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

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MOH

Molina Healthcare

(NYSE:MOH)

Rating:70Outperform
Price Target:
$192.00
▲(4.77% Upside)
Molina Healthcare's overall stock score reflects strong financial performance and attractive valuation, offset by technical indicators suggesting potential short-term weakness and challenges highlighted in the earnings call. The company's ability to manage costs and maintain growth targets amidst rising medical costs will be crucial for future performance.
Positive Factors
Medicaid Rate Advocacy
MOH has strong rate advocacy efforts with state partners to restore Medicaid rates to appropriate levels, potentially improving future financial outcomes.
Medicaid Rate Setting
Management expressed confidence in more appropriate rate setting among the Medicaid cohort, which renews a significant portion of its premium.
Negative Factors
Earnings Guidance
MOH lowered FY25 EPS guidance an additional -14% following a previous revision, indicating increased financial pressure.
Medical Cost Pressures
The company is facing accelerating medical cost pressures across all business lines, impacting financial performance.
Utilization Pressures
Estimates are lowered to reflect MOH's outlook of elevated utilization across all lines of business, especially in HIX.

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
(Q2-2025)
|
% Change Since: |
Next Earnings Date:Oct 22, 2025
Earnings Call Sentiment Negative
Molina Healthcare faced considerable challenges with elevated medical costs impacting multiple segments. Despite maintaining revenue growth and efficient cost management, the downward revision in earnings guidance and persistent cost pressures represent significant hurdles.
Q2-2025 Updates
Positive Updates
Revenue Growth
Molina Healthcare reported approximately $11 billion in total revenue for Q2 2025, with premium revenue at $10.9 billion, maintaining a full-year premium revenue guidance of approximately $42 billion.
Cost Management
Despite a challenging medical cost trend environment, Molina Healthcare managed to achieve a consolidated Medical Cost Ratio (MCR) of 90.4% due to effective medical cost management.
G&A Efficiency
The adjusted G&A ratio was 6.1%, attributed to lower incentive compensation and continued productivity enhancements.
Long-term Growth Prospects
The company remains on track to achieve a premium revenue target of $46 billion in 2026 and at least $52 billion in 2027, driven by growth in current footprints and recent RFP wins.
Negative Updates
Medical Cost Pressures
The company faced significant medical cost pressures, with a consolidated MCR of 90.4%, driven by higher behavioral health costs, high-cost drugs, and increased inpatient and outpatient utilization.
Marketplace Challenges
The Marketplace segment experienced higher-than-expected utilization, resulting in an MCR of 85.4% for Q2. Full-year MCR guidance for this segment increased from 80% to 85%.
Earnings Guidance Revision
Full-year 2025 adjusted EPS guidance was revised down to no less than $19 per share, a $5.50 decrease from the initial guidance of $24.50 due to medical cost trends and marketplace pressures.
Medicaid Underperformance
Medicaid MCR was at 91.3%, above the long-term target range, due to increased costs in behavioral pharmacy, inpatient, and outpatient care.
Company Guidance
During the Molina Healthcare Second Quarter 2025 Earnings Conference Call, the company provided several key metrics and guidance updates. For Q2 2025, Molina reported adjusted earnings per share of $5.48 on $10.9 billion of premium revenue, with a consolidated Medical Cost Ratio (MCR) of 90.4%. The full-year 2025 guidance was revised, projecting premium revenue of approximately $42 billion and an adjusted EPS of no less than $19, down from the initial guidance of $24.50. The company's full-year consolidated MCR is expected to be 90.2%, driven by pressure in the Marketplace segment, which accounts for nearly half of the 140 basis point MCR revision. Medicaid’s full-year MCR is projected at 90.9%, with a pretax margin of 3.6%, while Medicare’s MCR is anticipated to be 90%, with a low single-digit pretax margin. The Marketplace segment is expected to have an MCR of 85% and a pretax margin in the low single digits. Guidance also reflects significant impacts from rising medical costs and utilization trends across segments, with strategic adjustments in rate filings anticipated for 2026. Despite challenges, Molina remains confident in achieving long-term growth targets, projecting premium revenue of $46 billion in 2026 and at least $52 billion in 2027.

Molina Healthcare Financial Statement Overview

Summary
Molina Healthcare shows robust financial performance with strong revenue growth and profitability metrics. The balance sheet is solid with manageable leverage and strong return on equity. However, liquidity management needs attention, and there is room for improvement in operating cash flow generation.
Income Statement
85
Very Positive
Molina Healthcare demonstrates strong revenue growth, with a 7% increase from the previous year in the TTM period. The company maintains solid profitability metrics, including a gross profit margin of 5.3% and a net profit margin of 2.6% for the TTM. While EBIT and EBITDA margins remain robust at 3.8% and 4.3% respectively, there is a slight decline in EBIT compared to the previous year, suggesting potential cost management areas to address.
Balance Sheet
80
Positive
The balance sheet reflects a healthy equity position with an equity ratio of 28.4% in the TTM period, indicating a solid financial footing. The debt-to-equity ratio stands at 0.77, suggesting manageable leverage levels. Return on equity is strong at 24.5%, indicating efficient use of equity capital. However, the decrease in cash and equivalents compared to previous periods highlights a potential liquidity area to monitor.
Cash Flow
78
Positive
The cash flow statement reveals a decline in operating cash flow compared to the previous year, impacting the operating cash flow to net income ratio, which stands at 0.47 in the TTM. Free cash flow to net income ratio is healthy at 0.38, though free cash flow has decreased year-over-year. The company needs to focus on enhancing operating cash flow to maintain financial flexibility.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue43.41B40.65B34.07B31.97B27.77B19.42B
Gross Profit4.75B4.74B4.33B3.93B3.28B2.68B
EBITDA1.85B1.89B1.74B1.35B1.13B1.15B
Net Income1.13B1.18B1.09B792.00M659.00M673.00M
Balance Sheet
Total Assets16.21B15.63B14.89B12.31B12.21B9.53B
Cash, Cash Equivalents and Short-Term Investments8.81B8.99B9.11B7.50B7.64B6.03B
Total Debt3.56B3.12B2.38B2.39B2.39B2.35B
Total Liabilities11.61B11.13B10.68B9.35B9.58B7.44B
Stockholders Equity4.60B4.50B4.21B2.96B2.63B2.10B
Cash Flow
Free Cash Flow427.00M544.00M1.58B682.00M2.04B1.82B
Operating Cash Flow537.00M644.00M1.66B773.00M2.12B1.89B
Investing Cash Flow-24.00M-464.00M-744.00M-790.00M-1.65B-400.00M
Financing Cash Flow-339.00M-347.00M-58.00M-441.00M-183.00M217.00M

Molina Healthcare Technical Analysis

Technical Analysis Sentiment
Negative
Last Price183.25
Price Trends
50DMA
198.26
Negative
100DMA
255.90
Negative
200DMA
279.34
Negative
Market Momentum
MACD
-3.05
Negative
RSI
55.47
Neutral
STOCH
81.59
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 183.25 is above the 20-day moving average (MA) of 167.38, below the 50-day MA of 198.26, and below the 200-day MA of 279.34, indicating a neutral trend. The MACD of -3.05 indicates Negative momentum. The RSI at 55.47 is Neutral, neither overbought nor oversold. The STOCH value of 81.59 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
77
Outperform
$92.78B20.415.95%3.59%6.27%-36.28%
73
Outperform
$71.75B13.5612.48%2.07%10.21%-17.79%
72
Outperform
$80.31B16.4312.31%1.94%20.93%43.98%
71
Outperform
$36.52B23.319.03%1.14%9.88%-7.25%
70
Outperform
$9.80B8.9223.93%16.12%10.99%
63
Neutral
$14.26B7.187.50%12.96%-23.25%
51
Neutral
$7.86B-0.33-41.39%2.23%23.26%-2.03%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
MOH
Molina Healthcare
183.25
-147.99
-44.68%
CNC
Centene
29.62
-43.64
-59.57%
CI
Cigna
300.72
-60.86
-16.83%
CVS
CVS Health
74.09
17.39
30.67%
HUM
Humana
310.06
-56.46
-15.40%
ELV
Elevance Health
322.33
-216.47
-40.18%

Molina Healthcare Corporate Events

Private Placements and FinancingStock Buyback
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.

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 23, 2025