Document


 
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): November 2, 2017 (November 2, 2017)
______________
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))
Indicated by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
¨
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section13(a) of the Exchange Act.
 
¨
 





Item 2.02.    Results of Operations and Financial Condition.
On November 2, 2017, Molina Healthcare, Inc. (the “Company”) issued a press release announcing its financial results for the third quarter ended September 30, 2017, and the results of an impairment assessment discussed in Item 2.06 below (the “November 2nd Press Release”). The full text of the November 2nd Press Release is included as Exhibit 99.1 to this report. The information contained in the website cited in the November 2nd Press Release is not part of this report.

Item 2.06.    Material Impairments.
The Company will report $129 million in non-cash goodwill impairment losses, for its Pathways behavioral health subsidiary and Molina Medicaid Solutions (MMS) segment, in its Form 10-Q for the quarter ended September 30, 2017. In the third quarter of 2017, management determined that neither business will provide future benefits relating to the integration of their operations with the Health Plans segment to the extent previously expected. While such impairment losses have a short-term impact on profitability, there is no impact to the Company’s cash flows.

The information under Item 2.02 of 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 November 2, 2017, as to financial results for the third quarter ended September 30, 2017.







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:
November 2, 2017
By:
/s/ Jeff D. Barlow
 
 
 
Jeff D. Barlow
 
 
 
Chief Legal Officer and Secretary







EXHIBIT INDEX
Exhibit No.
Description
99.1




Exhibit

MOH Reports Third Quarter 2017 Results
Page 1
November 2, 2017

https://cdn.kscope.io/08b49b099e24a219fef0af9668fe3e9e-molinaa03a01a01a16.jpg


News Release

Contact:
Juan José Orellana
Investor Relations
562-435-3666, ext. 111143

MOLINA HEALTHCARE ANNOUNCES THIRD QUARTER RESULTS
Net loss of $1.70 per diluted share for the quarter.
Results for the quarter include $3.16 per diluted share in impairment and restructuring costs.
Medical care ratio for the quarter of 88.3%.
$200 million of annualized run-rate savings to be effective January 1, 2018, achieved in Q3 under restructuring plan.
$300 million to $400 million of total annualized run-rate savings expected by end of 2018.
Joseph M. Zubretsky appointed President, Chief Executive Officer and Director, effective November 6, 2017.
Long Beach, California (November 2, 2017) - Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the third quarter of 2017.
During the third quarter, we made significant progress on our restructuring efforts, bringing us one step closer to becoming a more consistent and profitable company. While there’s still more work ahead, our improved performance and our continued success toward achieving $200 million in annualized run-rate savings as of January 1, 2018, demonstrate that we are on the right track,” said Joseph White, chief financial officer and interim president and chief executive officer of Molina Healthcare, Inc. “Additionally, we are extremely fortunate to have our new CEO, Joseph Zubretsky, starting next Monday. His leadership and operational acumen will significantly augment our efforts and will enable us to continue our mission as a stronger, more profitable company.”
Third Quarter 2017 Compared with Third Quarter 2016
Net loss per diluted share was $1.70 for the third quarter of 2017 compared with net income per diluted share of $0.76 reported for the third quarter of 2016. Loss before income tax benefit for the third quarter of 2017 was $113 million.
Medical care costs measured as a percentage of premium revenue (the “medical care ratio”) declined to 88.3% in the third quarter of 2017 from 89.4% in the third quarter of 2016 and from 94.8% in the second quarter of 2017. Improved medical cost performance in the third quarter of 2017 was the result of:
Improved sequential performance at our Illinois, New Mexico, Ohio, Puerto Rico, Texas, and Washington health plans, exclusive of the Marketplace program.

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November 2, 2017

Improved performance of our Marketplace program, including a reduction to the premium deficiency reserve of $30 million ($0.33 per diluted share, net of tax). The reserve, which was $100 million at June 30, 2017, decreased to $70 million as of September 30, 2017.
General and administrative costs, measured as a percentage of total revenue (the “administrative cost ratio”), were 7.6% in the third quarter of 2017, consistent with the third quarter of 2016, and 50 basis points lower than the second quarter of 2017. Excluding Marketplace broker commission and exchange fees, the administrative cost ratio decreased 30 basis points from the third quarter of 2016.
Restructuring costs and the impairment of certain purchased intangible assets increased loss before income tax benefit in the third quarter of 2017 by approximately $247 million. Specifically:
We recorded $118 million ($1.39 per diluted share, net of tax) of restructuring costs in the third quarter of 2017. Restructuring costs incurred to date consist primarily of termination benefits, write-offs of capitalized software due to the re-design of our core operating processes, restructuring of our direct delivery operations, and consulting fees.
We recorded $129 million ($1.77 per diluted share, net of tax) in non-cash goodwill impairment losses for our Pathways behavioral health subsidiary and our Molina Medicaid Solutions (MMS) segment. In the third quarter of 2017, management determined that neither business will provide future benefits relating to the integration of their operations with the Health Plans segment to the extent previously expected.
The table below summarizes the impact of certain items significant to our financial performance in the periods presented.
Summary of Significant Items Affecting 2017 Financial Results
 
Three Months Ended
 
Nine Months Ended
 
September 30, 2017
 
September 30, 2017
 
(In millions, except per diluted share amounts)
 
Amount
 
Per Diluted Share (1)
 
Amount
 
Per Diluted Share (1)
Restructuring and separation costs
$
118

 
$
1.39

 
$
161

 
$
1.92

Impairment losses
129

 
1.77

 
201

 
2.77

Change in Marketplace premium deficiency reserve for 2017 service dates
(30
)
 
(0.33
)
 
40

 
0.45

Termination fee received for terminated Medicare acquisition

 

 
(75
)
 
(0.84
)
 
$
217

 
$
2.83

 
$
327

 
$
4.30

________________________
(1)
Except for certain items that are not deductible for tax purposes, per diluted share amounts are generally calculated at our statutory income tax rate of 37%, which is in excess of the effective tax rate recorded in our consolidated statements of operations.
Marketplace Cost Share Reduction (CSR) Update
Our third quarter results do not include any potential impact from the October 12, 2017, direction to Centers for Medicare and Medicaid Services (CMS) from Acting Department of Health and Human Services Secretary Hargan to cease payment of Marketplace CSR subsidies. At September 30, 2017, we had a total of approximately $220 million in excess CSR subsidies, recorded as a payable to CMS. This payable represents the extent to which payments received by us from CMS exceeded our estimate of the actual cost of member subsidies incurred by us through September 30, 2017.
We expect to incur approximately $85 million in unreimbursed expense associated with the cessation of CSR subsidies in the fourth quarter of 2017. It has been the practice of CMS to perform a reconciliation on an annual basis of CSR subsidies paid to all health plans against the actual costs incurred by the health plans. Were such a reconciliation to be performed for the full calendar year of 2017—consistent with past practice—we would be able to offset nearly all of the $85 million expense incurred in the fourth quarter

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MOH Reports Third Quarter 2017 Results
Page 3
November 2, 2017

against the excess amounts received prior to September 30, 2017. However, should CMS transition to a nine month reconciliation period ending September 30, 2017—the last month for which CSR subsidies have been paid—the absence of CSR subsidy reimbursement would reduce income before income tax expense by approximately $85 million in the fourth quarter of 2017.
Income Tax (Benefit) Expense
The effective tax benefit for 2017 is less than the statutory tax benefit due to the relatively large amount of our reported expenses that are not deductible for tax purposes, primarily relating to goodwill impairment losses and separation costs.
Restructuring and Profit Improvement Plan Update
As previously disclosed, we estimate that our restructuring plan will reduce annualized run-rate expenses by approximately $300 million to $400 million when completed by the end of 2018. We have already achieved $200 million of these run-rate reductions on an annualized basis, which will take full effect no later than January 1, 2018. Our third quarter results include approximately $10 million of these reductions. All savings targets discussed in regards to the restructuring plan represent annualized run-rate savings that we expect to achieve during the year following the indicated implementation date. We expect one-time costs associated with the restructuring plan to exceed the benefits realized in 2017 due to the upfront payment of implementation costs and the delayed benefit of full savings until the beginning of 2018.
We estimate that total pre-tax costs associated with the restructuring plan will be approximately $70 million to $90 million in the fourth quarter of 2017, with an additional $20 million to $40 million to be incurred in 2018.
Marketplace 2018 Update
We have taken the following steps in regards to our participation in the ACA Marketplace in 2018:
1.
As previously announced, we will exit the Utah and Wisconsin ACA Marketplaces effective December 31, 2017.
2.
In our remaining Marketplace plans, we are increasing 2018 premiums by 55% to take into account the absence of cost sharing reduction (CSR) subsidies and other risks related to ACA Marketplace uncertainties.
3.
We have reduced the scope of our 2018 participation in the state of Washington Marketplace.
4.
We continue to monitor the current political and programmatic developments pertaining to the ACA Marketplace.
Chief Executive Officer Named
On October 10, 2017, Molina announced that Joseph M. Zubretsky had been named as the Company’s new President and Chief Executive Officer, effective November 6, 2017. Mr. Zubretsky, who most recently served as President and Chief Executive Officer for The Hanover Insurance Group and a member of its board of directors, also served almost nine years at Aetna, Inc., one of the nation’s largest healthcare benefits and insurance providers, where he most recently served as Chief Executive Officer of Healthagen Holdings, a group of healthcare services and information technology companies. Prior to that, from 2013 to 2014, he served as Senior Executive Vice President, leading Aetna’s National Businesses, and from 2007 to 2013 served as Aetna’s Chief Financial Officer.
Conference Call
Management will host a conference call and webcast to discuss Molina Healthcare’s third quarter results at 5:00 p.m. Eastern time on Thursday, November 2, 2017. The number to call for the interactive teleconference is (212) 231-2901. A telephonic replay of the conference call will be available from 7:00 p.m. Eastern time on Thursday, November 2, 2017, through 6:00 p.m. Eastern Time on Friday, November 3, 2017, by dialing (800) 633-8284 and entering confirmation number 21859678. A live audio broadcast of Molina Healthcare’s conference call will be available on our website, molinahealthcare.com. A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast.

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MOH Reports Third Quarter 2017 Results
Page 4
November 2, 2017

About Molina Healthcare
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. Through our health plans operating in 12 states across the nation and in the Commonwealth of Puerto Rico, Molina currently serves approximately 4.5 million members. Dr. C. David Molina founded our company in 1980 to serve low-income families in Southern California. Today, we continue his mission of providing high quality and cost-effective health care to those who need it most. For more information about Molina Healthcare, please visit our website at molinahealthcare.com.

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Page 5
November 2, 2017

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This earnings release contains “forward-looking statements” regarding our plans, expectations, and anticipated future events. Actual results could differ materially due to numerous known and unknown risks and uncertainties. Those known risks and uncertainties include, but are not limited to, the following:
the success of our previously announced restructuring plan, including the timing and amounts of the benefits realized;
the numerous political and market-based uncertainties associated with the Affordable Care Act (the “ACA”) or “Obamacare,” including any potential repeal and replacement of the law, amendment of the law, or move to state block grants for Medicaid;
the market dynamics surrounding the ACA Marketplaces, including but not limited to uncertainties associated with risk transfer requirements, the potential for disproportionate enrollment of higher acuity members, the discontinuation of premium tax credits, the adequacy of agreed rates, and potential disruption associated with market withdrawal from Utah, Wisconsin, or other states;
subsequent adjustments to reported premium revenue based upon subsequent developments or new information, including changes to estimated amounts payable or receivable related to Marketplace risk adjustment/risk transfer, risk corridors, and reinsurance;
effective management of our medical costs;
our ability to predict with a reasonable degree of accuracy utilization rates, including utilization rates associated with seasonal flu patterns or other newly emergent diseases;
significant budget pressures on state governments and their potential inability to maintain current rates, to implement expected rate increases, or to maintain existing benefit packages or membership eligibility thresholds or criteria, including the payment of all amounts due to our Illinois health plan following the resolution of the Illinois budget impasse;
the success of our efforts to retain existing government contracts, including those in Florida, New Mexico, Puerto Rico, and Texas, and to obtain new government contracts in connection with state requests for proposals (RFPs) in both existing and new states;
any adverse impact resulting from the significant changes to our executive leadership team and the rightsizing of our workforce;
the impact of our decision to exit the Utah and Wisconsin ACA Marketplace markets effective December 31, 2017;
our ability to manage our operations, including maintaining and creating adequate internal systems and controls relating to authorizations, approvals, provider payments, and the overall success of our care management initiatives;
our ability to consummate and realize benefits from acquisitions or divestitures;
our receipt of adequate premium rates to support increasing pharmacy costs, including costs associated with specialty drugs and costs resulting from formulary changes that allow the option of higher-priced non-generic drugs;
our ability to operate profitably in an environment where the trend in premium rate increases lags behind the trend in increasing medical costs;
the interpretation and implementation of federal or state medical cost expenditure floors, administrative cost and profit ceilings, premium stabilization programs, profit sharing arrangements, and risk adjustment provisions;
our estimates of amounts owed for such cost expenditure floors, administrative cost and profit ceilings, premium stabilization programs, profit-sharing arrangements, and risk adjustment provisions;
the Medicaid expansion cost corridors in California, New Mexico, and Washington, and any other retroactive adjustment to revenue where methodologies and procedures are subject to interpretation or dependent upon information about the health status of participants other than Molina members;
the interpretation and implementation of at-risk premium rules and state contract performance requirements regarding the achievement of certain quality measures, and our ability to recognize revenue amounts associated therewith;
cyber-attacks or other privacy or data security incidents resulting in an inadvertent unauthorized disclosure of protected health information;
the success of our health plan in Puerto Rico, including the resolution of the Puerto Rico debt crisis, payment of all amounts due under our Medicaid contract, the effect of the PROMESA law, the impact of Hurricane Maria and our efforts to better manage the health care costs of our Puerto Rico health plan;

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MOH Reports Third Quarter 2017 Results
Page 6
November 2, 2017

the success and renewal of our duals demonstration programs in California, Illinois, Michigan, Ohio, South Carolina, and Texas;
the accurate estimation of incurred but not reported or paid medical costs across our health plans;
efforts by states to recoup previously paid and recognized premium amounts;
complications, member confusion, or enrollment backlogs related to the annual renewal of Medicaid coverage;
government audits and reviews, or potential investigations, and any fine, sanction, enrollment freeze, monitoring program, or premium recovery that may result therefrom, including any potential demand by the state of New Mexico to recover purportedly underpaid premium taxes;
changes with respect to our provider contracts and the loss of providers;
approval by state regulators of dividends and distributions by our health plan subsidiaries;
changes in funding under our contracts as a result of regulatory changes, programmatic adjustments, or other reforms;
high dollar claims related to catastrophic illness;
the favorable resolution of litigation, arbitration, or administrative proceedings;
the relatively small number of states in which we operate health plans;
the availability of adequate financing on acceptable terms to fund and capitalize our expansion and growth, repay our outstanding indebtedness at maturity and meet our liquidity needs, including the interest expense and other costs associated with such financing;
our failure to comply with the financial or other covenants in our credit agreement or the indentures governing our outstanding notes;
the sufficiency of our funds on hand to pay the amounts due upon conversion or maturity of our outstanding notes;
the failure of a state in which we operate to renew its federal Medicaid waiver;
changes generally affecting the managed care or Medicaid management information systems industries;
increases in government surcharges, taxes, and assessments, including but not limited to the deductibility of certain compensation costs;
newly emergent viruses or widespread epidemics, public catastrophes or terrorist attacks, and associated public alarm;
increasing competition and consolidation in the Medicaid industry;
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 website or on the SEC’s website at 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 November 2, 2017, and we disclaim any obligation to update any forward-looking statements to conform the statement to actual results or changes in our expectations.



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MOH Reports Third Quarter 2017 Results
Page 7
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
(Dollar amounts in millions, except per-share amounts)
Revenue:
 
 
 
 
 
 
 
Premium revenue
$
4,777

 
$
4,191

 
$
14,165

 
$
12,215

Service revenue
130

 
133

 
390

 
408

Premium tax revenue
106

 
127

 
331

 
345

Health insurer fee revenue

 
85

 

 
251

Investment income and other revenue
18

 
10

 
48

 
29

Total revenue
5,031

 
4,546

 
14,934

 
13,248

Operating expenses:
 
 
 
 
 
 
 
Medical care costs
4,220

 
3,748

 
12,822

 
10,930

Cost of service revenue
123

 
119

 
369

 
362

General and administrative expenses
383

 
343

 
1,227

 
1,034

Premium tax expenses
106

 
127

 
331

 
345

Health insurer fee expenses

 
55

 

 
163

Depreciation and amortization
33

 
36

 
109

 
102

Impairment losses
129

 

 
201

 

Restructuring and separation costs
118

 

 
161

 

Total operating expenses
5,112

 
4,428

 
15,220

 
12,936

Operating (loss) income
(81
)
 
118

 
(286
)
 
312

Other expenses, net:
 
 
 
 
 
 
 
Interest expense
32

 
26

 
85

 
76

Other income, net

 

 
(75
)
 

Total other expenses, net
32

 
26

 
10

 
76

(Loss) income before income tax (benefit) expense
(113
)
 
92

 
(296
)
 
236

Income tax (benefit) expense
(16
)
 
50

 
(46
)
 
137

Net (loss) income
$
(97
)
 
$
42

 
$
(250
)
 
$
99

 
 
 
 
 
 
 
 
Net (loss) income per diluted share
$
(1.70
)
 
$
0.76

 
$
(4.44
)
 
$
1.77

 
 
 
 
 
 
 
 
Diluted weighted average shares outstanding
56.5

 
56.1

 
56.2

 
56.2

 
 
 
 
 
 
 
 
Operating Statistics:
 
 
 
 
 
 
 
Medical care ratio (1)
88.3
 %
 
89.4
%
 
90.5
 %
 
89.5
%
G&A ratio (2)
7.6
 %
 
7.6
%
 
8.2
 %
 
7.8
%
Premium tax ratio (1)
2.2
 %
 
2.9
%
 
2.3
 %
 
2.7
%
Effective tax rate
14.6
 %
 
54.0
%
 
15.5
 %
 
58.0
%
Net profit margin (2)
(1.9
)%
 
0.9
%
 
(1.7
)%
 
0.7
%
__________________
(1)
Medical care ratio represents medical care costs as a percentage of premium revenue; premium tax ratio represents premium tax expenses as a percentage of premium revenue plus premium tax revenue.
(2)
G&A ratio represents general and administrative expenses as a percentage of total revenue. Net profit margin represents net (loss) income as a percentage of total revenue.

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MOH Reports Third Quarter 2017 Results
Page 8
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED BALANCE SHEETS
 
September 30,
 
December 31,
 
2017
 
2016
 
(In millions,
except per-share data)
ASSETS
Current assets:
 
 
 
Cash and cash equivalents
$
3,934

 
$
2,819

Investments
1,787

 
1,758

Restricted investments
326

 

Receivables
1,002

 
974

Income taxes refundable
60

 
39

Prepaid expenses and other current assets
174

 
131

Derivative asset
425

 
267

Total current assets
7,708

 
5,988

Property, equipment, and capitalized software, net
397

 
454

Deferred contract costs
97

 
86

Intangible assets, net
101

 
140

Goodwill
430

 
620

Restricted investments
117

 
110

Deferred income taxes
62

 
10

Other assets
42

 
41

 
$
8,954

 
$
7,449

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
 
 
 
Medical claims and benefits payable
$
2,478

 
$
1,929

Amounts due government agencies
1,324

 
1,202

Accounts payable and accrued liabilities
485

 
385

Deferred revenue
468

 
315

Current portion of long-term debt
782

 
472

Derivative liability
425

 
267

Total current liabilities
5,962

 
4,570

Long-term debt
1,317

 
975

Lease financing obligations
198

 
198

Deferred income taxes

 
15

Other long-term liabilities
48

 
42

Total liabilities
7,525

 
5,800

Stockholders’ equity:
 
 
 
Common stock, $0.001 par value; 150 shares authorized; outstanding: 57 shares at September 30, 2017 and December 31, 2016

 

Preferred stock, $0.001 par value; 20 shares authorized, no shares issued and outstanding

 

Additional paid-in capital
870

 
841

Accumulated other comprehensive loss
(1
)
 
(2
)
Retained earnings
560

 
810

Total stockholders’ equity
1,429

 
1,649

 
$
8,954

 
$
7,449


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MOH Reports Third Quarter 2017 Results
Page 9
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
(In millions)
Operating activities:
 
 
 
 
 
 
 
Net (loss) income
$
(97
)
 
$
42

 
$
(250
)
 
$
99

Adjustments to reconcile net (loss) income to net cash provided by operating activities:
 
 
 
 
 
 
 
Depreciation and amortization
43

 
46

 
139

 
135

Impairment losses
129

 

 
201

 

Deferred income taxes
(27
)
 
(19
)
 
(68
)
 
20

Share-based compensation, including accelerated share-based compensation
3

 
8

 
38

 
24

Non-cash restructuring charges
49

 

 
49

 

Amortization of convertible senior notes and lease financing obligations
8

 
8

 
24

 
23

Other, net
6

 
3

 
13

 
14

Changes in operating assets and liabilities:
 
 
 
 
 
 
 
Receivables
4

 
(12
)
 
(28
)
 
(427
)
Prepaid expenses and other assets
(15
)
 
27

 
(53
)
 
(116
)
Medical claims and benefits payable
401

 
86

 
549

 
168

Amounts due government agencies
(520
)
 
(6
)
 
122

 
503

Accounts payable and accrued liabilities
108

 
(146
)
 
90

 
1

Deferred revenue
185

 
276

 
153

 
157

Income taxes
8

 
42

 
(22
)
 
32

Net cash provided by operating activities
285

 
355

 
957

 
633

Investing activities:
 
 
 
 
 
 
 
Purchases of investments
(260
)
 
(470
)
 
(1,896
)
 
(1,444
)
Proceeds from sales and maturities of investments
664

 
700

 
1,538

 
1,512

Purchases of property, equipment, and capitalized software
(25
)
 
(41
)
 
(85
)
 
(143
)
(Increase) decrease in restricted investments held-to-maturity

 
(1
)
 
(10
)
 
4

Net cash paid in business combinations

 
(40
)
 

 
(48
)
Other, net
(8
)
 
(6
)
 
(21
)
 
(12
)
Net cash provided by (used in) investing activities
371

 
142

 
(474
)
 
(131
)
Financing activities:
 
 
 
 
 
 
 
Proceeds from senior notes offering, net of issuance costs

 

 
325

 

Proceeds from borrowings under credit facility
300

 

 
300

 

Proceeds from employee stock plans

 

 
11

 
10

Other, net
(1
)
 

 
(4
)
 
1

Net cash provided by financing activities
299

 

 
632

 
11

Net increase in cash and cash equivalents
955

 
497

 
1,115

 
513

Cash and cash equivalents at beginning of period
2,979

 
2,345

 
2,819

 
2,329

Cash and cash equivalents at end of period
$
3,934

 
$
2,842

 
$
3,934

 
$
2,842


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MOH Reports Third Quarter 2017 Results
Page 10
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED HEALTH PLANS SEGMENT MEMBERSHIP
 
September 30,
2017
 
December 31, 2016
 
September 30,
2016
Ending Membership by Program:
 
 
 
 
 
Temporary Assistance for Needy Families (TANF) and Children’s Health Insurance Program (CHIP)
2,451,000

 
2,536,000

 
2,529,000

Marketplace
877,000

 
526,000

 
568,000

Medicaid Expansion
662,000

 
673,000

 
658,000

Aged, Blind or Disabled (ABD)
411,000

 
396,000

 
395,000

Medicare-Medicaid Plan (MMP) - Integrated
58,000

 
51,000

 
51,000

Medicare Special Needs Plans
44,000

 
45,000

 
45,000

 
4,503,000

 
4,227,000

 
4,246,000

Ending Membership by Health Plan:
 
 
 
 
 
California
751,000

 
683,000

 
683,000

Florida
641,000

 
553,000

 
563,000

Illinois
163,000

 
195,000

 
195,000

Michigan
399,000

 
391,000

 
387,000

New Mexico
256,000

 
254,000

 
253,000

New York
33,000

 
35,000

 
37,000

Ohio
343,000

 
332,000

 
339,000

Puerto Rico
306,000

 
330,000

 
331,000

South Carolina
113,000

 
109,000

 
109,000

Texas
444,000

 
337,000

 
352,000

Utah
160,000

 
146,000

 
150,000

Washington
770,000

 
736,000

 
716,000

Wisconsin
124,000

 
126,000

 
131,000

 
4,503,000

 
4,227,000

 
4,246,000








-MORE-


MOH Reports Third Quarter 2017 Results
Page 11
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA
(In millions, except percentages and per-member per-month amounts)
 
Three Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
TANF and CHIP
7.5

 
$
1,392

 
$
185.95

 
$
1,242

 
$
165.76

 
89.1
%
 
$
150

Medicaid Expansion
2.0

 
773

 
385.58

 
667

 
332.99

 
86.4

 
106

ABD
1.2

 
1,288

 
1,038.85

 
1,259

 
1,016.06

 
97.8

 
29

Total Medicaid
10.7

 
3,453

 
321.77

 
3,168

 
295.23

 
91.8

 
285

MMP
0.2

 
378

 
2,263.07

 
336

 
2,013.67

 
89.0

 
42

Medicare
0.1

 
163

 
1,231.61

 
126

 
951.01

 
77.2

 
37

Total Medicare
0.3

 
541

 
1,806.26

 
462

 
1,543.05

 
85.4

 
79

Excluding Marketplace
11.0

 
3,994

 
362.04

 
3,630

 
329.08

 
90.9

 
364

Marketplace
2.7

 
783

 
301.72

 
590

 
227.22

 
75.3

 
193

 
13.7

 
$
4,777

 
$
350.55

 
$
4,220

 
$
309.68

 
88.3
%
 
$
557


 
Three Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
TANF and CHIP
7.6

 
$
1,373

 
$
180.74

 
$
1,246

 
$
164.04

 
90.8
%
 
$
127

Medicaid Expansion
2.0

 
763

 
386.98

 
642

 
325.68

 
84.2

 
121

ABD
1.1

 
1,186

 
1,008.28

 
1,094

 
929.93

 
92.2

 
92

Total Medicaid
10.7

 
3,322

 
309.19

 
2,982

 
277.55

 
89.8

 
340

MMP
0.2

 
334

 
2,165.26

 
280

 
1,818.75

 
84.0

 
54

Medicare
0.1

 
136

 
1,019.19

 
134

 
1,003.85

 
98.5

 
2

Total Medicare
0.3

 
470

 
1,633.62

 
414

 
1,440.73

 
88.2

 
56

Excluding Marketplace
11.0

 
3,792

 
343.68

 
3,396

 
307.84

 
89.6

 
396

Marketplace
1.7

 
399

 
238.86

 
352

 
210.38

 
88.1

 
47

 
12.7

 
$
4,191

 
$
329.88

 
$
3,748

 
$
295.01

 
89.4
%
 
$
443

______________________
(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.




-MORE-


MOH Reports Third Quarter 2017 Results
Page 12
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA
(In millions, except percentages and per-member per-month amounts)
 
Nine Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
TANF and CHIP
22.8

 
$
4,185

 
$
183.69

 
$
3,861

 
$
169.44

 
92.2
%
 
$
324

Medicaid Expansion
6.1

 
2,376

 
389.14

 
2,045

 
334.93

 
86.1

 
331

ABD
3.6

 
3,769

 
1,033.45

 
3,634

 
996.58

 
96.4

 
135

Total Medicaid
32.5

 
10,330

 
317.49

 
9,540

 
293.21

 
92.4

 
790

MMP
0.5

 
1,083

 
2,189.96

 
976

 
1,974.22

 
90.1

 
107

Medicare
0.4

 
449

 
1,142.68

 
369

 
939.21

 
82.2

 
80

Total Medicare
0.9

 
1,532

 
1,726.39

 
1,345

 
1,516.09

 
87.8

 
187

Excluding Marketplace
33.4

 
11,862

 
354.88

 
10,885

 
325.66

 
91.8

 
977

Marketplace
8.4

 
2,303

 
276.27

 
1,937

 
232.31

 
84.1

 
366

 
41.8

 
$
14,165

 
$
339.19

 
$
12,822

 
$
307.03

 
90.5
%
 
$
1,343


 
Nine Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
TANF and CHIP
22.5

 
$
3,999

 
$
177.60

 
$
3,646

 
$
161.93

 
91.2
%
 
$
353

Medicaid Expansion
5.8

 
2,184

 
376.98

 
1,850

 
319.38

 
84.7

 
334

ABD
3.5

 
3,466

 
987.20

 
3,173

 
903.85

 
91.6

 
293

Total Medicaid
31.8

 
9,649

 
303.23

 
8,669

 
272.46

 
89.9

 
980

MMP
0.5

 
989

 
2,160.14

 
867

 
1,894.38

 
87.7

 
122

Medicare
0.4

 
396

 
1,015.14

 
385

 
986.40

 
97.2

 
11

Total Medicare
0.9

 
1,385

 
1,633.26

 
1,252

 
1,476.57

 
90.4

 
133

Excluding Marketplace
32.7

 
11,034

 
337.76

 
9,921

 
303.72

 
89.9

 
1,113

Marketplace
5.1

 
1,181

 
231.69

 
1,009

 
197.77

 
85.4

 
172

 
37.8

 
$
12,215

 
$
323.44

 
$
10,930

 
$
289.41

 
89.5
%
 
$
1,285

______________________
(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.


-MORE-


MOH Reports Third Quarter 2017 Results
Page 13
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—NON-MARKETPLACE
(In millions, except percentages and per-member per-month amounts)
 
Three Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
1.9

 
$
601

 
$
322.97

 
$
563

 
$
302.67

 
93.7
%
 
$
38

Florida
1.0

 
388

 
355.59

 
390

 
356.83

 
100.3

 
(2
)
Illinois
0.5

 
137

 
287.69

 
138

 
289.36

 
100.6

 
(1
)
Michigan
1.2

 
390

 
337.17

 
345

 
298.83

 
88.6

 
45

New Mexico
0.7

 
304

 
429.07

 
277

 
390.91

 
91.1

 
27

New York (3)
0.1

 
43

 
435.00

 
41

 
413.02

 
94.9

 
2

Ohio
0.9

 
549

 
560.06

 
483

 
492.61

 
88.0

 
66

Puerto Rico
1.0

 
191

 
202.59

 
159

 
168.25

 
83.1

 
32

South Carolina
0.3

 
113

 
332.48

 
101

 
297.74

 
89.6

 
12

Texas
0.7

 
541

 
778.50

 
506

 
728.19

 
93.5

 
35

Utah
0.2

 
89

 
318.98

 
71

 
254.99

 
79.9

 
18

Washington
2.3

 
612

 
276.73

 
522

 
236.11

 
85.3

 
90

Wisconsin
0.2

 
34

 
175.77

 
27

 
141.78

 
80.7

 
7

Other (4)

 
2

 

 
7

 

 

 
(5
)
 
11.0

 
$
3,994

 
$
362.04

 
$
3,630

 
$
329.08

 
90.9
%
 
$
364

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
1.8

 
$
575

 
$
310.64

 
$
493

 
$
266.81

 
85.9
%
 
$
82

Florida
1.0

 
335

 
323.98

 
317

 
305.71

 
94.4

 
18

Illinois
0.6

 
163

 
275.26

 
145

 
244.86

 
89.0

 
18

Michigan
1.2

 
385

 
335.34

 
335

 
291.69

 
87.0

 
50

New Mexico
0.7

 
323

 
451.06

 
293

 
409.24

 
90.7

 
30

New York (3)
0.1

 
32

 
427.40

 
30

 
403.71

 
94.5

 
2

Ohio
1.0

 
492

 
497.08

 
417

 
421.95

 
84.9

 
75

Puerto Rico
1.0

 
184

 
183.46

 
167

 
167.44

 
91.3

 
17

South Carolina
0.3

 
102

 
312.28

 
94

 
285.97

 
91.6

 
8

Texas
0.7

 
534

 
728.84

 
484

 
662.79

 
90.9

 
50

Utah
0.3

 
83

 
288.59

 
71

 
242.77

 
84.1

 
12

Washington
2.0

 
546

 
264.01

 
500

 
241.49

 
91.5

 
46

Wisconsin
0.3

 
35

 
166.82

 
26

 
125.86

 
75.4

 
9

Other (4)

 
3

 

 
24

 

 

 
(21
)
 
11.0

 
$
3,792

 
$
343.68

 
$
3,396

 
$
307.84

 
89.6
%
 
$
396

__________________
(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 New York health plan was acquired on August 1, 2016.
(4)
“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.

-MORE-


MOH Reports Third Quarter 2017 Results
Page 14
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—NON-MARKETPLACE
(In millions, except percentages and per-member per-month amounts)
 
Nine Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
5.6

 
$
1,771

 
$
316.83

 
$
1,586

 
$
283.82

 
89.6
%
 
$
185

Florida
3.2

 
1,132

 
347.41

 
1,112

 
341.15

 
98.2

 
20

Illinois
1.6

 
447

 
284.18

 
492

 
312.54

 
110.0

 
(45
)
Michigan
3.5

 
1,162

 
332.60

 
1,035

 
296.28

 
89.1

 
127

New Mexico
2.2

 
933

 
431.70

 
887

 
410.24

 
95.0

 
46

New York (3)
0.3

 
135

 
444.77

 
128

 
421.58

 
94.8

 
7

Ohio
2.9

 
1,598

 
541.56

 
1,434

 
486.02

 
89.7

 
164

Puerto Rico
2.9

 
553

 
190.99

 
513

 
177.01

 
92.7

 
40

South Carolina
1.0

 
329

 
325.43

 
301

 
298.43

 
91.7

 
28

Texas
2.1

 
1,592

 
760.76

 
1,468

 
701.32

 
92.2

 
124

Utah
0.8

 
267

 
315.35

 
219

 
258.64

 
82.0

 
48

Washington
6.7

 
1,835

 
275.60

 
1,603

 
240.83

 
87.4

 
232

Wisconsin
0.6

 
101

 
170.64

 
80

 
136.04

 
79.7

 
21

Other (4)

 
7

 

 
27

 

 

 
(20
)
 
33.4

 
$
11,862

 
$
354.88

 
$
10,885

 
$
325.66

 
91.8
%
 
$
977

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
5.5

 
$
1,603

 
$
291.20

 
$
1,411

 
$
256.41

 
88.1
%
 
$
192

Florida
3.0

 
974

 
322.69

 
892

 
295.43

 
91.6

 
82

Illinois
1.8

 
466

 
266.11

 
414

 
236.39

 
88.8

 
52

Michigan
3.6

 
1,136

 
323.08

 
1,013

 
288.13

 
89.2

 
123

New Mexico
2.1

 
974

 
460.71

 
873

 
412.92

 
89.6

 
101

New York (3)
0.1

 
32

 
427.40

 
30

 
403.71

 
94.5

 
2

Ohio
2.9

 
1,444

 
489.63

 
1,286

 
435.99

 
89.0

 
158

Puerto Rico
3.0

 
535

 
176.44

 
516

 
170.46

 
96.6

 
19

South Carolina
0.9

 
273

 
288.93

 
232

 
245.13

 
84.8

 
41

Texas
2.2

 
1,650

 
744.71

 
1,466

 
662.01

 
88.9

 
184

Utah
0.9

 
255

 
293.33

 
221

 
253.79

 
86.5

 
34

Washington
6.0

 
1,576

 
261.23

 
1,431

 
237.20

 
90.8

 
145

Wisconsin
0.7

 
107

 
165.53

 
78

 
120.82

 
73.0

 
29

Other (4)

 
9

 

 
58

 

 

 
(49
)
 
32.7

 
$
11,034

 
$
337.76

 
$
9,921

 
$
303.72

 
89.9
%
 
$
1,113

__________________
(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 New York health plan was acquired on August 1, 2016.
(4)
“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.

-MORE-


MOH Reports Third Quarter 2017 Results
Page 15
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—MARKETPLACE
(In millions, except percentages and per-member per-month amounts)
 
Three Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
0.3

 
$
88

 
$
208.19

 
$
63

 
$
147.87

 
71.0
%
 
$
25

Florida
0.9

 
260

 
313.36

 
235

 
283.13

 
90.4

 
25

Michigan

 
14

 
212.08

 
10

 
150.24

 
70.8

 
4

New Mexico
0.1

 
29

 
383.58

 
20

 
269.28

 
70.2

 
9

Ohio
0.1

 
23

 
386.09

 
20

 
364.31

 
94.4

 
3

Texas
0.7

 
183

 
291.14

 
109

 
172.70

 
59.3

 
74

Utah
0.3

 
49

 
241.65

 
31

 
155.13

 
64.2

 
18

Washington
0.1

 
42

 
327.40

 
33

 
256.52

 
78.3

 
9

Wisconsin
0.2

 
95

 
527.17

 
70

 
385.65

 
73.2

 
25

Other (3)

 

 

 
(1
)
 

 

 
1

 
2.7

 
$
783

 
$
301.72

 
$
590

 
$
227.22

 
75.3
%
 
$
193

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
0.3

 
$
37

 
$
185.04

 
$
30

 
$
140.10

 
75.7
%
 
$
7

Florida
0.6

 
159

 
253.16

 
145

 
231.78

 
91.6

 
14

Michigan

 
2

 
221.84

 
2

 
132.62

 
59.8

 

New Mexico
0.1

 
15

 
290.63

 
11

 
220.32

 
75.8

 
4

Ohio

 
9

 
307.24

 
7

 
215.01

 
70.0

 
2

Texas
0.4

 
63

 
189.85

 
41

 
121.06

 
63.8

 
22

Utah
0.1

 
23

 
142.10

 
33

 
208.48

 
146.7

 
(10
)
Washington
0.1

 
23

 
307.55

 
21

 
300.71

 
97.8

 
2

Wisconsin
0.1

 
68

 
375.60

 
64

 
357.60

 
95.2

 
4

Other (3)

 

 

 
(2
)
 

 

 
2

 
1.7

 
$
399

 
$
238.86

 
$
352

 
$
210.38

 
88.1
%
 
$
47

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

-MORE-


MOH Reports Third Quarter 2017 Results
Page 16
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—MARKETPLACE
(In millions, except percentages and per-member per-month amounts)
 
Nine Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
1.2

 
$
241

 
$
193.33

 
$
156

 
$
124.32

 
64.3
%
 
$
85

Florida
2.8

 
821

 
296.14

 
758

 
273.55

 
92.4

 
63

Michigan
0.2

 
41

 
187.96

 
27

 
126.76

 
67.4

 
14

New Mexico
0.2

 
82

 
338.18

 
62

 
256.05

 
75.7

 
20

Ohio
0.2

 
68

 
365.35

 
64

 
346.93

 
95.0

 
4

Texas
2.1

 
517

 
252.32

 
351

 
171.57

 
68.0

 
166

Utah
0.7

 
135

 
209.43

 
135

 
209.13

 
99.9

 

Washington
0.4

 
123

 
315.95

 
128

 
327.51

 
103.7

 
(5
)
Wisconsin
0.6

 
275

 
469.44

 
260

 
443.41

 
94.5

 
15

Other (3)

 

 

 
(4
)
 

 

 
4

 
8.4

 
$
2,303

 
$
276.27

 
$
1,937

 
$
232.31

 
84.1
%
 
$
366

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
0.6

 
$
104

 
$
177.57

 
$
74

 
$
124.29

 
70.0
%
 
$
30

Florida
2.0

 
473

 
237.37

 
409

 
205.37

 
86.5

 
64

Michigan

 
7

 
213.35

 
5

 
138.37

 
64.9

 
2

New Mexico
0.2

 
42

 
264.76

 
32

 
201.73

 
76.2

 
10

Ohio
0.1

 
28

 
322.36

 
20

 
232.44

 
72.1

 
8

Texas
1.1

 
202

 
196.45

 
133

 
128.97

 
65.7

 
69

Utah
0.4

 
75

 
160.33

 
91

 
194.78

 
121.5

 
(16
)
Washington
0.2

 
58

 
281.80

 
48

 
235.78

 
83.7

 
10

Wisconsin
0.5

 
192

 
357.80

 
200

 
373.94

 
104.5

 
(8
)
Other (3)

 

 

 
(3
)
 

 

 
3

 
5.1

 
$
1,181

 
$
231.69

 
$
1,009

 
$
197.77

 
85.4
%
 
$
172

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


-MORE-


MOH Reports Third Quarter 2017 Results
Page 17
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—TOTAL
(In millions, except percentages and per-member per-month amounts)
 
Three Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
2.2

 
$
689

 
$
301.64

 
$
626

 
$
273.90

 
90.8
%
 
$
63

Florida
1.9

 
648

 
337.40

 
625

 
325.09

 
96.4

 
23

Illinois
0.5

 
137

 
287.69

 
138

 
289.36

 
100.6

 
(1
)
Michigan
1.2

 
404

 
330.27

 
355

 
290.63

 
88.0

 
49

New Mexico
0.8

 
333

 
424.61

 
297

 
378.98

 
89.3

 
36

New York (3)
0.1

 
43

 
435.00

 
41

 
413.02

 
94.9

 
2

Ohio
1.0

 
572

 
550.75

 
503

 
485.61

 
88.2

 
69

Puerto Rico
1.0

 
191

 
202.59

 
159

 
168.25

 
83.1

 
32

South Carolina
0.3

 
113

 
332.48

 
101

 
297.74

 
89.6

 
12

Texas
1.4

 
724

 
546.57

 
615

 
463.83

 
84.9

 
109

Utah
0.5

 
138

 
286.39

 
102

 
212.91

 
74.3

 
36

Washington
2.4

 
654

 
279.52

 
555

 
237.23

 
84.9

 
99

Wisconsin
0.4

 
129

 
345.63

 
97

 
259.66

 
75.1

 
32

Other (4)

 
2

 

 
6

 

 

 
(4
)
 
13.7

 
$
4,777

 
$
350.55

 
$
4,220

 
$
309.68

 
88.3
%
 
$
557

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Three Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
2.1

 
$
612

 
$
298.05

 
$
523

 
$
254.11

 
85.3
%
 
$
89

Florida
1.6

 
494

 
297.24

 
462

 
277.79

 
93.5

 
32

Illinois
0.6

 
163

 
275.26

 
145

 
244.86

 
89.0

 
18

Michigan
1.2

 
387

 
334.25

 
337

 
290.16

 
86.8

 
50

New Mexico
0.8

 
338

 
440.12

 
304

 
396.35

 
90.1

 
34

New York (3)
0.1

 
32

 
427.40

 
30

 
403.71

 
94.5

 
2

Ohio
1.0

 
501

 
491.51

 
424

 
415.87

 
84.6

 
77

Puerto Rico
1.0

 
184

 
183.46

 
167

 
167.44

 
91.3

 
17

South Carolina
0.3

 
102

 
312.28

 
94

 
285.97

 
91.6

 
8

Texas
1.1

 
597

 
559.98

 
525

 
493.07

 
88.1

 
72

Utah
0.4

 
106

 
236.31

 
104

 
230.53

 
97.6

 
2

Washington
2.1

 
569

 
265.48

 
521

 
243.49

 
91.7

 
48

Wisconsin
0.4

 
103

 
262.32

 
90

 
231.86

 
88.4

 
13

Other (4)

 
3

 

 
22

 

 

 
(19
)
 
12.7

 
$
4,191

 
$
329.88

 
$
3,748

 
$
295.01

 
89.4
%
 
$
443

__________________
(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 New York health plan was acquired on August 1, 2016.
(4)
“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.

-MORE-


MOH Reports Third Quarter 2017 Results
Page 18
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA—TOTAL
(In millions, except percentages and per-member per-month amounts)
 
Nine Months Ended September 30, 2017
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
6.8

 
$
2,012

 
$
294.26

 
$
1,742

 
$
254.67

 
86.5
%
 
$
270

Florida
6.0

 
1,953

 
323.86

 
1,870

 
310.09

 
95.7

 
83

Illinois
1.6

 
447

 
284.18

 
492

 
312.54

 
110.0

 
(45
)
Michigan
3.7

 
1,203

 
324.12

 
1,062

 
286.35

 
88.3

 
141

New Mexico
2.4

 
1,015

 
422.25

 
949

 
394.66

 
93.5

 
66

New York (3)
0.3

 
135

 
444.77

 
128

 
421.58

 
94.8

 
7

Ohio
3.1

 
1,666

 
531.17

 
1,498

 
477.81

 
90.0

 
168

Puerto Rico
2.9

 
553

 
190.99

 
513

 
177.01

 
92.7

 
40

South Carolina
1.0

 
329

 
325.43

 
301

 
298.43

 
91.7

 
28

Texas
4.2

 
2,109

 
509.09

 
1,819

 
439.11

 
86.3

 
290

Utah
1.5

 
402

 
269.48

 
354

 
237.20

 
88.0

 
48

Washington
7.1

 
1,958

 
277.83

 
1,731

 
245.62

 
88.4

 
227

Wisconsin
1.2

 
376

 
319.57

 
340

 
289.24

 
90.5

 
36

Other (4)

 
7

 

 
23

 

 

 
(16
)
 
41.8

 
$
14,165

 
$
339.19

 
$
12,822

 
$
307.03

 
90.5
%
 
$
1,343

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2016
 
Member
Months (1)
 
Premium Revenue
 
Medical Care Costs
 
MCR (2)
 
Medical Margin
 
Total
 
PMPM
 
Total
 
PMPM
 
 
California
6.1

 
$
1,707

 
$
280.21

 
$
1,485

 
$
243.64

 
86.9
%
 
$
222

Florida
5.0

 
1,447

 
288.74

 
1,301

 
259.60

 
89.9

 
146

Illinois
1.8

 
466

 
266.11

 
414

 
236.39

 
88.8

 
52

Michigan
3.6

 
1,143

 
322.08

 
1,018

 
286.77

 
89.0

 
125

New Mexico
2.3

 
1,016

 
447.07

 
905

 
398.22

 
89.1

 
111

New York (3)
0.1

 
32

 
427.40

 
30

 
403.71

 
94.5

 
2

Ohio
3.0

 
1,472

 
484.82

 
1,306

 
430.14

 
88.7

 
166

Puerto Rico
3.0

 
535

 
176.44

 
516

 
170.46

 
96.6

 
19

South Carolina
0.9

 
273

 
288.93

 
232

 
245.13

 
84.8

 
41

Texas
3.3

 
1,852

 
570.65

 
1,599

 
492.79

 
86.4

 
253

Utah
1.3

 
330

 
246.78

 
312

 
233.14

 
94.5

 
18

Washington
6.2

 
1,634

 
261.91

 
1,479

 
237.15

 
90.5

 
155

Wisconsin
1.2

 
299

 
252.45

 
278

 
235.25

 
93.2

 
21

Other (4)

 
9

 

 
55

 

 

 
(46
)
 
37.8

 
$
12,215

 
$
323.44

 
$
10,930

 
$
289.41

 
89.5
%
 
$
1,285

__________________
(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 New York health plan was acquired on August 1, 2016.
(4)
“Other” medical care costs include primarily medically related administrative costs at the parent company, and direct delivery costs.

-MORE-


MOH Reports Third Quarter 2017 Results
Page 19
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED HEALTH PLANS SEGMENT FINANCIAL DATA
(In millions, except percentages and per-member per-month amounts)

The following tables provide the details of our medical care costs for the periods indicated:
 
Three Months Ended September 30,
 
2017
 
2016
 
Amount
 
PMPM
 
% of
Total
 
Amount
 
PMPM
 
% of
Total
Fee for service
$
3,196

 
$
234.51

 
75.8
%
 
$
2,799

 
$
220.29

 
74.7
%
Pharmacy
638

 
46.85

 
15.1

 
567

 
44.65

 
15.1

Capitation
342

 
25.07

 
8.1

 
302

 
23.83

 
8.1

Direct delivery
18

 
1.37

 
0.4

 
21

 
1.66

 
0.5

Other
26

 
1.88

 
0.6

 
59

 
4.58

 
1.6

 
$
4,220

 
$
309.68

 
100.0
%
 
$
3,748

 
$
295.01

 
100.0
%
 
Nine Months Ended September 30,
 
2017
 
2016
 
Amount
 
PMPM
 
% of
Total
 
Amount
 
PMPM
 
% of
Total
Fee for service
$
9,630

 
$
230.58

 
75.1
%
 
$
8,156

 
$
215.96

 
74.6
%
Pharmacy
1,904

 
45.60

 
14.8

 
1,621

 
42.93

 
14.8

Capitation
1,022

 
24.47

 
8.0

 
901

 
23.86

 
8.3

Direct delivery
62

 
1.50

 
0.5

 
55

 
1.46

 
0.5

Other
204

 
4.88

 
1.6

 
197

 
5.20

 
1.8

 
$
12,822

 
$
307.03

 
100.0
%
 
$
10,930

 
$
289.41

 
100.0
%

The following table provides the details of our medical claims and benefits payable as of the dates indicated:
 
September 30,
 
December 31,
 
2017
 
2016
Fee-for-service claims incurred but not paid (IBNP)
$
1,681

 
$
1,352

Pharmacy payable
125

 
112

Capitation payable
57

 
37

Other (1)
615

 
428

 
$
2,478

 
$
1,929

______________________
(1)
“Other” medical claims and benefits payable include amounts payable to certain providers for which we act as an intermediary on behalf of various state agencies without assuming financial risk. Such receipts and payments do not impact our consolidated statements of operations. As of September 30, 2017 and December 31, 2016, we had recorded non-risk provider payables of approximately $403 million and $225 million, respectively.


-MORE-


MOH Reports Third Quarter 2017 Results
Page 20
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in millions, except per-member amounts)

Our claims liability includes a provision for adverse claims deviation 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. Our reserving methodology is consistently applied across all periods presented. The amounts displayed for “Components of medical care costs related to: Prior period” represent the amount by which our original estimate of claims and benefits payable at the beginning of the period were less (more) 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 for the periods indicated:

 
Nine Months Ended September 30,
 
Year Ended December 31, 2016
 
2017
 
2016
 
Medical claims and benefits payable, beginning balance
$
1,929

 
$
1,685

 
$
1,685

Components of medical care costs related to:
 
 
 
 
 
Current period
12,813

 
11,120

 
14,966

Prior period
9

 
(190
)
 
(192
)
Total medical care costs
12,822

 
10,930

 
14,774

 
 
 
 
 
 
Change in non-risk provider payables
172

 
70

 
58

Payments for medical care costs related to:
 
 
 
 
 
Current period
10,944

 
9,536

 
13,304

Prior period
1,501

 
1,278

 
1,284

Total paid
12,445

 
10,814

 
14,588

Medical claims and benefits payable, ending balance
$
2,478

 
$
1,871

 
$
1,929

 
 
 
 
 
 
Benefit from prior period as a percentage of:
 
 
 
 
 
Balance at beginning of period
(0.5
)%
 
11.3
%
 
11.4
%
Premium revenue, trailing twelve months
 %
 
1.2
%
 
1.2
%
Medical care costs, trailing twelve months
(0.1
)%
 
1.3
%
 
1.3
%
 
 
 
 
 
 
Days in claims payable, fee for service (1)
50

 
47

 
47

______________________
(1)
Claims payable includes primarily IBNP. Additionally, it includes certain fee-for-service payables reported in “Other” medical claims and benefits payable amounting to $78 million, $88 million and $94 million, as of September 30, 2017, September 30, 2016, and December 31, 2016, respectively.



-MORE-


MOH Reports Third Quarter 2017 Results
Page 21
November 2, 2017

MOLINA HEALTHCARE, INC.
UNAUDITED NON-GAAP FINANCIAL MEASURES

We use non-GAAP financial measures as supplemental metrics in evaluating our financial performance, making financing and business decisions, and forecasting and planning for future periods. For these reasons, management believes such measures are useful supplemental measures to investors in comparing our performance to 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. See further information regarding non-GAAP measures below the tables (in millions, except per diluted share amounts).
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2017
 
2016
 
2017
 
2016
 
 
 
 
 
 
 
 
Net (loss) income
$
(97
)
 
$
42

 
$
(250
)
 
$
99

Adjustments:
 
 
 
 
 
 
 
Depreciation, and amortization of intangible assets and capitalized software
39

 
42

 
129

 
118

Interest expense
32

 
26

 
85

 
76

Income tax (benefit) expense
(16
)
 
50

 
(46
)
 
137

EBITDA
$
(42
)
 
$
160

 
$
(82
)
 
$
430

 
Three Months Ended September 30,
 
Nine Months Ended September 30,
2017
 
2016
 
2017
 
2016
 
 
 
Amount
 
Per Diluted share
 
Amount
 
Per Diluted share
 
Amount
 
Per Diluted share
 
Amount
 
Per Diluted share
Net (loss) income
$
(97
)
 
$
(1.70
)
 
$
42

 
$
0.76

 
$
(250
)
 
$
(4.44
)
 
$
99

 
$
1.77

Adjustment:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Amortization of intangible assets
7

 
0.13

 
9

 
0.15

 
24

 
0.43

 
24

 
0.42

Income tax effect (1)
(3
)
 
(0.05
)
 
(4
)
 
(0.06
)
 
(9
)
 
(0.16
)
 
(9
)
 
(0.16
)
Amortization of intangible assets, net of tax effect
4

 
0.08

 
5

 
0.09

 
15

 
0.27

 
15

 
0.26

Adjusted net (loss) income
$
(93
)
 
$
(1.62
)
 
$
47

 
$
0.85

 
$
(235
)
 
$
(4.17
)
 
$
114

 
$
2.03

________________________
(1)
Income tax effect of adjustment calculated at the blended federal and state statutory tax rate of 37%.

The following are descriptions of the adjustments made to GAAP measures used to calculate the non-GAAP measures used in this news release:
Earnings before interest, taxes, depreciation and amortization (EBITDA): Net (loss) income (GAAP) less depreciation, and amortization of intangible assets and capitalized software, interest expense and income tax (benefit) expense. We believe that EBITDA is helpful in assessing our ability to meet the cash demands of our operating units.
Adjusted net (loss) income: Net (loss) income (GAAP) less amortization of intangible assets, net of income tax effect calculated at the statutory tax rate of 37%. We believe that adjusted net (loss) income is helpful in assessing our financial performance exclusive of the non-cash impact of the amortization of purchased intangibles.
Adjusted net (loss) income per diluted share: Adjusted net (loss) income divided by weighted average common shares outstanding on a fully diluted basis.

-END-