Core Insights - Most publicly traded US health insurers are expected to report sequential revenue and earnings declines for the fourth quarter of 2024 according to an S&P Global Market Intelligence analysis of sell-side analyst forecasts [1] Group 1 - The analysis indicates a negative outlook for the health insurance sector in the upcoming quarter [1] - A total of nine health insurers are included in the forecast analysis [1]

Core Insights - Alignment Healthcare, Inc. reported a health plan membership of approximately 209,900 as of January 1, 2025, reflecting a 35% year-over-year increase compared to January 1, 2024 [1][6] - The company anticipates health plan membership to reach between 225,000 and 231,000 by December 31, 2025, indicating a growth of approximately 22% to 25% relative to the midpoint of its year-end 2024 membership guidance [1][2] - The company reaffirmed its full-year 2024 guidance on health plan membership, revenue, adjusted gross profit, and adjusted EBITDA, with confidence in achieving consensus adjusted EBITDA of approximately $40 million in 2025 [2][6] Leadership and Operational Excellence - Dawn Maroney has been promoted to President of Alignment Healthcare, Inc., effective immediately, to oversee day-to-day operations and enhance member experiences [3][4] - The CEO emphasized that Maroney's leadership has been crucial in achieving record enrollment growth and fostering strong partnerships [3][4] Recognition and Ratings - 98% of health plan members are enrolled in plans rated 4 stars or above for 2025, with the company retaining a 5-star rating from CMS for its North Carolina and Nevada HMO contract for three consecutive years [7] - The California HMO has achieved a 4-star rating for eight consecutive years, and the company has been recognized as a Newsweek World's Most Trustworthy Company in 2024 [7] Financial Metrics - Adjusted EBITDA is defined as net loss before interest expense, income taxes, depreciation and amortization expense, and other specific costs, with the company unable to reconcile estimated ranges for adjusted EBITDA to net loss without unreasonable efforts [9]

Group 1 - Alignment Healthcare, Inc. will present at the 43rd Annual J.P. Morgan Healthcare Conference on January 15, 2024, at 11:15 a.m. PST [1] - A webcast and replay of the presentation will be available on Alignment's investor relations website [3] - Alignment Health focuses on empowering seniors to age well and live vibrant lives through high-quality, low-cost care for Medicare Advantage members [4] Group 2 - The company partners with trusted local providers to deliver coordinated care using its customized care model and technology, AVA® [4] - Alignment Healthcare is based in California and is expanding its national footprint while maintaining its core values of serving seniors [4]

ORANGE, Calif. , Dec. 20, 2024 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC), today announced that it will present at the 43rd Annual J.P. Morgan Healthcare Conference in San Francisco on Wednesday, Jan. 15, at 1:30 p.m. PST. A webcast and replay of the presentations will be available on Alignment’s investor relations website at https://ir.alignmenthealth.com/. About Alignment HealthcareAlignment Health is championing a new path in senior care that empowers members to age well and live their ...

ORANGE, Calif., Nov. 15, 2024 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC) (the “Company”) today announced that it has entered into privately negotiated subscription agreements with certain investors, pursuant to which it will issue $330 million principal amount of 4.25% Convertible Senior Notes due 2029 (the “Notes”). The issuance of the Notes is expected to close on November 22, 2024, subject to customary closing conditions. The Notes will be senior, unsecured obligations of the Company, ...

ORANGE, Calif., Oct. 30, 2024 (GLOBE NEWSWIRE) -- Alignment Health Plan, an award-winning Medicare Advantage plan from Alignment Health, has been named to U.S. News & World Report's 2025 Best Insurance Companies for Medicare Advantage (MA) Honor Roll in California. With more than 400 MA plans offered in California, Alignment is one of only six insurers in the state to earn the "Best" ranking badge, which recognizes insurers with a U.S. News rating above 3.8 on a 5-point scale.1 To calculate its 2025 ranking ...

LAS VEGAS, Oct. 30, 2024 (GLOBE NEWSWIRE) -- Alignment Health Plan, an award-winning Medicare Advantage plan from Alignment Health, has been named to U.S. News & World Report's 2025 Best Insurance Companies for Medicare Advantage (MA) Honor Roll in Nevada. With nearly 100 MA plans available in Nevada, Alignment is one of only 5 MA insurers in the state to earn the "Best" ranking badge, which recognizes insurers with a U.S. News rating above 3.8 on a 5-point scale.1 To calculate its 2025 rankings, U.S. News ...

Financial Data and Key Metrics Changes - Health plan membership reached 182,300 members, representing approximately 58% year-over-year growth, surpassing the year-end guidance of 178,000 to 180,000 members [7][26] - Total revenue for Q3 2024 was $692 million, growing approximately 52% year-over-year, and 62% excluding ACO REACH, marking the highest revenue growth quarter as a publicly traded company [8][27] - Adjusted gross profit was $81 million, with a consolidated Medical Benefit Ratio (MBR) of 88.4%, leading to adjusted EBITDA of positive $6 million for the quarter [8][31] - For the full year 2024, revenue is expected to be between $2.67 billion and $2.68 billion, with adjusted gross profit between $282 million and $297 million [34] Business Line Data and Key Metrics Changes - The Care Anywhere clinical model contributed to managing care and controlling costs while achieving nearly 60% membership growth year-over-year [11] - 98% of health plan members are in plans rated 4-stars or above for 2025, with significant performance in California HMO contracts [12][13] - Adjusted SG&A for Q3 was $75 million, an increase of 8% year-over-year, but as a percentage of revenue excluding ACO REACH, it declined from 16.2% to 10.8% [30][31] Market Data and Key Metrics Changes - The company is positioned to benefit from CMS's changes that reward health plans delivering better care and value to seniors, creating opportunities for growth [9][10] - The California HMO contract has maintained a 4-star rating for eight consecutive years, while the Nevada and North Carolina contracts retained their 5-star ratings [12][13] Company Strategy and Development Direction - The company is focusing on profitability and directing capital towards markets with the greatest competitive advantage and highest return on investment [19] - For 2025, the company anticipates at least 20% growth and is confident in achieving consensus adjusted EBITDA of approximately $40 million [23][40] - The Medicare Advantage industry is seen as being at an inflection point, requiring population health management capabilities and consumer-centric technology [24] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in maintaining strong star ratings and the ability to manage costs while growing quickly, reinforcing confidence in the 2025 outlook [31][40] - The company is optimistic about the upcoming year, expecting continued growth and margin expansion opportunities [20][40] Other Important Information - The company ended Q3 with $381 million in cash and investments, with expectations for year-end parent cash to be approximately the same or higher [32] - Adjusted EBITDA profitability has been achieved for two consecutive quarters, highlighting the company's ability to manage costs effectively [31] Q&A Session Summary Question: What are the ongoing investments in local market relations with providers and brokers? - The company is investing in provider operations and automating workflows to enhance collaboration with IPAs, aiming for better outcomes [42][44] Question: What factors contributed to the strong membership growth? - The disciplined bid process and investments in member experience have led to significant growth, with a focus on balancing growth and margin [46][48] Question: How does the company view the MLR changes and their impact on 2025? - The company is confident that the elevated MLR in Q4 will not affect their 2025 outlook, as strong utilization performance supports their assumptions [56][57] Question: What is the strategy regarding capitated contracts and Part D? - There are no changes expected in the structure of capitated contracts for 2025, and Part D is anticipated to be a tailwind for overall MLR next year [100][102] Question: How is the company addressing CAHPS scores and access to care? - The company is focusing on improving care routing and access to specialists, integrating IPAs into their workflows to enhance member experience [91][92]

Alignment Healthcare (ALHC) reported $692.43 million in revenue for the quarter ended September 2024, representing a year-over-year increase of 51.6%. EPS of -$0.14 for the same period compares to -$0.19 a year ago. The reported revenue represents a surprise of +4.50% over the Zacks Consensus Estimate of $662.62 million. With the consensus EPS estimate being -$0.14, the company has not delivered EPS surprise. While investors closely watch year-over-year changes in headline numbers -- revenue and earnings -- ...

Alignment Healthcare (ALHC) came out with a quarterly loss of $0.14 per share in line with the Zacks Consensus Estimate. This compares to loss of $0.19 per share a year ago. These figures are adjusted for non-recurring items.A quarter ago, it was expected that this Medicare Advantage insurer would post a loss of $0.14 per share when it actually produced a loss of $0.13, delivering a surprise of 7.14%.Over the last four quarters, the company has surpassed consensus EPS estimates just once.Alignment Healthcar ...