Accessibility StatementSkip Navigation SAN DIEGO, Oct. 23, 2025 /PRNewswire/ -- Robbins Geller Rudman & Dowd LLP announces that purchasers or acquirers of Molina Healthcare, Inc. (NYSE: MOH) securities between February 5, 2025 and July 23, 2025, both dates inclusive (the "Class Period"), have until Tuesday, December 2, 2025 to seek appointment as lead plaintiff of the Molina class action lawsuit. Captioned Hindlemann v. Molina Healthcare, Inc., No. 25- cv-09461 (C.D. Cal.), the Molina Healthcare class actio ...

Key Takeaways Molina Healthcare posted Q3 EPS of $1.84, missing estimates and falling sharply year over year.Revenues rose 11% YoY to $11.5B, driven by higher premiums, rate hikes and an expanded footprint.Operating expenses jumped 14.9%, pushing the medical care ratio up to 92.6% from 89.2% last year.Molina Healthcare, Inc. (MOH) reported third-quarter 2025 adjusted earnings per share (EPS) of $1.84, which missed the Zacks Consensus Estimate of $3.97. Also, the bottom line fell 69.4% from the year-ago peri ...

Accessibility StatementSkip Navigation On this news, Molina's stock price fell $6.97, or 2.9%, to close at $232.61 per share on July 7, 2025, on unusually heavy trading volume. Faruqi & Faruqi, LLP Securities Litigation Partner James (Josh) Wilson Encourages Investors Who Suffered Losses In Molina To Contact Him Directly To Discuss Their Options If you purchased or acquired securities in Molina between February 5, 2025 and July 23, 2025 and would like to discuss your legal rights, call Faruqi & Faruqi partn ...

Core Viewpoint - Molina Healthcare's stock plummeted over 20% following a significant earnings miss for Q3, attributed to rising medical expenses and a lowered guidance for Q4 [1][2]. Financial Performance - Molina's adjusted EPS for Q3 was $1.84, missing analyst expectations of $3.89 by more than 50% [2]. - The company projects Q4 adjusted earnings of $0.35, significantly below analysts' expectations of $2.42 [2]. Medical Care Ratio (MCR) - Molina's consolidated MCR for Q3 was 92.6%, up from 89.2% in the same quarter last year, indicating increased medical expenses impacting profitability [4]. - A 92.6% MCR means the company retained only 7.4 cents per dollar of premium revenue after covering medical expenses [5]. - The MCR for ACA plans was particularly high at 95.6%, exceeding both analyst predictions of 86% and Molina's own 73% from the previous year [6]. Industry Context - The MCR is a critical metric for healthcare providers, reflecting the balance between premium revenue and medical expenses [3]. - Rising medical costs and the structure of ACA plans have posed significant challenges for Molina, affecting its financial stability [5][6].

Molina Healthcare's stock was tumbling after a big profit miss, as medical costs keep rising because more people are making insurance claims. ...

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Healthcare Sector - Molina Healthcare's stock has dropped over 20% following a disappointing earnings report and guidance cut, marking the third reduction this year [1][2][3] - The company's earnings per share (EPS) was reported at $1.84, significantly below the expected $4, while revenue was $11.48 billion, which beat estimates but was overshadowed by the EPS miss [2][3] - Molina attributed the guidance cut to unprecedented medical costs, particularly in its marketplace business, which has seen higher usage of medical services and sicker patient pools [3][4] - The medical care ratio for Molina rose to 92.6%, indicating reduced profit margins per premium dollar [4] Airline Sector - American Airlines reported a smaller-than-expected loss of $0.17 per share, with revenue of $13.7 billion, both better than anticipated [6][7] - The airline is projecting a profit for 2025 and expects earnings between $0.45 and $0.75 per share for the fourth quarter, exceeding analyst estimates [6][7] - Domestic demand, particularly for business and premium travel, remains strong, with capacity expected to grow by 3-5% in the fourth quarter [8][9] - Southwest Airlines posted a surprise profit of $0.11 per share and nearly $7 billion in revenue, indicating strong demand heading into the holiday season [11][12] - Southwest is making changes to its seating policy and introducing fees for bags and seat upgrades, which are already contributing to increased sales [13][14] Casino Sector - Las Vegas Sands and other casino stocks are experiencing positive analyst sentiment, with shares up approximately 9.5% [15]

Revenue and Income - Premium revenue for Q3 2025 reached $10,841 million, a 11.8% increase from $9,694 million in Q3 2024[7] - Total revenue for the nine months ended September 30, 2025, was $34,051 million, up 12.0% from $30,151 million in the same period of 2024[7] - Net income for Q3 2025 was $79 million, a significant decline of 75.8% compared to $326 million in Q3 2024[7] - Net income for the nine months ended September 30, 2025, was $632 million, a decrease of 32% compared to $928 million in the same period of 2024[14] - Net income per share (diluted) for Q3 2025 was $1.51, down from $5.65 in Q3 2024[7] Operating Performance - Operating income for Q3 2025 decreased to $137 million, down 70.7% from $467 million in Q3 2024[7] - Comprehensive income for Q3 2025 was $98 million, down from $402 million in Q3 2024[8] - The company reported a pre-tax margin of 0.8% in Q3 2025, a decline from 4.2% in Q3 2024, reflecting the impact of increased medical costs and lower investment income[93] - The medical margin for the nine months ended September 30, 2025, was $2,985 million, compared to $3,219 million for the same period in 2024, showing a decrease of approximately 7%[80] Medical Costs - Medical care costs for Q3 2025 were $10,044 million, an increase of 16.2% from $8,643 million in Q3 2024[7] - The consolidated medical care ratio (MCR) increased to 92.6% in Q3 2025 from 89.2% in Q3 2024, reflecting ongoing challenges in medical cost trends[92] - The medical margin in the Medicaid program decreased by $91 million, or 12%, in Q3 2025 compared to Q3 2024[127] - The Medicaid MCR increased by 150 basis points to 92.0% in Q3 2025 from 90.5% in Q3 2024[128] Assets and Liabilities - Total assets as of September 30, 2025, were $15,698 million, slightly up from $15,630 million at the end of 2024[10] - Long-term debt increased to $3,664 million as of September 30, 2025, compared to $2,923 million at the end of 2024[10] - The company recorded liabilities of $641 million and $1,006 million under contract provisions for amounts due to government agencies as of September 30, 2025, and December 31, 2024, respectively[26] - The company recorded a liability of $128 million under "Amounts due government agencies" related to Medicare risk adjustment as of September 30, 2025[29] Cash Flow - Net cash used in operating activities was $(237) million for the nine months ended September 30, 2025, compared to $868 million provided in the same period of 2024[14] - Total cash, cash equivalents, and restricted cash and cash equivalents at the end of the period was $4,324 million, down from $4,879 million at the end of September 2024[24] - The company reported a net cash provided by investing activities of $82 million for the nine months ended September 30, 2025, compared to $(483) million used in the same period of 2024[14] Membership and Market Presence - The company served approximately 5.6 million members eligible for government-sponsored healthcare programs across 21 states as of September 30, 2025[16] - Membership as of September 30, 2025, was 5.6 million, an increase of 30,000, or 0.5%, compared to the previous year, driven by growth in the Marketplace segment[92] Acquisitions and Investments - The company acquired ConnectiCare for $350 million in cash, with acquisition costs amounting to $3 million for the nine months ended September 30, 2025[39] - Provisional fair values assigned to assets acquired from ConnectiCare include current assets of $464 million and goodwill of $276 million[43] - The company closed the acquisition of ConnectiCare for $350 million on February 1, 2025, expanding its presence in the Connecticut market[115] Stock Repurchase and Capital Management - The board authorized a stock repurchase program of up to $1 billion in October 2024, with $500 million used to repurchase approximately 1,679,000 shares at an average cost of $297.83 per share[72] - In April 2025, the board authorized an additional $1 billion stock repurchase program, with $500 million used to repurchase approximately 2,849,000 shares at an average cost of $175.50 per share in Q3 2025[73] - The company has accrued a stock repurchase excise tax of $18 million related to share repurchase programs as of September 30, 2025[74] Financial Risks and Compliance - The company’s earnings and financial position are exposed to financial market risk relating to changes in interest rates[168] - A hypothetical 1% increase in market interest rates would decrease the fair value of the company's fixed income investments by approximately $118 million[169] - As of September 30, 2025, the company was in compliance with all financial and non-financial covenants under the Amended Credit Agreement[158]

Core Insights - Molina Healthcare's shares dropped nearly 20% in premarket trading due to a reduction in its full-year profit forecast, attributed to rising medical costs in its government programs [1] Company Summary - Molina Healthcare has once again lowered its profit forecast for the full year, indicating ongoing challenges in managing medical costs [1] - The significant decline in share price reflects investor concerns over the company's financial outlook and operational efficiency in the current healthcare environment [1]

Financial Data and Key Metrics Changes - The company reported adjusted EPS of $1.84 on $10.8 billion of premium revenue, which was below expectations [6][17] - The consolidated MCR for the quarter was 92.6%, reflecting a challenging medical cost environment [6][17] - Year-to-date, the consolidated MCR stands at 90.8% with an adjusted pre-tax margin of 2.7% [6] Business Line Data and Key Metrics Changes - In Medicaid, which represents 75% of total premium revenue, the MCR was reported at 92% with an adjusted pre-tax margin of 2.6% [7][17] - The Medicare segment reported a third quarter MCR of 93.6%, with higher utilization in high-acuity populations [7][17] - The Marketplace segment had a significantly higher MCR of 95.6%, driven by elevated utilization [7][17] Market Data and Key Metrics Changes - The company anticipates full-year premium revenue to increase to approximately $42.5 billion [8][22] - The adjusted EPS guidance for 2025 has been revised down to approximately $14 per share, reflecting a consolidated MCR of 91.3% [8][22] - The Medicaid MCR is expected to be 91.5% for the full year, which is above the high end of the long-term target range [9][22] Company Strategy and Development Direction - The company aims to surpass the $50 billion premium revenue mark in the coming years, with a focus on winning RFPs and pursuing M&A opportunities [14][72] - The 2026 outlook anticipates growth in existing markets and new Medicaid contracts, despite potential revenue headwinds from Marketplace pricing strategies [12][25] - The company is strategically focused on the dual-eligible segment in Medicare, which is expected to drive profitable growth [15][66] Management Comments on Operating Environment and Future Outlook - Management acknowledged the challenging medical cost environment and the impact on earnings, particularly in the Marketplace segment [6][10] - The company remains optimistic about future Medicaid rates keeping pace with medical cost trends, citing responsiveness from state partners [40][42] - Management believes that the current high medical cost trends will eventually stabilize, allowing for a return to target margins [59][62] Other Important Information - The company has a strong capital foundation, with RBC ratios at 340% and total subsidiary capital 70% above state minimums [20] - The company repurchased approximately 2.8 million shares at a cost of $500 million, indicating confidence in long-term value [21] - The embedded earnings are estimated at $8.65 per share, with expectations for realization over time [60][62] Q&A Session Summary Question: Can you elaborate on the drivers of ACA MCR pressure in the quarter? - Management indicated that the pressure was due to increased medical cost trends across all categories, with a higher percentage of special enrollment membership contributing to the trend [32][33] Question: Are you expecting Medicaid rates to be in excess of the 7% cost trend? - Management expressed optimism that rates will at least keep pace with the trend, citing responsiveness from states and a solid baseline for rate projections [39][41] Question: How does the expiration of subsidies affect your pricing assumptions for Marketplace? - Management stated that pricing is based on the expiration of subsidies, with a focus on achieving break-even or better margins [44][45] Question: What is the outlook for Medicare performance next year? - Management noted that the Medicare business is rejuvenating, particularly with the transition of MMPs to FIDEs and HIDEs, and expects slight margin erosion but overall stability [66][67] Question: How is the M&A pipeline developing? - Management highlighted a full pipeline of actionable opportunities, particularly among smaller health plans facing operational difficulties, and emphasized disciplined capital allocation [71][72]