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): May 5, 2010
MOLINA HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
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Delaware
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1-31719
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13-4204626
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||
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(State of incorporation)
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(Commission File Number)
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(I.R.S. Employer Identification Number)
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200 Oceangate, Suite 100, Long Beach, California 90802
(Address of principal executive offices)
Registrant’s telephone number, including area code: (562) 435-3666
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:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 2.02. Results of Operations and Financial Condition.
On May 5, 2010, Molina Healthcare, Inc. issued a press release announcing its financial results for the first quarter ended March 31, 2010. 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 Exchange 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 Exchange Act of 1934, except as expressly set forth by specific reference in such a filing.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits:
Exhibit
No. Description
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99.1
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Press release of Molina Healthcare, Inc. issued May 5, 2010, as to financial results for the first quarter ended March 31, 2010.
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SIGNATURE
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.
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MOLINA HEALTHCARE, INC.
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||||
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Date: May 5, 2010
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By: /s/ Mark L. Andrews
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|||
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Mark L. Andrews
Chief Legal Officer, General Counsel,
and Corporate Secretary
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||||
EXHIBIT INDEX
Exhibit
No. Description
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99.1
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Press release of Molina Healthcare, Inc. issued May 5, 2010, as to financial results for the first quarter ended March 31, 2010.
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 |
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News Release
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Contact:
Juan José Orellana
Investor Relations
562-435-3666, ext. 111143
MOLINA HEALTHCARE REPORTS
FIRST QUARTER 2010 RESULTS
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·
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Earnings per diluted share for first quarter 2010 of $0.41, down 11% from 2009
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|
·
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Sequential net income improvement of $15 million
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|
·
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Quarterly premium revenues of $965 million, up 13% over 2009
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·
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Aggregate membership up nearly 14% over first quarter 2009
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Long Beach, California (May 5, 2010) – Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the first quarter ended March 31, 2010.
Net income for the quarter was $10.6 million, or $0.41 per diluted share, compared with net income of $12.2 million, or $0.46 per diluted share, for the quarter ended March 31, 2009.
“With our continued growth in enrollment, lower flu costs, and the introduction of Molina Medicaid Solutions, the year is off to a solid start,” said J. Mario Molina, M.D., chief executive officer of Molina Healthcare, Inc. “We look forward to continuing our momentum throughout the rest of 2010 by offering our state partners and members a unique combination of high quality health care and information management services.”
2010 Guidance Update
On May 1st, 2010, the Company closed on its acquisition of the Health Information Management (HIM) business of Unisys Corporation (NYSE:UIS). HIM will operate as a health information management subsidiary of Molina Healthcare under the name, Molina Medicaid Solutions.
The Company has revised its 2010 guidance to include the estimated operating results of Molina Medicaid Solutions. The Company currently expects diluted earnings per share of $1.51 for the year, including the results of Molina Medicaid Solutions. See page 5 for more details.
Overview of Financial Results
First Quarter 2010 Compared with Fourth Quarter 2009
Net income for the first quarter of 2010 increased $15.1 million from the fourth quarter of 2009. Premium revenue was flat between the fourth quarter of 2009 and the first quarter of 2010 because a 1.9% increase in enrollment offset a 2.1% decline in per-member per-month, or PMPM, revenue. The decrease in PMPM revenue was primarily the result of the transfer of responsibility for pharmacy costs from the Company’s Ohio health plan back to the state of Ohio effective February 1, 2010. Medical care costs decreased nearly $20 million in the first quarter of 2010 compared with the fourth quarter of 2009, primarily due to a less severe flu season to date in 2010, and the transfer of pharmacy costs back to the state of Ohio. The Company’s medical care ratio was 85.3% in the first quarter
of 2010, compared with 87.5% in the fourth quarter of 2009.
-MORE-
MOH Reports First Quarter 2010 Results
Page 2
May 5, 2010
First Quarter 2010 Compared with First Quarter 2009
Operating results for the first quarter of 2010 were most significantly impacted by the following:
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·
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Increased premium revenue due to higher enrollment, partially offset by lower revenue PMPM.
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·
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Lower PMPM medical costs due to a lower incidence of influenza-related illnesses in 2010, improved hospital utilization, the transfer of pharmacy costs back to the states of Ohio and Missouri, and various contracting and medical management initiatives implemented by the Company.
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·
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Higher administrative costs incurred for premium taxes, insurance assessments, and the support of Medicare and other programs not linked to the Medicaid risk business.
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|
·
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In the first quarter of 2009, the Company recognized a $1.5 million gain on the purchase of its convertible senior notes, with no comparable event in the first quarter of 2010.
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Net income for the first quarter of 2010 was $10.6 million compared with net income of $12.2 million in the first quarter of 2009.
Premium revenue grew 12.6% in the first quarter of 2010 compared with the first quarter of 2009, due to a membership increase of nearly 14% as of March 31, 2010, compared with membership as of March 31, 2009. On a PMPM basis, however, consolidated premium revenue decreased 0.8% because of declines in premium rates at several of the Company’s health plans. The most significant declines in premium rates were in Ohio and Missouri, due to the transfer of pharmacy risk back to the states, and in Washington.
Investment income decreased to $1.5 million in the first quarter of 2010 compared with $3.5 million in the first quarter of 2009. This decline was due primarily to lower interest rates. The Company’s annualized portfolio yield for the quarter decreased to 0.8% compared with 1.9% for the first quarter of 2009.
Medical care costs, in the aggregate, decreased 1.7% on a PMPM basis in the first quarter of 2010 compared with the first quarter of 2009, primarily due to a less severe flu season in the first quarter of 2010, compared with the first quarter of 2009, the transfer of pharmacy risk back to the states of Ohio and Missouri, reductions in Medicaid fee schedules subsequent to the first quarter of 2009, and various contracting and medical management initiatives implemented by the Company. Excluding pharmacy costs, medical care costs increased 1.7% on a PMPM basis in the first quarter of 2010 compared with the first quarter of 2009. Medical care costs as a percentage of premium revenue (the medical care ratio) were 85.3% for the first quarter of 2010 compared with 8
6.1% for the first quarter of 2009.
Physician and outpatient costs increased 3.4% on a PMPM basis compared with the first quarter of 2009. Emergency room utilization increased approximately 6% over the first quarter of 2009, while emergency room cost per visit dropped approximately 2%. Despite the decrease in emergency room cost per visit, the Company continues to observe hospitals billing for more intensive levels of care in the first quarter of 2010 compared with the first quarter of 2009.
Inpatient facility costs were down 1.5% compared with the first quarter of 2009. Both utilization and unit costs were relatively stable compared with the first quarter of 2009.
Pharmacy costs (including the benefit of rebates) decreased nearly 23% on a PMPM basis including the Missouri and Ohio health plans. The pharmacy benefit was transferred to the state of Missouri effective October 1, 2009, and was transferred to the state of Ohio effective February 1, 2010. Excluding these health plans, pharmacy costs increased 1.5% on a PMPM basis compared with the first quarter of 2009 as a result of slight increases in utilization and unit costs.
-MORE-
MOH Reports First Quarter 2010 Results
Page 3
May 5, 2010
Capitated costs increased 2.1% on a PMPM basis compared with the first quarter of 2009 as a result of rate increases received for members capitated on a percentage of premium basis at the New Mexico health plan, subsequent to the first quarter of 2009, and the transition of members into capitated arrangements at the California health plan throughout 2009.
Days in medical claims and benefits payable – Beginning January 1, 2010, and for all prior periods presented, the Company is reporting days in medical claims and benefits payable relating to fee-for-service medical claims only. This new computation includes only fee-for-service medical care costs and medical claims that are incurred but not paid (IBNP), and therefore calculates the extent of reserves for those liabilities that are most subject to estimation risk.
The days in medical claims and benefits payable amount previously reported included all medical care costs (fee-for-service, capitation, pharmacy, and administrative), and all medical claims liabilities, including those liabilities that are typically paid concurrently, or shortly after the costs are incurred, such as capitation cost and pharmacy costs. Medical claims liabilities in this calculation does not include accrued costs – such as salaries – associated with the administrative portion of medical costs.
By including only fee-for-service medical costs and liabilities in this computation, the Company’s days in claims payable metric will be more indicative of the adequacy of the Company’s reserves for liabilities subject to a substantial degree of estimation. The days in medical claims and benefits payable computed under each method were as follows:
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March 31,
2010
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Dec. 31,
2009
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March 31,
2009
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|||||
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Days in claims payable – fee-for-service only
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44 days
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44 days
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51 days
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||||
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Days in claims payable – all medical costs
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37 days
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37 days
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42 days
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Core G&A expenses (defined as G&A expenses less premium taxes) were 8.2% of revenue in the first quarter of 2010 compared with 7.6% in the first quarter of 2009 and 8.0% in the fourth quarter of 2009. The year-over-year increase in the core G&A ratio was primarily due to costs associated with insurance assessments and the support of Medicare and other programs not linked to the Medicaid risk business. On a PMPM basis, core G&A increased to $17.82 in the first quarter of 2010 compared with $16.76 in the first quarter of 2009, and was consistent with $17.83 in the fourth quarter of 2009. Net of the incremental cost of insurance assessments and the cost of supporting new programs, core G&A PMPM would have been unchanged for the fir
st quarter of 2010, compared with the first quarter of 2009.
Premium tax expense increased to 3.5% of revenue in the first quarter of 2010 from 3.1% in the first quarter of 2009, primarily due to the imposition of a higher premium tax rate in Ohio effective October 1, 2009.
Income tax expense was recorded at an effective rate of 38.0% in the first quarter of 2010 compared with 38.2% in the first quarter of 2009. Effective January 1, 2008 through December 31, 2009, the Company’s income tax expense included both the Michigan business income tax, or BIT, and the Michigan modified gross receipts tax, or MGRT. Effective January 1, 2010, the Company has recorded the MGRT as a premium tax and not as an income tax. The Company will continue to record the BIT as an income tax. For the three months ended March 31, 2009, premium tax expense (included in general and administrative expenses) and income tax expense have been reclassified to conform to this presentation. The MGRT amounted to $1.5 million
for the first quarter of 2010 and $1.0 million for the first quarter of 2009. There was no impact to net income for either period presented relating to this change.
-MORE-
MOH Reports First Quarter 2010 Results
Page 4
May 5, 2010
Generally, the MGRT is a 0.976% tax (statutory rate of 0.8% plus 21.99% surtax) on modified gross receipts, which for most taxpayers are defined as receipts less purchases from other firms. Managed care organizations, however, are not currently allowed to deduct payments to providers in determining modified gross receipts. As a result, the MGRT is 0.976% of the Michigan plan’s receipts and does not vary with levels of pretax income or margins. The Company believes that presentation of the MGRT as a premium tax produces financial statements that are more useful to the reader.
Cash Flow
Cash flow from operations was $(26.5) million, primarily as a result of a $90.7 million decrease in deferred revenue from December 31, 2009. In 2009, the state of Ohio typically paid premiums in advance of the month the premium was earned. Beginning in January 2010, the state of Ohio has delayed its premium payments to mid-month for the month premium is earned. Therefore, only two monthly premium payments were received by the Ohio plan during the first quarter of 2010. The Company does not anticipate any advance payments for the Ohio plan’s premiums during 2010.
At March 31, 2010, the Company had cash and investments (not including restricted investments) of $669.8 million, including non-current auction rate securities with a fair value of $55.6 million. At March 31, 2010, the parent company had unrestricted cash and investments of $79.7 million, including auction rate securities with a fair value of $14.9 million.
EBITDA (1)
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(in thousands)
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Three Months Ended
March 31,
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|||||||
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2010
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2009
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|||||||
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Operating income
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$ | 20,438 | $ | 23,161 | ||||
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Add back:
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||||||||
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Depreciation and amortization expense
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10,061 | 9,052 | ||||||
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EBITDA
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$ | 30,499 | $ | 32,213 | ||||
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(1)
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The Company calculates EBITDA by adding back depreciation and amortization expense to operating income. EBITDA is not prepared in conformity with GAAP since it excludes the provisions for income taxes, interest expense, and depreciation and amortization expense. This non-GAAP financial measure should not be considered as an alternative to net income, operating income, operating margin, or cash provided by operating activities. Management uses EBITDA as a metric in evaluating the Company’s financial performance, in evaluating financing and business development decisions, and in forecasting and analyzing future periods. For these reasons, management believes that EBITDA is a useful supplemental measure to investors in evaluating the Company’s performance and the performance of other companies in ou
r industry.
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MOH Reports First Quarter 2010 Results
Page 5
May 5, 2010
Fiscal Year 2010 Guidance
For the year ended December 31, 2010, the Company currently expects the financial results shown below (all amounts are approximate):
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Molina
Health
Plans (1)
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Molina
Medicaid
Solutions (2)
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Transaction, Financing
and
Amortization
Costs (3)
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Molina
Healthcare,
Inc.
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|||||||||||||
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(Amounts in thousands, except per-share data)
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||||||||||||||||
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Revenue:
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||||||||||||||||
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Premium revenue
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$ | 3,917,000 | $ | – | $ | – | $ | 3,917,000 | ||||||||
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Service revenue
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– | 103,200 | – | 103,200 | ||||||||||||
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Investment income
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6,000 | – | – | 6,000 | ||||||||||||
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Total operating revenue
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3,923,000 | 103,200 | – | 4,026,200 | ||||||||||||
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Expenses:
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||||||||||||||||
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Medical care costs
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3,340,000 | – | – | 3,340,000 | ||||||||||||
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Cost of service revenue
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– | 85,500 | – | 85,500 | ||||||||||||
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Core general and administrative expenses
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316,000 | 11,900 | 3,100 | 331,000 | ||||||||||||
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Premium tax expense
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138,600 | – | – | 138,600 | ||||||||||||
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Depreciation and amortization
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42,000 | – | 6,800 | 48,800 | ||||||||||||
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Total expenses
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3,836,600 | 97,400 | 9,900 | 3,943,900 | ||||||||||||
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Operating income (loss)
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86,400 | 5,800 | (9,900 | ) | 82,300 | |||||||||||
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Financing costs
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– | – | (1,700 | ) | (1,700 | ) | ||||||||||
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Interest expense
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(13,500 | ) | – | (3,000 | ) | (16,500 | ) | |||||||||
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Income (loss) before income taxes
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72,900 | 5,800 | (14,600 | ) | 64,100 | |||||||||||
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Income tax expense (benefit)
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27,700 | 2,200 | (5,500 | ) | 24,400 | |||||||||||
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Net income (loss)
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$ | 45,200 | $ | 3,600 | $ | (9,100 | ) | $ | 39,700 | |||||||
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Diluted earnings (loss) per share
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$ | 1.72 | $ | 0.14 | $ | (0.35 | ) | $ | 1.51 | |||||||
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Weighted average number of common shares and potentially dilutive common shares outstanding
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26,300 | |||||||||||||||
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Effective tax rate
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38.1 | % | ||||||||||||||
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Operating Statistics:
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||||||||||||||||
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Medical care ratio
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85.3 | % | ||||||||||||||
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General and administrative expense ratio excluding premium taxes (core G&A ratio)
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8.1 | % | ||||||||||||||
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Premium taxes included in G&A expense
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3.5 | |||||||||||||||
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Total general and administrative expense ratio
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11.6 | % | ||||||||||||||
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Member months
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18,214 | |||||||||||||||
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Ending membership
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1,576 | |||||||||||||||
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(1)
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Represents expected results of operations of the Company’s historical business in its entirety for the period January 1, 2010 through December 31, 2010. Includes all health plans and administrative functions, as well as interest costs on the Company’s convertible senior notes.
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(2)
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Represents expected results of operations of Molina Medicaid Solutions from May 1, 2010 through December 31, 2010, except amortization of identifiable intangible assets acquired in the acquisition of the Health Information Management (HIM) business of Unisys Corporation effective May 1, 2010. Assumes that operations commence under Idaho and Maine contracts effective June 1, 2010 and August 1, 2010, respectively. Assumes that revenue of approximately $10 million received by Maine operations during 2010 will be recognized in 2010.
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(3)
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Represents expected transaction and financing costs of the acquisition of HIM that will be recognized from May 1, 2010 through December 31, 2010. Also includes expected amortization expense associated with the amortization of identifiable intangible assets acquired in the acquisition of HIM based upon a preliminary valuation.
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-MORE-
MOH Reports First Quarter 2010 Results
Page 6
May 5, 2010
Conference Call
The Company’s management will host a conference call and webcast to discuss its first quarter results and the HIM acquisition at 5:00 p.m. Eastern Time on Wednesday, May 5, 2010. The number to call for the interactive teleconference is (212) 231-2938. A live webcast of the call can be accessed on the Company’s website at www.molinahealthcare.com, or at www.earnings.com. An online replay will be available beginning about one hour following the conclusion of the call and webcast. A telephonic replay of the call will be available from 7:00 p.m. Eastern time on Wednesday, May 5, 2010, through 6:00 p.m. on Thursday, May 6, 2010, by dialing (800) 633-8284
and entering confirmation number 21462927.
About Molina Healthcare
Molina Healthcare, Inc. and its health plan subsidiaries provide managed care services to persons eligible for Medicaid, Medicare, and other government-sponsored programs for low-income families and individuals. Molina Healthcare’s licensed health plan subsidiaries in California, Florida, Michigan, Missouri, New Mexico, Ohio, Texas, Utah, and Washington currently serve approximately 1.5 million members. With the addition of Molina Medicaid Solutions, Molina Healthcare will also offer health information management and business process outsourcing solutions for state Medicaid programs. More information about Molina Healthcare is available at www.molinahealthcare.com.
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This earnings release contains “forward-looking statements” regarding the Company’s expected results for fiscal year 2010 and other plans, expectations, and anticipated future events. All of our forward-looking statements are based on our current expectations and assumptions. Actual results could differ materially due to numerous known and unknown risks and uncertainties, including, without limitation, risk factors related to the following:
| ▪ |
budgetary pressures on the federal and state governments and their resulting inability to fully fund Medicaid, Medicare, or CHIP, or to maintain current payment rates, benefit packages, or membership eligibility thresholds and criteria;
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| ▪ |
uncertainties regarding the impact of the recently enacted Patient Protection and Affordable Care Act, including the funding provisions related to health plans, and uncertainties regarding the likely impact of other federal or state health care and insurance reform measures;
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| ▪ |
management of our medical costs, including rates of utilization that are consistent with our expectations;
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| ▪ |
management of our medical costs, including rates of utilization that are consistent with our expectations;
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| ▪ |
the continuation and renewal of the government contracts of our health plans;
|
| ▪ |
the integration of the HIM business of Molina Medicaid Solutions, including its employees, systems, and operations;
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| ▪ |
the retention and renewal of the Molina Medicaid Solutions’ state government contracts on terms consistent with our expectations;
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| ▪ |
the accuracy of our operating cost and capital outlay projections for Molina Medicaid Solutions;
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▪
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the timing of receipt and recognition of revenue under our various state contracts held by Molina Medicaid Solutions, including any changes to the anticipated start dates of operation at our Maine and Idaho locations;
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| ▪ |
cost recovery efforts by the state of Michigan from Michigan health plans with respect to allegedly incorrect statewide rates and enrollment errors;
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the establishment of a federal or state medical cost expenditure floor as a percentage of the premiums we receive;
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the required establishment of a premium deficiency reserve in any of the states in which we operate;
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| ▪ |
up-coding by providers or billing in a manner at material variance with historic patterns;
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| ▪ |
approval by state regulators of dividends and distributions by our subsidiaries;
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| ▪ |
changes in funding under our contracts as a result of regulatory changes, programmatic adjustments, or other reforms;
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| ▪ |
high dollar claims related to catastrophic illness;
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| ▪ |
the favorable resolution of litigation or arbitration matters;
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and numerous other risk factors, including those discussed in our periodic reports and filings with the Securities and Exchange Commission. These reports can be accessed under the investor relations tab of our Company website or on the SEC’s website at www.sec.gov. Given these risks and uncertainties, we can give no assurances that our forward-looking statements will prove to be accurate, or that any other results or events projected or contemplated by our forward-looking statements will in fact occur, and we caution investors not to place undue reliance on these statements. All forward‐looking statements in this release represent our judgment as of May 5, 2010, and we disclaim any obligation to update any forward-looking statements to conform the statement to actual resu
lts or changes in our expectations.
-MORE-
MOH Reports First Quarter 2010 Results
Page 7
May 5, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands, except per-share data)
|
Three Months Ended
March 31,
|
||||||||
|
2010
|
2009 (1)
|
|||||||
|
Revenue:
|
||||||||
|
Premium revenue
|
$ | 965,220 | $ | 857,484 | ||||
|
Investment income
|
1,521 | 3,547 | ||||||
|
Total operating revenue
|
966,741 | 861,031 | ||||||
|
Expenses:
|
||||||||
|
Medical care costs
|
822,816 | 737,888 | ||||||
|
General and administrative expenses (1)
|
113,426 | 92,462 | ||||||
|
Depreciation and amortization
|
10,061 | 9,052 | ||||||
|
Total expenses
|
946,303 | 839,402 | ||||||
|
Gain on purchase of convertible senior notes
|
– | 1,532 | ||||||
|
Operating income
|
20,438 | 23,161 | ||||||
|
Interest expense
|
(3,357 | ) | (3,415 | ) | ||||
|
Income before income taxes
|
17,081 | 19,746 | ||||||
|
Income tax expense (1)
|
6,491 | 7,535 | ||||||
|
Net income
|
$ | 10,590 | $ | 12,211 | ||||
|
Net income per share:
|
||||||||
|
Basic
|
$ | 0.41 | $ | 0.46 | ||||
|
Diluted
|
$ | 0.41 | $ | 0.46 | ||||
|
Weighted average number of common shares and potentially dilutive common shares outstanding
|
25,837 | 26,561 | ||||||
|
Operating Statistics:
|
||||||||
|
Ratio of medical care costs paid directly to providers to premium revenue
|
83.2 | % | 84.0 | % | ||||
|
Ratio of medical care costs not paid directly to providers to premium revenue
|
2.1 | 2.1 | ||||||
|
Medical care ratio (2)
|
85.3 | % | 86.1 | % | ||||
|
General and administrative expense ratio excluding premium taxes
(core G&A ratio) (3)
|
8.2 | % | 7.6 | % | ||||
|
Premium taxes included in G&A expense (3)
|
3.5 | 3.1 | ||||||
|
Total general and administrative expense ratio (3)
|
11.7 | % | 10.7 | % | ||||
|
Depreciation and amortization expense ratio (3)
|
1.0 | % | 1.1 | % | ||||
|
Effective tax rate (1)
|
38.0 | % | 38.2 | % | ||||
|
(1)
|
Effective January 1, 2010, the Company has recorded the MGRT as a premium tax and not as an income tax. For the three months ended March 31, 2009, premium tax expense (included in general and administrative expenses) and income tax expense have been reclassified to conform to this presentation.
|
|
(2)
|
Medical care ratio represents medical care costs as a percentage of premium revenue.
|
|
(3)
|
Computed as a percentage of total operating revenue.
|
-MORE-
MOH Reports First Quarter 2010 Results
Page 8
May 5, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except per-share data)
|
March 31,
2010
|
Dec. 31,
2009
|
|||||||
|
ASSETS
|
||||||||
|
Current assets:
|
||||||||
|
Cash and cash equivalents
|
$ | 438,281 | $ | 469,501 | ||||
|
Investments
|
175,911 | 174,844 | ||||||
|
Receivables
|
128,600 | 136,654 | ||||||
|
Income and related taxes refundable
|
3,132 | 6,067 | ||||||
|
Deferred income taxes
|
4,279 | 8,757 | ||||||
|
Prepaid expenses and other current assets
|
15,051 | 15,583 | ||||||
|
Total current assets
|
765,254 | 811,406 | ||||||
|
Property and equipment, net
|
77,879 | 78,171 | ||||||
|
Goodwill and intangible assets, net
|
210,605 | 214,254 | ||||||
|
Investments
|
55,580 | 59,687 | ||||||
|
Restricted investments
|
36,930 | 36,274 | ||||||
|
Receivable for ceded life and annuity contracts
|
25,378 | 25,455 | ||||||
|
Other assets
|
19,322 | 19,988 | ||||||
| $ | 1,190,948 | $ | 1,245,235 | |||||
|
LIABILITIES AND STOCKHOLDERS’ EQUITY
|
||||||||
|
Current liabilities:
|
||||||||
|
Medical claims and benefits payable
|
$ | 326,973 | $ | 316,516 | ||||
|
Accounts payable and accrued liabilities
|
86,033 | 71,732 | ||||||
|
Deferred revenue
|
11,321 | 101,985 | ||||||
|
Total current liabilities
|
424,327 | 490,233 | ||||||
|
Long-term debt
|
160,143 | 158,900 | ||||||
|
Deferred income taxes
|
11,201 | 12,506 | ||||||
|
Liability for ceded life and annuity contracts
|
25,378 | 25,455 | ||||||
|
Other long-term liabilities
|
16,073 | 15,403 | ||||||
|
Total liabilities
|
637,122 | 702,497 | ||||||
|
Stockholders’ equity:
|
||||||||
|
Common stock, $0.001 par value; 80,000 shares authorized, outstanding 25,728 shares at March 31, 2010, and 25,607 shares at December 31, 2009
|
26 | 26 | ||||||
|
Preferred stock, $0.001 par value; 20,000 shares authorized,
no shares outstanding
|
− | − | ||||||
|
Additional paid-in capital
|
130,272 | 129,902 | ||||||
|
Accumulated other comprehensive loss
|
(1,684 | ) | (1,812 | ) | ||||
|
Retained earnings
|
425,212 | 414,622 | ||||||
|
Total stockholders’ equity
|
553,826 | 542,738 | ||||||
| $ | 1,190,948 | $ | 1,245,235 | |||||
-MORE-
MOH Reports First Quarter 2010 Results
Page 9
May 5, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
|
Three Months Ended
March 31,
|
||||||||
|
2010
|
2009
|
|||||||
|
Operating activities:
|
||||||||
|
Net income
|
$ | 10,590 | $ | 12,211 | ||||
|
Adjustments to reconcile net income to net cash provided by (used in)
operating activities:
|
||||||||
|
Depreciation and amortization
|
10,061 | 9,052 | ||||||
|
Unrealized gain on trading securities
|
(540 | ) | (3,639 | ) | ||||
|
Loss on rights agreement
|
493 | 3,323 | ||||||
|
Deferred income taxes
|
3,094 | 4,988 | ||||||
|
Stock-based compensation
|
2,136 | 1,434 | ||||||
|
Non-cash interest on convertible senior notes
|
1,243 | 1,194 | ||||||
|
Gain on purchase of convertible senior notes
|
− | (1,532 | ) | |||||
|
Amortization of deferred financing costs
|
344 | 352 | ||||||
|
Tax deficiency from employee stock compensation recorded as additional
paid-in capital
|
(353 | ) | (533 | ) | ||||
|
Changes in operating assets and liabilities:
|
||||||||
|
Receivables
|
8,054 | (29,613 | ) | |||||
|
Prepaid expenses and other current assets
|
532 | (2,912 | ) | |||||
|
Medical claims and benefits payable
|
10,457 | 19,185 | ||||||
|
Accounts payable and accrued liabilities
|
15,134 | (2,922 | ) | |||||
|
Deferred revenue
|
(90,664 | ) | 52,968 | |||||
|
Income taxes
|
2,935 | 3,359 | ||||||
|
Net cash (used in) provided by operating activities
|
(26,484 | ) | 66,915 | |||||
|
Investing activities:
|
||||||||
|
Purchases of property and equipment
|
(5,976 | ) | (10,367 | ) | ||||
|
Purchases of investments
|
(49,439 | ) | (48,127 | ) | ||||
|
Sales and maturities of investments
|
53,226 | 35,627 | ||||||
|
Cash paid in business purchase transactions
|
(2,430 | ) | − | |||||
|
(Increase) decrease in restricted investments
|
(656 | ) | 445 | |||||
|
Increase in other assets
|
(244 | ) | (1,708 | ) | ||||
|
Increase (decrease) in other long-term liabilities
|
670 | (131 | ) | |||||
|
Net cash used in investing activities
|
(4,849 | ) | (24,261 | ) | ||||
|
Financing activities:
|
||||||||
|
Treasury stock purchases
|
− | (14,976 | ) | |||||
|
Purchase of convertible senior notes
|
− | (9,653 | ) | |||||
|
Excess tax benefits from employee stock compensation
|
113 | − | ||||||
|
Net cash provided by (used in) financing activities
|
113 | (24,629 | ) | |||||
|
Net (decrease) increase in cash and cash equivalents
|
(31,220 | ) | 18,025 | |||||
|
Cash and cash equivalents at beginning of period
|
469,501 | 387,162 | ||||||
|
Cash and cash equivalents at end of period
|
$ | 438,281 | $ | 405,187 | ||||
-MORE-
MOH Reports First Quarter 2010 Results
Page 10
May 5, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED MEMBERSHIP DATA
|
Total Ending Membership By Health Plan:
|
March 31,
2010
|
Dec. 31,
2009
|
March 31,
2009
|
|||||||||
|
California
|
353,000 | 351,000 | 327,000 | |||||||||
|
Florida
|
52,000 | 50,000 | 17,000 | |||||||||
|
Michigan
|
226,000 | 223,000 | 207,000 | |||||||||
|
Missouri
|
78,000 | 78,000 | 77,000 | |||||||||
|
New Mexico
|
92,000 | 94,000 | 83,000 | |||||||||
|
Ohio
|
228,000 | 216,000 | 190,000 | |||||||||
|
Texas
|
40,000 | 40,000 | 33,000 | |||||||||
|
Utah
|
75,000 | 69,000 | 60,000 | |||||||||
|
Washington
|
338,000 | 334,000 | 309,000 | |||||||||
|
Total
|
1,482,000 | 1,455,000 | 1,303,000 | |||||||||
|
Total Ending Membership By State
for the Medicare Advantage Plans:
|
||||||||||||
|
California
|
2,700 | 2,100 | 1,500 | |||||||||
|
Florida
|
300 | – | – | |||||||||
|
Michigan
|
4,200 | 3,300 | 2,000 | |||||||||
|
New Mexico
|
600 | 400 | 400 | |||||||||
|
Texas
|
500 | 500 | 400 | |||||||||
|
Utah
|
7,100 | 4,000 | 2,800 | |||||||||
|
Washington
|
1,600 | 1,300 | 1,000 | |||||||||
|
Total
|
17,000 | 11,600 | 8,100 | |||||||||
|
Total Ending Membership By State
for the Aged, Blind or Disabled Population:
|
||||||||||||
|
California
|
13,400 | 13,900 | 12,600 | |||||||||
|
Florida
|
8,900 | 8,800 | 4,200 | |||||||||
|
Michigan
|
32,700 | 32,200 | 30,100 | |||||||||
|
New Mexico
|
5,800 | 5,700 | 6,200 | |||||||||
|
Ohio
|
26,700 | 22,600 | 19,700 | |||||||||
|
Texas
|
18,100 | 17,600 | 16,700 | |||||||||
|
Utah
|
7,900 | 7,500 | 7,500 | |||||||||
|
Washington
|
3,500 | 3,200 | 3,000 | |||||||||
|
Total
|
117,000 | 111,500 | 100,000 | |||||||||
|
Total Member Months (1) by Health Plan:
|
||||||||||||
|
California
|
1,062,000 | 1,059,000 | 980,000 | |||||||||
|
Florida
|
154,000 | 141,000 | 61,000 | |||||||||
|
Michigan
|
675,000 | 651,000 | 620,000 | |||||||||
|
Missouri
|
234,000 | 232,000 | 231,000 | |||||||||
|
New Mexico
|
280,000 | 279,000 | 248,000 | |||||||||
|
Ohio
|
673,000 | 637,000 | 560,000 | |||||||||
|
Texas
|
121,000 | 119,000 | 98,000 | |||||||||
|
Utah
|
221,000 | 206,000 | 184,000 | |||||||||
|
Washington
|
1,007,000 | 997,000 | 919,000 | |||||||||
|
Total
|
4,427,000 | 4,321,000 | 3,901,000 | |||||||||
|
(1)
|
A total member month is defined as the aggregate of each month’s ending membership for the period presented.
|
-MORE-
MOH Reports First Quarter 2010 Results
Page 11
May 5, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN
(Dollars in thousands except per member per month amounts)
|
Three Months Ended March 31, 2010
|
||||||||||||||||||||||||
|
Premium Revenue
|
Medical Care Costs
|
Medical
Care Ratio
|
Premium Tax
Expense (2)
|
|||||||||||||||||||||
|
Total
|
PMPM
|
Total
|
PMPM
|
|||||||||||||||||||||
|
California
|
$ | 123,910 | $ | 116.67 | $ | 107,561 | $ | 101.28 | 86.8 | % | $ | 1,628 | ||||||||||||
|
Florida
|
39,088 | 253.45 | 34,687 | 224.91 | 88.7 | 6 | ||||||||||||||||||
|
Michigan (1)
|
155,345 | 230.13 | 125,449 | 185.85 | 80.8 | 9,939 | ||||||||||||||||||
|
Missouri
|
52,143 | 223.01 | 43,516 | 186.11 | 83.5 | – | ||||||||||||||||||
|
New Mexico
|
95,598 | 341.02 | 74,015 | 264.03 | 77.4 | 2,004 | ||||||||||||||||||
|
Ohio
|
218,363 | 324.35 | 172,625 | 256.41 | 79.1 | 17,005 | ||||||||||||||||||
|
Texas
|
39,200 | 324.08 | 32,331 | 267.29 | 82.5 | 681 | ||||||||||||||||||
|
Utah
|
58,540 | 265.51 | 61,460 | 278.76 | 105.0 | – | ||||||||||||||||||
|
Washington
|
181,054 | 179.84 | 163,510 | 162.42 | 90.3 | 3,262 | ||||||||||||||||||
|
Other (2)
|
1,979 | – | 7,662 | – | – | 21 | ||||||||||||||||||
|
Consolidated
|
$ | 965,220 | $ | 218.04 | $ | 822,816 | $ | 185.87 | 85.3 | % | $ | 34,546 | ||||||||||||
|
Three Months Ended March 31, 2009
|
||||||||||||||||||||||||
|
Premium Revenue
|
Medical Care Costs
|
Medical
Care Ratio
|
Premium Tax
Expense (2)
|
|||||||||||||||||||||
|
Total
|
PMPM
|
Total
|
PMPM
|
|||||||||||||||||||||
|
California
|
$ | 110,035 | $ | 112.29 | $ | 103,973 | $ | 106.10 | 94.5 | % | $ | 3,316 | ||||||||||||
|
Florida
|
19,691 | 323.89 | 17,768 | 292.25 | 90.2 | – | ||||||||||||||||||
|
Michigan (1)
|
132,765 | 213.98 | 109,995 | 177.28 | 82.9 | 7,838 | ||||||||||||||||||
|
Missouri
|
58,707 | 254.00 | 46,974 | 203.24 | 80.0 | – | ||||||||||||||||||
|
New Mexico
|
81,818 | 329.68 | 72,021 | 290.20 | 88.0 | 2,093 | ||||||||||||||||||
|
Ohio
|
187,222 | 334.13 | 157,780 | 281.58 | 84.3 | 10,192 | ||||||||||||||||||
|
Texas
|
33,011 | 338.14 | 27,406 | 280.73 | 83.0 | 684 | ||||||||||||||||||
|
Utah
|
50,618 | 275.11 | 44,263 | 240.57 | 87.5 | – | ||||||||||||||||||
|
Washington
|
180,704 | 196.66 | 149,545 | 162.75 | 82.8 | 2,947 | ||||||||||||||||||
|
Other (2)
|
2,913 | – | 8,163 | – | – | (15 | ) | |||||||||||||||||
|
Consolidated
|
$ | 857,484 | $ | 219.73 | $ | 737,888 | $ | 189.09 | 86.1 | % | $ | 27,055 | ||||||||||||
|
(1)
|
Effective January 1, 2010, the Company has recorded the Michigan gross receipts tax, or MGRT, as a premium tax and not as an income tax. The 2009 amounts have been reclassified to conform to this presentation.
|
|
(2)
|
“Other” medical care costs primarily include medically related administrative costs at the parent company.
|
-MORE-
MOH Reports First Quarter 2010 Results
Page 12
May 5, 2010
|
|
MOLINA HEALTHCARE, INC.
|
|
|
UNAUDITED SELECTED FINANCIAL DATA
|
|
|
(Dollars in thousands except per member per month amounts)
|
The following tables provide the details of the Company’s medical care costs for the periods indicated:
|
Three Months Ended
March 31, 2010
|
Three Months Ended
March 31, 2009
|
|||||||||||||||||||||||
|
Amount
|
PMPM
|
% of Total
Medical
Care Costs
|
Amount
|
PMPM
|
% of Total
Medical
Care Costs
|
|||||||||||||||||||
|
Fee-for-service
|
$ | 566,879 | $ | 128.06 | 68.9 | % | $ | 489,141 | $ | 125.35 | 66.3 | % | ||||||||||||
|
Capitation
|
137,132 | 30.98 | 16.7 | 118,414 | 30.34 | 16.1 | ||||||||||||||||||
|
Pharmacy
|
90,071 | 20.35 | 10.9 | 102,638 | 26.30 | 13.9 | ||||||||||||||||||
|
Other
|
28,734 | 6.48 | 3.5 | 27,695 | 7.10 | 3.7 | ||||||||||||||||||
|
Total
|
$ | 822,816 | $ | 185.87 | 100.0 | % | $ | 737,888 | $ | 189.09 | 100.0 | % | ||||||||||||
The following table provides the details of the Company’s medical claims and benefits payable as of the dates indicated:
|
March 31,
2010
|
Dec. 31,
2009
|
March 31,
2009
|
||||||||||
|
Fee-for-service claims incurred but not paid (IBNP)
|
$ | 260,456 | $ | 246,508 | $ | 247,111 | ||||||
|
Capitation payable
|
42,461 | 39,995 | 31,815 | |||||||||
|
Pharmacy payable
|
16,196 | 20,609 | 24,047 | |||||||||
|
Other
|
7,860 | 9,404 | 8,654 | |||||||||
|
Total medical claims and benefits payable
|
$ | 326,973 | $ | 316,516 | $ | 311,627 | ||||||
-MORE-
MOH Reports First Quarter 2010 Results
Page 13
May 5, 2010
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in thousands, except per-member amounts)
(Unaudited)
The Company’s claims liability includes an allowance for adverse claims development based on historical experience and other factors including, but not limited to, variation 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 negative amounts displayed for “Components of medical care costs related to: Prior periods” represent the amount by which the Company’s original estimate of claims and benefits payable at the beginning of the period exceeded the actual amount of the liability based on information (principally the payment of claims) developed since that liability was firs
t reported. The following table shows the components of the change in medical claims and benefits payable as of the periods indicated:
|
Three Months Ended
March 31,
|
Year Ended
Dec. 31,
|
|||||||||||
|
2010
|
2009
|
2009
|
||||||||||
|
Balances at beginning of period
|
$ | 316,516 | $ | 292,442 | $ | 292,442 | ||||||
|
Components of medical care costs related to:
|
||||||||||||
|
Current period
|
861,271 | 780,112 | 3,227,794 | |||||||||
|
Prior periods
|
(38,455 | ) | (42,224 | ) | (51,558 | ) | ||||||
|
Total medical care costs
|
822,816 | 737,888 | 3,176,236 | |||||||||
|
Payments for medical care costs related to:
|
||||||||||||
|
Current period
|
581,389 | 510,075 | 2,919,240 | |||||||||
|
Prior periods
|
230,970 | 208,628 | 232,922 | |||||||||
|
Total paid
|
812,359 | 718,703 | 3,152,162 | |||||||||
|
Balances at end of period
|
$ | 326,973 | $ | 311,627 | $ | 316,516 | ||||||
|
Benefit from prior period as a percentage of:
|
||||||||||||
|
Balance at beginning of period
|
12.1 | % | 14.4 | % | 17.6 | % | ||||||
|
Premium revenue
|
4.0 | % | 4.9 | % | 1.4 | % | ||||||
|
Total medical care costs
|
4.7 | % | 5.7 | % | 1.6 | % | ||||||
|
Days in claims payable, fee for service only
|
44 | 51 | 44 | |||||||||
|
Number of members at end of period
|
1,482,000 | 1,303,000 | 1,455,000 | |||||||||
|
Number of claims in inventory at end of period
|
153,700 | 158,900 | 93,100 | |||||||||
|
Billed charges of claims in inventory at end of period
|
$ | 194,000 | $ | 208,900 | $ | 131,400 | ||||||
|
Claims in inventory per member at end of period
|
0.10 | 0.12 | 0.06 | |||||||||
|
Billed charges of claims in inventory per member
at end of period
|
$ | 130.90 | $ | 160.32 | $ | 90.31 | ||||||
|
Number of claims received during the period
|
3,493,300 | 3,051,600 | 12,930,100 | |||||||||
|
Billed charges of claims receivedduring the period
|
$ | 2,760,500 | $ | 2,280,100 | $ | 9,769,000 | ||||||
-END-