EX-99.1 2 a5810103_ex991.htm EXHIBIT 99.1 a5810103_ex991.htm
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News Release

Contact:
Juan José Orellana
Investor Relations
562-435-3666, ext. 111143


MOLINA HEALTHCARE REPORTS
THIRD QUARTER 2008 RESULTS


Net earnings of $0.62 per diluted share, consistent with the third quarter of 2007.
Year-to-date earnings of $1.67 per diluted share, up 17% over 2007.
Quarterly premium revenues of $792 million, up 26% over 2007.
 
Aggregate membership up nearly 16% over 2007.
 
2008 guidance confirmed at range of $2.20 to $2.40 per diluted share.


Long Beach, California (October 22, 2008) – Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the third quarter and nine months ended September 30, 2008.

Net income for the third quarter ended September 30, 2008 was $17.2 million, or $0.62 per diluted share, compared with net income of $17.5 million, or $0.62 per diluted share, for the quarter ended September 30, 2007.  Net income for the nine months ended September 30, 2008 increased to $46.9 million, or $1.67 per diluted share, compared with net income of $40.4 million, or $1.43 per diluted share, for the nine months period ended September 30, 2007.

In commenting on the results, J. Mario Molina, M.D., president and chief executive officer of Molina Healthcare, said, “Our results continue to reflect strong revenue growth, continued enrollment growth, and consistent administrative efficiency.  In addition, as we have observed during our 28-year history, a weakening economy is generally accompanied by an increase in the number of Medicaid beneficiaries.  We stand ready to assist our state and federal partners in providing high quality accessible healthcare to those most deeply affected by the current economic downturn.”

2008 Earnings Per Share Guidance

The Company confirms the guidance it had previously issued on July 23, 2008 for fiscal year 2008 earnings per diluted share of between $2.20 and $2.40.  For the fourth quarter and year ended 2008, the Company expects its effective tax rate to be approximately 41%.  The Company expects its shares outstanding, for the purpose of calculating diluted EPS, to be approximately 27.1 million for the quarter ended December 31, 2008 and 27.9 million for the year ended December 31, 2008.
 
 
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MOH Reports Third Quarter 2008 Results
Page 2
October 22, 2008
 
Financial Results – Comparison of Quarters Ended September 30, 2008 and 2007

Premium revenue for the third quarter of 2008 was $791.6 million, an increase of $163.2 million, or 26%, over the $628.4 million of premium revenue for the third quarter of 2007.  Medicare premium revenue for the third quarter of 2008 was $28.1 million compared with $12.7 million in the third quarter of 2007.  Excluding the impact of the November 1, 2007 acquisition of the Missouri plan, consolidated membership increased 8.6% between September 30, 2008 and September 30, 2007.

Significant contributors to the $163.2 million increase in quarterly premium revenue included the following:

 
A $59.2 million increase as a result of the acquisition of the Company’s Missouri health plan on November 1, 2007.  The Missouri health plan received a blended rate increase of approximately 8.5% effective July 1, 2008.

A $37.1 million increase at the Ohio health plan due to higher enrollment, particularly in the Covered Families and Children (CFC) population.  Effective September 1, 2008, the Ohio health plan added approximately 4,000 Aged, Blind or Disabled (ABD) members in the Central and West Central regions.

A $15.4 million increase in Medicare premium revenue across all health plans, primarily due to increased enrollment and the recognition of $2.6 million in risk adjustment revenue.

An $8.2 million increase in Medicaid revenue at the California health plan, primarily due to increased membership.  The California health plan’s Medicaid revenue decreased $1.3 million from the second quarter of 2008.  Sequentially, premium revenue on a per member per month basis declined approximately 3%, reflecting the rate cuts implemented by the state of California for the period July 1, 2008 through August 17, 2008.  Premium revenue for the California health plan has been recorded at rates in effect immediately prior to July 1, 2008 for the period August 18, 2008 through September 30, 2008, as the result of a court injunction issued on August 18, 2008.

A $4.3 million increase in Medicaid premium revenue at the Michigan health plan, primarily due to $3.7 million in supplemental revenue from the Michigan Department of Community Health. The supplemental revenue is intended to offset the unintended effects of the Michigan Business Tax (MBT) that replaced Michigan’s Single Business Tax (SBT) as of January 1, 2008.

The unintended effect of the MBT is the taxation of both the premiums and the net income of health plans, driving the effective federal and state combined tax rate on the Company’s Michigan health plan to nearly 49%.  The supplemental revenue is intended to offset MBT’s taxation of gross receipts for the nine months ended September 30, 2008.

Effective October 1, 2008, the Michigan health plan received an estimated blended rate increase of approximately 5.5%, plus an additional increase of approximately 0.9% for ongoing MBT relief.  The rate increase is tied to an expansion of benefits and coverage that will result in increased medical care costs for the Michigan health plan in the future.

After allowing for the supplemental revenue and the aforementioned ongoing MBT relief, we anticipate our 2008 Michigan tax expense will be approximately $0.5 million higher (before federal tax benefit) than the amount computed using the SBT methodology.
 
 
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MOH Reports Third Quarter 2008 Results
Page 3
October 22, 2008
 
Medical care costs as a percentage of premium revenue (the medical care ratio) increased to 84.6% in the third quarter of 2008 from 83.7% in the third quarter of 2007.  Sequentially, the medical care ratio increased from 84.2% for the quarter ended June 30, 2008.  Excluding Medicare, the Company’s medical care ratio was 84.9% in the third quarter of 2008, 83.8% in the third quarter of 2007, and 84.2% in the second quarter of 2008.

 
The medical care ratio of the Missouri health plan was 80.6% for the quarter, down from 83.0% in the second quarter of 2008.  The premium increase discussed above was partially offset by increased unit costs due to revised provider contracts and a fee schedule increase effective July 1, 2008.

The medical care ratio of the California health plan increased to 89.1% in the third quarter of 2008 from 82.1% in the third quarter of 2007 and 84.9% in the second quarter of 2008.  The increase in the plan’s medical care ratio was caused primarily by a decrease in premium rates as discussed above and higher fee-for-service and pharmacy costs.

The medical care ratio of the New Mexico health plan increased to 87.4% in the third quarter of 2008 from 78.6% in the third quarter of 2007 and 78.0% in the second quarter of 2008.  The sequential increase was primarily due to the reduced benefit from the release of amounts reserved as a result of the minimum medical cost ratio provision in the New Mexico health plan’s state contract.  The Company recognized $6.2 million under this provision in the second quarter of 2008, and none for the third quarter of 2008.  Additionally, the New Mexico health plan received a blended rate decrease of approximately 3% effective July 1, 2008 for its non-Medicare programs.
 
The medical care ratio of the Ohio health plan, by line of business, was as follows:

   
Three Months Ended
 
   
Sept. 30,
2008
   
June 30,
2008
   
Sept. 30,
2007
 
Covered Families and Children (CFC)
    89.9 %     90.7 %     85.5 %
Aged, Blind or Disabled (ABD)
    94.6       91.5       94.4  
Aggregate
    91.5 %     91.0 %     88.8 %

Sequentially, the medical care ratio for the CFC line of business decreased 80 basis points primarily due to lower capitation and pharmacy costs.  The sequential increase in the medical care ratio for the ABD line of business was due primarily to higher specialist fee-for-service costs.

Effective September 1, 2008, the Ohio health plan will receive risk adjustments to its ABD premium rates.  The Company estimates that these adjustments will result in a net increase to premium revenue of approximately $500,000 per month from September 1st onward.  Additionally, the Company has re-negotiated certain provider contracts in the Central region of Ohio, which it believes will reduce unit costs beginning in the fourth quarter of 2008.

The medical care ratio of the Texas health plan increased to 79.8% in the third quarter of 2008 from 76.2% in the third quarter of 2007.  This increase was primarily due to higher hospital fee-for-service costs.  During the third quarter of 2008, the Texas health plan increased revenue $1.3 million to record adjustments relating to its profit-sharing agreement with the state of Texas.
 
 
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MOH Reports Third Quarter 2008 Results
Page 4
October 22, 2008
 
The medical care ratio of the Washington health plan decreased to 76.5% in the third quarter of 2008 from 79.2% in the third quarter of 2007, primarily due to lower fee-for-service hospital costs.
 
Days in medical claims and benefits payable were 44 days at September 30, 2008, a 6% decrease from the 47 days reported at June 30, 2008, and a 19% decrease from the 54 days reported at September 30, 2007.  As of September 30, 2008, medical claims inventory (measured as the total billed charges of all claims received but not paid as of the reporting date) has decreased approximately 30% since June 30, 2008, and 37% since September 30, 2007.  The Company’s reserving methodology is consistently applied across all periods presented.

General and administrative expenses were $88.0 million, or 11.1% of total revenue, for the third quarter of 2008 compared with $74.2 million, or 11.7% of total revenue, for the third quarter of 2007.

Core G&A expenses (defined as G&A expenses less premium taxes) were 8.0% of revenue in the third quarter of 2008 compared with 8.4% in the third quarter of 2007 and 8.2% in the second quarter of 2008.  The decrease in core G&A compared with the third quarter of 2007 was primarily due to lower administrative payroll as a percentage of revenue, as indicated in the table below.

   
Three Months Ended September 30,
 
(in thousands)
 
2008
   
2007
 
 
Amount
   
% of Total
Revenue
   
Amount
   
% of Total
Revenue
 
Medicare-related administrative costs
  $ 4,112       0.5 %   $ 2,330       0.4 %
Non Medicare-related administrative costs:
                               
Administrative payroll, including
employee incentive compensation
    49,429       6.2       43,326       6.8  
Florida health plan start up expenses
    804       0.1              
All other administrative expense
    9,125       1.2       7,450       1.2  
Core G&A expenses
  $ 63,470       8.0 %   $ 53,106       8.4 %

Income taxes were recorded at an effective rate of 39.6% in the third quarter of 2008 compared with 38.1% in the third quarter of 2007.  The increase in the Company’s effective tax rate was primarily the result of a change in Michigan state taxes effective January 1, 2008.  The Company expects its effective tax rate for the fourth quarter and all of fiscal year 2008 to be approximately 41%.

Cash Flow

Cash used in operating activities for the nine months ended September 30, 2008 was $20.3 million compared with cash provided by operating activities of $112.8 million for the same period in 2007, a decrease of $133.1 million.  Significant contributors to this decrease included the following:

A $40.5 million increase in the California health plan receivable as of September 30, 2008, due to the delayed passage of the California state budget for 2008-2009.  Until the budget was passed on September 23, 2008, the state of California had ceased paying its vendors for the previous two months’ billings.  Substantially all receivables due the California health plan at September 30, 2008 were collected in October 2008.
 
 
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MOH Reports Third Quarter 2008 Results
Page 5
October 22, 2008
 
The timing of the receipt of premiums recorded as deferred revenue in the Ohio and Utah health plans, netting to a total decline of $44.9 million year-over-year.
 
In 2007, the ramp up of operations and medical claims and benefits payable of the Company’s Texas and Ohio health plans compared with less significant changes in medical claims and benefits payable for these plans in 2008, netting to a decline of $31.5 million year-over-year.

The reversal of $12.9 million of accrued costs relating to the minimum medical care ratio contract provision in New Mexico in the first six months of 2008.

At September 30, 2008, the Company had cash and investments (not including restricted investments) of approximately $609.9 million, including auction rate securities with a fair value of $63.8 million that were reclassified as non-current assets in the first quarter of 2008.  While these auction rate securities are collateralized by student loan portfolios guaranteed by the U.S. government, the Company believes that the market for these may take in excess of 12 months to fully recover.  At September 30, 2008, the parent company had cash and investments of approximately $83.4 million, including auction rate securities with a fair value of $18.5 million.

EBITDA (1)

(in thousands)  
Three Months Ended
September 30,
   
Nine Months Ended
September 30,
 
   
2008
   
2007
   
2008
   
2007
 
Operating income
  $ 30,429     $ 28,815     $ 85,138     $ 67,694  
Add back:
                               
  Depreciation and amortization expense
    8,515       7,082       24,997       20,274  
EBITDA
  $ 38,944     $ 35,897     $ 110,135     $ 87,968  

(1)
The Company calculates EBITDA by adding back depreciation and amortization expense to operating income.  EBITDA is not prepared in conformity with GAAP since it excludes depreciation and amortization expense, as well as interest expense, and the provision for income taxes.  This non-GAAP financial measure should not be considered as an alternative to net income, operating income, operating margin, or cash provided by operating activities.  Management uses EBITDA as a supplemental metric in evaluating our 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 our performance and the performance of other companies in our industry.

Share Repurchase Program

During the third quarter of 2008, the Company repurchased approximately 91,000 shares of its common stock for $2.7 million (average cost of approximately $29.97 per share).  Shares used for computing diluted earnings per share for the third quarters of 2008 and 2007 were 27.6 million and 28.4 million, respectively.

Through October 17, 2008, the Company has repurchased approximately 1.7 million shares at an aggregate purchase price of $45 million pursuant to the two share repurchase programs announced during the year.
 
 
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MOH Reports Third Quarter 2008 Results
Page 6
October 22, 2008
 
Conference Call

The Company’s management will host a conference call and webcast to discuss its third quarter results at 5:00 p.m. Eastern Time on Wednesday, October 22, 2008.  The telephone number for this interactive conference call is 212-896-6134, and the live webcast of the call can be accessed on the Company’s website at www.molinahealthcare.com, or at www.earnings.com.  An online replay will be available beginning approximately one hour following the conclusion of the call and webcast.

Molina Healthcare, Inc. is a multi-state managed care organization that arranges for the delivery of healthcare services to persons eligible for Medicaid, Medicare, and other government-sponsored programs for low-income families and individuals.  Molina Healthcare’s ten licensed health plan subsidiaries in California, Florida, Michigan, Missouri, Nevada, New Mexico, Ohio, Texas, Utah, and Washington currently serve approximately 1.2 million members.  More information about Molina Healthcare can be obtained at www.molinahealthcare.com.

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This press release contains “forward-looking statements” identified by words such as “will,” “should,” “believes,” “expects” or ”expectations,” “anticipates,” “plans,” “projects,” “estimates,” “intends,” and similar words and expressions.  In addition, any statements that explicitly or implicitly refer to earnings guidance, expectations, projections, or their underlying assumptions, or other characterizations of future events or circumstances, are forward-looking statements.  All of our forward-looking statements are based on our current expectations and assumptions which are subject to numerous known and unknown risks, uncertainties, and other factors that could cause actual results to differ materially.  Such factors include, without limitation, risks related to: the successful management of our medical costs and the achievement of our projected medical care ratios in all health plans in 2008, including the reduction of the medical care ratio of our Ohio health plan; the achievement of projected growth in both Medicaid and Medicare enrollment; increased administrative costs in support of the Company’s efforts to expand its Medicare membership; risks related to our more limited experience with Ohio, Texas, Florida, and dual eligible members and attendant claims estimation difficulties; funding decreases in the Medicaid, Medicare, or SCHIP programs or the failure to fully fund the SCHIP program; the outcome of the pending litigation regarding cuts in California provider rates, including the extension of the court injunction regarding those rate cuts; the final implementation of the Rogers Amendment to the Federal Deficit Reduction Act regarding the rates to be paid to non-contracting hospitals by our California health plan; the securing of projected premium rate increases that are consistent with our expectations; our ability to accurately estimate incurred but not reported medical costs across all health plans; the successful renewal and continuation of the government contracts of all of our health plans; the realization of projected income from invested cash balances; the successful and cost-effective integration of our acquisitions; earnings seasonality consistent with our expectations; the availability of adequate financing to fund and/or capitalize our acquisitions and start-up activities; risks related to our auction rate securities; risks related to the ceded life and annuity insurance contracts of our indemnity insurance subsidiary, Molina Healthcare Insurance Company, Inc.; high profile qui tam matters and negative publicity regarding Medicaid managed care and Medicare Advantage; changes in funding under our contracts as a result of regulatory or programmatic adjustments and reforms; approval by state regulators of dividends and distributions by our subsidiaries; the imposition of fines or assessments by state or federal regulators for perceived operating deficiencies; membership eligibility processes and methodologies; unexpected changes in member utilization patterns, healthcare practices, or healthcare technologies; high dollar claims related to catastrophic illness; changes in federal or state laws or regulations or in their interpretation; failure to maintain effective and efficient information systems and claims processing technology; the favorable resolution of litigation or arbitration; competition; epidemics such as the avian flu; and other risks and uncertainties as detailed in our reports and filings with the Securities and Exchange Commission and available on its website at www.sec.gov.  All forward-looking statements in this release represent our judgment as of October 22, 2008.  We disclaim any obligation to update any forward-looking statement to conform the statement to actual results or changes in our expectations.
 
 
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MOH Reports Third Quarter 2008 Results
Page 7
October 22, 2008
 
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands, except per-share data)
(Unaudited)
 
             
   
Three Months Ended
September 30,
   
Nine Months Ended
September 30,
 
   
2008
   
2007
   
2008
   
2007
 
Revenue:
                       
Premium revenue
  $ 791,554     $ 628,402     $ 2,282,345     $ 1,791,764  
Investment income
    4,775       7,632       17,517       21,061  
Total operating revenue
    796,329       636,034       2,299,862       1,812,825  
                                 
Expenses:
                               
Medical care costs
    669,355       525,902       1,936,531       1,519,244  
General and administrative expenses
    88,030       74,235       253,196       204,831  
Depreciation and amortization
    8,515       7,082       24,997       20,274  
Impairment charge on purchased software
                      782  
Total expenses
    765,900       607,219       2,214,724       1,745,131  
                                 
Operating income
    30,429       28,815       85,138       67,694  
Interest expense
    (1,980 )     (530 )     (6,559 )     (2,380 )
                                 
Income before income taxes
    28,449       28,285       78,579       65,314  
Provision for income taxes
    11,263       10,772       31,722       24,895  
Net income
  $ 17,186     $ 17,513     $ 46,857     $ 40,419  
                                 
Net Income Per Share:
                               
Basic
  $ 0.63     $ 0.62     $ 1.68     $ 1.43  
Diluted
  $ 0.62     $ 0.62     $ 1.67     $ 1.43  
                                 
Weighted average number of common shares and
    potentially dilutive common shares outstanding
    27,582       28,441       28,087       28,356  
                                 
Operating Statistics:
                               
Ratio of direct medical care costs to premium revenue
    82.1 %     81.0 %     82.4 %     82.1 %
Ratio of administrative costs included in medical care costs to premium revenue
    2.5       2.7       2.5       2.7  
Medical care ratio (1)
    84.6 %     83.7 %     84.9 %     84.8 %
General and administrative expense ratio (2) excluding premium taxes (core G&A ratio)
    8.0 %     8.4 %     8.0 %     8.0 %
Premium taxes included in general and administrative expenses
    3.1       3.3       3.0       3.3  
Total general and administrative expense ratio
    11.1 %     11.7 %     11.0 %     11.3 %
Depreciation and amortization expense ratio (2)
    1.1 %     1.1 %     1.1 %     1.1 %
Effective tax rate
    39.6 %     38.1 %     40.4 %     38.1 %

(1)
Medical care ratio represents medical care costs as a percentage of premium revenue.
(2)
Computed as a percentage of total revenue.
 
 
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MOH Reports Third Quarter 2008 Results
Page 8
October 22, 2008
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except per-share data)
 
             
   
Sept. 30,
2008
   
Dec. 31,
2007
 
   
(Unaudited)
       
ASSETS
 
             
Current assets:
           
Cash and cash equivalents
  $ 382,436     $ 459,064  
Investments
    163,676       242,855  
Receivables
    169,760       111,537  
Deferred income taxes
    14,172       8,616  
Prepaid expenses and other current assets
    14,402       12,521  
Total current assets
    744,446       834,593  
Property and equipment, net
    64,633       49,555  
Goodwill and intangible assets, net
    200,783       207,223  
Investments
    63,827        
Restricted investments
    36,510       29,019  
Receivable for ceded life and annuity contracts
    27,828       29,240  
Other assets
    19,846       21,675  
Total assets
  $ 1,157,873     $ 1,171,305  
                 
LIABILITIES AND STOCKHOLDERS’ EQUITY
 
                 
Current liabilities:
               
Medical claims and benefits payable
  $ 298,787     $ 311,606  
Accounts payable and accrued liabilities
    70,918       69,266  
Deferred revenue
    19,153       40,104  
Income taxes payable
    7,755       5,946  
Total current liabilities
    396,613       426,922  
Long-term debt
    200,000       200,000  
Deferred income taxes
    6,598       10,136  
Liability for ceded life and annuity contracts
    27,828       29,240  
Other long-term liabilities
    18,740       14,529  
Total liabilities
    649,779       680,827  
                 
Stockholders’ equity:
               
Common stock, $0.001 par value; 80,000 shares authorized,
outstanding 27,393 shares at September 30, 2008, and
28,444 shares at December 31, 2007
    27       28  
Preferred stock, $0.001 par value; 20,000 shares authorized,
no shares outstanding
           
Additional paid-in capital
    163,648       185,808  
Accumulated other comprehensive (loss) income
    (4,537 )     272  
Retained earnings
    371,617       324,760  
Treasury stock, at cost; 1,292 shares at September 30, 2008
and 1,201 shares at December 31, 2007
    (22,661 )     (20,390 )
Total stockholders’ equity
    508,094       490,478  
Total liabilities and stockholders’ equity
  $ 1,157,873     $ 1,171,305  
 
 
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MOH Reports Third Quarter 2008 Results
Page 9
October 22, 2008
 
MOLINA HEALTHCARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
 
       
   
Nine Months Ended
September 30,
 
   
2008
   
2007
 
Operating activities:
           
Net income
  $ 46,857     $ 40,419  
Adjustments to reconcile net income to net cash provided
by operating activities:
               
Depreciation and amortization
    24,997       20,274  
Amortization of deferred financing costs
    1,219       646  
Deferred income taxes
    (6,135 )     (4,139 )
Stock-based compensation
    5,769       5,238  
Tax provision from employee stock compensation recorded as
additional paid-in capital
    (247 )      
Changes in operating assets and liabilities:
               
Receivables
    (58,223 )     (13,310 )
Prepaid expenses and other current assets
    (1,881 )     (2,161 )
Medical claims and benefits payable
    (12,819 )     18,674  
Accounts payable and accrued liabilities
    (666 )     14,283  
Deferred revenue
    (20,951 )     23,923  
Income taxes
    1,809       8,989  
Net cash (used in) provided by operating activities
    (20,271 )     112,836  
                 
Investing activities:
               
Purchases of property and equipment
    (28,314 )     (16,514 )
Purchases of investments
    (181,377 )     (85,252 )
Sales and maturities of investments
    188,896       59,292  
Increase in restricted cash
    (7,491 )     (7,608 )
Cash paid in business purchase transaction
    (1,000 )      
Increase in other assets
    (578 )     (2,921 )
Increase in other long-term liabilities
    4,211       6,569  
Net cash used in investing activities
    (25,653 )     (46,434 )
                 
Financing activities:
               
Treasury stock purchases
    (32,237 )      
Repayment of amounts borrowed under credit facility
          (25,000 )
Payment of credit facility fees
          (551 )
Excess tax benefits from employee stock compensation
    43       554  
Proceeds from exercise of stock options and employee stock plan purchases
    1,490       2,539  
Net cash used in financing activities
    (30,704 )     (22,458 )
Net (decrease) increase in cash and cash equivalents
    (76,628 )     43,944  
Cash and cash equivalents at beginning of period
    459,064       403,650  
Cash and cash equivalents at end of period
  $ 382,436     $ 447,594  
 
 
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MOH Reports Third Quarter 2008 Results
Page 10
October 22, 2008
MOLINA HEALTHCARE, INC.
MEMBERSHIP DATA
(Unaudited)

Total Ending Membership by Health Plan:
 
Sept. 30,
2008
   
June 30,
2008
   
Sept. 30,
2007
 
California
    313,000       310,000       288,000  
Michigan
    207,000       212,000       211,000  
Missouri (1)
    77,000       76,000        
Nevada (2)
                 
New Mexico
    84,000       81,000       69,000  
Ohio
    179,000       173,000       138,000  
Texas
    29,000       29,000       30,000  
Utah
    55,000       57,000       50,000  
Washington
    295,000       296,000       284,000  
Total
    1,239,000       1,234,000       1,070,000  

(1)  
The Company’s Missouri health plan was acquired effective November 1, 2007.
(2)  
Less than 1,000 members.

Total Ending Membership by State
for the Medicare Advantage Plans:
 
Sept. 30,
2008
   
June 30,
2008
   
Sept. 30,
2007
 
California
    1,560       1,452       875  
Michigan
    1,663       1,469       814  
Nevada
    627       680       178  
New Mexico
    249       149        
Texas
    458       430        
Utah
    2,162       2,056       1,802  
Washington
    967       911       446  
Total
    7,686       7,147       4,115  

Total Ending Membership by State
for the Aged, Blind or Disabled Population:
 
Sept. 30,
2008
   
June 30,
2008
   
Sept. 30,
2007
 
California
    12,523       12,092       10,912  
Michigan
    30,396       30,896       31,488  
New Mexico
    6,464       6,716       6,844  
Ohio
    19,647       15,355       14,965  
Texas
    16,221       15,999       16,515  
Utah
    7,025       6,993       7,056  
Washington
    3,002       3,049       2,715  
Total
    95,278       91,100       90,495  

   
Quarter Ended
   
Nine Months Ended
 
Total Member Months (1)
by Health Plan:
 
Sept. 30,
2008
   
June 30,
2008
   
Sept. 30,
2007
   
Sept. 30,
2008
   
Sept. 30,
2007
 
California
    936,000       921,000       859,000       2,765,000       2,619,000  
Michigan
    627,000       639,000       640,000       1,904,000       1,967,000  
Missouri (2)
    228,000       227,000             678,000        
Nevada
    2,000       2,000             6,000        
New Mexico
    249,000       239,000       200,000       716,000       589,000  
Ohio
    530,000       522,000       416,000       1,465,000       1,155,000  
Texas
    87,000       85,000       90,000       257,000       247,000  
Utah
    161,000       164,000       142,000       482,000       438,000  
Washington
    884,000       879,000       854,000       2,622,000       2,570,000  
Total
    3,704,000       3,678,000       3,201,000       10,895,000       9,585,000  

(1)
Total member months is defined as the aggregate of each month’s ending membership for the period.
(2)
The Company’s Missouri health plan was acquired effective November 1, 2007.
 
 
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MOH Reports Third Quarter 2008 Results
Page 11
October 22, 2008
 
MOLINA HEALTHCARE, INC.
SELECTED FINANCIAL DATA BY HEALTH PLAN
(Dollars in thousands except PMPM amounts)
(Unaudited)
 
   
Three Months Ended September 30, 2008
 
   
Premium Revenue
   
Medical Care Costs
   
Medical Care Ratio
   
Premium Tax Expense
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 102,383     $ 109.37     $ 91,224     $ 97.45       89.1 %   $ 2,995  
Michigan
    127,535       203.39       101,596       162.03       79.7       6,412  
Missouri
    59,223       259.17       47,730       208.88       80.6        
Nevada
    2,196       1,053.04       2,499       1198.68       113.8        
New Mexico
    84,386       338.65       73,723       295.86       87.4       2,838  
Ohio
    162,553       306.74       148,660       280.52       91.5       8,851  
Texas
    30,986       357.01       24,730       284.93       79.8       510  
Utah
    41,860       260.24       36,012       223.88       86.0        
Washington
    178,639       202.19       136,609       154.62       76.5       2,959  
Other (1)
    1,793             6,572                   (5 )
Consolidated
  $ 791,554     $ 213.70     $ 669,355     $ 180.71       84.6 %   $ 24,560  

   
Three Months Ended September 30, 2007
 
   
Premium Revenue
   
Medical Care Costs
   
Medical Care Ratio
   
Premium Tax Expense
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 93,154     $ 108.39     $ 76,443     $ 88.95       82.1 %   $ 2,382  
Michigan
    119,752       187.19       100,378       156.90       83.8       7,069  
New Mexico
    72,543       361.23       56,984       283.76       78.6       2,828  
Ohio
    125,452       302.02       111,387       268.16       88.8       5,645  
Texas
    24,997       279.39       19,041       212.82       76.2       450  
Utah
    27,513       193.52       26,534       186.63       96.4        
Washington
    164,367       192.43       130,216       152.45       79.2       2,748  
Other (1)
    624             4,919                   7  
Consolidated
  $ 628,402     $ 196.29     $ 525,902     $ 164.27       83.7 %   $ 21,129  

   
Nine Months Ended September 30, 2008
 
   
Premium Revenue
   
Medical Care Costs
   
Medical Care Ratio
   
Premium Tax Expense
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 308,139     $ 111.44     $ 269,328     $ 97.40       87.4 %   $ 9,195  
Michigan
    377,669       198.36       304,769       160.08       80.7       19,976  
Missouri
    165,509       244.00       139,462       205.60       84.3        
Nevada
    6,382       1,184.30       6,632       1,230.61       103.9        
New Mexico
    262,314       366.55       215,242       300.77       82.1       8,523  
Ohio
    434,272       296.40       395,013       269.60       91.0       21,127  
Texas
    80,159       311.84       62,229       242.08       77.6       1,446  
Utah
    114,591       237.69       100,935       209.37       88.1        
Washington
    531,457       202.71       426,962       162.85       80.3       8,797  
Other (1)
    1,853             15,959                   19  
Consolidated
  $ 2,282,345     $ 209.49     $ 1,936,531     $ 177.75       84.9 %   $ 69,083  

   
Nine Months Ended September 30, 2007
 
   
Premium Revenue
   
Medical Care Costs
   
Medical Care Ratio
   
Premium Tax Expense
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 280,796     $ 107.22     $ 228,952     $ 87.42       81.5 %   $ 8,614  
Michigan
    364,945       185.54       306,163       155.66       83.9       21,942  
New Mexico
    191,073       324.23       159,152       270.07       83.3       6,438  
Ohio
    311,853       270.08       282,164       244.37       90.5       14,033  
Texas
    64,406       260.88       55,163       223.44       85.6       1,140  
Utah
    88,473       201.87       81,535       186.04       92.2        
Washington
    489,254       190.36       392,201       152.60       80.2       8,117  
Other (1)
    964             13,914                   21  
Consolidated
  $ 1,791,764     $ 186.93     $ 1,519,244     $ 158.50       84.8 %   $ 60,305  

(1) “Other” medical care costs represent primarily medically related administrative costs at the parent company.
 
 
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MOH Reports Third Quarter 2008 Results
Page 12
October 22, 2008
 
MOLINA HEALTHCARE, INC.
SELECTED FINANCIAL DATA BY HEALTH PLAN (Continued)
(Dollars in thousands except PMPM amounts)
(Unaudited)

The following tables provide the details of the Company’s medical care costs for the periods indicated:

   
Three Months Ended
September 30, 2008
   
Three Months Ended
September 30, 2007
 
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
 
Fee-for-service
  $ 439,699     $ 118.71       65.7 %   $ 339,841     $ 106.15       64.6 %
Capitation
    113,920       30.76       17.0       95,879       29.95       18.2  
Pharmacy
    88,414       23.86       13.2       67,844       21.19       12.9  
Other
    27,322       7.38       4.1       22,338       6.98       4.3  
Total
  $ 669,355     $ 180.71       100.0 %   $ 525,902     $ 164.27       100.0 %

   
Nine Months Ended
September 30, 2008
   
Nine Months Ended
September 30, 2007
 
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
 
Fee-for-service
  $ 1,262,327     $ 115.87       65.2 %   $ 984,375     $ 102.70       64.8 %
Capitation
    335,418       30.79       17.3       276,742       28.87       18.2  
Pharmacy
    263,372       24.17       13.6       194,354       20.28       12.8  
Other
    75,414       6.92       3.9       63,773       6.65       4.2  
Total
  $ 1,936,531     $ 177.75       100.0 %   $ 1,519,244     $ 158.50       100.0 %
 
 
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MOH Reports Third Quarter 2008 Results
Page 13
October 22, 2008
 
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in thousands)
(Unaudited)

The Company’s claims liability includes an allowance for adverse claims development based on historical experience and other factors including, but not limited to, variation 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 negative amounts displayed for “Components of medical care costs related to: Prior years” represent the amount by which our original estimate of claims and benefits payable at the beginning of the period exceeded the actual amount of the liability based on information (principally the payment of claims) developed since that liability was first reported.  The benefit of this prior period development may be offset by the addition of a reserve for adverse claims development when estimating the liability at the end of the period (captured in “Components of medical care costs related to: Current year”).  The following table shows the components of the change in medical claims and benefits payable for the nine months ended September 30, 2008 and 2007 (dollar amounts in thousands):

   
Nine Months Ended
September 30,
 
   
2008
   
2007
 
Balances at beginning of period
  $ 311,606     $ 290,048  
Components of medical care costs related to:
               
Current year
    1,996,385       1,568,949  
Prior years
    (59,854 )     (49,705 )
Total medical care costs
    1,936,531       1,519,244  
Payments for medical care costs related to:
               
Current year
    1,721,191       1,278,321  
Prior years
    228,159       222,249  
Total paid
    1,949,350       1,500,570  
Balances at end of period
  $ 298,787     $ 308,722  
                 
Benefit from prior period as a percentage of:
               
  Balance at beginning of period
    19.2 %     17.1 %
  Premium revenue
    2.6 %     2.8 %
  Total medical care costs
    3.1 %     3.3 %
                 
Days in claims payable
    44       54  
Number of members at end of period
    1,239,000       1,070,000  
Number of claims in inventory at end of period
    131,100       179,200  
Billed charges of claims in inventory at end of period
  $ 147,100     $ 231,800  
Claims in inventory per member at end of period
    0.11       0.17  
Number of claims received during the period
    8,234,500       6,959,000  
Billed charges of claims received during the period
  $ 5,754,700     $ 4,477,500  

 
-END-