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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.
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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.
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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.
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Another highlighted that investor Michael Burry holds a bullish position in Molina. “very very very bad day for Burry,” they said.
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MOH stock has dipped 44% over the past 12 months.
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