ORANGE - Alignment Healthcare, Inc. (NASDAQ: ALHC), today reported financial results for its fourth quarter and full year ended Dec. 31, 2023.

'Alignment Healthcare is built to thrive in the current Medicare Advantage market with our clinical framework and data-driven operations,' said John Kao, founder and CEO. 'I am confident that the investments we have made to strengthen our visibility and control over medical costs and the member experience will continue to bolster growth in 2024 and beyond.'

Fourth Quarter 2023 Financial Highlights

All comparisons, unless otherwise noted, are to the three months ended Dec. 31, 2022.

Health plan membership at the end of the quarter was approximately 119,200, up 21.1% year over year

Total revenue was $465.4 million, up 28.6% year over year

Health plan premium revenue of $459.0 million represented 27.5% growth year over year

Adjusted gross profit was $49.2 million and loss from operations was ($41.9) million

Adjusted gross profit excludes depreciation and amortization of $5.9 million and selling, general, and administrative expenses of $83.7 million (which includes $14.1 million of equity-based compensation). Adjusted gross profit also excludes an additional $1.5 million of equity-based compensation recorded within medical expenses

Medical benefits ratio based on adjusted gross profit was 89.4%

Adjusted EBITDA was ($19.7) million and net loss was ($47.2) million

Full Year 2023 Financial Highlights

All comparisons, unless otherwise noted, are to the twelve months ended Dec. 31, 2022.

Total revenue was $1,823.6 million, up 27.2% year over year

Health plan premium revenue of $1,800.9 million represented 25.8% growth year over year

Adjusted gross profit was $208.8 million and loss from operations was ($127.8) million

Adjusted gross profit excludes depreciation and amortization of $21.7 million and selling, general, and administrative expenses of $307.4 million (which includes $59.3 million of equity-based compensation). Adjusted gross profit also excludes an additional $7.5 million of equity-based compensation recorded within medical expenses

Medical benefits ratio based on adjusted gross profit was 88.5%

Adjusted EBITDA was ($35.3) million and net loss was ($148.2) million

As of Dec. 31, 2023, total cash was $202.9 million, and debt was $165.0 million (excluding unamortized debt issuance costs)

About Alignment Health

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. A consumer brand name of Alignment Healthcare (NASDAQ: ALHC), Alignment Health offers more than 50 benefits-rich, value-driven Medicare Advantage plans that serve 53 counties across six states. The company partners with nationally recognized and trusted local providers to deliver coordinated care, powered by its customized care model, 24/7 concierge care team and purpose-built technology, AVA. Based in California, the company's mission-focused team makes high-quality, low-cost care a reality for members every day. As it expands its offerings and grows its national footprint, Alignment upholds its core values of leading with a serving heart and putting the senior first.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and our financial outlook for the first quarter ending March 31, 2024 and year ending December 31, 2024. Forward-looking statements are subject to risks and uncertainties and are based on assumptions that may prove to be inaccurate, which could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: our ability to attract new members and enter new markets, including the need for certain governmental approvals; our ability to maintain a high rating for our plans on the Five Star Quality Rating System; our ability to develop and maintain satisfactory relationships with care providers that service our members; risks associated with being a government contractor; changes in laws and regulations applicable to our business model; risks related to our indebtedness, including the potential for rising interest rates; changes in market or industry conditions and receptivity to our technology and services; results of litigation or a security incident and the impact of shortages of qualified personnel and related increases in our labor costs.

Contact:

Harrison Zhuo

Email: hzhuo@ahcusa.com

Priya Shah

Email: alignment@mpublicrelations.com

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