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Modivcare Inc. (MODV)
:MODV

ModivCare (MODV) AI Stock Analysis

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ModivCare

(NASDAQ:MODV)

33Underperform
ModivCare Inc. faces notable financial challenges and negative market momentum, reflected in its low overall score. Although there are efforts to improve its financial position, significant risks remain with high leverage, poor cash flow, and recent contract losses. Technical indicators suggest further potential declines without immediate positive catalysts.
Positive Factors
Company Strategy
The appointment of a Chief Transformation Officer is expected to focus on asset divestitures, which could unlock significant value for ModivCare.
Earnings
Adjusted EPS of $0.19 beat the consensus estimate of $0.17, indicating better-than-expected profitability.
Financing
ModivCare has secured $75 million in incremental financing and an additional $30 million capital commitment, indicating a strong influx of capital.
Negative Factors
Financial Guidance
ModivCare withdrew its financial guidance for FY/24 and FY/25 due to slower-than-expected expense reductions and contract headwinds.
Liquidity
Liquidity constraints and broader macro uncertainty around Medicaid utilization and funding are significant concerns affecting Modivcare's long-term potential.
Valuation
The price target for ModivCare has been lowered to $10 from $25 due to speculative risk and revised financial estimates.

ModivCare (MODV) vs. S&P 500 (SPY)

ModivCare Business Overview & Revenue Model

Company DescriptionModivCare (MODV) is a leading technology-enabled healthcare services company that provides non-emergency medical transportation (NEMT), personal and home care, and nutritional meal delivery services. The company operates primarily in the United States and focuses on improving access to care for underserved populations, particularly for those who face transportation and other logistical barriers to healthcare access. ModivCare partners with state governments, managed care organizations, and healthcare providers to facilitate seamless healthcare services and enhance patient outcomes.
How the Company Makes MoneyModivCare makes money through a diversified revenue model that includes contracts with government agencies, managed care organizations (MCOs), and healthcare providers. Its primary revenue stream comes from its non-emergency medical transportation (NEMT) services, where it coordinates and provides transportation for patients who need to travel to medical appointments but lack reliable means of transportation. This service is often funded through Medicaid, Medicare Advantage, and other state-sponsored programs. Additionally, ModivCare generates income from its personal and home care services, which offer in-home support for daily activities to individuals with chronic conditions or disabilities. The company also derives revenue from its nutritional meal delivery services, which cater to individuals requiring specific dietary plans due to medical conditions. Key partnerships with healthcare providers and payers enhance its service offerings and contribute significantly to its earnings.

ModivCare Financial Statement Overview

Summary
ModivCare faces significant financial challenges with declining profitability, high leverage, and poor cash generation. These issues highlight the need for strategic changes to improve financial health.
Income Statement
30
Negative
The company has experienced declining profitability with a negative net profit margin and EBIT margin for the latest period, indicating operational challenges. Revenue growth has stagnated, with only a slight increase from the previous year, highlighting a lack of upward trajectory.
Balance Sheet
20
Very Negative
The balance sheet shows high leverage, with a negative stockholders' equity, reflecting financial instability and potential risk. Debt-to-equity ratio is extremely concerning due to negative equity, and the equity ratio is poor, indicating a weak financial structure.
Cash Flow
25
Negative
Operating cash flow and free cash flow are negative, reflecting poor cash generation and significant cash outflows. The free cash flow to net income ratio is not calculable due to negative figures, indicating a challenging cash flow situation.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
2.79B2.75B2.50B2.00B1.37B
Gross Profit
2.79B446.95M472.32M412.59M289.88M
EBIT
-92.79M-139.95M57.08M89.77M123.16M
EBITDA
4.88M-23.33M157.50M146.77M148.22M
Net Income Common Stockholders
-201.28M-204.46M-1.84M31.96M88.84M
Balance SheetCash, Cash Equivalents and Short-Term Investments
112.58M2.22M14.45M133.14M183.28M
Total Assets
1.65B1.77B1.94B2.03B1.43B
Total Debt
315.77M1.14B1.02B1.02B517.74M
Net Debt
203.19M1.14B1.01B886.48M334.46M
Total Liabilities
1.69B1.61B1.59B1.65B1.01B
Stockholders Equity
-38.47M156.19M354.56M373.27M411.61M
Cash FlowFree Cash Flow
-34.04M-125.26M-43.45M165.52M336.29M
Operating Cash Flow
-6.41M-82.97M-10.44M186.84M348.44M
Investing Cash Flow
-27.63M-42.29M-111.81M-685.63M-635.01M
Financing Cash Flow
144.37M113.07M3.81M448.85M408.26M

ModivCare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.40
Price Trends
50DMA
4.04
Negative
100DMA
9.38
Negative
200DMA
15.56
Negative
Market Momentum
MACD
-0.85
Negative
RSI
23.15
Positive
STOCH
1.87
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MODV, the sentiment is Negative. The current price of 1.4 is below the 20-day moving average (MA) of 2.41, below the 50-day MA of 4.04, and below the 200-day MA of 15.56, indicating a bearish trend. The MACD of -0.85 indicates Negative momentum. The RSI at 23.15 is Positive, neither overbought nor oversold. The STOCH value of 1.87 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for MODV.

ModivCare Risk Analysis

ModivCare disclosed 64 risk factors in its most recent earnings report. ModivCare reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

ModivCare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
EHEHC
72
Outperform
$10.15B22.6024.52%0.64%11.91%28.47%
CHCHE
70
Outperform
$8.87B30.4627.12%0.31%7.37%11.17%
66
Neutral
$3.04B71.193.93%5.01%
64
Neutral
$1.77B22.988.78%9.06%10.68%
64
Neutral
$760.60M19.408.25%2.65%3.34%
49
Neutral
$6.85B0.81-52.91%2.50%19.94%1.20%
33
Underperform
$20.00M-341.96%1.32%1.95%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MODV
ModivCare
1.40
-21.13
-93.79%
ADUS
Addus Homecare
97.30
-5.88
-5.70%
AMED
Amedisys
92.70
0.28
0.30%
CHE
Chemed
605.70
-32.75
-5.13%
HCSG
Healthcare Services
10.35
-2.14
-17.13%
EHC
Encompass Health
100.78
18.00
21.74%

ModivCare Earnings Call Summary

Earnings Call Date: Mar 6, 2025 | % Change Since: -60.56% | Next Earnings Date: May 1, 2025
Earnings Call Sentiment Neutral
The earnings call presented a mixed picture for ModivCare Inc. Highlights included progress in revenue and EBITDA, significant capital strengthening initiatives, and operational cost efficiencies. However, these were countered by notable lowlights such as significant contract losses, challenges from Medicaid redetermination, and flat or declining segments. The company is making efforts to strengthen its financial position and operational efficiency, but significant challenges remain.
Highlights
Revenue and EBITDA Progress
Fourth quarter revenue was $702.8 million, bringing full-year revenue to $2.8 billion. Adjusted EBITDA for Q4 was $40.4 million, totaling $161.1 million for the full year.
Capital Strengthening Initiatives
Secured an incremental $75 million term loan and $30 million in new second lien notes. Appointed Chad Sandler as Chief Transformation Officer and added new directors to the board to drive strategic initiatives.
Operational Cost Efficiencies
Achieved cost savings of $35 million in 2024. Reduced total service expense per trip by approximately 1% sequentially and 4.3% year over year.
Technological Advancements
Enhanced member engagement with self-service tools, reducing the call-to-trip ratio from 42% in Q4 2023 to 34% in Q4 2024.
New Business and Growth Opportunities
Secured approximately $90 million in new business from managed care organizations with a win rate exceeding 90% in the MCO segment over the past two years.
Lowlights
Contract Losses and Revenue Impact
Lost two significant contracts, accounting for a net business loss of approximately $200 million in annual revenue for 2025.
Medicaid Redetermination Challenges
Medicaid redetermination resulted in a loss of approximately 4 million members and $28 million of adjusted EBITDA for the year.
Flat or Declining Segments
NEMT and monitoring revenue remained flat, with slight declines in monitoring and NEMT segments in Q4 2024.
Net Loss and Margin Pressures
Consolidated net loss was $23.5 million in Q4, with adjusted EBITDA margin declining by 64 basis points to 5.6%.
Company Guidance
In the call, ModivCare Inc. provided detailed guidance, emphasizing a strategic focus on strengthening financial and operational frameworks amidst the challenges of 2024. The company reported fourth-quarter revenue of $702.8 million, culminating in a full-year revenue of $2.8 billion. Adjusted EBITDA for Q4 was $40.4 million, contributing to a total of $161.1 million for the year. Despite facing disruptions from Medicaid redetermination and Medicare Advantage reimbursement cuts, ModivCare navigated these challenges by significantly reducing costs and enhancing client partnerships. The company secured an additional $75 million term loan and $30 million in new second lien notes to bolster its capital position. Looking forward, ModivCare aims to continue strengthening its technology-enabled platforms and execute strategic financial initiatives to support long-term growth. The management anticipates contract losses in 2025 will be partially offset by new wins, with a key focus on transitioning to a fee-for-service model, which currently represents 25% of revenue. The company is not providing formal 2025 guidance due to ongoing strategic reviews and potential material portfolio changes.

ModivCare Corporate Events

Shareholder MeetingsFinancial Disclosures
ModivCare Adjusts Meeting Date for Financial Transparency
Neutral
Feb 28, 2025

On February 28, 2025, Modivcare announced its plan to adjourn its special stockholders meeting from March 3 to March 13, 2025, to allow for the release of its fourth quarter and full year 2024 financial results before the meeting. The record date for voting remains unchanged, and previously submitted proxies will still be valid unless revoked. This decision ensures transparency and informed decision-making for stakeholders, aligning financial disclosures with shareholder engagement.

Executive/Board Changes
ModivCare Board Member Garth Graham Resigns
Neutral
Feb 27, 2025

On February 23, 2025, Garth Graham resigned from the Board of Directors of ModivCare Inc., effective February 28, 2025. His departure was not due to any disagreement with the company. Leslie Norwalk, Chair of the Board, acknowledged Graham’s significant contributions, particularly in addressing social determinants of health, and expressed gratitude for his service.

Executive/Board ChangesBusiness Operations and Strategy
ModivCare Appoints Erin Russell as New Director
Neutral
Feb 14, 2025

On February 10, 2025, Modivcare Inc. appointed Erin Russell as a new independent director to its board, as part of a strategic move to enhance its board’s expertise and comply with credit agreement obligations. Her extensive experience in healthcare and financial sectors is expected to support the company’s growth and transformation. Concurrently, Neal Goldman resigned from the board on February 13, 2025, with his departure not linked to any company disagreements. These changes are part of Modivcare’s ongoing efforts to refresh its board and align with its strategic goals.

Executive/Board ChangesPrivate Placements and FinancingBusiness Operations and Strategy
ModivCare Secures Financing and Strengthens Leadership Team
Positive
Jan 10, 2025

Modivcare Inc. announced it has secured $105 million in additional financing through a $75 million incremental term loan and a $30 million commitment from Coliseum Capital Management to purchase new second lien senior notes. These financial moves, alongside the appointment of Chad Shandler as Chief Transformation Officer and the upcoming addition of three new board directors, aim to strengthen the company’s financial foundation, improve operational performance, and support long-term strategic growth.

Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.