Alignment Healthcare, Inc. reported robust financial results for its fourth quarter and full year ended December 31, 2024. For Q4 2024, total revenue increased by 50.7% year-over-year to $701.2 million, driven by a 58.6% rise in health plan membership to 189,100.
The company achieved an adjusted gross profit of $87.5 million in Q4 2024, a 103.5% increase from the prior year, and reported positive adjusted EBITDA of $1.9 million, compared to a loss of $26.4 million in Q4 2023. The Medical Benefits Ratio improved to 87.5% from 90.7% year-over-year.
For the full year 2024, Alignment Healthcare generated $2.70 billion in total revenue, a 48.3% increase over 2023, and achieved its first full year of positive adjusted EBITDA profitability. This marks a significant milestone in the company's financial trajectory.
Looking ahead, the company provided full-year 2025 guidance, projecting revenue between $3.65 billion and $3.75 billion, adjusted gross profit between $420 million and $435 million, and adjusted EBITDA between $40 million and $50 million. This guidance reflects confidence in continued growth and margin expansion.
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