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MOLINA HEALTHCARE, INC.

For the period ended Dec 31, 2025. Filed Feb 10, 2026.

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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2025 · Filed Feb 10, 2026

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

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Notes to Consolidated Financial Statements

  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 December 31, 2025, we served approximately 5.5 million members eligible for government-sponsored healthcare programs, located across 21 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 (“MAPD”) 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 early February 2026, we determined that the MAPD product does not align with our strategic shift to focus exclusively on dual eligible members in Medicare and we intend to exit this product for 2027. This development does not reflect conditions existing as of the December 31, 2025, balance sheet date, but arose subsequently. Therefore, our December 31, 2025, financial statements are not impacted. We will address the accounting impacts in the first quarter of 2026, including an estimated pre-taximpairment charge of approximately $93 million, attributable to intangible assets associated with the MAPD product. Our MAPD contracts represented approximately 117,000 members as of December 31, 2025, and approximately $1,566 million, or 25%, of Medicare segment premium revenue in 2025.

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

Consolidation and Presentation

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 presented. All significant inter-company balances and transactions have been eliminated. Financial information related to subsidiaries acquired during any year is included only for periods subsequent to their acquisition.

Reclassifications

We have reclassified certain 2024 amounts in the components of the net deferred tax asset table in Note 12, “Income Taxes,” to conform to line 2025 presentation. There was no impact on previously reported stockholders’ equity or net income.

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.

December 31,
202520242023
(In millions)
Cash and cash equivalents$4,248$4,662$4,848
Restricted cash and cash equivalents1007960
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows$4,348$4,741$4,908

Investments

Our investments are principally held in debt securities, which are grouped into two separate categories for accounting and reporting purposes: available-for-sale securities and held-to-maturity securities. Available-for-sale (“AFS”) securities are recorded at fair value and unrealized gains and losses, if any, are recorded in stockholders’ equity as other comprehensive income, net of applicable income taxes. Held-to-maturity (“HTM”) securities are recorded at amortized cost, which approximates fair value, and unrealized holding gains or losses are not generally recognized. Realized gains and losses and unrealized losses arising from credit-related factors with respect to AFS and HTM securities are included in the determination of net income. The cost of securities sold is determined using the specific-identification method.

Our investment policy requires that all of our investments have final maturities of less than 15 years, or less than 15 years average life for structured securities. Investments and restricted investments are subject to interest rate risk and will decrease in value if market interest rates increase. Declines in market interest rates over time will reduce our investment income.

In general, our AFS securities are classified as current assets without regard to the securities’ contractual maturity dates because they may be readily liquidated. We monitor our investments for credit-related impairment. For comprehensive discussions of the fair value and classification of our investments, see Note 5, “Fair Value Measurements,” and Note 6, “Investments.”

Accrued interest receivable relating to our AFS and HTM securities is presented within “Prepaid expenses and other current assets” in the accompanying consolidated balance sheets, and amounted to $51 million and $56 million at December 31, 2025, and 2024, respectively. We do not measure an allowance for credit losses on accrued interest receivable. Instead, we write off accrued interest receivable that has not been collected within 90 days of the interest payment due date. We recognize such write-offs as a reversal of investment income. No accrued interest was written off during the years ended December 31, 2025, 2024, and 2023.

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 $2,365 million and $2,223 million at December 31, 2025 and 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.

Business Combinations

We account for business combinations using the acquisition method of accounting, which requires us to recognize the assets acquired and the liabilities assumed at their acquisition date fair values. As discussed below, the excess of the purchase consideration transferred over the fair value of the net tangible and intangible assets acquired is recorded as goodwill. While we use our best estimates and assumptions to accurately value assets acquired and liabilities assumed at the acquisition date, our estimates are inherently uncertain and subject to refinement. As a result, during the measurement period, which may be up to one year from the acquisition date, we may record adjustments to the assets acquired and liabilities assumed with the corresponding offset to goodwill. Measurement period adjustments are recorded in the period in which they are determined, as if they had been completed at the acquisition date. Upon the conclusion of the final determination of the values of assets acquired or liabilities assumed, or one year after the date of acquisition, whichever comes first, any subsequent adjustments are recorded within our consolidated results of operations.

Refer to Note 4, “Business Combinations,” and Note 9, “Goodwill and Intangible Assets, Net,” for further details.

Long-Lived Assets, including Intangible Assets

Long-lived assets consist primarily of property, equipment, capitalized software (see Note 7, “Property, Equipment, and Capitalized Software, Net”), and intangible assets resulting from acquisitions. Long-lived assets are subject to impairment tests when events or circumstances indicate that the asset’s (or asset group’s) carrying value may not be recoverable. Finite-lived, separately-identified intangible assets acquired in business combinations are assets that represent future expected benefits but lack physical substance (such as purchased contract rights and provider contracts). Intangible assets are initially recorded at fair value and are then amortized on a straight-line basis over their expected useful lives, generally between five and 16 years.

Determining the useful life of an intangible asset also requires judgment, as different types of intangible assets will have different useful lives. The most significant intangible asset we typically record in a business combination is contract rights associated with membership acquired. In determining the estimated fair value of the intangible assets, we typically apply the income approach, which discounts the projected future net cash flows using an appropriate discount rate that reflects the risk associated with such projected future cash flows. The most critical assumptions used in determining the fair value of contract rights include forecasted operating margins and the weighted average cost of capital.

Our intangible assets are subject to impairment tests when events or circumstances indicate that a finite-lived intangible asset’s (or asset group’s) carrying value may not be recoverable. Consideration is given to a number of potential impairment indicators, including the ability of our health plan subsidiaries to obtain the renewal by amendment of their contracts in each state prior to the actual expiration of their contracts. However, there can be no assurance that these contracts will continue to be renewed. Following the identification of any potential impairment indicators, to determine whether an impairment exists, we would compare the carrying amount of a finite-lived intangible asset with the greater of the undiscounted cash flows that are expected to result from the use of the asset or related group of assets, or its value under the asset liquidation method. If it is determined that the carrying amount of the asset is not recoverable, the amount by which the carrying value exceeds the estimated fair value is recorded as an impairment. Determining the fair value of separately identifiable intangible assets requires management to make estimates, which are based on all available information and in some cases assumptions with respect to the timing and amount of future revenues and expenses associated with an asset. Refer to Note 9, “Goodwill and Intangible Assets, Net,” for further details.

Goodwill

Goodwill represents the excess of the purchase consideration over the fair value of net assets acquired in business combinations. Goodwill is not amortized but is tested for impairment at the reporting unit level on an annual basis, and more frequently if impairment indicators are present. Impairment indicators may include declines, or expected declines, in operating performance or cash-flows, significant losses of membership, state funding, or state contracts, adverse regulatory changes, or other declines in market conditions, such as a decline in the company’s market capitalization. Goodwill is impaired if the carrying amount of a reporting unit exceeds its estimated fair value. This excess is recorded as an impairment loss and adjusted if necessary for the impact of tax-deductible goodwill. The loss recognized may not exceed the total goodwill allocated to the reporting unit.

When testing goodwill for impairment, we may first assess qualitative factors, such as industry and market factors, the dynamic economic and political environments in which we operate, cost factors, or any of the potential impairment indicators noted above, to determine if it is more likely than not that the carrying value of our reporting units exceed their estimated fair values. If our qualitative assessment indicates that it is more likely than not that the carrying value of a reporting unit exceeds its estimated fair value, we perform the quantitative assessment. We may also elect to bypass the qualitative assessment and proceed directly to the quantitative assessment.

If performing a quantitative assessment, we generally estimate the fair values of our reporting units by applying the income approach, using discounted cash flows. The assumptions used in the reporting units’ discounted cash flows are derived from the annual financial planning process, which commences in the fourth quarter of the year, and our long-range business planning process. We also consider a market approach using the guideline public company comparable information to estimate our reporting units’ fair values. Due to the recent decline in market conditions and our operating performance, mainly driven by a temporal imbalance between premium rates and medical trend, potential adverse implications from the One Big Beautiful Bill Act in July 2025, and a decline in our market capitalization, we bypassed the qualitative assessment and performed a quantitative assessment of the goodwill related to our reporting units in the fourth quarter of 2025. As a result of the assessment, we determined that the estimated fair values of our reporting units continue to exceed their carrying value with significant excess, and no impairment to goodwill was required.

Leases

Right-of-use (“ROU”) assets represent our right to use the underlying assets over the lease term, and lease liabilities represent our obligation for lease payments arising from the related leases. ROU assets and lease liabilities are recognized at the lease commencement date based on the present value of lease payments over the lease term. Lease terms may include options to extend or terminate the lease when we believe it is reasonably certain that we will exercise such options. If applicable, we account for lease and non-lease components within a lease as a single lease component.

Because most of our leases do not provide an implicit interest rate, we generally use our incremental borrowing rate to determine the present value of lease payments. Lease expenses for operating lease payments are recognized on a straight-line basis over the lease term, and the related ROU assets and liabilities are reduced to the present value of the remaining lease payments at the end of each period. Finance lease payments reduce finance lease liabilities, the related ROU assets are amortized on a straight-line basis over the lease term, and interest expense is recognized using the effective interest method.

The significant majority of our operating leases consist of long-term operating leases for office space. Short-term leases (those with terms of 12 months or less) are not recorded as ROU assets or liabilities in the consolidated balance sheets. For certain leases that represent a portfolio of similar assets, such as a fleet of vehicles, we apply a portfolio approach to account for the related ROU assets and liabilities, rather than account for such assets and the related liabilities individually. A nominal number of our lease agreements include rental payments that adjust periodically for inflation. Our lease agreements do not contain any material residual value guarantees or material restrictive covenants. Refer to Note 8, “Leases,” for further details.

Medical Claims and Benefits Payable

Medical care costs are recognized in the period in which services are provided and include fee-for-service claims, pharmacy benefits, capitation payments to providers, and various other medically-related costs. Under fee-for-service claims arrangements with providers, we retain the financial responsibility for medical care provided and incur costs based on actual utilization of hospital and physician services. Such medical care costs include both amounts paid by us and estimated medical claims and benefits payable for costs that were incurred but not yet paid as of the reporting date (“IBNP”). Pharmacy benefits represent payments for members' prescription drug costs, net of rebates from drug manufacturers, with rebates estimated using historical and current prescription drug utilization and contractual provisions. Capitation payments represent monthly contractual fees paid to providers responsible for providing medical care to members, which could include medical or ancillary costs like dental, vision and other supplemental health benefits. Capitation costs are fixed prior to the coverage period and are not subject to significant accounting estimates. Other medical care costs include all medically-related administrative costs, amounts owed to providers under risk-sharing or incentive arrangements, provider claims, recoveries from claim overpayments, and other healthcare expenses. Medically-related administrative costs include expenses relating to health education, quality assurance, case management, care coordination, disease management, and 24-hour on-call nurse services. Additionally, our medical claims and benefit liability includes an estimate for the cost of settling claims incurred but not yet paid through the reporting date.

Medical claims and benefits payable consist mainly of fee-for-service IBNP, unpaid pharmacy claims, capitation costs, other medical costs, including amounts payable to providers based on risk-sharing or incentive arrangements, and amounts payable to providers on behalf of certain state agencies for certain state assessments where we do not assume financial risk. IBNP includes both the costs of claims incurred but not yet paid as of the balance sheet date which has been reported to us, and our best estimate of the cost of claims incurred but not yet reported to us. When more complete claims payment information and healthcare cost trend data becomes available, we reflect changes in these estimates as an increase or decrease to medical care costs in the consolidated results of operations in the period in which they are determined.

The estimation of the IBNP liability requires considerable judgment in applying actuarial methods, determining the appropriate assumptions, and considering numerous factors. Of those factors, we consider estimated completion factors and the assumed healthcare cost trend to be the most critical assumptions. Other relevant factors also include, but are not limited to, utilization and unit cost trends, claim inventory levels, changes in membership, product mix, seasonality, benefit changes, changes in fee schedules, provider contract changes, prior authorizations, prevalence of high-cost catastrophic cases, and the incidence of influenza-like illnesses.

Because of the significant degree of judgment involved in estimation of our IBNP liability, there is considerable variability and uncertainty inherent in such estimates. Each reporting period, the recognized IBNP liability represents our best estimate of the total amount of unpaid claims incurred as of the balance sheet date using a consistent methodology in estimating our IBNP liability, including a provision for moderately adverse conditions for each current period. We believe our current estimates are reasonable and adequate; however, the development of our estimate is a continuous process that we monitor and update as more complete claims payment information and healthcare cost trend data becomes available. Actual medical care costs may be less than we previously estimated (favorable development) or more than we previously estimated (unfavorable development), and any differences could be material. Any adjustments to reflect favorable development would be recognized as a decrease to medical care costs, and any adjustments to reflect unfavorable development would be recognized as an increase to medical care costs, in the period in which the adjustments are determined.

Refer to Note 10, “Medical Claims and Benefits Payable,” for a table presenting the components of the change in our medical claims and benefits payable, for all periods presented in the accompanying consolidated financial statements.

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 further discussed below.

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. 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 $457 million and $1,006 million at December 31, 2025 and 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 $28 million and $32 million at December 31, 2025 and 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 $12 million and $30 million at December 31, 2025 and 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 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 $66 million and $115 million at December 31, 2025 and 2024, respectively, to“Amounts due government agencies” in the accompanying consolidated balance sheets.

Our Marketplace premiums are also subject to increases based on the health status of members. 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 December 31, 2025, Marketplace risk adjustment payables amounted to $517 million and related receivables amounted to $106 million, for a net payable of $411 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.

Other Premium Adjustments. State Medicaid programs periodically adjust premium revenues on a retroactive basis for rate changes and changes in membership and eligibility data. In certain states, adjustments are made based on the health status of our members (as measured through a risk score). In these cases, we adjust our premium revenue in the period in which we determine that the adjustment is probable and reasonably estimable, based on our best estimate of the ultimate premium we expect to realize for the period being adjusted.

Quality Incentives

At many of our health plans, revenue ranging from approximately 1% to 4% of certain health plan premiums is earned only if certain performance measures are met. Such performance measures are generally found in our Medicaid and MMP contracts. Quality incentive premium revenue is recognized when it is earned under such provisions.

Reinsurance

We bear underwriting and reserving risks associated with our health plan subsidiaries. In certain cases, we limit our risk of significant catastrophic losses by maintaining high deductible reinsurance coverage with a highly-rated, unaffiliated insurance company (the “third-party reinsurer”). Because we remain liable for losses in the event the third-party reinsurer is unable to pay its portion of the losses, we continually monitor the third-party reinsurer’s financial condition, including its ability to maintain high credit ratings.

We report reinsurance premiums as a reduction to premium revenue, while related reinsurance recoveries are reported as a reduction to medical care costs. In certain cases, we participate in state-run reinsurance programs for which no reinsurance premium is paid. Reinsurance premiums amounted to $10 million, $8 million, and $11 million for the years ended December 31, 2025, 2024, and 2023, respectively. Reinsurance recoveries amounted to $31 million, $20 million, and $21 million for the years ended December 31, 2025, 2024, and 2023, respectively. Reinsurance recoverable of $31 million, and $21 million, as of December 31, 2025, and 2024, respectively, is included in “Receivables” in the accompanying consolidated balance sheets.

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.

Income Taxes

We account for income taxes under the asset and liability method. Deferred tax assets and liabilities are determined based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates expected to be in effect during the year in which the basis differences reverse. Valuation allowances are established when management determines it is more likely than not that some portion, or all, of the deferred tax assets will not be realized. For further discussion and disclosure, see Note 12, “Income Taxes.”

Premium Taxes

Certain of our health plans are assessed a tax based on premium revenue collected. The premium revenues we receive from these states include reimbursement for the premium tax assessment. We have reported these taxes on a gross basis, as premium tax revenue and as premium tax expenses in the consolidated statements of income.

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.

Risks and Uncertainties

Our profitability depends in large part on our ability to accurately predict and effectively manage medical care costs. We continually review our medical costs in light of our underlying claims experience and revised actuarial data. However, several factors could adversely affect medical care costs. These factors, which include changes in healthcare practices, inflation, new technologies, major epidemics, natural disasters, and malpractice litigation, are beyond our control and may have an adverse effect on our ability to accurately predict and effectively control medical care costs. Costs in excess of those anticipated could have a material adverse effect on our financial condition, results of operations, or cash flows.

We operate health plans primarily as a direct contractor with the states, and in Los Angeles County, California, as a subcontractor to another health plan holding a direct contract with the state. We are therefore dependent upon a relatively small number of contracts to support our revenue. The loss of any one of those contracts could have a material adverse effect on our financial position, results of operations, or cash flows. In addition, our ability to arrange for the provision of medical services to our members is dependent upon our ability to develop and maintain adequate provider networks. Our inability to develop or maintain such networks might, in certain circumstances, have a material adverse effect on our financial position, results of operations, or cash flows.

Significant Customers

We receive the majority of our revenues under contracts or subcontracts with state Medicaid managed care programs, which are considered individual external customers. Instances where these contracts were at least 10% of our total premium revenue for the year ended December 31, 2025 were California with 10%, Texas with 13%, and Washington with 10%.

Recent Accounting Pronouncements

In December 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2023-09, Improvements to Income Tax Disclosures, which requires incremental income tax disclosures on an annual basis for all public entities. The amendments require that public business entities disclose specific categories in the rate reconciliation and provide additional information for reconciling items meeting a quantitative threshold. The amendments also require disclosure of income taxes paid to be disaggregated by jurisdiction, and disclosure of income tax expense disaggregated by federal, state, and foreign. ASU 2023-09 is effective for annual reporting beginning with the fiscal year ended December 31, 2025. We have adopted this ASU, with the incremental disclosures presented in Note 12, “Income Taxes”.

In November 2024, the FASB issued ASU 2024-03, Disaggregation of Income Statement Expenses, which will require disclosure of additional information about specific expense categories in the notes to financial statements for all public business entities. ASU 2024-03 is effective for annual reporting beginning with the fiscal year ending December 31, 2027, and for interim periods thereafter. Early adoption is permitted. We are currently evaluating the incremental disclosures that will be required in the footnotes to our consolidated financial statements.

In September 2025, the FASB issued ASU 2025-06, Targeted Improvements to the Accounting for Internal-Use Software, which modernizes the accounting for internal-use software costs to better align with the way that software is currently developed. The update removes all reference to the project stages of software development and establishes two criteria that must be met to begin capitalizing software costs. ASU 2025-06 is effective for annual reporting beginning with the fiscal year ending December 31, 2028, and for interim periods therein. It can be adopted using a prospective, modified, or retrospective approach, and early adoption is permitted. We are currently evaluating the impact of the update to our consolidated financial statements.

Other recent accounting pronouncements issued by the FASB (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:

Year Ended December 31,
202520242023
(In millions, except net income per share)
Numerator:
Net income$472$1,179$1,091
Denominator:
Shares outstanding at the beginning of the period55.057.857.4
Weighted-average number of shares issued:
Stock purchases(2.4)(0.6)—
Stock-based compensation0.20.20.3
Denominator for basic net income per share52.857.457.7
Effect of dilutive securities: (1)
Stock-based compensation0.10.30.4
Denominator for diluted net income per share52.957.758.1
Net income per share - Basic (2)$8.93$20.52$18.91
Net income per share - Diluted (2)$8.92$20.42$18.77

(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 have been anti-dilutive. For the years ended December 31, 2025 and 2024,358,000 and 108,000 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 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 year ended December 31, 2025, and were recorded as “General and administrative expenses” in the accompanying consolidated statements of income.

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. We allocated goodwill in the amounts of $67 million to the Medicare segment and $220 million to the Marketplace segments. The goodwill is not deductible for income tax purposes. The following table summarizes the fair values assigned to assets acquired and liabilities assumed, in millions.

Assets acquired:
Current assets$474
Goodwill287
Intangible assets61
Other long-term assets62
Liabilities assumed:
Medical claims and benefits payable(379)
Amounts due government agencies(43)
Accounts payable, accrued and other long-term liabilities(112)
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 a three-tier fair value hierarchy as follows:

Level 1 — Observable Inputs. Level 1 financial instruments are actively traded and therefore the fair value for these securities is based on quoted market prices for identical securities in active markets.

Level 2 — Directly or Indirectly Observable Inputs. Fair value for these investments is determined using a market approach based on quoted prices for similar securities in active markets or quoted prices for identical securities in inactive markets.

Level 3 — Unobservable Inputs. Level 3 financial instruments are valued using unobservable inputs that represent management’s best estimate of what market participants would use in pricing the financial instrument at the measurement date.

Our financial instruments measured at fair value on a recurring basis at December 31, 2025, were as follows:

TotalLevel 1Level 2Level 3
(In millions)
Corporate debt securities$2,465$—$2,465$—
Mortgage-backed securities953—953—
Asset-backed securities364—364—
Municipal securities159—159—
U.S. Treasury notes20—20—
Other47—47—
Total assets$4,008$—$4,008$—

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

TotalLevel 1Level 2Level 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.

December 31, 2025December 31, 2024
CarryingAmountFair ValueCarryingAmountFair Value
(In millions)
4.375% Notes due 2028$797$786$795$759
3.875% Notes due 2030646603645578
6.500% Notes due 2031838873——
3.875% Notes due 2032744682743648
6.250% Notes due 2033741764740741
Total$3,766$3,708$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:

December 31, 2025
AmortizedCost · GrossUnrealized · EstimatedFair Value
Gains · Losses
(In millions)
Corporate debt securities$2,437$35$7$2,465
Mortgage-backed securities9631121953
Asset-backed securities36332364
Municipal securities15821159
U.S. Treasury notes20——20
Other471147
Total$3,988$52$32$4,008
December 31, 2024
AmortizedCost · GrossUnrealized · EstimatedFair 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

Expected maturities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties. The contractual maturities of our current investments as of December 31, 2025 are summarized below:

AmortizedCostEstimatedFair Value
(In millions)
Due in one year or less$584$584
Due after one year through five years1,6561,675
Due after five years through ten years612623
Due after ten years1,1361,126
Total$3,988$4,008

In the years ended December 31, 2025, 2024, and 2023, maturities and redemptions of available-for-sale securities amounted to $1,181 million, $1,012 million, and $513 million, respectively, and sales amounted to $227 million, $99 million, and $259 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 and losses were insignificant in the years ended December 31, 2025, 2024 and 2023.

We have determined that unrealized losses at December 31, 2025, 2024 and 2023 primarily resulted from fluctuating interest rates, rather than a deterioration of the creditworthiness of the issuers. Further, as of December 31, 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 December 31, 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$106$183$372$6205
Mortgage-backed securities———31521212
Asset-backed securities———80241
Municipal securities———42149
Other———14116
Total$106$183$823$31523

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, and totaled $299 million and $286 million at December 31, 2025 and 2024, respectively.

We have the intent and ability to hold these restricted investments until maturity, and as a result, we expect to collect the contractual cash flows associated with these investments and do not recognize interim fluctuations in fair value. Accordingly, our held-to-maturity restricted investments are carried at amortized cost, which approximates fair value, of which $261 million will mature in one year or less, $34 million will mature in one through five years, and $4 million will mature after five years.

The following table presents the balances of restricted investments:

December 31,
20252024
(In millions)
Cash and cash equivalents$100$79
U.S. Treasury notes186191
Corporate debt and other securities1316
Total restricted investments$299$286
  1. Property, Equipment, and Capitalized Software, Net

Property and equipment are stated at historical cost. Replacements and major improvements are capitalized, and repairs and maintenance are charged to expense as incurred. Software developed for internal use is capitalized. Property and equipment are generally depreciated using the straight-line method over estimated useful lives ranging from three toseven years. Software is generally amortized over its estimated useful life ofthree years. Leasehold improvements are amortized over the term of the lease, or over their useful lives from five to 10 years, whichever is shorter. Buildings are depreciated over their estimated useful lives of 31.5 to 40 years.

A summary of property, equipment, and capitalized software is as follows:

December 31,
20252024
(In millions)
Capitalized software$876$788
Property and equipment200205
Building and improvements3835
Land11
Total cost1,1151,029
Less: accumulated amortization - capitalized software(681)(612)
Less: accumulated depreciation and amortization - property, equipment, building, and improvements(194)(194)
Total accumulated depreciation and amortization(875)(806)
ROU assets - finance leases6165
Property, equipment, and capitalized software, net$301$288

The following table presents all depreciation and amortization recognized in our consolidated statements of income:

Year Ended December 31,
202520242023
(In millions)
Amortization of intangible assets$91$82$85
Amortization of capitalized software776958
Amortization of finance leases201918
Depreciation and amortization of property, equipment, building, and improvements71610
Total depreciation and amortization$195$186$171
  1. Leases

We are a party to operating and finance leases primarily for our corporate and health plan offices. Our operating leases have remaining lease terms up to 21 years, some of which include options to extend the leases for up to 10 years. As of December 31, 2025, the weighted average remaining operating lease term is 8 years.

Our finance leases have remaining lease terms up to 13 years, some of which include options to extend the leases for up to 25 years. As of December 31, 2025, the weighted average remaining finance lease term is 10 years.

As of December 31, 2025, the weighted-average discount rate used to compute the present value of lease payments was 5.2% for operating lease liabilities, and 6.5% for finance lease liabilities. The components of lease expense for the years ended December 31, 2025, 2024, and 2023 are presented in the following table.

Year Ended December 31,
202520242023
(In millions)
Operating lease expense$12$14$15
Finance lease expense:
Amortization of ROU assets$20$19$18
Interest on lease liabilities141515
Total finance lease expense$34$34$33

Supplemental consolidated cash flow information related to leases follows:

Year Ended December 31,
202520242023
(In millions)
Cash used in operating activities:
Operating leases$19$24$28
Finance leases141515
Cash used in financing activities:
Finance leases262424
ROU assets recognized in exchange for lease obligations:
Operating leases11512
Finance leases161713

Supplemental information related to leases, including location of amounts reported in the accompanying consolidated balance sheets, follows:

December 31,
20252024
(In millions)
Operating leases:
ROU assets
Other assets$30$35
Lease liabilities
Accounts payable and accrued liabilities (current)$15$15
Other long-term liabilities (non-current)5668
Total operating lease liabilities$71$83
Finance leases:
ROU assets
Property, equipment, and capitalized software, net$61$65
Lease liabilities
Accounts payable and accrued liabilities (current)$25$23
Finance lease liabilities (non-current)184195
Total finance lease liabilities$209$218

Maturities of lease liabilities as of December 31, 2025, were as follows:

Operating · Finance
Leases · Leases
(In millions)
2026$18$38
20271133
2028828
2029725
2030718
Thereafter37151
Subtotal - undiscounted lease payments88293
Less imputed interest(17)(84)
Total$71$209
  1. Goodwill and Intangible Assets, Net

Goodwill

The following table presents the changes in the carrying amounts of goodwill by segment, for the periods presented.

MedicaidMedicareMarketplaceOtherConsolidated
(In millions)
Balance, December 31, 2023$994$203$—$44$1,241
Acquisitions and measurement period adjustments—430——430
Balance, December 31, 2024994633—441,671
Acquisitions and measurement period adjustments—67220—287
Balance, December 31, 2025$994$700$220$44$1,958

The changes in the carrying amounts of both goodwill and intangible assets, net, in 2025, were due to the acquisition described in Note 4, “Business Combinations.”

Intangible Assets, Net

The following table provides the details of identified intangible assets, by major class, for the periods presented.

December 31, 2025December 31, 2024
CostAccumulatedAmortizationCarrying AmountCostAccumulatedAmortizationCarrying Amount
(In millions)
Contract rights and licenses$660$504$156$624$429$195
Trade names731855541242
Provider networks704426643430
Total$803$566$237$742$475$267

As of December 31, 2025, we estimate that our intangible asset amortization will be approximately $46 million in 2026, $35 million in 2027, $27 million in 2028 and 2029, and $26 million in 2030.

  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.

Year Ended December 31, 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 year29,6935,8144,0037639,586
Prior years(105)(54)61—(98)
Total medical care costs29,5885,7604,0647639,488
Payments for medical care costs related to:
Current year26,5445,2713,6098035,504
Prior years3,110697327204,154
Total paid29,6545,9683,93610039,658
Acquired balances, net of post-acquisition adjustments—17316838379
Change in non-risk and other provider payables371——38
Medical claims and benefits payable, ending balance$3,638$688$547$14$4,887
Year Ended December 31, 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 year28,2115,0001,892—35,103
Prior years(611)(61)(3)—(675)
Total medical care costs27,6004,9391,889—34,428
Payments for medical care costs related to:
Current year24,9504,4641,646—31,060
Prior years2,258761220—3,239
Total paid27,2085,2251,866—34,299
Acquired balances, net of post-acquisition adjustments—476——476
Change in non-risk and other provider payables(169)———(169)
Medical claims and benefits payable, ending balance$3,667$722$251$—$4,640
Year Ended December 31, 2023
MedicaidMedicareMarketplaceOtherConsolidated
(In millions)
Medical claims and benefits payable, beginning balance$2,815$452$261$—$3,528
Components of medical care costs related to:
Current year23,7493,8021,545—29,096
Prior years(395)(11)(21)—(427)
Total medical care costs23,3543,7911,524—28,669
Payments for medical care costs related to:
Current year20,9993,2931,323—25,615
Prior years2,069431234—2,734
Total paid23,0683,7241,557—28,349
Acquired balances, net of post-acquisition adjustments8214——96
Change in non-risk and other provider payables261(1)——260
Medical claims and benefits payable, ending balance$3,444$532$228$—$4,204

Incurred but not paid (“IBNP”) plus expected development on reported claims as of December 31, 2025 was $3,211 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, 2023 and 2022 developed favorably by approximately $98 million, $675 million and $427 million in 2025, 2024 and 2023, respectively.

The favorable prior year development recognized in 2025 was primarily attributable to lower than expected utilization of medical services by our members. On a consolidated basis, the ultimate costs recognized in 2025, as claims payments were processed, were lower than our estimates in 2024; however, medical costs in our Marketplace segment were higher than our original estimates. Consequently, the ultimate costs recognized in 2025 for Marketplace, as claims payments were processed, were higher than our estimates in 2024 due to higher than expected utilization.

The favorable prior year development recognized in 2024 was primarily due to lower than expected utilization of medical services by our members and improved operating performance, including claim payment recoveries related to prior year dates of service, mainly in the Medicaid segment. Consequently, the ultimate costs recognized in 2024, as claims payments were processed, were lower than our estimates in 2023.

The favorable prior year development recognized in 2023 was primarily due to lower than expected utilization of medical services by our members and improved operating performance, including claim payment recoveries related to prior year dates of service, mainly in the Medicaid segment. Consequently, the ultimate costs recognized in 2023, as claims payments were processed, were lower than our estimates in 2022.

The following tables provide information about our consolidated incurred and paid claims development as of December 31, 2025, as well as cumulative claims frequency and the total of incurred but not paid claims liabilities. The pattern of incurred and paid claims development is consistent across each of our segments. The cumulative claim frequency is measured by claim event, and includes claims covered under capitated arrangements.

Incurred Claims and Allocated Claims Adjustment Expenses · Total IBNP · Cumulative number of reported claims
Benefit Year · 2023 · 2024 · 2025
(Unaudited) · (Unaudited)
(In millions)
2023$29,497$28,939$28,909$24137
202435,27435,23495140
202539,5863,088143
$103,729$3,207
Cumulative Paid Claims and Allocated Claims Adjustment Expenses
Benefit Year · 2023 · 2024 · 2025
(Unaudited) · (Unaudited)
(In millions)
2023$25,615$28,887$28,885
202431,06035,232
202535,504
$99,621

The following table represents a reconciliation of claims development to the aggregate carrying amount of the liability for medical claims and benefits payable.

(In millions)
Incurred claims and allocated claims adjustment expenses$103,729
Less: cumulative paid claims and allocated claims adjustment expenses(99,621)
All outstanding liabilities before 20234
Acquired balances379
Non-risk and other provider payables396
Medical claims and benefits payable$4,887
  1. Debt

The following table summarizes our outstanding debt obligations:

December 31,
20252024
(In millions)
Non-current long-term debt:
4.375% Notes due June 15, 2028$800$800
3.875% Notes due November 15, 2030650650
6.500% Notes due February 15, 2031850—
3.875% Notes due May 15, 2032750750
6.250% Notes due January 15, 2033750750
Deferred debt issuance costs(34)(27)
Total$3,766$2,923

Contractual maturities of the principal amounts of our outstanding debt obligations, as of December 31, 2025, are illustrated in the following table.

Total20262027202820292030Thereafter
(In millions)
4.375% Notes due 2028$800$—$—$800$—$—$—
3.875% Notes due 2030650————650—
6.500% Notes due 2031850—————850
3.875% Notes due 2032750—————750
6.250% Notes due 2033750—————750
Total$3,800$—$—$800$—$650$2,350

Senior Notes

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. The senior note indentures contain customary non-financial covenants and change of control provisions. As of December 31, 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. As discussed below, no amounts were outstanding under the New Credit Agreement as of December 31, 2025, so there is no risk of a cross-default under the senior notes.

On November 20, 2025, we completed the private offering of $850 million aggregate principal amount of senior notes (the “6.500% Notes due 2031”), which are due February 15, 2031, unless earlier redeemed. We used the net proceeds for repayment of $740 million in term loan debt related to the Prior Credit Agreement (see discussion below) and for general corporate purposes. The 6.500% Notes due 2031 contain optional early redemption provisions, with redemption prices in excess of par. Interest, at a rate of 6.500% per annum, is payable semiannually in arrears on February 15 and August 15 of each year, commencing August 15, 2026. Deferred issuance costs amounted to $12 million.

Credit Agreement

On November 20, 2025, we entered into a Credit Agreement (the “New Credit Agreement”) which replaced our prior credit agreement dated as of June 8, 2020, as amended from time to time prior to November 20, 2025, (the “Prior Credit Agreement”). The terms of the New Credit Agreement are substantially similar to the terms of the Prior Credit Agreement, except that certain covenants are amended in a manner favorable to us. The New Credit Agreement includes a revolving credit facility (“New Credit Facility”) of $1.25 billion, a $15 million swingline sub-facility, a $100 million letter of credit sub-facility, as well as uncommitted capacity to incur incremental term loans to finance certain acquisitions up to $800 million. Borrowings under the New 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 New Credit Agreement, we are required to pay a quarterly commitment fee. The New Credit Agreement has a term offive years, and all amounts outstanding will be due and payable on November 20, 2030.

The New Credit Agreement contains customary non-financial and financial covenants, including maintenance of a minimum Interest Coverage Ratio threshold of 3.0 to 1.0, and a maximum Consolidated Total Debt to Capital Ratio of 60%, with a step-up to 65% for four fiscal quarters following a material acquisition or series of related acquisitions (i.e., $500 million or greater cash consideration). As of December 31, 2025, we were in compliance with all non-financial and financial covenants under the New Credit Agreement. Subsequently, we executed an amendment to the New Credit Agreement on February 4, 2026 that temporarily reduces the Interest Coverage Ratio threshold to (a) with respect to each fiscal quarter ending March 31, 2026 through and including December 31, 2026,1.75:1.00, (b) with respect to fiscal quarter ending March 31, 2027,2.00:1.00, (c) with respect to fiscal quarter ending June 30, 2027,2.50:1.00 and (d) with respect to fiscal quarter ending September 30, 2027,2.75:1.00.

As of December 31, 2025, no amounts were outstanding under the New Credit Agreement.

During the year ended December 31, 2025, we borrowed $950 million in term loan debt and $150 million in credit facility borrowings related to the Prior Credit Agreement. We repaid all amounts borrowed, including the $740 million repaid with the net proceeds from the issuance of the 6.500% Notes due 2031 discussed above. We recognized $2 million in expense for unamortized deferred issuance costs in conjunction with the repayment of the term loan debt related to the Prior Credit Agreement.

  1. Income Taxes

Income from continuing operations, before income tax expense (benefit) consisted of the following:

Year Ended December 31,
202520242023
(In millions)
Federal$589$1,582$1,464
Foreign—7—
Total$589$1,589$1,464

Income tax expense (benefit) from continuing operations consisted of the following:

Year Ended December 31,
202520242023
(In millions)
Current:
Federal$58$298$349
State165955
Total current74357404
Deferred:
Federal3947(28)
State46(3)
Total deferred4353(31)
Total income tax expense (benefit)
Federal97345321
State206552
Total income tax expense (benefit)$117$410$373

A reconciliation of the U.S. federal statutory income tax rate to the combined effective income tax rate for continuing operations is as follows:

Year Ended December 31,
2025 · 2024 · 2023
(In millions)
Income from continuing operations, before income tax expense$589$1,589$1,464
Tax provision at the U.S. federal statutory rate12421.0%33421.0%30821.0%
Federal
Tax Credits
Transferable energy-related tax credits(19)(3.2)————
Nontaxable or nondeductible items
Nondeductible compensation10.2171.1201.4
Other nontaxable or nondeductible items40.740.350.3
Other(9)(1.6)30.2(1)—
Foreign tax effects
Puerto Rico
Tax provision at Puerto Rico statutory rate(1)——30.2——
Changes in valuation allowances——(3)(0.2)——
State income taxes, net of federal benefit(2)162.7523.2412.8
Income tax expense$11719.8%$41025.8%$37325.5%

(1) The Company’s Puerto Rico subsidiary is dually incorporated in the United States and the Commonwealth of Puerto Rico.

(2) During the tax year ended December 31, 2025, state taxes in California comprised greater than 50% of the tax effect in this category. During the tax year ended December 31, 2024, state taxes in California and New York City comprised greater than 50% of the tax effect in this category. During the year ended December 31, 2023, state taxes in California, Illinois and New York City comprised greater than 50% of the tax effect in this category.

Income taxes paid are as follows:

Year Ended December 31,
202520242023
(In millions)
U.S. Federal (1)$237$312$357
California1528*
Other (2)233948
Total U.S. State and Local386748
Total income taxes paid, net$275$379$405

(1) Includes $237 million paid to purchase transferable tax credits during the year ended December 31, 2025.

(2) Includes $6 million, $10 million and $3 million paid to purchase transferable tax credits during the years ended December 31, 2025, 2024 and 2023, respectively.

  • The amount of income taxes paid during the year ended December 31, 2023 does not meet the 5% disaggregation threshold.

Deferred tax assets and liabilities are classified as non-current. Significant components of our deferred tax assets and liabilities as of December 31, 2025 and 2024 were as follows:

December 31,
20252024
(In millions)
Accrued expenses and reserve liabilities$92$99
Deferred compensation169
Other accrued medical costs2725
Net operating losses95
Lease liabilities6679
Unrealized losses—18
Fixed assets and intangibles2832
Tax credit carryover55
Other—6
Valuation allowance(19)(19)
Total deferred income tax assets, net of valuation allowance224259
Right-of-use assets(16)(26)
Prepaid expenses(30)(26)
Total deferred income tax liabilities(46)(52)
Net deferred income tax asset$178$207

At December 31, 2025, we had state net operating loss carryforwards of $122 million, which begin expiring in 2037 with some having an indefinite carryforward period, and foreign net operating loss carryforwards of $7 million, which begin expiring in 2031. Additionally, as of December 31, 2025, we had foreign tax credit carryovers of $5 million, which expire in 2030.

We evaluate the need for a valuation allowance taking into consideration the ability to carry back and carry forward tax credits and losses, available tax planning strategies and future income, including reversal of temporary differences. We have determined that as of December 31, 2025 and December 31, 2024, $19 million of deferred tax assets did not satisfy the recognition criteria.

We recognize tax benefits only if the tax position is more likely than not to be sustained. We are subject to income taxes in the United States, Puerto Rico, and numerous state jurisdictions. Significant judgment is required in evaluating our tax positions and determining our provision for income taxes. During the ordinary course of business, there are many transactions and calculations for which the ultimate tax determination is uncertain. We establish reserves for tax-related uncertainties based on estimates of whether, and the extent to which, additional taxes will be due. These reserves are established when we believe that certain positions might be challenged despite our belief that our tax return positions are fully supportable. We adjust these reserves in light of changing facts and circumstances, such as the outcome of tax audits. The provision for income taxes includes the impact of reserve provisions and changes to reserves that are considered appropriate.

The roll forward of our unrecognized tax benefits is as follows:

Year Ended December 31,
202520242023
(In millions)
Gross unrecognized tax benefits at beginning of period$(5)$(5)$(5)
Settlements5——
Gross unrecognized tax benefits at end of period$—$(5)$(5)

Settlements reflect the resolution of a state refund claim that had no net impact on our financial statements.

Our continuing practice is to recognize interest and/or penalties related to unrecognized tax benefits in income tax expense. Amounts accrued for the payment of interest and penalties as of December 31, 2025, 2024 and 2023 were insignificant.

With a few exceptions, which are immaterial in the aggregate, we are no longer subject to federal, state, local, and Puerto Rico tax examinations for years before 2021.

  1. Stockholders' Equity

Stock Purchase Programs

In October 2024, our board of directors authorized the purchase of up to $1 billion of our common stock. This new program extended through December 31, 2025 and 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.

In April 2025, our board of directors authorized the purchase of up to an additional $1 billion of our common stock. This new program extends through December 31, 2026. Under this program, pursuant to a Rule 10b5-1 trading plan, we purchased approximately 2,849,000 shares for $500 million in the third quarter of 2025 (average cost of $175.50 per share).

We have accrued a stock repurchase excise tax of $9 million related to the share repurchase programs as of December 31, 2025. As of December 31, 2024, we had accrued a stock repurchase excise tax of $8 million related to the prior year share repurchase program. These amounts are located in “Accounts payable, accrued liabilities and other” and “Additional paid-in capital” in the accompanying consolidated balance sheets.

Share-Based Compensation

In connection with our employee stock plans, approximately 361,000 shares and 360,000 shares of common stock were issued, net of shares used to settle employees’ income tax obligations, during the years ended December 31, 2025, and 2024, respectively. Total share-based compensation expense is reported in “General and administrative expenses” in the accompanying consolidated statements of income, and summarized below.

Year Ended December 31,
2025 · 2024 · 2023
(In millions)
PretaxChargesNet-of-TaxAmountPretaxChargesNet-of-TaxAmountPretaxChargesNet-of-TaxAmount
RSAs and PSUs (defined below)$38$35$109$100$108$102
Employee stock purchase plan987777
Total$47$43$116$107$115$109

Equity Incentive Plan

In the second quarter of 2025, our stockholders approved the Molina Healthcare, Inc. 2025 Equity Incentive Plan (the “2025 EIP”). The 2025 EIP provides for awards, in the form of restricted stock awards (“RSAs”), performance stock units (“PSUs”), stock options and other stock- or cash-based awards, to eligible persons who perform services for us. The 2025 EIP provides for the issuance of up to approximately 1.8 million shares of our common stock.

Stock-based awards. RSAs and PSUs are granted based on the fair value of the stock on the grant date, and generally vest in equal annual installments over periods up tofour years from the date of grant. PSUs vest in their entirety at the end ofthree-year performance periods, if their performance conditions are met. We generally recognize expense for RSAs and PSUs on a straight-line basis. The weighted-average grant date fair value of our RSAs was $285.38 in 2025, $382.23 in 2024, and $277.37 in 2023. The weighted-average grant date fair value of our PSUs was $288.81 in 2025, $353.44 in 2024, and $233.50 in 2023. Activity for stock-based awards in the year ended December 31, 2025, is summarized below.

RSAsWeightedAverageGrant DateFair ValuePSUsWeightedAverageGrant DateFair Value
Unvested balance, December 31, 2024487,647$325.91529,082$328.77
Granted353,833285.38167,620288.81
Vested(209,450)309.25(131,785)303.54
Forfeited(58,718)316.48(16,443)326.35
Unvested balance, December 31, 2025573,312$307.95548,474$322.69

As of December 31, 2025, total unrecognized compensation expense was $106 million, which we expect to recognize over a remaining weighted-average period of 2.2 years. This unrecognized compensation cost assumes an estimated forfeiture rate of 7% for non-executive employees as of December 31, 2025, based on actual forfeitures over the last 4 years.

The total fair value of awards vested is presented in the following table.

Year Ended December 31,
202520242023
(In millions)
RSAs$62$86$62
PSUs406890
Total vested$102$154$152

Employee Stock Purchase Plans (“ESPP”)

Under our ESPP, eligible employees may purchase common shares at 85% of the lower of the fair market value of our common stock on either the first or last trading day of eachsix-month offering period. Each participant is limited to a maximum purchase of $25,000 (as measured by the fair value of the stock acquired) per year through payroll deductions. We estimate the fair value of the stock issued using a standard option pricing model. For the years ended December 31, 2025, 2024, and 2023, the inputs to this model were as follows: risk-free interest rates of approximately 4.2% to 5.4%; expected volatility of approximately 25% to 45%, dividend yields of 0%, and an average expected life of 0.5 years.

  1. Employee Benefit Plans

We sponsor defined contribution 401(k) plans that cover substantially all employees of our company and its subsidiaries. Eligible employees are permitted to contribute up to the maximum amount allowed by law. We match up to the first 4% of compensation contributed by employees. Expense recognized in connection with our contributions to the 401(k) plans amounted to $63 million, $61 million, and $54 million in the years ended December 31, 2025, 2024, and 2023, respectively.

We also have a non-qualified deferred compensation plan for certain key employees. Under this plan, eligible participants may defer portions of their base salary and bonus to provide tax-deferred growth. The deferrals are distributable based upon termination of employment or other periods, as elected under the plan, and were $61 million and $50 million as of December 31, 2025 and 2024, respectively.

  1. Commitments and Contingencies

Regulatory Capital Requirements and Dividend Restrictions

Our health plans, which are generally operated by our respective wholly owned subsidiaries in those states in which our health plans operate, are subject to state laws and regulations that, among other things, require the maintenance of minimum levels of statutory capital, as defined by each state. The National Association of Insurance Commissioners (“NAIC”), has adopted model rules which, if implemented by the states, set minimum capitalization requirements for insurance companies, HMOs, and other entities bearing risk for healthcare coverage. The requirements take the form of risk-based capital (“RBC”) rules which may vary from state to state. Regulators in some states may also enforce capital requirements that require the retention of net worth in excess of amounts formally required by statute or regulation.

All of our health plans except California, Florida and New York, are subject to the RBC rules. The minimum statutory capital requirements in these states are based on a percentage of annualized premium revenue, a percentage of annualized health care costs, a percentage of certain liabilities, or other financial ratios. If our California, Florida or New York health plans became subject to RBC rules, minimum capital required for those states could increase.

Statutes, regulations and informal capital requirements also restrict the timing, payment, and amount of dividends and other distributions that may be paid to us as the sole stockholder. To the extent our subsidiaries must comply with these regulations, they may not have the financial flexibility to transfer funds to us. Based on current statutes and regulations, the net assets in these subsidiaries, which may not be transferable to us in the form of loans, advances, or cash dividends was approximately $4.4 billion at December 31, 2025. Because of the statutory restrictions that inhibit the ability of our health plans to transfer net assets to us, the amount of retained earnings readily available to pay dividends to our stockholders is generally limited to cash, cash equivalents and investments held by the parent company—Molina Healthcare, Inc. Such cash, cash equivalents and investments amounted to $223 million and $445 million as of December 31, 2025 and 2024, respectively.

As of December 31, 2025, our health plans had aggregate statutory capital and surplus of approximately $4.6 billion, which was in excess of the required minimum aggregate statutory capital and surplus of approximately $3.1 billion. We are committed and have the ability to provide additional capital to each of our health plans when necessary to ensure that statutory capital and surplus continues to meet regulatory requirements.

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.

On October 3, 2025, a putative securities class action captioned Hindlemann v. Molina Healthcare, Inc., et al. was filed in the United States District Court for the Central District of California against the Company, its Chief Executive Officer, and Chief Financial Officer (the “Securities Action”). The Securities Action was brought on behalf of a putative class who allegedly acquired Company securities between February 5, 2025 and July 23, 2025 and asserts violations of federal securities laws relating to the Company’s disclosures including those involving earnings guidance. At the time of this filing, competing motions for lead plaintiff and lead counsel were pending with the court, and the complaint may be amended. On December 12, 2025, a shareholder derivative suit captioned Taylor v. Wolf, et al. was filed in the United States District Court for the Central District of California against the Company’s directors and certain officers (“Derivative Action”). The Derivative Action asserts among other things claims for breach of fiduciary duty and violation of securities laws in connection with the same statements and events at issue in the Securities Action. The Company intends to vigorously contest each lawsuit, which will require legal expenses. At this time, the Company cannot predict the outcome or provide a reasonable estimate or range of estimates of the possible outcome or loss, if any, in the Securities Action or the Derivative Action.

Professional Liability Insurance

We carry medical professional liability insurance for healthcare services rendered in our primary care locations and throughout the communities we serve. In addition, we carry managed care errors and omissions insurance for all managed care services that we provide.

  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 costs 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.

Year Ended December 31, 2025
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$32,240$6,235$4,487$90$43,052
Service revenue———8787
Revenue from external customers32,2406,2354,48717743,139
Other operating revenues (1)2,287
Total revenue45,426
Operating Expenses:
Medical care costs29,5885,7604,0647639,488
Cost of service revenue———7878
Segment expenses29,5885,7604,06415439,566
Other operating expenses (2)5,079
Operating income781
Less: interest expense192
Income before income tax expense$589
Segment Margin:
Medical margin$2,652$475$423$14$3,564
Service margin———99
Year Ended December 31, 2024
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$30,579$5,542$2,506$—$38,627
Service revenue———8181
Revenue from external customers30,5795,5422,5068138,708
Other operating revenues (1)1,942
Total revenue40,650
Operating Expenses:
Medical care costs27,6004,9391,889—34,428
Cost of service revenue———7373
Segment expenses27,6004,9391,8897334,501
Other operating expenses (2)4,442
Operating income1,707
Less: interest expense118
Income before income tax expense$1,589
Segment Margin:
Medical margin$2,979$603$617$—$4,199
Service margin———88
Year Ended December 31, 2023
Medicaid · Medicare · Marketplace · Other · Total
(In millions)
Revenue:
Premium revenue$26,327$4,179$2,023$—$32,529
Service revenue———7676
Revenue from external customers26,3274,1792,0237632,605
Other operating revenues (1)1,467
Total revenue34,072
Operating Expenses:
Medical care costs23,3543,7911,524—28,669
Cost of service revenue———6767
Segment expenses23,3543,7911,5246728,736
Other operating expenses (2)3,763
Operating income1,573
Less: interest expense109
Income before income tax expense$1,464
Segment Margin:
Medical margin$2,973$388$499$—$3,860
Service margin———99

(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. Condensed Financial Information of Registrant

The condensed balance sheets as of December 31, 2025 and 2024, and the related condensed statements of income, comprehensive income and cash flows for each of the three years in the period ended December 31, 2025 for our parent company Molina Healthcare, Inc. (the “Registrant”), are presented below.

Condensed Balance Sheets

December 31,
20252024
(In millions, except per-share data)
ASSETS
Current assets:
Cash and cash equivalents$205$414
Investments1831
Receivables44
Due from affiliates245111
Prepaid expenses and other current assets270218
Total current assets742778
Property, equipment, and capitalized software, net269250
Goodwill and intangible assets, net1,6381,348
Investments in subsidiaries5,7325,697
Advances to related parties and other assets125102
Total assets$8,506$8,175
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable, accrued liabilities and other$374$473
Total current liabilities374473
Long-term debt3,7662,923
Finance lease liabilities184195
Deferred income taxes, net4934
Other long-term liabilities6454
Total liabilities4,4373,679
Stockholders’ equity:
Common stock, $0.001 par value; 150 million shares authorized; outstanding: 51 million shares at December 31, 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 capital452462
Accumulated other comprehensive income (loss)15(57)
Retained earnings3,6024,091
Total stockholders’ equity4,0694,496
Total liabilities and stockholders’ equity$8,506$8,175

Condensed Statements of Income

Year Ended December 31,
202520242023
(In millions)
Revenue:
Administrative services fees$2,347$2,145$2,038
Investment income and other revenue91927
Total revenue2,3562,1642,065
Expenses:
General and administrative expenses2,1272,0391,952
Depreciation and amortization153139131
Other72920
Total operating expenses2,2872,2072,103
Operating income (loss)69(43)(38)
Interest expense192118109
Loss before income tax (benefit) expense and equity in net earnings of subsidiaries(123)(161)(147)
Income tax (benefit) expense(36)7(7)
Net loss before equity in net earnings of subsidiaries(87)(168)(140)
Equity in net earnings of subsidiaries5591,3471,231
Net income$472$1,179$1,091

Condensed Statements of Comprehensive Income

Year Ended December 31,
202520242023
(In millions)
Net income$472$1,179$1,091
Other comprehensive income:
Unrealized investment income9533102
Less: effect of income taxes23824
Other comprehensive income, net of tax722578
Comprehensive income$544$1,204$1,169

Condensed Statements of Cash Flows

Year Ended December 31,
202520242023
(In millions)
Operating activities:
Net cash (used in) provided by operating activities$(42)$63$81
Investing activities:
Capital contributions to subsidiaries(439)(490)(221)
Dividends received from subsidiaries985997705
Purchases of investments——(2)
Proceeds from sales and maturities of investments14171
Purchases of property, equipment and capitalized software(99)(97)(79)
Net cash paid in business combinations(350)(489)(74)
Change in amounts due to/from affiliates(110)605
Other, net267
Net cash provided by investing activities34342
Financing activities:
Proceeds from borrowings under credit facility and term loans1,100300—
Repayment of credit facility and term loans(1,100)(300)—
Common stock purchases(1,000)(1,000)—
Proceeds from senior notes offering, net of issuance costs838740—
Common stock withheld to settle employee tax obligations(37)(57)(60)
Other, net29(30)2
Net cash used in financing activities(170)(347)(58)
Net (decrease) increase in cash and cash equivalents(209)(280)365
Cash and cash equivalents at beginning of period414694329
Cash and cash equivalents at end of period$205$414$694

Notes to Condensed Financial Information of Registrant

Note A - Basis of Presentation

The Registrant was incorporated in 2002. Prior to that date, Molina Healthcare of California (formerly known as Molina Medical Centers) operated as a California health plan and as the parent company for three other state health plans. In June 2003, the employees and operations of the corporate entity were transferred from Molina Healthcare of California to the Registrant.

The Registrant’s investment in subsidiaries is stated at cost plus equity in undistributed earnings of subsidiaries since the date of acquisition. The accompanying condensed financial information of the Registrant should be read in conjunction with the consolidated financial statements and accompanying notes.

Note B - Transactions with Subsidiaries

The Registrant provides certain centralized medical and administrative services to our subsidiaries pursuant to administrative services agreements that include, but are not limited to, information technology, product development and administration, underwriting, claims processing, customer service, certain care management services, human resources, marketing, purchasing, risk management, actuarial, finance, accounting, compliance, legal and public relations. Fees are based on the fair market value of services rendered and are recorded as operating revenue. Payment is subordinated to the subsidiaries’ ability to comply with minimum capital and other restrictive financial requirements of the states in which they operate. Charges in 2025, 2024, and 2023 for these services amounted to $2,347 million, $2,145 million, and $2,038 million, respectively, and are included in operating revenue.

The Registrant and its subsidiaries are included in the consolidated federal and state income tax returns filed by the Registrant. Income taxes are allocated to each subsidiary in accordance with an intercompany tax allocation agreement. The agreement allocates income taxes in an amount generally equivalent to the amount which would be expensed by the subsidiary if it filed a separate tax return. Net operating loss benefits are paid to the subsidiary by the Registrant to the extent such losses are utilized in the consolidated tax returns.

Note C - Dividends and Capital Contributions

When the Registrant receives dividends from its subsidiaries, such amounts are recorded as a reduction to the investments in the respective subsidiaries.

For all periods presented, the Registrant made capital contributions to certain subsidiaries primarily to comply with minimum net worth requirements and to fund business combinations. Such amounts have been recorded as an increase in investment in the respective subsidiaries.

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