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): July 25, 2013
______________
MOLINA
HEALTHCARE, INC.
(Exact
name of registrant as specified in its charter)
Delaware |
1-31719 |
13-4204626 |
(State of incorporation) |
(Commission File Number) |
(I.R.S. Employer Identification Number) |
______________
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:
⃞ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
⃞ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
⃞ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
⃞ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 2.02 Results of Operations and Financial Condition.
On July 25, 2013, Molina Healthcare, Inc. issued a press release announcing its financial results for the second quarter and six months ended June 30, 2013. 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, as amended, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, except as expressly set forth by specific reference in such a filing.
Item
9.01 Financial Statements and Exhibits.
(d) Exhibits:
Exhibit | |
No. | Description |
99.1 | Press release of Molina Healthcare, Inc. issued July 25, 2013, as to financial results for the second quarter and six months ended June 30, 2013. |
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.
MOLINA HEALTHCARE, INC. |
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|
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Date: | July 25, 2013 | By: |
/s/ Jeff D. Barlow |
Jeff D. Barlow |
|||
Sr. Vice President – General Counsel, and Secretary |
EXHIBIT INDEX
Exhibit Number |
Description |
99.1 |
Press release of Molina Healthcare, Inc. issued July 25, 2013, as to financial results for the second quarter and six months ended June 30, 2013. |
Exhibit 99.1
Molina Healthcare Reports Second Quarter 2013 Results
LONG BEACH, Calif.--(BUSINESS WIRE)--July 25, 2013--Molina Healthcare, Inc. (NYSE: MOH):
Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the second quarter and six months ended June 30, 2013. Net income for the second quarter of 2013 rose to $24.6 million, or $0.53 per diluted share, versus a net loss of $37.3 million, or $0.80 per diluted share, for the second quarter of 2012. Net income per diluted share from continuing operations was $0.34, an increase of $1.05 per diluted share from continuing operations over the second quarter of 2012.
“Our operating performance during the second quarter remained strong. We continued to strengthen our capital position, and, in anticipation of the full implementation of health reform, we increased our capacity to serve a significant number of new members,” said J. Mario Molina, M.D., chief executive officer of Molina Healthcare, Inc. “We expect our previously announced transaction in New Mexico to accelerate our growth in that state beginning in the third quarter.”
Overview of Financial Results
Premium revenue for the second quarter of 2013 increased 8% over the second quarter of 2012, primarily due to membership growth in Washington and Wisconsin and rate increases in Texas and Washington in the second half of 2012.
The Company’s consolidated medical care ratio decreased to 86.2% in the second quarter of 2013 from 94.5% in the second quarter of 2012. The decline in the consolidated medical care ratio was the result of dramatically improved operating results in Texas combined with improved performance at most of the Company’s other health plans. Medical care ratios decreased in seven of the Company’s nine health plans, while medical margin (measured as the excess of premium revenue over medical care costs) increased in eight out of nine health plans.
General and administrative expenses increased to 10.1% of revenue in the second quarter of 2013 from 8.5% in the second quarter of 2012, primarily due to higher costs incurred as a result of the Company’s preparations for significant membership growth in 2014 and a litigation charge of $3.5 million related to the final settlement of a provider dispute.
Second quarter 2013 results include a one-time non-cash charge of $3.9 million related to warrants issued in conjunction with the Company’s convertible senior notes offering in February 2013. As originally issued, certain terms in the warrant agreements required that they be recorded as a derivative liability requiring mark-to-market accounting treatment. The warrants were reclassified to equity during the second quarter and there will be no further mark-to-market adjustments.
The Company previously reported that its Medicaid managed care contract with the state of Missouri expired without renewal on June 30, 2012. Effective June 30, 2013, the transition obligations associated with that contract terminated. Therefore, the Company has reclassified the results relating to the Missouri health plan to discontinued operations for all periods presented. These results are presented in a single line item, net of taxes, in the unaudited consolidated statements of operations. Additionally, the Company abandoned all of its equity interests in the Missouri health plan during the second quarter of 2013, resulting in the recognition of a tax benefit of approximately $9.5 million, which is also included in discontinued operations in the unaudited consolidated statements of operations.
Net Income Per Share Guidance
The Company expects net income per diluted share from continuing operations to be $1.55 for full year 2013 and net income per diluted share (including discontinued operations) to be $1.72 for full year 2013. The Company believes that its estimated net income per diluted share from continuing operations of $1.55 for full year 2013 is consistent with previously issued earnings per diluted share guidance of $1.55.
Conference Call
The Company’s management will host a conference call and webcast to discuss its second quarter results at 5:00 p.m. Eastern time on Thursday, July 25, 2013. The number to call for the interactive teleconference is (212) 231-2929. A telephonic replay of the conference call will be available from 7:00 p.m. Eastern time on Thursday, July 25, 2013, through 6:00 p.m. on Friday, July 26, 2013, by dialing (800) 633-8284 and entering confirmation number 21661283. A live broadcast of Molina Healthcare’s conference call will be available on the Company’s website, www.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 quality and cost-effective Medicaid-related solutions to meet the health care needs of low-income families and individuals and to assist state agencies in their administration of the Medicaid program. The Company’s licensed health plans in California, Florida, Michigan, New Mexico, Ohio, Texas, Utah, Washington, and Wisconsin currently serve approximately 1.8 million members, and its subsidiary, Molina Medicaid Solutions, provides business processing and information technology administrative services to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West Virginia, and drug rebate administration services in Florida.
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This earnings release contains “forward-looking statements” regarding the Company’s plans, expectations, and anticipated future events. Actual results could differ materially due to numerous known and unknown risks and uncertainties, including, without limitation, risk factors related to the following:
and numerous other risk factors, including those discussed in the Company’s periodic reports and filings with the Securities and Exchange Commission. These reports can be accessed under the investor relations tab of the Company’s website or on the SEC’s website at www.sec.gov. Given these risks and uncertainties, we can give no assurances that the Company’s forward-looking statements will prove to be accurate, or that any other results or events projected or contemplated by the Company’s 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 the Company’s judgment as of July 25, 2013, and we disclaim any obligation to update any forward-looking statements to conform the statement to actual results or changes in the Company’s expectations.
MOLINA HEALTHCARE, INC. UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS |
|||||||||||||||||||||
Three Months Ended
June 30, |
Six Months Ended
June 30, |
||||||||||||||||||||
2013 | 2012 | 2013 | 2012 | ||||||||||||||||||
(Amounts in thousands, except net income (loss) per share) | |||||||||||||||||||||
Revenue: | |||||||||||||||||||||
Premium revenue | $ | 1,501,729 | $ | 1,394,049 | $ | 2,999,162 | $ | 2,620,656 | |||||||||||||
Premium tax | 46,883 | 38,354 | 83,883 | 80,540 | |||||||||||||||||
Service revenue | 49,672 | 41,724 | 99,428 | 83,929 | |||||||||||||||||
Investment income | 1,628 | 1,059 | 3,144 | 2,738 | |||||||||||||||||
Rental and other income | 5,922 | 3,977 | 10,616 | 8,236 | |||||||||||||||||
Total revenue | 1,605,834 | 1,479,163 | 3,196,233 | 2,796,099 | |||||||||||||||||
Expenses: | |||||||||||||||||||||
Medical care costs | 1,294,706 | 1,317,597 | 2,582,621 | 2,395,464 | |||||||||||||||||
Cost of service revenue | 39,305 | 30,613 | 79,075 | 61,107 | |||||||||||||||||
General and administrative expenses | 161,479 | 125,819 | 302,757 | 241,048 | |||||||||||||||||
Premium tax expenses | 46,883 | 38,354 | 83,883 | 80,540 | |||||||||||||||||
Depreciation and amortization | 17,015 | 16,210 | 33,578 | 31,058 | |||||||||||||||||
Total expenses | 1,559,388 | 1,528,593 | 3,081,914 | 2,809,217 | |||||||||||||||||
Income (loss) from operations | 46,446 | (49,430 | ) | 114,319 | (13,118 | ) | |||||||||||||||
Other expenses: | |||||||||||||||||||||
Interest expense | 11,667 | 3,808 | 24,704 | 8,106 | |||||||||||||||||
Other expense | 3,502 | 1,086 | 3,371 | 1,086 | |||||||||||||||||
Total other expenses | 15,169 | 4,894 | 28,075 | 9,192 | |||||||||||||||||
Income (loss) from continuing operations before income taxes |
31,277 | (54,324 | ) | 86,244 | (22,310 | ) | |||||||||||||||
Income tax expense (benefit) | 15,481 | (21,267 | ) | 39,926 | (9,147 | ) | |||||||||||||||
Income (loss) from continuing operations | 15,796 | (33,057 | ) | 46,318 | (13,163 | ) | |||||||||||||||
Income (loss) from discontinued operations, net of tax benefit of $9,968, $4,502, $10,143, and $5,589, respectively |
8,775 | (4,249 | ) | 8,168 | (6,054 | ) | |||||||||||||||
Net income (loss) | $ | 24,571 | $ | (37,306 | ) | $ | 54,486 | $ | (19,217 | ) | |||||||||||
Basic income (loss) per share: | |||||||||||||||||||||
Income (loss) from continuing operations |
$ | 0.35 | $ | (0.71 | ) | $ | 1.01 | $ | (0.29 | ) | |||||||||||
Income (loss) from discontinued operations |
0.19 | (0.09 | ) | 0.18 | (0.13 | ) | |||||||||||||||
Basic net income (loss) per share | $ | 0.54 | $ | (0.80 | ) | $ | 1.19 | $ | (0.42 | ) | |||||||||||
Diluted income (loss) per share: | |||||||||||||||||||||
Income (loss) from continuing operations | $ | 0.34 | $ | (0.71 | ) | $ | 1.00 | $ | (0.29 | ) | |||||||||||
Income (loss) from discontinued operations | 0.19 | (0.09 | ) | 0.17 | (0.13 | ) | |||||||||||||||
Diluted net income (loss) per share | $ | 0.53 | $ | (0.80 | ) | $ | 1.17 | $ | (0.42 | ) | |||||||||||
Weighted average shares outstanding: | |||||||||||||||||||||
Basic | 45,446 | 46,355 | 45,712 | 46,176 | |||||||||||||||||
Diluted | 46,507 | 46,355 | 46,506 | 46,176 | |||||||||||||||||
Operating Statistics, Continuing Operations: | |||||||||||||||||||||
Medical care ratio (1) | 86.2 | % | 94.5 | % | 86.1 | % | 91.4 | % | |||||||||||||
Service revenue ratio (2) | 79.1 | % | 73.4 | % | 79.5 | % | 72.8 | % | |||||||||||||
General and administrative expense ratio (3) | 10.1 | % | 8.5 | % | 9.5 | % | 8.6 | % | |||||||||||||
Premium tax ratio (1) |
3.0 |
% |
2.7 |
% |
2.7 |
% |
3.0 |
% | |||||||||||||
Effective tax rate | 49.5 | % | (39.1 | %) | 46.3 | % | (41.0 | %) | |||||||||||||
(1) Medical care ratio represents medical care costs as a percentage of premium revenue, net of premium taxes; premium tax ratio represents premium taxes as a percentage of premium revenue. |
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(2) Service revenue ratio represents cost of service revenue as a percentage of service revenue. |
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(3) Computed as a percentage of total revenue. |
MOLINA HEALTHCARE, INC. CONSOLIDATED BALANCE SHEETS |
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(Unaudited) | |||||||||||
June 30, 2013 |
Dec. 31,
2012 |
||||||||||
(Amounts in thousands,
except per share data) |
|||||||||||
ASSETS | |||||||||||
Current assets: | |||||||||||
Cash and cash equivalents | $ | 742,670 | $ | 795,770 | |||||||
Investments | 718,544 | 342,845 | |||||||||
Receivables | 213,776 | 149,682 | |||||||||
Deferred income taxes | 21,995 | 32,443 | |||||||||
Prepaid expenses and other current assets | 47,817 | 28,386 | |||||||||
Total current assets | 1,744,802 | 1,349,126 | |||||||||
Property, equipment, and capitalized software, net | 249,298 | 221,443 | |||||||||
Deferred contract costs | 51,319 | 58,313 | |||||||||
Intangible assets, net | 68,987 | 77,711 | |||||||||
Goodwill and indefinite-lived intangible assets | 153,152 | 151,088 | |||||||||
Derivative asset | 207,123 | – | |||||||||
Restricted investments | 56,935 | 44,101 | |||||||||
Auction rate securities | 12,527 | 13,419 | |||||||||
Other assets | 35,773 | 19,621 | |||||||||
$ | 2,579,916 | $ | 1,934,822 | ||||||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||||||
Current liabilities: | |||||||||||
Medical claims and benefits payable | $ | 465,487 | $ | 494,530 | |||||||
Accounts payable and accrued liabilities | 180,227 | 184,034 | |||||||||
Deferred revenue | 45,949 | 141,798 | |||||||||
Income taxes payable | 15,496 | 6,520 | |||||||||
Current maturities of long-term debt | – | 1,155 | |||||||||
Total current liabilities | 707,159 | 828,037 | |||||||||
Convertible senior notes | 585,825 | 175,468 | |||||||||
Lease financing obligations | 175,666 | – | |||||||||
Other long-term debt | – | 86,316 | |||||||||
Derivative liability | 207,017 | 1,307 | |||||||||
Deferred income taxes | 3,919 | 37,900 | |||||||||
Other long-term liabilities | 23,943 | 23,480 | |||||||||
Total liabilities | 1,703,529 | 1,152,508 | |||||||||
Stockholders’ equity: | |||||||||||
Common stock, $0.001 par value; 150,000 shares authorized; outstanding: 45,683 shares at June 30, 2013 and 46,762 shares at December 31, 2012 |
46 | 47 | |||||||||
Preferred stock, $0.001 par value; 20,000 shares authorized, no shares issued and outstanding |
– | – | |||||||||
Additional paid-in capital | 324,360 | 285,524 | |||||||||
Accumulated other comprehensive loss | (2,705 | ) | (457 | ) | |||||||
Treasury stock, at cost; 111 shares at December 31, 2012 | – | (3,000 | ) | ||||||||
Retained earnings |
554,686 | 500,200 | |||||||||
Total stockholders’ equity | 876,387 | 782,314 | |||||||||
$ | 2,579,916 | $ | 1,934,822 |
MOLINA HEALTHCARE, INC. UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS |
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Three Months Ended
June 30, |
Six Months Ended
June 30, |
||||||||||||||||||||
2013 | 2012 | 2013 | 2012 | ||||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||
Operating activities: | |||||||||||||||||||||
Net income (loss) | $ | 24,571 | $ | (37,306 | ) | $ | 54,486 | $ | (19,217 | ) | |||||||||||
Adjustments to reconcile net income (loss) to net cash (used in) provided by operating activities: |
|||||||||||||||||||||
Depreciation and amortization | 22,108 | 19,671 | 43,907 | 38,010 | |||||||||||||||||
Deferred income taxes | (22,139 | ) | (9,527 | ) | (22,155 | ) | (1,264 | ) | |||||||||||||
Stock-based compensation | 7,729 | 5,146 | 12,150 | 9,812 | |||||||||||||||||
Gain on sale of subsidiary | – | – | – | (1,747 | ) | ||||||||||||||||
Amortization of convertible senior notes | 5,965 | 1,472 | 9,688 | 2,915 | |||||||||||||||||
Change in fair value of derivatives | 3,503 | 1,086 | 3,384 | 1,086 | |||||||||||||||||
Amortization of premium/discount on investments | 2,796 | 1,765 | 4,298 | 3,615 | |||||||||||||||||
Amortization of deferred financing costs | 1,118 | 257 | 2,366 | 515 | |||||||||||||||||
Tax deficiency from employee stock compensation | 4 | (19 | ) | (38 | ) | (50 | ) | ||||||||||||||
Changes in operating assets and liabilities: | |||||||||||||||||||||
Receivables | (63,525 | ) | 61,247 | (64,094 | ) | 6,891 | |||||||||||||||
Prepaid expenses and other current assets | (11,292 | ) | (4,712 | ) | (22,856 | ) | (10,352 | ) | |||||||||||||
Medical claims and benefits payable | (25,658 | ) | 69,705 | (29,043 | ) | 123,062 | |||||||||||||||
Accounts payable and accrued liabilities | 14,879 | 11,814 | (16,968 | ) | (22,982 | ) | |||||||||||||||
Deferred revenue | (89,855 | ) | 80,883 | (95,849 | ) | 125,426 | |||||||||||||||
Income taxes | 552 | (16,074 | ) | 8,976 | (19,737 | ) | |||||||||||||||
Net cash (used in) provided by operating activities | (129,244 | ) | 185,408 | (111,748 | ) | 235,983 | |||||||||||||||
Investing activities: | |||||||||||||||||||||
Purchases of equipment | (24,062 | ) | (19,796 | ) | (35,229 | ) | (33,301 | ) | |||||||||||||
Purchases of investments | (456,139 | ) | (56,149 | ) | (532,151 | ) | (144,348 | ) | |||||||||||||
Sales and maturities of investments | 73,773 | 71,005 | 149,420 | 136,772 | |||||||||||||||||
Proceeds from sale of subsidiary, net of cash surrendered |
– | – | – | 9,162 | |||||||||||||||||
Change in deferred contract costs | 2,494 | (10,062 | ) | 6,994 | (23,055 | ) | |||||||||||||||
Increase in restricted investments | (1,818 | ) | (1,661 | ) | (12,834 | ) | (2,154 | ) | |||||||||||||
Change in other noncurrent assets and liabilities | (7,468 | ) | (1,926 | ) | (8,012 | ) | (4,383 | ) | |||||||||||||
Net cash used in investing activities | (413,220 | ) | (18,589 | ) | (431,812 | ) | (61,307 | ) | |||||||||||||
Financing activities: | |||||||||||||||||||||
Proceeds from issuance of 1.125% Notes, net of deferred issuance costs |
– | – | 537,973 | – | |||||||||||||||||
Proceeds from sale-leaseback transactions | 158,694 | – | 158,694 | – | |||||||||||||||||
Purchase of 1.125% Notes call option | – | – | (149,331 | ) | – | ||||||||||||||||
Proceeds from issuance of warrants | – | – | 75,074 | – | |||||||||||||||||
Treasury stock purchases | – | – | (50,000 | ) | – | ||||||||||||||||
Repayment of amounts borrowed under credit facility | – | (10,000 | ) | (40,000 | ) | (10,000 | ) | ||||||||||||||
Amount borrowed under credit facility | – | 50,000 | – | 60,000 | |||||||||||||||||
Principal payments on term loan | (47,180 | ) | (272 | ) | (47,471 | ) | (573 | ) | |||||||||||||
Settlement of interest rate swap | (875 | ) | – | (875 | ) | – | |||||||||||||||
Proceeds from employee stock plans | 4,617 | 2,737 | 4,852 | 5,485 | |||||||||||||||||
Excess tax benefits from employee stock compensation | 367 | 85 | 1,544 | 3,677 | |||||||||||||||||
Net cash provided by financing activities | 115,623 | 42,550 | 490,460 | 58,589 | |||||||||||||||||
Net (decrease) increase in cash and cash equivalents | (426,841 | ) | 209,369 | (53,100 | ) | 233,265 | |||||||||||||||
Cash and cash equivalents at beginning of period | 1,169,511 | 517,723 | 795,770 | 493,827 | |||||||||||||||||
Cash and cash equivalents at end of period | $ | 742,670 | $ | 727,092 | $ | 742,670 | $ | 727,092 | |||||||||||||
MOLINA HEALTHCARE, INC.
UNAUDITED NON-GAAP FINANCIAL MEASURE
The Company has included presentations of earnings before interest, taxes, depreciation and amortization (EBITDA) below. EBITDA is a non-GAAP financial measure and is reconciled to net income, which the Company believes to be the most comparable GAAP measure (GAAP stands for U.S. generally accepted accounting principles).
EBITDA is not prepared in conformity with GAAP because it excludes depreciation and amortization, as well as interest expense and income tax expense. This non-GAAP financial measure should not be considered as an alternative to the GAAP measures of net income, operating income, operating margin, or cash provided by operating activities; nor should EBITDA be considered in isolation from these GAAP measures of operating performance. Management uses EBITDA as a supplemental 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 the Company’s industry.
Three Months Ended
June 30, |
Six Months Ended
June 30, |
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2013 | 2012 | 2013 | 2012 | |||||||||||||||
(In thousands) | ||||||||||||||||||
Net income (loss) | $ | 24,571 | $ | (37,306 | ) | $ | 54,486 | $ | (19,217 | ) | ||||||||
Add back: | ||||||||||||||||||
Depreciation and amortization reported in the consolidated statements of cash flows | 22,108 | 19,671 | 43,907 | 38,010 | ||||||||||||||
Interest expense | 11,667 | 3,808 | 24,704 | 8,106 | ||||||||||||||
Provision for income taxes | 5,513 | (25,769 | ) | 29,783 | (14,736 | ) | ||||||||||||
EBITDA | $ | 63,859 | $ | (39,596 | ) | $ | 152,880 | $ | 12,163 | |||||||||
MOLINA HEALTHCARE, INC.
UNAUDITED DEPRECIATION AND
AMORTIZATION DATA
Depreciation and amortization related to the Company’s Health Plans segment is all recorded in “Depreciation and amortization” in the consolidated statements of operations. Depreciation and amortization related to the Company’s Molina Medicaid Solutions segment is recorded within three different headings in the consolidated statements of operations as follows:
• Amortization of purchased intangibles relating to customer relationships is reported as amortization within the heading “Depreciation and amortization;”
• Amortization of purchased intangibles relating to contract backlog is recorded as a reduction of “Service revenue;” and
• Depreciation is recorded within the heading “Cost of service revenue.”
The following table presents all depreciation and amortization recorded in the Company’s consolidated statements of operations, regardless of whether the item appears as depreciation and amortization, a reduction of revenue, or as cost of service revenue.
Three Months Ended June 30, | |||||||||||||||||
2013 | 2012 | ||||||||||||||||
Amount |
% of Total
Revenue |
Amount |
% of Total
Revenue |
||||||||||||||
(Dollar amounts in thousands) | |||||||||||||||||
Depreciation and amortization of capitalized software, continuing operations | $ | 12,896 | 0.8 | % | $ | 10,674 | 0.7 | % | |||||||||
Amortization of intangible assets, continuing operations |
4,119 | 0.3 | 5,536 | 0.4 | |||||||||||||
Depreciation and amortization, continuing operations |
17,015 | 1.1 | 16,210 | 1.1 | |||||||||||||
Depreciation and amortization, discontinued operations |
– | – | 177 | – | |||||||||||||
Amortization recorded as reduction of service revenue |
728 | – | 153 | – | |||||||||||||
Amortization of capitalized software recorded as cost of service revenue |
4,365 | 0.3 | 3,131 | 0.2 | |||||||||||||
$ | 22,108 | 1.4 | % | $ | 19,671 | 1.3 | % | ||||||||||
|
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Six Months Ended June 30, | |||||||||||||||||
2013 | 2012 | ||||||||||||||||
|
Amount |
% of Total
Revenue |
Amount |
% of Total
Revenue |
|||||||||||||
(Dollar amounts in thousands) | |||||||||||||||||
Depreciation and amortization of capitalized software, continuing operations |
$ | 25,341 | 0.8 | % | $ | 19,969 | 0.7 | % | |||||||||
Amortization of intangible assets, continuing operations |
8,237 | 0.3 | 11,089 | 0.4 | |||||||||||||
Depreciation and amortization, continuing operations |
33,578 | 1.1 | 31,058 | 1.1 | |||||||||||||
Depreciation and amortization, discontinued operations |
2 | – | 354 | – | |||||||||||||
Amortization recorded as reduction of service revenue |
1,457 | – | 306 | – | |||||||||||||
Amortization of capitalized software recorded as cost of service revenue |
8,870 | 0.3 | 6,292 | 0.2 | |||||||||||||
$ | 43,907 | 1.4 | % | $ | 38,010 | 1.3 | % |
MOLINA HEALTHCARE, INC. UNAUDITED MEMBERSHIP DATA, CONTINUING OPERATIONS |
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June 30,
2013 |
March 31, 2013 |
Dec. 31,
2012 |
June 30, 2012 |
||||||||||||||
Total Ending Membership by Health Plan: | |||||||||||||||||
California | 355,000 | 332,000 | 336,000 | 350,000 | |||||||||||||
Florida | 81,000 | 75,000 | 73,000 | 70,000 | |||||||||||||
Michigan | 215,000 | 217,000 | 220,000 | 220,000 | |||||||||||||
New Mexico | 92,000 | 91,000 | 91,000 | 89,000 | |||||||||||||
Ohio | 240,000 | 242,000 | 244,000 | 260,000 | |||||||||||||
Texas | 266,000 | 274,000 | 282,000 | 301,000 | |||||||||||||
Utah | 87,000 | 87,000 | 87,000 | 86,000 | |||||||||||||
Washington | 413,000 | 416,000 | 418,000 | 356,000 | |||||||||||||
Wisconsin | 98,000 | 86,000 | 46,000 | 42,000 | |||||||||||||
1,847,000 | 1,820,000 | 1,797,000 | 1,774,000 | ||||||||||||||
Total Ending Membership by State for the Medicare Advantage Plans: | |||||||||||||||||
California | 8,100 | 7,700 | 7,700 | 7,000 | |||||||||||||
Florida | 600 | 600 | 900 | 900 | |||||||||||||
Michigan | 9,500 | 9,200 | 9,700 | 8,900 | |||||||||||||
New Mexico | 900 | 900 | 900 | 900 | |||||||||||||
Ohio | 400 | 300 | 300 | 200 | |||||||||||||
Texas | 2,300 | 1,900 | 1,500 | 800 | |||||||||||||
Utah | 7,800 | 7,600 | 8,200 | 8,300 | |||||||||||||
Washington | 6,600 | 6,100 | 6,500 | 5,700 | |||||||||||||
36,200 | 34,300 | 35,700 | 32,700 | ||||||||||||||
Total Ending Membership by State for the Aged, Blind or Disabled Population: | |||||||||||||||||
California | 45,400 | 44,600 | 44,700 | 41,100 | |||||||||||||
Florida | 11,200 | 10,400 | 10,300 | 10,400 | |||||||||||||
Michigan | 45,000 | 44,000 | 41,900 | 40,000 | |||||||||||||
New Mexico | 6,000 | 5,800 | 5,700 | 5,600 | |||||||||||||
Ohio | 28,000 | 28,200 | 28,200 | 29,600 | |||||||||||||
Texas | 92,000 | 94,200 | 95,900 | 111,000 | |||||||||||||
Utah | 9,400 | 9,200 | 9,000 | 8,800 | |||||||||||||
Washington | 31,700 | 31,300 | 30,000 | 4,400 | |||||||||||||
Wisconsin | 1,600 | 1,600 | 1,700 | 1,700 | |||||||||||||
270,300 | 269,300 | 267,400 | 252,600 |
MOLINA HEALTHCARE, INC. UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN, CONTINUING OPERATIONS (Amounts in thousands, except per member per month amounts) |
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Three Months Ended June 30, 2013 | ||||||||||||||||||||||||||||||||||||
Member
Months (1) |
Premium Revenue | Medical Care Costs | MCR (3) |
Medical Margin |
||||||||||||||||||||||||||||||||
Total | PMPM | Total | PMPM | |||||||||||||||||||||||||||||||||
California | 1,055 | $ | 180,927 | $ | 171.58 | $ | 170,777 | $ | 161.96 | 94.4 | % | $ | 10,150 | |||||||||||||||||||||||
Florida | 238 | 61,837 | 260.61 | 51,915 | 218.80 | 84.0 | 9,922 | |||||||||||||||||||||||||||||
Michigan | 648 | 167,485 | 258.40 | 141,859 | 218.86 | 84.7 | 25,626 | |||||||||||||||||||||||||||||
New Mexico | 275 | 84,449 | 307.20 | 68,253 | 248.28 | 80.8 | 16,196 | |||||||||||||||||||||||||||||
Ohio | 722 | 270,107 | 373.78 | 215,664 | 298.44 | 79.8 | 54,443 | |||||||||||||||||||||||||||||
Texas | 805 | 318,955 | 396.05 | 275,959 | 342.66 | 86.5 | 42,996 | |||||||||||||||||||||||||||||
Utah | 261 | 77,511 | 296.69 | 61,677 | 236.08 | 79.6 | 15,834 | |||||||||||||||||||||||||||||
Washington | 1,238 | 299,533 | 241.89 | 263,512 | 212.80 | 88.0 | 36,021 | |||||||||||||||||||||||||||||
Wisconsin | 293 | 37,740 | 128.79 | 31,185 | 106.43 | 82.6 | 6,555 | |||||||||||||||||||||||||||||
Other (2) | – | 3,185 | – | 13,905 | – | – | (10,720 | ) | ||||||||||||||||||||||||||||
5,535 | $ | 1,501,729 | $ | 271.30 | $ | 1,294,706 | $ | 233.91 | 86.2 | % | $ | 207,023 | ||||||||||||||||||||||||
Three Months Ended June 30, 2012 | ||||||||||||||||||||||||||||||||||||
Member
Months (1) |
Premium Revenue | Medical Care Costs | MCR (3) |
Medical Margin |
||||||||||||||||||||||||||||||||
Total | PMPM | Total | PMPM | |||||||||||||||||||||||||||||||||
California | 1,056 | $ | 164,961 | $ | 156.22 | $ | 149,239 | $ | 141.34 | 90.5 | % | $ | 15,722 | |||||||||||||||||||||||
Florida | 210 | 57,324 | 273.09 | 48,442 | 230.79 | 84.5 | 8,882 | |||||||||||||||||||||||||||||
Michigan | 662 | 162,727 | 245.84 | 141,682 | 214.04 | 87.1 | 21,045 | |||||||||||||||||||||||||||||
New Mexico | 266 | 80,449 | 302.45 | 67,836 | 255.03 | 84.3 | 12,613 | |||||||||||||||||||||||||||||
Ohio | 762 | 274,058 | 359.65 | 245,284 | 321.89 | 89.5 | 28,774 | |||||||||||||||||||||||||||||
Texas | 907 | 352,816 | 389.27 | 393,237 | 433.87 | 111.5 | (40,421 | ) | ||||||||||||||||||||||||||||
Utah | 259 | 76,911 | 297.00 | 63,419 | 244.90 | 82.5 | 13,492 | |||||||||||||||||||||||||||||
Washington | 1,068 | 203,675 | 190.67 | 174,045 | 162.93 | 85.5 | 29,630 | |||||||||||||||||||||||||||||
Wisconsin | 125 | 18,788 | 150.12 | 22,758 | 181.84 | 121.1 | (3,970 | ) | ||||||||||||||||||||||||||||
Other (2) | – | 2,340 | – | 11,655 | – | – | (9,315 | ) | ||||||||||||||||||||||||||||
5,315 | $ | 1,394,049 | $ | 262.32 | $ | 1,317,597 | $ | 247.90 | 94.5 | % | $ | 76,452 | ||||||||||||||||||||||||
(1) A member month is defined as the aggregate of each month’s ending membership for the period presented. |
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(2) “Other” medical care costs also include medically related administrative costs at the parent company. |
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(3) The MCR represents medical costs as a percentage of premium revenues, where premium revenue is reduced by premium tax expense. |
MOLINA HEALTHCARE, INC. UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN, CONTINUING OPERATIONS (Amounts in thousands, except per member per month amounts) |
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Six Months Ended June 30, 2013 | ||||||||||||||||||||||||||||||||||||
Member
Months (1) |
Premium Revenue | Medical Care Costs | MCR (3) |
Medical Margin |
||||||||||||||||||||||||||||||||
Total | PMPM | Total | PMPM | |||||||||||||||||||||||||||||||||
California | 2,056 | $ | 368,715 | $ | 179.36 | $ | 330,540 | $ | 160.79 | 89.6 | % | $ | 38,175 | |||||||||||||||||||||||
Florida | 461 | 120,001 | 260.38 | 101,319 | 219.84 | 84.4 | 18,682 | |||||||||||||||||||||||||||||
Michigan | 1,300 | 334,042 | 256.96 | 288,607 | 222.01 | 86.4 | 45,435 | |||||||||||||||||||||||||||||
New Mexico | 549 | 168,449 | 307.08 | 140,402 | 255.95 | 83.3 | 28,047 | |||||||||||||||||||||||||||||
Ohio | 1,448 | 538,915 | 372.10 | 443,118 | 305.96 | 82.2 | 95,797 | |||||||||||||||||||||||||||||
Texas | 1,637 | 648,406 | 396.01 | 542,408 | 331.27 | 83.7 | 105,998 | |||||||||||||||||||||||||||||
Utah | 520 | 152,467 | 293.16 | 126,706 | 243.63 | 83.1 | 25,761 | |||||||||||||||||||||||||||||
Washington | 2,488 | 597,819 | 240.29 | 524,909 | 210.98 | 87.8 | 72,910 | |||||||||||||||||||||||||||||
Wisconsin | 493 | 64,864 | 131.53 | 54,849 | 111.22 | 84.6 | 10,015 | |||||||||||||||||||||||||||||
Other (2) | – | 5,484 | – | 29,763 | – | – | (24,279 | ) | ||||||||||||||||||||||||||||
10,952 | $ | 2,999,162 | $ | 273.85 | $ | 2,582,621 | $ | 235.81 | 86.1 | % | $ | 416,541 | ||||||||||||||||||||||||
Six Months Ended June 30, 2012 | ||||||||||||||||||||||||||||||||||||
Member
Months (1) |
Premium Revenue | Medical Care Costs | MCR (3) |
Medical Margin |
||||||||||||||||||||||||||||||||
Total | PMPM | Total | PMPM | |||||||||||||||||||||||||||||||||
California | 2,115 | $ | 324,337 | $ | 153.34 | $ | 290,588 | $ | 137.39 | 89.6 | % | $ | 33,749 | |||||||||||||||||||||||
Florida | 418 | 113,507 | 271.47 | 98,011 | 234.41 | 86.3 | 15,496 | |||||||||||||||||||||||||||||
Michigan | 1,327 | 322,593 | 243.11 | 275,893 | 207.92 | 85.5 | 46,700 | |||||||||||||||||||||||||||||
New Mexico | 532 | 159,722 | 300.37 | 134,947 | 253.78 | 84.5 | 24,775 | |||||||||||||||||||||||||||||
Ohio | 1,508 | 544,730 | 361.34 | 481,985 | 319.72 | 88.5 | 62,745 | |||||||||||||||||||||||||||||
Texas | 1,499 | 547,855 | 365.53 | 573,326 | 382.53 | 104.6 | (25,471 | ) | ||||||||||||||||||||||||||||
Utah | 511 | 152,049 | 297.29 | 121,300 | 237.17 | 79.8 | 30,749 | |||||||||||||||||||||||||||||
Washington | 2,135 | 415,469 | 194.59 | 355,470 | 166.49 | 85.6 | 59,999 | |||||||||||||||||||||||||||||
Wisconsin | 250 | 35,930 | 143.54 | 39,644 | 158.31 | 110.3 | (3,714 | ) | ||||||||||||||||||||||||||||
Other (2) | – | 4,464 | – | 24,300 | – | – | (19,836 | ) | ||||||||||||||||||||||||||||
10,295 | $ | 2,620,656 | $ | 254.55 | $ | 2,395,464 | $ | 232.68 | 91.4 | % | $ | 225,192 | ||||||||||||||||||||||||
(1) A member month is defined as the aggregate of each month’s ending membership for the period presented. |
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(2) “Other” medical care costs also include medically related administrative costs at the parent company. |
||||||||||||||||||||||||||||||||||||
(3) The MCR represents medical costs as a percentage of premium revenues, where premium revenue is reduced by premium tax expense. |
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MOLINA HEALTHCARE, INC. | |||||||||||||||||||||||||
UNAUDITED SELECTED FINANCIAL DATA | |||||||||||||||||||||||||
(Amounts in thousands, except per member per month amounts) | |||||||||||||||||||||||||
The following tables provide the details of the Company’s medical care costs from continuing operations for the periods indicated: |
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Three Months Ended June 30, | |||||||||||||||||||||||||
2013 | 2012 | ||||||||||||||||||||||||
Amount | PMPM |
% of
Total |
Amount | PMPM |
% of
Total |
||||||||||||||||||||
Fee for service | $ | 879,865 | $ | 158.96 | 68.0 | % | $ | 925,039 | $ | 174.04 | 70.2 | % | |||||||||||||
Pharmacy | 222,992 | 40.29 | 17.2 | 212,944 | 40.06 | 16.2 | |||||||||||||||||||
Capitation | 138,409 | 25.00 | 10.7 | 136,376 | 25.66 | 10.3 | |||||||||||||||||||
Other | 53,440 | 9.66 | 4.1 | 43,238 | 8.14 | 3.3 | |||||||||||||||||||
$ | 1,294,706 | $ | 233.91 | 100.0 | % | $ | 1,317,597 | $ | 247.90 | 100.0 | % | ||||||||||||||
Six Months Ended June 30, | |||||||||||||||||||||||||
2013 | 2012 | ||||||||||||||||||||||||
Amount | PMPM |
% of
Total |
Amount | PMPM |
% of
Total |
||||||||||||||||||||
Fee for service | $ | 1,746,620 | $ | 159.48 | 67.6 | % | $ | 1,653,024 | $ | 160.57 | 69.0 | % | |||||||||||||
Pharmacy | 454,830 | 41.53 | 17.6 | 386,181 | 37.51 | 16.1 | |||||||||||||||||||
Capitation | 278,733 | 25.45 | 10.8 | 269,968 | 26.22 | 11.3 | |||||||||||||||||||
Other | 102,438 | 9.35 | 4.0 | 86,291 | 8.38 | 3.6 | |||||||||||||||||||
$ | 2,582,621 | $ | 235.81 | 100.0 | % | $ | 2,395,464 | $ | 232.68 | 100.0 | % |
The following table provides the details of the Company’s medical claims and benefits payable as of the dates indicated: |
||||||||||||||||
June 30, 2013 |
Dec. 31, 2012 |
June 30, 2012 |
||||||||||||||
Fee-for-service claims incurred but not paid (IBNP) | $ | 360,153 | $ | 377,614 | $ | 378,782 | ||||||||||
Capitation payable | 47,474 | 49,066 | 79,739 | |||||||||||||
Pharmacy | 37,241 | 38,992 | 34,848 | |||||||||||||
Other | 20,619 | 28,858 | 32,169 | |||||||||||||
$ | 465,487 | $ | 494,530 | $ | 525,538 | |||||||||||
MOLINA HEALTHCARE, INC.
UNAUDITED CHANGE IN MEDICAL CLAIMS
AND BENEFITS PAYABLE
The Company’s claims liability includes an allowance for adverse claims development 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 periods” represent the amount by which the Company’s original estimate of claims and benefits payable at the beginning of the period were (more) or less than the actual amount of the liability based on information (principally the payment of claims) developed since that liability was first reported. The following table shows the components of the change in medical claims and benefits payable from continuing and discontinued operations as of the periods indicated:
Six Months Ended
June 30, |
Three Months Ended
June 30 |
Year Ended Dec. 31, 2012 |
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2013 | 2012 | 2013 | 2012 | ||||||||||||||||||||||||||||
(Dollars in thousands, except per-member amounts) | |||||||||||||||||||||||||||||||
Balances at beginning of period | $ | 494,530 | $ | 402,476 | $ | 491,145 | $ | 455,833 | $ | 402,476 | |||||||||||||||||||||
Components of medical care costs related to: | |||||||||||||||||||||||||||||||
Current period | 2,647,083 | 2,544,922 | 1,345,592 | 1,377,084 | 5,136,055 | ||||||||||||||||||||||||||
Prior periods | (62,757 | ) | (36,357 | ) | (50,020 | ) | 493 | (39,295 | ) | ||||||||||||||||||||||
Total medical care costs | 2,584,326 | 2,508,565 | 1,295,572 | 1,377,577 | 5,096,760 | ||||||||||||||||||||||||||
Payments for medical care costs related to: | |||||||||||||||||||||||||||||||
Current period | 2,206,474 | 2,033,611 | 940,186 | 891,573 | 4,649,363 | ||||||||||||||||||||||||||
Prior periods | 406,895 | 351,892 | 381,044 | 416,299 | 355,343 | ||||||||||||||||||||||||||
Total paid | 2,613,369 | 2,385,503 | 1,321,230 | 1,307,872 | 5,004,706 | ||||||||||||||||||||||||||
Balances at end of period | $ | 465,487 | $ | 525,538 | $ | 465,487 | $ | 525,538 | $ | 494,530 | |||||||||||||||||||||
Benefit from prior period as a percentage of: | |||||||||||||||||||||||||||||||
Balance at beginning of period | 12.7 | % | 9.0 | % | 10.2 | % | (0.1 | %) | 9.8 | % | |||||||||||||||||||||
Premium revenue, trailing twelve months | 1.0 | % | 0.7 | % | 0.8 | % | 0.0 | % | 0.7 | % | |||||||||||||||||||||
Medical care costs, trailing twelve months |
1.2 |
% | 0.8 | % | 1.0 | % | 0.0 | % | 0.8 | % | |||||||||||||||||||||
Claims Data: | |||||||||||||||||||||||||||||||
Days in claims payable, fee for service |
38 |
44 | 38 | 44 | 40 | ||||||||||||||||||||||||||
Number of members at end of period |
1,847,000 | 1,853,000 | 1,847,000 | 1,853,000 | 1,797,000 | ||||||||||||||||||||||||||
Number of claims in inventory at end of period |
109,900 | 209,200 | 109,900 | 209,200 | 122,700 | ||||||||||||||||||||||||||
Billed charges of claims in inventory at end of period |
$ | 200,400 | $ | 324,500 | $ | 200,400 | $ | 324,500 | $ | 255,200 | |||||||||||||||||||||
Claims in inventory per member at end of period |
0.06 | 0.11 | 0.06 | 0.11 | 0.07 | ||||||||||||||||||||||||||
Billed charges of claims in inventory per member at end of period |
$ | 108.50 | $ | 175.12 | $ | 108.50 | $ | 175.12 | $ | 142.01 | |||||||||||||||||||||
Number of claims received during the period |
10,524,500 | 10,375,700 | 5,253,500 | 5,520,100 | 20,842,400 | ||||||||||||||||||||||||||
Billed charges of claims received during the period |
$ | 10,477,900 | $ | 9,388,700 | $ | 5,307,200 | $ | 5,051,800 | $ | 19,429,300 |
CONTACT:
Molina Healthcare, Inc.
Investor Relations:
Juan José
Orellana, 562-435-3666, ext. 111143