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Shares of Molina Healthcare Inc. (MOH) plunged 35% after-hours on Thursday after the company posted a surprise loss in the fourth-quarter (Q4) of 2025.
The health insurance provider said that its adjusted and diluted loss per share in the three months through the end of December came in at $2.75. Analysts on average were expecting the company to post earnings per share of $0.33, according to data from Fiscal AI.
The company said that its earnings for the quarter was burdened by $2.00 per share of unfavorable retroactive premium adjustments attributable to its Medicaid business in California, and ongoing medical cost pressure in Medicare and Marketplace.
Revenue for the quarter, meanwhile, came in at $11.38 billion, exceeding a Wall Street estimate of $10.9 billion. Medical care ratio, or the percentage of premium spent on medical care, meanwhile rose to 94.6% from 90.2% in the corresponding quarter of 2024.
For 2026, the company expects adjusted earnings to be at least $5.00 per diluted share, lower than the $13.71 estimated by analysts.
The guidance is burdened by $1.50 per diluted share due to implementation of the new Florida CMS Medicaid contract and $1.00 per diluted share due to underperformance in the traditional Medicare Advantage Part D (MAPD) product. The company will exit MAPD for 2027, it added.
Total revenue meanwhile, is expected to come in at $44.5 billion, including $42.2 billion in premium revenue, below a Wall Street estimate of $46.79 billion.
On Stocktwits, retail sentiment around MOH stock jumped from ‘bearish’ to ‘bullish’ territory over the past 24 hours, while message volume rose from ‘normal’ to ‘high’ levels.
A Stocktwits user termed the quarter “very bad,” while also predicting a 50% drop on Friday.
Another highlighted that investor Michael Burry holds a bullish position in Molina. “very very very bad day for Burry,” they said.
MOH stock has dipped 44% over the past 12 months.
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