Press release from Business Wire
Molina Healthcare Reports Second Quarter 2012 Results
Thursday, July 26, 2012
Molina Healthcare Reports Second Quarter 2012 Results16:00 EDT Thursday, July 26, 2012
LONG BEACH, Calif. (Business Wire) -- Molina Healthcare, Inc. (NYSE: MOH):
Loss per diluted share for second quarter 2012 of $0.80
Premium deficiency reserves of $13 million
Quarterly premium revenues of $1.5 billion, up 32% over 2011
Aggregate membership up 13% over 2011
Cash provided by operating activities up $155 million over 2011
Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results
for the second quarter and six months ended June 30, 2012.
Net loss for the quarter was $37.3 million, or $0.80 per diluted share,
compared with net income of $17.4 million, or $0.38 per diluted share,
for the quarter ended June 30, 2011.
“The second quarter of 2012 illustrated both the opportunities and the
challenges facing Molina Healthcare today,” said J. Mario Molina, M.D.,
chief executive officer of Molina Healthcare, Inc. “The opportunities
before us are clear. The renewal of our contract in Ohio, the continued
development of the dual eligible opportunity across many of our markets,
our entry into the Florida Nursing Home Diversion Program, the
certification of our Idaho MMIS, and the Supreme Court's decision
upholding many aspects of the Affordable Care Act make it clear that our
company's revenue potential is far greater than it ever has been.
However, developments in Texas during the second quarter emphasize the
importance of adequate rates and disciplined cost control for new
populations and markets. I remain confident that Molina Healthcare will
overcome the challenges that come with the many opportunities before us,
delivering much improved financial results in the future.”
Earnings Per Share Guidance
Because of uncertainties surrounding the pace at which our medical cost
containment initiatives in Texas will take effect, we previously
withdrew and are not issuing fiscal year 2012 guidance with respect to
matters related to or derived from medical costs, including earnings
guidance.
Overview of Financial Results
The Company's financial performance in the second quarter of 2012 was
impacted by the previously disclosed challenges with the Company's aged,
blind or disabled, or ABD, contracts in Texas, particularly in the
Hidalgo and El Paso service areas, and losses in Missouri (where our
health plan terminated operations effective June 30, 2012) and in
Wisconsin. The Company believes that its financial performance issues in
the quarter were limited to its Texas, Missouri, and Wisconsin health
plans. Excluding the Texas, Missouri, and Wisconsin health plans, the
Company's overall medical care ratio was 85.3% and 84.4% for the three
and six months ended June 30, 2012, respectively. The Company will
receive rate increases in Texas effective September 1, 2012, which,
together with various initiatives to reduce utilization and decrease
unit costs, are expected to improve the performance of the Texas health
plan. As stated above, the Company has now exited the Missouri market.
Health Plans Segment ResultsSecond Quarter 2012 Compared with Second Quarter 2011Premium Revenue
Premium revenue for the second quarter of 2012 increased 32% over the
second quarter of 2011, due primarily to membership increases, a shift
in member mix to populations generating higher premium revenue per
member per month (PMPM), and increased revenue linked to benefit
expansions.
Membership at the Texas health plan more than doubled year over year,
while also growing significantly in Ohio and Washington. Growth in the
Company's ABD membership led to higher premium revenue PMPM in 2012. ABD
membership, as a percent of total membership, has increased over 40%
year over year. Premium revenue PMPM also increased in the second
quarter of 2012 as a result of the inclusion of revenue from the
pharmacy benefit for the Ohio health plan effective October 1, 2011, and
as a result of the inclusion of revenue from the inpatient facility and
pharmacy benefits across all of the Texas health plan's membership
effective March 1, 2012.
Medical Care Costs
Medical care costs increased in the second quarter of 2012 primarily due
to high costs at the Texas health plan and the addition of the pharmacy
benefit in Ohio effective October 1, 2011. The Company's medical margin
deteriorated year over year primarily due to:
Higher medical costs in Texas and higher medical costs for ABD members
in California; and
Rate decreases of approximately 2% in Ohio effective January 1, 2012,
and of approximately 3% in California effective July 1, 2011.
Individual Health Plan Analysis
The Texas health plan added 172,000 members and $255.1 million in
revenue year over year. Most of this growth was due to regional and
benefit expansions effective March 1, 2012. The medical care ratio of
the Texas health plan was 109.4% for the second quarter of 2012,
compared with 95.0% for the second quarter of 2011. Because revenues of
the Texas health plan constituted nearly 25% of the Company's total
premium revenue for the second quarter of 2012, the high medical care
ratio in that state had a disproportionately large impact on the
Company's overall financial results. Absent $14.1 million of unfavorable
prior period development of claims reserves from the first quarter of
2012 and the impact of the $10.0 million premium deficiency reserve
discussed below, the medical care ratio of the Texas health plan would
have been approximately 102.7% in the second quarter of 2012.
The following table captures the effect of prior period development and
the premium deficiency reserve on the Texas health plan's medical care
ratio and medical care costs for the quarter ended June 30, 2012:
Texas ResultsFor Quarter EndedJune 30, 2012MedicalCare Ratio
MedicalCare Costs(Dollars in thousands)
Reported financial performance
109.4
%
$
393,237
Impact of prior period claims development
(3.9
)
(14,100
)
Impact of premium deficiency reserve (two months ending August 31,
2012)
(2.8
)
(10,000
)
Medical ratio and medical care cost adjusted to exclude impact of
prior period development and premium deficiency reserve
102.7
%
$
369,137
As previously disclosed, the Company believes that premium rates
associated with the ABD contracts in the Hidalgo and El Paso service
areas are not adequate to cover the medical costs associated with
serving members under existing conditions. Utilization of long-term care
services, including personal attendant services and adult day health
care services, is currently far exceeding the utilization of those
services elsewhere in the state and also far exceeding the utilization
assumptions used by the state of Texas in the development, and the
Company's evaluation of, premium rates.
The Company recorded a premium deficiency reserve for the Texas health
plan at June 30, 2012, of $10.0 million. This premium deficiency reserve
encompasses the two months ending August 31, 2012. The state of Texas
has released preliminary rates effective September 1, 2012. The Company
believes that these preliminary rates, if enacted, will yield a blended
rate increase of approximately 6% overall (approximately $7.4 million
per month) for the Texas health plan. The Company believes that the
premium rates effective in Texas on September 1, 2012, together with
various medical cost containment initiatives, will allow the Texas
health plan to return to profitability during Texas state fiscal year
2013 (September 1, 2012, through August 31, 2013). Accordingly, the
Company does not believe that a premium deficiency reserve will be
required in Texas subsequent to September 1, 2012.
The medical care ratio for the ABD membership in the Hidalgo and El Paso
service areas was 139% and 146%, respectively, during the second quarter
of 2012. Absent unfavorable prior period development from the first
quarter of 2012 and the premium deficiency reserve, the medical care
ratios of the ABD membership in the Hidalgo and El Paso service areas
would have been 116% and 133%, respectively, consistent with the
Company's previously disclosed estimates. The medical care ratio for the
aggregate ABD membership in Texas was approximately 119%. Absent
unfavorable prior period development of claims reserves and the premium
deficiency reserve, the medical care ratio for the aggregate ABD
membership in Texas was approximately 109%. ABD membership overall
constitutes approximately 70% of all Texas health plan revenue. ABD
membership in the Hidalgo and El Paso service areas alone contributed
28% of the Texas health plan's total revenue for the second quarter of
2012.
The Company estimates that its current monthly loss before taxes for the
Texas health plan overall is approximately $14 million, inclusive of
payments made under its management services agreement with Molina
Healthcare, Inc., the corporate parent of the Texas health plan. The
Company believes that the profitability of the Texas health plan will
improve over time by the estimated amounts shown below. The Company also
believes that enrollment may decrease at the Texas health plan during
the third quarter of 2012.
ExpectedMonthlyIncrease toProfitability(In thousands)
Blended rate increase effective September 1, 2012
$
7,400
Provider contract changes expected to be effective by December 2012
3,400
Other initiatives (including changes to hospital payments and prior
authorizations) expected to be effective by December 2012
3,200
$
14,000
The increase in the medical care ratio of the California health plan
year over year was primarily due to premium rate reductions effective
July 1, 2011, and the mandatory assignment of ABD members previously
served under fee-for-service arrangements. These members were
transitioned into managed care plans effective upon their month of birth
beginning in June 2011. The last of these members were transitioned into
managed care in May 2012. The medical care ratio for these new members
is approximately 95%, compared with a medical care ratio of
approximately 85% for ABD members not subject to mandatory enrollment.
Individuals who are new to managed care often have higher utilization of
medical services upon initially enrolling into managed care plans.
Utilization of heath care services is declining, however, for those ABD
members added earlier in the mandatory enrollment process. This data
leads the Company to believe that medical care costs will decrease for
the mandatory ABD members over time.
Profitability at the Florida health plan improved substantially year
over year due to a premium rate increase effective September 1, 2011,
the re-contracting of portions of the health plan's specialty care
network, and lower inpatient utilization.
The medical care ratio of the Michigan health plan increased to 87.1% in
the second quarter of 2012 from 78.7% in the second quarter of 2011. The
higher medical care ratio in 2012 was the result of a reduction to
premium rates that was linked to a decrease in premium taxes, and higher
pharmacy and inpatient facility costs. Partially offsetting the higher
medical care ratio was a decrease of $8.7 million in premium tax
expense. Both premium taxes and premium rates were reduced equivalently
effective April 1, 2012. If the reduction to premium rates linked to a
decrease in premium taxes had been in effect in the prior year, the
medical care ratio for the second quarter of 2011 would have been
approximately 82%.
The medical care ratio of the Missouri health plan increased to 104.9%
in the second quarter of 2012 compared with 90.2% in the second quarter
of 2011. The increase in the medical care ratio was primarily the result
of higher inpatient utilization and high dollar claims. Unfavorable
prior period development of claims reserves from the first quarter of
2012 was $7.6 million in the second quarter of 2012.
Profitability at the New Mexico health plan improved substantially year
over year due to the absence in 2012 of contractually required
reductions to revenue made in 2011.
The medical care ratio of the Ohio health plan increased to 82.6% for
the second quarter of 2012 from 77.6% for the second quarter of 2011.
The increase in the Ohio health plan's medical care ratio was primarily
the result of a 2% rate reduction effective January 1, 2012, together
with the assumption of the lower margin pharmacy benefit effective
October 1, 2011. Although the Ohio health plan's medical care ratio
increased in 2012, the medical margin (measured as total premium revenue
less total medical care costs) remained constant.
Absent a one-time revenue benefit of $12.1 million recorded in the
second quarter of 2011, the medical care ratio of the Utah health plan
decreased to 82.5% in the second quarter of 2012 from 89.4% in the
second quarter of 2011.
Lower inpatient facility costs tied to reduced inpatient utilization led
the Washington health plan to report improved profitability year over
year.
The Wisconsin health plan reported a medical care ratio of 121.1% for
the second quarter of 2012 compared with 80.8% for the second quarter of
2011. The Company believes that premium rates associated with its
contract in the state of Wisconsin are not adequate to cover the costs
of servicing that contract. Accordingly, the Company recorded a premium
deficiency reserve for the Wisconsin health plan at June 30, 2012, of
$3.0 million. The Wisconsin health plan will receive new premium rates
effective January 1, 2013. Absent the $3.0 million premium deficiency
reserve, the medical care ratio of the Wisconsin health plan would have
been approximately 105.2% for the second quarter of 2012.
Molina Medicaid Solutions Segment Results
Performance of the Molina Medicaid Solutions segment was as follows:
Three Months EndedJune 30,
Six Months EndedJune 30,2012
20112012
2011(In thousands)
Service revenue before amortization
$
41,877
$
38,434
$
84,235
$
77,294
Amortization recorded as reduction of service revenue
(153
)
(1,546
)
(306
)
(3,732
)
Service revenue
41,724
36,888
83,929
73,562
Cost of service revenue
30,613
39,215
61,107
70,436
General and administrative costs
3,187
1,875
5,207
4,352
Amortization of customer relationship intangibles recorded as
amortization
1,282
1,282
2,564
2,564
Operating income (loss)
$
6,642
$
(5,484
)
$
15,051
$
(3,790
)
Operating income for the Company's Molina Medicaid Solutions segment
improved $12.1 million and $18.8 million for the three months and six
months ended June 30, 2012, respectively. This improvement was primarily
the result of stabilization of the Company's newest Medicaid Management
Information Systems, or MMIS, in Idaho and Maine. On July 17, 2012, the
Company announced that the Centers for Medicare and Medicaid Services,
or CMS, had certified the MMIS implemented by Molina Medicaid Solutions
in Idaho retroactive to June 1, 2010. This certification will allow the
state of Idaho to receive 75% federal financial participation for the
operation of the MMIS retroactive to that date. Among the reasons cited
by the Company for purchasing Molina Medicaid Solutions effective May 1,
2010, was the benefit of reducing the Company's reliance on health plan
operations. For the quarter ended June 30, 2012, the Molina Medicaid
Solutions segment gross profit margin rate was 27%, compared with 8% for
the Health Plans segment.
Cash Flow
Cash provided by operating activities was $236.0 million for the six
months ended June 30, 2012, compared with $114.9 million for the six
months ended June 30, 2011. Deferred revenue was a source of operating
cash amounting to $125.4 million in 2012, compared with $38.1 million in
2011.
At June 30, 2012, the Company had cash and investments of $1.1 billion,
and the parent company had cash and investments of $39.8 million.
Reconciliation of Non-GAAP (1) to GAAP
Financial MeasuresEBITDA (2)
Three Months EndedJune 30,Six Months EndedJune 30,2012201120122011(In thousands)
Net (loss) income
$
(37,306
)
$
17,440
$
(19,217
)
$
34,828
Add back:
Depreciation and amortization reported in the consolidated
statements of cash flows
19,671
16,508
38,010
34,602
Interest expense
3,808
3,683
8,106
7,286
Provision for income taxes
(25,769
)
10,287
(14,736
)
20,596
EBITDA
$
(39,596
)
$
47,918
$
12,163
$
97,312
(1) GAAP stands for U.S. generally accepted accounting
principles.
(2) EBITDA is not prepared in conformity with GAAP because it
excludes depreciation and amortization, as well as interest expense, and
the provision for income taxes. This non-GAAP financial measure should
not be considered as an alternative to the GAAP measures of net income,
operating income, operating margin, or cash provided by operating
activities, nor should EBITDA be considered in isolation from these GAAP
measures of operating performance. Management uses EBITDA as a
supplemental metric in evaluating the Company's financial performance,
in evaluating financing and business development decisions, and in
forecasting and analyzing future periods. For these reasons, management
believes that EBITDA is a useful supplemental measure to investors in
evaluating the Company's performance and the performance of other
companies in the Company's industry.
Conference Call
The Company's management will host a conference call and webcast to
discuss its second quarter results at 5:00 p.m. Eastern time on
Thursday, July 26, 2012. The number to call for the interactive
teleconference is (212) 231-2927. A telephonic replay of the conference
call will be available from 7:00 p.m. Eastern time on Thursday, July 26,
2012, through 6:00 p.m. on Friday, July 27, 2012, by dialing (800)
633-8284 and entering confirmation number 21596713. A live broadcast of
Molina Healthcare's conference call will be available on the Company's
website, www.molinahealthcare.com,
or at www.earnings.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. provides quality and cost-effective
Medicaid-related solutions to meet the health care needs of low-income
families and individuals and to assist state agencies in their
administration of the Medicaid program. The Company's licensed health
plans in California, Florida, Michigan, New Mexico, Ohio, Texas, Utah,
Washington, and Wisconsin currently serve approximately 1.8 million
members, and its subsidiary, Molina Medicaid Solutions, provides
business processing and information technology administrative services
to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West
Virginia, and drug rebate administration services in Florida.
Safe Harbor Statement under the Private Securities Litigation
Reform Act of 1995: This earnings release contains “forward-looking
statements” regarding the Company's plans, expectations, anticipated
future events, and projected earnings per diluted share for fiscal year
2012.Actual results could differ materially due to numerous
known and unknown risks and uncertainties, including, without
limitation, risk factors related to the following:the success and timing of our medical cost containment initiatives
in Texas, the finalization of rate increases in Texas effective
September 1, 2012, and other risks associated with the expansion of
our Texas health plan's service areas as of March 1, 2012;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;uncertainties regarding the implementation of the Patient
Protection and Affordable Care Act, including the potential refusal of
a state to expand Medicaid eligibility to its uninsured population,
issues surrounding state insurance exchanges, the impact of the health
insurance industry excise tax, the effect of various implementing
regulations, and uncertainties regarding the impact of other federal
or state health care and insurance reform measures;management of the Company's medical costs, including seasonal flu
patterns and rates of utilization that are consistent with the
Company's expectations, and the reduction over time of the high
medical costs associated with new populations;the success of the Company's efforts to retain existing government
contracts and to obtain new government contracts in connection with
state requests for proposals (RFPs) in both existing and new states,
and the Company's ability to grow the Company's revenues consistent
with the Company's expectations;the accurate estimation of incurred but not reported medical costs
across the Company's health plans;risks associated with the continued growth in new Medicaid and
Medicare enrollees, and the development of actuarially sound rates
with respect to such new enrollees, including dually eligible
enrollees;retroactive adjustments to premium revenue or accounting estimates
which require adjustment based upon subsequent developments, including
Medicaid pharmaceutical rebates;the continuation and renewal of the government contracts of both
the Company's health plans and Molina Medicaid Solutions and the terms
under which such contracts are renewed;the timing of receipt and recognition of revenue and the
amortization of expense under the state contracts of Molina Medicaid
Solutions in Maine or Idaho;additional administrative costs and the potential payment of
additional amounts to providers and/or the state by Molina Medicaid
Solutions as a result of MMIS implementation issues in Maine or Idaho;government audits and reviews, and any enrollment freeze or
monitoring program that may result therefrom;changes with respect to the Company's provider contracts and the
loss of providers;the establishment of a federal or state medical cost expenditure
floor as a percentage of the premiums we receive, and the
interpretation and implementation of medical cost expenditure floors,
administrative cost and profit ceilings, and profit sharing
arrangements;the interpretation and implementation of at-risk premium rules
regarding the achievement of certain quality measures;approval by state regulators of dividends and distributions by the
Company's health plan subsidiaries;changes in funding under the Company's 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, including the Medicaid RFA litigation and
duals RFA protest matters now pending in the state of Ohio;restrictions and covenants in the Company's credit facility;the relatively small number of states in which we operate health
plans;the availability of financing to fund and capitalize the Company's
acquisitions and start-up activities and to meet the Company's
liquidity needs;a state's failure to renew its federal Medicaid waiver;an inadvertent unauthorized disclosure of protected health
information;changes generally affecting the managed care or Medicaid management
information systems industries;increases in government surcharges, taxes, and assessments;changes in general economic conditions, including unemployment
rates;increasing consolidation in the Medicaid industry;and numerous other risk factors, including those discussed in the
Company's periodic reports and filings with the Securities and Exchange
Commission.These reports can be accessed under the investor
relations tab of the Company's website or on the SEC's website at www.sec.gov.Given these risks and uncertainties, we can give no assurances that
the Company's forward-looking statements will prove to be accurate, or
that any other results or events projected or contemplated by the
Company's 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 the Company's
judgment as of July 26, 2012, and we disclaim any obligation to update
any forward-looking statements to conform the statement to actual
results or changes in the Company's expectations.
MOLINA HEALTHCARE, INC.UNAUDITED CONSOLIDATED STATEMENTS OF OPERATIONS
Three Months EndedSix Months EndedJune 30,June 30,2012201120122011(Amounts in thousands, except net (loss) income per share)Revenue:
Premium revenue
$
1,492,272
$
1,128,770
$
2,819,721
$
2,210,208
Service revenue
41,724
36,888
83,929
73,562
Investment income
1,108
1,446
2,825
3,040
Rental income
1,320
–
3,529
–
Total revenue
1,536,424
1,167,104
2,910,004
2,286,810
Expenses:
Medical care costs
1,377,577
949,359
2,508,565
1,862,891
Cost of service revenue
30,613
39,215
61,107
70,436
General and administrative expenses
131,485
96,921
251,708
191,357
Premium tax expenses
39,629
37,709
83,059
74,259
Depreciation and amortization
16,387
12,490
31,412
25,157
Total expenses
1,595,691
1,135,694
2,935,851
2,224,100
Operating (loss) income
(59,267
)
31,410
(25,847
)
62,710
Interest expense
3,808
3,683
8,106
7,286
(Loss) income before income taxes
(63,075
)
27,727
(33,953
)
55,424
Provision for income taxes
(25,769
)
10,287
(14,736
)
20,596
Net (loss) income
$
(37,306
)
$
17,440
$
(19,217
)
$
34,828
Net (loss) income per share:
Basic
$
(0.80
)
$
0.38
$
(0.42
)
$
0.76
Diluted
$
(0.80
)
$
0.38
$
(0.42
)
$
0.75
Weighted average shares outstanding:
Basic
46,355
45,897
46,176
45,743
Diluted
46,355
46,471
46,176
46,392
Operating Statistics:
Ratio of medical care costs paid directly to providers to premium
revenue
90.3
%
81.9
%
86.8
%
82.1
%
Ratio of medical care costs not paid directly to providers to
premium revenue
2.0
%
2.2
%
2.2
%
2.2
%
Medical care ratio (1)
92.3
%
84.1
%
89.0
%
84.3
%
General and administrative expense ratio (2)
8.6
%
8.3
%
8.6
%
8.4
%
Premium tax ratio (1)
2.7
%
3.3
%
2.9
%
3.4
%
Effective tax rate
(40.9
%)
37.1
%
(43.4
%)
37.2
%
(1) Medical care ratio represents medical care costs
as a percentage of premium revenue; premium tax ratio represents
premium taxes as a percentage of premium revenue.
(2) Computed as a percentage of total operating
revenue.
MOLINA HEALTHCARE, INC.UNAUDITED CONSOLIDATED BALANCE SHEETS
June 30,Dec. 31,20122011(Amounts in thousands, except per-share data)ASSETSCurrent assets:
Cash and cash equivalents
$
727,092
$
493,827
Investments
344,910
336,916
Receivables
161,007
167,898
Income tax refundable
31,389
11,679
Deferred income taxes
26,858
18,327
Prepaid expenses and other current assets
29,780
19,435
Total current assets
1,321,036
1,048,082
Property, equipment, and capitalized software, net
206,489
190,934
Deferred contract costs
71,344
54,582
Intangible assets, net
90,402
101,796
Goodwill and indefinite-lived intangible assets
151,088
153,954
Auction rate securities
13,101
16,134
Restricted investments
43,608
46,164
Receivable for ceded life and annuity contracts
–
23,401
Other assets
20,400
17,099
$
1,917,468
$
1,652,146
LIABILITIES AND STOCKHOLDERS' EQUITYCurrent liabilities:
Medical claims and benefits payable
$
525,538
$
402,476
Accounts payable and accrued liabilities
136,065
147,214
Deferred revenue
176,373
50,947
Current maturities of long-term debt
1,130
1,197
Total current liabilities
839,106
601,834
Long-term debt
269,338
216,929
Deferred income taxes
40,713
33,127
Liability for ceded life and annuity contracts
–
23,401
Other long-term liabilities
22,301
21,782
Total liabilities
1,171,458
897,073
Stockholders' equity:
Common stock, $0.001 par value; 80,000 shares authorized;
outstanding: 46,527 shares at June 30, 2012 and 45,815 shares at
December 31, 2011
46
46
Preferred stock, $0.001 par value; 20,000 shares authorized, no
shares issued and outstanding
–
–
Additional paid-in capital
275,556
266,022
Accumulated other comprehensive loss
(785
)
(1,405
)
Retained earnings
471,193
490,410
Total stockholders' equity
746,010
755,073
$
1,917,468
$
1,652,146
MOLINA HEALTHCARE, INC.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
Three Months EndedSix Months EndedJune 30,June 30,
2012
2011
2012
2011
(Amounts in thousands)Operating activities:
Net (loss) income
$
(37,306
)
$
17,440
$
(19,217
)
$
34,828
Adjustments to reconcile net income to net cash provided by
operating activities:
Depreciation and amortization
19,671
16,508
38,010
34,602
Deferred income taxes
(9,527
)
(4,458
)
(621
)
(2,839
)
Stock-based compensation
5,146
4,310
9,812
8,374
Gain on sale of subsidiary
–
–
(2,390
)
–
Non-cash interest on convertible senior notes
1,472
1,371
2,915
2,711
Change in fair value of interest rate swap agreement
1,086
–
1,086
–
Amortization of premium/discount on investments
1,765
1,795
3,615
3,439
Amortization of deferred financing costs
257
504
515
1,007
Tax deficiency from employee stock compensation
(19
)
(225
)
(50
)
(489
)
Changes in operating assets and liabilities:
Receivables
61,247
7,611
6,891
26,999
Prepaid expenses and other current assets
(5,065
)
5,289
(10,352
)
(2,780
)
Medical claims and benefits payable
69,705
(9,769
)
123,062
(12,743
)
Accounts payable and accrued liabilities
12,167
17,081
(22,982
)
(8,715
)
Deferred revenue
80,883
(24,541
)
125,426
38,075
Income taxes
(16,074
)
(2,141
)
(19,737
)
(7,571
)
Net cash provided by operating activities
185,408
30,775
235,983
114,898
Investing activities:
Purchases of equipment
(19,796
)
(15,925
)
(33,301
)
(30,866
)
Purchases of investments
(56,149
)
(78,663
)
(144,348
)
(183,647
)
Sales and maturities of investments
71,005
60,159
136,772
121,434
Proceeds from sale of subsidiary, net of cash surrendered
–
–
9,162
–
Net cash paid in business combinations
–
–
–
(3,253
)
Increase in deferred contract costs
(10,062
)
(6,770
)
(23,055
)
(16,405
)
Increase in restricted investments
(1,661
)
(1,023
)
(2,154
)
(8,230
)
Change in other noncurrent assets and liabilities
(1,926
)
3,200
(4,383
)
2,190
Net cash used in investing activities
(18,589
)
(39,022
)
(61,307
)
(118,777
)
Financing activities:
Amount borrowed under credit facility
50,000
–
60,000
–
Repayment of amount borrowed under credit facility
(10,000
)
–
(10,000
)
–
Principal payments on term loan
(272
)
–
(573
)
–
Proceeds from employee stock plans
2,737
3,178
5,485
5,640
Excess tax benefits from employee stock compensation
85
490
3,677
1,566
Net cash provided by financing activities
42,550
3,668
58,589
7,206
Net increase (decrease) in cash and cash equivalents
209,369
(4,579
)
233,265
3,327
Cash and cash equivalents at beginning of period
517,723
463,792
493,827
455,886
Cash and cash equivalents at end of period
$
727,092
$
459,213
$
727,092
$
459,213
MOLINA HEALTHCARE, INC.UNAUDITED DEPRECIATION AND
AMORTIZATION DATA
Depreciation and amortization related to the Company's Health Plans
segment is all recorded in “Depreciation and Amortization” in the
consolidated statements of operations. Depreciation and amortization
related to the Company's Molina Medicaid Solutions segment is recorded
within three different headings in the consolidated statements of
operations as follows:
Amortization of purchased intangibles relating to customer
relationships is reported as amortization within the heading
“Depreciation and Amortization;”
Amortization of purchased intangibles relating to contract backlog is
recorded as a reduction of “Service Revenue;” and
Depreciation is recorded within the heading “Cost of Service Revenue.”
The following table presents all depreciation and amortization recorded
in the Company's consolidated statements of operations, regardless of
whether the item appears as depreciation and amortization, a reduction
of revenue, or as cost of service revenue.
Three Months Ended June 30,2012
2011Amount
% of TotalRevenueAmount
% of TotalRevenue(Dollar amounts in thousands)
Depreciation and amortization of capitalized software
$
10,851
0.7
%
$
7,225
0.6
%
Amortization of intangible assets
5,536
0.4
5,265
0.5
Depreciation and amortization reported as such in the consolidated
statements of operations
16,387
1.1
12,490
1.1
Amortization recorded as reduction of service revenue
153
–
1,546
0.1
Amortization of capitalized software recorded as cost of service
revenue
3,131
0.2
2,472
0.2
Total
$
19,671
1.3
%
$
16,508
1.4
%
Six Months Ended June 30,20122011Amount% of TotalRevenueAmount% of TotalRevenue(Dollar amounts in thousands)
Depreciation, and amortization of capitalized software
$
20,323
0.7
%
$
14,625
0.6
%
Amortization of intangible assets
11,089
0.4
10,532
0.5
Depreciation and amortization reported as such in the consolidated
statements of operations
31,412
1.1
25,157
1.1
Amortization recorded as reduction of service revenue
306
–
3,732
0.2
Amortization of capitalized software recorded as cost of service
revenue
6,292
0.2
5,713
0.2
Total
$
38,010
1.3
%
$
34,602
1.5
%
MOLINA HEALTHCARE, INC.UNAUDITED MEMBERSHIP DATA
June 30,March 31,Dec. 31,June 30,2012201220112011Total Ending Membership by Health Plan:
California
350,000
351,000
355,000
348,000
Florida
70,000
69,000
69,000
66,000
Michigan
220,000
222,000
222,000
220,000
Missouri (1)
79,000
81,000
79,000
80,000
New Mexico
89,000
89,000
88,000
89,000
Ohio
260,000
249,000
248,000
245,000
Texas
301,000
280,000
155,000
129,000
Utah
86,000
86,000
84,000
82,000
Washington
356,000
356,000
355,000
345,000
Wisconsin
42,000
42,000
42,000
41,000
Total
1,853,000
1,825,000
1,697,000
1,645,000
Total Ending Membership by State for the Medicare Advantage
Plans:
California
7,000
6,900
6,900
6,000
Florida
900
800
800
600
Michigan
8,900
8,500
8,200
7,100
New Mexico
900
900
800
700
Ohio
200
200
200
200
Texas
800
800
700
600
Utah
8,300
8,100
8,400
7,000
Washington
5,700
5,200
5,000
4,000
Total
32,700
31,400
31,000
26,200
Total Ending Membership by State for the Aged, Blind or Disabled
Population:
California
41,100
37,300
31,500
17,000
Florida
10,400
10,500
10,400
10,300
Michigan
40,000
38,800
37,500
31,600
New Mexico
5,600
5,600
5,600
5,600
Ohio
29,600
29,700
29,100
28,700
Texas
111,000
109,000
63,700
52,000
Utah
8,800
8,700
8,500
8,300
Washington
4,400
4,700
4,800
4,400
Wisconsin
1,700
1,700
1,700
1,700
Total
252,600
246,000
192,800
159,600
(1) The Company's contract with the state of Missouri expired
without renewal on June 30, 2012.
MOLINA HEALTHCARE, INC.UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN(Amounts in thousands except per member per month amounts)
Three Months Ended June 30, 2012MemberMonths(1)Premium RevenueMedical Care CostsMedicalCare RatioPremium TaxExpenseTotalPMPMTotalPMPM
California
1,056
$
167,644
$
158.77
$
149,239
$
141.34
89.0
%
$
2,695
Florida
210
57,303
273.00
48,442
230.79
84.5
(20
)
Michigan
662
162,758
245.89
141,682
214.04
87.1
1,073
Missouri (2)
240
57,205
237.97
59,981
249.52
104.9
–
New Mexico
266
85,360
320.92
67,836
255.03
79.5
2,257
Ohio
762
297,069
389.85
245,284
321.89
82.6
23,012
Texas
907
359,486
396.63
393,237
433.87
109.4
6,669
Utah
259
76,911
297.00
63,419
244.90
82.5
–
Washington
1,068
207,376
194.14
174,045
162.93
83.9
3,799
Wisconsin
125
18,788
150.12
22,758
181.84
121.1
–
Other (3)
–
2,372
–
11,654
–
–
144
5,555
$
1,492,272
$
268.65
$
1,377,577
$
248.00
92.3
%
$
39,629
Three Months Ended June 30, 2011MemberMonths(1)Premium RevenueMedical Care CostsMedicalCare RatioPremium TaxExpenseTotalPMPMTotalPMPM
California
1,043
$
139,097
$
133.35
$
117,511
$
112.66
84.5
%
$
1,921
Florida
197
49,770
252.78
48,294
245.29
97.0
34
Michigan
668
165,575
247.74
130,325
195.00
78.7
9,728
Missouri (2)
243
56,625
232.80
51,100
210.08
90.2
–
New Mexico
270
81,973
304.29
68,579
254.57
83.7
2,423
Ohio
736
230,874
313.36
179,102
243.09
77.6
17,782
Texas
391
104,399
267.06
99,154
253.64
95.0
2,063
Utah
244
77,507
318.32
58,473
240.15
75.4
–
Washington
1,027
202,595
197.39
171,742
167.33
84.8
3,662
Wisconsin
121
17,840
147.02
14,415
118.79
80.8
44
Other (3)
–
2,515
–
10,664
–
–
52
4,940
$
1,128,770
$
228.50
$
949,359
$
192.18
84.1
%
$
37,709
(1) A member month is defined as the aggregate of each month's
ending membership for the period presented.
(2) The Company's contract with the state of Missouri expired
without renewal on June 30, 2012.
(3) “Other” medical care costs also include medically related
administrative costs at the parent company.
MOLINA HEALTHCARE, INC.UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN(Amounts in thousands except per member per month amounts)
Six Months Ended June 30, 2012MemberMonths(1)Premium RevenueMedical Care CostsMedicalCare RatioPremium TaxExpenseTotalPMPMTotalPMPM
California
2,115
$
329,329
$
155.70
$
290,588
$
137.39
88.2
%
$
5,004
Florida
418
113,493
271.44
98,011
234.41
86.4
(13
)
Michigan
1,327
330,664
249.20
275,893
207.92
83.4
10,157
Missouri (2)
483
113,818
235.63
113,101
234.15
99.4
–
New Mexico
532
168,621
317.10
134,947
253.78
80.0
4,210
Ohio
1,508
590,594
391.77
481,985
319.72
81.6
45,865
Texas
1,499
557,722
372.11
573,326
382.53
102.8
9,866
Utah
511
152,049
297.29
121,300
237.17
79.8
–
Washington
2,135
422,986
198.11
355,470
166.49
84.0
7,711
Wisconsin
250
35,930
143.54
39,644
158.31
110.3
–
Other (3)
–
4,515
–
24,300
–
–
259
10,778
$
2,819,721
$
261.61
$
2,508,565
$
232.75
89.0
%
$
83,059
Six Months Ended June 30, 2011MemberMonths(1)Premium RevenueMedical Care CostsMedicalCare RatioPremium TaxExpenseTotalPMPMTotalPMPM
California
2,084
$
274,073
$
131.49
$
231,248
$
110.95
84.4
%
$
3,823
Florida
389
98,992
254.68
95,863
246.63
96.8
51
Michigan
1,346
330,335
245.38
264,053
196.15
79.9
19,575
Missouri (2)
488
111,792
229.05
102,707
210.44
91.9
–
NewMexico
541
166,579
308.12
138,616
256.40
83.2
4,388
Ohio
1,473
461,213
313.02
350,853
238.12
76.1
35,557
Texas
740
185,210
250.28
172,769
233.47
93.3
3,403
Utah
480
145,442
303.28
112,312
234.20
77.2
–
Washington
2,061
397,867
193.09
340,857
165.42
85.7
7,323
Wisconsin
241
34,257
142.17
33,794
140.25
98.7
44
Other (3)
–
4,448
–
19,819
–
–
95
9,843
$
2,210,208
$
224.56
$
1,862,891
$
189.27
84.3
%
$
74,259
(1) A member month is defined as the aggregate of each month's
ending membership for the period presented.
(2) The Company's contract with the state of Missouri expired
without renewal on June 30, 2012.
(3) “Other” medical care costs also include medically related
administrative costs of the parent company.
MOLINA HEALTHCARE, INC.UNAUDITED SELECTED FINANCIAL DATA(Amounts
in thousands except per member per month amounts)
The following tables provide the details of the Company's medical care
costs for the periods indicated:
Three Months Ended June 30,2012
2011Amount
PMPM
% of TotalAmount
PMPM
% of Total
Fee for service
$
981,002
$
176.60
71.2
%
$
695,551
$
140.80
73.2
%
Capitation
138,891
25.00
10.1
125,958
25.50
13.2
Pharmacy
212,944
38.33
15.5
87,870
17.79
9.4
Other
44,740
8.07
3.2
39,980
8.09
4.2
Total
$
1,377,577
$
248.00
100.0
%
$
949,359
$
192.18
100.0
%
Six Months Ended June 30,20122011AmountPMPM% of TotalAmountPMPM% of Total
Fee for service
$
1,758,269
$
163.13
70.1
%
$
1,351,435
$
137.31
72.5
%
Capitation
274,929
25.51
11.0
254,640
25.87
13.7
Pharmacy
386,181
35.83
15.4
179,446
18.23
9.6
Other
89,186
8.28
3.5
77,370
7.86
4.2
Total
$
2,508,565
$
232.75
100.0
%
$
1,862,891
$
189.27
100.0
%
The following table provides the details of the Company's medical claims
and benefits payable as of the dates indicated:
June 30,
Dec. 31,
June 30,201220112011(In thousands)
Fee-for-service claims incurred but not paid (IBNP)
$
378,782
$
301,020
$
270,558
Capitation payable
79,739
53,532
43,131
Pharmacy
34,848
26,178
15,094
Other
32,169
21,746
12,830
$
525,538
$
402,476
$
341,613
MOLINA HEALTHCARE, INC.UNAUDITED CHANGE IN MEDICAL
CLAIMS AND BENEFITS PAYABLE
The Company's claims liability includes an allowance for adverse claims
development 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 periods” represent the
amount by which the Company's original estimate of claims and benefits
payable at the beginning of the period were (more) or less 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 shows the components of the change in medical claims
and benefits payable as of the periods indicated:
Six Months EndedJune 30,
Three Months EndedJune 30,
Year EndedDec. 31,20112012
20112012
2011(Dollars in thousands, except per-member amounts)
Balances at beginning of period
$
402,476
$
354,356
$
455,833
$
351,382
$
354,356
Components of medical care costs related to:
Current period
2,544,922
1,908,289
1,377,084
969,100
3,911,803
Prior periods
(36,357
)
(45,398
)
493
(19,741
)
(51,809
)
Total medical care costs
2,508,565
1,862,891
1,377,577
949,359
3,859,994
Payments for medical care costs related to:
Current period
2,033,611
1,584,636
891,573
666,081
3,516,994
Prior periods
351,892
290,998
416,299
293,047
294,880
Total paid
2,385,503
1,875,634
1,307,872
959,128
3,811,874
Balances at end of period
$
525,538
$
341,613
$
525,538
$
341,613
$
402,476
Benefit from prior period as a percentage of:
Balance at beginning of period
9.0
%
12.8
%
(0.1
%)
5.6
%
14.6
%
Premium revenue
1.3
%
2.1
%
0.0
%
1.7
%
1.1
%
Total medical care costs
1.4
%
2.4
%
0.0
%
2.1
%
1.3
%
Claims Data:
Days in claims payable, fee for service
44
39
44
39
40
Number of members at end of period
1,853,000
1,645,000
1,853,000
1,645,000
1,697,000
Number of claims in inventory at end of period
209,200
121,900
209,200
121,900
111,100
Billed charges of claims in inventory at end of period
$
324,500
$
205,800
$
324,500
$
205,800
$
207,600
Claims in inventory per member at end of period
0.11
0.07
0.11
0.07
0.07
Billed charges of claims in inventory per member at end of period
$
175.12
$
125.11
$
175.12
$
125.11
$
122.33
Number of claims received during the period
10,375,700
8,715,200
5,520,100
4,373,000
17,207,500
Billed charges of claims received during the period
$
9,388,700
$
6,963,300
$
5,051,800
$
3,576,700
$
14,306,500
Molina Healthcare, Inc.Juan José Orellana, 562-435-3666, ext.
111143
