moh-20220727
0001179929false00011799292022-07-272022-07-27

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): July 27, 2022 (July 27, 2022)
______________
MOLINA HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
Delaware1-3171913-4204626
(State or other jurisdiction of incorporation)(Commission File Number)(IRS Employer Identification No.)
______________
200 Oceangate, Suite 100,Long Beach,California90802
(Address of principal executive offices)(Zip Code)
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))
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 Par Value MOHNew York Stock Exchange
Indicate 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 July 27, 2022, Molina Healthcare, Inc. (the “Company”) issued a press release reporting its financial results for the second quarter ended June 30, 2022 and increasing its previously announced full-year 2022 guidance with respect to GAAP earnings per diluted share and premium revenue. The full text of the press release is included as Exhibit 99.1 to this report. The information contained in the website cited in the press release is not part of this report.
Note: The information in this Form 8-K and the exhibits attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), 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 Exchange Act, 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
104
Cover Page information from Molina Healthcare, Inc.’s Current Report on Form 8-K filed on July 27, 2022 formatted in iXBRL (Inline Extensible Business Reporting Language).



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:
July 27, 2022
By:
/s/ Jeff D. Barlow
Jeff D. Barlow
Chief Legal Officer and Secretary


Document
https://cdn.kscope.io/8492cdd8743e0e4882d66945f0448649-molinaa03a01a01a17a.jpg
News Release
Investor Contact: Joseph Krocheski, Joseph.Krocheski@molinahealthcare.com, 562-951-8382
Media Contact: Caroline Zubieta, Caroline.Zubieta@molinahealthcare.com, 562-951-1588
Molina Healthcare Reports Second Quarter 2022 Financial Results
Increases Full-Year 2022 Revenue and Earnings Guidance

Long Beach, Calif, July 27, 2022 – Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today reported second quarter 2022 GAAP earnings per diluted share of $4.25 and adjusted earnings per diluted share of $4.55. Financial results are summarized below:
Quarter endedSix months ended
June 30,
 June 30,
 2022202120222021
(In millions, except per-share results)
Premium Revenue$7,799$6,583$15,330$12,889
Total Revenue$8,054$6,800$15,824$13,322
GAAP:
Net Income$248$185$506$413
EPS – Diluted$4.25$3.16$8.63$7.05
Medical Care Ratio (MCR)88.1%88.4%87.6%87.6%
G&A Ratio6.8%7.1%7.1%7.2%
After-tax Margin3.1%2.7%3.2%3.1%
Adjusted:
Net Income$266$199$554$459
EPS – Diluted$4.55$3.40$9.45$7.83
G&A Ratio6.8%6.9%6.9%7.0%
After-tax Margin3.3%2.9%3.5%3.4%
See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release.

Quarter Highlights
As of June 30, 2022, the Company served approximately 5.1 million members, an increase of 422,000 members or 9% compared to June 30, 2021.
Premium revenue was approximately $7.8 billion for the second quarter of 2022, an increase of 18% compared to the second quarter of 2021.
Second quarter 2022 GAAP earnings per diluted share were $4.25 and adjusted earnings per diluted share were $4.55. Excluding a true up to the 2021 risk adjustment payable, GAAP earnings per share were $4.69 and adjusted earnings per diluted share were $4.99.
The Company increased its full year 2022 premium revenue guidance to approximately $30 billion, above its previous guidance of approximately $29.25 billion.
The Company increased its full year 2022 adjusted earnings guidance to at least $17.60 per diluted share, above its previous guidance of at least $17.10 per diluted share. Guidance includes the Company’s Marketplace business achieving modest profitability when excluding the 2021 risk adjustment payable true-up.
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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 2
July 27, 2022

“We are very pleased with our second quarter and year-to-date performance,” said Joseph Zubretsky, President and Chief Executive Officer. “We executed well, provided high quality care to our members, delivered solid operating earnings, and continued to deliver on our growth strategy.”

Premium Revenue
Premium revenue was approximately $7.8 billion for the second quarter of 2022, an increase of 18% compared to the second quarter of 2021. The higher premium revenue reflects the impact of acquisitions and increased organic membership in the Medicaid and Medicare lines of business.

Net Income
GAAP net income for the second quarter of 2022 was $4.25 per diluted share, compared to $3.16 per diluted share in the second quarter of 2021. Adjusted net income for the second quarter of 2022 was $4.55 per diluted share, compared to $3.40 per diluted share in the second quarter of 2021. The net effect of COVID decreased the second quarter of 2022 GAAP and adjusted EPS by $0.68 per diluted share. A true up to the 2021 risk adjustment payable decreased net income by approximately $0.44 per diluted share in the second quarter of 2022.

Medical Care Ratio
The consolidated MCR for the second quarter of 2022 was 88.1%, compared to 88.4% for second quarter of 2021. The net effect of COVID added approximately 60 basis points to the consolidated MCR. The impact varied by segment.
The Medicaid MCR of 88.0% was at the low end of the Company’s long-term target range. The net effect of COVID added approximately 20 basis points in the quarter.
The Medicare MCR of 86.9% was below the Company’s long-term target range. The net effect of COVID added approximately 370 basis points in the quarter and was more than offset by favorable risk adjustment and strong medical cost management.
The Marketplace MCR of 91.2% includes a true up for the 2021 risk adjustment payable. Excluding this out of period item the MCR was 85.7%, reflecting higher core utilization and approximately 50 basis points from the net effect of COVID.

General and Administrative Expense Ratio
The G&A ratio for the second quarter of 2022 was 6.8%, compared to 7.1% for the second quarter of 2021. The adjusted G&A ratio was 6.8% for the second quarter of 2022, compared to 6.9% for the second quarter of 2021.

Balance Sheet
Cash and investments at the parent company were $210 million as of June 30, 2022, compared to $348 million as of December 31, 2021.
Through June 30, 2022, the Company purchased approximately 658,000 shares for $200 million, at an average cost of $304.13 per share.

Cash Flow
Operating cash flow for the six months ended June 30, 2022, was $731 million, which was lower compared to the six months ended June 30, 2021, primarily due to the net impact of timing differences in government receivables and payables and partially offset by an increase in net earnings.

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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 3
July 27, 2022
2022 Guidance
Premium revenue for full year 2022 is now expected to be approximately $30 billion, above the previous guidance of approximately $29.25 billion. The guidance increase of approximately $750 million includes the extension of the Public Health Emergency from July to October, second quarter 2022 outperformance and additional pass through revenue payments.
The Company increased its full year 2022 adjusted earnings guidance to at least $17.60 per diluted share, above the previous guidance of at least $17.10 per diluted share. Guidance includes the Company’s Marketplace business achieving modest profitability when excluding the 2021 risk adjustment payable true up.
See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release.

Conference Call
Management is hosting a conference call and webcast to discuss Molina Healthcare’s second quarter 2022 results at 8:00 a.m. Eastern Time on Thursday, July 28, 2022. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 4270459. A telephonic replay of the conference call will be available through Thursday, August 11, 2022, by dialing (877) 344-7529 and entering confirmation number 9675380. A live audio broadcast of this conference call will be available on Molina Healthcare’s website, molinahealthcare.com. A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast.

About Molina Healthcare
Molina Healthcare, Inc., a FORTUNE 500 company (currently ranked 125), provides managed healthcare services under the Medicaid and Medicare programs and through the state insurance marketplaces. Molina Healthcare served approximately 5.1 million members as of June 30, 2022, located across 19 states. For more information about Molina Healthcare, please visit molinahealthcare.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995
This earnings release and the Company’s accompanying oral remarks contain forward-looking statements regarding its 2022 guidance, as well as its plans and expectations regarding future developments. Actual results could differ materially due to numerous known and unknown risks and uncertainties. These risks and uncertainties are discussed under the headings “Forward-Looking Statements,” and “Risk Factors,” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2021, which is on file with the SEC, and also in its Quarterly Report on Form 10-Q for the three months ended June 30, 2022, which the Company expects to file on or about July 28, 2022.
These reports can be accessed under the investor relations tab of the Company’s website or on the SEC’s website at sec.gov. Given these risks and uncertainties, the Company can give no assurances that its forward-looking statements will prove to be accurate, or that any other results or developments projected or contemplated by its forward-looking statements will in fact occur, and the Company cautions investors not to place undue reliance on these statements. All forward-looking statements in this release represent the Company’s judgment as of July 27, 2022, and, except as otherwise required by law, the Company disclaims any obligation to update any forward-looking statement to conform the statement to actual results or changes in its expectations.
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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 4
July 27, 2022
MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
Three Months Ended
Six Months Ended
 June 30,June 30,
 2022202120222021
 (In millions, except per-share amounts)
Revenue:
Premium revenue$7,799 $6,583 $15,330 $12,889 
Premium tax revenue 215 185 423 372 
Investment income 22 10 33 19 
Other revenue18 22 38 42 
Total revenue8,054 6,800 15,824 13,322 
Operating expenses:
Medical care costs6,872 5,819 13,435 11,293 
General and administrative expenses551 484 1,122 957 
Premium tax expenses215 185 423 372 
Depreciation and amortization44 31 84 64 
Other11 27 28 
Total operating expenses7,693 6,527 15,091 12,714 
Operating income361 273 733 608 
Other expenses, net:
Interest expense27 30 55 60 
Total other expenses, net27 30 55 60 
Income before income tax expense
334 243 678 548 
Income tax expense86 58 172 135 
Net income$248 $185 $506 $413 
Net income per share – Diluted$4.25 $3.16 $8.63 $7.05 
Diluted weighted average shares outstanding
58.4 58.4 58.6 58.5 
Operating Statistics:
Medical care ratio88.1 %88.4 %87.6 %87.6 %
G&A ratio6.8 %7.1 %7.1 %7.2 %
Premium tax ratio2.7 %2.7 %2.7 %2.8 %
Effective income tax rate25.8 %24.2 %25.4 %24.7 %
After-tax margin3.1 %2.7 %3.2 %3.1 %

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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 5
July 27, 2022
MOLINA HEALTHCARE, INC.
CONSOLIDATED BALANCE SHEETS
June 30,December 31,
20222021
Unaudited
(Dollars in millions,
except per-share amounts)
ASSETS
Current assets:
Cash and cash equivalents$4,312 $4,438 
Investments3,567 3,202 
Receivables2,240 2,177 
Prepaid expenses and other current assets213 247 
Total current assets10,332 10,064 
Property, equipment, and capitalized software, net401 396 
Goodwill and intangible assets, net1,286 1,252 
Restricted investments219 212 
Deferred income taxes 141 106 
Other assets193 179 
Total assets$12,572 $12,209 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable$3,775 $3,363 
Amounts due government agencies 2,722 2,472 
Accounts payable, accrued liabilities and other715 842 
Deferred revenue13 370 
Total current liabilities7,225 7,047 
Long-term debt2,175 2,173 
Finance lease liabilities216 219 
Other long-term liabilities126 140 
Total liabilities9,742 9,579 
Stockholders’ equity:
Common stock, $0.001 par value, 150 million shares authorized; outstanding: 58 million shares at June 30, 2022 and December 31, 2021
— — 
Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding
— — 
Additional paid-in capital251 236 
Accumulated other comprehensive loss(128)(5)
Retained earnings2,707 2,399 
Total stockholders’ equity2,830 2,630 
Total liabilities and stockholders’ equity$12,572 $12,209 
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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 6
July 27, 2022
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Six Months Ended
June 30,
20222021
(In millions)
Operating activities:
Net income$506 $413 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization84 64 
Deferred income taxes
Share-based compensation
57 35 
Other, net
(6)10 
Changes in operating assets and liabilities:
Receivables(43)(192)
Prepaid expenses and other current assets(64)(6)
Medical claims and benefits payable405 272 
Amounts due government agencies 247 792 
Accounts payable, accrued liabilities and other(147)(15)
Deferred revenue(357)(333)
Income taxes46 14 
Net cash provided by operating activities
731 1,061 
Investing activities:
Purchases of investments(1,413)(1,006)
Proceeds from sales and maturities of investments
879 622 
Purchases of property, equipment, and capitalized software
(50)(29)
Other, net (7)
Net cash used in investing activities(591)(408)
Financing activities:
Common stock purchases
(200)(128)
Common stock withheld to settle employee tax obligations(53)(52)
Contingent consideration liabilities settled(20)(20)
Other, net — 
Net cash used in financing activities(268)(200)
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents(128)453 
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period
4,506 4,223 
Cash, cash equivalents, and restricted cash and cash equivalents at end of period
$4,378 $4,676 
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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 7
July 27, 2022
MOLINA HEALTHCARE, INC.
UNAUDITED SEGMENT DATA
(Dollars in millions)


June 30,December 31,June 30,
2022
2021
2021
Ending Membership by Segment:
Medicaid4,610,000 4,329,000 3,928,000 
Medicare151,000 142,000 130,000 
Marketplace357,000 728,000 638,000 
Total5,118,000 5,199,000 4,696,000 



Three Months Ended June 30,
20222021
Premium RevenueMedical
Margin
MCR (1)
Premium RevenueMedical
Margin
MCR (1)
Medicaid $6,301 $755 88.0 %$5,034 $551 89.0 %
Medicare 957 124 86.9 814 101 87.6 
Marketplace541 48 91.2 735 112 84.8 
Consolidated$7,799 $927 88.1 %$6,583 $764 88.4 %
Six Months Ended June 30,
20222021
Premium RevenueMedical
Margin
MCR (1)
Premium RevenueMedical
Margin
MCR (1)
Medicaid $12,281 $1,465 88.1 %$9,874 $1,155 88.3 %
Medicare 1,900 252 86.7 1,613 178 89.0 
Marketplace1,149 178 84.5 1,402 263 81.2 
Consolidated$15,330 $1,895 87.6 %$12,889 $1,596 87.6 %
(1)The MCR represents medical costs as a percentage of premium revenue.

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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 8
July 27, 2022
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in millions)

The Company’s claims liabilities include additional reserves to account for moderately adverse conditions based on historical experience and other factors including, but not limited to, variations in claims payment patterns, changes in utilization and cost trends, known outbreaks of disease, and large claims. The Company’s reserving methodology is consistently applied across all periods presented. The amounts displayed for “Components of medical care costs related to: Prior year” represent the amounts by which the original estimates of claims and benefits payable at the beginning of the year were more than the actual liabilities based on information (principally the payment of claims) developed since those liabilities were first reported. The following table presents the components of the change in medical claims and benefits payable for the periods indicated:
Six Months Ended
June 30,
20222021
Unaudited
Medical claims and benefits payable, beginning balance
$3,363 $2,696 
Components of medical care costs related to:
Current year13,746 11,486 
Prior year(311)(193)
Total medical care costs13,435 11,293 
Payments for medical care costs related to:
Current year10,622 9,023 
Prior year2,411 1,949 
Total paid13,033 10,972 
Acquired balances, net of post-acquisition adjustments(26)
Change in non-risk and other provider payables(49)
Medical claims and benefits payable, ending balance
$3,775 $2,942 
Days in Claims Payable (1)
50 48 
__________________
(1)The Company calculates Days in Claims Payable using claims incurred but not paid, or IBNP, and other fee-for-service payables included in medical claims and benefits payable, and quarterly fee-for-service related costs included in medical care costs within the Company’s consolidated financial statements.

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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 9
July 27, 2022
MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES
(In millions, except per diluted share amounts)

The Company believes that certain non-GAAP (generally accepted accounting principles) financial measures are useful supplemental measures to investors in comparing the Company’s performance to the performance of other public companies in the health care industry. The non-GAAP financial measures are also used internally to enable management to assess the Company’s performance consistently over time. These non-GAAP financial measures, presented below, should be considered as supplements to, and not as substitutes for or superior to, GAAP measures.
Adjustments represent additions and deductions to GAAP net income as indicated in the table below, which include the non-cash impact of amortization of acquired intangible assets, acquisition-related expenses, and the impact of certain expenses and other items that management believes are not indicative of longer-term business trends and operations.
Adjusted G&A Ratio represents the GAAP G&A ratio, recognizing adjustments.
Adjusted net income represents GAAP net income recognizing the adjustments, net of tax. The Company believes that adjusted net income is helpful to investors in assessing the Company’s financial performance.
Adjusted net income per diluted share represents adjusted net income divided by weighted average common shares outstanding on a fully diluted basis.
Adjusted after-tax margin represents adjusted net income, divided by total revenue.
Three Months Ended June 30,Six Months Ended June 30,
2022202120222021
AmountPer Diluted ShareAmountPer Diluted ShareAmountPer Diluted ShareAmountPer Diluted Share
Net income
$248 $4.25 $185 $3.16 $506 $8.63 $413 $7.05 
Adjustments:
Amortization of intangible assets
19 0.33 12 0.20 37 0.63 24 0.40 
Acquisition-related expenses (1)
0.11 0.11 26 0.45 27 0.46 
Other (2)
(3)(0.04)— — — — 0.16 
Subtotal, adjustments
23 0.40 18 0.31 63 1.08 60 1.02 
Income tax effect
(5)(0.10)(4)(0.07)(15)(0.26)(14)(0.24)
Adjustments, net of tax
18 0.30 14 0.24 48 0.82 46 0.78 
Adjusted net income
$266 $4.55 $199 $3.40 $554 $9.45 $459 $7.83 
__________________
(1)Reflects non-recurring costs associated with acquisitions, including various transaction and integration costs.
(2)The first half of 2022 includes certain non-recurring costs associated with gain on lease termination and disposal of fixed assets. The first half of 2021 includes change in premium deficiency reserves, loss on sale of property, and restructuring costs.

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Molina Healthcare, Inc. Reports Second Quarter 2022 Financial Results
Page 10
July 27, 2022
MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED)
2022 GUIDANCE


Amount
Per Diluted Share (2)
Net income
$937 $16.01 
Adjustments:
Acquisition-related expenses
47 0.80 
Amortization of intangible assets
75 1.29 
Subtotal, adjustments
122 2.09 
Income tax effect (1)
(29)(0.50)
Adjustments, net of tax
93 1.59 
Adjusted net income per diluted share
$1,030 $17.60 
__________________
(1)Income tax effect calculated at the statutory tax rate of approximately 23.9%.
(2)Computations assume approximately 58.5 million diluted weighted average shares outstanding.
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