|
||||
Delaware
|
|
1-31719
|
|
13-4204626
|
(State
of incorporation)
|
|
(Commission
File Number)
|
|
(I.R.S.
Employer Identification
Number)
|
Exhibit
No.
|
Description |
99.1
|
Press
release of Molina Healthcare, Inc. issued February 22, 2006, as to
financial results for the fourth quarter and year ended December
31,
2005.
|
|
|
|
|
MOLINA
HEALTHCARE, INC.
|
Date:
February 22, 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 February 22, 2006, as
to
financial results for the fourth quarter and year ended December
31,
2005.
|
· |
Increased
hospital costs. An
analysis of the Company’s medical cost and utilization trends conducted at
year-end confirms that hospital costs were more favorable in
the second
half of 2005 than in the first half. The more favorable cost
trends in the
second half of the year appear to be the result of improvements
in both
utilization and unit costs.
|
· |
Increased
costs from catastrophic cases. Catastrophic
cases declined during the second half of 2005 when compared with
the first
half of the year.
|
· |
Increased
maternity costs in Michigan and Washington.
The Company continues to believe that the revenue it receives
for
providing maternity services in Washington and Michigan is not
commensurate with the costs of providing such
services.
|
· |
Increased
outpatient costs.
The
Company’s analysis of claims and utilization trends confirms that
outpatient costs were more favorable in the second half of 2005
than in
the first half of the year.
|
· |
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 risk sharing arrangements with the Company’s state
payors;
|
· |
Adjustment
of premium rates to reflect the increased cost of providing care
to
specific member populations; and
|
· |
Increased
oversight of the Company’s claims payment
process.
|
Dec.
31,
2005
|
Sept.
30,
2005
|
Dec.
31,
2004
|
||||||||
California
|
321,000
|
333,000
|
253,000
|
|||||||
Indiana
|
24,000
|
21,000
|
-
|
|||||||
Michigan
|
144,000
|
145,000
|
158,000
|
|||||||
New
Mexico
|
60,000
|
62,000
|
65,000
|
|||||||
Ohio
|
N/A1
|
-
|
-
|
|||||||
Utah
|
59,000
|
56,000
|
49,000
|
|||||||
Washington
|
285,000
|
287,000
|
263,000
|
|||||||
Total
|
893,000
|
904,000
|
788,000
|
Quarter
Ended
|
Year
Ended
|
|||||||||||||||
Dec.
31,
|
Sept.
30,
|
Dec.
31,
|
Dec.
31,
|
Dec.
31,
|
||||||||||||
2005
|
2005
|
2004
|
2005
|
2004
|
||||||||||||
California
|
971,000
|
1,006,000
|
747,000
|
3,569,000
|
2,989,000
|
|||||||||||
Indiana
|
70,000
|
59,000
|
-
|
149,000
|
-
|
|||||||||||
Michigan
|
436,000
|
441,000
|
479,000
|
1,811,000
|
1,272,000
|
|||||||||||
New
Mexico
|
181,000
|
183,000
|
195,000
|
734,000
|
391,000
|
|||||||||||
Ohio
|
N/A1
|
-
|
-
|
-
|
-
|
|||||||||||
Utah
|
176,000
|
164,000
|
148,000
|
668,000
|
576,000
|
|||||||||||
Washington
|
862,000
|
856,000
|
788,000
|
3,383,000
|
2,851,000
|
|||||||||||
Total
|
2,696,000
|
2,709,000
|
2,357,000
|
10,314,000
|
8,079,000
|
Three
Months Ended
|
Year
Ended
|
||||||||||||
December 31,
|
December 31,
|
||||||||||||
2005
|
2004
|
2005
|
2004
|
||||||||||
Revenue:
|
|||||||||||||
Premium
revenue
|
$
|
418,656
|
$
|
372,766
|
$
|
1,636,006
|
$
|
1,166,870
|
|||||
Other
operating revenue
|
1,183
|
1,236
|
3,878
|
4,168
|
|||||||||
Total
premium and other operating revenue
|
419,839
|
374,002
|
1,639,884
|
1,171,038
|
|||||||||
Investment
income
|
3,382
|
1,375
|
10,174
|
4,230
|
|||||||||
Total
revenue
|
423,221
|
375,377
|
1,650,058
|
1,175,268
|
|||||||||
Expenses:
|
|||||||||||||
Medical
care costs:
|
|||||||||||||
Medical
services
|
69,821
|
62,505
|
271,769
|
222,168
|
|||||||||
Hospital
and specialty services
|
239,163
|
213,985
|
977,781
|
643,074
|
|||||||||
Pharmacy
|
42,990
|
38,413
|
169,590
|
119,444
|
|||||||||
Provider
settlements
|
3,682
|
-
|
5,732
|
-
|
|||||||||
Total
medical care costs
|
355,656
|
314,903
|
1,424,872
|
984,686
|
|||||||||
Salary,
general and administrative expenses
|
45,731
|
31,208
|
163,342
|
94,150
|
|||||||||
Loss
contract charge (1)
|
-
|
-
|
939
|
-
|
|||||||||
Depreciation
and amortization
|
4,256
|
2,978
|
15,125
|
8,869
|
|||||||||
Total
expenses
|
405,643
|
349,089
|
1,604,278
|
1,087,705
|
|||||||||
Operating
income
|
17,578
|
26,288
|
45,780
|
87,563
|
|||||||||
Other
income (expense):
|
|||||||||||||
Interest
expense
|
(241
|
)
|
(256
|
)
|
(1,529
|
)
|
(1,049
|
)
|
|||||
Other,
net (2)
|
-
|
27
|
(400
|
)
|
1,171
|
||||||||
Total
other income (expense)
|
(241
|
)
|
(229
|
)
|
(1,929
|
)
|
122
|
||||||
Income
before income taxes
|
17,337
|
26,059
|
43,851
|
87,685
|
|||||||||
Income
tax expense
|
6,605
|
9,773
|
16,255
|
31,912
|
|||||||||
Net
income
|
$ | 10,732 |
$
|
16,286
|
$ | 27,596 |
$
|
55,773
|
|||||
Net
income per share:
|
|||||||||||||
Basic
|
$ |
0.39
|
$
|
0.59
|
$ | 1.00 |
$
|
2.07
|
|||||
Diluted
|
$ |
0.38
|
$
|
0.58
|
$ | 0.98 |
$
|
0.94
|
|||||
Weighted
average number of common shares and
|
|||||||||||||
potentially
dilutive common shares outstanding
|
28,062,000
|
27,897,000
|
28,023,000
|
27,342,000
|
|||||||||
Operating
Statistics:
|
|||||||||||||
Medical
care ratio (3)
|
84.7
|
%
|
84.2
|
%
|
86.9
|
%
|
84.1
|
%
|
|||||
Salary,
general and administrative expense
|
|||||||||||||
ratio
(4),
excluding premium taxes
|
8.3
|
%
|
5.6
|
%
|
7.1
|
%
|
5.9
|
%
|
|||||
Premium
taxes included in salary,
|
|||||||||||||
general
and administrative expenses
|
2.5
|
%
|
2.7
|
%
|
2.8
|
%
|
2.1
|
%
|
|||||
Total
salary, general and
|
|||||||||||||
administrative
expense ratio
|
10.8
|
%
|
8.3
|
%
|
9.9
|
%
|
8.0
|
%
|
|||||
Members
(5)
|
893,000
|
788,000
|
|||||||||||
Days
in claims payable
|
55
|
54
|
(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)
|
For
the year ended December 31, 2005, includes 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. For the year ended December
31,
2004, includes $1.162 million in income arising from the termination
of a
split dollar life insurance arrangement between the Company and
a related
party.
|
(3) |
Medical
care ratio represents medical care costs as a percentage of premium
and
other operating 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.
|
Dec.
31,
|
Dec.
31,
|
||||||
2005
|
2004
|
||||||
(Unaudited)
|
|||||||
ASSETS
|
|||||||
Current
assets:
|
|||||||
Cash
and cash equivalents
|
$
|
249,203
|
$
|
228,071
|
|||
Investments
|
103,437
|
88,530
|
|||||
Receivables
|
70,532
|
65,430
|
|||||
Income
tax receivable
|
3,014
|
-
|
|||||
Deferred
income taxes
|
2,339
|
3,981
|
|||||
Prepaid
and other current assets
|
10,321
|
8,306
|
|||||
Total
current assets
|
438,846
|
394,318
|
|||||
Property
and equipment, net
|
31,794
|
25,826
|
|||||
Goodwill
and intangible assets, net
|
124,914
|
98,727
|
|||||
Restricted
investments
|
18,242
|
10,847
|
|||||
Other
assets
|
8,018
|
4,141
|
|||||
Total
assets
|
$
|
621,814
|
$
|
533,859
|
|||
LIABILITIES
AND STOCKHOLDERS’ EQUITY
|
|||||||
Current
liabilities:
|
|||||||
Medical
claims and benefits payable
|
$
|
217,354
|
$
|
160,210
|
|||
Accounts
payable and accrued liabilities
|
32,060
|
22,966
|
|||||
Net
liability for commercial membership sale
|
200
|
1,676
|
|||||
Income
taxes payable
|
-
|
7,110
|
|||||
Current
maturities of long-term debt
|
-
|
171
|
|||||
Total
current liabilities
|
249,614
|
192,133
|
|||||
Long-term
debt, less current maturities
|
-
|
1,723
|
|||||
Deferred
income taxes
|
4,796
|
5,315
|
|||||
Other
long-term liabilities
|
4,554
|
4,066
|
|||||
Total
liabilities
|
258,964
|
203,237
|
|||||
Stockholders’
equity:
|
|||||||
Common
stock, $0.001 par value; 80,000,000 shares authorized;
|
|||||||
issued
and outstanding: 27,792,360 shares at December 31, 2005,
|
|||||||
and
27,602,443 shares at December 31, 2004
|
28
|
28
|
|||||
Preferred
stock, $0.001 par value; 20,000,000 shares authorized,
|
|||||||
no
shares issued and outstanding
|
-
|
-
|
|||||
Additional
paid-in capital
|
162,693
|
157,666
|
|||||
Accumulated
other comprehensive income (loss)
|
(629
|
)
|
(234
|
)
|
|||
Retained
earnings
|
221,148
|
193,552
|
|||||
Treasury
stock (1,201,174 shares, at cost)
|
(20,390
|
)
|
(20,390
|
)
|
|||
Total
stockholders’ equity
|
362,850
|
330,622
|
|||||
Total
liabilities and stockholders’ equity
|
$
|
621,814
|
$
|
533,859
|
Year
Ended
|
|||||||
December
31,
|
|||||||
2005
|
2004
|
||||||
Operating
activities:
|
|||||||
Net
income
|
$
|
27,596
|
$
|
55,773
|
|||
Adjustments
to reconcile net income to net cash provided by operating
activities:
|
|||||||
Depreciation
and amortization
|
15,125
|
8,869
|
|||||
Loss
on disposal of assets
|
297
|
-
|
|||||
Amortization
of capitalized credit facility fees
|
718
|
628
|
|||||
Deferred
income taxes
|
1,705
|
2,175
|
|||||
Tax
benefit from exercise of employee stock options
|
|||||||
recorded
as additional paid-in capital
|
1,872
|
3,854
|
|||||
Stock-based
compensation
|
1,283
|
179
|
|||||
Changes
in operating assets and liabilities:
|
|||||||
Receivables
|
(5,102
|
)
|
(3,641
|
)
|
|||
Prepaid
and other current assets
|
(1,866
|
)
|
(2,049
|
)
|
|||
Medical
claims and benefits payable
|
57,144
|
23,121
|
|||||
Deferred
revenue
|
803
|
(687
|
)
|
||||
Accounts
payable and accrued liabilities
|
6,665
|
5,196
|
|||||
Income
taxes payable or receivable
|
(8,982
|
)
|
(2,369
|
)
|
|||
Net
cash provided by operating activities
|
97,258
|
91,049
|
|||||
Investing
activities:
|
|||||||
Purchases
of equipment
|
(13,960
|
)
|
(10,765
|
)
|
|||
Purchases
of investments
|
(63,774
|
)
|
(440,208
|
)
|
|||
Sales
and maturities of investments
|
48,227
|
450,039
|
|||||
Net
cash paid in purchase transactions
|
(40,866
|
)
|
(51,766
|
)
|
|||
Increase
in restricted cash
|
(1,706
|
)
|
(1,062
|
)
|
|||
Other
long-term liabilities
|
488
|
644
|
|||||
Advances
to related parties and other assets
|
(4,513
|
)
|
3,099
|
||||
Net
cash used in investing activities
|
(76,104
|
)
|
(50,019
|
)
|
|||
Financing
activities:
|
|||||||
Borrowing
under credit facility
|
3,100
|
-
|
|||||
Repayment
of borrowing under credit facility
|
(3,100
|
)
|
|||||
Issuance
of common stock
|
-
|
47,282
|
|||||
Repayments
of debt acquired in acquisition
|
-
|
(5,819
|
)
|
||||
Issuance
(repayment) of mortgage note
|
(1,302
|
)
|
1,302
|
||||
Principal
payments on capital lease obligations and mortgage note
|
(592
|
)
|
(74
|
)
|
|||
Proceeds
from exercise of stock options and employee stock purchases
|
1,872
|
2,500
|
|||||
Net
cash provided by financing activities
|
(22
|
)
|
45,191
|
||||
Net
(decrease) increase in cash and cash equivalents
|
21,132
|
86,221
|
|||||
Cash
and cash equivalents at beginning of period
|
228,071
|
141,850
|
|||||
Cash
and cash equivalents at end of period
|
$
|
249,203
|
$
|
228,071
|
Year
Ended
December
31,
|
|||||||
2005
|
2004
|
||||||
Balances
at beginning of period
|
$
|
160,210
|
$
|
105,540
|
|||
Components
of medical care costs related to:
|
|||||||
Current
year
|
1,424,406
|
990,007
|
|||||
Prior
years
|
466
|
(5,321
|
)
|
||||
Total
medical care costs
|
1,424,872
|
984,686
|
|||||
Payments
for medical care costs related to:
|
|||||||
Current
year
|
1,216,593
|
839,663
|
|||||
Prior
years
|
151,135
|
90,353
|
|||||
Total
paid
|
1,367,728
|
930,016
|
|||||
Balances
at end of period
|
$
|
217,354
|
$
|
160,210
|