Total
stockholders’ equity
|
406,590
|
362,850
|
|||||
Total
liabilities and stockholders’ equity
|
$
|
777,574
|
$
|
659,927
|
MOLINA
HEALTHCARE, INC.
|
|||||||
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
|
|||||||
(Dollars
in thousands)
|
|||||||
(Unaudited)
|
|||||||
Nine
Months Ended
|
|||||||
September
30,
|
|||||||
2006
|
2005
|
||||||
Operating
activities:
|
|||||||
Net
income
|
$
|
34,083
|
$
|
16,864
|
|||
Adjustments
to reconcile net income to net cash provided by operating
activities:
|
|||||||
Depreciation
and amortization
|
15,265
|
10,869
|
|||||
Amortization
of capitalized credit facility fees
|
646
|
519
|
|||||
Deferred
income taxes
|
(2,510
|
)
|
(645
|
)
|
|||
Stock-based
compensation
|
4,331
|
875
|
|||||
Changes
in operating assets and liabilities:
|
|||||||
Receivables
|
(13,099
|
)
|
1,885
|
||||
Prepaid
expenses and other current assets
|
2,068
|
(1,361
|
)
|
||||
Medical
claims and benefits payable
|
17,036
|
39,104
|
|||||
Accounts
payable and accrued liabilities
|
7,411
|
6,385
|
|||||
Income
taxes
|
1,955
|
(13,499
|
)
|
||||
Net
cash provided by operating activities
|
67,186
|
60,996
|
|||||
Investing
activities:
|
|||||||
Purchases
of equipment
|
(13,285
|
)
|
(9,808
|
)
|
|||
Purchases
of investments
|
(103,702
|
)
|
(55,273
|
)
|
|||
Sales
and maturities of investments
|
115,866
|
33,720
|
|||||
Net
cash acquired (paid) in purchase transactions
|
5,820
|
(32,288
|
)
|
||||
Increase
in restricted cash
|
(738
|
)
|
(539
|
)
|
|||
Increase
in other long-term liabilities
|
42
|
496
|
|||||
Increase
in other assets
|
(1,218
|
)
|
(4,843
|
)
|
|||
Net
cash provided by (used in) investing activities
|
2,785
|
(68,535
|
)
|
||||
Financing
activities:
|
|||||||
Borrowing
under credit facility
|
20,000
|
3,100
|
|||||
Principal
payments on credit facility, capital lease obligations
and mortgage
note
|
(5,000
|
)
|
(3,227
|
)
|
|||
Tax
benefit from exercise of employee stock options recorded
as additional
paid-in capital
|
1,094
|
1,674
|
|||||
Proceeds
from exercise of stock options and employee stock
purchases
|
1,816
|
1,414
|
|||||
Net
cash provided by financing activities
|
17,910
|
2,961
|
|||||
Net
increase (decrease) in cash and cash equivalents
|
87,881
|
(4,578
|
)
|
||||
Cash
and cash equivalents at beginning of period
|
249,203
|
228,071
|
|||||
Cash
and cash equivalents at end of period
|
$
|
337,084
|
$
|
223,493
|
MOLINA
HEALTHCARE, INC.
|
|||||||
CHANGE
IN MEDICAL CLAIMS AND BENEFITS PAYABLE
|
|||||||
(Dollars
in thousands)
|
|||||||
(Unaudited)
|
|||||||
The
following table shows the components of the change
in medical claims and
benefits payable for the nine months ended September
30, 2006 and
2005:
|
|||||||
Nine
Months Ended
|
|||||||
September
30,
|
|||||||
2006
|
2005
|
||||||
Balances
at beginning of period
|
$
|
217,354
|
$
|
160,210
|
|||
Medical
claims and benefits payable from business acquired
during the
period
|
22,536
|
-
|
|||||
Components
of medical care costs related to:
|
|||||||
Current
year
|
1,254,174
|
1,071,500
|
|||||
Prior
years
|
(38,342
|
)
|
(2,284
|
)
|
|||
Total
medical care costs
|
1,215,832
|
1,069,216
|
|||||
Payments
for medical care costs related to:
|
|||||||
Current
year
|
1,017,923
|
880,713
|
|||||
Prior
years
|
180,872
|
149,399
|
|||||
Total
paid
|
1,198,795
|
1,030,112
|
|||||
Balances
at end of period
|
$
|
256,927
|
$
|
199,314
|