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0001831097FALSE00018310972025-02-252025-02-25

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
_____________________________________________
FORM 8-K
_____________________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): February 25, 2025
_____________________________________________
agilon health, inc.
(Exact name of Registrant as Specified in Its Charter)
_____________________________________________
Delaware 001-40332 37-1915147
(State or Other Jurisdiction
of Incorporation)
(Commission File Number)
(IRS Employer
Identification No.)
440 Polaris Parkway, Suite 550
Westerville, Ohio
78723
(Address of Principal Executive Offices) (Zip Code)
Registrant’s Telephone Number, Including Area Code: 562 256-3800
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
_____________________________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading
Symbol(s)
Name of each exchange on which registered
Common stock, par value $0.01 per share AGL The New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
Emerging growth company o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o On February 25, 2025, agilon health, inc. (the “Company”), a Delaware corporation, issued a press release setting forth its financial results for the three and twelve months ended December 31, 2024. A copy of the press release is furnished herewith as Exhibit 99.1 and is incorporated by reference herein.



Item 2.02 Results of Operations and Financial Condition.
Item 7.01 Regulation FD Disclosure.
On February 25, 2025, the Company issued an investor presentation regarding the Company’s financial results for the three and twelve months ended December 31, 2024. A copy of the investor presentation is furnished herewith as Exhibit 99.2.
The information set forth in Items 2.02 and 7.01 of this Current Report on Form 8-K and the related information in Exhibits 99.1 and 99.2 attached hereto is being furnished herewith, and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section and shall not be incorporated by reference in any filing with, the Securities and Exchange Commission under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference therein.
Item 9.01 Financial Statements and Exhibits.
(d)Exhibits
Exhibit
Number
Description
99.1
99.2
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
agilon health, inc.
Date: February 25, 2025 By: /s/ JEFFREY SCHWANEKE
Jeffrey Schwaneke
Chief Financial Officer

EX-99.1 2 agl-20241231xexx991.htm EX-99.1 Document

Exhibit 99.1

agilon health Reports Fourth Quarter and Full Year Fiscal 2024 Results
Revenue increased 44% to $1.52 billion in the fourth quarter 2024
Medicare Advantage membership increased 36% to 527,000, and total members on the agilon platform grew to 659,000 as of December 31, 2024
Full year 2025 guidance reflects the positive impact from strategic actions and assumes continued elevated medical cost trends; Class of 2025 expected to add approximately 20,000 Medicare Advantage members
Westerville, O.H., February 25, 2025 – agilon health, inc. (NYSE: AGL), the trusted partner empowering physicians to transform health care in our communities, today announced results for the fourth quarter and fiscal year ended December 31, 2024.
“While the underlying strength of our model continues to deliver significant value to patients, payors, and our PCP partners, we are still managing through a challenging Medicare Advantage environment.” said Steve Sell, CEO “As a result of the strategic actions we have taken to reduce our underwriting risks, improve our platform capabilities, and maintain cost discipline we have established a stronger foundation for success. Combined with continued market demand we remain focused on supporting our physician partners to deliver high-quality, cost-effective care to their senior patients while driving long-term sustainable financial performance.”
Fourth Quarter and Fiscal Year 2024 Results:
•Total members on the agilon platform increased to 659,000 as of December 31, 2024, comprising 527,000 Medicare Advantage members and 132,000 ACO model beneficiaries. Medicare Advantage membership increased 36% year-over-year, with 4.1% growth in same-partner geographies.
•Total revenue of $1.52 billion in the fourth quarter 2024 increased 44% compared to $1.06 billion in the fourth quarter 2023. For the fiscal year 2024, total revenue of $6.06 billion increased 40% compared to $4.32 billion in 2023. Year-over-year total revenue growth was primarily driven by membership growth in new markets and same geography growth.
•Gross profit of negative $38 million in the fourth quarter 2024 compared to negative $95 million in the fourth quarter 2023. For the fiscal year 2024, gross profit was $5 million compared to $70 million in 2023. Net loss was $106 million in the fourth quarter of 2024 compared to a net loss of $230 million in the fourth quarter of 2023. For the fiscal year 2024, net loss of $260 million compared to a net loss of $263 million in 2023. Net loss for the prior year quarter and fiscal year included a loss from discontinued operations of $63 million and $68 million, respectively.
•Medical margin of $1 million during the fourth quarter 2024, compared to negative $102 million in the fourth quarter 2023. For the fiscal year 2024, Medical Margin of $205 million, compared to $299 million in 2023. The fourth quarter and full year of 2024 included an additional $5 million reserve for estimated 2025 losses on partnerships we intend to exit this year as well as additional medical costs primarily associated with other risk pool and Part D. Medical Margin for the full year 2024 was negatively impacted by continued elevated medical costs in 2024 in addition to prior period development.
•Adjusted EBITDA loss of $84 million in the fourth quarter 2024, compared to an Adjusted EBITDA loss of $137 million in the fourth quarter 2023. For the fiscal year 2024, Adjusted EBITDA loss of $154 million, compared to Adjusted EBITDA loss of $95 million in the fiscal year 2023.



Key Financial and Operating Metrics ($M):
(Fourth Quarter 2024 vs. 2023)

Three Months
Ended December 31,
Change
2024 2023 % YoY
Medicare Advantage Members1
527,000 388,000 36%
ACO Model Members1,2
132,000 89,000 48%
Total Members Live on Platform1,2
659,000 478,000 38%
Avg. Medicare Advantage Members 527,000 392,000 34%
Total Revenues $1,522 $1,056 44%
Gross Profit ($38) ($95) 60%
Medical Margin $1 ($102) NM
Net Income (Loss) ($106) ($230) 54%
Adjusted EBITDA3
($84) ($137) 39%
Geography Entry Costs $11 $26 (58%)
1.Membership metrics reflect end of period results.
2.agilon’s ACO model entities are not included within its consolidated financial results.
3.agilon's ACO model entities contributed $42 thousand and $6 million to Adjusted EBITDA during the fourth quarter 2024 and fourth quarter 2023, respectively.
Key Financial and Operating Metrics ($M):
(Fiscal Year 2024 vs. 2023)

Twelve Months
Ended December 31,
Change
2024 2023 % YoY
Medicare Advantage Members1
527,000 388,000 36%
ACO Model Members1,2
132,000 89,000 48%
Total Members Live on Platform1,2
659,000 478,000 38%
Avg. Medicare Advantage Members 522,000 379,000 38%
Total Revenues $6,061 $4,316 40%
Gross Profit $5 $70 (93%)
Medical Margin $205 $299 (31%)
Net Income (Loss) ($260) ($263) 1%
Adjusted EBITDA3
($154) ($95) (62%)
Geography Entry Costs $34 $75 (55%)
1.Membership metrics reflect end of period results.
2.agilon’s ACO model entities are not included within its consolidated financial results.
3.agilon's ACO model entities contributed $33 million and $39 million to Adjusted EBITDA during the fiscal year 2024 and fiscal year 2023, respectively.
Capital Position and Balance Sheet:
agilon health’s balance sheet as of December 31, 2024 included cash, cash equivalents and marketable securities of $406 million and total debt of $35 million. At the end of the quarter, agilon health had $36 million of cash associated with the Company’s unconsolidated ACO model entities.



First Quarter and Fiscal Year 2025 Guidance and Assumptions
Guidance ($M):
Quarter Ended
March 31, 2025
Year Ended
December 31, 2025
Low High Low High
Medicare Advantage Members1
490,000 510,000 490,000 520,000
ACO Model Members1,2
105,000 115,000 105,000 115,000
Total Members Live on Platform1
595,000 625,000 595,000 635,000
Avg. Medicare Advantage Members 490,000 510,000 489,000 516,000
Total Revenues $1,480 $1,520 $5,825 $6,025
Medical Margin $125 $140 $275 $325
Adjusted EBITDA3
$10 $25 ($95) ($55)
Geography Entry Costs4
$10 $9 $40 $35
1.Membership reflects management’s outlook for end of period.
2.agilon’s partnered ACO model entities are not consolidated within its financial results.
3.Adjusted EBITDA contribution from ACO model is expected to be approximately $35-$40 million for fiscal year 2025.
4.Geography Entry Costs represent the corresponding expense included in the low-end and high-end of management’s outlook for Adjusted EBITDA.
Underlying Assumptions:
•Class of 2025 of 20,000 members, majority recognized as a care coordination fee with a glidepath approach to full risk.
•Market partnership and payer contract exits of approximately 54,000 members.
•Benefits of clinical and operating programs including improved physician onboarding, quality performance, and clinical expense management.
•Elevated medical cost trend experienced in 2024 will continue in 2025 with an estimated gross cost trend of 6.3% and 5.3% net for year 2+ markets. The 1% difference is due to the effect of payor bids. This compares to a 2024 cost trend of 6.8% observed in 2024.1
•Part D exposure reduced to less than 30% of membership, partially offsetting Inflation Reduction Act impact.
•G&A including network support costs expected to remain essentially flat year-over-year.2
•Geographic entry costs of $35-40 million reflect the company’s measured growth strategy to better align growth and performance in the current rate and elevated cost environment.
Footnotes to assumptions –
1.Medical cost trend includes the impact of the company’s clinical programs and excludes the impact from non-medical costs (e.g., supplemental benefits), which is expected to drive less impact to cost trend in 2025 compared to 2024.
2.Inclusive of additional investments in technology and new clinical programs.
The Company has not reconciled guidance for medical margin to gross profit or adjusted EBITDA to net income (loss), the most comparable GAAP measures, and has not provided forward-looking guidance for net income (loss) in each case because of the uncertainty around certain items that may impact gross profit or net income (loss), including non-cash stock-based compensation.
Webcast and Conference Call:
agilon health will host a conference call to discuss fourth quarter 2024 results on Tuesday, February 25, 2025, at 4:30 PM Eastern Time.



The conference call can be accessed by dialing (833) 470-1428 for U.S. participants and +1 (404) 975-4839 for international participants and referencing participant code 599648. A simultaneous listen-only, live webcast can be accessed by visiting the “Events & Presentations” section of agilon’s Investor Relations website at https://investors.agilonhealth.com. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call.
About agilon health
agilon health is the trusted partner empowering physicians to transform health care in our communities. Through our partnerships and purpose-built platform, agilon is accelerating at scale how physician groups and health systems transition to a value-based Total Care Model for their senior patients. agilon provides the technology, people, capital, process, and access to a peer network of 2,200 PCPs that allow its physician partners to maintain their independence and focus on the total health of their most vulnerable patients. Together, agilon and its physician partners are creating the healthcare system we need – one built on the value of care, not the volume of fees. The result: healthier communities and empowered doctors. agilon is the trusted partner in 30 diverse communities and is here to help more of our nation's leading physician groups and health systems have a sustained, thriving future. For more information visit www.agilonhealth.com and connect with us on LinkedIn.
Forward-Looking Statements
Statements in this release that are not historical factual statements are “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. Forward-looking statements include, among other things, statements regarding our and our officers’ intent, belief or expectation as identified by the use of words such as “believes,” “expects,” “may,” “will,” “shall,” “should,” “would,” “could,” “seeks,” “aims,” “projects,” “is optimistic,” “intends,” “plans,” “estimates,” “anticipates” or the negative versions of these words or other comparable terms. Examples of forward-looking statements include, among other things: statements regarding our expectations related to operating and financial results, our ability to efficiently exit unprofitable markets, our expectations regarding the Medicare Advantage environment, and our long-term opportunities and strategic growth plans and alignment with the macro environment, expected revenue, medical costs, net income and gross profit, total and average membership, Adjusted EBITDA, Medical Margin, geography entry costs and other financial projections and assumptions, including our fiscal year and first quarter 2025 guidance. Forward-looking statements reflect our current expectations and views about future events and are subject to risks and uncertainties that could significantly affect our future financial condition and results of operations. While forward-looking statements reflect our good faith belief and assumptions we believe to be reasonable based upon current information, we can give no assurance that our expectations or forecasts will be attained. Forward-looking statements are subject to known and unknown risks and uncertainties, many of which may be outside our control. These risks and uncertainties that could cause actual results and outcomes to differ from those reflected in forward-looking statements include, but are not limited to: our history of net losses and the expectation that our expenses will increase in the future; failure to identify and develop successful new geographies, physician partners and payors, or execute upon our growth initiatives; success in executing our operating strategies or achieving results consistent with our historical performance; medical expenses incurred on behalf of our members may exceed revenues we receive; our ability to maintain and secure contracts with Medicare Advantage payors on favorable terms, if at all; our ability to grow new physician partner relationships sufficient to recover startup costs; availability of additional capital, on acceptable terms or at all, to support our business in the future; significant reduction in our membership; transition to a Total Care Model may be challenging for physician partners; public health crises, such as pandemics or epidemics, could adversely affect us; inaccuracy in estimates of our members’ risk adjustment factors, medical services expense, incurred but not reported claims, and earnings pursuant to payor contracts; the impact of restrictive clauses or exclusivity provisions in some of our contracts with physician partners; our ability to hire and retain qualified personnel; our ability to realize the full value of our intangible assets; security breaches, cybersecurity attacks, loss of data and other disruptions to our information systems; our ability to protect the confidentiality of our know-how and other proprietary and internally developed information; reliance on our subsidiaries; reliance on a limited number of key payors; our use of artificial intelligence; the limited terms of contracts with our payors and our ability to renew them upon expiration; our ability to navigate the changing healthcare payor market reliance on our payors, physician partners and other providers to operate our business; our ability to obtain accurate and complete diagnosis data; reliance on third-party software, data, infrastructure and bandwidth; consolidation and competition in the healthcare industry; the impact of changes to, and dependence on, federal government healthcare programs; uncertain or adverse economic and macroeconomic conditions, including a downturn or decrease in government expenditures; regulation of the healthcare industry and our and our physician partners’ ability to comply with such laws and regulations; federal and state investigations, audits and enforcement actions; repayment obligations arising out of payor audits; negative publicity regarding the managed healthcare industry generally; our use, disclosure and processing of personally identifiable information, protected health information, and de-identified data; failure to obtain or maintain an insurance license, a certificate of authority or an equivalent authorization; current and potential securities class action litigation; lawsuits not covered by insurance; changes in tax laws and regulations, or changes in related judgments or assumptions; our indebtedness and our potential to incur more debt; dependence on our subsidiaries for cash to fund all of our operations and expenses; provisions in our governing documents; ability to achieve a return on your investment depends on appreciation in the price of our common stock; sustainability issues; and risks related to other factors discussed in our filings with the Securities and Exchange Commission (the “SEC”), including the factors discussed under “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, which can be found at the SEC’s website at www.sec.gov.



Except as required by law, we do not undertake, and hereby disclaim, any obligation to update any forward-looking statements, which speak only as of the date on which they are made.




agilon health, inc.
Consolidated Balance Sheets
In thousands, except per share data
December 31,
2024 2023
ASSETS
Current assets:
Cash and cash equivalents $ 188,231  $ 107,570 
Restricted cash and equivalents 5,629  6,759 
Marketable securities 211,737  380,773 
Receivables, net 1,017,040  942,461 
Prepaid expenses and other current assets, net 35,137  42,513 
Total current assets 1,457,774  1,480,076 
Property and equipment, net 28,169  27,576 
Intangible assets, net 72,771  63,769 
Goodwill 24,133  24,133 
Other assets 151,136  145,312 
Total assets $ 1,733,983  $ 1,740,866 
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)
Current liabilities:
Medical claims and related payables $ 931,664  $ 737,724 
Accounts payable, accrued expenses and other 220,342  239,432 
Total current liabilities 1,152,006  977,156 
Long-term debt, net of current portion 34,904  32,308 
Other liabilities 76,121  70,381 
Total liabilities 1,263,031  1,079,845 
Commitments and contingencies
Stockholders' equity (deficit):
Common stock, $0.01 par value: 2,000,000 shares authorized; 412,194 and 406,387 shares issued and outstanding, respectively 4,122  4,064 
Additional paid-in capital 2,053,895  1,986,899 
Accumulated deficit (1,586,977) (1,326,826)
Accumulated other comprehensive income (loss) (88) (2,298)
Total agilon health, inc. stockholders' equity (deficit) 470,952  661,839 
Noncontrolling interests —  (818)
Total stockholders’ equity (deficit) 470,952  661,021 
Total liabilities and stockholders’ equity (deficit) $ 1,733,983  $ 1,740,866 



agilon health, inc.
Consolidated Statements of Operations
In thousands, except per share data

Three Months Ended
December 31,
Twelve Months Ended
December 31,
2024 2023 2024 2023
(unaudited)
Revenues:
Medical services revenue $ 1,519,244  $ 1,053,540  $ 6,047,715  $ 4,307,350 
Other operating revenue 3,242  2,533  12,815  9,013 
Total revenues 1,522,486  1,056,073  6,060,530  4,316,363 
Expenses:
Medical services expense 1,518,678  1,155,393  5,842,530  4,008,659 
Other medical expenses 42,063  (4,452) 213,159  238,034 
General and administrative 59,755  64,696  268,912  285,760 
Depreciation and amortization 6,494  4,735  24,463  16,043 
Impairments 3,596  —  3,596  — 
Total expenses 1,630,586  1,220,372  6,352,660  4,548,496 
Income (loss) from operations (108,100) (164,299) (292,130) (232,133)
Other income (expense):
Income (loss) from equity method investments (2,694) (8,018) 14,992  16,489 
Other income (expense), net 7,695  7,438  34,489  27,840 
Interest expense (1,574) (1,993) (6,177) (6,658)
Income (loss) before income taxes (104,673) (166,872) (248,826) (194,462)
Income tax benefit (expense) (1,757) (267) (1,451) (791)
Income (loss) from continuing operations (106,430) (167,139) (250,277) (195,253)
Discontinued operations:
Income (loss) before gain (loss) on sales 640  (15,797) (1,061) (20,002)
Gain (loss) on sales of assets, net —  (47,548) (8,763) (47,548)
Total discontinued operations 640  (63,345) (9,824) (67,550)
Net income (loss) (105,790) (230,484) (260,101) (262,803)
Noncontrolling interests’ share in (earnings) loss —  51  (50) 207 
Net income (loss) attributable to common shares $ (105,790) $ (230,433) $ (260,151) $ (262,596)
Net income (loss) per common share, basic and diluted
Continuing operations $ (0.26) $ (0.41) $ (0.61) $ (0.48)
Discontinued operations $ —  $ (0.16) $ (0.02) $ (0.16)
Weighted average shares outstanding, basic and diluted 412,044  406,477  410,966  408,917 



agilon health, inc.
Consolidated Statements of Cash Flows
In thousands
Year Ended December 31,
2024 2023
Cash flows from operating activities:
Net income (loss) $ (260,101) $ (262,803)
Adjustments to reconcile net income (loss) to net cash used in operating activities:
Depreciation and amortization 24,463  20,161 
Stock-based compensation expense 50,657  69,495 
Impairments 3,596  — 
Loss (income) from equity method investments (14,992) (16,489)
Distributions of earnings from equity method investments 3,340  — 
(Gain) loss on sale of assets, net 3,784  47,548 
Other noncash items 887  (4,044)
Changes in operating assets and liabilities:
Receivables, net (74,580) (460,365)
Prepaid expense and other current assets 8,405  (6,120)
Other assets (397)
Medical claims and related payables 193,941  441,500 
Accounts payable and accrued expenses 4,635  32,111 
Other liabilities (1,818) (16,796)
Net cash provided by (used in) operating activities (57,777) (156,199)
Cash flows from investing activities:
Purchase of property and equipment (13,251) (15,830)
Purchase of intangible assets (28,034) (14,985)
Investment in loans receivable and other (13,733) (19,528)
Investments in marketable securities (12,006) (114,657)
Proceeds from maturities of marketable securities and other 206,915  164,040 
Net cash paid in business combination —  (45,252)
Proceeds from sale of business and property, net of cash divested —  2,193 
Net cash provided by (used in) investing activities 139,891  (44,019)
Cash flows from financing activities:
Proceeds from equity issuances, net 1,167  11,867 
Common stock repurchase —  (200,000)
Repayments of long-term debt (3,750) (5,000)
Net cash provided by (used in) financing activities (2,583) (193,133)
Net increase (decrease) in cash, cash equivalents and restricted cash and equivalents 79,531  (393,351)
Cash, cash equivalents and restricted cash and equivalents from continuing operations, beginning of year 114,329  475,912 
Cash, cash equivalents and restricted cash and equivalents from discontinued operations, beginning of year —  31,768 
Cash, cash equivalents and restricted cash and equivalents, beginning of year 114,329  507,680 
Cash, cash equivalents and restricted cash and equivalents, end of year $ 193,860  $ 114,329 



agilon health, inc.
Key Operating Metrics
In thousands
(unaudited)
GROSS PROFIT
Three Months Ended
December 31,
Twelve Months Ended
December 31,
2024 2023 2024 2023
Total revenues $ 1,522,486  $ 1,056,073  $ 6,060,530  $ 4,316,363 
Medical services expense (1,518,678) (1,155,393) (5,842,530) (4,008,659)
Other medical expenses(1)
(42,063) 4,452  (213,159) (238,034)
Gross profit $ (38,255) $ (94,868) $ 4,841  $ 69,670 
______________________________________________________________
(1)Represents physician compensation expense related to surplus sharing and other care management expenses that help to create medical cost efficiency. Includes costs in geographies that are in implementation and are not yet generating revenue and investments to grow existing markets. For the three months ended December 31, 2024 and 2023, costs incurred in implementing geographies were $3.4 million and $13.5 million, respectively. For the twelve months ended December 31, 2024 and 2023, costs incurred in implementing geographies were $5.4 million and $33.7 million, respectively.

GENERAL AND ADMINISTRATIVE COSTS, INCLUDING PLATFORM SUPPORT COSTS
Three Months Ended
December 31,
Twelve Months Ended
December 31,
2024 2023 2024 2023
Platform support costs $ 39,650  $ 36,729  $ 169,402  $ 163,652 
Geography entry costs(1)
7,335  12,192  28,517  40,812 
Severance and related costs (159) —  4,577  188 
Stock-based compensation expense 2,282  15,676  50,657  69,326 
Other(2)
10,647  99  15,759  11,782 
General and administrative $ 59,755  $ 64,696  $ 268,912  $ 285,760 
______________________________________________________________
(1)Represents direct geography entry costs, including investments to develop and expand our platform and costs in geographies that are in implementation and are not yet generating revenue and investments to grow existing markets.
(2)Includes transaction-related costs.
Our platform support costs, which include regionally-based support personnel and other operating costs to support our geographies, are expected to decrease over time as a percentage of revenue as our physician partners add members and our revenue grows. Our operating expenses at the enterprise level include resources and technology to support payor contracting, clinical program development, quality, data management, finance, and legal and compliance functions.



agilon health, inc.
Non-GAAP Financial Measures
In thousands
(unaudited)
MEDICAL MARGIN
Three Months Ended
December 31,
Twelve Months Ended
December 31,
2024 2023 2024 2023
Gross profit(1)
$ (38,255) $ (94,868) $ 4,841  $ 69,670 
Other operating revenue (3,242) (2,533) (12,815) (9,013)
Other medical expenses 42,063  (4,452) 213,159  238,034 
Medical margin $ 566  $ (101,853) $ 205,185  $ 298,691 
______________________________________________________________
(1)Gross profit is defined as total revenues less medical services expense and other medical expenses.
ADJUSTED EBITDA
Three Months Ended
December 31,
Twelve Months Ended
December 31,
2024 2023 2024 2023
Net income (loss)(1)
$ (105,790) $ (230,484) $ (260,101) $ (262,803)
(Income) loss from discontinued operations, net of income taxes (640) 63,345  9,824  67,550 
Interest expense 1,574  1,993  6,177  6,658 
Income tax expense (benefit) 1,757  267  1,451  791 
Depreciation and amortization 6,494  4,735  24,463  16,043 
Impairments 3,596  —  3,596  — 
Severance and related costs (159) —  4,577  188 
Stock-based compensation expense 2,282  15,676  50,657  69,326 
EBITDA adjustments related to equity method investments(2)
2,557  14,268  17,582  22,694 
Other(3)
4,359  (6,861) (12,441) (15,448)
Adjusted EBITDA $ (83,970) $ (137,061) $ (154,215) $ (95,001)
______________________________________________________________
(1)Includes direct geography entry costs, including investments to develop and expand our platform and costs in geographies that are in implementation and are not yet generating revenue and investments to grow existing markets. For the three months ended December 31, 2024 and 2023, (i) $3.4 million and $13.5 million, respectively, are included in other medical expenses and (ii) $7.3 million and $12.2 million, respectively, are included in general and administrative expenses. For the twelve months ended December 31, 2024 and 2023, (i) $5.4 million and $33.7 million, respectively, are included in other medical expenses and (ii) $28.5 million and $40.8 million, respectively, are included in general and administrative expenses.
(2)Includes elimination of certain administrative services provided by agilon health, inc. to equity method investments. The three and twelve months ended December 31, 2023 includes $15.2 million of physician compensation expenses to reduce the physician partners’ compensation percentage in current and future years in exchange for the Company’s common stock.
(3)Includes interest income, transaction-related costs and elimination of certain administrative services provided by agilon health, inc. to equity method investments.







agilon health, inc.
Supplemental Financial Information
In thousands
(unaudited)

Three Months Ended
December 31, 2024
Twelve Months Ended
December 31, 2024
Medicare Advantage (Consolidated) CMS ACO Models (Unconsolidated) Medicare Advantage (Consolidated) CMS ACO Models (Unconsolidated)
Medical services revenue $ 1,519,244  $ 473,134  $ 6,047,715  $ 1,814,618 
Other operating revenue 3,242  —  12,815  — 
Total revenues 1,522,486  473,134  6,060,530  1,814,618 
Medical services expense (1,518,678) (448,904) (5,842,530) (1,667,806)
Other medical expenses (42,063) (18,298) (213,159) (89,788)
Gross profit (38,255) 5,932  4,841  57,024 
Other operating revenue (3,242) —  (12,815) — 
Other medical expenses 42,063  18,298  213,159  89,788 
Medical margin $ 566  $ 24,230  $ 205,185  $ 146,812 

Certain of our operations are not consolidated for the period presented because we do not have the ability to control certain activities due to another party’s control of the entities’ board of directors. Although revenues of the unconsolidated operations are not recorded as revenues by us, income (loss) from equity method investments is nonetheless a significant portion of our overall earnings. See Note 18 to the Consolidated Financial Statements in the Annual Report on Form 10-K for the period ended December 31, 2024 for additional discussion on our equity method investments.

In addition to providing results that are determined in accordance with GAAP, we present Medical Margin and Adjusted EBITDA, which are non-GAAP financial measures.
We define Medical Margin as medical services revenue after medical services expense is deducted. Medical services expense represents costs incurred for medical services provided to our members. As our platform matures over time, we expect Medical Margin to increase in absolute dollars. However, Medical Margin per member per month (PMPM) may vary as the percentage of new members brought onto our platform fluctuates. New membership added to the platform is typically dilutive to Medical Margin PMPM. We believe this metric provides insight into the economics of our capitation arrangements as it includes all medical services expense directly associated with our members’ care.
We define Adjusted EBITDA as net income (loss) adjusted to exclude: (i) income (loss) from discontinued operations, net of income taxes, (ii) interest expense, (iii) income tax expense (benefit), (iv) depreciation and amortization, (v) stock-based compensation expense, (vi) severance and related costs, and (vii) certain other items that are not considered by us in the evaluation of ongoing operating performance. We reflect our share of Adjusted EBITDA for equity method investments by applying our actual ownership percentage for the period to the applicable reconciling items on an entity-by-entity basis.
Gross profit is the most directly comparable GAAP measure to Medical Margin. Net income (loss) is the most directly comparable GAAP measure to Adjusted EBITDA.
We believe Medical Margin and Adjusted EBITDA help identify underlying trends in our business and facilitate evaluation of period-to-period operating performance of our operations by eliminating items that are variable in nature and not considered by us in the evaluation of ongoing operating performance, allowing comparison of our recurring core business operating results over multiple periods. We also believe Medical Margin and Adjusted EBITDA provide useful information about our operating results, enhance the overall understanding of our past performance and future prospects, and allow for greater transparency with respect to key metrics we use for financial and operational decision-making. We believe Medical Margin and Adjusted EBITDA or similarly titled non-GAAP measures are widely used by investors, securities analysts, ratings agencies, and other parties in evaluating companies in our industry as a measure of financial performance. Other companies may calculate Medical Margin and Adjusted EBITDA or similarly titled non-GAAP measures differently from the way we calculate these metrics. As a result, our presentation of Medical Margin and Adjusted EBITDA may not be comparable to similarly titled measures of other companies, limiting their usefulness as comparative measures.






Contacts
Investor Contacts
Evan Smith, CFA
SVP Investor Relations
evan.smith@agilonhealth.com

Leland Thomas
investors@agilonhealth.com
Media Contacts
Stephanie Law
Senior Director, Communications

Maureen Merkle
Communications
media@agilonhealth.com


EX-99.2 3 ex992.htm EX-99.2 ex992
February 25, 2025 Fourth Quarter 2024 Earnings Results Copyright © 2024 agilon health


 
2 Disclaimers and Forward-Looking Statements FORWARD-LOOKING STATEMENTS AND OTHER INFORMATION Statements in this presentation that are not historical factual statements are “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. Forward-looking statements include, among other things, statements regarding our and our officers’ intent, belief or expectation as identified by the use of words such as “believes,” “expects,” “may,” “will,” “shall,” “should,” “would,” “could,” “seeks,” “aims,” “projects,” “is optimistic,” “intends,” “plans,” “estimates,” “anticipates” or the negative versions of these words or other comparable terms. Examples of forward-looking statements include, among other things: statements regarding timing, outcomes and other details relating to current, pending or contemplated new markets, growth opportunities, expected revenue and net income, total and average membership, Adjusted EBITDA, Medical Margin, geography entry costs and other financial projections, guidance and assumptions. Forward-looking statements reflect our current expectations and views about future events and are subject to risks and uncertainties that could significantly affect our future financial condition and results of operations. While forward-looking statements reflect our good faith belief and assumptions we believe to be reasonable based upon current information, we can give no assurance that our expectations or forecasts will be attained. Forward-looking statements are subject to known and unknown risks and uncertainties, many of which may be outside our control, including but not limited to: our history of net losses and the expectation that our expenses will increase in the future; failure to identify and develop successful new geographies, physician partners and payors, or execute upon our growth initiatives; success in executing our operating strategies or achieving results consistent with our historical performance; medical expenses incurred on behalf of our members may exceed revenues we receive; our ability to maintain and secure contracts with Medicare Advantage payors on favorable terms, if at all; our ability to grow new physician partner relationships sufficient to recover startup costs; availability of additional capital, on acceptable terms or at all, to support our business in the future; significant reduction in our membership; transition to a Total Care Model may be challenging for physician partners; public health crises, such as pandemics or epidemics, could adversely affect us; inaccuracy in estimates of our members’ risk adjustment factors, medical services expense, incurred but not reported claims, and earnings pursuant to payor contracts; the impact of restrictive clauses or exclusivity provisions in some of our contracts with physician partners; our ability to hire and retain qualified personnel; our ability to realize the full value of our intangible assets; security breaches, cybersecurity attacks, loss of data and other disruptions to our information systems; our ability to protect the confidentiality of our know-how and other proprietary and internally developed information; reliance on our subsidiaries; Environmental, Social, and Governance issues; reliance on a limited number of key payors; our use of artificial intelligence; the limited terms of contracts with our payors and our ability to renew them upon expiration; our ability to navigate the changing healthcare payor market reliance on our payors, physician partners and other providers to operate our business; our ability to obtain accurate and complete diagnosis data; reliance on third-party software, data, infrastructure and bandwidth; consolidation and competition in the healthcare industry; the impact of changes to, and dependence on, federal government healthcare programs; uncertain or adverse economic and macroeconomic conditions, including a downturn or decrease in government expenditures; regulation of the healthcare industry and our and our physician partners’ ability to comply with such laws and regulations; federal and state investigations, audits and enforcement actions; repayment obligations arising out of payor audits; negative publicity regarding the managed healthcare industry generally; our use, disclosure and processing of personally identifiable information, protected health information, and de-identified data; failure to obtain or maintain an insurance license, a certificate of authority or an equivalent authorization; current and potential securities class action litigation; lawsuits not covered by insurance; changes in tax laws and regulations, or changes in related judgments or assumptions; our indebtedness and our potential to incur more debt; dependence on our subsidiaries for cash to fund all of our operations and expenses; provisions in our governing documents; ability to achieve a return on your investment depends on appreciation in the price of our common stock; and sustainability issues. These risks and uncertainties that could cause actual results and outcomes to differ from those reflected in forward-looking statements include, but are not limited to, those factors discussed in our filings with the Securities and Exchange Commission (the “SEC”), including the factors discussed under “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, which can be found at the SEC’s website at www.sec.gov. Except as required by law, we do not undertake, and hereby disclaim, any obligation to update any forward-looking statements, which speak only as of the date on which they are made. NON-GAAP This presentation includes references to non-GAAP financial measures, including but not limited to Medical Margin and Adjusted EBITDA. We believe medical margin and Adjusted EBITDA help identify underlying trends in our business and facilitate evaluation of period-to- period operating performance of our operations by eliminating items that are variable in nature and not considered by us in the evaluation of ongoing operating performance, allowing comparison of our recurring core business operating results over multiple periods. We also believe medical margin and Adjusted EBITDA provide useful information about our operating results, enhance the overall understanding of our past performance and future prospects, and allow for greater transparency with respect to key metrics we use for financial and operational decision-making. We believe medical margin and Adjusted EBITDA or similarly titled non-GAAP measures are widely used by investors, securities analysts, ratings agencies, and other parties in evaluating companies in our industry as a measure of financial performance. Other companies may calculate medical margin and Adjusted EBITDA or similarly titled non-GAAP measures differently from the way we calculate these metrics. As a result, our presentation of medical margin and Adjusted EBITDA may not be comparable to similarly titled measures of other companies, limiting their usefulness as comparative measures Medical Margin and Adjusted EBITDA have limitations as analytical tools and should not be considered in isolation or as an alternative to GAAP measures or other financial statement data presented in agilon’s consolidated financial statements. Reconciliation of such non-GAAP measures to the applicable GAAP measures are set forth in the appendix. TRADEMARKS All rights to the trademarks included herein, other than the Company’s trademarks, belong to their respective owners and our use hereof does not imply any endorsement by the owners of these trademarks. . Copyright © 2025 agilon health


 
3 Strengthening the business for long-term success Key Takeaways Disciplined growth balancing near-term market challenges and optimizing long-term opportunity Investing in advanced clinical and operational capabilities to help reduce variability and enhance quality outcomes Strategic actions combined with cost discipline to help drive near-term improvement and sustainable long- term profitability


 
4 Quarter Ending December 31, 2024 Year Ending December 31, 2024 Medicare Advantage Members 527,000 527,000 ACO REACH Members 132,000 132,000 Total Members Live on Platform 659,000 659,000 Avg. Medicare Advantage Members 527,000 522,000 Total Revenues ($M) $1,522 $6,061 Gross Profit ($M) ($38) $5 Medical Margin ($M) $1 $205 Net Income (Loss) ($M) ($106) ($260) Adjusted EBITDA ($M) ($84) ($154) Geography Entry Costs ($M) $11 $34 2024 Financial Performance


 
5 Quarter Ending March 31, 2025 Year Ending December 31, 2025 Medicare Advantage Members 490,000 – 510,000 490,000 – 520,000 ACO REACH Members 105,000 – 115,000 105,000 – 115,000 Total Members Live on Platform 595,000 – 625,000 595,000 – 635,000 Avg. Medicare Advantage Members 490,000 – 510,000 489,000 – 516,000 Total Revenues ($M) $1,480 – $1,520 $5,825 – $6,025 Medical Margin ($M) $125 – $140 $275 – $325 Adjusted EBITDA ($M) $10 – $25 ($95) – ($55) Geography Entry Costs ($M) $10 – $9 $40 – $35 Financial Outlook Note: We have not reconciled guidance for Medical Margin to Gross Profit or Adjusted EBITDA to net income (loss), the most comparable GAAP measures, and have not provided forward-looking guidance for net income (loss) in each case because of the uncertainty around certain items that may impact Gross Profit or net income (loss), including non-cash stock-based compensation.


 
Membership Bridge FY2024 to 2025 Guide Membership Guidance Bridge for Full Year 2025 6 MA Membership REACH Membership • Smart growth (partnership/contract exits paired with measured future growth). • Class of 2025: 20K members across 3 new partners. • ~3% same geography growth. • Discipline and smart growth also applied to REACH. • Partnership exits includes completion of the Hawaii market exit and the exit of one MSSP partnership. • The reduction in existing markets reflects continued focus on member attribution.


 
Medical Cost Trend Bridge – FY2024 to 2025 Guide Medical Cost Guidance Bridge for Full Year 2025 7 *Reflects medical claims for Y2+ markets (classes 2024 & prior) for comparable year-over-year. Key Highlights • The 2025 medical cost projections assume that the elevated utilization seen in 2024 will continue. • 2024 closed with a 6.8% medical cost trend, which we estimate has 50 basis points associated with the two-midnight rule. • For 2025 the estimated cost trend is 6.3% gross and 5.3% net. The 1% difference is due to effect of payor bids which we expect to lower medical expense in 2025.


 
Medical Margin Bridge – FY2024 to 2025 Guide Medical Margin Guidance Bridge for Full Year 2025 8 2025 Key Highlights • Focused on balanced growth prioritizing margin maturation: • Strategic exit of select partnerships/contracts create a step-up in baseline earnings. • Smaller class of ‘25 primarily “glide path” - reducing the beta prior to going full-risk. • Drivers • Estimated gross cost trend of 6.3% and 5.3% net for year 2+ markets. The 1% difference is due to the effect of payor bids. This compares to a 2024 cost trend of 6.8% observed in 2024. • 2% RAF improvement net of 2nd year of v28 phase-in. • Part D exposure reduced to <30% of membership. partially offsetting IRA impact. • Approx. $50M benefit from operating initiatives- quality, and clinical expense mgt. Note: We have not reconciled guidance for Medical Margin to Gross Profit or Adjusted EBITDA to net income (loss), the most comparable GAAP measures, and have not provided forward-looking guidance for net income (loss) in each case because of the uncertainty around certain items that may impact Gross Profit or net income (loss), including non-cash stock-based compensation.


 
ADJUSTED EBITDA Bridge - FY2024 to 2025 Guide Adjusted EBITDA Guidance Bridge for Full Year 2025 9 2025 Key Highlights • Strategic exit of select partnerships/contracts creates a larger step-up in baseline Adjusted EBITDA (the drag to Adjusted EBITDA was greater than medical margin due to corresponding operating expenses). • Impact from: • Continued elevated utilization more than offsetting rate reimbursements. • Risk adjustment v28 phase-in pressures. • Remaining Part D exposure net of IRA impact. • Benefit from: • Discipline on G&A with minimal growth (demonstrates the fixed cost nature and future leverage of the business). • Operating Initiatives. Note: We have not reconciled guidance for Medical Margin to Gross Profit or Adjusted EBITDA to net income (loss), the most comparable GAAP measures, and have not provided forward-looking guidance for net income (loss) in each case because of the uncertainty around certain items that may impact Gross Profit or net income (loss), including non-cash stock-based compensation.


 
10 Appendix Copyright © 2024 agilon health


 
11 Non-GAAP Reconciliations (Dollars in thousands) Three Months Ended December 2024 Twelve Months Ended December 2024 Gross profit(1) $ (38,255) $ 4,841 Other operating revenue (3,242) (12,815) Other medical expenses 42,063 213,159 Medical margin $ 566 $ 205,185 1) Gross profit is defined as total revenues less medical services expenses and other medical expense. Medical Margin


 
12 Non-GAAP Reconciliations (Dollars in thousands) Three Months Ended December 2024 Twelve Months Ended December 2024 Net income (loss)(1) $ (105,790) $ (260,101) (Income) loss from discontinued operations, net of income taxes (640) 9,824 Interest expense 1,574 6,177 Income tax expense (benefit) 1,757 1,451 Depreciation and amortization 6,494 24,463 Impairments 3,596 3,596 Severance and related costs (159) 4,577 Stock-based compensation expense 2,282 50,657 EBITDA adjustment related to equity method investments(2) 2,557 17,582 Other(3) 4,359 (12,441) Adjusted EBITDA $ (83,970) $ (154,215) 1) Includes direct geography entry costs, including investments to develop and expand our platform and costs in geographies that are in implementation and are not yet generating revenue and investments to grow existing markets. For the three and twelve months ended December 31, 2024, (i) $3.4 million and $5.4 million, respectively, are included in other medical expenses and (ii) $7.3 million and $28.5 million, respectively, are included in general and administrative expenses. 2) Includes elimination of certain administrative services provided by agilon health, inc. to equity method investments. 3) Includes interest income, transaction-related costs and elimination of certain administrative services provided by agilon health, inc. to equity method investments. Adjusted EBITDA