MOLINA HEALTHCARE, INC. 8-K
 
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): August 1, 2006


 
 
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)
 

 
 
One Golden Shore Drive, Long Beach, California 90802
(Address of principal executive offices)

Registrant’s telephone number, including area code: (562) 435-3666

 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
o
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
o
 
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
o
 
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
o
 
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
 



 
Item 2.02. Results of Operations and Financial Condition.
 
On August 1, 2006, Molina Healthcare, Inc. issued a press release announcing its financial results for the second quarter and six months ended June 30, 2006. The full text of the press release is included as Exhibit 99.1 to this report. The information contained in the websites cited in the press release is not part of this report.

The information in this Form 8-K and the exhibit attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Act of 1934, except as expressly set forth by specific reference in such a filing.

Item 9.01. Financial Statements and Exhibits.
 
(d) Exhibits:
 
Exhibit
 
No.
Description
   
99.1
Press release of Molina Healthcare, Inc. issued August 1, 2006, as to financial results for the second quarter and six months ended June 30, 2006.



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: August 1, 2006
 
    By:    /s/ Mark L. Andrews                                           
 
 
Mark L. Andrews
Chief Legal Officer, General Counsel
and Corporate Secretary
 



EXHIBIT INDEX
 
Exhibit
 
No.
Description
   
99.1
Press release of Molina Healthcare, Inc. issued August 1, 2006, as to financial results for the second quarter and six months ended June 30, 2006.
 
 
 
 


Exhibit 99.1
 
Exhibit 99.1
 
 

 

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

MOLINA HEALTHCARE REPORTS
SECOND QUARTER RESULTS

Long Beach, California (August 1, 2006) — Molina Healthcare, Inc. (NYSE: MOH) today announced its financial results for the second quarter and six months ended June 30, 2006.

Net income for the quarter ended June 30, 2006, was $13.2 million, or $0.47 per diluted share, compared with a net loss of $<4.7> million, or $<0.17> per diluted share, for the quarter ended June 30, 2005. Net income for the first half of 2006 was $21.7 million, or $0.77 per diluted share, compared with net income of $10.1 million, or $0.36 per diluted share, for the first half of 2005.

Comparability between the second quarter of 2006 and the second quarter of 2005 is affected by:

 
·
Approximately $5.0 million in positive prior period claims development recorded in the second quarter of 2006 related to the Company’s claims liability at December 31, 2005. The effect of this item was to increase earnings in the second quarter of 2006 by $0.11 per diluted share.

 
·
The previously disclosed $13.4 million in adverse prior period claims development recorded in the second quarter of 2005. The effect of this item was to decrease earnings in the second quarter of 2005 by $0.30 per diluted share.

Commenting on the results, J. Mario Molina, M.D., president and chief executive officer of Molina Healthcare, Inc., said, “We are pleased with the progress we have made over the past year. We have seen a marked improvement in our overall medical costs as compared with last year, and in the second quarter, we completed the acquisition of Cape Health Plan, adding almost 90,000 members in Michigan.”

Guidance
The Company also issued the following update to its guidance for fiscal year 2006:
 
Earnings per diluted share
$1.60 to $1.65
Net income
$45.4 to $46.9 million
Premium revenue
$2.0 billion
Medical care costs as a percentage of premium revenue
84.7%
Administrative expenses (including premium taxes)
as a percentage of total revenue
11.3%
 
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MOH Announces Second Quarter Results
Page 2
August 1, 2006
 
The guidance assumes an effective tax rate of 37.8% and weighted average diluted shares outstanding of 28.4 million. In Ohio, the guidance assumes substantial increases in enrollment by December 2006 and a medical care ratio of approximately 89.0% for the entire year. In Indiana, the guidance assumes a modest increase in enrollment by December 2006 and a medical care ratio of approximately 90.0% for the entire year.
 
Update on Medical Care Cost Issues
In its 2005 second quarter earnings release, the Company had identified four primary factors that were adversely affecting its medical care costs:

 
·
Increased hospital costs. Hospital costs were more favorable in both the first half of 2006 and the second half of 2005 compared with the first half of 2005. The favorable cost trend appears to be the result of improvements in both utilization and unit costs.

 
·
Increased costs from catastrophic cases. Catastrophic cases declined during both the first half of 2006 and the second half of 2005 compared with the first half of 2005.

 
·
Increased maternity costs in Michigan and Washington. The Company continues to believe that the revenue it receives for providing maternity services in Michigan and Washington is not commensurate with the costs of providing such services.

 
·
Increased outpatient costs. Outpatient costs were more favorable in the first half of 2006 compared with the first half of 2005. Outpatient utilization declined in Washington in the first half of 2006 compared with the first half of 2005.

In response to these cost factors, the Company implemented a number of initiatives which it believes have better controlled its medical care costs. In particular, the Company believes that the following actions have contributed to lower medical care costs since the second quarter of 2005:

 
·
Recontracting efforts in New Mexico, Michigan, and Washington;
 
 
·
Utilization of more cost-effective hospitals where such facilities are available;

 
·
Enhanced monitoring of utilization at hospitals where more cost-effective alternatives are not available;

 
·
Increased investment in medical and utilization management resources;

 
·
Implementation of a risk sharing arrangement with the state of Washington for high cost hemophiliac care;

 
·
Withdrawal from two counties (one in Michigan and one in Washington) where premium rates were not adequate to cover medical care costs;

 
·
Adjustment of premium rates to reflect the increased cost of providing care to specific member populations; and

 
·
Increased oversight and improvements in the quality of the Company’s claims payment process.
 
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MOH Announces Second Quarter Results
Page 3
August 1, 2006
 
Nevertheless, the Company can give no assurances that the improved performance is not at least partially the result of factors beyond the Company’s control, nor can it give any assurances that the improved medical care cost trends will continue.

Furthermore, progress has not been uniform among the Company’s health plan subsidiaries. For example, the Company’s results during the first half of 2006 were adversely affected by the financial performance of its California HMO, principally due to profitability issues in San Diego County.

Financial Results - Comparison of Quarters Ended June 30, 2006 and 2005
Premium revenue for the second quarter of 2006 was $479.8 million, an increase of $77.9 million, or 19.4%, over premium revenue for the second quarter of 2005 of $401.9 million. Acquisitions in California (June 1, 2005) and Michigan (May 15, 2006), start-up operations in Indiana and Ohio, and enrollment growth in Utah were the primary drivers of the increase in premium revenue. Membership growth was partially offset by declines in membership in Michigan, New Mexico, and California (excluding acquisitions).

Medical care costs as a percentage of premium revenue (the medical care ratio) decreased to 83.7% in the second quarter of 2006 from 91.9% in the second quarter of 2005. Excluding the effect of the $5.0 million in positive prior period claims development in the second quarter of 2006 and the $13.4 million in negative prior period claims development in the second quarter of 2005, the medical care ratio would have decreased to 84.8% in the second quarter of 2006 from 88.6% in the second quarter of 2005. Sequentially, the Company’s medical care ratio decreased from 85.3% in the first quarter of 2006.

Sequentially, the Company’s days in claims payable decreased to 54 days at June 30, 2006, compared with 57 days at March 31, 2006. The Company’s days in claims payable at June 30, 2005, were 50 days.

The sequential decrease in days in claims payable is the result of lower medical costs in the second quarter of 2006. The Company believes that its claims reserves remain adequate at June 30, 2006. The Company further believes that it has improved its visibility into medical cost trends as a result of additional processes and controls put into place since the second quarter of 2005.

Salary, general and administrative expenses were $56.3 million for the second quarter of 2006, representing 11.6% of total revenue, as compared with $37.1 million, or 9.2% of total revenue, for the second quarter of 2005.

Core G&A (defined as SG&A expenses less premium taxes) increased to 8.6% of total revenue in the second quarter of 2006 compared with 6.7% in the second quarter of 2005. The increase in Core G&A was due to investments in infrastructure to support the Company’s medical care cost control initiatives and also its information technology initiatives, its expansion into Ohio and Texas, and the launch of its Medicare Advantage Special Needs Plans. The Company’s adoption of SFAS No. 123R, Share-Based Payment, effective January 1, 2006, reduced earnings per diluted share by approximately $0.02 in the second quarter of 2006.
 
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MOH Announces Second Quarter Results
Page 4
August 1, 2006
 
Depreciation and amortization expense increased by $1.3 million compared with the second quarter of 2005. Depreciation expense increased by $0.9 million in the second quarter of 2006 due to investments in infrastructure. Amortization expense increased by $0.4 million in the second quarter of 2006 due to acquisitions in California and Michigan.
 
Investment income during the quarter increased by $2.5 million, or 103.9%, as compared with the second quarter of 2005 as a result of higher invested balances and higher rates of return.

Income taxes were recognized in the second quarter of 2006 based upon an effective tax rate of 37.9% as compared with an effective tax rate of 38.0% in the second quarter of 2005.

Financial Results - Comparison of Six Months Ended June 30, 2006 and 2005
Premium revenue for the six months ended June 30, 2006, was $929.1 million, an increase of $135.0 million, or 17.0%, over premium revenue for the six months ended June 30, 2005, of $794.1 million. Acquisitions in California and Michigan, the start-ups in Indiana and Ohio, and enrollment growth in Utah were the primary drivers of the increase in premium revenue. Membership growth was partially offset by declines in membership in Michigan, New Mexico, and California (excluding acquisitions).

The medical care ratio decreased to 84.5% in the six months ended June 30, 2006, from 88.5% in the first half of 2005. Excluding the $5.0 million in positive prior period claims development in the first half of 2006, the medical care ratio would have been 85.0%. As noted above, the Company believes that its medical care cost control initiatives undertaken at the start of the third quarter of 2005 are having a positive impact upon its medical care ratio.

Salary, general and administrative expenses were $107.5 million for the six months ended June 30, 2006, representing 11.5% of total revenue, as compared with $70.6 million, or 8.8% of total revenue, for the six months ended June 30, 2005.

Core G&A increased to 8.6% of total revenue for the six months ended June 30, 2006, compared with 6.2% in the first half of 2005. The increase in Core G&A was due to the infrastructure improvements and product and market expansions as discussed above. The Company’s adoption of SFAS No. 123R, Share-Based Payment, effective January 1, 2006, reduced earnings per diluted share by approximately $0.04 for the first half of 2006.

Depreciation and amortization expense increased by $2.9 million for the six months ended June 30, 2006, compared with the first half of 2005. Depreciation expense increased by $2.1 million in 2006 due to investments in infrastructure, principally at the Company’s corporate offices. Amortization expense increased by $0.8 million in 2006 due to acquisitions in California and Michigan.

Investment income during the six months ended June 30, 2006, increased by $4.8 million, or 115.6%, as compared with the same period in 2005 as a result of higher invested balances and higher rates of return.

Income taxes were recognized for the six months ended June 30, 2006, based upon an effective tax rate of 37.7% as compared with an effective tax rate of 38.0% for the six months ended June 30, 2005.
 
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MOH Announces Second Quarter Results
Page 5
August 1, 2006
 
Cash Flow
Cash provided by operating activities for the six months ended June 30, 2006, was $38.6 million. Net income and the timing of payments for medical claims and benefits payable were the primary sources of cash provided by operating activities. Cash provided by operating activities for the same period in 2005 was $8.4 million.
 
At June 30, 2006, the Company owed $15.0 million under its $180.0 million credit facility.

At June 30, 2006, the Company had consolidated cash and investments of approximately $406.7 million. The Company’s parent had approximately $37.0 million in cash and investments at June 30, 2006.

Membership
The following table details the Company’s ending membership by state at June 30, 2006, March 31, 2006, and June 30, 2005:
 
   
June 30,
 
March 31,
 
June 30,
 
   
2006
 
2006
 
2005
 
California
   
307,000
   
312,000
   
339,000
 
Indiana
   
37,000
   
28,000
   
8,000
 
Michigan
   
232,000
   
143,000
   
152,000
 
New Mexico
   
59,000
   
59,000
   
60,000
 
Ohio
   
30,000
   
27,000
   
N/A
1 
Utah
   
57,000
   
61,000
   
54,000
 
Washington
   
286,000
   
288,000
   
285,000
 
Total
   
1,008,000
   
918,000
   
898,000
 
 
1 The Company’s Ohio HMO commenced operations in December 2005.

The following table details member months (defined as the aggregation of each month’s ending membership for the period) by state for the periods indicated:
 
   
Quarter Ended
 
Six Months Ended
 
   
June 30,
 
March 31,
 
June 30,
 
June 30,
 
June 30,
 
   
2006
 
2006
 
2005
 
2006
 
2005
 
California
   
927,000
   
947,000
   
839,000
   
1,874,000
   
1,592,000
 
Indiana
   
99,000
   
79,000
   
20,000
   
178,000
   
20,000
 
Michigan
   
565,000
   
431,000
   
463,000
   
996,000
   
934,000
 
New Mexico
   
176,000
   
178,000
   
183,000
   
354,000
   
370,000
 
Ohio
   
86,000
   
48,000
   
N/A
1   
134,000
   
N/A
1
Utah
   
179,000
   
181,000
   
169,000
   
360,000
   
328,000
 
Washington
   
858,000
   
868,000
   
842,000
   
1,726,000
   
1,665,000
 
Total
   
2,890,000
   
2,732,000
   
2,516,000
   
5,622,000
   
4,909,000
 
 
1 The Company’s Ohio HMO commenced operations in December 2005.
 
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MOH Announces Second Quarter Results
Page 6
August 1, 2006
 
Conference Call
The live broadcast of Molina Healthcare’s conference call will begin at 5:00 p.m. Eastern Time, August 1, 2006. The telephone number for this interactive conference call is 212-346-6560. A 30-day online replay will be available beginning approximately one hour following the conclusion of the live broadcast. A link to the call can be found on the Company’s website at www.molinahealthcare.com or at www.earnings.com.

Molina Healthcare, Inc. is a multi-state managed care organization that arranges for the delivery of healthcare services to persons eligible for Medicaid and other government-sponsored programs for low-income families and individuals. Molina Healthcare, Inc. currently operates health plans in California, Indiana, Michigan, New Mexico, Ohio, Utah, and Washington. More information about Molina Healthcare, Inc. can be obtained at www.molinahealthcare.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995:  This press release contains “forward-looking statements” identified by words such as “will,” “expects,” “believes,” “anticipates,” “plans,” “projects,” “estimates,” “intends,” and similar words and expressions.  In addition, any statements that refer to earnings guidance, expectations, projections, or their underlying assumptions, or other characterizations of future events or circumstances, are forward-looking statements.  All of the Company’s forward-looking statements are based on current expectations and assumptions that are subject to numerous known and unknown risks, uncertainties, and other factors that could cause actual results to differ materially. Such factors include, without limitation, risks related to: the continuation of the improvement in the Company’s medical care cost trends; the Company’s ability to accurately identify medical care cost issues and to address them through its medical care cost control initiatives; the Company’s ability to accurately estimate incurred but not reported medical costs; high dollar claims related to catastrophic illness; slower growth in enrollment than projected in the Company’s Ohio and Indiana subsidiaries; potential reductions in funding for Medicaid and other government-sponsored healthcare programs; the successful renewal and continuation of the government contracts of the Company’s health plans; the favorable resolution of pending litigation or arbitration; the adequacy of contractual rates and premiums paid to the Company’s health plans and the implementation of appropriate rate increases; the Company’s ability to successfully integrate its completed acquisitions; the ability to enter into more favorable hospital or provider contracts; the availability of financing to fund the Company’s acquisitions; membership eligibility processes and methodologies, including citizenship recertification, and the successful maintenance of member enrollment levels; unexpected changes in member utilization patterns, healthcare practices, or healthcare technologies; changes in federal or state laws or regulations or in their interpretation; risks associated with the Company’s start-up operations in new states; epidemics; and other risks and uncertainties as detailed in  the Company’s reports and filings with the Securities and Exchange Commission and available on its website at www.sec.gov.  All forward-looking statements in this release represent the Company’s judgment as of August 1, 2006.  The Company disclaims any obligation to update any forward-looking statement to conform the statement to actual results or changes in the Company’s expectations.
 
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MOH Announces Second Quarter Results
Page 7
August 1, 2006
 
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Dollars in thousands, except for per share data)
(Unaudited)
 
   
Three Months Ended
June 30,
 
Six Months Ended
June 30,
 
   
2006
 
2005
 
2006
 
2005
 
Revenue:
                 
Premium revenue
 
$
479,823
 
$
401,915
 
$
929,117
 
$
794,102
 
Investment income
   
4,811
   
2,359
   
8,893
   
4,124
 
Total revenue
   
484,634
   
404,274
   
938,010
   
798,226
 
                           
Expenses:
                         
Medical care costs:
                         
Medical services
   
86,020
   
67,604
   
160,878
   
131,271
 
Hospital and specialty services
   
267,689
   
257,266
   
530,559
   
483,798
 
Pharmacy
   
48,006
   
42,870
   
93,525
   
85,785
 
Provider settlements
   
   
1,750
   
   
1,750
 
Total medical care costs
   
401,715
   
369,490
   
784,962
   
702,604
 
Salary, general and administrative expenses
   
56,308
   
37,060
   
107,521
   
70,606
 
Loss contract charge (1)
   
   
939
   
   
939
 
Depreciation and amortization
   
4,870
   
3,558
   
9,632
   
6,756
 
Total expenses
   
462,893
   
411,047
   
902,115
   
780,905
 
Operating income (loss)
   
21,741
   
(6,773
)
 
35,895
   
17,321
 
                           
Other expense:
                         
Interest expense
   
(577
)
 
(418
)
 
(991
)
 
(707
)
Other, net (2)
   
   
(400
)
 
   
(400
)
Total other expense
   
(577
)
 
(818
)
 
(991
)
 
(1,107
)
Income (loss) before income taxes
   
21,164
   
(7,591
)
 
34,904
   
16,214
 
Income tax expense (benefit)
   
8,012
   
(2,885
)
 
13,162
   
6,161
 
Net income (loss)
 
$
13,152
 
$
(4,706
)
$
21,742
 
$
10,053
 
                           
Net income (loss) per share:
                         
Basic
 
$
0.47
 
$
(0.17
)
$
0.78
 
$
0.36
 
Diluted
 
$
0.47
 
$
(0.17
)
$
0.77
 
$
0.36
 
                           
Weighted average number of common shares and
                         
potential dilutive common shares outstanding
   
28,270,000
   
27,707,000
   
28,207,000
   
27,981,000
 
                           
Operating Statistics:
                         
Medical care ratio (3), excluding provider settlements
   
83.7
%
 
91.5
%
 
84.5
%
 
88.3
%
Provider settlements
   
   
0.4
%
 
   
0.2
%
Total medical care ratio
   
83.7
%
 
91.9
%
 
84.5
%
 
88.5
%
Salary, general and administrative expense
                         
ratio (4), excluding premium taxes
   
8.6
%
 
6.7
%
 
8.6
%
 
6.2
%
Premium taxes included in salary,
                         
general and administrative expenses
   
3.0
%
 
2.5
%
 
2.9
%
 
2.6
%
Total salary, general and
                         
administrative expense ratio
   
11.6
%
 
9.2
%
 
11.5
%
 
8.8
%
                           
Members (5)
   
1,008,000
   
898,000
             
Days in claims payable
   
54
   
50
             
 
(1) Represents a charge related to a transition services agreement entered into in connection with the transfer of certain commercial members to another health plan in August 2004.
(2) Represents a charge of $0.4 million related to the write-off of costs associated with a registration statement filed during the second quarter of 2005.
(3) Medical care ratio represents medical care costs as a percentage of premium revenue.
(4) Salary, general and administrative expense ratio represents such expenses as a percentage of total revenue.
(5) Number of members at end of period.
 
 
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MOH Announces Second Quarter Results
Page 8
August 1, 2006
 
 
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Dollars in thousands, except per share data)

   
June 30,
2006
 
Dec. 31,
2005
 
   
(Unaudited)
     
ASSETS
         
           
Current assets:
         
Cash and cash equivalents
 
$
312,118
 
$
249,203
 
Investments
   
94,570
   
103,437
 
Receivables
   
77,201
   
70,532
 
Income tax receivable
   
4,785
   
3,014
 
Deferred income taxes
   
2,878
   
2,339
 
Prepaid and other current assets
   
7,534
   
10,321
 
Total current assets
   
499,086
   
438,846
 
Property and equipment, net
   
34,093
   
31,794
 
Goodwill and intangible assets, net
   
148,528
   
124,914
 
Restricted investments
   
18,302
   
18,242
 
Receivable for ceded life and annuity contracts
   
35,834
   
38,113
 
Other assets
   
8,608
   
8,018
 
Total assets
 
$
744,451
 
$
659,927
 
               
LIABILITIES AND STOCKHOLDERS’ EQUITY
             
               
Current liabilities:
             
Medical claims and benefits payable
 
$
249,789
 
$
217,354
 
Deferred revenue
   
8,896
   
803
 
Accounts payable and accrued liabilities
   
33,540
   
31,457
 
Total current liabilities
   
292,225
   
249,614
 
Long-term debt, less current maturities
   
15,000
   
 
Deferred income taxes
   
5,175
   
4,796
 
Liability for ceded life and annuity contracts
   
35,834
   
38,113
 
Other long-term liabilities
   
4,660
   
4,554
 
Total liabilities
   
352,894
   
297,077
 
               
Stockholders’ equity:
             
Common stock, $0.001 par value; 80,000,000 shares authorized;
             
issued and outstanding: 27,995,782 shares at June 30, 2006, and
             
27,792,360 shares at December 31, 2005
   
28
   
28
 
Preferred stock, $0.001 par value; 20,000,000 shares authorized,
             
no shares issued and outstanding
   
   
 
Additional paid-in capital
   
169,743
   
162,693
 
Accumulated other comprehensive loss
   
(714
)
 
(629
)
Retained earnings
   
242,890
   
221,148
 
Treasury stock (1,201,174 shares, at cost)
   
(20,390
)
 
(20,390
)
Total stockholders’ equity
   
391,557
   
362,850
 
Total liabilities and stockholders’ equity
 
$
744,451
 
$
659,927
 
 
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MOH Announces Second Quarter Results
Page 9
August 1, 2006
 
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in thousands)
(Unaudited)
 
   
Six Months Ended
June 30,
 
   
2006
 
2005
 
Operating activities:
         
Net income
 
$
21,742
 
$
10,053
 
Adjustments to reconcile net income to net cash provided by operating activities:
             
Depreciation and amortization
   
9,632
   
6,756
 
Amortization of capitalized credit facility fees
   
429
   
338
 
Deferred income taxes
   
(2,482
)
 
68
 
Stock-based compensation
   
2,747
   
341
 
Changes in operating assets and liabilities:
             
Receivables
   
(6,208
)
 
(3,544
)
Prepaid and other current assets
   
3,098
   
(287
)
Medical claims and benefits payable
   
9,919
   
19,127
 
Accounts payable and accrued liabilities
   
(2,923
)
 
(6,637
)
Income taxes
   
2,634
   
(17,784
)
Net cash provided by operating activities
   
38,588
   
8,431
 
               
Investing activities:
             
Purchases of equipment
   
(7,333
)
 
(6,798
)
Purchases of investments
   
(57,737
)
 
(19,645
)
Sales and maturities of investments
   
66,476
   
22,358
 
Net cash acquired (paid) in purchase transactions
   
5,820
   
(31,200
)
Decrease (increase) in restricted cash
   
940
   
(89
)
Increase in other long-term liabilities
   
106
   
295
 
Increase in other assets
   
(1,070
)
 
(5,210
)
Net cash provided by (used in) investing activities
   
7,202
   
(40,289
)
               
Financing activities:
             
Borrowing under credit facility
   
20,000
   
3,100
 
Principal payments on credit facility, capital lease obligations and mortgage note
   
(5,000
)
 
(82
)
Tax benefit from exercise of employee stock options
             
recorded as additional paid-in capital
   
653
   
1,758
 
Proceeds from exercise of stock options and employee stock purchases
   
1,472
   
1,474
 
Net cash provided by financing activities
   
17,125
   
6,250
 
Net increase (decrease) in cash and cash equivalents
   
62,915
   
(25,608
)
Cash and cash equivalents at beginning of period
   
249,203
   
228,071
 
Cash and cash equivalents at end of period
 
$
312,118
 
$
202,463
 
 
-MORE-

 
MOH Announces Second Quarter Results
Page 10
August 1, 2006

MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in thousands)
(Unaudited)

The following table shows the components of the change in medical claims and benefits payable for the six months ended June 30, 2006 and 2005:

     
Six Months Ended
June 30,
 
 
 
 
2006
   
2005
 
               
Balances at beginning of period
 
$
217,354
 
$
160,210
 
Medical claims and benefits payable from business acquired
             
during the period
   
22,516
   
-
 
Components of medical care costs related to:
             
Current year
   
819,466
   
702,454
 
Prior years
   
(34,504
)
 
150
 
Total medical care costs
   
784,962
   
702,604
 
Payments for medical care costs related to:
             
Current year
   
603,585
   
538,999
 
Prior years
   
171,458
   
144,478
 
Total paid
   
775,043
   
683,477
 
Balances at end of period
 
$
249,789
 
$
179,337
 
 

The Company’s claims liability includes an allowance for adverse claims development based on historical experience and other factors including, but not limited to, variation in claims payment patterns, changes in utilization and cost trends, known outbreaks of disease and large claims. The Company’s reserving methodology is consistently applied across all periods presented. Accordingly, any benefit recognized in medical care costs resulting from favorable development of an estimated liability at the start of the period (captured as a component of “medical care costs related to prior years”) may be offset by the addition of an allowance for adverse claims development when estimating the liability at the end of the period (captured as a component of “medical care costs related to current year”). During the second quarter of 2006, the Company recognized a net benefit in medical care costs of approximately $5.0 million due to favorable development of its medical claims liability at December 31, 2005.
 
-END-