Biotech News
Molina Healthcare Reports Second Quarter 2026 Financial Results
Increases Full Year 2026 Earnings Guidance
LONG BEACH, Calif.--(BUSINESS WIRE)--Jul. 22, 2026-- Molina Healthcare, Inc. (NYSE: MOH) (the “Company”) today reported second quarter 2026 GAAP income per diluted share of $1.19 and adjusted income per diluted share of $1.51. Financial results are summarized below:
| Three months ended | Six months ended | |||||||
|---|---|---|---|---|---|---|---|---|
| June 30, | June 30, | |||||||
| 2026 | 2025 | 2026 | 2025 | |||||
| (In millions, except per-share results) | ||||||||
| Premium Revenue | $10,244 | $10,868 | $20,416 | $21,496 | ||||
| Total Revenue | $10,874 | $11,427 | $21,670 | $22,574 | ||||
| GAAP: | ||||||||
| Net Income | $60 | $255 | $74 | $553 | ||||
| EPS – Diluted | $1.19 | $4.75 | $1.46 | $10.19 | ||||
| Medical Care Ratio (MCR) | 92.2% | 90.4% | 91.6% | 89.8% | ||||
| G&A Ratio | 6.7% | 6.2% | 6.9% | 6.6% | ||||
| Pre-tax Margin | 0.8% | 2.8% | 0.6% | 3.2% | ||||
| Adjusted: | ||||||||
| Net Income | $77 | $294 | $197 | $627 | ||||
| EPS – Diluted | $1.51 | $5.48 | $3.86 | $11.56 | ||||
| G&A Ratio | 6.5% | 6.1% | 6.7% | 6.4% | ||||
| Pre-tax Margin | 1.0% | 3.3% | 1.3% | 3.6% | ||||
| See the Reconciliation of Unaudited Non-GAAP Financial Measures at the end of this release. |
Quarter Highlights
As of June 30, 2026, the Company served approximately 4.9 million members.
Premium revenue was approximately $10.2 billion for the second quarter of 2026.
Second quarter 2026 GAAP income per diluted share was $1.19 and adjusted income per diluted share was $1.51.
The Company increased its full year 2026 adjusted earnings guidance by $0.25 to at least $5.25 per diluted share.
“Our second quarter results and full year guidance reflect solid performance in our Medicaid and Medicare segments,” said Joseph Zubretsky, President and Chief Executive Officer. “The imbalance between Medicaid rates and medical cost trend appears to have stabilized and is well positioned to be corrected with future rate increases. This reinforces our belief that 2026 is the trough year for Medicaid pretax margins. We remain confident in our disciplined approach to medical cost management and believe the premium and EPS building blocks position us well for profitable growth in 2027.”
Premium Revenue
Premium revenue was approximately $10.2 billion for the second quarter of 2026, a decrease of 6% year over year. The lower premium revenue reflects the impact of lower membership, partially offset by rate updates.
Net Income
GAAP net income for the second quarter of 2026 was $60 million, or $1.19 per diluted share, a decrease of 76% year over year. Adjusted net income for the second quarter of 2026 was $77 million, or $1.51 per diluted share, a decrease of 74% year over year. The decrease is attributed mainly to the lower premium revenues and increase in MCR.
Medical Care Ratio (MCR)
The consolidated MCR for the second quarter of 2026 was 92.2%.
The Medicaid MCR for the second quarter of 2026 was 92.7% and in line with the Company’s expectation, reflecting rate updates and stable medical cost trend.
The Medicare MCR for the second quarter of 2026 was 90.7% and better than the Company’s expectation, reflecting lower medical cost trend and pricing implemented for 2026.
The Marketplace MCR for the second quarter of 2026 was 88.9% and higher than the Company’s expectations, reflecting prior year risk adjustment and program integrity initiatives and the impact of current year unfavorable member acuity mix.
General and Administrative Expense Ratio
The G&A ratio and the adjusted G&A ratio for the second quarter of 2026 were 6.7% and 6.5%, respectively, reflecting continued operating discipline.
Balance Sheet
Cash and investments at the parent company were approximately $290 million as of June 30, 2026, compared to $223 million as of December 31, 2025.
Days in claims payable at June 30, 2026, was 44.
Cash Flow
Operating cash flow for the six months ended June 30, 2026, was $788 million, compared to an outflow of $112 million for the six months ended June 30, 2025. The increase compared to the prior year was driven mainly by the timing of government receivables and payables.
2026 Guidance
Premium revenue guidance for the full year is unchanged at approximately $42 billion.
The Company increased its full year 2026 GAAP earnings to at least $2.15 per diluted share and its full year 2026 adjusted earnings to at least $5.25 per diluted share. The increase to earnings guidance reflects first half performance in Medicaid. Based on developing medical cost trends, a $1.50 increase in earnings per share in Medicare is offset by a $1.50 decrease related to Marketplace. Excluding the downward revision in the Marketplace guidance, the full year guidance would have increased to $6.75 per share.
Full year guidance includes a loss of $1.50 per share due to the implementation of the new Florida Medicaid contract in the fourth quarter of 2026 and a loss of $1.00 per share due to performance of the traditional MAPD product, which the Company previously announced it will exit for 2027.
Conference Call
Management will host a conference call and webcast to discuss Molina Healthcare’s second quarter ended June 30, 2026 results, at 8:00 a.m. Eastern Time on Thursday, July 23, 2026. The number to call for the interactive teleconference is (877) 883-0383 and the confirmation number is 8631129. A telephonic replay of the conference call will be available through Thursday, July 30, 2026, by dialing (855) 669-9658 and entering confirmation number 6469068. A live audio broadcast of this conference call will be available on Molina Healthcare’s investor relations website, investors.molinahealthcare.com . A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast.
About Molina Healthcare
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed healthcare services under the Medicaid and Medicare programs and through the state insurance marketplaces. For more information about Molina Healthcare, please visit molinahealthcare.com .
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995
This earnings release and the Company’s accompanying oral remarks contain forward-looking statements. The Company intends such forward-looking statements to be covered under the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Forward-looking statements provide current expectations of future events based on certain assumptions, and all statements other than statements of historical fact contained in this earnings release and the Company’s accompanying oral remarks may be forward-looking statements. In some cases, you can identify forward-looking statements by words such as “guidance,” “future,” “anticipates,” “assumes,” “believes,” “embedded,” “estimates,” “expects,” “growth,” “intends,” “plans,” “predicts,” “projects,” “will,” “would,” “could,” “can,” “may,” or the negative of these terms or other similar expressions. Forward-looking statements contained in this earnings release include, but are not limited to, statements regarding the Company’s 2026 guidance and long-term performance outlook, trends with respect to rates, pretax margins, utilization, and medical costs, including the timing thereof and the anticipated impact on the Company’s business, and our management’s plans and objectives for future operations and business strategy.
Actual results could differ materially due to numerous known and unknown risks and uncertainties. These risks and uncertainties are discussed under the headings “Forward-Looking Statements,” and “Risk Factors,” in the Company’s Annual Report on Form 10‑K for the year ended December 31, 2025, which is on file with the U.S. Securities and Exchange Commission (the “SEC”), and in the Company’s other filings with the SEC, including its Quarterly Report on Form 10-Q for the period ended March 31, 2026 filed with the SEC and Quarterly Report on Form 10-Q for the period ended June 30, 2026, to be filed with the SEC.
These reports can be accessed under the investor relations tab of the Company’s website or on the SEC’s website at sec.gov . Given these risks and uncertainties, the Company can give no assurances that its forward-looking statements will prove to be accurate, or that any other results or developments projected or contemplated by its forward-looking statements will in fact occur, and the Company cautions investors not to place undue reliance on these statements. All forward-looking statements in this release represent the Company’s judgment as of July 22, 2026, and, except as otherwise required by law, the Company disclaims any obligation to update any forward-looking statement to conform the statement to actual results or changes in its expectations.
| MOLINA HEALTHCARE, INC. | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNAUDITED CONSOLIDATED STATEMENTS OF INCOME | |||||||||||
| Three Months Ended | Six Months Ended | ||||||||||
| June 30, | June 30, | ||||||||||
| 2026 | 2025 | 2026 | 2025 | ||||||||
| (In millions, except per-share amounts) | |||||||||||
| Revenue: | |||||||||||
| Premium revenue | $ | 10,244 | $ | 10,868 | $ | 20,416 | $ | 21,496 | |||
| Premium tax revenue | 505 | 431 | 1,009 | 819 | |||||||
| Investment income | 101 | 106 | 199 | 214 | |||||||
| Other revenue | 24 | 22 | 46 | 45 | |||||||
| Total revenue | 10,874 | 11,427 | 21,670 | 22,574 | |||||||
| Operating expenses: | |||||||||||
| Medical care costs | 9,440 | 9,829 | 18,710 | 19,308 | |||||||
| General and administrative expenses | 724 | 711 | 1,503 | 1,485 | |||||||
| Premium tax expenses | 505 | 431 | 1,009 | 819 | |||||||
| Depreciation and amortization | 40 | 58 | 79 | 106 | |||||||
| Impairment | — | — | 93 | — | |||||||
| Other | 20 | 25 | 48 | 50 | |||||||
| Total operating expenses | 10,729 | 11,054 | 21,442 | 21,768 | |||||||
| Operating income | 145 | 373 | 228 | 806 | |||||||
| Interest expense | 54 | 48 | 108 | 91 | |||||||
| Income before income tax expense | 91 | 325 | 120 | 715 | |||||||
| Income tax expense | 31 | 70 | 46 | 162 | |||||||
| Net income | $ | 60 | $ | 255 | $ | 74 | $ | 553 | |||
| Net income per share – Diluted | $ | 1.19 | $ | 4.75 | $ | 1.46 | $ | 10.19 | |||
| Diluted weighted average shares outstanding | 51.3 | 53.7 | 51.2 | 54.3 |
| MOLINA HEALTHCARE, INC. | ||||||
|---|---|---|---|---|---|---|
| CONSOLIDATED BALANCE SHEETS | ||||||
| June 30, | December 31, | |||||
| 2026 | 2025 | |||||
| Unaudited | ||||||
| (Dollars in millions, except per-share amounts) | ||||||
| ASSETS | ||||||
| Current assets: | ||||||
| Cash and cash equivalents | $ | 4,985 | $ | 4,248 | ||
| Investments | 3,930 | 4,008 | ||||
| Receivables | 3,485 | 3,533 | ||||
| Prepaid expenses and other current assets | 528 | 655 | ||||
| Total current assets | 12,928 | 12,444 | ||||
| Property, equipment, and capitalized software, net | 311 | 301 | ||||
| Goodwill and intangible assets, net | 2,082 | 2,195 | ||||
| Restricted investments | 313 | 299 | ||||
| Deferred income taxes, net | 229 | 178 | ||||
| Other assets | 140 | 147 | ||||
| Total assets | $ | 16,003 | $ | 15,564 | ||
| LIABILITIES AND STOCKHOLDERS’ EQUITY | ||||||
| Current liabilities: | ||||||
| Medical claims and benefits payable | $ | 4,841 | $ | 4,887 | ||
| Amounts due government agencies | 1,651 | 1,326 | ||||
| Accounts payable, accrued liabilities and other | 1,139 | 1,093 | ||||
| Deferred revenue | 69 | 66 | ||||
| Total current liabilities | 7,700 | 7,372 | ||||
| Long-term debt | 3,769 | 3,766 | ||||
| Finance lease liabilities | 184 | 184 | ||||
| Other long-term liabilities | 179 | 173 | ||||
| Total liabilities | 11,832 | 11,495 | ||||
| Stockholders’ equity: | ||||||
| Common stock, $0.001 par value, 150 million shares authorized; outstanding: 52 million shares at June 30, 2026, and 51 million at December 31, 2025 | — | — | ||||
| Preferred stock, $0.001 par value; 20 million shares authorized, no shares issued and outstanding | — | — | ||||
| Additional paid-in capital | 511 | 452 | ||||
| Accumulated other comprehensive (loss) income | (16 | ) | 15 | |||
| Retained earnings | 3,676 | 3,602 | ||||
| Total stockholders’ equity | 4,171 | 4,069 | ||||
| Total liabilities and stockholders’ equity | $ | 16,003 | $ | 15,564 |
| MOLINA HEALTHCARE, INC. | |||||||
|---|---|---|---|---|---|---|---|
| UNAUDITED CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||
| Six Months Ended | |||||||
| June 30, | |||||||
| 2026 | 2025 | ||||||
| (In millions) | |||||||
| Operating activities: | |||||||
| Net income | $ | 74 | $ | 553 | |||
| Adjustments to reconcile net income to net cash provided by (used in) operating activities: | |||||||
| Depreciation and amortization | 79 | 106 | |||||
| Deferred income taxes | (41 | ) | 22 | ||||
| Share-based compensation | 59 | 30 | |||||
| Impairment | 93 | — | |||||
| Other, net | (2 | ) | — | ||||
| Changes in operating assets and liabilities: | |||||||
| Receivables | 48 | (466 | ) | ||||
| Prepaid expenses and other current assets | 9 | 10 | |||||
| Medical claims and benefits payable | (46 | ) | (50 | ) | |||
| Amounts due government agencies | 325 | (81 | ) | ||||
| Accounts payable, accrued liabilities and other | 66 | (301 | ) | ||||
| Deferred revenue | 3 | (59 | ) | ||||
| Income taxes | 121 | 124 | |||||
| Net cash provided by (used in) operating activities | 788 | (112 | ) | ||||
| Investing activities: | |||||||
| Purchases of investments | (626 | ) | (421 | ) | |||
| Proceeds from sales and maturities of investments | 672 | 717 | |||||
| Purchases of property, equipment, and capitalized software | (57 | ) | (64 | ) | |||
| Net cash paid in business combinations | — | (245 | ) | ||||
| Other, net | (8 | ) | 18 | ||||
| Net cash (used in) provided by investing activities | (19 | ) | 5 | ||||
| Financing activities: | |||||||
| Proceeds from borrowings under credit facility and term loans | — | 650 | |||||
| Common stock purchases | — | (500 | ) | ||||
| Repayment of credit facility and term loans | — | (200 | ) | ||||
| Common stock withheld to settle employee tax obligations | (14 | ) | (36 | ) | |||
| Other, net | (10 | ) | 44 | ||||
| Net cash used in financing activities | (24 | ) | (42 | ) | |||
| Net increase (decrease) in cash, cash equivalents, and restricted cash and cash equivalents | 745 | (149 | ) | ||||
| Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period | 4,348 | 4,741 | |||||
| Cash, cash equivalents, and restricted cash and cash equivalents at end of period | $ | 5,093 | $ | 4,592 |
| MOLINA HEALTHCARE, INC. | |||||
|---|---|---|---|---|---|
| UNAUDITED SEGMENT DATA | |||||
| (Dollars in millions) | |||||
| June 30, | December 31, | June 30, | |||
| 2026 | 2025 | 2025 | |||
| Ending Membership by Segment: | |||||
| Medicaid | 4,418,000 | 4,568,000 | 4,774,000 | ||
| Medicare | 224,000 | 262,000 | 267,000 | ||
| Marketplace | 283,000 | 655,000 | 690,000 | ||
| Other | 1,000 | 6,000 | 15,000 | ||
| Total | 4,926,000 | 5,491,000 | 5,746,000 |
| Three Months Ended June 30, | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | 2025 | ||||||||||||||||
| Premium Revenue | Medical Margin | MCR (1) | Premium Revenue | Medical Margin | MCR (1) | ||||||||||||
| Medicaid | $ | 8,049 | $ | 585 | 92.7 | % | $ | 8,029 | $ | 697 | 91.3 | % | |||||
| Medicare | 1,565 | 146 | 90.7 | 1,608 | 161 | 90.0 | |||||||||||
| Marketplace | 628 | 69 | 88.9 | 1,200 | 175 | 85.4 | |||||||||||
| Other (2) | 2 | 4 | NM | 31 | 6 | NM | |||||||||||
| Consolidated | $ | 10,244 | $ | 804 | 92.2 | % | $ | 10,868 | $ | 1,039 | 90.4 | % |
| Six Months Ended June 30, | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | 2025 | ||||||||||||||||
| Premium Revenue | Medical Margin | MCR (1) | Premium Revenue | Medical Margin | MCR (1) | ||||||||||||
| Medicaid | $ | 15,976 | $ | 1,216 | 92.4 | % | $ | 16,159 | $ | 1,488 | 90.8 | % | |||||
| Medicare | 3,082 | 300 | 90.3 | 3,076 | 333 | 89.2 | |||||||||||
| Marketplace | 1,352 | 185 | 86.3 | 2,204 | 358 | 83.7 | |||||||||||
| Other (2) | 6 | 5 | NM | 57 | 9 | NM | |||||||||||
| Consolidated | $ | 20,416 | $ | 1,706 | 91.6 | % | $ | 21,496 | $ | 2,188 | 89.8 | % | |||||
| (1) The MCR represents medical costs as a percentage of premium revenue. | |||||||||||||||||
| (2) The Other MCRs are not meaningful. |
MOLINA HEALTHCARE, INC.
CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE
(Dollars in millions)
The Company’s claims liabilities include additional reserves to account for moderately adverse conditions based on historical experience and other factors including, but not limited to, variations in claims payment patterns, changes in utilization and cost trends, known outbreaks of disease, and large claims. The Company’s reserving methodology is consistently applied across all periods presented. The amounts displayed for “Components of medical care costs related to: Prior year” represent the amounts by which the original estimates of claims and benefits payable at the beginning of the year were more than the actual liabilities based on information (principally the payment of claims) developed since those liabilities were first reported. The following table presents the components of the change in medical claims and benefits payable for the periods indicated:
| Six Months Ended | |||||||
|---|---|---|---|---|---|---|---|
| June 30, | |||||||
| 2026 | 2025 | ||||||
| Unaudited | |||||||
| Medical claims and benefits payable, beginning balance | $ | 4,887 | $ | 4,640 | |||
| Components of medical care costs related to: | |||||||
| Current year | 18,995 | 19,509 | |||||
| Prior year | (285 | ) | (201 | ) | |||
| Total medical care costs | 18,710 | 19,308 | |||||
| Payments for medical care costs related to: | |||||||
| Current year | 15,062 | 15,700 | |||||
| Prior year | 3,918 | 3,918 | |||||
| Total paid | 18,980 | 19,618 | |||||
| Acquired balances, net of post-acquisition adjustments | — | 295 | |||||
| Change in non-risk and other payables | 224 | 260 | |||||
| Medical claims and benefits payable, ending balance | $ | 4,841 | $ | 4,885 | |||
| Days in Claims Payable (1) | 44 | 43 | |||||
| __________________ |
(1) The Company calculates Days in Claims Payable using claims incurred but not paid, or IBNP, and other fee-for-service payables included in medical claims and benefits payable, and quarterly fee-for-service related costs included in medical care costs within the Company’s consolidated financial statements.
MOLINA HEALTHCARE, INC.
RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES
(In millions, except per diluted share amounts)
The Company believes that certain non-GAAP (generally accepted accounting principles) financial measures are useful supplemental measures to investors in comparing the Company’s performance to the performance of other public companies in the health care industry. The non-GAAP financial measures are also used internally to enable management to assess the Company’s performance consistently over time. These non-GAAP financial measures, presented below, should be considered as supplements to, and not as substitutes for or superior to, GAAP measures.
Adjustments represent additions and deductions to GAAP net income as indicated in the table below, which include the non-cash impact of amortization of acquired intangible assets, acquisition-related expenses, impairments, and the impact of certain expenses and other items that management believes are not indicative of longer-term business trends and operations.
Adjusted G&A Ratio represents the GAAP G&A ratio, recognizing adjustments.
Adjusted net income represents GAAP net income recognizing the adjustments, net of tax. The Company believes that adjusted net income is helpful to investors in assessing the Company’s financial performance.
Adjusted net income per diluted share represents adjusted net income divided by weighted average common shares outstanding on a fully diluted basis.
Adjusted pre-tax margin represents adjusted income before income tax expense, divided by total revenue.
| Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026 | 2025 | 2026 | 2025 | ||||||||||||||||||||||||||||
| Amount | Per Diluted Share | Amount | Per Diluted Share | Amount | Per Diluted Share | Amount | Per Diluted Share | ||||||||||||||||||||||||
| GAAP Net income | $ | 60 | $ | 1.19 | $ | 255 | $ | 4.75 | $ | 74 | $ | 1.46 | $ | 553 | $ | 10.19 | |||||||||||||||
| Adjustments: | |||||||||||||||||||||||||||||||
| Amortization of intangible assets | $ | 9 | $ | 0.18 | $ | 32 | $ | 0.60 | $ | 19 | $ | 0.38 | $ | 53 | $ | 0.99 | |||||||||||||||
| Acquisition-related expenses (1) | 12 | 0.23 | 19 | 0.37 | 33 | 0.64 | 42 | 0.78 | |||||||||||||||||||||||
| Impairment (2) | — | — | — | — | 93 | 1.82 | — | — | |||||||||||||||||||||||
| Other (3) | — | — | — | — | 21 | 0.41 | 2 | 0.03 | |||||||||||||||||||||||
| Subtotal, adjustments | 21 | 0.41 | 51 | 0.97 | 166 | 3.25 | 97 | 1.80 | |||||||||||||||||||||||
| Income tax effect | (4 | ) | (0.09 | ) | (12 | ) | (0.24 | ) | (43 | ) | (0.85 | ) | (23 | ) | (0.43 | ) | |||||||||||||||
| Adjustments, net of tax | 17 | 0.32 | 39 | 0.73 | 123 | 2.40 | 74 | 1.37 | |||||||||||||||||||||||
| Adjusted net income | $ | 77 | $ | 1.51 | $ | 294 | $ | 5.48 | $ | 197 | $ | 3.86 | $ | 627 | $ | 11.56 | |||||||||||||||
| __________________ |
| (1) | Reflects non-recurring costs associated with acquisitions, including various transaction and certain integration costs. | |
|---|---|---|
| (2) | This impairment charge results from the Company’s decision to exit the Medicare Advantage Prescription Drug product for 2027 as that product does not align with the Company’s strategic shift to focus exclusively on dual eligible members in Medicare. | |
| (3) | The six months ended June 30, 2026 primarily includes non-recurring termination benefits, and the six months ended June 30, 2025 includes non-recurring litigation costs. |
| MOLINA HEALTHCARE, INC. | |||||||
|---|---|---|---|---|---|---|---|
| RECONCILIATION OF UNAUDITED NON-GAAP FINANCIAL MEASURES (CONTINUED) | |||||||
| 2026 GUIDANCE | |||||||
| Amount | Per Diluted Share (2) | ||||||
| GAAP Net income | $ | 110 | $ | 2.15 | |||
| Adjustments: | |||||||
| Acquisition-related expenses | 64 | 1.24 | |||||
| Amortization of intangible assets | 36 | 0.71 | |||||
| Impairment | 93 | 1.83 | |||||
| Other | 21 | 0.41 | |||||
| Subtotal, adjustments | 214 | 4.19 | |||||
| Income tax effect (1) | (56 | ) | (1.09 | ) | |||
| Adjustments, net of tax | 158 | 3.10 | |||||
| Adjusted net income | $ | 268 | $ | 5.25 | |||
| __________________ |
| (1) | Income tax effect calculated at the statutory tax rate of approximately 26.0%. | |
|---|---|---|
| (2) | Computations assume approximately 51.1 million diluted weighted average shares outstanding. |
View source version on businesswire.com : https://www.businesswire.com/news/home/20260722885249/en/
Investor Contact: Jeffrey Geyer, [email protected] , 305-317-3012
Media Contact: Caroline Zubieta, [email protected] , 562-542-1845
Source: Molina Healthcare, Inc.