Delaware
|
|
1-31719
|
|
13-4204626
|
(State
of incorporation)
|
|
(Commission
File Number)
|
|
(I.R.S.
Employer Identification
Number)
|
Item 2.02. | Results of Operations and Financial Condition. | |
On
November 3, 2005, Molina
Healthcare, Inc. issued a press release announcing its financial
results
for the third quarter and nine months ended September 30, 2005. The
full text of the press release is included as Exhibit 99.1 to this
report.
The information contained in the websites cited in the press release
is
not part of this report.
|
||
The
information in this Form 8-K
and the exhibit attached hereto shall not be deemed to be “filed” for
purposes of Section 18 of the Securities Act of 1934 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 or the Securities
Act of 1934, except as expressly set forth by specific reference
in such a
filing.
|
||
Item 9.01. | Financial Statements and Exhibits. | |
(c)
|
Exhibits: | |
Exhibit
No.
|
Description | |
99.1 | Press release of Molina Healthcare, Inc. issued November 3, 2005, as to financial results for the third quarter and nine months ended September 30, 2005. |
MOLINA HEALTHCARE, INC. | ||
|
|
|
Date: November 3, 2005 | By: | /s/ Mark L. Andrews |
Mark L. Andrews |
||
Executive
Vice President, General Counsel and
Corporate Secretary
|
Exhibit
No.
|
Description | |
99.1 | Press release of Molina Healthcare, Inc. issued November 3, 2005, as to financial results for the third quarter and nine months ended September 30, 2005. |
· |
Increased
hospital costs.
The shift in utilization to higher cost hospitals that the Company
previously reported continued to have an adverse impact on the medical
care ratio during the third quarter as compared with the comparable
period
in 2004. In response to these increased costs, the Company is directing
members to lower cost hospitals while it negotiates better
rates.
|
· |
Increased
costs from catastrophic cases. The
Company continued to experience an increase in both the incidence
and the
acuity of catastrophic cases during the third quarter of 2005 as
compared
with the third quarter of 2004. However, claims data indicates a
decline
in catastrophic claims during the third quarter as compared with
the
second quarter of 2005. Despite the drop in catastrophic claims quarter
over quarter, the Company believes that there is thus far insufficient
evidence to conclude that the decline in catastrophic claims will
continue.
|
· |
Increased
maternity costs in Michigan and Washington.
For the second quarter, the Company had reported increased costs
and
increased utilization of maternity services in Michigan and in Washington
and that the cost of providing these services had grown faster than
the
revenue the Company receives for these services from the state. The
Company continued to experience adverse maternity cost trends in
the third
quarter. In Michigan during 2005, the Company has experienced an
increase
in deliveries of over 40%, after adjusting for growth in membership,
in
the western and northeastern regions of the state. The Company believes
this to be the result of a state initiative encouraging pregnant
women to
join managed care plans. The Company does not currently believe that
increased neonatology costs are contributing in any material way
to the
increased maternity costs in Michigan.
|
· |
Increased
outpatient costs. Based
upon information currently available, the Company believes that,
while
outpatient costs in the third quarter have declined as compared with
the
second quarter of 2005, these costs have not returned to their historical
levels.
|
Sept.
30,
|
June
30,
|
March
31,
|
|||||||||
2005
|
2005
|
2005
|
|||||||||
Michigan
|
145,000
|
152,000
|
157,000
|
||||||||
Washington
|
287,000
|
285,000
|
276,000
|
||||||||
California
|
333,000
|
339,000
|
254,000
|
||||||||
Utah
|
56,000
|
54,000
|
55,000
|
||||||||
New
Mexico
|
62,000
|
60,000
|
61,000
|
||||||||
Indiana
|
24,000
|
8,000
|
N/A
|
||||||||
Total
|
907,000
|
898,000
|
803,000
|
||||||||
Quarter
Ended
|
Nine
Months Ended
|
|||||||||
Sept.
30,
|
June
30,
|
|
March
31,
|
Sept.
30,
|
Sept.
30,
|
|||||
2005
|
2005
|
|
2005
|
2005
|
2004
|
|||||
Michigan
|
441,000
|
463,000
|
471,000
|
1,375,000
|
793,000
|
|||||
Washington
|
856,000
|
842,000
|
823,000
|
2,521,000
|
2,063,000
|
|||||
California
|
1,006,000
|
839,000
|
753,000
|
2,598,000
|
2,242,000
|
|||||
Utah
|
164,000
|
169,000
|
159,000
|
492,000
|
428,000
|
|||||
New
Mexico
|
183,000
|
183,000
|
187,000
|
553,000
|
196,000
|
|||||
Indiana
|
62,000
|
20,000
|
N/A
|
82,000
|
N/A
|
|||||
|
||||||||||
Total
|
2,712,000
|
2,516,000
|
2,393,000
|
7,621,000
|
5,722,000
|
|
Three
Months Ended
|
Nine
Months Ended
|
||||||||||||
|
September
30,
|
September
30,
|
||||||||||||
|
|
2005
|
2004
|
2005
|
2004
|
|||||||||
Revenue:
|
||||||||||||||
Premium
revenue
|
$
|
425,670
|
$
|
328,781
|
$
|
1,217,350
|
$
|
794,104
|
||||||
Other
operating revenue
|
273
|
946
|
2,695
|
2,932
|
||||||||||
Total
premium and other operating revenue
|
425,943
|
329,727
|
1,220,045
|
797,036
|
||||||||||
Investment
income
|
2,668
|
1,080
|
6,792
|
2,855
|
||||||||||
Total
operating revenue
|
428,611
|
330,807
|
1,226,837
|
799,891
|
||||||||||
Expenses:
|
||||||||||||||
Medical
care costs:
|
||||||||||||||
Medical
services
|
70,677
|
57,384
|
201,948
|
159,663
|
||||||||||
Hospital
and specialty services
|
255,120
|
186,336
|
740,668
|
429,089
|
||||||||||
Pharmacy
|
40,815
|
32,798
|
126,600
|
81,031
|
||||||||||
Total
medical care costs
|
366,612
|
276,518
|
1,069,216
|
669,783
|
||||||||||
Salary,
general and administrative expenses
|
47,005
|
26,642
|
117,611
|
62,942
|
||||||||||
Loss
contract charge (1)
|
—
|
—
|
939
|
—
|
||||||||||
Depreciation
and amortization
|
4,113
|
2,558
|
10,869
|
5,891
|
||||||||||
Total
expenses
|
417,730
|
305,718
|
1,198,635
|
738,616
|
||||||||||
Operating
income
|
10,881
|
25,089
|
28,202
|
61,275
|
||||||||||
Other
income (expense):
|
||||||||||||||
Interest
expense
|
(581
|
)
|
(280
|
)
|
(1,288
|
)
|
(793
|
)
|
||||||
Other,
net (2)
|
—
|
1
|
(400
|
)
|
1,144
|
|||||||||
Total
other income (expense)
|
(581
|
)
|
(279
|
)
|
(1,688
|
)
|
351
|
|||||||
Income
before income taxes
|
10,300
|
24,810
|
26,514
|
61,626
|
||||||||||
Income
tax expense
|
3,489
|
8,371
|
9,650
|
22,139
|
||||||||||
Net
income
|
$
|
6,811
|
$
|
16,439
|
$
|
16,864
|
$
|
39,487
|
||||||
Net
income per share:
|
||||||||||||||
Basic
|
$
|
0.25
|
$
|
0.60
|
$
|
0.61
|
$
|
1.47
|
||||||
Diluted
|
$
|
0.24
|
$
|
0.59
|
$
|
0.60
|
$
|
1.45
|
||||||
Weighted
average number of common shares and
|
||||||||||||||
potential
dilutive common shares outstanding
|
28,067,000
|
27,801,000
|
28,010,000
|
27,154,000
|
||||||||||
Operating
Statistics:
|
||||||||||||||
Medical
care ratio (3)
|
86.1
|
%
|
83.9
|
%
|
87.6
|
%
|
84.0
|
%
|
||||||
Salary,
general and administrative expense
|
||||||||||||||
ratio
(4)
excluding
premium taxes
|
7.4
|
%
|
5.9
|
%
|
6.7
|
%
|
6.1
|
%
|
||||||
Premium
taxes included in salary,
|
||||||||||||||
general
and administrative expenses
|
3.6
|
%
|
2.2
|
%
|
2.9
|
%
|
1.8
|
%
|
||||||
Total
salary, general and
|
||||||||||||||
administrative
expense ratio
|
11.0
|
%
|
8.1
|
%
|
9.6
|
%
|
7.9
|
%
|
||||||
Members
(5)
|
907,000
|
720,000
|
||||||||||||
Days
in claims payable
|
52
|
50
|
||||||||||||
(1)
|
Represents a charge related to a transition services agreement entered into in connection with the transfer of certain commercial members to another health plan in August 2004. | |||||||||||||
(2)
|
For the nine months ended September 30, 2005, includes a charge of $0.4 million related to the write-off of costs associated with a registration statement filed during the second quarter of 2005. For the nine months ended September 30, 2004, includes $1.162 million in income arising from the termination in the first quarter of 2004 of a split dollar life insurance arrangement between the Company and a related party. | |||||||||||||
(3)
|
Medical care ratio represents medical care costs as a percentage of premium and other operating revenue. | |||||||||||||
(4)
|
Salary, general and administrative expense ratio represents such expenses as a percentage of total operating revenue. | |||||||||||||
(5)
|
Number of members at end of period. |
Sept.
30,
|
Dec.
31,
|
||||||
2005
|
2004
|
||||||
(Unaudited)
|
|||||||
ASSETS
|
|||||||
Current
assets:
|
|||||||
Cash
and cash equivalents
|
$
|
223,493
|
$
|
228,071
|
|||
Investments
|
109,495
|
88,530
|
|||||
Receivables
|
63,545
|
65,430
|
|||||
Income
tax receivable
|
7,646
|
—
|
|||||
Deferred
income taxes
|
3,709
|
3,981
|
|||||
Prepaid
and other current assets
|
9,667
|
8,306
|
|||||
Total
current assets
|
417,555
|
394,318
|
|||||
Property
and equipment, net
|
30,173
|
25,826
|
|||||
Goodwill
and intangible assets, net
|
124,350
|
98,727
|
|||||
Restricted
investments
|
11,386
|
10,847
|
|||||
Other
assets
|
8,465
|
4,141
|
|||||
Total
assets
|
$
|
591,929
|
$
|
533,859
|
|||
LIABILITIES
AND STOCKHOLDERS’ EQUITY
|
|||||||
Current
liabilities:
|
|||||||
Medical
claims and benefits payable
|
$
|
199,314
|
$
|
160,210
|
|||
Accounts
payable and accrued liabilities
|
30,408
|
22,966
|
|||||
Net
liability for commercial membership sale
|
619
|
1,676
|
|||||
Income
taxes payable
|
—
|
7,110
|
|||||
Current
maturities of long-term debt
|
179
|
171
|
|||||
Total
current liabilities
|
230,520
|
192,133
|
|||||
Long-term
debt, less current maturities
|
1,588
|
1,723
|
|||||
Deferred
income taxes
|
4,172
|
5,315
|
|||||
Other
long-term liabilities
|
4,562
|
4,066
|
|||||
Total
liabilities
|
240,842
|
203,237
|
|||||
Stockholders’
equity:
|
|||||||
Common
stock, $0.001 par value; 80,000,000 shares authorized;
|
|||||||
issued
and outstanding: 27,764,676 shares at September 30,
2005,
|
|||||||
and
27,602,443 shares at December 31, 2004
|
28
|
28
|
|||||
Preferred
stock, $0.001 par value; 20,000,000 shares authorized,
|
|||||||
no
shares issued and outstanding
|
—
|
—
|
|||||
Additional
paid-in capital
|
161,629
|
157,666
|
|||||
Accumulated
other comprehensive income (loss)
|
(596
|
)
|
(234
|
)
|
|||
Retained
earnings
|
210,416
|
193,552
|
|||||
Treasury
stock (1,201,174 shares, at cost)
|
(20,390
|
)
|
(20,390
|
)
|
|||
Total
stockholders’ equity
|
351,087
|
330,622
|
|||||
Total
liabilities and stockholders’ equity
|
$
|
591,929
|
$
|
533,859
|
Nine
Months Ended
|
|||||||
September
30,
|
|||||||
2005
|
2004
|
||||||
Operating
activities:
|
|||||||
Net
income
|
$
|
16,864
|
$
|
39,487
|
|||
Adjustments
to reconcile net income to net cash provided by operating
activities:
|
|||||||
Depreciation
and amortization
|
10,869
|
5,891
|
|||||
Amortization
of capitalized credit facility fees
|
519
|
471
|
|||||
Deferred
income taxes
|
(645
|
)
|
356
|
||||
Tax
benefit from exercise of employee stock options
|
|||||||
recorded
as additional paid-in capital
|
1,674
|
2,854
|
|||||
Stock-based
compensation
|
875
|
52
|
|||||
Changes
in operating assets and liabilities:
|
|||||||
Receivables
|
1,885
|
(3,076
|
)
|
||||
Prepaid
and other current assets
|
(1,361
|
)
|
(1,858
|
)
|
|||
Medical
claims and benefits payable
|
39,104
|
2,224
|
|||||
Accounts
payable and accrued liabilities
|
6,385
|
2,944
|
|||||
Income
taxes payable or receivable
|
(13,499
|
)
|
(543
|
)
|
|||
Net
cash provided by operating activities
|
62,670
|
48,802
|
|||||
Investing
activities:
|
|||||||
Purchases
of equipment
|
(9,808
|
)
|
(4,703
|
)
|
|||
Purchases
of investments
|
(55,273
|
)
|
(408,219
|
)
|
|||
Sales
and maturities of investments
|
33,720
|
429,981
|
|||||
Net
cash paid in purchase transactions
|
(32,288
|
)
|
(34,869
|
)
|
|||
Increase
in restricted cash
|
(539
|
)
|
(30
|
)
|
|||
Other
long-term liabilities
|
496
|
147
|
|||||
Other
assets
|
(4,843
|
)
|
3,140
|
||||
Net
cash used in investing activities
|
(68,535
|
)
|
(14,553
|
)
|
|||
Financing
activities:
|
|||||||
Issuance
of common stock
|
—
|
47,282
|
|||||
Borrowing
under credit facility
|
3,100
|
—
|
|||||
Principal
payments on capital lease obligations and mortgage note
|
(127
|
)
|
—
|
||||
Proceeds
from exercise of stock options and employee stock purchases
|
1,414
|
1,825
|
|||||
Repayment
of bank debt
|
(3,100
|
)
|
(5,819
|
)
|
|||
Net
cash provided by financing activities
|
1,287
|
43,288
|
|||||
Net
(decrease) increase in cash and cash equivalents
|
(4,578
|
)
|
77,537
|
||||
Cash
and cash equivalents at beginning of period
|
228,071
|
141,850
|
|||||
Cash
and cash equivalents at end of period
|
$
|
223,493
|
$
|
219,387
|
Nine
Months Ended
|
|||||||
September
30,
|
|||||||
2005
|
2004
|
||||||
Balances
at beginning of period
|
$
|
160,210
|
$
|
105,540
|
|||
Components
of medical care costs related to:
|
|||||||
Current
year
|
1,071,500
|
676,118
|
|||||
Prior
years
|
(2,284
|
)
|
(6,335
|
)
|
|||
Total
medical care costs
|
1,069,216
|
669,783
|
|||||
Payments
for medical care costs related to:
|
|||||||
Current
year
|
880,713
|
548,788
|
|||||
Prior
years
|
149,399
|
89,219
|
|||||
Total
paid
|
1,030,112
|
638,007
|
|||||
Balances
at end of period
|
$
|
199,314
|
$
|
137,316
|