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): February 10, 2014
______________

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 February 10, 2014, Molina Healthcare, Inc. issued a press release announcing its financial results for the fourth quarter and year ended December 31, 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 February 10, 2014, as to financial results for the fourth quarter and year ended December 31, 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.

 

Date: February 10, 2014 By:

/s/ Jeff D. Barlow

Jeff D. Barlow

Sr. Vice President - General Counsel, and

Secretary


EXHIBIT INDEX

Exhibit

No. Description
 
99.1

Press release of Molina Healthcare, Inc. issued February 10, 2014, as to financial results for the fourth quarter and year ended December 31, 2013.

Exhibit 99.1

Molina Healthcare Reports Fourth Quarter and Year-End 2013 Results

LONG BEACH, Calif.--(BUSINESS WIRE)--February 10, 2014--Molina Healthcare, Inc. (NYSE: MOH):

Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the fourth quarter and year ended December 31, 2013. Net income from continuing operations for the year ended December 31, 2013, was $44.8 million, or $0.96 per diluted share, compared with net income from continuing operations of $12.9 million, or $0.27 per diluted share, for the year ended December 31, 2012. Net loss from continuing operations for the fourth quarter was $9.0 million, or $0.20 per diluted share, compared with net income from continuing operations of $26.2 million, or $0.55 per diluted share, for the quarter ended December 31, 2012.

“For Molina Healthcare, 2013 was a year of both opportunity and challenge,” said J. Mario Molina, M.D., chief executive officer of Molina Healthcare, Inc. “We laid the foundation for success in 2014 and beyond by increasing medical margins, securing Duals Demonstration contracts in five states, expanding our footprint into South Carolina, and building the robust administrative infrastructure we will need going forward.”

2014 Business Outlook

The Company will discuss its 2014 guidance, corporate strategy and business outlook at its Investor Day Conference webcast and presentation to be held on February 13, 2014, at the Le Parker Meridien Hotel in New York City.


Overview of Financial Results

Year Ended December 31, 2013, Compared with Year Ended December 31, 2012

Net income from continuing operations increased to $44.8 million in 2013, from $12.9 million in 2012 as a result of higher medical margin (measured as the excess of premium revenue over medical care costs). Higher medical margin was partially offset by increased administrative expenses related to the Company’s preparations for significant membership growth expected in 2014.

Premium revenue in 2013 increased 11% over 2012, due to a 6% increase in member months and a 5% increase in revenue per member per month (PMPM).

Excluding the Company’s Illinois health plan, which was not operational until 2013, eight of the Company’s nine other health plans reported higher medical margins in 2013 than in 2012. Consolidated medical margin increased by approximately 45% year over year. The Company’s consolidated medical care ratio (measured as medical care costs as a percentage of premium revenue) decreased to 87.1% in 2013 from 90.0% in 2012.

As the Company has previously discussed, general and administrative expenses increased to 10.1% of revenue in 2013 from 8.8% in 2012. Increased administrative expenses related to the anticipated membership growth represented approximately 2% of premium revenue, or $135 million during 2013.

Conference Call

The Company’s management will host a conference call and webcast to discuss its fourth quarter and year-end results at 5:00 p.m. Eastern time on Monday, February 10, 2014. The number to call for the interactive teleconference is (212) 231-2919. A telephonic replay of the conference call will be available from 7:00 p.m. Eastern time on Monday, February 10, 2014, through 6:00 p.m. on Tuesday, February 11, 2014, by dialing (800) 633-8284 and entering confirmation number 21703882. 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, Illinois, Michigan, New Mexico, Ohio, South Carolina, Texas, Utah, Washington, and Wisconsin currently serve approximately 2.1 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. 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 plans, expectations, and anticipated future events. Actual results could differ materially due to numerous known and unknown risks and uncertainties. Those risks and uncertainties include, but are not limited 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 provide 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 February 10, 2014, 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
December 31,

Year Ended
December 31,

2013     2012 2013     2012
(Amounts in thousands, except net (loss) income per share)
Revenue:
Premium revenue $ 1,595,352 $ 1,477,384 $ 6,179,170 $ 5,544,121
Premium tax revenue 44,411 38,038 172,017 158,991
Service revenue 54,007 55,359 204,535 187,710
Investment income 2,006 1,182 6,890 5,075
Rental and other income   9,846     5,997     26,322     18,312  
Total revenue   1,705,622     1,577,960     6,588,934     5,914,209  
Operating expenses:
Medical care costs 1,414,290 1,275,733 5,380,124 4,991,188
Cost of service revenue 42,306 43,097 161,494 141,208
General and administrative expenses 187,006 153,051 665,996 518,615
Premium tax expenses 44,411 38,038 172,017 158,991
Depreciation and amortization   20,294     16,198     72,743     63,114  
Total operating expenses   1,708,307     1,526,117     6,452,374     5,873,116  
Operating (loss) income   (2,685 )   51,843     136,560     41,093  
Other expenses (income):
Interest expense 13,835 4,348 52,071 16,769
Other (income) expense   (4 )   (325 )   3,343     945  
Total other expenses (income)   13,831     4,023     55,414     17,714  
(Loss) income from continuing operations

before income taxes

(16,516 ) 47,820 81,146 23,379
Income tax (benefit) expense   (7,475 )   21,626     36,316     10,513  
(Loss) income from continuing operations (9,041 ) 26,194 44,830 12,866
(Loss) income from discontinued operations (1)   (85 )   (551 )   8,099     (3,076 )
Net (loss) income $ (9,126 ) $ 25,643   $ 52,929   $ 9,790  
 
Basic (loss) income per share:
(Loss) income from continuing operations $ (0.20 ) $ 0.56 $ 0.98 $ 0.28
(Loss) income from discontinued operations       (0.01 )   0.18     (0.07 )
Basic net (loss) income per share $ (0.20 ) $ 0.55   $ 1.16   $ 0.21  
 
Diluted (loss) income per share:
(Loss) income from continuing operations $ (0.20 ) $ 0.55 $ 0.96 $ 0.27
(Loss) income from discontinued operations       (0.01 )   0.17     (0.06 )
Diluted net (loss) income per share $ (0.20 ) $ 0.54   $ 1.13   $ 0.21  
 
Weighted average shares outstanding:
Basic   45,725     46,617     45,717     46,380  
Diluted   45,725     47,143     46,862     46,999  
 
Operating Statistics, Continuing Operations:
Medical care ratio (2) 88.7 % 86.4 % 87.1 % 90.0 %
Service revenue ratio (3) 78.3 % 77.9 % 79.0 % 75.2 %
General and administrative expense ratio (4) 11.0 % 9.7 % 10.1 % 8.8 %
Premium tax ratio (2) 2.7 % 2.5 % 2.7 % 2.8 %
Effective tax rate

45.3

%

45.2 % 44.8 % 45.0 %
 

__________

(1)

(Loss) income from discontinued operations is net of income tax expense (benefit) of $134, $2,877, $(9,912), and $(1,238), respectively.

(2)

Medical care ratio represents medical care costs as a percentage of premium revenue; premium tax ratio represents premium taxes as a percentage of premium revenue plus premium tax revenue.

(3)

Service revenue ratio represents cost of service revenue as a percentage of service revenue.

(4)

Computed as a percentage of total revenue.


   

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED BALANCE SHEETS

 
December 31,
2013     2012

(Amounts in thousands,
except per-share data)

ASSETS
Current assets:
Cash and cash equivalents $ 935,895 $ 795,770
Investments 703,052 342,845
Receivables 298,935 149,682
Income tax refundable 32,742
Deferred income taxes 26,556 32,443
Prepaid expenses and other current assets   42,484     28,386  
Total current assets 2,039,664 1,349,126
Property, equipment, and capitalized software, net 292,083 221,443
Deferred contract costs 45,675 58,313
Intangible assets, net 98,871 77,711
Goodwill 230,738 151,088
Restricted investments 63,093 44,101
Auction rate securities 10,898 13,419
Derivative asset 186,351
Other assets   35,564     19,621  
$ 3,002,937   $ 1,934,822  
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable $ 669,787 $ 494,530
Accounts payable and accrued liabilities 319,965 184,034
Deferred revenue 122,216 141,798
Income taxes payable 6,520
Current maturities of long-term debt   182,008     1,155  
Total current liabilities 1,293,976 828,037
Convertible senior notes 416,368 175,468
Lease financing obligations 159,394
Lease financing obligations - related party 27,092
Other long-term debt 86,316
Deferred income taxes 580 37,900
Derivative liability 186,239 1,307
Other long-term liabilities   26,351     23,480  
Total liabilities   2,110,000     1,152,508  
Stockholders’ equity:

Common stock, $0.001 par value; 150,000 shares authorized; outstanding: 45,871 shares at December 31, 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 340,848 285,524
Accumulated other comprehensive loss (1,086 ) (457 )
Treasury stock, at cost; outstanding: 111 shares at December 31, 2012 (3,000 )
Retained earnings   553,129     500,200  
Total stockholders’ equity   892,937     782,314  
$ 3,002,937   $ 1,934,822  

       

MOLINA HEALTHCARE, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR CONTINUING AND DISCONTINUED OPERATIONS

 

Three Months Ended
December 31,

Year Ended
December 31,

2013     2012 2013     2012
(Amounts in thousands)
Operating activities:
Net (loss) income $ (9,126 ) $ 25,643 $ 52,929 $ 9,790
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization 25,831 20,475 93,866 78,764
Deferred income taxes 7,395 (10,410 ) (31,047 ) (9,887 )
Stock-based compensation 8,040 4,570 28,694 20,018

Amortization of convertible senior notes and lease financing obligations

6,692 1,528 22,820 5,942
Amortization of premium/discount on investments 3,734 1,580 11,787 6,746
Amortization of deferred financing costs 650 264 3,692 1,089
Change in fair value of derivatives (5 ) 37 3,378 1,307

Change in fair value of contingent consideration liabilities

(2,400 ) (2,400 )
Loss on disposal of property and equipment 1,345 2,608 1,345 2,608
Tax deficiency from employee stock compensation (1 ) (367 ) (73 ) (526 )
Gain on sale of subsidiary (1,747 )
Changes in operating assets and liabilities:
Medical claims and benefits payable 37,081 (41,933 ) 175,257 92,054
Receivables (4,968 ) 7,227 (149,253 ) 18,216
Accounts payable and accrued liabilities

40,880

32,375

60,996

23,345
Income taxes (38,250 ) 40,050 (39,262 ) 18,172
Prepaid expenses and other current assets 4,488 1,616 (23,064 ) (8,958 )
Deferred revenue   (2,172 )   (1,503 )   (19,582 )   90,851  
Net cash provided by operating activities   79,214     83,760    

190,083

    347,784  
 
Investing activities:
Purchases of investments (142,130 ) (71,972 ) (770,083 ) (306,437 )
Sales and maturities of investments 171,795 84,341 399,595 298,006
Purchases of equipment (33,623 ) (25,597 ) (98,049 ) (78,145 )
Net cash paid in business combinations (3,837 ) (61,521 )
(Increase) decrease in restricted investments 2,132 387 (18,992 ) (2,647 )
(Increase) decrease in deferred contract costs 3,093 7,189 12,638 (11,610 )
Proceeds from sale of subsidiary, net of cash surrendered 9,162
Change in other noncurrent assets and liabilities   675     2,862     (6,899 )   (1,913 )
Net cash used in investing activities   (1,895 )   (2,790 )   (543,311 )   (93,584 )
 
Financing activities:

Proceeds from issuance of 1.125% Notes, net of deferred issuance costs

537,973
Proceeds from sale-leaseback transactions 158,694
Purchase of 1.125% Notes call option (149,331 )
Proceeds from issuance of warrants 75,074
Treasury stock purchases (2,662 ) (3,000 ) (52,662 ) (3,000 )
Principal payments on term loan (283 ) (47,471 ) (1,129 )
Repayment of amounts borrowed under credit facility (40,000 ) (20,000 )
Proceeds from employee stock plans 4,246 2,634 9,402 8,205
Excess tax benefits from employee stock compensation 436 (31 ) 1,674 3,667
Amount borrowed under credit facility               60,000  
Net cash provided by (used in) financing activities   2,020     (680 )  

493,353

    47,743  
Net increase in cash and cash equivalents 79,339 80,290 140,125 301,943
Cash and cash equivalents at beginning of period   856,556     715,480     795,770     493,827  
Cash and cash equivalents at end of period $ 935,895   $ 795,770   $ 935,895   $ 795,770  

 

MOLINA HEALTHCARE, INC.

UNAUDITED NON-GAAP FINANCIAL MEASURES

       

 

The Company uses two non-GAAP1 financial measures as supplemental metrics in evaluating its financial performance, making financing and business decisions, and forecasting and planning for future periods. Management believes such measures are useful supplemental measures to investors in evaluating the Company’s performance, and when comparing the Company’s performance with the performance of other public companies in the health care industry. These non-GAAP financial measures should be considered as supplements to, and not as substitutes for or superior to, GAAP measures.

 

The first of these non-GAAP measures is earnings before interest, taxes, depreciation and amortization (EBITDA). The following table reconciles net income, which we believe to be the most comparable GAAP measure, to EBITDA.

 

Three Months Ended
December 31,

Year Ended
December 31,

2013     2012 2013     2012
(Amounts in thousands)
Net (loss) income $ (9,126 ) $ 25,643 $ 52,929 $ 9,790
Adjustments:
Depreciation and amortization reported in the consolidated statements of cash flows 25,831 20,475 93,866 78,764
Interest expense 13,835 4,348 52,071 16,769
Income tax (benefit) expense   (7,341 )   24,503   26,404   9,275
EBITDA $ 23,199   $ 74,969 $ 225,270 $ 114,598
 

The second of these non-GAAP measures is adjusted net income per share, continuing operations. The following table reconciles net income (loss) per diluted share, which the Company believes to be the most comparable GAAP measure, to adjusted net income per diluted share.

 

Three Months Ended
December 31,

Year Ended
December 31,

2013 2012 2013 2012

Net (loss) income per diluted share, continuing operations

$ (0.20 ) $ 0.55 $ 0.96 $ 0.27
Adjustments, net of tax:
Depreciation, and amortization of capitalized software 0.28 0.20 0.98 0.75
Stock-based compensation 0.19 0.07 0.52 0.31
Amortization of convertible senior notes

and lease financing obligations

0.09 0.02 0.31 0.08
Amortization of intangible assets 0.08 0.08 0.28 0.29
Change in fair value of derivatives         0.08   0.02

Adjusted net income per diluted share, continuing operations

$ 0.44   $ 0.92 $ 3.13 $ 1.72
 

1 GAAP stands for Generally Accepted Accounting Principles.


   

MOLINA HEALTHCARE, INC.

UNAUDITED MEMBERSHIP DATA, CONTINUING OPERATIONS

 
As of December 31,
2013     2012     2011
Total Ending Membership by Health Plan:
California 368,000 336,000 355,000
Florida 89,000 73,000 69,000
Illinois 4,000
Michigan 213,000 220,000 222,000
New Mexico 168,000 91,000 88,000
Ohio 255,000 244,000 248,000
Texas 252,000 282,000 155,000
Utah 86,000 87,000 84,000
Washington 403,000 418,000 355,000
Wisconsin 93,000 46,000 42,000
1,931,000 1,797,000 1,618,000
Total Ending Membership by State for the

Medicare Advantage Plans:

California 8,800 7,700 6,900
Florida 600 900 800
Michigan 10,400 9,700 8,200
New Mexico 900 900 800
Ohio 500 300 200
Texas 2,800 1,500 700
Utah 8,300 8,200 8,400
Washington 7,100 6,500 5,000
39,400 35,700 31,000
Total Ending Membership by State for the

Aged, Blind or Disabled Population:

California 46,700 44,700 31,500
Florida 14,700 10,300 10,400
Illinois 4,000
Michigan 45,300 41,900 37,500
New Mexico 11,300 5,700 5,600
Ohio 32,000 28,200 29,100
Texas 90,200 95,900 63,700
Utah 9,700 9,000 8,500
Washington 33,000 30,000 4,800
Wisconsin 1,700 1,700 1,700
288,600 267,400 192,800

   

MOLINA HEALTHCARE, INC.

UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN,

CONTINUING OPERATIONS

(In thousands except percentages and per-member per-month amounts)

 
Three Months Ended December 31, 2013
Member

Months (1)

    Premium Revenue     Medical Care Costs     MCR (2)     Medical Margin
Total     PMPM Total     PMPM
California 1,101 $ 196,805 $ 178.70 $ 169,278 $ 153.71 86.0 % $ 27,527
Florida 261 77,309 295.65 69,815 266.99 90.3 7,494
Illinois (3) 7 8,121 1,201.34 7,869 1,164.10 96.9 252
Michigan 640 167,252 261.23 138,539 216.38 82.8 28,713
New Mexico 508 147,991 291.16 132,465 260.62 89.5 15,526
Ohio 773 278,916 360.85 236,409 305.86 84.8 42,507
Texas 761 321,938 423.35 284,998 374.77 88.5 36,940
Utah 259 73,903 285.88 66,136 255.84 89.5 7,767
Washington 1,219 275,778 226.15 248,871 204.09 90.2 26,907
Wisconsin 280 38,925 139.19 31,797 113.70 81.7 7,128
Other (4)   8,414   28,113   (19,699 )
5,809 $ 1,595,352 $ 274.63 $ 1,414,290 $ 243.46 88.7 % $ 181,062  
 
 
Three Months Ended December 31, 2012
Member

Months (1)

Premium Revenue Medical Care Costs MCR (2) Medical Margin
Total PMPM Total PMPM
California 1,021 $ 178,886 $

175.25

$ 159,800 $

156.55

89.3 % $ 19,086
Florida 218 57,892 266.06 48,965 225.04 84.6 8,927
Michigan 656 166,453 253.54 151,230 230.35 90.9 15,223
New Mexico 268 81,285 302.77 71,440 266.10 87.9 9,845
Ohio 752 267,918 356.60 235,072 312.88 87.7 32,846
Texas 856 341,244 398.69 265,391 310.07 77.8 75,853
Utah 259 72,859 281.46 61,741 238.51 84.7 11,118
Washington 1,248 290,246 232.56 253,335 202.99 87.3 36,911
Wisconsin 134 18,469 138.66 13,107 98.41 71.0 5,362
Other (3)(4)   2,132   15,652   (13,520 )
5,412 $ 1,477,384 $ 273.05 $ 1,275,733 $ 235.79 86.4 % $ 201,651  

__________

(1)

A member month is defined as the aggregate of each month’s ending membership for the period presented.

(2)

The MCR represents medical costs as a percentage of premium revenue.

(3)

The Illinois health plan’s results prior to October 1, 2013, were insignificant and reported in “Other.”

(4)

“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.


   

MOLINA HEALTHCARE, INC.

UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN,

CONTINUING OPERATIONS

(In thousands except percentages and per-member per-month amounts)

 
Year Ended December 31, 2013
Member

Months (1)

    Premium Revenue     Medical Care Costs     MCR (2)     Medical Margin
Total     PMPM Total     PMPM
California 4,233 $ 749,755 $ 177.10 $ 666,592 $ 157.46 88.9 % $ 83,163
Florida 973 264,998 272.23 231,261 237.57 87.3 33,737
Illinois (3) 7 8,121 1,201.34 7,869 1,164.10 96.9 252
Michigan 2,581 676,000 261.91 570,644 221.09 84.4 105,356
New Mexico 1,492 446,758 299.36 384,466 257.62 86.1 62,292
Ohio 3,007 1,098,795 365.44 924,675 307.53 84.2 174,120
Texas 3,178 1,291,001 406.27 1,114,852 350.84 86.4 176,149
Utah 1,040 310,895 299.05 259,397 249.51 83.4 51,498
Washington 4,941 1,168,405 236.47 1,028,210 208.10 88.0 140,195
Wisconsin 1,060 143,465 135.40 114,340 107.91 79.7 29,125
Other (4)   20,977   77,818   (56,841 )
22,512 $ 6,179,170 $ 274.48 $ 5,380,124 $ 238.99 87.1 % $ 799,046  
 
 
Year Ended December 31, 2012
Member

Months (1)

Premium Revenue Medical Care Costs MCR (2) Medical Margin
Total PMPM Total PMPM
California 4,177 $ 665,600 $

159.36

$ 606,494 $ 145.20 91.1 % $ 59,106
Florida 850 228,832 269.36 195,226 229.80 85.3 33,606
Michigan 2,639 646,551 244.97 570,636 216.20 88.3 75,915
New Mexico 1,069 321,853 301.08 280,108 262.03 87.0 41,745
Ohio 3,065 1,095,137 357.36 970,504 316.69 88.6 124,633
Texas 3,245 1,233,621 380.18 1,155,433 356.08 93.7 78,188
Utah 1,026 298,392 290.78 245,671 239.41 82.3 52,721
Washington 4,600 974,712 211.91 845,733 183.87 86.8 128,979
Wisconsin 508 70,678 139.25 67,968 133.91 96.2 2,710
Other (3)(4)   8,745   53,415   (44,670 )
21,179 $ 5,544,121 $ 261.79 $ 4,991,188 $ 235.68 90.0 % $ 552,933  
 

__________

(1)

A member month is defined as the aggregate of each month’s ending membership for the period presented.

(2)

The MCR represents medical costs as a percentage of premium revenue.

(3)

The Illinois health plan’s results prior to October 1, 2013, were insignificant and reported in “Other.”

(4)

“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.


   

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 from continuing operations for the periods indicated:

 
Three Months Ended December 31,
2013     2012
Amount     PMPM    

% of

Total

Amount     PMPM     % of

Total

Fee for service $ 936,744 $ 161.26 66.2 % $ 857,590 $ 158.50 67.2 %
Pharmacy 243,301 41.88 17.2 229,826 42.48 18.0
Capitation 162,651 28.00 11.5 139,444 25.77 10.9
Direct delivery 20,549 3.54 1.5 8,694 1.61 0.7
Other   51,045   8.78 3.6     40,179   7.43 3.2  
$ 1,414,290 $ 243.46 100.0 % $ 1,275,733 $ 235.79 100.0 %
 
 
Year Ended December 31,
2013 2012
Amount PMPM % of

Total

Amount PMPM % of

Total

Fee for service $ 3,611,529 $ 160.43 67.1 % $ 3,423,751 $ 161.67 68.6 %
Pharmacy 935,204 41.54 17.4 835,830 39.47 16.7
Capitation 603,938 26.83 11.2 552,136 26.07 11.1
Direct delivery 48,288 2.14 0.9 33,920 1.60 0.7
Other   181,165   8.05 3.4     145,551   6.87 2.9  
$ 5,380,124 $ 238.99 100.0 % $ 4,991,188 $ 235.68 100.0 %
       

The following table provides the details of the Company’s medical claims and benefits payable as of the dates indicated:

 
December 31,
2013

December 31,
2012

Fee-for-service claims incurred but not paid (IBNP) $ 424,173 $ 377,614
Pharmacy payable 45,037 38,992
Capitation payable 20,267 49,066
Other (1)   180,310   28,858
$ 669,787 $ 494,530

__________

(1)

“Other” medical claims and benefits payable include amounts payable to certain providers for which the Company acts as an intermediary on behalf of various state agencies without assuming financial risk. Such receipts and payments do not impact the Company’s unaudited consolidated statements of operations. As of December 31, 2013, the Company had recorded non-risk provider payables of approximately $151.3 million.


     

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 presents the components of the change in medical claims and benefits payable from continuing and discontinued operations combined for the periods indicated:

 

Three Months Ended
December 31,

Year Ended

December 31,

2013   2012 2013   2012
(Dollars in thousands, except per-member amounts)
Balances at beginning of period $ 632,706 $ 536,463 $ 494,530 $ 402,476
Components of medical care costs related to:
Current period 1,455,385 1,350,043 5,434,443 5,136,055
Prior period   (41,142 )   (76,419 )   (52,779 )   (39,295 )
Total medical care costs   1,414,243     1,273,624     5,381,664     5,096,760  
 
Change in non-risk provider payables   27,596     (5,691 )   111,267     (7,004 )
 
Payments for medical care costs related to:
Current period 1,017,300 979,963 4,932,195 4,689,395
Prior period   387,458     329,903     385,479     308,307  
Total paid   1,404,758     1,309,866     5,317,674     4,997,702  
Balances at end of period $ 669,787   $ 494,530   $ 669,787   $ 494,530  
Benefit from prior period as a percentage of:
Balance at beginning of period 6.5 % 14.2 % 10.7 % 9.8 %
Premium revenue, trailing twelve months 0.7 % 1.3 % 0.9 % 0.7 %
Medical care costs, trailing twelve months 0.8 % 1.5 % 1.0 % 0.8 %
 
Claims Data:
Days in claims payable, fee for service 43 40 43 40
Number of members at end of year 1,931,000 1,797,000 1,931,000 1,797,000
Number of claims in inventory at end of year 145,800 122,700 145,800 122,700
Billed charges of claims in inventory at end of year $ 276,500 $ 255,200 $ 276,500 $ 255,200
Claims in inventory per member at end of year 0.08 0.07 0.08 0.07
Billed charges of claims in inventory per member

at end of year

$ 143.19 $ 142.01 $ 143.19 $ 142.01
Number of claims received during the year 5,566,000 5,378,400 21,317,500 20,842,400
Billed charges of claims received during the year $ 5,565,600 $ 5,089,600 $ 21,414,600 $ 19,429,300

CONTACT:
Molina Healthcare, Inc.
Juan José Orellana, 562-435-3666, ext. 111143
Investor Relations