Molina Healthcare, Inc. (MOH)

Sector: Healthcare|Industry: Healthcare Plans|Market Cap: $17.23B|Employees: 18K


Molina Healthcare, a Fortune 500 company, provides managed healthcare services primarily under the Medicaid and Medicare programs, as well as through state insurance marketplaces. The company serves approximately 5 million members across 20 states, focusing on government-sponsored healthcare for low-income families and individuals. Molina's competitive advantage lies in its expertise in navigating complex government programs and its ability to provide cost-effective healthcare solutions.

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Business Summary

Molina Healthcare, Inc. is a Fortune 500 company that provides managed healthcare services under the Medicaid and Medicare programs, and through state insurance marketplaces. Founded in 1980, the company serves approximately 5.0 million members across 20 states. Molina's core business model focuses on government-sponsored healthcare programs, with primary revenue streams derived from premiums paid by state and federal agencies. The company's market position is strengthened by its experience in serving low-income populations and its ability to navigate complex regulatory environments. Molina competes in a highly competitive landscape with other national and regional managed care organizations.

Key Statistics

  • Employees: 18,000+ (as of December 31, 2023)
  • Geographic Footprint: 20 states
  • Headquarters: Long Beach, California
  • Founded: 1980
  • Revenue: $34.07 billion (FY2023)
  • Key Subsidiaries/Brands: Molina Healthcare, My Choice Wisconsin, Brand New Day, Central Health Plan of California

Leadership

  • CEO: Joseph M. Zubretsky
  • CFO: Mark L. Keim
  • Chief Accounting Officer: Maurice S. Hebert
  • Board Chair: Dale B. Wolf

Key executives have extensive experience in the healthcare and managed care industries.

Key Financial Metrics

  • Annual Revenue: $34.07 billion (FY2023)
  • Net Income: $1.09 billion (FY2023)
  • Total Assets: $14.89 billion (as of December 31, 2023)
  • Employees: 18,000+ (as of December 31, 2023)
  • Key Financial Highlights: Premium revenue increased by 5% compared to 2022; Net income increased by 38% compared to 2022.

Products and Services

Molina Healthcare offers a range of managed healthcare services including:

  • Medicaid: Managed care services for low-income individuals and families.
  • Medicare: Managed care services for seniors and individuals with disabilities.
  • Marketplace: Health insurance plans offered through state exchanges.
  • Other: Long-term services and supports, consultative services.

Key Business Segments

Molina's operations are divided into four reportable segments:

  • Medicaid: 81% of consolidated premium revenue in 2023
  • Medicare: Represents government-sponsored programs for seniors and individuals with disabilities.
  • Marketplace: Offers health insurance plans through state exchanges.
  • Other: Includes long-term services and supports consultative services in Wisconsin.

Business Strategy

Molina's strategy focuses on organic growth, strategic acquisitions, and operational efficiency. Key initiatives include:

  • Expanding market share in existing and new states.
  • Pursuing accretive mergers and acquisitions.
  • Maintaining strong medical cost management.
  • Reinvesting excess capital or returning it to shareholders.
  • Leveraging technology and data analytics to improve care delivery.

Industry Context

Molina operates in the managed healthcare industry, which is characterized by:

  • Primary Industry: Managed Healthcare
  • Market Position: A significant provider in government-sponsored healthcare programs.
  • Key Competitors: Centene Corporation, CVS Health Corporation, Elevance Health, Inc., UnitedHealth Group Inc.
  • Industry Trends: Increasing integration of Medicare and Medicaid, focus on value-based care, and growing importance of data analytics.

Risk Factors

  • Market Risks: Competition, changes in government funding, and Medicaid redeterminations.
  • Operational Risks: Data security breaches, reliance on third-party vendors, and integration of acquisitions.
  • Financial Risks: Inability to accurately estimate medical costs, changes in interest rates, and credit market conditions.
  • Regulatory Risks: Compliance with complex regulations, changes in healthcare laws, and state contract renewals.

Last Updated

2024-02-13

(Generated from latest 10-K filing)