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Modivcare Inc. (MODV)
NASDAQ:MODV
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ModivCare (MODV) AI Stock Analysis

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MODV

ModivCare

(NASDAQ:MODV)

Rating:40Underperform
Price Target:
$0.50
▲(56.25% Upside)
ModivCare's overall stock score is heavily impacted by its financial instability, negative technical indicators, and poor valuation metrics. The recent bankruptcy filing and Nasdaq delisting notice further exacerbate the company's challenges, making it a high-risk investment.
Positive Factors
Analyst Ratings
Analyst maintains an OUTPERFORM rating, suggesting confidence in the company's performance despite challenges.
Contracts and Agreements
The company is shifting shared risk contracts to fee-for-service agreements, which should provide quicker collections and improved cash flow visibility.
Earnings
Adjusted EPS of $0.19 beat the consensus estimate of $0.17, indicating better-than-expected profitability.
Negative Factors
Cash Flow
Q1 cash flows were shockingly poor at around -$82.1 million, indicating significant financial challenges.
Contracts and Revenue
Two significant contracts were lost, which represented around $200 million of annual revenues, impacting the company's core earnings power.
Debt and Leverage
ModivCare's total debt stands at $1.36 billion, highlighting a high level of leverage.

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

ModivCare Business Overview & Revenue Model

Company DescriptionModivCare Inc. is a leading provider of technology-enabled healthcare services, primarily focused on non-emergency medical transportation (NEMT), home and community-based services, and telehealth solutions. The company operates in the healthcare sector, offering services designed to improve access to care for vulnerable populations, including Medicaid and Medicare beneficiaries. ModivCare's core services include coordinating transportation for patients to receive medical care, providing personal care services, and delivering innovative telehealth solutions, which are essential for enhancing patient engagement and health outcomes.
How the Company Makes MoneyModivCare generates revenue primarily through contracts with state governments and managed care organizations to provide non-emergency medical transportation and related healthcare services. The company earns money by billing for the transportation services it coordinates, which are reimbursed by Medicaid or Medicare programs. Additionally, ModivCare has diversified its revenue streams by expanding into home and community-based services, where it provides personal care and support services to patients in their homes. The company also capitalizes on telehealth services, which have gained importance due to increasing demand for remote healthcare solutions. Significant partnerships with healthcare payers and state agencies enhance its service offerings and contribute to its financial growth.

ModivCare Earnings Call Summary

Earnings Call Date:Jul 31, 2025
(Q1-2025)
|
% Change Since: |
Next Earnings Date:Oct 30, 2025
Earnings Call Sentiment Neutral
The earnings call presented a balanced view with strategic contract wins, digital transformation progress, and cost reduction initiatives being positive aspects. However, revenue decline, increased net loss, and negative free cash flow are significant challenges. While there are promising strategic initiatives underway, financial performance in the short term remains challenging.
Q1-2025 Updates
Positive Updates
Strategic Contract Wins
Secured two new Medicaid managed care contracts in the Southwest and Pacific regions with a combined annual contract value of approximately $52 million. Additionally, submitted four state contract renewals totaling over $246 million in annual contract value.
Digital Transformation Progress
Self-service call-to-trip ratio increased to 36.1% from 31% a year ago, with digital reservations supported by API integration and channel enhancements. Automated intake and trip adjudication reduced unit costs by 1.2% year-over-year.
Cost Reduction Initiatives
Launched a company-wide G&A reduction initiative targeting approximately $25 million in annualized savings. Structural realignment and cost-saving measures implemented in late 2024 and early 2025 are expected to drive additional savings.
Improved Operational Efficiency
Implemented a full operating restructure in the NEMT segment, integrating trip operations under unified regional leadership, enhancing decision speed and financial accountability.
Monitoring Segment Growth
Increased Medicaid LTSS referrals by 45% year-over-year in Indiana and launched additional programs in new states. Operating under three active condition-based monitoring contracts.
Negative Updates
Revenue Decline
Revenue for the quarter was $650.7 million, down 5% year-over-year and 2% sequentially. Decline attributed to known NEMT contract attrition, lower billed hours in PCS, and membership churn in monitoring.
Increased Net Loss
Net loss for the quarter was $50.4 million, up from $22.3 million a year ago, primarily due to higher interest expenses, which rose to $38.8 million.
Contract Losses
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 first quarter 2025 financial results conference call, ModivCare Inc. outlined several key metrics and strategic objectives guiding its operations. Revenue for the quarter was reported at $650.7 million, representing a 5% year-over-year decline, primarily due to known contract attrition in the NEMT segment. The company secured two new Medicaid managed care contracts worth approximately $52 million annually, with projected in-year contributions of around $38 million. Despite a net loss of $50.4 million, up from $22.3 million the previous year, ModivCare focused on cost-saving measures, including a $25 million reduction in G&A expenses and improvements in capital efficiency. The self-service call-to-trip ratio for NEMT increased to 36.1%, and digital trip volumes surpassed 1 million transactions. Adjusted EBITDA was $32.6 million, reflecting a sequential decline but aligning with expectations. ModivCare emphasized its commitment to five strategic objectives, including digitizing its care access platform and increasing capital efficiency, while not providing formal guidance for 2025 but focusing on executing measurable initiatives.

ModivCare Financial Statement Overview

Summary
ModivCare is facing significant financial challenges, including negative profitability margins, high leverage, and liquidity issues. The company's inability to generate positive cash flow and its reliance on debt financing raise concerns about its financial health and sustainability.
Income Statement
55
Neutral
ModivCare's income statement shows a challenging financial situation with declining revenue and consistent net losses. The TTM (Trailing-Twelve-Months) data reveals a negative net profit margin and EBIT margin, indicating operational inefficiencies. Although the historical revenue growth has been substantial, recent trends show stagnation, and profitability has not been maintained.
Balance Sheet
42
Neutral
The balance sheet reflects high leverage with a negative stockholders' equity, indicating financial instability. The debt-to-equity ratio is concerning as it suggests heavy reliance on debt financing. The equity ratio is negative, which signals financial distress and potential solvency issues.
Cash Flow
38
Negative
Cash flow analysis reveals negative operating and free cash flows, indicating liquidity challenges. The free cash flow growth rate remains negative, and the negative operating cash flow to net income ratio underscores inefficiencies in transforming earnings into cash. These factors point towards potential difficulties in maintaining adequate cash reserves.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue2.75B2.79B2.75B2.50B2.00B1.37B
Gross Profit417.15M420.37M446.95M472.32M412.59M289.88M
EBITDA250.00K4.88M-23.33M157.50M146.77M148.22M
Net Income-229.35M-201.28M-204.46M-1.84M31.96M88.84M
Balance Sheet
Total Assets1.68B1.65B1.77B1.94B2.03B1.43B
Cash, Cash Equivalents and Short-Term Investments115.96M112.58M2.22M14.45M133.14M183.28M
Total Debt1.40B1.30B1.14B1.02B1.02B517.74M
Total Liabilities1.76B1.69B1.61B1.59B1.65B1.01B
Stockholders Equity-87.63M-38.47M156.19M354.56M373.27M411.61M
Cash Flow
Free Cash Flow-121.14M-34.04M-125.26M-43.45M165.52M336.29M
Operating Cash Flow-97.30M-6.41M-82.97M-10.44M186.84M348.44M
Investing Cash Flow-23.84M-27.63M-42.29M-111.81M-685.63M-635.01M
Financing Cash Flow231.05M144.37M113.07M3.81M448.85M408.26M

ModivCare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price0.32
Price Trends
50DMA
2.38
Negative
100DMA
2.12
Negative
200DMA
4.98
Negative
Market Momentum
MACD
-0.64
Positive
RSI
26.17
Positive
STOCH
18.94
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 0.32 is below the 20-day moving average (MA) of 1.28, below the 50-day MA of 2.38, and below the 200-day MA of 4.98, indicating a bearish trend. The MACD of -0.64 indicates Positive momentum. The RSI at 26.17 is Positive, neither overbought nor oversold. The STOCH value of 18.94 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$1.80B17.2810.65%2.13%25.19%13.44%
69
Neutral
$1.62B12.288.15%1.92%-16.10%-48.97%
59
Neutral
$1.73B109.8442.49%11.53%
56
Neutral
$806.34M18.62-40.13%-14.33%-398.68%
51
Neutral
$7.93B-0.32-43.43%2.21%22.30%-1.88%
45
Neutral
$461.94M-1.96%-24.30%-210.27%
40
Underperform
$4.67M-951.52%-0.70%-2.38%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MODV
ModivCare
0.35
-30.84
-98.88%
AMN
AMN Healthcare Services
20.83
-22.18
-51.57%
CCRN
Cross Country Healthcare
14.04
0.57
4.23%
NHC
National Healthcare
114.04
-5.40
-4.52%
SEM
Select Medical
12.92
-5.05
-28.10%
AVAH
Aveanna Healthcare Holdings
8.26
3.03
57.93%

ModivCare Corporate Events

Delistings and Listing ChangesLegal ProceedingsRegulatory Filings and Compliance
ModivCare Faces Nasdaq Delisting Amid Bankruptcy Filing
Negative
Aug 22, 2025

On August 21, 2025, ModivCare Inc. received a delisting notice from Nasdaq due to voluntary Chapter 11 bankruptcy proceedings initiated on August 20, 2025. The company also received a delinquency notice for failing to file its quarterly report on time. Nasdaq plans to suspend trading of ModivCare’s common stock on August 28, 2025, and the company does not intend to appeal the decision. ModivCare anticipates its stock will be quoted on the OTC Pink Market, although this is not guaranteed. Despite these challenges, ModivCare plans to continue its operations without interruption during the restructuring process, which is supported by a supermajority of its key stakeholders.

Private Placements and FinancingLegal Proceedings
ModivCare Files for Chapter 11 Bankruptcy Protection
Neutral
Aug 21, 2025

On August 20, 2025, Modivcare Inc. announced it has filed for voluntary Chapter 11 protection to implement a comprehensive restructuring plan with the support of a supermajority of its key stakeholders. The restructuring aims to reduce the company’s total funded debt by approximately $1.1 billion and inject $100 million in debtor-in-possession financing to support ongoing operations. This move is intended to strengthen Modivcare’s financial foundation, allowing it to continue providing uninterrupted services and positioning it for future growth. The company expects to exit the restructuring process by early fourth quarter of 2025, with no anticipated impact on its operations or service lines.

Delistings and Listing ChangesRegulatory Filings and Compliance
ModivCare Regains Nasdaq Compliance for Market Value
Positive
Jul 10, 2025

On July 10, 2025, Modivcare Inc. announced it regained compliance with Nasdaq’s Rule 5450(b)(3)(C) regarding the market value of publicly held shares, ensuring continued listing on The Nasdaq Global Select Market. This compliance was confirmed on July 7, 2025, after the company’s market value exceeded $15 million for 20 consecutive business days, reflecting positively on its stock performance and enterprise value efforts.

Executive/Board ChangesShareholder Meetings
ModivCare Approves All Measures at Annual Meeting
Neutral
Jun 18, 2025

On June 17, 2025, ModivCare Inc. held its annual meeting of stockholders where all proposed measures were approved, and the recommended director nominees were elected for a one-year term. The meeting also saw the approval of the executive officer compensation and the ratification of KPMG LLP as the independent registered public accounting firm for the 2025 fiscal year.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

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.Date of analysis: Aug 30, 2025