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ý
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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¨
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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Delaware
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13-4204626
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(State or other jurisdiction of incorporation or organization)
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(I.R.S. Employer Identification No.)
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200 Oceangate, Suite 100
Long Beach, California
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90802
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(Address of principal executive offices)
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(Zip Code)
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Large accelerated filer
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ý
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Accelerated filer
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¨
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Non-accelerated filer
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¨
(Do not check if a smaller reporting company)
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Smaller reporting company
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¨
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Emerging growth company
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¨
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section13(a) of the Exchange Act.
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¨
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ITEM NUMBER
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Page
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PART I - Financial Information
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1.
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||
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2.
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||
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3.
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4.
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||
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Part II
- Other Information
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1.
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||
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1A.
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||
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2.
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||
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3.
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Defaults Upon Senior Securities
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Not Applicable.
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4.
|
Mine Safety Disclosures
|
Not Applicable.
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5.
|
Other Information
|
Not Applicable.
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6.
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||
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||
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Three Months Ended June 30,
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Six Months Ended June 30,
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||||||||||||
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2017
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2016
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2017
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2016
|
||||||||
|
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(In millions, except per-share data)
(Unaudited)
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||||||||||||||
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Revenue:
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||||||||
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Premium revenue
|
$
|
4,740
|
|
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$
|
4,029
|
|
|
$
|
9,388
|
|
|
$
|
8,024
|
|
|
Service revenue
|
129
|
|
|
135
|
|
|
260
|
|
|
275
|
|
||||
|
Premium tax revenue
|
114
|
|
|
109
|
|
|
225
|
|
|
218
|
|
||||
|
Health insurer fee revenue
|
—
|
|
|
76
|
|
|
—
|
|
|
166
|
|
||||
|
Investment income and other revenue
|
16
|
|
|
10
|
|
|
30
|
|
|
19
|
|
||||
|
Total revenue
|
4,999
|
|
|
4,359
|
|
|
9,903
|
|
|
8,702
|
|
||||
|
Operating expenses:
|
|
|
|
|
|
|
|
||||||||
|
Medical care costs
|
4,491
|
|
|
3,594
|
|
|
8,602
|
|
|
7,182
|
|
||||
|
Cost of service revenue
|
124
|
|
|
116
|
|
|
246
|
|
|
243
|
|
||||
|
General and administrative expenses
|
405
|
|
|
351
|
|
|
844
|
|
|
691
|
|
||||
|
Premium tax expenses
|
114
|
|
|
109
|
|
|
225
|
|
|
218
|
|
||||
|
Health insurer fee expenses
|
—
|
|
|
50
|
|
|
—
|
|
|
108
|
|
||||
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Depreciation and amortization
|
37
|
|
|
34
|
|
|
76
|
|
|
66
|
|
||||
|
Impairment losses
|
72
|
|
|
—
|
|
|
72
|
|
|
—
|
|
||||
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Restructuring and separation costs
|
43
|
|
|
—
|
|
|
43
|
|
|
—
|
|
||||
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Total operating expenses
|
5,286
|
|
|
4,254
|
|
|
10,108
|
|
|
8,508
|
|
||||
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Operating (loss) income
|
(287
|
)
|
|
105
|
|
|
(205
|
)
|
|
194
|
|
||||
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Other expenses (income), net:
|
|
|
|
|
|
|
|
||||||||
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Interest expense
|
27
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|
|
25
|
|
|
53
|
|
|
50
|
|
||||
|
Other income, net
|
—
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|
|
—
|
|
|
(75
|
)
|
|
—
|
|
||||
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Total other expenses (income), net
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27
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|
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25
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|
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(22
|
)
|
|
50
|
|
||||
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(Loss) income before income tax (benefit) expense
|
(314
|
)
|
|
80
|
|
|
(183
|
)
|
|
144
|
|
||||
|
Income tax (benefit) expense
|
(84
|
)
|
|
47
|
|
|
(30
|
)
|
|
87
|
|
||||
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Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
$
|
57
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|
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|
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|
||||||||
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Net (loss) income per share:
|
|
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|
||||||||
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Basic
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$
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(4.10
|
)
|
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$
|
0.58
|
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$
|
(2.74
|
)
|
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$
|
1.02
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|
Diluted
|
$
|
(4.10
|
)
|
|
$
|
0.58
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|
$
|
(2.74
|
)
|
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$
|
1.01
|
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(Amounts in millions)
(Unaudited)
|
||||||||||||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
$
|
57
|
|
|
Other comprehensive income:
|
|
|
|
|
|
|
|
||||||||
|
Unrealized investment gain
|
—
|
|
|
4
|
|
|
1
|
|
|
13
|
|
||||
|
Less: effect of income taxes
|
—
|
|
|
2
|
|
|
—
|
|
|
5
|
|
||||
|
Other comprehensive income, net of tax
|
—
|
|
|
2
|
|
|
1
|
|
|
8
|
|
||||
|
Comprehensive (loss) income
|
$
|
(230
|
)
|
|
$
|
35
|
|
|
$
|
(152
|
)
|
|
$
|
65
|
|
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
|
(Amounts in millions,
except per-share data)
|
||||||
|
|
(Unaudited)
|
|
|
||||
|
ASSETS
|
|||||||
|
Current assets:
|
|
|
|
||||
|
Cash and cash equivalents
|
$
|
2,979
|
|
|
$
|
2,819
|
|
|
Investments
|
2,192
|
|
|
1,758
|
|
||
|
Restricted investments
|
325
|
|
|
—
|
|
||
|
Receivables
|
1,006
|
|
|
974
|
|
||
|
Income taxes refundable
|
68
|
|
|
39
|
|
||
|
Prepaid expenses and other current assets
|
159
|
|
|
131
|
|
||
|
Derivative asset
|
440
|
|
|
267
|
|
||
|
Total current assets
|
7,169
|
|
|
5,988
|
|
||
|
Property, equipment, and capitalized software, net
|
449
|
|
|
454
|
|
||
|
Deferred contract costs
|
93
|
|
|
86
|
|
||
|
Intangible assets, net
|
112
|
|
|
140
|
|
||
|
Goodwill
|
559
|
|
|
620
|
|
||
|
Restricted investments
|
118
|
|
|
110
|
|
||
|
Deferred income taxes
|
36
|
|
|
10
|
|
||
|
Other assets
|
47
|
|
|
41
|
|
||
|
|
$
|
8,583
|
|
|
$
|
7,449
|
|
|
|
|
|
|
||||
|
LIABILITIES AND STOCKHOLDERS’ EQUITY
|
|||||||
|
Current liabilities:
|
|
|
|
||||
|
Medical claims and benefits payable
|
$
|
2,077
|
|
|
$
|
1,929
|
|
|
Amounts due government agencies
|
1,844
|
|
|
1,202
|
|
||
|
Accounts payable and accrued liabilities
|
375
|
|
|
385
|
|
||
|
Deferred revenue
|
284
|
|
|
315
|
|
||
|
Current portion of long-term debt
|
773
|
|
|
472
|
|
||
|
Derivative liability
|
440
|
|
|
267
|
|
||
|
Total current liabilities
|
5,793
|
|
|
4,570
|
|
||
|
Senior notes
|
1,017
|
|
|
975
|
|
||
|
Lease financing obligations
|
198
|
|
|
198
|
|
||
|
Deferred income taxes
|
—
|
|
|
15
|
|
||
|
Other long-term liabilities
|
54
|
|
|
42
|
|
||
|
Total liabilities
|
7,062
|
|
|
5,800
|
|
||
|
|
|
|
|
||||
|
Stockholders’ equity:
|
|
|
|
||||
|
Common stock, $0.001 par value; 150 shares authorized; outstanding: 57 shares at June 30, 2017 and at December 31, 2016
|
—
|
|
|
—
|
|
||
|
Preferred stock, $0.001 par value; 20 shares authorized, no shares issued and outstanding
|
—
|
|
|
—
|
|
||
|
Additional paid-in capital
|
865
|
|
|
841
|
|
||
|
Accumulated other comprehensive loss
|
(1
|
)
|
|
(2
|
)
|
||
|
Retained earnings
|
657
|
|
|
810
|
|
||
|
Total stockholders’ equity
|
1,521
|
|
|
1,649
|
|
||
|
|
$
|
8,583
|
|
|
$
|
7,449
|
|
|
|
Six Months Ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(Amounts in millions)
(Unaudited) |
||||||
|
Operating activities:
|
|
|
|
||||
|
Net (loss) income
|
$
|
(153
|
)
|
|
$
|
57
|
|
|
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
|
|
|
|
||||
|
Depreciation and amortization
|
96
|
|
|
89
|
|
||
|
Impairment losses
|
72
|
|
|
—
|
|
||
|
Deferred income taxes
|
(41
|
)
|
|
39
|
|
||
|
Share-based compensation, including accelerated share-based compensation
|
35
|
|
|
16
|
|
||
|
Amortization of convertible senior notes and lease financing obligations
|
16
|
|
|
15
|
|
||
|
Other, net
|
7
|
|
|
11
|
|
||
|
Changes in operating assets and liabilities:
|
|
|
|
||||
|
Receivables
|
(32
|
)
|
|
(415
|
)
|
||
|
Prepaid expenses and other assets
|
(38
|
)
|
|
(143
|
)
|
||
|
Medical claims and benefits payable
|
148
|
|
|
82
|
|
||
|
Amounts due government agencies
|
642
|
|
|
509
|
|
||
|
Accounts payable and accrued liabilities
|
(18
|
)
|
|
147
|
|
||
|
Deferred revenue
|
(32
|
)
|
|
(119
|
)
|
||
|
Income taxes
|
(30
|
)
|
|
(10
|
)
|
||
|
Net cash provided by operating activities
|
672
|
|
|
278
|
|
||
|
Investing activities:
|
|
|
|
||||
|
Purchases of investments
|
(1,636
|
)
|
|
(974
|
)
|
||
|
Proceeds from sales and maturities of investments
|
874
|
|
|
812
|
|
||
|
Purchases of property, equipment and capitalized software
|
(60
|
)
|
|
(102
|
)
|
||
|
(Increase) decrease in restricted investments held-to-maturity
|
(10
|
)
|
|
5
|
|
||
|
Net cash paid in business combinations
|
—
|
|
|
(8
|
)
|
||
|
Other, net
|
(13
|
)
|
|
(6
|
)
|
||
|
Net cash used in investing activities
|
(845
|
)
|
|
(273
|
)
|
||
|
Financing activities:
|
|
|
|
||||
|
Proceeds from senior notes offering, net of issuance costs
|
325
|
|
|
—
|
|
||
|
Proceeds from employee stock plans
|
11
|
|
|
10
|
|
||
|
Other, net
|
(3
|
)
|
|
1
|
|
||
|
Net cash provided by financing activities
|
333
|
|
|
11
|
|
||
|
Net increase in cash and cash equivalents
|
160
|
|
|
16
|
|
||
|
Cash and cash equivalents at beginning of period
|
2,819
|
|
|
2,329
|
|
||
|
Cash and cash equivalents at end of period
|
$
|
2,979
|
|
|
$
|
2,345
|
|
|
|
Six Months Ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(Amounts in millions)
(Unaudited) |
||||||
|
Supplemental cash flow information:
|
|
|
|
||||
|
|
|
|
|
||||
|
Schedule of non-cash investing and financing activities:
|
|
|
|
||||
|
Common stock used for share-based compensation
|
$
|
(21
|
)
|
|
$
|
(7
|
)
|
|
|
|
|
|
||||
|
Details of change in fair value of derivatives, net:
|
|
|
|
||||
|
Gain (loss) on 1.125% Call Option
|
$
|
173
|
|
|
$
|
(148
|
)
|
|
(Loss) gain on 1.125% Conversion Option
|
(173
|
)
|
|
148
|
|
||
|
Change in fair value of derivatives, net
|
$
|
—
|
|
|
$
|
—
|
|
|
|
|
|
|
||||
|
Details of business combinations:
|
|
|
|
||||
|
Fair value of assets acquired
|
$
|
—
|
|
|
$
|
(131
|
)
|
|
Purchase price amounts accrued/received
|
—
|
|
|
21
|
|
||
|
Reversal of amounts advanced to sellers in prior year
|
—
|
|
|
102
|
|
||
|
Net cash paid in business combinations
|
$
|
—
|
|
|
$
|
(8
|
)
|
|
|
June 30, 2017
|
|
December 31,
2016 |
||||||||||||
|
|
Current Benefit Year
|
|
Prior Benefit Years
|
|
Total
|
|
|||||||||
|
|
|
|
|
|
|
|
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Risk adjustment
|
$
|
(502
|
)
|
|
$
|
(546
|
)
|
|
$
|
(1,048
|
)
|
|
$
|
(522
|
)
|
|
Reinsurance
|
—
|
|
|
57
|
|
|
57
|
|
|
55
|
|
||||
|
Risk corridor
|
—
|
|
|
(1
|
)
|
|
(1
|
)
|
|
(1
|
)
|
||||
|
Minimum MLR
|
(3
|
)
|
|
(2
|
)
|
|
(5
|
)
|
|
(1
|
)
|
||||
|
•
|
Risk adjustment: Under this permanent program, 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 transfer payment into the pool if their composite risk scores are below the average risk score, and will receive a risk transfer payment from the pool if their composite risk scores are above the average risk score. 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 operations.
|
|
•
|
Reinsurance: This program was designed to provide reimbursement to insurers for high cost members and ended December 31, 2016; we expect to settle the outstanding receivable balance in 2017.
|
|
•
|
Risk corridor: This program was intended to limit gains and losses of insurers by comparing allowable costs to a target amount as defined by CMS, and ended December 31, 2016; we expect to settle the outstanding payable balance in 2017.
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(Dollars in millions)
|
||||||||||||||
|
Maximum available quality incentive premium - current period
|
$
|
39
|
|
|
$
|
41
|
|
|
$
|
77
|
|
|
$
|
81
|
|
|
Quality incentive premium revenue recognized in current period:
|
|
|
|
|
|
|
|
||||||||
|
Earned current period
|
$
|
29
|
|
|
$
|
36
|
|
|
$
|
48
|
|
|
$
|
54
|
|
|
Earned prior periods
|
1
|
|
|
49
|
|
|
6
|
|
|
54
|
|
||||
|
Total
|
$
|
30
|
|
|
$
|
85
|
|
|
$
|
54
|
|
|
108
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
Quality incentive premium revenue recognized as a percentage of total premium revenue
|
0.6
|
%
|
|
2.1
|
%
|
|
0.6
|
%
|
|
1.3
|
%
|
||||
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(In millions, except net income per share)
|
||||||||||||||
|
Numerator:
|
|
|
|
|
|
|
|
||||||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
$
|
57
|
|
|
Denominator:
|
|
|
|
|
|
|
|
||||||||
|
Denominator for basic net (loss) income per share
|
56
|
|
|
55
|
|
|
56
|
|
|
55
|
|
||||
|
Effect of dilutive securities:
|
|
|
|
|
|
|
|
||||||||
|
1.125% Warrants
(1)
|
—
|
|
|
—
|
|
|
—
|
|
|
1
|
|
||||
|
Denominator for diluted net (loss) income per share
|
56
|
|
|
55
|
|
|
56
|
|
|
56
|
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Net (loss) income per share:
(2)
|
|
|
|
|
|
|
|
||||||||
|
Basic
|
$
|
(4.10
|
)
|
|
$
|
0.58
|
|
|
$
|
(2.74
|
)
|
|
$
|
1.02
|
|
|
Diluted
|
$
|
(4.10
|
)
|
|
$
|
0.58
|
|
|
$
|
(2.74
|
)
|
|
$
|
1.01
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
Potentially dilutive common shares excluded from calculations:
|
|
|
|
|
|
|
|
||||||||
|
1.125% Warrants
(1)
|
2
|
|
|
—
|
|
|
1
|
|
|
—
|
|
||||
|
(1)
|
For more information regarding the
1.125%
Warrants, refer to Note
9
, “
Stockholders' Equity
.” 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 (loss) income per share because to do so would be anti-dilutive. For the three and six months ended June 30, 2017, the 1.125% Warrants were excluded from diluted shares outstanding because to do so would have been anti-dilutive.
|
|
(2)
|
Source data for calculations in thousands.
|
|
|
Total
|
|
Quoted Market Prices (Level 1)
|
|
Significant Other Observable Inputs (Level 2)
|
|
Significant Unobservable Inputs (Level 3)
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Corporate debt securities
|
$
|
1,386
|
|
|
$
|
—
|
|
|
$
|
1,386
|
|
|
$
|
—
|
|
|
U.S. treasury notes
|
263
|
|
|
263
|
|
|
—
|
|
|
—
|
|
||||
|
Government-sponsored enterprise securities (GSEs)
|
241
|
|
|
241
|
|
|
—
|
|
|
—
|
|
||||
|
Municipal securities
|
140
|
|
|
—
|
|
|
140
|
|
|
—
|
|
||||
|
Asset-backed securities
|
128
|
|
|
—
|
|
|
128
|
|
|
—
|
|
||||
|
Certificates of deposit
|
34
|
|
|
—
|
|
|
34
|
|
|
—
|
|
||||
|
Subtotal - current investments
|
2,192
|
|
|
504
|
|
|
1,688
|
|
|
—
|
|
||||
|
Corporate debt securities
|
228
|
|
|
—
|
|
|
228
|
|
|
—
|
|
||||
|
U.S. treasury notes
|
97
|
|
|
97
|
|
|
—
|
|
|
—
|
|
||||
|
Subtotal - current restricted investments
|
325
|
|
|
97
|
|
|
228
|
|
|
—
|
|
||||
|
1.125% Call Option derivative asset
|
440
|
|
|
—
|
|
|
—
|
|
|
440
|
|
||||
|
Total assets
|
$
|
2,957
|
|
|
$
|
601
|
|
|
$
|
1,916
|
|
|
$
|
440
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
1.125% Conversion Option derivative liability
|
$
|
440
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
440
|
|
|
Total liabilities
|
$
|
440
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
440
|
|
|
|
Total
|
|
Quoted Market Prices (Level 1)
|
|
Significant Other Observable Inputs (Level 2)
|
|
Significant Unobservable Inputs (Level 3)
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Corporate debt securities
|
$
|
1,179
|
|
|
$
|
—
|
|
|
$
|
1,179
|
|
|
$
|
—
|
|
|
U.S. treasury notes
|
84
|
|
|
84
|
|
|
—
|
|
|
—
|
|
||||
|
GSEs
|
231
|
|
|
231
|
|
|
—
|
|
|
—
|
|
||||
|
Municipal securities
|
142
|
|
|
—
|
|
|
142
|
|
|
—
|
|
||||
|
Asset-backed securities
|
69
|
|
|
—
|
|
|
69
|
|
|
—
|
|
||||
|
Certificates of deposit
|
53
|
|
|
—
|
|
|
53
|
|
|
—
|
|
||||
|
Subtotal - current investments
|
1,758
|
|
|
315
|
|
|
1,443
|
|
|
—
|
|
||||
|
1.125% Call Option derivative asset
|
267
|
|
|
—
|
|
|
—
|
|
|
267
|
|
||||
|
Total assets
|
$
|
2,025
|
|
|
$
|
315
|
|
|
$
|
1,443
|
|
|
$
|
267
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
1.125% Conversion Option derivative liability
|
$
|
267
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
267
|
|
|
Total liabilities
|
$
|
267
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
267
|
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||
|
|
Carrying
Value
|
|
Fair Value
|
|
Carrying
Value
|
|
Fair Value
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
5.375% Notes
|
$
|
692
|
|
|
$
|
745
|
|
|
$
|
691
|
|
|
$
|
714
|
|
|
1.125% Convertible Notes
|
483
|
|
|
976
|
|
|
471
|
|
|
792
|
|
||||
|
4.875% Notes
|
325
|
|
|
333
|
|
|
—
|
|
|
—
|
|
||||
|
1.625% Convertible Notes
|
289
|
|
|
386
|
|
|
284
|
|
|
344
|
|
||||
|
|
$
|
1,789
|
|
|
$
|
2,440
|
|
|
$
|
1,446
|
|
|
$
|
1,850
|
|
|
|
June 30, 2017
|
||||||||||||||
|
|
Amortized
|
|
Gross
Unrealized
|
|
Estimated
Fair
|
||||||||||
|
|
Cost
|
|
Gains
|
|
Losses
|
|
Value
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Corporate debt securities
|
$
|
1,387
|
|
|
$
|
1
|
|
|
$
|
2
|
|
|
$
|
1,386
|
|
|
U.S. treasury notes
|
263
|
|
|
—
|
|
|
—
|
|
|
263
|
|
||||
|
GSEs
|
242
|
|
|
—
|
|
|
1
|
|
|
241
|
|
||||
|
Municipal securities
|
140
|
|
|
—
|
|
|
—
|
|
|
140
|
|
||||
|
Asset-backed securities
|
128
|
|
|
—
|
|
|
—
|
|
|
128
|
|
||||
|
Certificates of deposit
|
34
|
|
|
—
|
|
|
—
|
|
|
34
|
|
||||
|
Subtotal - current investments
|
2,194
|
|
|
1
|
|
|
3
|
|
|
2,192
|
|
||||
|
Corporate debt securities
|
227
|
|
|
1
|
|
|
—
|
|
|
228
|
|
||||
|
U.S. treasury notes
|
97
|
|
|
—
|
|
|
—
|
|
|
97
|
|
||||
|
Subtotal - current restricted investments
|
324
|
|
|
1
|
|
|
—
|
|
|
325
|
|
||||
|
Total
|
$
|
2,518
|
|
|
$
|
2
|
|
|
$
|
3
|
|
|
$
|
2,517
|
|
|
|
December 31, 2016
|
||||||||||||||
|
|
Amortized
|
|
Gross
Unrealized
|
|
Estimated
Fair
|
||||||||||
|
|
Cost
|
|
Gains
|
|
Losses
|
|
Value
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Corporate debt securities
|
$
|
1,180
|
|
|
$
|
1
|
|
|
$
|
2
|
|
|
$
|
1,179
|
|
|
U.S. treasury notes
|
84
|
|
|
—
|
|
|
—
|
|
|
84
|
|
||||
|
GSEs
|
232
|
|
|
—
|
|
|
1
|
|
|
231
|
|
||||
|
Municipal securities
|
143
|
|
|
—
|
|
|
1
|
|
|
142
|
|
||||
|
Asset-backed securities
|
69
|
|
|
—
|
|
|
—
|
|
|
69
|
|
||||
|
Certificates of deposit
|
53
|
|
|
—
|
|
|
—
|
|
|
53
|
|
||||
|
Total - current investments
|
$
|
1,761
|
|
|
$
|
1
|
|
|
$
|
4
|
|
|
$
|
1,758
|
|
|
|
Amortized Cost
|
|
Estimated
Fair Value
|
||||
|
|
(In millions)
|
||||||
|
Due in one year or less
|
$
|
1,301
|
|
|
$
|
1,301
|
|
|
Due after one year through five years
|
1,194
|
|
|
1,193
|
|
||
|
Due after five years through ten years
|
23
|
|
|
23
|
|
||
|
Total
|
$
|
2,518
|
|
|
$
|
2,517
|
|
|
|
In a Continuous Loss Position
for Less than 12 Months
|
|
In a Continuous Loss Position
for 12 Months or More
|
||||||||||||||||||
|
|
Estimated
Fair
Value
|
|
Unrealized
Losses
|
|
Total
Number of
Positions
|
|
Estimated
Fair
Value
|
|
Unrealized
Losses
|
|
Total
Number of
Positions
|
||||||||||
|
|
(Dollars in millions)
|
||||||||||||||||||||
|
Corporate debt securities
|
$
|
913
|
|
|
$
|
2
|
|
|
418
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
GSEs
|
247
|
|
|
1
|
|
|
101
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Total - current investments
|
$
|
1,160
|
|
|
$
|
3
|
|
|
519
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
|
In a Continuous Loss Position
for Less than 12 Months
|
|
In a Continuous Loss Position
for 12 Months or More
|
||||||||||||||||||
|
|
Estimated
Fair
Value
|
|
Unrealized
Losses
|
|
Total
Number of
Positions
|
|
Estimated
Fair
Value
|
|
Unrealized
Losses
|
|
Total
Number of
Positions
|
||||||||||
|
|
(Dollars in millions)
|
||||||||||||||||||||
|
Corporate debt securities
|
$
|
542
|
|
|
$
|
2
|
|
|
378
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
GSEs
|
198
|
|
|
1
|
|
|
73
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Municipal securities
|
101
|
|
|
1
|
|
|
129
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Total - current investments
|
$
|
841
|
|
|
$
|
4
|
|
|
580
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
|
Amortized
Cost
|
|
Estimated
Fair Value
|
||||
|
|
(In millions)
|
||||||
|
Due in one year or less
|
$
|
100
|
|
|
$
|
100
|
|
|
Due after one year through five years
|
18
|
|
|
17
|
|
||
|
|
$
|
118
|
|
|
$
|
117
|
|
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
|
(In millions)
|
||||||
|
Fee-for-service claims incurred but not paid (IBNP)
|
$
|
1,478
|
|
|
$
|
1,352
|
|
|
Pharmacy payable
|
121
|
|
|
112
|
|
||
|
Capitation payable
|
45
|
|
|
37
|
|
||
|
Other
|
433
|
|
|
428
|
|
||
|
|
$
|
2,077
|
|
|
$
|
1,929
|
|
|
|
Six Months Ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(Dollars in millions)
|
||||||
|
Medical claims and benefits payable, beginning balance
|
$
|
1,929
|
|
|
$
|
1,685
|
|
|
Components of medical care costs related to:
|
|
|
|
||||
|
Current period
|
8,633
|
|
|
7,371
|
|
||
|
Prior periods
|
(31
|
)
|
|
(189
|
)
|
||
|
Total medical care costs
|
8,602
|
|
|
7,182
|
|
||
|
|
|
|
|
||||
|
Change in non-risk provider payables
|
(114
|
)
|
|
24
|
|
||
|
|
|
|
|
||||
|
Payments for medical care costs related to:
|
|
|
|
||||
|
Current period
|
6,883
|
|
|
5,885
|
|
||
|
Prior periods
|
1,457
|
|
|
1,240
|
|
||
|
Total paid
|
8,340
|
|
|
7,125
|
|
||
|
Medical claims and benefits payable, ending balance
|
$
|
2,077
|
|
|
$
|
1,766
|
|
|
Benefit from prior period as a percentage of:
|
|
|
|
||||
|
Balance at beginning of period
|
1.6
|
%
|
|
11.3
|
%
|
||
|
Premium revenue, trailing twelve months
|
0.2
|
%
|
|
1.3
|
%
|
||
|
Medical care costs, trailing twelve months
|
0.2
|
%
|
|
1.4
|
%
|
||
|
•
|
In the first half of 2017, our Marketplace enrollment across all health plans increased by over
400,000
members. Due to limited insight into the cost patterns associated with this large number of new Marketplace members, our liability estimates for these members are subject to more than the usual amount of uncertainty.
|
|
•
|
At our Florida health plan, claims receipts increased significantly over the last few months due to an increase in the receipt of secondary claims, many of which are not our liability. These claims will either be denied or will have very small paid amounts. For this reason, claims denial rates, amounts paid per claim and other claims indicators will be impacted, making our liability estimates subject to more than the usual amount of uncertainty.
|
|
•
|
At our Illinois health plan, we paid a large number of claims in the first half of 2017 that had previously been denied and were subsequently disputed by providers. This has created some distortion in the claims payment patterns, making our liability estimates subject to more than the usual amount of uncertainty.
|
|
•
|
At our California health plan, we adjusted our inpatient authorization process. As a result, due to the expected increase in authorized inpatient stays, our liability estimates are subject to more than the usual amount of uncertainty.
|
|
•
|
At our New Mexico health plan, a fee schedule reduction for a large provider has created some distortion in the claims payment patterns, making our liability estimates subject to more than the usual amount of uncertainty.
|
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
Current portion of long-term debt:
|
|
|
|
||||
|
1.125% Convertible Notes, net of unamortized discount
|
$
|
488
|
|
|
$
|
477
|
|
|
1.625% Convertible Notes, net of unamortized premium and discount
|
291
|
|
|
—
|
|
||
|
Lease financing obligations
|
1
|
|
|
1
|
|
||
|
Debt issuance costs
|
(7
|
)
|
|
(6
|
)
|
||
|
|
773
|
|
|
472
|
|
||
|
Non-current portion of long-term debt, reported as “Senior notes”:
|
|
|
|
||||
|
5.375% Notes
|
700
|
|
|
700
|
|
||
|
4.875% Notes
|
330
|
|
|
—
|
|
||
|
1.625% Convertible Notes, net of unamortized premium and discount
|
—
|
|
|
286
|
|
||
|
Debt issuance costs
|
(13
|
)
|
|
(11
|
)
|
||
|
|
1,017
|
|
|
975
|
|
||
|
Lease financing obligations
|
198
|
|
|
198
|
|
||
|
|
$
|
1,988
|
|
|
$
|
1,645
|
|
|
•
|
On or prior to August 20, 2018, to:
|
|
◦
|
Redeem, repurchase, repay, tender for, or acquire for value all or any portion of our 1.625% Convertible Notes, defined and discussed further below, or to satisfy the cash portion of any consideration due upon any conversion of the 1.625% Convertible Notes; and/or
|
|
◦
|
Pay any interest due on all or any portion of the 4.875% Notes.
|
|
•
|
On or after August 20, 2018, to repurchase all or any portion of the 1.625% Convertible Notes that we are obligated to repurchase; and
|
|
•
|
Subsequent to August 20, 2018 (or such earlier date in the event that there are no longer any 1.625% Convertible Notes outstanding), in any other manner not otherwise prohibited in the indenture governing the 4.875% Notes.
|
|
|
Balance Sheet Location
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
|
|
|
(In millions)
|
||||||
|
Derivative asset:
|
|
|
|
|
|
||||
|
1.125% Call Option
|
Current assets: Derivative asset
|
|
$
|
440
|
|
|
$
|
267
|
|
|
Derivative liability:
|
|
|
|
|
|
||||
|
1.125% Conversion Option
|
Current liabilities: Derivative liability
|
|
$
|
440
|
|
|
$
|
267
|
|
|
|
Restricted Stock Awards
|
|
Performance Stock Awards
|
|
Performance Stock Units
|
|
Total
|
|
Weighted
Average
Grant Date
Fair Value
|
||||||
|
Unvested balance, December 31, 2016
|
577,244
|
|
|
345,656
|
|
|
—
|
|
|
922,900
|
|
|
$
|
58.15
|
|
|
Granted
|
377,076
|
|
|
—
|
|
|
231,100
|
|
|
608,176
|
|
|
56.98
|
|
|
|
Vested
|
(380,812
|
)
|
|
(260,894
|
)
|
|
(139,272
|
)
|
|
(780,978
|
)
|
|
57.63
|
|
|
|
Forfeited
|
(58,643
|
)
|
|
—
|
|
|
—
|
|
|
(58,643
|
)
|
|
54.48
|
|
|
|
Unvested balance, June 30, 2017
|
514,865
|
|
|
84,762
|
|
|
91,828
|
|
|
691,455
|
|
|
57.57
|
|
|
|
|
Health Plans
|
|
Molina Medicaid Solutions
|
|
Other
|
|
Total
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Historical goodwill
|
$
|
445
|
|
|
$
|
71
|
|
|
$
|
162
|
|
|
$
|
678
|
|
|
Accumulated impairment losses at December 31, 2016
|
(58
|
)
|
|
—
|
|
|
—
|
|
|
(58
|
)
|
||||
|
Balance, December 31, 2016
|
387
|
|
|
71
|
|
|
162
|
|
|
620
|
|
||||
|
Impairment losses
|
—
|
|
|
—
|
|
|
(61
|
)
|
|
(61
|
)
|
||||
|
Balance, June 30, 2017
|
$
|
387
|
|
|
$
|
71
|
|
|
$
|
101
|
|
|
$
|
559
|
|
|
Accumulated impairment losses at June 30, 2017
|
$
|
(58
|
)
|
|
$
|
—
|
|
|
$
|
(61
|
)
|
|
$
|
(119
|
)
|
|
1.
|
We are streamlining our organizational structure, including the elimination of redundant layers of management, the consolidation of regional support services, and other reductions to our workforce, to improve efficiency as well as the speed and quality of our decision-making.
|
|
2.
|
We are re-designing core operating processes such as provider payment, utilization management, quality monitoring and improvement, and information technology to achieve more effective and cost efficient outcomes.
|
|
3.
|
We are remediating high cost provider contracts and building around high quality, cost-effective networks.
|
|
4.
|
We are restructuring our existing direct delivery operations.
|
|
5.
|
We are reviewing our vendor base to ensure that we are partnering with the lowest-cost, most-effective vendors.
|
|
6.
|
Throughout this process, we are taking precautions to ensure that our actions do not impede our ability to continue to deliver quality health care, retain existing managed care contracts, and to secure new managed care contracts.
|
|
|
Separation Costs
–
Former Executives
|
|
Other Restructuring Costs
|
|
Total
|
||||||
|
|
(In millions)
|
||||||||||
|
Accrued restructuring and separation costs as of December 31, 2016
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
Costs recognized
|
35
|
|
|
8
|
|
|
43
|
|
|||
|
Cash payments
|
(1
|
)
|
|
(2
|
)
|
|
(3
|
)
|
|||
|
Other adjustments
–
acceleration of share-based compensation
|
(23
|
)
|
|
—
|
|
|
(23
|
)
|
|||
|
Accrued restructuring and separation costs as of June 30, 2017
|
$
|
11
|
|
|
$
|
6
|
|
|
$
|
17
|
|
|
Estimated Costs Expected to be Incurred by Reportable Segment
|
|
Health Plans
|
|
Other
|
|
Total
|
|
|
|
(In millions)
|
||||
|
Separation costs–one-time benefit arrangement for a workforce reduction
|
|
$25 to $30
|
|
$35 to $40
|
|
$60 to $70
|
|
Other restructuring costs
|
|
$55 to $60
|
|
$55 to $60
|
|
$110 to $120
|
|
|
|
$80 to $90
|
|
$90 to $100
|
|
$170 to $190
|
|
|
|
Health Plans
|
|
Molina Medicaid Solutions
|
|
Other
|
|
Consolidated
|
||||||||
|
|
|
|
|
|
||||||||||||
|
|
|
(In millions)
|
||||||||||||||
|
Three Months Ended June 30, 2017
|
|
|
|
|
|
|
|
|
||||||||
|
Total revenue
(1)
|
|
$
|
4,868
|
|
|
$
|
47
|
|
|
$
|
84
|
|
|
$
|
4,999
|
|
|
Gross margin
|
|
249
|
|
|
4
|
|
|
1
|
|
|
254
|
|
||||
|
Impairment losses
|
|
—
|
|
|
—
|
|
|
(72
|
)
|
|
(72
|
)
|
||||
|
Restructuring and separation costs
|
|
—
|
|
|
—
|
|
|
(43
|
)
|
|
(43
|
)
|
||||
|
|
|
|
|
|
|
|
|
|
||||||||
|
Six Months Ended June 30, 2017
|
|
|
|
|
|
|
|
|
||||||||
|
Total revenue
(1)
|
|
9,639
|
|
|
93
|
|
|
171
|
|
|
9,903
|
|
||||
|
Gross margin
|
|
786
|
|
|
8
|
|
|
6
|
|
|
800
|
|
||||
|
Impairment losses
|
|
—
|
|
|
—
|
|
|
(72
|
)
|
|
(72
|
)
|
||||
|
Restructuring and separation costs
|
|
—
|
|
|
—
|
|
|
(43
|
)
|
|
(43
|
)
|
||||
|
|
|
|
|
|
|
|
|
|
||||||||
|
Three Months Ended June 30, 2016
|
|
|
|
|
|
|
|
|
||||||||
|
Total revenue
(1)
|
|
4,223
|
|
|
46
|
|
|
90
|
|
|
4,359
|
|
||||
|
Gross margin
|
|
435
|
|
|
5
|
|
|
14
|
|
|
454
|
|
||||
|
Impairment losses
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Restructuring and separation costs
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
|
|
|
|
|
|
|
|
|
||||||||
|
Six Months Ended June 30, 2016
|
|
|
|
|
|
|
|
|
||||||||
|
Total revenue
(1)
|
|
8,424
|
|
|
98
|
|
|
180
|
|
|
8,702
|
|
||||
|
Gross margin
|
|
842
|
|
|
11
|
|
|
21
|
|
|
874
|
|
||||
|
Impairment losses
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Restructuring and separation costs
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
|
|
|
|
|
|
|
|
|
||||||||
|
Total Assets
|
|
|
|
|
|
|
|
|
||||||||
|
June 30, 2017
|
|
6,732
|
|
|
240
|
|
|
1,611
|
|
|
8,583
|
|
||||
|
December 31, 2016
|
|
5,897
|
|
|
267
|
|
|
1,285
|
|
|
7,449
|
|
||||
|
|
|
|
|
|
|
|
|
|
||||||||
|
Goodwill, and Intangible Assets, Net
|
|
|
|
|
|
|
|
|
||||||||
|
June 30, 2017
|
|
498
|
|
|
72
|
|
|
101
|
|
|
671
|
|
||||
|
December 31, 2016
|
|
513
|
|
|
72
|
|
|
175
|
|
|
760
|
|
||||
|
(1)
|
Total revenue consists primarily of premium revenue, premium tax revenue and health insurer fee revenue for the Health Plans segment, and service revenue for the Molina Medicaid Solutions and Other segments. Inter-segment revenue is insignificant for all periods presented.
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Gross margin:
|
|
|
|
|
|
|
|
||||||||
|
Health Plans
|
$
|
249
|
|
|
$
|
435
|
|
|
$
|
786
|
|
|
$
|
842
|
|
|
Molina Medicaid Solutions
|
4
|
|
|
5
|
|
|
8
|
|
|
11
|
|
||||
|
Other
|
1
|
|
|
14
|
|
|
6
|
|
|
21
|
|
||||
|
Total gross margin
|
254
|
|
|
454
|
|
|
800
|
|
|
874
|
|
||||
|
Add: other operating revenues
(1)
|
130
|
|
|
195
|
|
|
255
|
|
|
403
|
|
||||
|
Less: other operating expenses
(2)
|
(671
|
)
|
|
(544
|
)
|
|
(1,260
|
)
|
|
(1,083
|
)
|
||||
|
Operating (loss) income
|
(287
|
)
|
|
105
|
|
|
(205
|
)
|
|
194
|
|
||||
|
Other expenses (income), net
|
27
|
|
|
25
|
|
|
(22
|
)
|
|
50
|
|
||||
|
(Loss) income before income taxes
|
$
|
(314
|
)
|
|
$
|
80
|
|
|
$
|
(183
|
)
|
|
$
|
144
|
|
|
(1)
|
Other operating revenues include premium tax revenue, health insurer fee revenue, investment income and other revenue.
|
|
(2)
|
Other operating expenses include general and administrative expenses, premium tax expenses, health insurer fee expenses, depreciation and amortization, impairment losses, and restructuring and separation costs.
|
|
|
Three Months Ended June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Revenue:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Total revenue
|
$
|
289
|
|
|
$
|
51
|
|
|
$
|
4,952
|
|
|
$
|
(293
|
)
|
|
$
|
4,999
|
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical care costs
|
3
|
|
|
—
|
|
|
4,488
|
|
|
—
|
|
|
4,491
|
|
|||||
|
Cost of service revenue
|
—
|
|
|
43
|
|
|
81
|
|
|
—
|
|
|
124
|
|
|||||
|
General and administrative expenses
|
258
|
|
|
7
|
|
|
433
|
|
|
(293
|
)
|
|
405
|
|
|||||
|
Premium tax expenses
|
—
|
|
|
—
|
|
|
114
|
|
|
—
|
|
|
114
|
|
|||||
|
Depreciation and amortization
|
25
|
|
|
—
|
|
|
12
|
|
|
—
|
|
|
37
|
|
|||||
|
Impairment losses
|
—
|
|
|
—
|
|
|
72
|
|
|
—
|
|
|
72
|
|
|||||
|
Restructuring and separation costs
|
43
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
43
|
|
|||||
|
Total operating expenses
|
329
|
|
|
50
|
|
|
5,200
|
|
|
(293
|
)
|
|
5,286
|
|
|||||
|
Operating (loss) income
|
(40
|
)
|
|
1
|
|
|
(248
|
)
|
|
—
|
|
|
(287
|
)
|
|||||
|
Interest expense
|
27
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
27
|
|
|||||
|
(Loss) income before income taxes
|
(67
|
)
|
|
1
|
|
|
(248
|
)
|
|
—
|
|
|
(314
|
)
|
|||||
|
Income tax benefit
|
(14
|
)
|
|
—
|
|
|
(70
|
)
|
|
—
|
|
|
(84
|
)
|
|||||
|
Net (loss) income before equity in net losses of subsidiaries
|
(53
|
)
|
|
1
|
|
|
(178
|
)
|
|
—
|
|
|
(230
|
)
|
|||||
|
Equity in net losses of subsidiaries
|
(177
|
)
|
|
(64
|
)
|
|
—
|
|
|
241
|
|
|
—
|
|
|||||
|
Net loss
|
$
|
(230
|
)
|
|
$
|
(63
|
)
|
|
$
|
(178
|
)
|
|
$
|
241
|
|
|
$
|
(230
|
)
|
|
|
Three Months Ended June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Net loss
|
$
|
(230
|
)
|
|
$
|
(63
|
)
|
|
$
|
(178
|
)
|
|
$
|
241
|
|
|
$
|
(230
|
)
|
|
Other comprehensive loss, net of tax
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|||||
|
Comprehensive loss
|
$
|
(230
|
)
|
|
$
|
(63
|
)
|
|
$
|
(178
|
)
|
|
$
|
241
|
|
|
$
|
(230
|
)
|
|
|
Three Months Ended June 30, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Revenue:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Total revenue
|
$
|
261
|
|
|
$
|
47
|
|
|
$
|
4,311
|
|
|
$
|
(260
|
)
|
|
$
|
4,359
|
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical care costs
|
19
|
|
|
—
|
|
|
3,575
|
|
|
—
|
|
|
3,594
|
|
|||||
|
Cost of service revenue
|
—
|
|
|
23
|
|
|
93
|
|
|
—
|
|
|
116
|
|
|||||
|
General and administrative expenses
|
219
|
|
|
24
|
|
|
368
|
|
|
(260
|
)
|
|
351
|
|
|||||
|
Premium tax expenses
|
—
|
|
|
—
|
|
|
109
|
|
|
—
|
|
|
109
|
|
|||||
|
Health insurer fee expenses
|
—
|
|
|
—
|
|
|
50
|
|
|
—
|
|
|
50
|
|
|||||
|
Depreciation and amortization
|
23
|
|
|
1
|
|
|
10
|
|
|
—
|
|
|
34
|
|
|||||
|
Total operating expenses
|
261
|
|
|
48
|
|
|
4,205
|
|
|
(260
|
)
|
|
4,254
|
|
|||||
|
Operating (loss) income
|
—
|
|
|
(1
|
)
|
|
106
|
|
|
—
|
|
|
105
|
|
|||||
|
Interest expense
|
25
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
25
|
|
|||||
|
(Loss) income before income taxes
|
(25
|
)
|
|
(1
|
)
|
|
106
|
|
|
—
|
|
|
80
|
|
|||||
|
Income tax (benefit) expense
|
(12
|
)
|
|
(1
|
)
|
|
60
|
|
|
—
|
|
|
47
|
|
|||||
|
Net (loss) income before equity in net earnings of subsidiaries
|
(13
|
)
|
|
—
|
|
|
46
|
|
|
—
|
|
|
33
|
|
|||||
|
Equity in net earnings of subsidiaries
|
46
|
|
|
1
|
|
|
—
|
|
|
(47
|
)
|
|
—
|
|
|||||
|
Net income
|
$
|
33
|
|
|
$
|
1
|
|
|
$
|
46
|
|
|
$
|
(47
|
)
|
|
$
|
33
|
|
|
|
Three Months Ended June 30, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Net income
|
$
|
33
|
|
|
$
|
1
|
|
|
$
|
46
|
|
|
$
|
(47
|
)
|
|
$
|
33
|
|
|
Other comprehensive income, net of tax
|
2
|
|
|
—
|
|
|
2
|
|
|
(2
|
)
|
|
2
|
|
|||||
|
Comprehensive income
|
$
|
35
|
|
|
$
|
1
|
|
|
$
|
48
|
|
|
$
|
(49
|
)
|
|
$
|
35
|
|
|
|
Six Months Ended June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Revenue:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Total revenue
|
$
|
630
|
|
|
$
|
99
|
|
|
$
|
9,809
|
|
|
$
|
(635
|
)
|
|
$
|
9,903
|
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical care costs
|
7
|
|
|
—
|
|
|
8,595
|
|
|
—
|
|
|
8,602
|
|
|||||
|
Cost of service revenue
|
—
|
|
|
85
|
|
|
161
|
|
|
—
|
|
|
246
|
|
|||||
|
General and administrative expenses
|
555
|
|
|
14
|
|
|
910
|
|
|
(635
|
)
|
|
844
|
|
|||||
|
Premium tax expenses
|
—
|
|
|
—
|
|
|
225
|
|
|
—
|
|
|
225
|
|
|||||
|
Depreciation and amortization
|
52
|
|
|
—
|
|
|
24
|
|
|
—
|
|
|
76
|
|
|||||
|
Impairment losses
|
—
|
|
|
—
|
|
|
72
|
|
|
—
|
|
|
72
|
|
|||||
|
Restructuring and separation costs
|
43
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
43
|
|
|||||
|
Total operating expenses
|
657
|
|
|
99
|
|
|
9,987
|
|
|
(635
|
)
|
|
10,108
|
|
|||||
|
Operating loss
|
(27
|
)
|
|
—
|
|
|
(178
|
)
|
|
—
|
|
|
(205
|
)
|
|||||
|
Interest expense
|
53
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
53
|
|
|||||
|
Other income, net
|
(75
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(75
|
)
|
|||||
|
Loss before income taxes
|
(5
|
)
|
|
—
|
|
|
(178
|
)
|
|
—
|
|
|
(183
|
)
|
|||||
|
Income tax expense (benefit)
|
17
|
|
|
—
|
|
|
(47
|
)
|
|
—
|
|
|
(30
|
)
|
|||||
|
Net loss before equity in net losses of subsidiaries
|
(22
|
)
|
|
—
|
|
|
(131
|
)
|
|
—
|
|
|
(153
|
)
|
|||||
|
Equity in net losses of subsidiaries
|
(131
|
)
|
|
(66
|
)
|
|
—
|
|
|
197
|
|
|
—
|
|
|||||
|
Net loss
|
$
|
(153
|
)
|
|
$
|
(66
|
)
|
|
$
|
(131
|
)
|
|
$
|
197
|
|
|
$
|
(153
|
)
|
|
|
Six Months Ended June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Net loss
|
$
|
(153
|
)
|
|
$
|
(66
|
)
|
|
$
|
(131
|
)
|
|
$
|
197
|
|
|
$
|
(153
|
)
|
|
Other comprehensive income, net of tax
|
1
|
|
|
—
|
|
|
1
|
|
|
(1
|
)
|
|
1
|
|
|||||
|
Comprehensive loss
|
$
|
(152
|
)
|
|
$
|
(66
|
)
|
|
$
|
(130
|
)
|
|
$
|
196
|
|
|
$
|
(152
|
)
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Revenue:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Total revenue
|
$
|
512
|
|
|
$
|
99
|
|
|
$
|
8,601
|
|
|
$
|
(510
|
)
|
|
$
|
8,702
|
|
|
Expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical care costs
|
31
|
|
|
—
|
|
|
7,151
|
|
|
—
|
|
|
7,182
|
|
|||||
|
Cost of service revenue
|
—
|
|
|
88
|
|
|
155
|
|
|
—
|
|
|
243
|
|
|||||
|
General and administrative expenses
|
436
|
|
|
9
|
|
|
756
|
|
|
(510
|
)
|
|
691
|
|
|||||
|
Premium tax expenses
|
—
|
|
|
—
|
|
|
218
|
|
|
—
|
|
|
218
|
|
|||||
|
Health insurer fee expenses
|
—
|
|
|
—
|
|
|
108
|
|
|
—
|
|
|
108
|
|
|||||
|
Depreciation and amortization
|
45
|
|
|
3
|
|
|
18
|
|
|
—
|
|
|
66
|
|
|||||
|
Total operating expenses
|
512
|
|
|
100
|
|
|
8,406
|
|
|
(510
|
)
|
|
8,508
|
|
|||||
|
Operating (loss) income
|
—
|
|
|
(1
|
)
|
|
195
|
|
|
—
|
|
|
194
|
|
|||||
|
Interest expense
|
50
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
50
|
|
|||||
|
(Loss) income before income taxes
|
(50
|
)
|
|
(1
|
)
|
|
195
|
|
|
—
|
|
|
144
|
|
|||||
|
Income tax (benefit) expense
|
(28
|
)
|
|
(1
|
)
|
|
116
|
|
|
—
|
|
|
87
|
|
|||||
|
Net (loss) income before equity in earnings of subsidiaries
|
(22
|
)
|
|
—
|
|
|
79
|
|
|
—
|
|
|
57
|
|
|||||
|
Equity in net earnings of subsidiaries
|
79
|
|
|
3
|
|
|
—
|
|
|
(82
|
)
|
|
—
|
|
|||||
|
Net income
|
$
|
57
|
|
|
$
|
3
|
|
|
$
|
79
|
|
|
$
|
(82
|
)
|
|
$
|
57
|
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Net income
|
$
|
57
|
|
|
$
|
3
|
|
|
$
|
79
|
|
|
$
|
(82
|
)
|
|
$
|
57
|
|
|
Other comprehensive income, net of tax
|
8
|
|
|
—
|
|
|
7
|
|
|
(7
|
)
|
|
8
|
|
|||||
|
Comprehensive income
|
$
|
65
|
|
|
$
|
3
|
|
|
$
|
86
|
|
|
$
|
(89
|
)
|
|
$
|
65
|
|
|
|
June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
ASSETS
|
|||||||||||||||||||
|
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Cash and cash equivalents
|
$
|
109
|
|
|
$
|
32
|
|
|
$
|
2,838
|
|
|
$
|
—
|
|
|
$
|
2,979
|
|
|
Investments
|
56
|
|
|
—
|
|
|
2,136
|
|
|
—
|
|
|
2,192
|
|
|||||
|
Restricted investments
|
325
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
325
|
|
|||||
|
Receivables
|
2
|
|
|
30
|
|
|
974
|
|
|
—
|
|
|
1,006
|
|
|||||
|
Income taxes refundable
|
7
|
|
|
1
|
|
|
60
|
|
|
—
|
|
|
68
|
|
|||||
|
Due from (to) affiliates
|
137
|
|
|
(6
|
)
|
|
(131
|
)
|
|
—
|
|
|
—
|
|
|||||
|
Prepaid expenses and other current assets
|
70
|
|
|
21
|
|
|
68
|
|
|
—
|
|
|
159
|
|
|||||
|
Derivative asset
|
440
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
440
|
|
|||||
|
Total current assets
|
1,146
|
|
|
78
|
|
|
5,945
|
|
|
—
|
|
|
7,169
|
|
|||||
|
Property, equipment, and capitalized software, net
|
297
|
|
|
47
|
|
|
105
|
|
|
—
|
|
|
449
|
|
|||||
|
Deferred contract costs
|
—
|
|
|
93
|
|
|
—
|
|
|
—
|
|
|
93
|
|
|||||
|
Goodwill and intangible assets, net
|
56
|
|
|
72
|
|
|
543
|
|
|
—
|
|
|
671
|
|
|||||
|
Restricted investments
|
—
|
|
|
—
|
|
|
118
|
|
|
—
|
|
|
118
|
|
|||||
|
Investment in subsidiaries, net
|
2,597
|
|
|
181
|
|
|
—
|
|
|
(2,778
|
)
|
|
—
|
|
|||||
|
Deferred income taxes
|
10
|
|
|
(43
|
)
|
|
79
|
|
|
(10
|
)
|
|
36
|
|
|||||
|
Other assets
|
55
|
|
|
2
|
|
|
6
|
|
|
(16
|
)
|
|
47
|
|
|||||
|
|
$
|
4,161
|
|
|
$
|
430
|
|
|
$
|
6,796
|
|
|
$
|
(2,804
|
)
|
|
$
|
8,583
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
LIABILITIES AND STOCKHOLDERS’ EQUITY
|
|||||||||||||||||||
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical claims and benefits payable
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
2,077
|
|
|
$
|
—
|
|
|
$
|
2,077
|
|
|
Amounts due government agencies
|
—
|
|
|
—
|
|
|
1,844
|
|
|
—
|
|
|
1,844
|
|
|||||
|
Accounts payable and accrued liabilities
|
170
|
|
|
35
|
|
|
170
|
|
|
—
|
|
|
375
|
|
|||||
|
Deferred revenue
|
—
|
|
|
49
|
|
|
235
|
|
|
—
|
|
|
284
|
|
|||||
|
Current portion of long-term debt
|
773
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
773
|
|
|||||
|
Derivative liability
|
440
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
440
|
|
|||||
|
Total current liabilities
|
1,383
|
|
|
84
|
|
|
4,326
|
|
|
—
|
|
|
5,793
|
|
|||||
|
Long-term debt
|
1,215
|
|
|
—
|
|
|
16
|
|
|
(16
|
)
|
|
1,215
|
|
|||||
|
Deferred income taxes
|
10
|
|
|
—
|
|
|
—
|
|
|
(10
|
)
|
|
—
|
|
|||||
|
Other long-term liabilities
|
32
|
|
|
1
|
|
|
21
|
|
|
—
|
|
|
54
|
|
|||||
|
Total liabilities
|
2,640
|
|
|
85
|
|
|
4,363
|
|
|
(26
|
)
|
|
7,062
|
|
|||||
|
Total stockholders’ equity
|
1,521
|
|
|
345
|
|
|
2,433
|
|
|
(2,778
|
)
|
|
1,521
|
|
|||||
|
|
$
|
4,161
|
|
|
$
|
430
|
|
|
$
|
6,796
|
|
|
$
|
(2,804
|
)
|
|
$
|
8,583
|
|
|
|
December 31, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
ASSETS
|
|||||||||||||||||||
|
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Cash and cash equivalents
|
$
|
86
|
|
|
$
|
6
|
|
|
$
|
2,727
|
|
|
$
|
—
|
|
|
$
|
2,819
|
|
|
Investments
|
178
|
|
|
—
|
|
|
1,580
|
|
|
—
|
|
|
1,758
|
|
|||||
|
Receivables
|
2
|
|
|
34
|
|
|
938
|
|
|
—
|
|
|
974
|
|
|||||
|
Income tax refundable
|
17
|
|
|
4
|
|
|
18
|
|
|
—
|
|
|
39
|
|
|||||
|
Due from (to) affiliates
|
104
|
|
|
(5
|
)
|
|
(99
|
)
|
|
—
|
|
|
—
|
|
|||||
|
Prepaid expenses and other current assets
|
58
|
|
|
30
|
|
|
43
|
|
|
—
|
|
|
131
|
|
|||||
|
Derivative asset
|
267
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
267
|
|
|||||
|
Total current assets
|
712
|
|
|
69
|
|
|
5,207
|
|
|
—
|
|
|
5,988
|
|
|||||
|
Property, equipment, and capitalized software, net
|
301
|
|
|
46
|
|
|
107
|
|
|
—
|
|
|
454
|
|
|||||
|
Deferred contract costs
|
—
|
|
|
86
|
|
|
—
|
|
|
—
|
|
|
86
|
|
|||||
|
Goodwill and intangible assets, net
|
58
|
|
|
73
|
|
|
629
|
|
|
—
|
|
|
760
|
|
|||||
|
Restricted investments
|
—
|
|
|
—
|
|
|
110
|
|
|
—
|
|
|
110
|
|
|||||
|
Investment in subsidiaries, net
|
2,609
|
|
|
246
|
|
|
—
|
|
|
(2,855
|
)
|
|
—
|
|
|||||
|
Deferred income taxes
|
10
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10
|
|
|||||
|
Other assets
|
48
|
|
|
3
|
|
|
6
|
|
|
(16
|
)
|
|
41
|
|
|||||
|
|
$
|
3,738
|
|
|
$
|
523
|
|
|
$
|
6,059
|
|
|
$
|
(2,871
|
)
|
|
$
|
7,449
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
LIABILITIES AND STOCKHOLDERS’ EQUITY
|
|||||||||||||||||||
|
Current liabilities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Medical claims and benefits payable
|
$
|
1
|
|
|
$
|
—
|
|
|
$
|
1,928
|
|
|
$
|
—
|
|
|
$
|
1,929
|
|
|
Amounts due government agencies
|
—
|
|
|
—
|
|
|
1,202
|
|
|
—
|
|
|
1,202
|
|
|||||
|
Accounts payable and accrued liabilities
|
146
|
|
|
34
|
|
|
205
|
|
|
—
|
|
|
385
|
|
|||||
|
Deferred revenue
|
—
|
|
|
40
|
|
|
275
|
|
|
—
|
|
|
315
|
|
|||||
|
Current portion of long-term debt
|
472
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
472
|
|
|||||
|
Derivative liability
|
267
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
267
|
|
|||||
|
Total current liabilities
|
886
|
|
|
74
|
|
|
3,610
|
|
|
—
|
|
|
4,570
|
|
|||||
|
Long-term debt
|
1,173
|
|
|
—
|
|
|
16
|
|
|
(16
|
)
|
|
1,173
|
|
|||||
|
Deferred income taxes
|
11
|
|
|
39
|
|
|
(35
|
)
|
|
—
|
|
|
15
|
|
|||||
|
Other long-term liabilities
|
19
|
|
|
1
|
|
|
22
|
|
|
—
|
|
|
42
|
|
|||||
|
Total liabilities
|
2,089
|
|
|
114
|
|
|
3,613
|
|
|
(16
|
)
|
|
5,800
|
|
|||||
|
Total stockholders’ equity
|
1,649
|
|
|
409
|
|
|
2,446
|
|
|
(2,855
|
)
|
|
1,649
|
|
|||||
|
|
$
|
3,738
|
|
|
$
|
523
|
|
|
$
|
6,059
|
|
|
$
|
(2,871
|
)
|
|
$
|
7,449
|
|
|
|
Six Months Ended June 30, 2017
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Operating activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Net cash provided by operating activities
|
$
|
90
|
|
|
$
|
44
|
|
|
$
|
538
|
|
|
$
|
—
|
|
|
$
|
672
|
|
|
Investing activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Purchases of investments
|
(330
|
)
|
|
—
|
|
|
(1,306
|
)
|
|
—
|
|
|
(1,636
|
)
|
|||||
|
Proceeds from sales and maturities of investments
|
127
|
|
|
—
|
|
|
747
|
|
|
—
|
|
|
874
|
|
|||||
|
Purchases of property, equipment and capitalized software
|
(45
|
)
|
|
(9
|
)
|
|
(6
|
)
|
|
—
|
|
|
(60
|
)
|
|||||
|
Increase in restricted investments held-to-maturity
|
—
|
|
|
—
|
|
|
(10
|
)
|
|
—
|
|
|
(10
|
)
|
|||||
|
Capital contributions to/from subsidiaries
|
(238
|
)
|
|
2
|
|
|
236
|
|
|
—
|
|
|
—
|
|
|||||
|
Dividends to/from subsidiaries
|
120
|
|
|
—
|
|
|
(120
|
)
|
|
—
|
|
|
—
|
|
|||||
|
Change in amounts due to/from affiliates
|
(34
|
)
|
|
2
|
|
|
32
|
|
|
—
|
|
|
—
|
|
|||||
|
Other, net
|
—
|
|
|
(13
|
)
|
|
—
|
|
|
—
|
|
|
(13
|
)
|
|||||
|
Net cash used in investing activities
|
(400
|
)
|
|
(18
|
)
|
|
(427
|
)
|
|
—
|
|
|
(845
|
)
|
|||||
|
Financing activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Proceeds from senior notes offerings, net of issuance costs
|
325
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
325
|
|
|||||
|
Proceeds from employee stock plans
|
11
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
11
|
|
|||||
|
Other, net
|
(3
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(3
|
)
|
|||||
|
Net cash provided by financing activities
|
333
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
333
|
|
|||||
|
Net increase in cash and cash equivalents
|
23
|
|
|
26
|
|
|
111
|
|
|
—
|
|
|
160
|
|
|||||
|
Cash and cash equivalents at beginning of period
|
86
|
|
|
6
|
|
|
2,727
|
|
|
—
|
|
|
2,819
|
|
|||||
|
Cash and cash equivalents at end of period
|
$
|
109
|
|
|
$
|
32
|
|
|
$
|
2,838
|
|
|
$
|
—
|
|
|
$
|
2,979
|
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||
|
|
Parent Guarantor
|
|
Other Guarantors
|
|
Non-Guarantors
|
|
Eliminations
|
|
Consolidated
|
||||||||||
|
|
(In millions)
|
||||||||||||||||||
|
Operating activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Net cash (used in) provided by operating activities
|
$
|
(21
|
)
|
|
$
|
20
|
|
|
$
|
279
|
|
|
$
|
—
|
|
|
$
|
278
|
|
|
Investing activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Purchases of investments
|
(67
|
)
|
|
—
|
|
|
(907
|
)
|
|
—
|
|
|
(974
|
)
|
|||||
|
Proceeds from sales and maturities of investments
|
67
|
|
|
—
|
|
|
745
|
|
|
—
|
|
|
812
|
|
|||||
|
Purchases of property, equipment and capitalized software
|
(73
|
)
|
|
(19
|
)
|
|
(10
|
)
|
|
—
|
|
|
(102
|
)
|
|||||
|
Decrease in restricted investments held-to-maturity
|
—
|
|
|
—
|
|
|
5
|
|
|
—
|
|
|
5
|
|
|||||
|
Net cash paid in business combinations
|
—
|
|
|
(1
|
)
|
|
(7
|
)
|
|
—
|
|
|
(8
|
)
|
|||||
|
Capital contributions to/from subsidiaries
|
(106
|
)
|
|
2
|
|
|
104
|
|
|
—
|
|
|
—
|
|
|||||
|
Dividends to/from subsidiaries
|
50
|
|
|
—
|
|
|
(50
|
)
|
|
—
|
|
|
—
|
|
|||||
|
Change in amounts due to/from affiliates
|
(13
|
)
|
|
2
|
|
|
11
|
|
|
—
|
|
|
—
|
|
|||||
|
Other, net
|
5
|
|
|
(12
|
)
|
|
1
|
|
|
—
|
|
|
(6
|
)
|
|||||
|
Net cash used in investing activities
|
(137
|
)
|
|
(28
|
)
|
|
(108
|
)
|
|
—
|
|
|
(273
|
)
|
|||||
|
Financing activities:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Proceeds from employee stock plans
|
10
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10
|
|
|||||
|
Other, net
|
2
|
|
|
—
|
|
|
(1
|
)
|
|
—
|
|
|
1
|
|
|||||
|
Net cash provided by (used in) financing activities
|
12
|
|
|
—
|
|
|
(1
|
)
|
|
—
|
|
|
11
|
|
|||||
|
Net (decrease) increase in cash and cash equivalents
|
(146
|
)
|
|
(8
|
)
|
|
170
|
|
|
—
|
|
|
16
|
|
|||||
|
Cash and cash equivalents at beginning of period
|
360
|
|
|
13
|
|
|
1,956
|
|
|
—
|
|
|
2,329
|
|
|||||
|
Cash and cash equivalents at end of period
|
$
|
214
|
|
|
$
|
5
|
|
|
$
|
2,126
|
|
|
$
|
—
|
|
|
$
|
2,345
|
|
|
•
|
the success of the Restructuring Plan, including the timing of the benefits realized;
|
|
•
|
the numerous political and market-based uncertainties associated with the Affordable Care Act (the “ACA”) or “Obamacare,” including any potential repeal and replacement of the law, amendment of the law, or move to state block grants for Medicaid;
|
|
•
|
the market dynamics surrounding the ACA Marketplaces, including but not limited to uncertainties associated with risk transfer requirements, the potential for disproportionate enrollment of higher acuity members, the withdrawal of cost sharing subsidies and/or premium tax credits, the adequacy of agreed rates, and potential disruption associated with market withdrawal;
|
|
•
|
subsequent adjustments to reported premium revenue based upon subsequent developments or new information, including changes to estimated amounts payable or receivable related to Marketplace risk adjustment/risk transfer, risk corridors, and reinsurance;
|
|
•
|
effective management of our medical costs;
|
|
•
|
our ability to predict with a reasonable degree of accuracy utilization rates, including utilization rates associated with seasonal flu patterns or other newly emergent diseases;
|
|
•
|
significant budget pressures on state governments and their potential inability to maintain current rates, to implement expected rate increases, or to maintain existing benefit packages or membership eligibility thresholds or criteria, including the payment of all amounts due to our Illinois health plan following the resolution of the Illinois budget impasse;
|
|
•
|
the success of our efforts to retain existing government contracts, including those in Florida, Illinois, New Mexico, Puerto Rico, and Texas, and to obtain new government contracts in connection with state requests for proposals (RFPs) in both existing and new states;
|
|
•
|
any adverse impact resulting from the significant changes to our executive leadership team and the rightsizing of our workforce;
|
|
•
|
the impact of our decision to exit the Utah and Wisconsin ACA Marketplace markets effective December 31, 2017;
|
|
•
|
our ability to manage our operations, including maintaining and creating adequate internal systems and controls relating to authorizations, approvals, provider payments, and the overall success of our care management initiatives;
|
|
•
|
our ability to consummate and realize benefits from acquisitions or divestitures;
|
|
•
|
our receipt of adequate premium rates to support increasing pharmacy costs, including costs associated with specialty drugs and costs resulting from formulary changes that allow the option of higher-priced non-generic drugs;
|
|
•
|
our ability to operate profitably in an environment where the trend in premium rate increases lags behind the trend in increasing medical costs;
|
|
•
|
the interpretation and implementation of federal or state medical cost expenditure floors, administrative cost and profit ceilings, premium stabilization programs, profit sharing arrangements, and risk adjustment provisions;
|
|
•
|
our estimates of amounts owed for such cost expenditure floors, administrative cost and profit ceilings, premium stabilization programs, profit-sharing arrangements, and risk adjustment provisions;
|
|
•
|
the Medicaid expansion cost corridors in California, New Mexico, and Washington, and any other retroactive adjustment to revenue where methodologies and procedures are subject to interpretation or dependent upon information about the health status of participants other than Molina members;
|
|
•
|
the interpretation and implementation of at-risk premium rules and state contract performance requirements regarding the achievement of certain quality measures, and our ability to recognize revenue amounts associated therewith;
|
|
•
|
cyber-attacks or other privacy or data security incidents resulting in an inadvertent unauthorized disclosure of protected health information;
|
|
•
|
the success of our health plan in Puerto Rico, including the resolution of the Puerto Rico debt crisis, payment of all amounts due under our Medicaid contract, the effect of the PROMESA law, and our efforts to better manage the health care costs of our Puerto Rico health plan;
|
|
•
|
the success and renewal of our duals demonstration programs in California, Illinois, Michigan, Ohio, South Carolina, and Texas;
|
|
•
|
the accurate estimation of incurred but not reported or paid medical costs across our health plans;
|
|
•
|
efforts by states to recoup previously paid and recognized premium amounts;
|
|
•
|
the continuation and renewal of the government contracts of our health plans, Molina Medicaid Solutions, and Pathways, and the terms under which such contracts are renewed;
|
|
•
|
complications, member confusion, or enrollment backlogs related to the annual renewal of Medicaid coverage;
|
|
•
|
government audits and reviews, or potential investigations, and any fine, sanction, enrollment freeze, monitoring program, or premium recovery that may result therefrom, including any potential demand by the state of New Mexico to recover purportedly underpaid premium taxes;
|
|
•
|
changes with respect to our provider contracts and the loss of providers;
|
|
•
|
approval by state regulators of dividends and distributions by our health plan subsidiaries;
|
|
•
|
changes in funding under our contracts as a result of regulatory changes, programmatic adjustments, or other reforms;
|
|
•
|
high dollar claims related to catastrophic illness;
|
|
•
|
the favorable resolution of litigation, arbitration, or administrative proceedings;
|
|
•
|
the relatively small number of states in which we operate health plans;
|
|
•
|
the availability of adequate financing on acceptable terms to fund and capitalize our expansion and growth, repay our outstanding indebtedness at maturity and meet our liquidity needs, including the interest expense and other costs associated with such financing;
|
|
•
|
our failure to comply with the financial or other covenants in our credit agreement or the indentures governing our outstanding notes;
|
|
•
|
the sufficiency of our funds on hand to pay the amounts due upon conversion or maturity of our outstanding notes;
|
|
•
|
the failure of a state in which we operate to renew its federal Medicaid waiver;
|
|
•
|
changes generally affecting the managed care or Medicaid management information systems industries;
|
|
•
|
increases in government surcharges, taxes, and assessments, including but not limited to the deductibility of certain compensation costs;
|
|
•
|
newly emergent viruses or widespread epidemics, public catastrophes or terrorist attacks, and associated public alarm;
and
|
|
•
|
increasing competition and consolidation in the Medicaid industry
;
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(Dollar amounts in millions, except per-share amounts)
|
||||||||||||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
$
|
57
|
|
|
Net (loss) income per diluted share
|
$
|
(4.10
|
)
|
|
$
|
0.58
|
|
|
$
|
(2.74
|
)
|
|
$
|
1.01
|
|
|
MCR
(1)
|
94.8
|
%
|
|
89.2
|
%
|
|
91.6
|
%
|
|
89.5
|
%
|
||||
|
G&A ratio
(2)
|
8.1
|
%
|
|
8.1
|
%
|
|
8.5
|
%
|
|
7.9
|
%
|
||||
|
Premium tax ratio
(1)
|
2.4
|
%
|
|
2.6
|
%
|
|
2.3
|
%
|
|
2.6
|
%
|
||||
|
Effective tax rate
|
26.8
|
%
|
|
59.8
|
%
|
|
16.0
|
%
|
|
60.7
|
%
|
||||
|
Net profit margin
(2)
|
(4.6
|
)%
|
|
0.7
|
%
|
|
(1.5
|
)%
|
|
0.7
|
%
|
||||
|
EBITDA*
|
$
|
(243
|
)
|
|
$
|
144
|
|
|
$
|
(40
|
)
|
|
$
|
270
|
|
|
Adjusted net (loss) income*
|
$
|
(225
|
)
|
|
$
|
38
|
|
|
$
|
(142
|
)
|
|
$
|
67
|
|
|
Adjusted net (loss) income per diluted share*
|
$
|
(4.01
|
)
|
|
$
|
0.67
|
|
|
$
|
(2.55
|
)
|
|
$
|
1.18
|
|
|
(1)
|
MCR represents medical care costs as a percentage of premium revenue; premium tax ratio represents premium tax expenses as a percentage of premium revenue plus premium tax revenue.
|
|
(2)
|
G&A ratio represents general and administrative expenses as a percentage of total revenue. Net profit margin represents net income as a percentage of total revenue.
|
|
•
|
Net loss per diluted share was
$4.10
in the second quarter of 2017 compared with net income per diluted share of
$0.58
reported for the second quarter of 2016. Adjusted net loss per diluted share* was
$4.01
in the second quarter of 2017, compared with adjusted net income per diluted share of
$0.67
in the second quarter of 2016.
Loss before income tax benefit for the second quarter of 2017 was
$314 million
.
|
|
•
|
Certain significant items contributed
$330 million
to the loss before income tax benefit. See further discussion of these items in the table below, in “Health Plans—Financial Performance by Program,” and “Other Consolidated Information.”
|
|
•
|
The medical care ratio increased to
94.8%
in the second quarter of 2017 compared to
89.2%
in the second quarter of 2016. See further discussion below in “Reportable Segments—Health Plans—Financial Overview.”
|
|
Summary of Significant Items Affecting 2017 Financial Results
|
|||||||||||||||
|
|
Three Months Ended
|
|
Six Months Ended
|
||||||||||||
|
|
June 30, 2017
|
|
June 30, 2017
|
||||||||||||
|
|
(In millions, except per diluted share amounts)
|
||||||||||||||
|
|
Amount
|
|
Per Diluted Share
(1)
|
|
Amount
|
|
Per Diluted Share
(1)
|
||||||||
|
Impairment losses
|
$
|
72
|
|
|
$
|
1.01
|
|
|
$
|
72
|
|
|
$
|
1.02
|
|
|
Losses at behavioral health subsidiary exclusive of impairment
|
8
|
|
|
0.09
|
|
|
12
|
|
|
0.14
|
|
||||
|
Medical care costs related to prior year service dates that were in excess of historical expectations
|
85
|
|
|
0.95
|
|
|
74
|
|
|
0.84
|
|
||||
|
Marketplace adjustments related to risk transfer, cost sharing subsidies, and other items for 2016 service dates
|
44
|
|
|
0.49
|
|
|
47
|
|
|
0.53
|
|
||||
|
Marketplace premium deficiency reserve for 2017 service dates
|
78
|
|
|
0.87
|
|
|
70
|
|
|
0.79
|
|
||||
|
Restructuring and separation costs
|
43
|
|
|
0.68
|
|
|
43
|
|
|
0.68
|
|
||||
|
Termination fee received for Terminated Medicare acquisition
|
—
|
|
|
—
|
|
|
(75
|
)
|
|
(0.84
|
)
|
||||
|
|
$
|
330
|
|
|
$
|
4.09
|
|
|
$
|
243
|
|
|
$
|
3.16
|
|
|
(1)
|
Except for certain items that are not deductible for tax purposes, per diluted share amounts are generally calculated at our statutory income tax rate of 37%, which is in excess of the effective tax rate recorded in our consolidated statements of operations.
|
|
•
|
We recorded
$72 million
in non-cash impairment losses for goodwill and intangibles, primarily relating to our Pathways subsidiary. In
the course of developing our restructuring and profitability improvement plan, we determined that future benefits to be derived from Pathways (including integration with our health plans) will be less than previously anticipated.
While such impairment losses have a short-term impact on profitability, there is no impact to our cash flows. Pathways experienced operating losses of
$8 million
for the quarter ended June 30, 2017 and
$12 million
for the six months ended June 30, 2017.
|
|
•
|
Medical care costs
related to 2016 service dates were significantly in excess of what the Company usually experiences for out-of-period claims development, particularly at the Florida, Illinois, New Mexico, and Puerto Rico health plans. In total, we experienced out-of-period claims development that was approximately
$85 million
higher than expected at December 31, 2016.
|
|
•
|
We recorded
$44 million
for Marketplace changes in estimates, including risk transfer and cost sharing subsidies, related to 2016 service dates. Liabilities for risk transfer payments and cost sharing subsidies that were estimated at December 31, 2016 were finalized during the second quarter of 2017.
|
|
•
|
Loss before income tax benefit increased by
$78 million
as a result of
an increase to the premium deficiency reserve established for the Marketplace program. The reserve, which was
$22 million
at March 31, 2017, increased to
$100 million
as of June 30, 2017. Based upon revenue and cost trends observed in the second quarter of 2017, we now believe that Marketplace performance in the second half of 2017 will fall substantially short of previous expectations. Marketplace performance has been most disappointing in Florida, Utah, Washington, and Wisconsin.
|
|
•
|
We recorded
$43 million
in restructuring and separation costs in the second quarter of 2017 related primarily to contractually required termination benefits paid to our former chief executive officer and chief financial officer. Also included in these costs are consulting fees incurred for the development and implementation of our corporate restructuring initiatives
. See below in “Liquidity and Financial Condition—Future Sources and Uses of Liquidity,” and Notes to Consolidated Financial Statements, Note
11
, “
Restructuring and Separation Costs
,” for further information.
|
|
1.
|
We are streamlining our organizational structure, including the elimination of redundant layers of management, the consolidation of regional support services, and other reductions to our workforce, to improve efficiency as well as the speed and quality of our decision-making.
|
|
2.
|
We are re-designing core operating processes such as provider payment, utilization management, quality monitoring and improvement, and information technology to achieve more effective and cost efficient outcomes.
|
|
3.
|
We are remediating high cost provider contracts and building around high quality, cost-effective networks.
|
|
4.
|
We are restructuring our existing direct delivery operations.
|
|
5.
|
We are reviewing our vendor base to ensure that we are partnering with the lowest-cost, most-effective vendors.
|
|
6.
|
Throughout this process, we are taking precautions to ensure that our actions do not impede our ability to continue to deliver quality health care, retain existing managed care contracts, and to secure new managed care contracts.
|
|
1.
|
We are exiting the Utah and Wisconsin ACA Marketplaces effective December 31, 2017. For the three months ended June 30, 2017, these two health plans reported a total of $127 million in Marketplace premium revenue (16% of consolidated Marketplace premium revenue), and a combined Marketplace medical care ratio of 128%.
|
|
2.
|
In our remaining Marketplace plans, we are increasing 2018 premiums by 55%. The increase takes into account the absence of cost sharing reduction subsidies. Had we assumed that cost sharing reduction subsidies would be funded for 2018, the premium increase would have been 30%.
|
|
3.
|
We are also reducing the scope of our 2018 participation in the Washington Marketplace.
|
|
4.
|
We continue to closely monitor the current political and programmatic developments pertaining to our 2018 participation in other Marketplace states, and subject to those developments, will withdraw from 2018 participation as may be necessary.
|
|
|
|
|
|
|
|
Premium Revenue
|
|
|
|
|
|||
|
|
|
|
|
Membership as of
|
|
Six Months Ended
|
|
Anticipated
|
|||||
|
State Health Plan
|
|
Medicaid Program(s)
|
|
June 30, 2017
|
|
June 30, 2017
|
|
Award Date
|
|
Effective Date
|
|||
|
Florida
|
|
All
|
|
359,000
|
|
|
$
|
726
|
|
|
Q1 2018
|
|
1/1/2019
|
|
Illinois
|
|
All
|
|
159,000
|
|
|
259
|
|
|
Q3 2017
|
|
1/1/2018
|
|
|
New Mexico
|
|
All
|
|
234,000
|
|
|
605
|
|
|
Q1 2018
|
|
1/1/2019
|
|
|
Puerto Rico
|
|
All
|
|
322,000
|
|
|
362
|
|
|
Q1 2018
|
|
7/1/2018
|
|
|
Texas
|
|
All
|
|
191,000
|
|
|
920
|
|
|
Q3 2018
|
|
9/1/2019
|
|
|
Texas
|
|
CHIP
|
|
25,000
|
|
|
21
|
|
|
Q4 2017
|
|
9/1/2018
|
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(In millions)
|
||||||||||||||
|
Segment gross margin:
|
|
|
|
|
|
|
|
||||||||
|
Health Plans medical margin
(1)
|
$
|
249
|
|
|
$
|
435
|
|
|
$
|
786
|
|
|
$
|
842
|
|
|
Molina Medicaid Solutions service margin
(2)
|
4
|
|
|
5
|
|
|
8
|
|
|
11
|
|
||||
|
Other
(2)
|
1
|
|
|
14
|
|
|
6
|
|
|
21
|
|
||||
|
Total segment gross margin
|
254
|
|
|
454
|
|
|
800
|
|
|
874
|
|
||||
|
Other operating revenues
(3)
|
130
|
|
|
195
|
|
|
255
|
|
|
403
|
|
||||
|
Other operating expenses
(4)
|
(671
|
)
|
|
(544
|
)
|
|
(1,260
|
)
|
|
(1,083
|
)
|
||||
|
Operating (loss) income
|
(287
|
)
|
|
105
|
|
|
(205
|
)
|
|
194
|
|
||||
|
Other expenses (income), net
|
27
|
|
|
25
|
|
|
(22
|
)
|
|
50
|
|
||||
|
(Loss) income before income tax expense
|
(314
|
)
|
|
80
|
|
|
(183
|
)
|
|
144
|
|
||||
|
Income tax (benefit) expense
|
(84
|
)
|
|
47
|
|
|
(30
|
)
|
|
87
|
|
||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
57
|
||
|
(1)
|
Represents premium revenue minus medical care costs.
|
|
(2)
|
Represents service revenue minus cost of service revenue.
|
|
(3)
|
Other operating revenues include premium tax revenue, health insurer fee revenue, investment income and other revenue.
|
|
(4)
|
Other operating expenses include general and administrative expenses, premium tax expenses, health insurer fee expenses, depreciation and amortization, impairment losses, and restructuring and separation costs.
|
|
|
June 30,
2017 |
|
December 31,
2016 |
|
June 30,
2016 |
|||
|
Ending Membership by Program:
|
|
|
|
|
|
|||
|
Temporary Assistance for Needy Families (TANF) and Children’s Health Insurance Program (CHIP)
|
2,517,000
|
|
|
2,536,000
|
|
|
2,500,000
|
|
|
Marketplace
|
949,000
|
|
|
526,000
|
|
|
597,000
|
|
|
Medicaid Expansion
|
678,000
|
|
|
673,000
|
|
|
654,000
|
|
|
Aged, Blind or Disabled (ABD)
|
408,000
|
|
|
396,000
|
|
|
387,000
|
|
|
Medicare-Medicaid Plan (MMP) – Integrated
(1)
|
54,000
|
|
|
51,000
|
|
|
51,000
|
|
|
Medicare Special Needs Plans (Medicare)
|
44,000
|
|
|
45,000
|
|
|
44,000
|
|
|
|
4,650,000
|
|
|
4,227,000
|
|
|
4,233,000
|
|
|
Ending Membership by Health Plan:
|
|
|
|
|
|
|||
|
California
|
766,000
|
|
|
683,000
|
|
|
680,000
|
|
|
Florida
|
672,000
|
|
|
553,000
|
|
|
565,000
|
|
|
Illinois
|
163,000
|
|
|
195,000
|
|
|
201,000
|
|
|
Michigan
|
414,000
|
|
|
391,000
|
|
|
393,000
|
|
|
New Mexico
|
266,000
|
|
|
254,000
|
|
|
251,000
|
|
|
New York
(2)
|
34,000
|
|
|
35,000
|
|
|
—
|
|
|
Ohio
|
351,000
|
|
|
332,000
|
|
|
341,000
|
|
|
Puerto Rico
|
322,000
|
|
|
330,000
|
|
|
336,000
|
|
|
South Carolina
|
112,000
|
|
|
109,000
|
|
|
105,000
|
|
|
Texas
|
465,000
|
|
|
337,000
|
|
|
367,000
|
|
|
Utah
|
167,000
|
|
|
146,000
|
|
|
151,000
|
|
|
Washington
|
788,000
|
|
|
736,000
|
|
|
709,000
|
|
|
Wisconsin
|
130,000
|
|
|
126,000
|
|
|
134,000
|
|
|
|
4,650,000
|
|
|
4,227,000
|
|
|
4,233,000
|
|
|
(1)
|
MMP members receive both Medicaid and Medicare coverage from Molina Healthcare.
|
|
(2)
|
The New York health plan was acquired on August 1, 2016.
|
|
|
PMPM Premiums
|
||||||||||
|
|
Low
|
|
High
|
|
Consolidated
|
||||||
|
TANF and CHIP
|
$
|
120.00
|
|
|
$
|
320.00
|
|
|
$
|
180.00
|
|
|
Marketplace
|
180.00
|
|
|
440.00
|
|
|
270.00
|
|
|||
|
Medicaid Expansion
|
320.00
|
|
|
510.00
|
|
|
390.00
|
|
|||
|
ABD
|
370.00
|
|
|
1,490.00
|
|
|
1,030.00
|
|
|||
|
MMP – Integrated
|
1,220.00
|
|
|
3,250.00
|
|
|
2,150.00
|
|
|||
|
Medicare
|
910.00
|
|
|
1,240.00
|
|
|
1,100.00
|
|
|||
|
|
Three Months Ended June 30, 2017
|
||||||||||||||||||||||||
|
|
Member
Months
(1)
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
(2)
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
TANF and CHIP
|
7.6
|
|
|
$
|
1,391
|
|
|
$
|
182.47
|
|
|
$
|
1,315
|
|
|
$
|
172.48
|
|
|
94.5
|
%
|
|
$
|
76
|
|
|
Medicaid Expansion
|
2.1
|
|
|
786
|
|
|
383.07
|
|
|
689
|
|
|
335.26
|
|
|
87.5
|
|
|
97
|
|
|||||
|
ABD
|
1.2
|
|
|
1,285
|
|
|
1,053.89
|
|
|
1,245
|
|
|
1,020.85
|
|
|
96.9
|
|
|
40
|
|
|||||
|
Total Medicaid
|
10.9
|
|
|
3,462
|
|
|
317.79
|
|
|
3,249
|
|
|
298.10
|
|
|
93.8
|
|
|
213
|
|
|||||
|
MMP
|
0.1
|
|
|
361
|
|
|
2,217.44
|
|
|
333
|
|
|
2,050.20
|
|
|
92.5
|
|
|
28
|
|
|||||
|
Medicare
|
0.2
|
|
|
148
|
|
|
1,126.14
|
|
|
126
|
|
|
963.34
|
|
|
85.5
|
|
|
22
|
|
|||||
|
Total Medicare
|
0.3
|
|
|
509
|
|
|
1,730.91
|
|
|
459
|
|
|
1,565.65
|
|
|
90.5
|
|
|
50
|
|
|||||
|
Excluding Marketplace
|
11.2
|
|
|
3,971
|
|
|
354.87
|
|
|
3,708
|
|
|
331.36
|
|
|
93.4
|
|
|
263
|
|
|||||
|
Marketplace
|
2.8
|
|
|
769
|
|
|
267.37
|
|
|
783
|
|
|
272.37
|
|
|
101.9
|
|
|
(14
|
)
|
|||||
|
|
14.0
|
|
|
$
|
4,740
|
|
|
$
|
336.98
|
|
|
$
|
4,491
|
|
|
$
|
319.29
|
|
|
94.8
|
%
|
|
$
|
249
|
|
|
|
Three Months Ended June 30, 2016
|
||||||||||||||||||||||||
|
|
Member
Months
(1)
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
(2)
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
TANF and CHIP
|
7.5
|
|
|
$
|
1,302
|
|
|
$
|
173.57
|
|
|
$
|
1,202
|
|
|
$
|
160.26
|
|
|
92.3
|
%
|
|
$
|
100
|
|
|
Medicaid Expansion
|
1.9
|
|
|
742
|
|
|
378.19
|
|
|
634
|
|
|
323.56
|
|
|
85.6
|
|
|
108
|
|
|||||
|
ABD
|
1.2
|
|
|
1,168
|
|
|
991.38
|
|
|
1,038
|
|
|
881.80
|
|
|
88.9
|
|
|
130
|
|
|||||
|
Total Medicaid
|
10.6
|
|
|
3,212
|
|
|
301.86
|
|
|
2,874
|
|
|
270.27
|
|
|
89.5
|
|
|
338
|
|
|||||
|
MMP
|
0.2
|
|
|
315
|
|
|
2,093.29
|
|
|
270
|
|
|
1,792.78
|
|
|
85.6
|
|
|
45
|
|
|||||
|
Medicare
|
0.2
|
|
|
129
|
|
|
997.44
|
|
|
127
|
|
|
974.30
|
|
|
97.7
|
|
|
2
|
|
|||||
|
Total Medicare
|
0.4
|
|
|
444
|
|
|
1,584.77
|
|
|
397
|
|
|
1,412.96
|
|
|
89.2
|
|
|
47
|
|
|||||
|
Excluding Marketplace
|
11.0
|
|
|
3,656
|
|
|
334.86
|
|
|
3,271
|
|
|
299.67
|
|
|
89.5
|
|
|
385
|
|
|||||
|
Marketplace
|
1.8
|
|
|
373
|
|
|
206.88
|
|
|
323
|
|
|
178.79
|
|
|
86.4
|
|
|
50
|
|
|||||
|
|
12.8
|
|
|
$
|
4,029
|
|
|
$
|
316.72
|
|
|
$
|
3,594
|
|
|
$
|
282.54
|
|
|
89.2
|
%
|
|
$
|
435
|
|
|
|
Six Months Ended June 30, 2017
|
||||||||||||||||||||||||
|
|
Member
Months
(1)
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
(2)
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
TANF and CHIP
|
15.3
|
|
|
$
|
2,793
|
|
|
$
|
182.58
|
|
|
$
|
2,619
|
|
|
$
|
171.25
|
|
|
93.8
|
%
|
|
$
|
174
|
|
|
Medicaid Expansion
|
4.1
|
|
|
1,603
|
|
|
390.88
|
|
|
1,378
|
|
|
335.88
|
|
|
85.9
|
|
|
225
|
|
|||||
|
ABD
|
2.4
|
|
|
2,481
|
|
|
1,030.68
|
|
|
2,375
|
|
|
986.54
|
|
|
95.7
|
|
|
106
|
|
|||||
|
Total Medicaid
|
21.8
|
|
|
6,877
|
|
|
315.39
|
|
|
6,372
|
|
|
292.22
|
|
|
92.7
|
|
|
505
|
|
|||||
|
MMP
|
0.3
|
|
|
705
|
|
|
2,152.75
|
|
|
640
|
|
|
1,954.15
|
|
|
90.8
|
|
|
65
|
|
|||||
|
Medicare
|
0.3
|
|
|
286
|
|
|
1,097.36
|
|
|
243
|
|
|
933.20
|
|
|
85.0
|
|
|
43
|
|
|||||
|
Total Medicare
|
0.6
|
|
|
991
|
|
|
1,685.72
|
|
|
883
|
|
|
1,502.36
|
|
|
89.1
|
|
|
108
|
|
|||||
|
Excluding Marketplace
|
22.4
|
|
|
7,868
|
|
|
351.35
|
|
|
7,255
|
|
|
323.98
|
|
|
92.2
|
|
|
613
|
|
|||||
|
Marketplace
|
5.7
|
|
|
1,520
|
|
|
264.77
|
|
|
1,347
|
|
|
234.62
|
|
|
88.6
|
|
|
173
|
|
|||||
|
|
28.1
|
|
|
$
|
9,388
|
|
|
$
|
333.68
|
|
|
$
|
8,602
|
|
|
$
|
305.74
|
|
|
91.6
|
%
|
|
$
|
786
|
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||||||||
|
|
Member
Months
(1)
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
(2)
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
TANF and CHIP
|
14.9
|
|
|
$
|
2,626
|
|
|
$
|
176.00
|
|
|
$
|
2,400
|
|
|
$
|
160.85
|
|
|
91.4
|
%
|
|
$
|
226
|
|
|
Medicaid Expansion
|
3.8
|
|
|
1,421
|
|
|
371.82
|
|
|
1,208
|
|
|
316.13
|
|
|
85.0
|
|
|
213
|
|
|||||
|
ABD
|
2.4
|
|
|
2,280
|
|
|
976.58
|
|
|
2,079
|
|
|
890.71
|
|
|
91.2
|
|
|
201
|
|
|||||
|
Total Medicaid
|
21.1
|
|
|
6,327
|
|
|
300.19
|
|
|
5,687
|
|
|
269.86
|
|
|
89.9
|
|
|
640
|
|
|||||
|
MMP
|
0.3
|
|
|
655
|
|
|
2,157.55
|
|
|
587
|
|
|
1,932.73
|
|
|
89.6
|
|
|
68
|
|
|||||
|
Medicare
|
0.3
|
|
|
260
|
|
|
1,013.04
|
|
|
251
|
|
|
977.35
|
|
|
96.5
|
|
|
9
|
|
|||||
|
Total Medicare
|
0.6
|
|
|
915
|
|
|
1,633.08
|
|
|
838
|
|
|
1,494.92
|
|
|
91.5
|
|
|
77
|
|
|||||
|
Excluding Marketplace
|
21.7
|
|
|
7,242
|
|
|
334.74
|
|
|
6,525
|
|
|
301.61
|
|
|
90.1
|
|
|
717
|
|
|||||
|
Marketplace
|
3.4
|
|
|
782
|
|
|
228.19
|
|
|
657
|
|
|
191.62
|
|
|
84.0
|
|
|
125
|
|
|||||
|
|
25.1
|
|
|
$
|
8,024
|
|
|
$
|
320.17
|
|
|
$
|
7,182
|
|
|
$
|
286.57
|
|
|
89.5
|
%
|
|
$
|
842
|
|
|
(1)
|
A member month is defined as the aggregate of each month’s ending membership for the period presented.
|
|
(2)
|
“MCR” represents medical costs as a percentage of premium revenue.
|
|
|
Three Months Ended June 30, 2017
|
||||||||||||||||||||||||
|
|
Member
Months
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
California
|
2.4
|
|
|
$
|
679
|
|
|
$
|
294.09
|
|
|
$
|
606
|
|
|
$
|
262.34
|
|
|
89.2
|
%
|
|
$
|
73
|
|
|
Florida
|
2.0
|
|
|
649
|
|
|
318.21
|
|
|
687
|
|
|
337.39
|
|
|
106.0
|
|
|
(38
|
)
|
|||||
|
Illinois
|
0.5
|
|
|
149
|
|
|
289.51
|
|
|
174
|
|
|
336.76
|
|
|
116.3
|
|
|
(25
|
)
|
|||||
|
Michigan
|
1.2
|
|
|
406
|
|
|
325.38
|
|
|
368
|
|
|
295.06
|
|
|
90.7
|
|
|
38
|
|
|||||
|
New Mexico
|
0.8
|
|
|
352
|
|
|
435.34
|
|
|
334
|
|
|
411.83
|
|
|
94.6
|
|
|
18
|
|
|||||
|
New York
(1)
|
0.1
|
|
|
46
|
|
|
457.96
|
|
|
45
|
|
|
442.16
|
|
|
96.5
|
|
|
1
|
|
|||||
|
Ohio
|
1.0
|
|
|
553
|
|
|
527.14
|
|
|
516
|
|
|
490.75
|
|
|
93.1
|
|
|
37
|
|
|||||
|
Puerto Rico
|
0.9
|
|
|
179
|
|
|
184.28
|
|
|
189
|
|
|
194.42
|
|
|
105.5
|
|
|
(10
|
)
|
|||||
|
South Carolina
|
0.4
|
|
|
111
|
|
|
326.57
|
|
|
102
|
|
|
304.14
|
|
|
93.1
|
|
|
9
|
|
|||||
|
Texas
|
1.4
|
|
|
701
|
|
|
495.93
|
|
|
602
|
|
|
426.41
|
|
|
86.0
|
|
|
99
|
|
|||||
|
Utah
|
0.5
|
|
|
130
|
|
|
258.10
|
|
|
129
|
|
|
255.00
|
|
|
98.8
|
|
|
1
|
|
|||||
|
Washington
|
2.4
|
|
|
662
|
|
|
279.21
|
|
|
595
|
|
|
251.16
|
|
|
90.0
|
|
|
67
|
|
|||||
|
Wisconsin
|
0.4
|
|
|
120
|
|
|
303.59
|
|
|
135
|
|
|
342.43
|
|
|
112.8
|
|
|
(15
|
)
|
|||||
|
Other
(2)
|
—
|
|
|
3
|
|
|
—
|
|
|
9
|
|
|
—
|
|
|
—
|
|
|
(6
|
)
|
|||||
|
|
14.0
|
|
|
$
|
4,740
|
|
|
$
|
336.98
|
|
|
$
|
4,491
|
|
|
$
|
319.29
|
|
|
94.8
|
%
|
|
$
|
249
|
|
|
|
Three Months Ended June 30, 2016
|
||||||||||||||||||||||||
|
|
Member
Months
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
California
|
2.0
|
|
|
$
|
554
|
|
|
$
|
268.95
|
|
|
$
|
493
|
|
|
$
|
239.63
|
|
|
89.1
|
%
|
|
$
|
61
|
|
|
Florida
|
1.8
|
|
|
464
|
|
|
273.90
|
|
|
426
|
|
|
251.69
|
|
|
91.9
|
|
|
38
|
|
|||||
|
Illinois
|
0.6
|
|
|
154
|
|
|
256.17
|
|
|
137
|
|
|
227.71
|
|
|
88.9
|
|
|
17
|
|
|||||
|
Michigan
|
1.2
|
|
|
369
|
|
|
312.18
|
|
|
334
|
|
|
282.86
|
|
|
90.6
|
|
|
35
|
|
|||||
|
New Mexico
|
0.8
|
|
|
342
|
|
|
451.72
|
|
|
305
|
|
|
403.52
|
|
|
89.3
|
|
|
37
|
|
|||||
|
New York
(1)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|||||
|
Ohio
|
1.0
|
|
|
483
|
|
|
473.91
|
|
|
433
|
|
|
424.87
|
|
|
89.7
|
|
|
50
|
|
|||||
|
Puerto Rico
|
1.0
|
|
|
170
|
|
|
169.04
|
|
|
175
|
|
|
173.49
|
|
|
102.6
|
|
|
(5
|
)
|
|||||
|
South Carolina
|
0.3
|
|
|
87
|
|
|
277.22
|
|
|
71
|
|
|
226.27
|
|
|
81.6
|
|
|
16
|
|
|||||
|
Texas
|
1.1
|
|
|
635
|
|
|
571.14
|
|
|
499
|
|
|
448.23
|
|
|
78.5
|
|
|
136
|
|
|||||
|
Utah
|
0.5
|
|
|
110
|
|
|
240.26
|
|
|
106
|
|
|
233.12
|
|
|
97.0
|
|
|
4
|
|
|||||
|
Washington
|
2.1
|
|
|
559
|
|
|
264.40
|
|
|
500
|
|
|
236.32
|
|
|
89.4
|
|
|
59
|
|
|||||
|
Wisconsin
|
0.4
|
|
|
99
|
|
|
244.88
|
|
|
96
|
|
|
235.88
|
|
|
96.3
|
|
|
3
|
|
|||||
|
Other
(2)
|
—
|
|
|
3
|
|
|
—
|
|
|
19
|
|
|
—
|
|
|
—
|
|
|
(16
|
)
|
|||||
|
|
12.8
|
|
|
$
|
4,029
|
|
|
$
|
316.72
|
|
|
$
|
3,594
|
|
|
$
|
282.54
|
|
|
89.2
|
%
|
|
$
|
435
|
|
|
|
Six Months Ended June 30, 2017
|
||||||||||||||||||||||||
|
|
Member
Months
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
California
|
4.6
|
|
|
$
|
1,323
|
|
|
$
|
290.56
|
|
|
$
|
1,116
|
|
|
$
|
245.02
|
|
|
84.3
|
%
|
|
$
|
207
|
|
|
Florida
|
4.1
|
|
|
1,305
|
|
|
317.53
|
|
|
1,245
|
|
|
303.09
|
|
|
95.5
|
|
|
60
|
|
|||||
|
Illinois
|
1.1
|
|
|
310
|
|
|
282.66
|
|
|
354
|
|
|
322.63
|
|
|
114.1
|
|
|
(44
|
)
|
|||||
|
Michigan
|
2.5
|
|
|
799
|
|
|
321.10
|
|
|
707
|
|
|
284.24
|
|
|
88.5
|
|
|
92
|
|
|||||
|
New Mexico
|
1.6
|
|
|
682
|
|
|
421.11
|
|
|
652
|
|
|
402.27
|
|
|
95.5
|
|
|
30
|
|
|||||
|
New York
(1)
|
0.2
|
|
|
92
|
|
|
449.48
|
|
|
87
|
|
|
425.72
|
|
|
94.7
|
|
|
5
|
|
|||||
|
Ohio
|
2.1
|
|
|
1,094
|
|
|
521.57
|
|
|
995
|
|
|
473.95
|
|
|
90.9
|
|
|
99
|
|
|||||
|
Puerto Rico
|
1.9
|
|
|
362
|
|
|
185.40
|
|
|
354
|
|
|
181.24
|
|
|
97.8
|
|
|
8
|
|
|||||
|
South Carolina
|
0.7
|
|
|
216
|
|
|
321.85
|
|
|
200
|
|
|
298.79
|
|
|
92.8
|
|
|
16
|
|
|||||
|
Texas
|
2.8
|
|
|
1,385
|
|
|
491.46
|
|
|
1,204
|
|
|
427.48
|
|
|
87.0
|
|
|
181
|
|
|||||
|
Utah
|
1.0
|
|
|
264
|
|
|
261.42
|
|
|
252
|
|
|
248.77
|
|
|
95.2
|
|
|
12
|
|
|||||
|
Washington
|
4.7
|
|
|
1,304
|
|
|
276.99
|
|
|
1,176
|
|
|
249.79
|
|
|
90.2
|
|
|
128
|
|
|||||
|
Wisconsin
|
0.8
|
|
|
247
|
|
|
307.50
|
|
|
243
|
|
|
302.95
|
|
|
98.5
|
|
|
4
|
|
|||||
|
Other
(2)
|
—
|
|
|
5
|
|
|
—
|
|
|
17
|
|
|
—
|
|
|
—
|
|
|
(12
|
)
|
|||||
|
|
28.1
|
|
|
$
|
9,388
|
|
|
$
|
333.68
|
|
|
$
|
8,602
|
|
|
$
|
305.74
|
|
|
91.6
|
%
|
|
$
|
786
|
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||||||||
|
|
Member
Months
|
|
Premium Revenue
|
|
Medical Care Costs
|
|
MCR
|
|
Medical Margin
|
||||||||||||||||
|
|
|
Total
|
|
PMPM
|
|
Total
|
|
PMPM
|
|
|
|||||||||||||||
|
California
|
4.0
|
|
|
$
|
1,095
|
|
|
$
|
271.14
|
|
|
$
|
962
|
|
|
$
|
238.30
|
|
|
87.9
|
%
|
|
$
|
133
|
|
|
Florida
|
3.4
|
|
|
953
|
|
|
284.53
|
|
|
839
|
|
|
250.58
|
|
|
88.1
|
|
|
114
|
|
|||||
|
Illinois
|
1.2
|
|
|
303
|
|
|
261.43
|
|
|
269
|
|
|
232.06
|
|
|
88.8
|
|
|
34
|
|
|||||
|
Michigan
|
2.4
|
|
|
756
|
|
|
316.18
|
|
|
681
|
|
|
285.13
|
|
|
90.2
|
|
|
75
|
|
|||||
|
New Mexico
|
1.5
|
|
|
678
|
|
|
450.62
|
|
|
601
|
|
|
399.17
|
|
|
88.6
|
|
|
77
|
|
|||||
|
New York
(1)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|||||
|
Ohio
|
2.0
|
|
|
971
|
|
|
481.44
|
|
|
882
|
|
|
437.35
|
|
|
90.8
|
|
|
89
|
|
|||||
|
Puerto Rico
|
2.0
|
|
|
351
|
|
|
172.98
|
|
|
349
|
|
|
171.95
|
|
|
99.4
|
|
|
2
|
|
|||||
|
South Carolina
|
0.6
|
|
|
171
|
|
|
276.61
|
|
|
138
|
|
|
223.58
|
|
|
80.8
|
|
|
33
|
|
|||||
|
Texas
|
2.2
|
|
|
1,255
|
|
|
575.87
|
|
|
1,074
|
|
|
492.65
|
|
|
85.5
|
|
|
181
|
|
|||||
|
Utah
|
0.9
|
|
|
224
|
|
|
252.08
|
|
|
208
|
|
|
234.46
|
|
|
93.0
|
|
|
16
|
|
|||||
|
Washington
|
4.1
|
|
|
1,065
|
|
|
260.05
|
|
|
958
|
|
|
233.84
|
|
|
89.9
|
|
|
107
|
|
|||||
|
Wisconsin
|
0.8
|
|
|
196
|
|
|
247.57
|
|
|
188
|
|
|
236.92
|
|
|
95.7
|
|
|
8
|
|
|||||
|
Other
(2)
|
—
|
|
|
6
|
|
|
—
|
|
|
33
|
|
|
—
|
|
|
—
|
|
|
(27
|
)
|
|||||
|
|
25.1
|
|
|
$
|
8,024
|
|
|
$
|
320.17
|
|
|
$
|
7,182
|
|
|
$
|
286.57
|
|
|
89.5
|
%
|
|
$
|
842
|
|
|
(1)
|
The New York health plan was acquired on August 1, 2016.
|
|
(2)
|
“Other” medical care costs include primarily medically related administrative costs of the parent company, and direct delivery costs.
|
|
|
Three Months Ended June 30,
|
||||||||||||||||||||
|
|
2017
|
|
2016
|
||||||||||||||||||
|
|
Amount
|
|
PMPM
|
|
% of Total
|
|
Amount
|
|
PMPM
|
|
% of Total
|
||||||||||
|
Fee for service
|
$
|
3,348
|
|
|
$
|
238.04
|
|
|
74.5
|
%
|
|
$
|
2,620
|
|
|
$
|
206.01
|
|
|
72.9
|
%
|
|
Pharmacy
|
650
|
|
|
46.23
|
|
|
14.5
|
|
|
529
|
|
|
41.59
|
|
|
14.7
|
|
||||
|
Capitation
|
356
|
|
|
25.29
|
|
|
7.9
|
|
|
304
|
|
|
23.87
|
|
|
8.5
|
|
||||
|
Direct delivery
|
22
|
|
|
1.54
|
|
|
0.5
|
|
|
18
|
|
|
1.39
|
|
|
0.5
|
|
||||
|
Other
|
115
|
|
|
8.19
|
|
|
2.6
|
|
|
123
|
|
|
9.68
|
|
|
3.4
|
|
||||
|
|
$
|
4,491
|
|
|
$
|
319.29
|
|
|
100.0
|
%
|
|
$
|
3,594
|
|
|
$
|
282.54
|
|
|
100.0
|
%
|
|
|
Six Months Ended June 30,
|
||||||||||||||||||||
|
|
2017
|
|
2016
|
||||||||||||||||||
|
|
Amount
|
|
PMPM
|
|
% of Total
|
|
Amount
|
|
PMPM
|
|
% of Total
|
||||||||||
|
Fee for service
|
$
|
6,434
|
|
|
$
|
228.68
|
|
|
74.8
|
%
|
|
$
|
5,357
|
|
|
$
|
213.77
|
|
|
74.6
|
%
|
|
Pharmacy
|
1,266
|
|
|
45.00
|
|
|
14.7
|
|
|
1,054
|
|
|
42.05
|
|
|
14.7
|
|
||||
|
Capitation
|
680
|
|
|
24.17
|
|
|
7.9
|
|
|
599
|
|
|
23.87
|
|
|
8.3
|
|
||||
|
Direct delivery
|
44
|
|
|
1.56
|
|
|
0.5
|
|
|
34
|
|
|
1.36
|
|
|
0.5
|
|
||||
|
Other
|
178
|
|
|
6.33
|
|
|
2.1
|
|
|
138
|
|
|
5.52
|
|
|
1.9
|
|
||||
|
|
$
|
8,602
|
|
|
$
|
305.74
|
|
|
100.0
|
%
|
|
$
|
7,182
|
|
|
$
|
286.57
|
|
|
100.0
|
%
|
|
|
||||
|
|
||||
|
|
Six Months Ended June 30,
|
||||||||||
|
|
2017
|
|
2016
|
|
Change
|
||||||
|
|
(In millions)
|
||||||||||
|
Net cash provided by operating activities
|
$
|
672
|
|
|
$
|
278
|
|
|
$
|
394
|
|
|
Net cash used in investing activities
|
(845
|
)
|
|
(273
|
)
|
|
(572
|
)
|
|||
|
Net cash provided by financing activities
|
333
|
|
|
11
|
|
|
322
|
|
|||
|
Net increase in cash and cash equivalents
|
$
|
160
|
|
|
$
|
16
|
|
|
$
|
144
|
|
|
Credit Facility Financial Covenants
|
Required Per Agreement
|
|
As of June 30, 2017
|
|
|
|
|
|
|
Net leverage ratio
|
<4.0x
|
|
3.3x
|
|
Interest coverage ratio
|
>3.5x
|
|
4.5x
|
|
Estimated Savings Expected to be Realized by Reportable Segment
|
|
Health Plans
|
|
Other
|
|
Total
|
|
|
|
(In millions)
|
||||
|
General and administrative expenses
|
|
$50
|
|
$120 to $140
|
|
$170 to $190
|
|
Medical care costs
|
|
$110 to $190
|
|
$20
|
|
$130 to $210
|
|
|
|
$160 to $240
|
|
$140 to $160
|
|
$300 to $400
|
|
Estimated Costs Expected to be Incurred by Reportable Segment
|
|
Health Plans
|
|
Other
|
|
Total
|
|
|
|
(In millions)
|
||||
|
Separation costs–one-time benefit arrangement for a workforce reduction
|
|
$25 to $30
|
|
$35 to $40
|
|
$60 to $70
|
|
Other restructuring costs
|
|
$55 to $60
|
|
$55 to $60
|
|
$110 to $120
|
|
|
|
$80 to $90
|
|
$90 to $100
|
|
$170 to $190
|
|
•
|
Health Plans segment medical claims and benefits payable
. Refer to Notes to Consolidated Financial Statements, Note
6
, “
Medical Claims and Benefits Payable
,” for a table that presents the components of the change in medical claims and benefits payable, and for additional information regarding the factors used to determine our changes in estimates for all periods presented in the accompanying consolidated financial statements. Other than the discussion as noted above, there have been no significant changes during the
six months ended June 30, 2017
, to our disclosure reported in “Critical Accounting Estimates” in our Annual Report on Form 10-K for the year ended
December 31, 2016
.
|
|
•
|
Health Plans segment contractual provisions that may adjust or limit revenue or profit
. For a discussion of this topic, including amounts recorded in our consolidated financial statements, refer to Notes to Consolidated Financial Statements, Note
2
, “
Significant Accounting Policies
.”
|
|
•
|
Health Plans segment quality incentives
. For a discussion of this topic, including amounts recorded in our consolidated financial statements, refer to Notes to Consolidated Financial Statements, Note
2
, “
Significant Accounting Policies
.”
|
|
•
|
Molina Medicaid Solutions segment revenue and cost recognition
. There have been no significant changes during the
six months ended June 30, 2017
, to our disclosure reported in “Critical Accounting Estimates” in our Annual Report on Form 10-K for the year ended
December 31, 2016
.
|
|
•
|
Goodwill and intangible assets, net.
Please refer to Notes to Consolidated Financial Statements, Note
2
, “
Significant Accounting Policies
,” regarding our adoption of Accounting Standards Update No. 2017-04 as of June 30, 2017, which has simplified the test for goodwill impairment. We recorded impairment charges of
$61 million
for goodwill and
$11 million
for intangible assets, or
$72 million
in the aggregate, reported in the accompanying consolidated statements of operations as “Impairment losses.” At June 30, 2017, goodwill and intangible assets, net, represented approximately
8%
of total assets and
44%
of total stockholders’ equity, compared with
10%
and
46%
, respectively, at December 31, 2016. Refer to Notes to Consolidated Financial Statements, Note
10
, “
Impairment Losses
.”
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
|||||||||
|
|
(In millions)
|
||||||||||||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
33
|
|
|
$
|
(153
|
)
|
|
$
|
57
|
|
|
Adjustments:
|
|
|
|
|
|
|
|
||||||||
|
Depreciation, and amortization of intangible assets and capitalized software
|
44
|
|
|
39
|
|
|
90
|
|
|
76
|
|
||||
|
Interest expense
|
27
|
|
|
25
|
|
|
53
|
|
|
50
|
|
||||
|
Income tax (benefit) expense
|
(84
|
)
|
|
47
|
|
|
(30
|
)
|
|
87
|
|
||||
|
EBITDA*
|
$
|
(243
|
)
|
|
$
|
144
|
|
|
$
|
(40
|
)
|
|
$
|
270
|
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||||||||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
|||||||||||||||||||||||||
|
|
(In millions, except diluted per-share amounts)
|
||||||||||||||||||||||||||||||
|
Net (loss) income
|
$
|
(230
|
)
|
|
$
|
(4.10
|
)
|
|
$
|
33
|
|
|
$
|
0.58
|
|
|
$
|
(153
|
)
|
|
$
|
(2.74
|
)
|
|
$
|
57
|
|
|
$
|
1.01
|
|
|
Adjustment:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
|
Amortization of intangible assets
|
8
|
|
|
0.14
|
|
|
8
|
|
|
0.14
|
|
|
17
|
|
|
0.30
|
|
|
15
|
|
|
0.27
|
|
||||||||
|
Income tax effect
(1)
|
(3
|
)
|
|
(0.05
|
)
|
|
(3
|
)
|
|
(0.05
|
)
|
|
(6
|
)
|
|
(0.11
|
)
|
|
(5
|
)
|
|
(0.10
|
)
|
||||||||
|
Amortization of intangible assets, net of tax effect
|
5
|
|
|
0.09
|
|
|
5
|
|
|
0.09
|
|
|
11
|
|
|
0.19
|
|
|
10
|
|
|
0.17
|
|
||||||||
|
Adjusted net (loss) income*
|
$
|
(225
|
)
|
|
$
|
(4.01
|
)
|
|
$
|
38
|
|
|
$
|
0.67
|
|
|
$
|
(142
|
)
|
|
$
|
(2.55
|
)
|
|
$
|
67
|
|
|
$
|
1.18
|
|
|
(1)
|
Income tax effect of adjustments calculated at the blended federal and state statutory tax rate of 37%.
|
|
|
Total Number
of Shares
Purchased
(1)
|
|
Average Price
Paid per Share
|
|
Total Number of Shares
Purchased as Part of
Publicly
Announced
Plans or
Programs
|
|
Approximate
Dollar Value
of Shares Authorized to Be Purchased Under the Plans or Programs
|
||||||
|
April 1 - April 30
|
12,389
|
|
|
$
|
45.60
|
|
|
—
|
|
|
$
|
—
|
|
|
May 1 - May 31
|
223,661
|
|
|
$
|
62.45
|
|
|
—
|
|
|
$
|
—
|
|
|
June 1 - June 30
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
$
|
—
|
|
|
Total
|
236,050
|
|
|
$
|
61.56
|
|
|
—
|
|
|
|
||
|
(1)
|
During the
three months ended June 30, 2017
, we withheld
236,050
shares of common stock under our 2011 Equity Incentive Plan to settle employee income tax obligations.
|
|
Exhibit No.
|
|
Title
|
|
|
|
|
|
4.1
|
|
|
|
|
|
|
|
4.2
|
|
|
|
|
|
|
|
4.3
|
|
|
|
|
|
|
|
10.1
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
||
|
|
|
|
|
|
||
|
|
|
|
|
|
||
|
|
|
|
|
31.1
|
|
|
|
|
|
|
|
32.1
|
|
|
|
|
|
|
|
101.INS
|
|
XBRL Taxonomy Instance Document.
|
|
|
|
|
|
101.SCH
|
|
XBRL Taxonomy Extension Schema Document.
|
|
|
|
|
|
101.CAL
|
|
|
|
|
|
|
|
101.DEF
|
|
|
|
|
|
|
|
101.LAB
|
|
|
|
|
|
|
|
101.PRE
|
|
|
|
|
|
|
MOLINA HEALTHCARE, INC.
|
|
|
|
|
(Registrant)
|
|
|
|
|
|
|
Dated:
|
August 2, 2017
|
|
/s/ JOSEPH W. WHITE
|
|
|
|
|
Joseph W. White
|
|
|
|
|
Interim Chief Executive Officer
|
|
|
|
|
(Principal Executive Officer)
|
|
|
|
|
|
|
Dated:
|
August 2, 2017
|
|
/s/ JOSEPH W. WHITE
|
|
|
|
|
Joseph W. White
|
|
|
|
|
Chief Financial Officer and Treasurer
|
|
|
|
|
(Principal Financial Officer)
|
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
| FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
|---|
| DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
|---|
No information found
No Customers Found
No Suppliers Found
Price
Yield
| Owner | Position | Direct Shares | Indirect Shares |
|---|