|
||||
Delaware
|
|
1-31719
|
|
13-4204626
|
(State
of incorporation)
|
|
(Commission
File Number)
|
|
(I.R.S.
Employer Identification
Number)
|
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))
|
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.
|
|
|
|
|
MOLINA
HEALTHCARE, INC.
|
Date:
August 1, 2006
|
|
By: /s/
Mark L.
Andrews
|
||
|
|
Mark
L. Andrews
Chief
Legal Officer, General Counsel
and
Corporate Secretary
|
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.
|
·
|
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.
|
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% |
·
|
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.
|
·
|
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.
|
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
|
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
|
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
|
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
|
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
|
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
|