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Molina Healthcare Inc (MOH)
NYSE:MOH

Molina Healthcare (MOH) AI Stock Analysis

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MOH

Molina Healthcare

(NYSE:MOH)

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Neutral 48 (OpenAI - 5.2)
Rating:48Neutral
Price Target:
$155.00
▲(4.51% Upside)
Action:ReiteratedDate:02/07/26
The score is primarily held back by weakening fundamentals (2025 margin compression and a swing to negative operating/free cash flow) and a strongly bearish technical setup (price far below major moving averages with negative MACD). A moderate P/E offers some support, but cautious 2026 guidance with meaningful near-term drags limits confidence despite long-term contract wins and embedded earnings potential.
Positive Factors
Scale & Revenue Growth
Molina's large revenue scale and multi‑year growth establish durable market presence with heavy government contracting. Scale supports fixed‑cost absorption, provider leverage, and investment in care coordination, strengthening long‑term service delivery and revenue resilience.
High RFP Win Rates & Pipeline
A sizable embedded earnings backlog and a ~ $50B RFP pipeline, plus ~90% renewal win rates, indicate repeatable contract acquisition and retention. That persistent pipeline provides predictable future premium flow and supports long‑term member growth and margin recovery.
Market‑leading Medicaid Position
Medicaid dominance with stronger relative Medicaid margins implies a structural competitive advantage in the primary product line. Heavy Medicaid exposure and margin leadership create a durable moat tied to state contracting, care management expertise, and predictable premium streams.
Negative Factors
Negative Operating & Free Cash Flow
The 2025 swing to negative OCF and FCF materially weakens internal funding capacity. Sustained cash outflows constrain reserve funding, capital for new contracts or care programs, and increase reliance on external financing, raising liquidity and execution risk over coming quarters.
Sharp Margin Compression
A steep drop in profitability reduces buffers for medical cost inflation and unexpected retro adjustments. Lower margins make earnings and cash highly sensitive to utilization, pharmacy and behavioral trends, and limit the firm's ability to absorb startup costs for new contracts without recurring profit recovery.
Higher Leverage & Covenant Relief
Elevated leverage and the need for covenant amendments indicate reduced financial flexibility. Higher debt burdens raise interest and refinancing risk, constrain strategic choices, and could force austerity if earnings or cash flow recovery lags, increasing downside over the medium term.

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:Feb 05, 2026
(Q4-2025)
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% Change Since: |
Next Earnings Date:Apr 29, 2026
Earnings Call Sentiment Neutral
The call balanced demonstrable long-term growth achievements (large new Medicaid wins, high RFP win rates, a sizable embedded earnings backlog > $11/share, and a strong RFP pipeline) against meaningful near-term financial headwinds (a large EPS miss, California retro adjustments, elevated 2025 medical cost trend, Medicare product issues, and liquidity/operational cash flow pressures). Management provided conservative 2026 guidance (~$42B revenue, EPS at least $5) that factors in known startup and product exit costs while highlighting upside levers (rate restorations, trend moderation, and conservative pricing in Medicare/Marketplace). Given the company’s sizable strategic wins and embedded earnings potential but material short-term earnings and cash challenges, the tone is cautious and balanced.
Q4-2025 Updates
Positive Updates
Full-Year Premium Revenue and YoY Growth
Reported full-year premium revenue of $43.1 billion, representing 11% year-over-year growth; Q4 premium revenue was $10.7 billion.
Embedded Earnings and RFP Pipeline
Embedded earnings increased to over $11.00 per share (from $8.65), including a $4.50 contribution from the Florida CMS win; active RFP pipeline of ~$50 billion of opportunities.
Major Medicaid Contract Wins
Historic Florida Children's Medical Services contract (~$6 billion annual run-rate) plus wins/renewals (e.g., Wisconsin), with Georgia and Texas additions — combined new/announced Medicaid premium > $9 billion.
High RFP Win Rates
Achieved ~90% win rate on renewals representing $14 billion retained revenue and ~80% win rate on new contracts representing $20 billion of new revenue.
Medicaid Business Scale and Relative Margin Strength
Flagship Medicaid represents ~75% of premium; full-year Medicaid pretax margin 2.8% with reported Medicaid MCR 91.8% (Q4 reported 93.5%, adjusted 92.3% after removing retro items); management states Medicaid margins are industry-leading by 300-400 bps vs peers.
2026 Guidance with Underlying Earnings Disclosure
2026 guidance: premium revenue ~ $42 billion and adjusted EPS at least $5; management reports underlying EPS (after known one-time burdens) of ~ $7.50 per share, and highlights 3 upside levers (moderating Medicaid trend, off-cycle rate adjustments, Medicare/Marketplace upside).
Balance Sheet and Capital Actions
Harvested ~$337 million of subsidiary dividends; parent company cash ~$223 million; RBC ratio 305% ( >50% above state minimums); closed $850 million senior notes due 2031; debt = 3.7x TTM EBITDA; debt-to-cap ~49%.
Operational Discipline on G&A
Adjusted G&A ratio improved modestly: 6.9% in Q4 and 6.5% for full year; 2026 guidance targets 6.4% reflecting cost management and some implementation offsets.
Negative Updates
Large Full-Year EPS Shortfall and Q4 Loss
Full-year adjusted EPS of $11.03 vs initial guidance of $24.50 (nearly half the underperformance attributed to Marketplace); Q4 adjusted loss per share of $2.75; adjusted earnings were roughly $3.00 below expectations for the quarter.
Significant Retroactive Medicaid Items (California)
Unexpected retroactive premium items in California totaled ~$135 million (~$2.00 per share), driving a Q4 MCR impact of ~160 basis points and reducing reported Q4 results; management pulled this conservatively into 2026 guidance.
Elevated Medical Cost Trend in 2025
Medical cost trend rose to 7.5% for 2025 versus initial guidance of 4.5% (250 basis points attributable to acuity shift from redeterminations), materially pressuring margins.
Segment Pressure — Marketplace Disproportionate Impact
Marketplace caused nearly half of the full-year EPS underperformance despite representing ~10% of premium; Q4 Marketplace MCR was 99% (full-year 90.6%), with elevated utilization and prior period provider claim settlements.
Medicare Performance and MAPD Exit
Medicare had elevated utilization (LTSS, high-cost drugs); Q4 Medicare MCR 97.5% (full-year 92.4%); slower-than-expected MAPD margin recovery prompted decision to exit traditional MAPD product in 2027, creating a ~$1.00 per share headwind to 2026 and a projected negative Medicare pretax margin (-1.7% in 2026 guidance).
2026 Guidance Reduction and Known Near-Term Drags
2026 adjusted EPS guidance cut to at least $5 (from prior ~$14 outlook), driven by a $1.50 drag from Florida CMS startup costs, $1.00 from MAPD underperformance, and additional headwinds from higher tax/interest and lower volumes (~$1.50 aggregate headwind called out by management).
Marketplace Contraction and Member Attrition Risk
Planned ~50% decline in Marketplace premium (down ~$2.3 billion) and forecasted end-of-year Marketplace membership decline to ~220,000 (from 650,000); effectuation on new members estimated at ~60%, renewals uncertain, creating execution risk.
Operating Cash Flow Outflow and Reserve/Timing Pressures
Operating cash flow for 2025 was an outflow of ~$535 million due to Medicaid risk corridor settlements, tax timing and weaker H2 performance; days in claims payable ~47 and early reserve build for new contracts increases near-term P&L pressure.
Higher Utilization Across Key Cost Categories
Sustained high trends: pharmacy ~13% (top therapeutic classes up ~35%), behavioral health prevalence ~20% with BH services trending ~18%, professional office visit intensity up ~16%, and LTSS increases — all embedded in management's 5% core trend outlook for 2026.
Debt Metrics and Covenant Actions
Leverage at 3.7x TTM EBITDA and debt-to-cap ~49% required covenant amendments with bank syndicate; exposes sensitivity to earnings recovery timing.
Company Guidance
Molina’s 2026 guidance calls for roughly $42 billion of premium revenue with adjusted EPS of at least $5 (about $7.50 underlying after removing a $1.50 Florida CMS start‑up drag and $1.00 MAPD headwind) and a consolidated pretax margin of ~0.8%; the company expects Medicaid premium of $33.4 billion with an MCR of 92.9%, a 1.2% pretax margin, ~4.6 million year‑end members, rates averaging ~4% vs. medical cost trend of 5% (note every 100 bps on the Medicaid MCR is worth ~ $5 per share), Medicare premium of $6.6 billion with an MCR of 94% and a -1.7% pretax margin (excluding MAPD nearer breakeven) and ~230,000 members, and Marketplace premium of $2.2 billion with an MCR of 85.5%, a 1.7% pretax margin, ~280,000 Q1 members falling to ~220,000 year‑end after a ~50% planned premium reduction (~$2.3B); other bridge metrics include an adjusted G&A ratio of ~6.4%, an effective tax rate of 30%, weighted average shares of 51.1 million, embedded earnings now > $11 per share, two‑thirds of earnings skewed to the first half of the year, and the Florida CMS win (~$6 billion run‑rate) incepting late‑2026 (expected to add ~30 bps MCR pressure in its initial quarter).

Molina Healthcare Financial Statement Overview

Summary
Strong multi-year revenue growth is outweighed by a clear 2025 deterioration in financial quality: profitability compressed sharply (net margin ~1.0% vs ~2.9% in 2024), leverage rose (debt-to-equity ~1.0 vs ~0.69), and operating/free cash flow turned negative (OCF -$535M; FCF -$636M).
Income Statement
62
Positive
Revenue scaled strongly over the last several years (from ~$19.4B in 2020 to ~$45.4B in 2025), showing solid top-line momentum. However, profitability deteriorated materially in the latest year: net margin fell to ~1.0% in 2025 (vs ~2.9% in 2024) and operating margin also compressed, signaling pressure on pricing, medical costs, or operating expenses. Overall, growth is a clear strength, but the sharp margin step-down in 2025 is a key weakness to monitor.
Balance Sheet
58
Neutral
Leverage increased in the latest year, with debt-to-equity rising to ~1.0 in 2025 (up from ~0.69 in 2024), reducing financial flexibility. Returns on equity also fell to ~11.6% in 2025 (from ~26% in 2024), consistent with the earnings decline. The balance sheet is not overstretched, but the trend is moving in the wrong direction as debt rose while equity declined.
Cash Flow
28
Negative
Cash generation weakened sharply in 2025: operating cash flow turned negative (-$535M) and free cash flow also turned negative (-$636M) after positive results in prior years. This reversal is a notable risk because it reduces self-funding capacity and can increase reliance on financing if sustained. While cash flow has historically been solid (strongly positive in 2020–2024), the latest year’s negative swing is a major red flag.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue45.43B40.65B34.07B31.97B27.77B
Gross Profit4.61B4.74B4.33B3.93B3.28B
EBITDA996.00M1.89B1.74B1.35B1.13B
Net Income472.00M1.18B1.09B792.00M659.00M
Balance Sheet
Total Assets15.56B15.63B14.89B12.31B12.21B
Cash, Cash Equivalents and Short-Term Investments4.25B8.99B9.11B7.50B7.64B
Total Debt3.95B3.12B2.38B2.39B2.39B
Total Liabilities11.49B11.13B10.68B9.35B9.58B
Stockholders Equity4.07B4.50B4.21B2.96B2.63B
Cash Flow
Free Cash Flow-636.00M544.00M1.58B682.00M2.04B
Operating Cash Flow-535.00M644.00M1.66B773.00M2.12B
Investing Cash Flow312.00M-464.00M-744.00M-790.00M-1.65B
Financing Cash Flow-170.00M-347.00M-58.00M-441.00M-183.00M

Molina Healthcare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price148.31
Price Trends
50DMA
168.69
Negative
100DMA
166.36
Negative
200DMA
196.74
Negative
Market Momentum
MACD
-8.20
Negative
RSI
43.82
Neutral
STOCH
90.13
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MOH, the sentiment is Negative. The current price of 148.31 is below the 20-day moving average (MA) of 155.23, below the 50-day MA of 168.69, and below the 200-day MA of 196.74, indicating a bearish trend. The MACD of -8.20 indicates Negative momentum. The RSI at 43.82 is Neutral, neither overbought nor oversold. The STOCH value of 90.13 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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
72
Outperform
$75.06B12.7714.40%2.21%16.75%113.48%
65
Neutral
$72.20B13.3213.29%1.99%11.96%-11.11%
55
Neutral
$94.37B55.362.35%3.41%6.71%-90.11%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$20.84B-3.11-28.79%14.92%-286.72%
48
Neutral
$7.64B17.3411.02%13.71%-18.02%
46
Neutral
$21.06B18.426.98%1.38%9.87%-5.58%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MOH
Molina Healthcare
148.31
-136.40
-47.91%
CNC
Centene
42.37
-14.53
-25.54%
CI
Cigna
281.00
-18.19
-6.08%
CVS
CVS Health
74.18
12.67
20.59%
HUM
Humana
174.64
-76.91
-30.57%
ELV
Elevance Health
327.14
-51.66
-13.64%

Molina Healthcare Corporate Events

Business Operations and StrategyFinancial DisclosuresPrivate Placements and Financing
Molina Healthcare Announces Impairment Charge Amid Medicare Shift
Negative
Feb 6, 2026

On February 4, 2026, Molina Healthcare, Inc. amended its existing credit agreement with its lenders and Truist Bank, temporarily easing its quarterly minimum interest coverage ratio from 3.00x to a stepped schedule ranging from 1.75x through 2.75x for reporting periods between the first quarter of 2026 and the third quarter of 2027, which provides the company with additional financial flexibility under its debt covenants. On February 5, 2026, the company determined it will record an estimated non-cash, pre-tax impairment charge of approximately $93 million in the first quarter of 2026 related to certain intangible assets, driven by its decision to exit the Medicare Advantage Prescription Drug product for 2027 as it refocuses its Medicare strategy exclusively on dual-eligible members, with the impairment charge to be excluded from adjusted net income.

The most recent analyst rating on (MOH) stock is a Sell with a $164.00 price target. To see the full list of analyst forecasts on Molina Healthcare stock, see the MOH Stock Forecast page.

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: Feb 07, 2026