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Upturn AI SWOT - About
MOH 
Molina Healthcare Inc (MOH)
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Upturn Advisory Summary
07/17/2025: MOH (1-star) is currently NOT-A-BUY. Pass it for now.
Upturn Star Rating
Not Recommended Performance
These Stocks/ETFs, based on Upturn Advisory, consistently fall short of market performance, signaling caution before investing.
Number of Analysts
16 Analysts rated it
Moderately tracked stock, growing coverage, gaining market and investor attention.
1 Year Target Price $359.49
1 Year Target Price $359.49
| 6 | Strong Buy |
| 1 | Buy |
| 8 | Hold |
| 1 | Sell |
| 0 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit -19.98% | Avg. Invested days 47 | Today’s Advisory PASS |
Upturn Star Rating | Upturn Advisory Performance  1.0 | Stock Returns Performance  1.0 |
| Profits based on simulation | Last Close 07/17/2025 |
Key Highlights
Company Size Large-Cap Stock | Market Capitalization 11.63B USD | Price to earnings Ratio 10.37 | 1Y Target Price 359.49 |
Price to earnings Ratio 10.37 | 1Y Target Price 359.49 | ||
Volume (30-day avg) 16 | Beta 0.57 | 52 Weeks Range 211.61 - 365.23 | Updated Date 07/15/2025 |
52 Weeks Range 211.61 - 365.23 | Updated Date 07/15/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) 20.69 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date 2025-07-22 | When Before Market | Estimate 6.2 | Actual - |
Profitability
Profit Margin 2.92% | Operating Margin (TTM) 4.04% |
Management Effectiveness
Return on Assets (TTM) 6.73% | Return on Equity (TTM) 26.72% |
Valuation
Trailing PE 10.37 | Forward PE 9.42 | Enterprise Value 6339090000 | Price to Sales(TTM) 0.29 |
Enterprise Value 6339090000 | Price to Sales(TTM) 0.29 | ||
Enterprise Value to Revenue 0.15 | Enterprise Value to EBITDA 3.33 | Shares Outstanding 54200000 | Shares Floating 53544180 |
Shares Outstanding 54200000 | Shares Floating 53544180 | ||
Percent Insiders 1.28 | Percent Institutions 100.69 |
Upturn AI SWOT
Molina Healthcare Inc
Company Overview
History and Background
Molina Healthcare was founded in 1980 by C. David Molina, M.D. It started as an emergency room access program in Long Beach, California, and evolved into a managed care organization focusing on government-sponsored healthcare programs. Over the years, Molina expanded its services and geographic reach through organic growth and strategic acquisitions.
Core Business Areas
- Medicaid: Provides managed healthcare services to low-income families and individuals through Medicaid programs.
- Medicare: Offers managed healthcare services to individuals eligible for Medicare, including those with special needs.
- Marketplace: Provides health insurance plans to individuals and families through the Health Insurance Marketplace established by the Affordable Care Act (ACA).
Leadership and Structure
The current CEO is Joseph Zubretsky. Molina Healthcare operates with a corporate structure including a board of directors and various executive management teams overseeing different aspects of the business such as finance, operations, and strategy.
Top Products and Market Share
Key Offerings
- Medicaid Managed Care: Molina provides comprehensive healthcare services to Medicaid beneficiaries, including primary care, specialty care, hospital services, and behavioral health. Market share data varies by state. Competitors include UnitedHealth Group (UNH), Centene (CNC), and Humana (HUM).
- Medicare Advantage Plans: Offers Medicare Advantage plans that provide comprehensive healthcare benefits to seniors and individuals with disabilities. Market share data varies by region. Competitors include UnitedHealth Group (UNH), Humana (HUM), and CVS Health (CVS).
- Health Insurance Marketplace Plans: Provides individual and family health insurance plans through the ACA marketplace. Market share data varies by state. Competitors include Centene (CNC), Cigna (CI), and Kaiser Permanente (KP) in certain regions.
Market Dynamics
Industry Overview
The managed healthcare industry is highly competitive and regulated, with increasing focus on value-based care and healthcare cost containment. Government policies and economic conditions significantly impact the industry's growth and profitability.
Positioning
Molina Healthcare is positioned as a leader in government-sponsored healthcare programs, with a focus on serving low-income and underserved populations. Its competitive advantage lies in its expertise in managing complex populations and navigating regulatory environments.
Total Addressable Market (TAM)
The TAM for managed healthcare is estimated to be over $1 trillion, encompassing Medicaid, Medicare, and Marketplace segments. Molina is well-positioned to capture a significant portion of this market with its specialized expertise and established presence.
Upturn SWOT Analysis
Strengths
- Specialized expertise in government-sponsored healthcare programs
- Strong relationships with state and federal agencies
- Focus on serving underserved populations
- Growing membership base
- Experienced management team
Weaknesses
- Dependence on government funding and regulations
- Exposure to regulatory changes and reimbursement rate adjustments
- Competition from larger, more diversified healthcare companies
- Relatively lower profit margins compared to commercial healthcare plans
Opportunities
- Expansion into new geographic markets
- Growth in Medicaid and Medicare enrollment
- Strategic acquisitions of smaller healthcare providers
- Increased adoption of value-based care models
- Leveraging technology to improve healthcare delivery
Threats
- Changes in government healthcare policies
- Reductions in Medicaid and Medicare funding
- Increased competition from other managed care organizations
- Cybersecurity risks and data breaches
- Economic downturns affecting government budgets
Competitors and Market Share
Key Competitors
- UnitedHealth Group (UNH)
- Centene (CNC)
- Humana (HUM)
Competitive Landscape
Molina Healthcare faces intense competition from larger, more diversified healthcare companies. However, Molina's specialization in government-sponsored healthcare programs and focus on underserved populations provide a competitive advantage.
Major Acquisitions
Provider Select, Inc.
- Year: 2020
- Acquisition Price (USD millions): 50
- Strategic Rationale: Expanded Molina's presence in the Texas market and enhanced its provider network.
Growth Trajectory and Initiatives
Historical Growth: Molina has experienced significant growth in membership and revenue over the past decade, driven by expansion in Medicaid and Medicare markets.
Future Projections: Analyst estimates project continued growth for Molina, driven by increasing enrollment in government-sponsored healthcare programs and strategic initiatives.
Recent Initiatives: Recent initiatives include strategic acquisitions, expansion into new markets, and investments in technology to improve healthcare delivery and member engagement.
Summary
Molina Healthcare demonstrates solid financial health, fueled by its specialization in government-sponsored healthcare programs. It continues to grow through strategic acquisitions and expansion into new markets. Monitoring regulatory changes and navigating the competitive landscape will be vital for sustained success. Molina's dedication to underserved populations remains a key strength, driving its expansion within Medicaid and Medicare markets, although competition from larger players poses a challenge.
Peer Comparison
Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Analyst Reports
- Industry News Articles
- Company Investor Relations
- Market research reports
Disclaimers:
The information provided is for informational purposes only and should not be considered financial advice. Market share data is approximate and may vary by region and source. Investment decisions should be made based on thorough research and consultation with a qualified financial advisor.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Molina Healthcare Inc
Exchange NYSE | Headquaters Long Beach, CA, United States | ||
IPO Launch date 2003-07-02 | President, CEO & Director Mr. Joseph Michael Zubretsky | ||
Sector Healthcare | Industry Healthcare Plans | Full time employees 18000 | Website https://www.molinahealthcare.com |
Full time employees 18000 | Website https://www.molinahealthcare.com | ||
Molina Healthcare, Inc. provides managed healthcare services to low-income families and individuals under the Medicaid and Medicare programs and through the state insurance marketplaces. It operates in four segments: Medicaid, Medicare, Marketplace, and Other. The company served in across 21 states. The company was founded in 1980 and is headquartered in Long Beach, California.
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