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ModivCare (MODV)
NASDAQ:MODV

ModivCare (MODV) AI Stock Analysis

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ModivCare

(NASDAQ:MODV)

Rating:33Underperform
Price Target:
$1.00
▲( 9.89% Upside)
ModivCare's overall stock score reflects its substantial financial instability and operational challenges. While there are strategic initiatives and new contracts, these are overshadowed by declining revenues, increased losses, and a potential Nasdaq delisting. Technical indicators and valuation metrics further underscore the stock's vulnerabilities, necessitating cautious optimism for recovery.
Positive Factors
Contract Strategy
The company is shifting shared risk contracts to fee-for-service agreements, which should provide quicker collections and improved cash flow visibility.
Financing
ModivCare has secured $75 million in incremental financing and an additional $30 million capital commitment, indicating a strong influx of capital.
Strategic Leadership
The appointment of a Chief Transformation Officer is expected to focus on asset divestitures, which could unlock significant value for ModivCare.
Negative Factors
Debt and Leverage
ModivCare's total debt stands at $1.36 billion, highlighting a high level of leverage.
Financial Performance
Adjusted EPS of -$1.71 fell well below estimates, indicating poor profitability.
Revenue Loss
Two significant contracts were lost, which represented around $200 million of annual revenues, impacting the company's core earnings power.

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

ModivCare Business Overview & Revenue Model

Company DescriptionModivCare Inc., a technology-enabled healthcare services company, provides a suite of integrated supportive care solutions for public and private payors and patients. The company operates through four segments: Non-Emergency Medical Transportation (NEMT), Personal Care, Remote Patient Monitoring (RPM), and the Matrix Investment. The NEMT segment offers contact center management, network credentialing, claims management, and non-emergency medical transport management services for Medicaid or Medicare eligible members, whose limited mobility or financial resources hinder their ability to access necessary healthcare and social services. The Personal Care segment provides bathing, personal hygiene, grooming, oral care, dressing, medication reminders, meal planning, preparation and feeding, housekeeping, transportation services, prescription reminders, and assistance with dressing and ambulation services through placing non-medical personal care assistants, home health aides, and skilled nurses primarily to Medicaid patients in need of care monitoring and assistance in performing daily living activities, including senior citizens and disabled adults. The RPM segment offers personal emergency response systems, vitals monitoring, medication management, and data-driven patient engagement solutions. The Matrix Investment segment provides in-home and on-site care services, as well as a fleet of mobile health clinics that offers community-based care with advanced diagnostic capabilities and care options. It serves federal, state, and local government agencies, MCOs, commercial insurers, private individuals, and health systems. The company was formerly known as The Providence Service Corporation and changed its name to ModivCare Inc. in January 2021. ModivCare Inc. was incorporated in 1996 and is headquartered in Denver, Colorado.
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 a negative cash flow situation. These factors indicate a precarious financial position requiring immediate strategic intervention.
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
420.37M446.95M472.32M412.59M289.88M
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
1.30B1.14B1.02B1.02B517.74M
Net Debt
1.19B1.14B1.01B886.48M334.46M
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 Price0.91
Price Trends
50DMA
1.41
Negative
100DMA
3.68
Negative
200DMA
11.06
Negative
Market Momentum
MACD
-0.18
Positive
RSI
35.61
Neutral
STOCH
10.50
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 0.91 is below the 20-day moving average (MA) of 1.19, below the 50-day MA of 1.41, and below the 200-day MA of 11.06, indicating a bearish trend. The MACD of -0.18 indicates Positive momentum. The RSI at 35.61 is Neutral, neither overbought nor oversold. The STOCH value of 10.50 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 3 New Risks
1.
Substantial doubt exists about our ability to meet our obligations as they come due within one year from the date of issuance of the financial statements included within this report, the existence of which may have a material adverse effect on our stock price, our ability to raise capital or enter into strategic transactions, and our relationships with key stakeholders. Q4, 2024
2.
We have a history of operating losses and negative cash flow and failure to improve our financial condition could have a material adverse effect on our business, financial condition, results of operations and liquidity. Q4, 2024
3.
We may not be successful in implementing our business plan, which may force us to seek additional strategic alternatives in the future. Q4, 2024

ModivCare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (53)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
NHNHC
76
Outperform
$1.63B15.2811.19%2.36%19.16%31.92%
SESEM
64
Neutral
$1.94B11.2510.38%2.97%-8.86%-36.22%
AMAMN
53
Neutral
$878.25M18.62-21.08%-18.13%-215.78%
53
Neutral
$5.14B3.06-43.57%2.81%16.81%-0.12%
51
Neutral
$1.12B315.5242.49%9.05%
47
Neutral
$443.23M-4.00%-29.16%-140.16%
33
Underperform
$13.76M-951.52%-0.70%-2.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MODV
ModivCare
0.91
-27.06
-96.75%
AMN
AMN Healthcare Services
21.67
-35.01
-61.77%
CCRN
Cross Country Healthcare
13.52
-0.75
-5.26%
NHC
National Healthcare
101.59
4.59
4.73%
SEM
Select Medical
14.49
-3.04
-17.34%
AVAH
Aveanna Healthcare Holdings
5.35
2.64
97.42%

ModivCare Earnings Call Summary

Earnings Call Date:May 08, 2025
(Q1-2025)
|
% Change Since: -32.59%|
Next Earnings Date:Jul 31, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted significant efforts in securing new contracts and advancing digital transformation, which show promise for future growth. However, these positives are tempered by decreased revenue, increased net loss, and negative cash flow, reflecting ongoing challenges.
Q1-2025 Updates
Positive Updates
New Medicaid Managed Care Contracts
Secured two new Medicaid managed care contracts in the Southwest and Pacific region, with a combined annual contract value of approximately $52 million and expected in-year revenue contribution of around $38 million.
Digital Transformation Progress
Self-service call-to-trip ratio reached 36.1%, up from 35% in Q4 and 31% a year ago. Complaints declined 31.2% year over year, and on-time performance rose to 95.2%.
G&A Reduction Initiative
Launched a company-wide G&A reduction initiative targeting approximately $25 million in annualized savings.
Successful Collection of Receivables
Collected a large NCO contract receivable from 2024 of approximately $30 million a month earlier than expected.
Revenue Per Member Increase
Revenue per member per month rose 16% year over year, to $6.35, up 13% sequentially.
Negative Updates
Revenue Decline
Revenue for the quarter was $650.7 million, down 5% year over year and 2% sequentially.
Net Loss Increase
Net loss for the quarter was $50.4 million, up from $22.3 million a year ago, primarily due to higher interest expense.
Contract Loss
Experienced the loss of a regional contract totaling $15 million in annual revenue due to a national plan's decision to consolidate vendors.
Negative Free Cash Flow
Free cash flow was negative at $86.2 million, largely due to working capital build from timing of accounts payable, contract transitions, and higher interest expense.
Company Guidance
During the call, ModivCare Inc. provided guidance that emphasized five strategic objectives: growing customer relationships, digitizing their care access platform, optimizing their operating model, increasing capital efficiency, and delivering client-centric supportive care. In Q1 2025, the company secured two new Medicaid managed care contracts worth approximately $52 million in annual value and submitted four state contract renewals totaling over $246 million. Despite a loss of a $15 million regional contract, they focused on strengthening customer retention. The digital transformation efforts led to a self-service call-to-trip ratio increase to 36.1%, a 1.2% reduction in unit costs, and a 31.2% decrease in complaints. Revenue for the quarter was $650.7 million, down 5% year over year, with a net loss of $50.4 million. Adjusted EBITDA was $32.6 million, flat year over year. ModivCare is not issuing formal guidance for 2025, but is committed to executing initiatives with measurable KPIs, focusing on cash flow improvements, cost-saving measures, and platform modernization.

ModivCare Corporate Events

Delistings and Listing ChangesPrivate Placements and FinancingFinancial Disclosures
ModivCare Faces Nasdaq Delisting Warning Amid Revenue Decline
Negative
May 8, 2025

On May 5, 2025, Modivcare received a notification from Nasdaq regarding its market value of publicly held shares falling below the required threshold for continued listing. The company has until November 1, 2025, to regain compliance, with potential consequences including delisting or transferring to the Nasdaq Capital Market if compliance is not achieved. In its first quarter of 2025, Modivcare reported a service revenue decline to $650.7 million, a net loss of $50.4 million, and efforts to reduce costs and improve working capital efficiency. The company executed $105 million in new financing to support its transformation efforts and aims to generate over $20 million in annualized G&A savings.

Executive/Board ChangesBusiness Operations and Strategy
ModivCare Announces CFO and CIO Departures
Neutral
May 5, 2025

On May 5, 2025, Modivcare announced the planned departures of its Chief Financial Officer, Barb Gutierrez, and Chief Information Officer, Jessica Kral, as part of its strategic business model evolution. The company will not replace these roles, relying instead on existing teams to support its modernization strategy, which includes cost reduction and technology-driven integration efforts. This leadership transition is part of a broader structural shift aimed at increasing organizational speed and accountability.

Executive/Board Changes
ModivCare Appoints Daniel Silvers to Board
Neutral
Apr 25, 2025

On April 25, 2025, Modivcare announced the appointment of Daniel Silvers to its board of directors, effective April 24, 2025, completing its plan to add three new independent directors. Mr. Silvers brings extensive experience in corporate finance and governance, which is expected to enhance Modivcare’s operational and financial strength. Concurrently, Craig Barbarosh, David Coulter, and Richard Kerley resigned from the board, with Coulter continuing as a board observer and Alexander Matina joining as a board observer.

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.

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.