Skip to main content

MOLINA HEALTHCARE, INC.

For the period ended Jun 30, 2025. Filed Jul 24, 2025.

View on SEC.gov

About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Jun 30, 2025 · Filed Jul 24, 2025

MOH$203.35-2.7%Stored close · as of Nov 9, 2026

Extracted filing text, with the paragraph anchors used by the comparison.

See the whole filing, with its images and exhibits

Item 1. Financial Statements

CONSOLIDATED STATEMENTS OF INCOME

Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
(In millions, except per-share amounts)(Unaudited)
Revenue:
Premium revenue$10,868$9,446$21,496$18,950
Premium tax revenue431298819595
Investment income106115214223
Other revenue22214543
Total revenue11,4279,88022,57419,811
Operating expenses:
Medical care costs9,8298,36819,30816,782
General and administrative expenses7116911,4851,402
Premium tax expenses431298819595
Depreciation and amortization584610691
Other25435081
Total operating expenses11,0549,44621,76818,951
Operating income373434806860
Interest expense48289155
Income before income tax expense325406715805
Income tax expense70105162203
Net income$255$301$553$602
Net income per share - Basic$4.75$5.18$10.23$10.38
Net income per share - Diluted$4.75$5.17$10.19$10.33

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
(In millions)(Unaudited)
Net income$255$301$553$602
Other comprehensive gain (loss):
Unrealized investment gain (loss)23162(4)
Less: effect of income taxes5115(1)
Other comprehensive gain (loss), net of tax18—47(3)
Comprehensive income$273$301$600$599

CONSOLIDATED BALANCE SHEETS

June 30,2025December 31,2024
(Dollars in millions,except per-share amounts)
(Unaudited)
ASSETS
Current assets:
Cash and cash equivalents$4,499$4,662
Investments4,3104,325
Receivables3,8653,299
Prepaid expenses and other current assets438487
Total current assets13,11212,773
Property, equipment, and capitalized software, net305288
Goodwill, and intangible assets, net2,1681,938
Restricted investments291286
Deferred income taxes, net185207
Other assets148138
Total assets$16,209$15,630
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable$4,885$4,640
Amounts due government agencies1,8211,874
Accounts payable, accrued liabilities and other1,1131,331
Deferred revenue5751
Total current liabilities7,8767,896
Long-term debt3,3752,923
Finance lease liabilities188195
Other long-term liabilities167120
Total liabilities11,60611,134
Stockholders’ equity:
Common stock, $0.001 par value, 150 million shares authorized; outstanding: 54 million shares at June 30, 2025 and 56 million at December 31, 2024——
Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding——
Additional paid-in capital454462
Accumulated other comprehensive loss(10)(57)
Retained earnings4,1594,091
Total stockholders’ equity4,6034,496
Total liabilities and stockholders’ equity$16,209$15,630

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

Common Stock · AdditionalPaid-inCapital · AccumulatedOtherComprehensive Loss · RetainedEarnings · Total
Outstanding · Amount
(In millions)
(Unaudited)
Balance at December 31, 202456$—$462$(57)$4,091$4,496
Net income————298298
Common stock purchases(2)—(15)—(485)(500)
Stock purchase excise tax——(5)——(5)
Other comprehensive income, net———29—29
Share-based compensation——(8)——(8)
Balance at March 31, 202554—434(28)3,9044,310
Net income————255255
Other comprehensive income, net———18—18
Share-based compensation——20——20
Balance at June 30, 202554$—$454$(10)$4,159$4,603
Common Stock · AdditionalPaid-inCapital · AccumulatedOtherComprehensiveLoss · RetainedEarnings · Total
Outstanding · Amount
(In millions)
(Unaudited)
Balance at December 31, 202358$—$410$(82)$3,887$4,215
Net income————301301
Other comprehensive loss, net———(3)—(3)
Share-based compensation1—(20)——(20)
Balance at March 31, 202459—390(85)4,1884,493
Net income————301301
Share-based compensation——49——49
Balance at June 30, 202459$—$439$(85)$4,489$4,843

CONSOLIDATED STATEMENTS OF CASH FLOWS

Six Months Ended June 30,
20252024
(In millions)(Unaudited)
Operating activities:
Net income$553$602
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation and amortization10691
Deferred income taxes2221
Share-based compensation3068
Other, net—4
Changes in operating assets and liabilities:
Receivables(466)(5)
Prepaid expenses and other current assets1016
Medical claims and benefits payable(50)(48)
Amounts due government agencies(81)(43)
Accounts payable, accrued liabilities and other(301)(307)
Deferred revenue(59)(405)
Income taxes1241
Net cash used in operating activities(112)(5)
Investing activities:
Purchases of investments(421)(594)
Proceeds from sales and maturities of investments717506
Net cash paid in business combinations(245)(295)
Purchases of property, equipment and capitalized software(64)(54)
Other, net182
Net cash provided by (used in) investing activities5(435)
Financing activities:
Proceeds from borrowings under credit facility and term loan650—
Common stock purchases(500)—
Repayment of credit facility and term loan(200)—
Common stock withheld to settle employee tax obligations(36)(56)
Other, net446
Net cash used in financing activities(42)(50)
Net decrease in cash, cash equivalents, and restricted cash and cash equivalents(149)(490)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period4,7414,908
Cash, cash equivalents, and restricted cash and cash equivalents at end of period$4,592$4,418

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

JUNE 30, 2025

  1. Organization and Basis of Presentation

Organization and Operations

Molina Healthcare, Inc. provides managed healthcare services under the Medicaid and Medicare programs, and through the state insurance marketplaces (the “Marketplace”). We currently have four reportable segments consisting of: 1) Medicaid; 2) Medicare; 3) Marketplace; and 4) Other. Our reportable segments are consistent with how we currently manage the business and view the markets we serve.

As of June 30, 2025, we served approximately 5.7 million members eligible for government-sponsored healthcare programs, located across 22 states.

Our state Medicaid contracts typically have terms ofthree years tofive years, contain renewal options exercisable by the state Medicaid agency, and allow either the state or the health plan to terminate the contract with or without cause. Such contracts are subject to risk of loss in states that issue requests for proposal (“RFP”) open to competitive bidding by other health plans. If one of our health plans is not a successful responsive bidder to a state RFP, its contract may not be renewed.

In addition to contract renewal, our state Medicaid contracts may be periodically amended to include or exclude certain health benefits (such as pharmacy services, behavioral health services, or long-term care services); populations such as the aged, blind or disabled (“ABD”); and regions or service areas.

In Medicare, we enter into Medicare Advantage-Part D contracts with the Centers for Medicare and Medicaid Services (“CMS”) annually, and for dual-eligible programs, we enter into contracts with CMS, in partnership with each state’s department of health and human services. Such contracts typically have terms ofone year tothree years.

In Marketplace, we enter into contracts with CMS, which end on December 31 of each year, and must be renewed annually.

Consolidation and Interim Financial Information

The consolidated financial statements include the accounts of Molina Healthcare, Inc. and its subsidiaries. In the opinion of management, these financial statements reflect all normal recurring adjustments, which are considered necessary for a fair presentation of the results as of the dates and for the interim periods presented. All significant intercompany balances and transactions have been eliminated. The consolidated results of operations for the six months ended June 30, 2025 are not necessarily indicative of the results for the entire year ending December 31, 2025.

The unaudited consolidated interim financial statements have been prepared under the assumption that users of the interim financial data have either read or have access to our audited consolidated financial statements for the fiscal year ended December 31, 2024. Accordingly, certain disclosures that would substantially duplicate the disclosures contained in our December 31, 2024, audited consolidated financial statements have been omitted.

Use of Estimates

The preparation of consolidated financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities. Estimates also affect the reported amounts of revenues and expenses during the reporting period. Actual results could differ from these estimates.

  1. Significant Accounting Policies

Cash and Cash Equivalents

Cash and cash equivalents consist of cash and short-term, highly liquid investments that are both readily convertible into known amounts of cash and have a maturity of three months or less on the date of purchase. The following table provides a reconciliation of cash and cash equivalents, and restricted cash and cash equivalents reported within the accompanying consolidated balance sheets that sum to the total of the same such amounts presented in the accompanying consolidated statements of cash flows. The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.

June 30,
20252024
(In millions)
Cash and cash equivalents$4,499$4,354
Restricted cash and cash equivalents9364
Total cash, cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows$4,592$4,418

Receivables

Receivables consist primarily of premium amounts due from government agencies, which are subject to potential retroactive adjustments, as well as pharmacy rebates and other receivables. Government receivables amounted to $2,662 million and $2,223 million at June 30, 2025 and December 31, 2024, respectively. We apply the current expected credit loss model to measure expected credit losses on our receivables based on available information about past events and reasonable and supportable forecasts. Because substantially all of our receivable amounts are readily determinable and substantially all of our creditors are governmental authorities, our allowance for credit losses is insignificant. Any amounts determined to be uncollectible are charged to expense when such determination is made.

Premium Revenue Recognition and Amounts Due Government Agencies

Premium revenue is generated from our contracts with state and federal agencies, in connection with our participation in the Medicaid, Medicare, and Marketplace programs. Premium revenue is generally received based on per member per month (“PMPM”) rates established in advance of the periods covered. These premium revenues are recognized in the month that members are entitled to receive healthcare services, and premiums collected in advance are deferred. Many of our contracts contain provisions that may adjust or limit revenue or profit, as described below. Consequently, we recognize premium revenue as it is earned under such provisions. Liabilities accrued for premiums to be returned under such provisions are reported in the aggregate as “Amounts due government agencies” in the accompanying consolidated balance sheets. State Medicaid programs and the federal Medicare program periodically adjust premium rates, including certain components of premium revenue that are subject to accounting estimates and are described below, and in our 2024 Annual Report on Form 10-K, Note 2, “Significant Accounting Policies,” under “Premium Revenue Recognition and Amounts Due Government Agencies,” and “Quality Incentives.”

Minimum MLR, Medical Cost Corridors and Profit Sharing. A portion of our Medicaid premium revenue may be returned if certain minimum amounts are not spent on defined medical care costs as a percentage of premium revenue, or minimum medical loss ratio (“Minimum MLR”). Under certain medical cost corridor provisions, the health plans may receive additional premiums if amounts spent on medical care costs exceed a defined maximum threshold. This includes remaining risk corridors that were enacted by various states in 2020 in response to the reduced demand for medical services stemming from COVID-19. Our contracts with certain states contain profit sharing provisions under which we refund amounts to the states if our health plans generate profit above a certain specified percentage. In some cases, we are limited in the amount of administrative costs that we may deduct in calculating the refund, if any. We recorded aggregate liabilities under the terms of such contract provisions of $771 million and $1,006 million at June 30, 2025 and December 31, 2024, respectively, to “Amounts due government agencies” in the accompanying consolidated balance sheets.

The Affordable Care Act (“ACA”) established a Minimum MLR of 85% for Medicare. Federal regulations define what constitutes medical costs and premium revenue. If the Minimum MLR is not met, we may be required to pay rebates to the federal government. Our dual-eligible plans may also be subject to state-specific Minimum MLRs, medical cost corridors, and profit-sharing provisions. We recognize estimated rebates as an adjustment to premium revenue in our consolidated statements of income. We recorded a liability under the terms of such contract provisions of $40 million and $32 million at June 30, 2025 and December 31, 2024, respectively, to “Amounts due government agencies” in the accompanying consolidated balance sheets.

The ACA established a Minimum MLR of 80% for the Marketplace. If the Minimum MLR is not met, we may be required to pay rebates to our Marketplace policyholders. The Marketplace risk adjustment program discussed below is taken into consideration when computing the Minimum MLR. We recognize estimated rebates under the Minimum MLR as an adjustment to premium revenue in our consolidated statements of income. We recorded a liability under the terms of such contract provisions of $35 million and $30 million at June 30, 2025 and December 31, 2024, respectively, to “Amounts due government agencies” in the accompanying consolidated balance sheets.

Risk Adjustment. Our Medicare premiums are subject to retroactive increase or decrease based on the health status of our Medicare members (as measured by member risk score). We estimate our members’ risk scores and the related amount of Medicare revenue that will ultimately be realized for the periods presented based on our knowledge of our members’ health status, risk scores and CMS practices. We also estimate amounts owed to CMS for Part D settlements. We recorded a liability under the terms of such contract provisions of $117 million and $115 million at June 30, 2025 and December 31, 2024, respectively, to “Amounts due government agencies” in the accompanying consolidated balance sheets.

Under this program for our Marketplace business, our health plans’ composite risk scores are compared with the overall average risk score for the relevant state and market pool. Generally, our health plans will make a risk adjustment payment into the pool if their composite risk scores are below the average risk score (risk adjustment payable) and will receive a risk adjustment payment from the pool if their composite risk scores are above the average risk score (risk adjustment receivable). We estimate our ultimate premium based on insurance policy year-to-date experience and recognize estimated premiums relating to the risk adjustment program as an adjustment to premium revenue in our consolidated statements of income. As of June 30, 2025, Marketplace risk adjustment payables amounted to $545 million and related receivables amounted to $252 million, for a net payable of $293 million. As of December 31, 2024, Marketplace risk adjustment payables amounted to $290 million and related receivables amounted to $192 million, for a net payable of $98 million.

Premium Deficiency Reserve on Loss Contracts

We assess the profitability of our contracts to determine if it is probable that a loss will be incurred in the future by reviewing current results and forecasts. For purposes of this assessment, contracts are grouped in a manner consistent with our method of acquiring, servicing and measuring the profitability of such contracts. A premium deficiency reserve (“PDR”) is recognized if anticipated future medical care and administrative costs exceed anticipated future premium revenue, investment income and reinsurance recoveries.

Concentrations of Credit Risk

Financial instruments that potentially subject us to concentrations of credit risk consist primarily of cash and cash equivalents, investments, receivables, and restricted investments. Our investments and a portion of our cash equivalents are managed by professional portfolio managers operating under documented investment guidelines. Our portfolio managers must obtain our prior approval before selling investments where the loss position of those investments exceeds certain levels. Our investments consist primarily of investment-grade debt securities with final maturities of less than 15 years, or less than 15 years average life for structured securities. Restricted investments are invested principally in cash, cash equivalents, U.S. Treasury securities, and corporate debt securities. Concentration of credit risk with respect to accounts receivable is limited because our payors consist principally of the federal government, and governments of each state in which our health plan subsidiaries operate.

Income Taxes

The provision for income taxes is determined using an estimated annual effective tax rate, which generally differs from the U.S. federal statutory rate primarily because of tax credits, state taxes, and nondeductible expenses such as certain compensation and other general and administrative expenses.

The effective tax rate may be subject to fluctuations during the year as new information is obtained. Such information may affect the assumptions used to estimate the annual effective tax rate, including projected pretax earnings, the mix of pretax earnings in the various tax jurisdictions in which we operate, valuation allowances against deferred tax assets, the recognition or the reversal of the recognition of tax benefits related to uncertain tax positions, and changes in or the interpretation of tax laws in jurisdictions where we conduct business. We recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of our assets and liabilities, along with net operating loss and tax credit carryovers.

Recent Accounting Pronouncements

Recent accounting pronouncements issued by the Financial Accounting Standards Board (including its Emerging Issues Task Force), the American Institute of Certified Public Accountants, and the Securities and Exchange Commission (“SEC”) did not have, nor does management expect such pronouncements to have, a significant impact on our present or future consolidated financial statements.

  1. Net Income Per Share

The following table sets forth the calculation of basic and diluted net income per share:

Three Months Ended June 30,Six Months Ended June 30,
2025202420252024
(In millions, except net income per share)
Numerator:
Net income$255$301$553$602
Denominator:
Shares outstanding at the beginning of the period53.658.155.057.8
Weighted-average number of shares issued:
Stock-based compensation——0.20.2
Stock purchases——(1.1)—
Denominator for basic net income per share53.658.154.158.0
Effect of dilutive securities: (1)
Stock-based compensation0.10.10.20.3
Denominator for diluted net income per share53.758.254.358.3
Net income per share - Basic (2)$4.75$5.18$10.23$10.38
Net income per share - Diluted (2)$4.75$5.17$10.19$10.33

(1) The dilutive effect of all potentially dilutive common shares is calculated using the treasury stock method. Certain potentially dilutive common shares issuable are not included in the computation of diluted net income per share because to do so would be anti-dilutive. For the three months ended June 30, 2025,133,000 shares were excluded from diluted shares outstanding. For the three and six months ended June 30, 2024,208,000 and 140,000 shares, respectively, were excluded from diluted shares outstanding.

(2) Source data for calculations in thousands.

  1. Business Combinations

ConnectiCare. Effective February 1, 2025, we closed on our acquisition of 100% of the issued and outstanding capital stock of ConnectiCare Holding Company, Inc. (“ConnectiCare”) for $350 million in cash. For this transaction, we applied the acquisition method of accounting, where the total purchase price was preliminarily allocated to the tangible and intangible assets acquired and liabilities assumed, based on their fair values as of the acquisition date. The pro forma effects of this acquisition for prior periods were not material to our consolidated results of operations. Acquisition costs amounted to $3 million in the aggregate for the six months ended June 30, 2025, and were recorded as “General and administrative expenses” in the accompanying consolidated statements of income.

The valuation of the assets acquired and liabilities assumed has not yet been finalized. Further, the finalization of purchase price adjustments as provided in the stock purchase agreement is expected to occur in the first quarter of 2026. As a result, provisional estimates have been recorded and are subject to change, primarily for accounts that include the use of estimates, such as medical claims and benefits payable, receivables, amounts due government agencies, certain acquired intangible assets, and certain tax assets and liabilities.

Goodwill is calculated as the excess of the consideration transferred over the net assets recognized and represents the estimated future economic benefits arising from other assets acquired that could not be individually identified and separately recognized. Such assets include synergies we expect to achieve as a result of the transaction, such as the use of our existing infrastructure to support the added membership, and future economic benefits arising from the assembled workforce. All of the goodwill was assigned to the Marketplace segment and is not deductible for income tax purposes. The following table summarizes the provisional fair values assigned to assets acquired and liabilities assumed, in millions.

Assets acquired:
Current assets$461
Goodwill222
Intangible assets61
Other long-term assets40
Liabilities assumed:
Medical claims and benefits payable(295)
Amounts due government agencies(28)
Accounts payable, accrued and other long-term liabilities(111)
Fair value of net assets acquired$350

The table below presents intangible assets acquired, by major class, for the ConnectiCare acquisition. The weighted-average amortization period, in the aggregate, is 9.8 years.

Fair ValueLife
(In millions)(Years)
Contract rights - member list$367
Trade name1915
Provider network610
$61
  1. Fair Value Measurements

We consider the carrying amounts of current assets and current liabilities to approximate their fair values because of the relatively short period of time between the origination of these instruments and their expected realization or payment. For our financial instruments measured at fair value on a recurring basis, we prioritize the inputs used in measuring fair value according to the three-tier fair value hierarchy. For a description of the methods and assumptions used to: a) estimate the fair value; and b) determine the classification according to the fair value hierarchy for each financial instrument, refer to our 2024 Annual Report on Form 10-K, Note 5, “Fair Value Measurements.”

Our financial instruments measured at fair value on a recurring basis at June 30, 2025, were as follows:

Observable Inputs · Directly or Indirectly Observable Inputs · Unobservable Inputs
Total(Level 1)(Level 2)(Level 3)
(In millions)
Corporate debt securities$2,643$—$2,643$—
Mortgage-backed securities980—980—
Asset-backed securities424—424—
Municipal securities196—196—
U.S. Treasury notes20—20—
Other47—47—
Total assets$4,310$—$4,310$—

Our financial instruments measured at fair value on a recurring basis at December 31, 2024, were as follows:

Observable Inputs · Directly or Indirectly Observable Inputs · Unobservable Inputs
Total(Level 1)(Level 2)(Level 3)
(In millions)
Corporate debt securities$2,744$—$2,744$—
Mortgage-backed securities914—914—
Asset-backed securities431—431—
Municipal securities183—183—
U.S. Treasury notes5—5—
Other48—48—
Total assets$4,325$—$4,325$—

Fair Value Measurements – Disclosure Only

The carrying amounts and estimated fair values of our notes payable are classified as Level 2 financial instruments. Fair value for these securities is determined using a market approach based on quoted market prices for similar securities in active markets or quoted prices for identical securities in inactive markets.

June 30, 2025December 31, 2024
CarryingAmountFair ValueCarryingAmountFair Value
(In millions)
4.375% Notes due 2028$796$782$795$759
3.875% Notes due 2030645603645578
3.875% Notes due 2032743683743648
6.250% Notes due 2033741763740741
Term Loan450450——
Total$3,375$3,281$2,923$2,726
  1. Investments

Available-for-Sale

We consider all of our investments classified as current assets to be available-for-sale. The following tables summarize our current investments as of the dates indicated:

June 30, 2025
Amortized Cost · Gross Unrealized · Estimated Fair Value
Gains · Losses
(In millions)
Corporate debt securities$2,630$28$15$2,643
Mortgage-backed securities1,003629980
Asset-backed securities42523424
Municipal securities19723196
U.S. Treasury notes20——20
Other48—147
Total$4,323$38$51$4,310
December 31, 2024
Amortized Cost · Gross Unrealized · Estimated Fair Value
Gains · Losses
(In millions)
Corporate debt securities$2,769$10$35$2,744
Mortgage-backed securities953241914
Asset-backed securities43526431
Municipal securities188—5183
U.S. Treasury notes5——5
Other50—248
Total$4,400$14$89$4,325

The contractual maturities of our current investments as of June 30, 2025 are summarized below:

Amortized CostEstimatedFair Value
(In millions)
Due in one year or less$602$600
Due after one year through five years1,9581,966
Due after five years through ten years578583
Due after ten years1,1851,161
Total$4,323$4,310

In the six months ended June 30, 2025, and 2024, maturities and redemptions of available-for-sale securities amounted to $654 million and $471 million, respectively, and sales amounted to $63 million and $35 million, respectively. Gross realized gains and losses from sales of available-for-sale securities are calculated under the specific identification method and are included in investment income. Gross realized investment gains were insignificant for the six months ended June 30, 2025 and 2024. Gross realized investment losses were insignificant for the six months ended June 30, 2025. Gross realized investment losses amounted to $3 million in the six months ended June 30, 2024, and were reclassified into earnings from other comprehensive income on a net-of-tax basis.

We have determined that unrealized losses at June 30, 2025, and December 31, 2024, primarily resulted from fluctuating interest rates, rather than a deterioration of the creditworthiness of the issuers. Further, as of June 30, 2025, we do not intend to sell, and it is not likely that we will be required to sell these investments prior to the recovery of their amortized cost basis. Therefore, we determined that an allowance for credit losses was not necessary.

The following table segregates those available-for-sale investments that have been in a continuous loss position for less than 12 months, and those that have been in a continuous loss position for 12 months or more as of June 30, 2025:

In a Continuous Loss Positionfor Less than 12 MonthsIn a Continuous Loss Positionfor 12 Months or More
EstimatedFairValueUnrealizedLossesTotal Number of PositionsEstimatedFairValueUnrealizedLossesTotal Number of Positions
(Dollars in millions)
Corporate debt securities$236$228$594$13286
Mortgage-backed securities165212635927227
Asset-backed securities———107353
Municipal securities———68375
Other———15116
Total$401$4154$1,143$47657

The following table segregates those available-for-sale investments that have been in a continuous loss position for less than 12 months, and those that have been in a continuous loss position for 12 months or more as of December 31, 2024:

In a Continuous Loss Positionfor Less than 12 MonthsIn a Continuous Loss Positionfor 12 Months or More
EstimatedFairValueUnrealizedLossesTotal Number of PositionsEstimatedFairValueUnrealizedLossesTotal Number of Positions
(Dollars in millions)
Corporate debt securities$811$10541$935$25449
Mortgage-backed securities271519740636244
Asset-backed securities84148143573
Municipal securities3812795489
Other———15216
Total$1,204$17813$1,594$72871

Restricted Investments Held-to-Maturity

Pursuant to the regulations governing our state health plan subsidiaries, we maintain statutory deposits and deposits required by government authorities primarily in cash, cash equivalents, U.S. Treasury securities, and corporate debt securities. We also maintain restricted investments as protection against the insolvency of certain capitated providers. The use of these funds is limited as required by regulations in the various states in which we operate, or as needed in the event of insolvency of capitated providers. Therefore, such investments are reported as “Restricted investments” in the accompanying consolidated balance sheets.

We have the ability to hold these restricted investments until maturity and, as a result, we would not expect the value of these investments to decline significantly due to a sudden change in market interest rates. Our held-to-maturity restricted investments are carried at amortized cost, which approximates fair value. Such investments amounted to $291 million at June 30, 2025, of which $261 million will mature in one year or less, $25 million will mature in one through five years, and $5 million will mature after five years.

  1. Medical Claims and Benefits Payable

The following tables present the components of the change in our medical claims and benefits payable for the periods indicated. The amounts presented for “Components of medical care costs related to: Prior years” represent the amount by which our original estimate of medical claims and benefits payable at the beginning of the year varied from the actual liabilities, based on information (principally the payment of claims) developed since those liabilities were first reported.

Six Months Ended June 30, 2025
MedicaidMedicareMarketplaceOtherConsolidated
(In millions)
Medical claims and benefits payable, beginning balance$3,667$722$251$—$4,640
Components of medical care costs related to:
Current year14,8332,8131,8154819,509
Prior years(162)(70)31—(201)
Total medical care costs14,6712,7431,8464819,308
Payments for medical care costs related to:
Current year11,9812,2031,4655115,700
Prior years2,978641284153,918
Total paid14,9592,8441,7496619,618
Acquired balances, net of post-acquisition adjustments—12812542295
Change in non-risk and other payables260———260
Medical claims and benefits payable, ending balance$3,639$749$473$24$4,885
Six Months Ended June 30, 2024
MedicaidMedicareMarketplaceOtherConsolidated
(In millions)
Medical claims and benefits payable, beginning balance$3,444$532$228$—$4,204
Components of medical care costs related to:
Current year13,8702,555876—17,301
Prior years(458)(52)(9)—(519)
Total medical care costs13,4122,503867—16,782
Payments for medical care costs related to:
Current year10,9311,877621—13,429
Prior years2,237728196—3,161
Total paid13,1682,605817—16,590
Acquired balances, net of post-acquisition adjustments—421——421
Change in non-risk and other payables(177)(63)——(240)
Medical claims and benefits payable, ending balance$3,511$788$278$—$4,577

Incurred but not paid (“IBNP”) plus expected development on reported claims as of June 30, 2025 was $3,036 million. IBNP includes the costs of claims incurred as of the balance sheet date which have been reported to us, and our best estimate of the cost of claims incurred but not yet reported to us. Our estimates of medical claims and benefits payable recorded at December 31, 2024, and 2023 developed favorably by approximately $201 million and $519 million as of June 30, 2025, and 2024, respectively.

The favorable prior year development recognized in the six months ended June 30, 2025 was primarily attributable to reserving under moderately adverse conditions, lower than expected utilization of medical services by our members and improved operating performance, mainly in the Medicaid segment. Consequently, the ultimate costs recognized in 2025, as claims payments were processed, were lower than our estimates in 2024.

  1. Debt

The following table summarizes our outstanding debt obligations, all of which are non-current as of the dates reported below:

June 30,2025December 31,2024
(In millions)
Non-current long-term debt:
4.375% Notes due 2028$800$800
3.875% Notes due 2030650650
3.875% Notes due 2032750750
6.250% Notes due 2033750750
Term Loan450—
Deferred debt issuance costs(25)(27)
Total$3,375$2,923

Credit Agreement

On February 19, 2025, we entered into a Third Amendment to our credit agreement (the “Amended Credit Agreement”) which reflects the establishment of a delayed draw commitment (“Term Loan”) in an aggregate principal amount of $500 million. The Term Loan matures on February 19, 2027. The Amended Credit Agreement also includes a revolving credit facility (“Credit Facility”) of $1.25 billion, among other provisions. The Amended Credit Agreement has a term offive years, and all amounts outstanding (other than the Term Loan) will be due and payable on September 20, 2029. Borrowings under the Amended Credit Agreement bear interest based, at our election, on a base rate or other defined rate, plus in each case, the applicable margin. In addition to interest payable on the principal amount of indebtedness outstanding from time to time under the Amended Credit Agreement, we are required to pay a quarterly commitment fee. We have other relationships, including financial advisory and banking, with some parties to the Amended Credit Agreement.

The Amended Credit Agreement contains customary non-financial and financial covenants. As of June 30, 2025, we were in compliance with all financial and non-financial covenants under the Amended Credit Agreement.

In the six months ended June 30, 2025, we borrowed $500 million under the Term Loan and $150 million under the Credit Facility. In the six months ended June 30, 2025, we repaid $50 million under the Term Loan and $150 million under the Credit Facility. As of June 30, 2025, no amount was outstanding under the Credit Facility and $450 million was outstanding under the Term Loan.

Senior Notes

Our senior notes are described below. Each of these notes are senior unsecured obligations of the parent corporation, Molina Healthcare, Inc., and rank equally in right of payment with all existing and future senior debt, and senior to all existing and future subordinated debt of Molina Healthcare, Inc. In addition, each of the indentures governing the senior notes contain customary non-financial covenants and change of control provisions. As of June 30, 2025, we were in compliance with all non-financial covenants in the indentures governing the senior notes.

The indentures governing the senior notes contain cross-default provisions that are triggered upon default by us or any of our subsidiaries on any indebtedness in excess of the amount specified in the applicable indenture.

4.375% Notes due 2028. We have $800 million aggregate principal amount of senior notes (the “4.375% Notes”) outstanding as of June 30, 2025, which are due June 15, 2028, unless earlier redeemed. Interest, at a rate of 4.375% per annum, is payable semiannually in arrears on June 15 and December 15.

3.875% Notes due 2030. We have $650 million aggregate principal amount of senior notes (the “3.875% Notes due 2030”) outstanding as of June 30, 2025, which are due November 15, 2030, unless earlier redeemed. Interest, at a rate of 3.875% per annum, is payable semiannually in arrears on May 15 and November 15.

3.875% Notes due 2032. We have $750 million aggregate principal amount of senior notes (the “3.875% Notes due 2032”) outstanding as of June 30, 2025, which are due May 15, 2032, unless earlier redeemed. Interest, at a rate of 3.875% per annum, is payable semiannually in arrears on May 15 and November 15.

6.250% Notes due 2033. We have $750 million aggregate principal amount of senior notes (the “6.250% Notes due 2033”) outstanding as of June 30, 2025, which are due January 15, 2033, unless earlier redeemed. Interest, at a rate of 6.250% per annum, is payable semiannually in arrears on January 15 and July 15.

  1. Stockholders' Equity

In October 2024, our board of directors authorized the purchase of up to $1 billion of our common stock. This program had superseded the stock purchase program previously approved by our board of directors in September 2023. Under this program, pursuant to a Rule 10b5-1 trading plan, we purchased approximately 1,679,000 shares for $500 million in the first quarter of 2025 (average cost of $297.83 per share). These first quarter purchases exhausted the funds available under the board’s October 2024 $1 billion repurchase authorization.

We have accrued a stock repurchase excise tax of $13 million related to the current and prior year share repurchase programs as of June 30, 2025, located in “Accounts payable, accrued liabilities and other” and “Additional paid-in capital” in the accompanying consolidated balance sheets.

In April 2025, our board of directors newly authorized the purchase of up to an additional $1 billion of our common stock. This new program extends through December 31, 2026. In consultation with the Finance Committee of the Board, the exact timing and amount of any share repurchases shall be determined by management based on market conditions and share price, in addition to other factors, and subject to the restrictions relating to volume, price, and timing under applicable law. No shares have been repurchased to date under this new program.

  1. Segments

We currently have four reportable segments consisting of: 1) Medicaid; 2) Medicare; 3) Marketplace; and 4) Other. Our reportable segments are consistent with how we currently manage the business and view the markets we serve.

The Medicaid, Medicare, and Marketplace segments represent the government-funded or sponsored programs under which we offer managed healthcare services. The Other segment, which is insignificant to our consolidated results of operations, includes long-term services and supports consultative services in Wisconsin and the commercial portion of the business acquired in connection with the ConnectiCare transaction that closed effective February 1, 2025.

The key metrics used to assess the performance of our segments are revenue, margin and medical care ratio (“MCR”). MCR represents the amount of medical care costs as a percentage of premium revenue. Therefore, the underlying margin, or the amount earned by the segments after medical or service costs are deducted from revenue, represents the most important measure of earnings reviewed by management, and is used by our chief executive officer, who is our chief operating decision maker, to review results, assess performance, and allocate resources. Such oversight and decision making includes, among others, pricing, approving capital expenditures, and identifying growth opportunities. We do not report total assets by segment since this is not a metric used to assess segment performance or allocate resources.

Three Months Ended June 30, 2025
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$8,029$1,608$1,200$31$10,868
Service revenue———2222
Revenue from external customers8,0291,6081,2005310,890
Other operating revenues (1)537
Total revenue11,427
Operating Expenses:
Medical care costs7,3321,4471,025259,829
Cost of service revenue———1919
Segment expenses7,3321,4471,025449,848
Other operating expenses (2)1,206
Operating income373
Less: interest expense48
Income before income tax expense$325
Segment Margin:
Medical margin$697$161$175$6$1,039
Service margin———33
Three Months Ended June 30, 2024
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$7,378$1,441$627$—$9,446
Service revenue———2020
Revenue from external customers7,3781,441627209,466
Other operating revenues (1)414
Total revenue9,880
Operating Expenses:
Medical care costs6,6951,224449—8,368
Cost of service revenue———1818
Segment expenses6,6951,224449188,386
Other operating expenses (2)1,060
Operating income434
Less: interest expense28
Income before income tax expense$406
Segment Margin:
Medical margin$683$217$178$—$1,078
Service margin———22
Six Months Ended June 30, 2025
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$16,159$3,076$2,204$57$21,496
Service revenue———4444
Revenue from external customers16,1593,0762,20410121,540
Other operating revenues (1)1,034
Total revenue22,574
Operating Expenses:
Medical care costs14,6712,7431,8464819,308
Cost of service revenue———3838
Segment expenses14,6712,7431,8468619,346
Other operating expenses (2)2,422
Operating income806
Less: interest expense91
Income before income tax expense$715
Segment Margin:
Medical margin$1,488$333$358$9$2,188
Service margin———66
Six Months Ended June 30, 2024
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$14,870$2,883$1,197$—$18,950
Service revenue———4040
Revenue from external customers14,8702,8831,1974018,990
Other operating revenues (1)821
Total revenue19,811
Operating Expenses:
Medical care costs13,4122,503867—16,782
Cost of service revenue———3636
Segment expenses13,4122,5038673616,818
Other operating expenses (2)2,133
Operating income860
Less: interest expense55
Income before income tax expense$805
Segment Margin:
Medical margin$1,458$380$330$—$2,168
Service margin———44

(1)Other operating revenues include premium tax revenue, investment income, and certain other revenue.

(2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, and certain other operating expenses.

  1. Commitments and Contingencies

Legal Proceedings

The healthcare industry is subject to numerous laws and regulations of federal, state, and local governments, as well as various contractual provisions, governing our operations. Compliance with these laws, regulations, and contractual provisions can be subject to government audit, review, and interpretation, as well as regulatory actions. Penalties associated with violations of these laws, regulations, and contractual provisions can include significant fines and penalties, temporary or permanent exclusion from participating in publicly funded programs, a limitation on our ability to market or sell products, the repayment of previously billed and collected revenues, and reputational damage.

We are involved in legal actions in the ordinary course of business including, but not limited to, various employment claims, vendor disputes, and provider claims. Some of these legal actions seek monetary damages, including claims for punitive damages, which may not be covered by insurance. We review legal matters and update our estimates, or range of estimates, of reasonably possible and estimable losses and related disclosures, as necessary. We have accrued liabilities for legal matters for which we deem the loss to be both probable and reasonably estimable. These liability estimates could change as a result of further developments. The outcome of these legal actions are inherently uncertain. An adverse determination in one or more of these pending matters could have a material adverse effect on our consolidated financial position, results of operations, or cash flows.

ContentsView on SEC.gov

The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.