Alignment Healthcare, Inc. reported strong financial results for its first quarter ended March 31, 2025, exceeding the high-end of expectations across four critical key performance indicators. Total revenue for Q1 2025 reached $926.9 million, a 47.5% increase year-over-year, with health plan membership growing 32% to 209,900.
The company's adjusted gross profit surged by 70.3% to $110.5 million, and adjusted EBITDA improved significantly to $19.5 million, compared to a loss of $10.5 million in Q1 2024. The Medical Benefits Ratio improved to 87.9% from 90.7% in the prior year period, demonstrating enhanced operational efficiency.
Building on this performance, Alignment Healthcare raised its full-year 2025 financial guidance, now expecting revenue between $3.75 billion and $3.85 billion, adjusted gross profit between $440 million and $455 million, and adjusted EBITDA between $55 million and $65 million.
In a leadership change, Jim Head will succeed Thomas Freeman as Chief Financial Officer, effective May 2, 2025. Freeman will transition to a Strategic Advisor role to the CEO, ensuring a smooth handover and continued support for the company's long-term strategy.
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