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Molina Healthcare (MOH)
NYSE:MOH
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Molina Healthcare (MOH) AI Stock Analysis

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MOH

Molina Healthcare

(NYSE:MOH)

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Neutral 61 (OpenAI - 4o)
Rating:61Neutral
Price Target:
$172.00
▲(18.38% Upside)
Molina Healthcare's overall stock score is primarily impacted by its strong revenue growth but challenged by profitability and cash flow issues. The technical analysis indicates bearish momentum, which could lead to further price declines. The valuation suggests potential undervaluation, but the lack of a dividend yield may deter some investors.
Positive Factors
Revenue Growth
The expected revenue growth to $46 billion in 2026 reflects strong demand and expansion, particularly through new Medicaid contracts, indicating a robust market position and potential for sustained growth.
Medicaid Segment Performance
The strong performance of the Medicaid segment, with a 3.2% pretax margin, underscores Molina's competitive advantage in managed care services, supporting long-term profitability and stability.
New Contract Wins
Securing new Medicaid contracts in Georgia and Texas and renewing existing ones demonstrates Molina's effective strategy in expanding its footprint, enhancing its competitive position and future revenue streams.
Negative Factors
Profitability Challenges
Decreasing profit margins highlight rising costs and pricing pressures, which could hinder Molina's ability to maintain profitability and affect long-term financial health.
Revised Earnings Guidance
The significant revision in earnings guidance reflects ongoing cost pressures, particularly in the Marketplace segment, which could impact investor confidence and financial performance.
Cash Flow Weakness
Negative cash flow trends indicate potential liquidity challenges, which could limit Molina's ability to invest in growth opportunities and manage financial obligations effectively.

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

Molina Healthcare Business Overview & Revenue Model

Company DescriptionMolina Healthcare, Inc. is a leading provider of managed health care services, focusing primarily on Medicaid and Medicare programs in the United States. The company operates through various segments, including Health Plans, which offer health insurance coverage to low-income individuals and families, and the Molina Marketplace, which provides affordable health insurance options under the Affordable Care Act. With a commitment to improving the health outcomes of its members, Molina Healthcare aims to deliver quality care and services tailored to the unique needs of the communities it serves.
How the Company Makes MoneyMolina Healthcare generates revenue primarily through its Health Plans segment, which receives funding from state and federal government programs. The company contracts with state Medicaid programs to provide managed care services, receiving capitation payments based on the number of enrolled members. Additionally, Molina participates in Medicare Advantage programs, earning premium payments for providing healthcare services to Medicare beneficiaries. Key revenue streams include premiums from Medicaid and Medicare plans, as well as supplemental revenue from additional services such as pharmacy benefits. The company also engages in partnerships with healthcare providers and community organizations to enhance care delivery, which can lead to improved member enrollment and retention, further 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:Main Street Data

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
Negative
Last Price145.30
Price Trends
50DMA
171.42
Negative
100DMA
175.38
Negative
200DMA
242.12
Negative
Market Momentum
MACD
-9.40
Negative
RSI
42.63
Neutral
STOCH
46.99
Neutral
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 145.3 is below the 20-day moving average (MA) of 145.69, below the 50-day MA of 171.42, and below the 200-day MA of 242.12, indicating a bearish trend. The MACD of -9.40 indicates Negative momentum. The RSI at 42.63 is Neutral, neither overbought nor oversold. The STOCH value of 46.99 is Neutral, 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
74
Outperform
$98.89B203.550.63%3.41%6.71%-90.11%
72
Outperform
$72.52B11.9814.65%1.93%16.75%113.48%
68
Neutral
$73.25B13.4812.61%1.93%11.96%-11.11%
63
Neutral
$27.31B21.287.15%1.21%9.87%-5.58%
61
Neutral
$7.47B9.0119.71%13.71%-18.02%
61
Neutral
$18.76B-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
145.30
-151.30
-51.01%
CNC
Centene
38.17
-21.76
-36.31%
CI
Cigna
271.47
-58.72
-17.78%
CVS
CVS Health
77.90
20.40
35.48%
HUM
Humana
229.20
-63.37
-21.66%
ELV
Elevance Health
329.60
-65.92
-16.67%

Molina Healthcare Corporate Events

Molina Healthcare’s Earnings Call: Growth Amid Challenges
Oct 25, 2025

Molina Healthcare’s recent earnings call presented a mixed sentiment, highlighting both achievements and challenges. The company celebrated revenue growth and new contract wins, yet faced significant hurdles in its Marketplace segment, leading to revised earnings guidance due to increased medical costs.

Molina Healthcare’s Q3 2025 Financial Performance Overview
Oct 24, 2025

Molina Healthcare, Inc. is a Fortune 500 company that provides managed healthcare services under the Medicaid and Medicare programs and through state insurance marketplaces. The company is known for its focus on providing quality healthcare to low-income individuals and families.

Stock BuybackPrivate Placements and Financing
Molina Healthcare Amends Credit Agreement for $500M Loan
Neutral
Aug 12, 2025

On August 12, 2025, Molina Healthcare amended its Credit Agreement to include a $500 million Delayed Draw A-2 Commitment, maturing on August 12, 2027. The company plans to use this loan to partially fund its stock repurchase program, addressing timing issues with subsidiary dividends, which may impact its financial strategy and shareholder value.

The most recent analyst rating on (MOH) stock is a Hold with a $341.00 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: Nov 11, 2025