EX-99.1 2 a6385227ex99_1.htm EXHIBIT 99.1 a6385227ex99_1.htm
Exhibit 99.1
 

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

MOLINA HEALTHCARE REPORTS
SECOND QUARTER 2010 RESULTS

Quarterly premium revenues of $977 million, up 6% over 2009
Quarterly operating income of $21 million, up 9% over 2009
Earnings per diluted share for second quarter 2010 of $0.41
Quarterly cash provided by operating activities of $52 million
Includes May and June results for Molina Medicaid Solutions
130,000 new members enrolled since the second quarter 2009
 
Long Beach, California (August 4, 2010) – Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the second quarter and six months ended June 30, 2010.

Net income for the quarter was $10.6 million, or $0.41 per diluted share, compared with net income of $14.6 million, or $0.56 per diluted share, for the quarter ended June 30, 2009.
 
“Our second quarter results reflect improvement across our business despite a very difficult premium rate environment.  Although a few states have provided rate increases, most states remain burdened by their budget shortfalls.  Our diversified revenue growth, increasing scale, and disciplined cost management have contributed to our success in the quarter,” said J. Mario Molina, M.D., chief executive officer of Molina Healthcare, Inc.  “Through the first half of the year, we have made progress in strengthening our core operations while continuing to build a strong portfolio in the industry.  As a result, our earnings today reflect the benefits of lower medical costs and our expanded offering in the Medicaid management information systems space.”

Overview of Financial Results

Second Quarter 2010 Compared with First Quarter 2010

Net income for the second quarter of 2010 was consistent with the first quarter of 2010 as $5.0 million in operating income earned by the Molina Medicaid Solutions segment was offset by the following factors:
 
$5.5 million in premium reductions retroactive to October 1, 2009, that were imposed by the state of Michigan;
$1.7 million in acquisition costs related to the purchase of Molina Medicaid Solutions; and
$0.6 million in incremental interest costs incurred to finance the acquisition.
 
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MOH Reports Second Quarter 2010 Results
Page 2
August 4, 2010
 
Health Plans

Second Quarter 2010 Compared with Second Quarter 2009

Premium revenue grew 6% in the second quarter of 2010 compared with the second quarter of 2009 due to a membership increase of nearly 10% as of June 30, 2010, compared with membership as of June 30, 2009.  Premium revenue was reduced during the second quarter of 2010 by $5.5 million due to rate reductions in Michigan that were retroactive to October 1, 2009.  The related reduction to medical expense was only $0.5 million.  On a PMPM basis, consolidated premium revenue decreased 4% because of declines in premium rates at several of the Company’s health plans.  The most significant declines in premium rates were in Ohio and Missouri, due to the transfer of pharmacy risk back to the states, and in Washington.  Washington premiums PMPM were lower during the second quarter of 2010 compared with second quarter of 2009 as result of reductions made to both Medicaid premiums and fee schedules during the third quarter of 2009.  Medicare enrollment exceeded 20,000 members at June 30, 2010, and Medicare premium revenue for the quarter was $67.6 million compared with $35.2 million in the second quarter of 2009.

Medical care costs, in the aggregate, decreased 5% on a PMPM basis in the second quarter of 2010 compared with the second quarter of 2009, primarily due to the following:

The transfer of pharmacy risk back to the states of Ohio and Missouri;
A less severe flu season in 2010;
Reductions in Medicaid fee schedules subsequent to June 30, 2009; and
The implementation of various contracting and medical management initiatives.

Excluding pharmacy costs, medical care costs decreased 2% on a PMPM basis in the second quarter of 2010 compared with the second quarter of 2009.  Medical care costs as a percentage of premium revenue (the medical care ratio) were 86.0% for the second quarter of 2010 compared with 86.8% for the second quarter of 2009.

Physician and outpatient costs increased 2% on a PMPM basis compared with the second quarter of 2009.  Although the Company continued to observe hospitals billing for more intensive levels of care for the second quarter of 2010 compared with the second quarter of 2009, emergency room costs PMPM were stable as both utilization and cost per visit remained essentially unchanged.  The Company attributes stable emergency room costs to, among other things, a less severe flu season when compared with 2009, changes in provider contracts and fee schedules, and its efforts to reduce inappropriate utilization.

Inpatient facility costs increased 6% on a PMPM basis compared with the second quarter of 2009.  Both utilization and unit costs increased slightly compared with the second quarter of 2009.

Pharmacy costs (including the benefit of rebates) decreased 31% on a PMPM basis for the second quarter of 2010, including the Company’s Missouri and Ohio health plans.  The pharmacy benefit was transferred to the state of Missouri effective October 1, 2009, and was transferred to the state of Ohio effective February 1, 2010.  Excluding these health plans, pharmacy costs increased 6% on a PMPM basis compared with the second quarter of 2009 as a result of increases in unit costs that more than offset decreases in utilization.
 
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MOH Reports Second Quarter 2010 Results
Page 3
August 4, 2010
 
Capitated costs decreased 20% on a PMPM basis compared with the second quarter of 2009 as a result of the recognition, in the second quarter of 2009, of $22 million in retroactive capitation expense at the New Mexico health plan that related to 2009 and 2008.  The retroactive capitation expense at the New Mexico health plan was directly related to the receipt of $25.3 million in retroactive premium revenue in the second quarter of 2009.  There was no corresponding retroactive adjustment in the second quarter of 2010.

Days in medical claims and benefits payable – Beginning January 1, 2010, and for all prior periods presented, the Company is reporting days in medical claims and benefits payable relating to fee-for-service medical claims only.  This new computation includes only fee-for-service medical care costs and related liabilities and, therefore, calculates the extent of reserves for those liabilities that are most subject to estimation risk.

The days in medical claims and benefits payable amount previously reported included all medical care costs (fee-for-service, capitation, pharmacy, and administrative), and all medical claims liabilities, including those liabilities that are typically paid concurrently, or shortly after the costs are incurred, such as capitation cost and pharmacy costs.  Medical claims liabilities used in this calculation do not include accrued costs – such as salaries – associated with the administrative portion of medical costs.

By including only fee-for-service medical costs and liabilities in this computation, the Company’s days in claims payable metric will be more indicative of the adequacy of the Company’s reserves for liabilities subject to a substantial degree of estimation.  The days in medical claims and benefits payable computed under each method were as follows:

(dollars in thousands)
 
June 30,
2010
   
March 31,
2010
   
June 30,
2009
 
Days in claims payable – fee-for-service only
 
44 days
   
44 days
   
47 days
 
Days in claims payable – all medical costs
 
39 days
   
37 days
   
39 days
 
Number of claims in inventory at end of period
    106,300       153,700       117,100  
Billed charges of claims in inventory at end of period
  $ 146,600     $ 194,000     $ 173,400  

Molina Medicaid Solutions (acquired May 1, 2010)

Molina Medicaid Solutions contributed $5.0 million to operating income during the second quarter of 2010, resulting in an operating profit margin of approximately 24%.  The Company expects the operating profit for this segment to decline once the contracts in Idaho and Maine enter the operations stage and costs currently deferred for those contracts begin to amortize.

Performance of Molina Medicaid Solutions for the two months ended June 30, 2010, was as follows:

   
(In thousands)
 
Service revenue
  $ 22,645  
Amortization of purchased intangibles recorded as contra-service revenue
    (1,591 )
Net service revenue
    21,054  
         
Cost of service revenue
    14,254  
General and administrative costs
    966  
Amortization of purchased intangibles recorded as amortization expense
    829  
Operating income
  $ 5,005  
 
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MOH Reports Second Quarter 2010 Results
Page 4
August 4, 2010
 
Consolidated Expenses

General and administrative expenses, or G&A, were $78.1 million, or 7.8% of total revenue, for the second quarter of 2010 compared with $65.0 million, or 7.0% of total revenue, for the second quarter of 2009.  The increase in the G&A ratio was the result of higher administrative expenses for the Health Plan segment, driven in part by the cost of the Company’s Medicare expansion and the acquisition of Molina Medicaid Solutions.

   
Three Months Ended June 30,
 
   
2010
   
2009
 
   
Amount
   
% of Total
Revenue
   
Amount
   
% of Total
Revenue
 
   
(Dollar amounts in millions)
 
Medicare-related administrative costs
  $ 6.6       0.7 %   $ 3.9       0.4 %
Non Medicare-related administrative costs:
                               
Molina Medicaid Solutions segment administrative costs
    1.0       0.1              
Molina Medicaid Solutions acquisition costs
    1.7       0.2              
Health Plans segment administrative payroll, including
employee incentive compensation
    53.7       5.4       49.3       5.3  
All other Health Plans segment administrative expense
    15.1       1.4       11.8       1.3  
    $ 78.1       7.8 %   $ 65.0       7.0 %

Premium tax expense increased to 3.6% of premium revenue in the second quarter of 2010 from 3.3% in the second quarter of 2009, primarily due to the imposition of a higher premium tax rate in Ohio effective October 1, 2009.

Depreciation and amortization expense specifically identified as such in the Company’s consolidated statements of income increased $1.6 million in the second quarter of 2010 compared with the second quarter of 2009, primarily due to depreciation of investments in infrastructure and the amortization of certain purchased intangibles associated with the acquisition of Molina Medicaid Solutions.  Beginning in the second quarter of 2010, the amortization of a portion of the purchased intangibles associated with the acquisition of Molina Medicaid Solutions is recorded as contra-service revenue, rather than as part of depreciation and amortization expense.  Additionally, most of the depreciation expense associated with Molina Medicaid Solutions is recorded as cost of service revenue.  The following table presents all depreciation and amortization expense recorded in the Company’s consolidated financial statements:

   
Three Months Ended June 30,
 
   
2010
   
2009
 
   
Amount
   
% of Total
Revenue
   
Amount
   
% of Total
Revenue
 
   
(Dollar amounts in millions)
 
Depreciation and amortization
  $ 11.2       1.1 %   $ 9.6       1.0 %
Amortization expense recorded as contra-service revenue
    1.6       0.2              
Depreciation expense recorded as cost of service revenue
    1.0       0.1              
Depreciation and amortization reported in the condensed
consolidated statements of cash flows
  $ 13.8       1.4 %   $ 9.6       1.0 %
 
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MOH Reports Second Quarter 2010 Results
Page 5
August 4, 2010
 
Interest expense increased to $4.1 million for the second quarter of 2010 compared with $3.2 million for the second quarter of 2009.  The Company incurred higher interest expense relating to the $105 million draw on its credit facility (beginning May 1, 2010) to fund the acquisition.

Income tax expense was recorded at an effective rate of 38.1% in the second quarter of 2010 compared with 10.5% in the second quarter of 2009.  The lower rate in 2009 was primarily due to discrete tax benefits of $4.4 million recorded in the second quarter of 2009 as a result of settling tax examinations and the voluntary filing of certain accounting method changes.

Effective January 1, 2008 through December 31, 2009, the Company’s income tax expense included both the Michigan business income tax, or BIT, and the Michigan modified gross receipts tax, or MGRT.  Effective January 1, 2010, the Company has recorded the MGRT as a premium tax and not as an income tax.  The Company will continue to record the BIT as an income tax.  For the second quarter and first half of 2009, premium tax expense and income tax expense have been reclassified to conform to this presentation.

First Half of 2010 Compared with First Half of 2009

Health Plans

Premium revenue grew 9% between the first half of 2009 and the first half of 2010 due to a membership increase of nearly 10% as of June 30, 2010, compared with membership as of June 30, 2009.  Premium revenue was reduced during the first half of 2010 by $8.7 million due to rate reductions in Michigan that were retroactive to October 1, 2009.  The related reduction to medical expense was only $0.5 million.  On a PMPM basis, consolidated premium revenue decreased 3% because of declines in premium rates at several of the Company’s health plans.  The most significant declines in premium rates were in Ohio and Missouri, due to the transfer of pharmacy risk back to the states, and in Washington.  Washington premiums PMPM were lower during the first half of 2010 compared with the first half of 2009 as result of reductions made to both Medicaid premiums and fee schedules during the third quarter of 2009.  Medicare enrollment exceeded 20,000 members at June 30, 2010, and Medicare premium revenue for the first half of 2010 was $117.9 million compared with $62.2 million for the same period in 2009.

Medical care costs, in the aggregate, decreased 4% on a PMPM basis in the first half of 2010 compared with the first half of 2009, due to the same factors described for the decrease in medical care costs in the second quarter of 2010 compared with the second quarter of 2009.  Excluding pharmacy costs, medical care costs were flat in the first half of 2010 compared with the second half of 2009.  Medical care costs as a percentage of premium revenue (the medical care ratio) were 85.6% for the first half of 2010 compared with 86.4% for the first half of 2009.

Physician and outpatient costs increased 3% on a PMPM basis compared with the first half of 2009.  Although the Company continued to observe hospitals billing for more intensive levels of care for the first half of 2010 compared with the first half of 2009, emergency room costs PMPM were stable as both utilization and cost per visit remained essentially unchanged.  The Company attributes stable emergency room costs to, among other things, a less severe flu season when compared with 2009, changes in provider contracts and fee schedules, and its efforts to reduce inappropriate utilization.
 
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MOH Reports Second Quarter 2010 Results
Page 6
August 4, 2010
 
Inpatient facility costs increased 3% on a PMPM basis compared with the first half of 2009.  Both utilization and unit costs increased slightly compared with the first half of 2009.

Pharmacy costs (including the benefit of rebates) decreased 27% on a PMPM basis for the first half of 2010, including the Company’s Missouri and Ohio health plans.  The pharmacy benefit was transferred to the state of Missouri effective October 1, 2009, and was transferred to the state of Ohio effective February 1, 2010.  Excluding these health plans, pharmacy costs increased 4% on a PMPM basis compared with the first half of 2009 as a result of flat utilization and a moderate increase in unit costs.

Capitated costs decreased 10% on a PMPM basis compared with the first half of 2009, primarily as a result of the recognition of retroactive capitation expense in the second quarter of 2009, as described above.

Consolidated Expenses

General and administrative expenses were $157.0 million, or 8.0% of total revenue, for the first half of 2010 compared with $130.4 million, or 7.3% of total revenue, for the first half of 2009.  The increase in the G&A ratio was the result of higher administrative expenses for the Health Plan segment, driven in part by the cost of the Company’s Medicare expansion and the acquisition of Molina Medicaid Solutions.

 
 
Six Months Ended June 30,
 
 
 
2010
   
2009
 
 
 
 
Amount
   
% of Total
Revenue
   
Amount
   
% of Total
Revenue
 
   
(Dollar amounts in millions)
 
Medicare-related administrative costs
  $ 14.5       0.7 %   $ 8.8       0.5 %
Non Medicare-related administrative costs:
                               
Molina Medicaid Solutions segment administrative costs
    1.0       0.1              
Molina Medicaid Solutions acquisition costs
    2.3       0.1              
Health Plans segment administrative payroll, including
employee incentive compensation
    109.9       5.6       98.3       5.5  
All other Health Plans segment administrative expense
    29.3       1.5       23.3       1.3  
    $ 157.0       8.0 %   $ 130.4       7.3 %

Premium tax expense increased to 3.6% of revenue in the first half of 2010 from 3.2% in the first half of 2009, primarily due to the imposition of a higher premium tax rate in Ohio effective October 1, 2009.
 
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MOH Reports Second Quarter 2010 Results
Page 7
August 4, 2010
 
Depreciation and amortization expense specifically identified as such in the Company’s consolidated statements of income increased $2.6 million in the first half of 2010 compared with the first half of 2009, primarily due to depreciation of  investments in infrastructure and the amortization of certain purchased intangibles associated with the acquisition of Molina Medicaid Solutions.  Beginning in the second quarter of 2010, a portion of amortization expense has been recorded as contra-service revenue, rather than as part of depreciation and amortization expense.  Additionally, most of the depreciation expense associated with Molina Medicaid Solutions is recorded as cost of service revenue.  The following table presents all depreciation and amortization expense recorded in the Company’s financial statements:

   
Six Months Ended June 30,
 
   
2010
   
2009
 
   
Amount
   
% of Total
Revenue
   
Amount
   
% of Total
Revenue
 
   
(Dollar amounts in millions)
 
Depreciation and amortization
  $ 21.3       1.1 %   $ 18.6       1.0 %
Amortization expense recorded as contra-service revenue
    1.6       0.1              
Depreciation expense recorded as cost of service revenue
    1.0                    
Depreciation and amortization reported in the condensed
consolidated statements of cash flows
  $ 23.9       1.2 %   $ 18.6       1.0 %

Interest expense increased to $7.5 million for the first half of 2010 compared with $6.6 million for the first half of 2009.  As described previously, the increase was due to additional interest expense relating to the $105 million draw on the Company’s credit facility to fund the acquisition of Molina Medicaid Solutions on May 1, 2010.

Income tax expense was recorded at an effective rate of 38.0% in the first half of 2010 compared with 25.6% in the first half of 2009.  The lower rate in 2009 was primarily due to discrete tax benefits of $4.4 million recorded in the second quarter of 2009 as a result of settling tax examinations and the voluntary filing of certain accounting method changes.

Cash Flow

Cash provided by operating activities for the first half of 2010 was $25 million compared with $95 million for the first half of 2009, a decrease of $70 million.  This decrease was primarily due to the timing of the Ohio health plan’s receipt of premium payments from the state of Ohio.  In 2009, the state of Ohio typically paid premiums in advance of the month the premium was earned.  Beginning in January 2010, the state of Ohio has delayed its premium payments to mid-month for the month premium is earned.  The Company does not anticipate any advance payments for the Ohio plan’s premiums during 2010.

Cash used in investing activities increased significantly in the first half of 2010 compared with the first half of 2009, due chiefly to the acquisition of Molina Medicaid Solutions, which totaled $131 million.  This acquisition was funded primarily by a $105 million draw on the Company’s credit facility.
 
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MOH Reports Second Quarter 2010 Results
Page 8
August 4, 2010
 
At June 30, 2010, the Company had cash and investments (not including restricted investments) of $673 million, including non-current auction rate securities with a fair value of $37 million.  At June 30, 2010, the parent company had unrestricted cash and investments of $47 million, including auction rate securities with a fair value of $8 million.

Investment income decreased to $3.1 million in the first half of 2010 compared with $5.6 million in the first half of 2009.  This decline was due primarily to lower interest rates.

EBITDA (1)

   
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
   
2010
   
2009
   
2010
   
2009
 
   
(In millions)
 
Operating income
  $ 21.2     $ 19.5     $ 41.6     $ 42.7  
Add back:
                               
Depreciation and amortization expense
    11.2       9.6       21.3       18.6  
Amortization expense recorded as contra-service revenue
    1.6             1.6        
Depreciation expense recorded as cost of service revenue
    1.0             1.0        
EBITDA
  $ 35.0     $ 29.1     $ 65.5     $ 61.3  

(1)
The Company calculates EBITDA by adding back depreciation and amortization expense to operating income, including $1.6 million amortization expense recorded as contra-service revenue, and $1.0 million depreciation expense recorded as cost of service revenue for both the three months and six months ended June 30, 2010.  EBITDA is not prepared in conformity with GAAP because 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 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 its industry.

Wisconsin Health Plan Acquisition

On July 12, 2010, the Company announced a definitive agreement to acquire Abri Health Plan, a provider of Medicaid managed care services to BadgerCare Plus and SSI Managed Care enrollees in Wisconsin. Abri Health Plan currently serves Medicaid beneficiaries in 23 counties in Wisconsin. The purchase price for the acquisition is expected to be approximately $16 million, subject to adjustments, and will be funded with available cash and/or a draw under our credit facility. Subject to regulatory approvals and the satisfaction of other conditions, the closing of the transaction is expected to occur by August 31, 2010.
 
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 Wednesday, August 4, 2010.  The number to call for the interactive teleconference is (212) 271-4651.  A 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 about one hour following the conclusion of the call and webcast.  A telephonic replay of the conference call will be available from 7:00 p.m. Eastern time on Wednesday, August 4, 2010, through 6:00 p.m. on Thursday, August 5, 2010, by dialing (800) 633-8284 and entering confirmation number 21473695.
 
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MOH Reports Second Quarter 2010 Results
Page 9
August 4, 2010
 
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.  Our licensed health plans in California, Florida, Michigan, Missouri, New Mexico, Ohio, Texas, Utah, and Washington currently serve approximately 1.5 million members, and our 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.  More information about Molina Healthcare is available at www.molinahealthcare.com.       

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, and anticipated future events. Actual results could differ materially due to numerous known and unknown risks and uncertainties, including, without limitation, risk factors related to the following:
 
 
budgetary pressures on the federal and state governments and their resulting inability to fully fund Medicaid, Medicare, or CHIP, or to maintain current payment rates, benefit packages, or membership eligibility thresholds and criteria;
uncertainties regarding the impact of the recently enacted Patient Protection and Affordable Care Act, including the funding provisions related to health plans, and uncertainties regarding the likely impact of other federal or state health care and insurance reform measures;
management of our medical costs, including rates of utilization that are consistent with our expectations;
the accurate estimation of incurred but not reported medical costs across our health plans;
the continuation and renewal of the government contracts of our health plans;
the integration of Molina Medicaid Solutions, including its employees, systems, and operations;
the retention and renewal of the Molina Medicaid Solutions’ state government contracts on terms consistent with our expectations;
the accuracy of our operating cost and capital outlay projections for Molina Medicaid Solutions;
the timing of receipt and recognition of revenue under our various state contracts held by Molina Medicaid Solutions, including any changes to the anticipated start date of operation at our Maine location;
cost recovery efforts by the state of Michigan from Michigan health plans with respect to allegedly incorrect statewide rates and enrollment errors;
government audits and reviews
the establishment of a federal or state medical cost expenditure floor as a percentage of the premiums we receive;
up-coding by providers or billing in a manner at material variance with historic patterns;
approval by state regulators of dividends and distributions by our subsidiaries;
changes in funding under our contracts as a result of regulatory changes, programmatic adjustments, or other reforms;
high dollar claims related to catastrophic illness;
the favorable resolution of litigation or arbitration matters;
restrictions and covenants in our credit facility;
the success of our efforts to leverage our administrative costs to address the needs associated with increased enrollment;
the relatively small number of states in which we operate health plans and the impact on the consolidated entity of adverse developments in any single health plan;
the availability of financing to fund and capitalize our acquisitions and start-up activities and to meet our liquidity needs;
retroactive adjustments to premium revenue or accounting estimates which require adjustment based upon subsequent developments;
a state’s failure to renew its federal Medicaid waiver;
an unauthorized disclosure of confidential member information;
changes generally affecting the managed care or Medicaid management information systems industries;
general economic conditions, including unemployment rates;
 
and numerous other risk factors, including those discussed in our periodic reports and filings with the Securities and Exchange Commission. These reports can be accessed under the investor relations tab of our Company website or on the SEC’s website at www.sec.gov. Given these risks and uncertainties, we can give no assurances that our forward-looking statements will prove to be accurate, or that any other results or events projected or contemplated by our 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 our judgment as of August 4, 2010, and we disclaim any obligation to update any forward-looking statements to conform the statement to actual results or changes in our expectations.
 
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MOH Reports Second Quarter 2010 Results
Page 10
August 4, 2010
 
MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED STATEMENTS OF INCOME
(Amounts in thousands, except per-share data)

   
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
   
2010
   
2009
   
2010
   
2009
 
Revenue:
                       
Premium revenue
  $ 976,685     $ 925,507     $ 1,941,905     $ 1,782,991  
Service revenue
    21,054             21,054        
Investment income
    1,599       2,082       3,120       5,629  
Total operating revenue
    999,338       927,589       1,966,079       1,788,620  
                                 
Expenses:
                               
Medical care costs
    839,613       803,206       1,662,429       1,541,094  
Cost of service revenue
    14,254             14,254        
General and administrative expenses
    78,079       65,011       156,959       130,418  
Premium tax expenses (1)
    34,995       30,300       69,541       57,355  
Depreciation and amortization
    11,219       9,584       21,280       18,636  
Total expenses
    978,160       908,101       1,924,463       1,747,503  
Gain on purchase of convertible senior notes
                      1,532  
Operating income
    21,178       19,488       41,616       42,649  
Interest expense
    (4,099 )     (3,223 )     (7,456 )     (6,638 )
                                 
Income before income taxes
    17,079       16,265       34,160       36,011  
Income tax expense (1)
    6,500       1,700       12,991       9,235  
Net income
  $ 10,579     $ 14,565     $ 21,169     $ 26,776  
                                 
Net income per share:
                               
Basic
  $ 0.41     $ 0.56     $ 0.82     $ 1.02  
Diluted
  $ 0.41     $ 0.56     $ 0.82     $ 1.02  
                                 
Weighted average number of common shares and
potentially dilutive common shares outstanding
    25,951       25,870       25,952       26,241  
                                 
Operating Statistics:
                               
Ratio of medical care costs paid directly to
providers to premium revenue
    83.8 %     84.8 %     83.5 %     84.4 %
Ratio of medical care costs not paid directly to
providers to premium revenue
    2.2 %     2.0 %     2.1 %     2.0 %
Medical care ratio (2)
    86.0 %     86.8 %     85.6 %     86.4 %
General and administrative expense ratio (3)
    7.8 %     7.0 %     8.0 %     7.3 %
Premium tax ratio (1), (3)
    3.6 %     3.3 %     3.6 %     3.2 %
Effective tax rate (1)
    38.1 %     10.5 %     38.0 %     25.6 %

(1)
Effective January 1, 2010, the Company has recorded the MGRT as a premium tax and not as an income tax.  For the three months and six months ended June 30, 2009, premium tax expense and income tax expense have been reclassified to conform to this presentation.
(2)
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.
(3)
Computed as a percentage of total operating revenue.
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 11
August 4, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands, except per-share data)

   
June 30,
2010
   
Dec. 31,
2009
 
             
ASSETS
 
Current assets:
           
Cash and cash equivalents
  $ 460,985     $ 469,501  
Investments
    175,212       174,844  
Receivables
    155,380       136,654  
Income and related taxes refundable
    1,157       6,067  
Deferred income taxes
    4,726       8,757  
Prepaid expenses and other current assets
    23,843       15,583  
Total current assets
    821,303       811,406  
Property and equipment, net
    83,562       78,171  
Deferred contract costs
    8,018        
Intangible assets, net
    120,480       80,846  
Goodwill and indefinite-lived intangible assets
    205,749       133,408  
Investments
    36,745       59,687  
Restricted investments
    41,028       36,274  
Receivable for ceded life and annuity contracts
    25,277       25,455  
Other assets
    19,242       19,988  
    $ 1,361,404     $ 1,245,235  
                 
LIABILITIES AND STOCKHOLDERS’ EQUITY
 
Current liabilities:
               
Medical claims and benefits payable
  $ 345,600     $ 316,516  
Accounts payable and accrued liabilities
    111,022       71,732  
Deferred revenue
    19,305       101,985  
Total current liabilities
    475,927       490,233  
Long-term debt
    266,409       158,900  
Deferred income taxes
    9,075       12,506  
Liability for ceded life and annuity contracts
    25,277       25,455  
Other long-term liabilities
    16,862       15,403  
Total liabilities
    793,550       702,497  
                 
Stockholders’ equity:
               
Common stock, $0.001 par value; 80,000 shares authorized, outstanding 25,811 shares
at June 30, 2010, and 25,607 shares at December 31, 2009
    26       26  
Preferred stock, $0.001 par value; 20,000 shares authorized,
no shares outstanding
           
Additional paid-in capital
    134,076       129,902  
Accumulated other comprehensive loss
    (2,039 )     (1,812 )
Retained earnings
    435,791       414,622  
Total stockholders’ equity
    567,854       542,738  
    $ 1,361,404     $ 1,245,235  
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 12
August 4, 2010
 
MOLINA HEALTHCARE, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

   
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
   
2010
   
2009
   
2010
   
2009
 
Operating activities:
                       
Net income
  $ 10,579     $ 14,565     $ 21,169     $ 26,776  
Adjustments to reconcile net income to net cash provided by operating activities:
                               
Depreciation and amortization
    13,851       9,584       23,912       18,636  
Unrealized (gain) loss on trading securities
    (2,320 )     29       (2,860 )     (3,610 )
Loss (gain) on rights agreement
    2,118       (27 )     2,611       3,296  
Deferred income taxes
    (2,470 )     (1,743 )     624       3,245  
Stock-based compensation
    2,372       2,024       4,508       3,458  
Non-cash interest on convertible senior notes
    1,266       1,172       2,509       2,366  
Gain on purchase of convertible senior notes
                      (1,532 )
Amortization of deferred financing costs
    343       344       687       696  
Tax deficiency from employee stock compensation
    (30 )     (14 )     (383 )     (547 )
Changes in operating assets and liabilities:
                               
Receivables
    (9,652 )     6,735       (1,598 )     (22,878 )
Prepaid expenses and other current assets
    (5,680 )     3,644       (5,148 )     732  
Medical claims and benefits payable
    18,627       (2,920 )     29,084       16,265  
Accounts payable and accrued liabilities
    12,824       (12,804 )     27,958       (15,726 )
Deferred revenue
    7,984       1,670       (82,680 )     54,638  
Income taxes
    1,975       5,666       4,910       9,025  
Net cash provided by operating activities
    51,787       27,925       25,303       94,840  
                                 
Investing activities:
                               
Purchases of property and equipment
    (11,547 )     (9,557 )     (17,523 )     (19,924 )
Purchases of investments
    (42,329 )     (24,055 )     (91,768 )     (72,182 )
Sales and maturities of investments
    63,610       46,665       116,836       82,292  
Cash paid in business purchase transactions
    (131,970 )           (134,400 )      
Increase in deferred contract costs
    (8,018 )           (8,018 )      
Increase in restricted investments
    (4,098 )     (6,979 )     (4,754 )     (6,534 )
Increase in other assets
    (88 )     (1,053 )     (332 )     (2,761 )
Increase (decrease) in other long-term liabilities
    419       (8,641 )     1,089       (8,772 )
Net cash used in investing activities
    (134,021 )     (3,620 )     (138,870 )     (27,881 )
                                 
Financing activities:
                               
Borrowings under credit facility
    105,000             105,000        
Treasury stock purchases
          (12,736 )           (27,712 )
Purchase of convertible senior notes
                      (9,653 )
Payment of credit facility fees
    (1,671 )           (1,671 )      
Excess tax benefits from employee stock compensation
    66             179        
Proceeds from employee stock plans
    1,543       1,081       1,543       1,081  
Net cash provided by (used in) financing activities
    104,938       (11,655 )     105,051       (36,284 )
Net increase (decrease) in cash and cash equivalents
    22,704       12,650       (8,516 )     30,675  
Cash and cash equivalents at beginning of period
    438,281       405,187       469,501       387,162  
Cash and cash equivalents at end of period
  $ 460,985     $ 417,837     $ 460,985     $ 417,837  
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 13
August 4, 2010
MOLINA HEALTHCARE, INC.
UNAUDITED MEMBERSHIP DATA

Total Ending Membership By Health Plan:
 
June 30,
2010
   
March 31,
2010
   
Dec. 31,
2009
   
June 30,
2009
 
California
    348,000       353,000       351,000       349,000  
Florida
    54,000       52,000       50,000       29,000  
Michigan
    226,000       226,000       223,000       207,000  
Missouri
    78,000       78,000       78,000       78,000  
New Mexico
    93,000       92,000       94,000       85,000  
Ohio
    234,000       228,000       216,000       203,000  
Texas
    42,000       40,000       40,000       30,000  
Utah
    77,000       75,000       69,000       64,000  
Washington
    346,000       338,000       334,000       323,000  
      1,498,000       1,482,000       1,455,000       1,368,000  
                                 
Total Ending Membership By State
for the Medicare Advantage Plans:
                               
California
    3,600       2,700       2,100       1,600  
Florida
    500       300              
Michigan
    5,000       4,200       3,300       2,100  
New Mexico
    600       600       400       400  
Texas
    600       500       500       400  
Utah
    8,100       7,100       4,000       3,100  
Washington
    1,900       1,600       1,300       1,000  
      20,300       17,000       11,600       8,600  
                                 
Total Ending Membership By State
for the Aged, Blind or Disabled Population:
                               
California
    13,600       13,400       13,900       13,100  
Florida
    9,300       8,900       8,800       6,000  
Michigan
    31,600       32,700       32,200       29,900  
New Mexico
    5,800       5,800       5,700       5,700  
Ohio
    27,400       26,700       22,600       19,700  
Texas
    18,500       18,100       17,600       17,000  
Utah
    7,600       7,900       7,500       7,600  
Washington
    3,700       3,500       3,200       3,000  
      117,500       117,000       111,500       102,000  

   
Three Months Ended
   
Six Months Ended
 
Total Member Months (1)
by Health Plan:
 
June 30,
2010
   
March 31,
2010
   
June 30,
2009
   
June 30,
2010
   
June 30,
2009
 
California
    1,050,000       1,062,000       1,031,000       2,112,000       2,011,000  
Florida
    160,000       154,000       75,000       314,000       136,000  
Michigan
    679,000       675,000       623,000       1,354,000       1,243,000  
Missouri
    234,000       234,000       232,000       468,000       463,000  
New Mexico
    280,000       280,000       251,000       560,000       499,000  
Ohio
    695,000       673,000       596,000       1,368,000       1,156,000  
Texas
    125,000       121,000       92,000       246,000       190,000  
Utah
    230,000       221,000       200,000       451,000       384,000  
Washington
    1,022,000       1,007,000       952,000       2,029,000       1,871,000  
      4,475,000       4,427,000       4,052,000       8,902,000       7,953,000  

(1)
A total member month is defined as the aggregate of each month’s ending membership for the period presented.
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 14
August 4, 2010
 
MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN
(Dollars in thousands except per member per month amounts)

   
Three Months Ended June 30, 2010
 
   
Premium Revenue
   
Medical Care Costs
   
Medical
Care Ratio
   
Premium Tax
Expense (1)
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 124,551     $ 118.57     $ 106,006     $ 100.92       85.1 %   $ 1,637  
Florida
    41,462       260.32       39,134       245.70       94.4       6  
Michigan (1)
    156,769       230.76       135,763       199.84       86.6       9,711  
Missouri
    51,779       220.86       46,320       197.58       89.5        
New Mexico
    91,949       328.48       73,210       261.54       79.6       2,987  
Ohio
    212,669       306.34       174,275       251.03       82.0       16,512  
Texas
    43,493       348.45       39,133       313.52       90.0       705  
Utah
    64,934       281.44       60,975       264.28       93.9        
Washington
    186,204       182.23       154,792       151.49       83.1       3,394  
Other (2)
    2,875             10,005                   43  
    $ 976,685     $ 218.25     $ 839,613     $ 187.62       86.0 %   $ 34,995  

   
Three Months Ended June 30, 2009
 
   
Premium Revenue
   
Medical Care Costs
   
Medical
Care Ratio
   
Premium Tax
Expense (1)
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 121,918     $ 118.23     $ 111,750     $ 108.37       91.7 %   $ 3,395  
Florida
    19,339       257.22       17,355       230.83       89.7        
Michigan (1)
    136,549       219.44       112,402       180.64       82.3       9,538  
Missouri
    58,141       251.06       48,582       209.78       83.6        
New Mexico
    114,408       456.80       100,255       400.30       87.6       2,989  
Ohio
    194,885       327.02       168,639       282.98       86.5       10,731  
Texas
    34,345       372.13       24,851       269.26       72.4       572  
Utah
    57,918       288.99       53,182       265.35       91.8        
Washington
    183,720       192.96       156,981       164.88       85.5       3,064  
Other (2)
    4,284             9,209                   11  
    $ 925,507     $ 228.38     $ 803,206     $ 198.20       86.8 %   $ 30,300  

(1)
Effective January 1, 2010, the Company has recorded the Michigan gross receipts tax, or MGRT, as a premium tax and not as an income tax.  The 2009 amounts have been reclassified to conform to this presentation.
(2)
“Other” medical care costs primarily include medically related administrative costs at the parent company.
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 15
August 4, 2010
 
MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN
(Dollars in thousands except per member per month amounts)

   
Six Months Ended June 30, 2010
 
   
Premium Revenue
   
Medical Care Costs
   
Medical
Care Ratio
   
Premium Tax
Expense (1)
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 248,461     $ 117.62     $ 213,567     $ 101.10       86.0 %   $ 3,265  
Florida
    80,550       256.94       73,821       235.47       91.7       12  
Michigan (1)
    312,114       230.45       261,212       192.87       83.7       19,650  
Missouri
    103,922       221.93       89,836       191.85       86.5        
New Mexico
    187,547       334.75       147,225       262.78       78.5       4,991  
Ohio
    431,032       315.20       346,900       253.68       80.5       33,517  
Texas
    82,693       336.46       71,464       290.77       86.4       1,386  
Utah
    123,474       273.66       122,435       271.36       99.2        
Washington
    367,258       181.05       318,302       156.91       86.7       6,656  
Other (2)
    4,854             17,667                   64  
    $ 1,941,905     $ 218.15     $ 1,662,429     $ 186.75       85.6 %   $ 69,541  

   
Six Months Ended June 30, 2009
 
   
Premium Revenue
   
Medical Care Costs
   
Medical
Care Ratio
   
Premium Tax
Expense (1)
 
   
Total
   
PMPM
   
Total
   
PMPM
 
California
  $ 231,953     $ 115.34     $ 215,723     $ 107.27       93.0 %   $ 6,711  
Florida
    39,030       287.03       35,123       258.29       90.0        
Michigan (1)
    269,314       216.71       222,397       178.96       82.6       17,376  
Missouri
    116,848       252.53       95,556       206.51       81.8        
New Mexico
    196,226       393.53       172,276       345.50       87.8       5,082  
Ohio
    382,107       330.46       326,419       282.30       85.4       20,923  
Texas
    67,356       354.66       52,257       275.15       77.6       1,256  
Utah
    108,536       282.34       97,445       253.49       89.8        
Washington
    364,424       194.78       306,526       163.83       84.1       6,011  
Other (2)
    7,197             17,372                   (4 )
    $ 1,782,991     $ 224.14     $ 1,541,094     $ 193.73       86.4 %   $ 57,355  

(1)
Effective January 1, 2010, the Company has recorded the Michigan gross receipts tax, or MGRT, as a premium tax and not as an income tax.  The 2009 amounts have been reclassified to conform to this presentation.
(2)
“Other” medical care costs primarily include medically related administrative costs at the parent company.
 
-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 16
August 4, 2010
 
MOLINA HEALTHCARE, INC.
UNAUDITED SELECTED FINANCIAL DATA
(Dollars 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, 2010
   
Three Months Ended
June 30, 2009
 
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
 
Fee-for-service
  $ 594,960     $ 132.95       70.9 %   $ 517,066     $ 127.59       64.4 %
Capitation
    136,764       30.56       16.3       154,386       38.10       19.2  
Pharmacy
    75,170       16.80       8.9       99,256       24.49       12.4  
Other
    32,719       7.31       3.9       32,498       8.02       4.0  
    $ 839,613     $ 187.62       100.0 %   $ 803,206     $ 198.20       100.0 %

   
Six Months Ended
June 30, 2010
   
Six Months Ended
June 30, 2009
 
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
   
Amount
   
PMPM
   
% of Total
Medical
Care Costs
 
Fee-for-service
  $ 1,161,839     $ 130.52       69.9 %   $ 1,006,207     $ 126.49       65.3 %
Capitation
    273,896       30.77       16.5       272,800       34.29       17.7  
Pharmacy
    165,241       18.56       9.9       201,894       25.38       13.1  
Other
    61,453       6.90       3.7       60,193       7.57       3.9  
    $ 1,662,429     $ 186.75       100.0 %   $ 1,541,094     $ 193.73       100.0 %

The following table provides the details of the Company’s medical claims and benefits payable as of the dates indicated:

   
June 30,
2010
   
March 31,
2010
   
June 30,
2009
 
Fee-for-service claims incurred but not paid (IBNP)
  $ 268,652     $ 260,456     $ 244,987  
Capitation payable
    49,101       42,461       34,657  
Pharmacy payable
    13,385       16,196       22,367  
Other
    14,462       7,860       6,696  
    $ 345,600     $ 326,973     $ 308,707  

-MORE-
 
 

 
MOH Reports Second Quarter 2010 Results
Page 17
August 4, 2010
 
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in thousands, except per-member amounts)
(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 periods” represent the amount by which the Company’s 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 following table shows the components of the change in medical claims and benefits payable as of the periods indicated:

   
Six Months Ended
   
Quarter Ended
   
Year Ended
 
   
June 30,
2010
   
June 30,
2009
   
March 31,
2010
   
Dec. 31,
2009
 
Balances at beginning of period
  $ 316,516     $ 292,442     $ 316,516     $ 292,442  
Components of medical care costs related to:
                               
Current period
    1,705,411       1,587,469       861,271       3,227,794  
Prior periods
    (42,982 )     (46,375 )     (38,455 )     (51,558 )
Total medical care costs
    1,662,429       1,541,094       822,816       3,176,236  
Payments for medical care costs related to:
                               
Current period
    1,389,307       1,297,946       581,389       2,919,240  
Prior periods
    244,038       226,883       230,970       232,922  
Total paid
    1,633,345       1,524,829       812,359       3,152,162  
Balances at end of period
  $ 345,600     $ 308,707     $ 326,973     $ 316,516  
                                 
Benefit from prior period as a percentage of:
                               
Balance at beginning of period
    13.6 %     15.9 %     12.1 %     17.6 %
Premium revenue
    2.2 %     2.6 %     4.0 %     1.4 %
Total medical care costs
    2.6 %     3.0 %     4.7 %     1.6 %
                                 
Days in claims payable, fee for service only
    44       47       44       44  
Number of members at end of period
    1,498,000       1,368,000       1,482,000       1,455,000  
Number of claims in inventory at end of period
    106,300       117,100       153,700       93,100  
Billed charges of claims in inventory
at end of period
  $ 146,600     $ 173,400     $ 194,000     $ 131,400  
Claims in inventory per member at end of period
    0.07       0.09       0.10       0.06  
Billed charges of claims in inventory
per member at end of period
  $ 97.86     $ 126.75     $ 130.90     $ 90.31  
Number of claims received during the period
    7,029,600       6,287,300       3,493,300       12,930,100  
Billed charges of claims received
during the period
  $ 5,580,400     $ 4,707,200     $ 2,760,500     $ 9,769,000  

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