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Molina Healthcare (MOH)
NYSE:MOH

Molina Healthcare (MOH) AI Stock Analysis

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MOH

Molina Healthcare

(NYSE:MOH)

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Outperform 71 (OpenAI - 4o)
Rating:71Outperform
Price Target:
$172.00
▲(3.30% Upside)
Molina Healthcare's overall score is driven by strong corporate events and a favorable valuation, indicating potential for growth. However, financial performance and technical indicators highlight challenges with profitability and bearish momentum, which could impact short-term performance.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand and effective market expansion, enhancing Molina's competitive position and long-term sustainability.
Major Medicaid Contract
Securing a major Medicaid contract in Florida strengthens Molina's market presence and is expected to significantly boost revenue and member base.
Financial Flexibility
The senior notes offering improves Molina's financial flexibility, allowing it to manage debt effectively and support strategic initiatives.
Negative Factors
Profitability Challenges
Declining profit margins indicate rising costs or pricing pressures, which could impact long-term profitability and financial health.
Cash Flow Weakness
Weak cash flow suggests inefficiencies in converting earnings into cash, posing risks to liquidity and operational flexibility.
Rising Costs Impacting Margins
Increasing costs are squeezing margins, potentially affecting Molina's ability to invest in growth and maintain competitive pricing.

Molina Healthcare (MOH) vs. SPDR S&P 500 ETF (SPY)

Molina Healthcare Business Overview & Revenue Model

Company DescriptionMolina Healthcare, Inc. provides managed health care services to low-income families and individuals under the Medicaid and Medicare programs and through the state insurance marketplaces. It operates in four segments, Medicaid, Medicare, Marketplace, and Other. As of December 31, 2021, the company served the company served approximately 5.2 million members eligible for Medicaid, Medicare, and other government-sponsored healthcare programs in 18 states. The company was founded in 1980 and is headquartered in Long Beach, California.
How the Company Makes MoneyMolina Healthcare generates revenue primarily through premiums paid by state and federal governments for the health insurance coverage provided to its members under Medicaid and Medicare programs. The company enters into contracts with state Medicaid programs to provide managed care services to eligible populations, receiving per-member-per-month (PMPM) payments for these services. Additional revenue streams include risk adjustment payments based on the health status of enrolled members and service fees for administrative and care coordination services. Molina also benefits from partnerships with healthcare providers and community organizations to enhance care delivery and improve patient outcomes, which can lead to cost savings and increased member retention, ultimately contributing to its earnings.

Molina Healthcare Key Performance Indicators (KPIs)

Any
Any
Total Members
Total Members
Tracks the total number of individuals enrolled in Molina Healthcare plans, indicating market reach and potential revenue base.
Chart InsightsMolina Healthcare's total membership has shown a notable recovery since early 2024, reversing the decline seen in late 2023. This resurgence is likely driven by strategic growth initiatives and recent Medicaid and Medicare duals RFP wins. However, the earnings call highlights challenges with elevated medical costs and pressures in the Medicaid and Marketplace segments, which could impact future membership growth and profitability. Despite these challenges, Molina's focus on growth and cost management reflects a cautious yet optimistic outlook for sustaining membership gains.
Data provided by:The Fly

Molina Healthcare Earnings Call Summary

Earnings Call Date:Jul 23, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 11, 2026
Earnings Call Sentiment Neutral
The earnings call reflected a mixed sentiment with notable achievements in revenue growth and contract wins, offset by significant challenges in the Marketplace segment and revised earnings guidance due to higher medical costs.
Q3-2025 Updates
Positive Updates
Revenue Growth and New Contracts
Molina Healthcare anticipates reaching $46 billion in revenue in 2026, driven by growth in the current footprint and significant new Medicaid contracts in Georgia and Texas.
Strong Medicaid Performance
Despite challenges, the Medicaid segment is expected to produce a 3.2% pretax margin for 2025, contributing approximately $16 per share, which is considered best-in-class performance.
Successful RFP Wins
During Q3, Molina renewed its Wisconsin My Choice contract and anticipates significant growth from new Medicaid contracts in Georgia and Texas.
Share Repurchase
Molina repurchased approximately 2.8 million shares at a cost of $500 million, seeing value in shares at current market prices.
Negative Updates
Underperformance in Marketplace Business
The Marketplace segment reported an MCR of 95.6% in Q3, significantly higher than expected, contributing to half of the EPS reduction from initial 2025 guidance.
Revised Earnings Guidance
Full year 2025 adjusted earnings per share guidance was revised to approximately $14 per share from an initial $24.50, reflecting higher medical cost trends and underperformance in the Marketplace segment.
Medical Cost Pressures
Overall medical cost trend pressures were higher than expected across Medicaid, Medicare, and Marketplace segments, impacting profitability.
Medicare Utilization Challenges
The Medicare segment reported a third quarter MCR of 93.6%, driven by higher utilization and high-cost drugs, leading to a breakeven pretax margin.
Company Guidance
During Molina Healthcare's Third Quarter 2025 earnings call, the company provided updated guidance for the full year and preliminary insights into 2026. For 2025, Molina expects premium revenue to reach approximately $42.5 billion, with adjusted earnings per share (EPS) revised down to about $14 from a prior guidance of $19, reflecting a consolidated Medical Care Ratio (MCR) of 91.3% and a pretax margin of 2.1%. The Medicaid segment, contributing 75% of total premium revenue, is expected to achieve a full-year MCR of 91.5% and a pretax margin of 3.2%, despite a medical cost trend now projected at 7%, higher than the earlier guidance. For 2026, the company anticipates premium revenue growth driven by new Medicaid contracts in Georgia and Texas, and Medicare duals growth across five states. Molina's early outlook suggests 2026 earnings per share might approximate the updated 2025 guidance, with potential upsides linked to Medicaid rate improvements and better-than-expected performance in Medicare and Marketplace segments.

Molina Healthcare Financial Statement Overview

Summary
Molina Healthcare shows strong revenue growth but faces challenges in profitability and cash flow. Rising costs are impacting margins, and increased leverage could pose risks if not managed effectively. The negative cash flow trends are concerning for long-term financial health.
Income Statement
75
Positive
Molina Healthcare has shown strong revenue growth with a 24.54% increase in the TTM period, indicating robust demand and expansion. However, the gross profit margin has decreased to 8.19% from previous years, suggesting rising costs or pricing pressures. The net profit margin also declined to 1.63%, reflecting challenges in maintaining profitability. Despite these pressures, the company maintains a positive EBIT and EBITDA margin, though both have decreased compared to prior periods.
Balance Sheet
70
Positive
The company's debt-to-equity ratio of 0.92 in the TTM period indicates a moderate level of leverage, which is manageable but has increased from previous years. Return on equity has decreased to 20.07%, suggesting a decline in profitability relative to shareholder equity. The equity ratio remains stable, indicating a solid capital structure despite the increased debt levels.
Cash Flow
60
Neutral
Molina Healthcare's cash flow position has weakened, with negative operating and free cash flows in the TTM period. The free cash flow growth rate is significantly negative, indicating potential liquidity challenges. The operating cash flow to net income ratio is negative, highlighting inefficiencies in converting earnings into cash. However, the free cash flow to net income ratio remains positive, suggesting some ability to generate cash relative to net income.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue54.07B40.65B34.07B31.97B27.77B19.42B
Gross Profit4.43B4.74B4.33B3.93B3.28B2.68B
EBITDA1.52B1.89B1.74B1.35B1.13B1.15B
Net Income883.00M1.18B1.09B792.00M659.00M673.00M
Balance Sheet
Total Assets15.70B15.63B14.89B12.31B12.21B9.53B
Cash, Cash Equivalents and Short-Term Investments8.45B8.99B9.11B7.50B7.64B6.03B
Total Debt3.85B3.12B2.38B2.39B2.39B2.35B
Total Liabilities11.51B11.13B10.68B9.35B9.58B7.44B
Stockholders Equity4.19B4.50B4.21B2.96B2.63B2.10B
Cash Flow
Free Cash Flow-574.00M544.00M1.58B682.00M2.04B1.82B
Operating Cash Flow-461.00M644.00M1.66B773.00M2.12B1.89B
Investing Cash Flow101.00M-464.00M-744.00M-790.00M-1.65B-400.00M
Financing Cash Flow-195.00M-347.00M-58.00M-441.00M-183.00M217.00M

Molina Healthcare Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price166.50
Price Trends
50DMA
162.29
Positive
100DMA
168.05
Negative
200DMA
233.07
Negative
Market Momentum
MACD
2.49
Negative
RSI
64.31
Neutral
STOCH
84.71
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MOH, the sentiment is Neutral. The current price of 166.5 is above the 20-day moving average (MA) of 149.91, above the 50-day MA of 162.29, and below the 200-day MA of 233.07, indicating a neutral trend. The MACD of 2.49 indicates Negative momentum. The RSI at 64.31 is Neutral, neither overbought nor oversold. The STOCH value of 84.71 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for MOH.

Molina Healthcare Risk Analysis

Molina Healthcare disclosed 41 risk factors in its most recent earnings report. Molina Healthcare reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Molina Healthcare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$79.80B14.6912.61%1.90%11.96%-11.11%
72
Outperform
$73.38B12.1214.65%2.18%16.75%113.48%
71
Outperform
$8.66B10.3219.71%13.71%-18.02%
69
Neutral
$32.29B25.167.15%1.29%9.87%-5.58%
64
Neutral
$100.82B207.530.63%3.34%6.71%-90.11%
58
Neutral
$20.08B-3.74-21.93%14.92%-286.72%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MOH
Molina Healthcare
166.50
-125.28
-42.94%
CNC
Centene
40.45
-17.36
-30.03%
CI
Cigna
277.15
16.91
6.50%
CVS
CVS Health
79.69
37.46
88.70%
HUM
Humana
274.74
44.09
19.12%
ELV
Elevance Health
360.67
1.32
0.37%

Molina Healthcare Corporate Events

Private Placements and FinancingBusiness Operations and Strategy
Molina Healthcare Completes $850M Senior Notes Offering
Neutral
Nov 20, 2025

On November 20, 2025, Molina Healthcare completed a private offering of $850 million in senior notes due 2031, bearing an interest rate of 6.500% per annum. The net proceeds of approximately $838 million are intended for general corporate purposes, including repaying outstanding delayed draw term loans. This financial maneuver is part of Molina’s strategic efforts to manage its debt and strengthen its financial position.

Private Placements and Financing
Molina Healthcare Prices $850M Senior Notes Offering
Neutral
Nov 18, 2025

On November 17, 2025, Molina Healthcare announced the pricing of $850 million in senior notes due 2031, with a 6.500% interest rate, to be sold in a private offering. The net proceeds, estimated at $838 million, will be used for general corporate purposes, including repaying outstanding loans, impacting the company’s financial strategy and market positioning.

Private Placements and FinancingBusiness Operations and Strategy
Molina Healthcare Announces $750M Senior Notes Offering
Positive
Nov 17, 2025

On November 17, 2025, Molina Healthcare announced its intention to privately offer $750 million in senior notes due 2031, subject to market conditions. The proceeds from this offering are intended to repay outstanding delayed draw term loans under its existing credit agreement. Following this repayment, Molina plans to terminate its existing credit facility and replace it with a new revolving credit facility, which will have terms favorable to the company. The new facility will be undrawn at close and available for general corporate purposes. This strategic financial maneuver is aimed at enhancing Molina’s financial flexibility and operational capacity.

Business Operations and Strategy
Molina Healthcare Secures Major Florida Medicaid Contract
Positive
Nov 14, 2025

On November 14, 2025, Molina Healthcare announced that the Florida Agency for Health Care Administration intends to award it a contract to provide Statewide Medicaid Managed Care and Children’s Health Insurance Program services. This contract, expected to serve approximately 120,000 enrollees, further solidifies Molina’s position as a trusted provider for complex healthcare needs, with anticipated premiums of about $5 billion for 2025 and a term continuing through December 31, 2030.

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: Dec 09, 2025