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agilon health(AGL) - 2024 Q2 - Quarterly Report
2024-08-06 20:08
PART I. FINANCIAL INFORMATION [Financial Statements](index=4&type=section&id=Item%201.%20Financial%20Statements) The unaudited condensed consolidated financial statements for Q2 and YTD 2024 show significant revenue growth from increased membership, alongside widening net losses due to higher medical services expenses Condensed Consolidated Balance Sheet Highlights (in thousands) | Account | June 30, 2024 | December 31, 2023 | | :--- | :--- | :--- | | Cash and cash equivalents | $109,490 | $107,570 | | Receivables, net | $1,437,040 | $942,461 | | Total assets | $2,163,315 | $1,740,866 | | Medical claims and related payables | $1,097,664 | $737,724 | | Total liabilities | $1,487,448 | $1,079,845 | | Total stockholders' equity (deficit) | $675,867 | $661,021 | Condensed Consolidated Statements of Operations Highlights (in thousands, except per share data) | Metric | Three Months Ended June 30, 2024 | Three Months Ended June 30, 2023 | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | :--- | :--- | | Total revenues | $1,482,758 | $1,069,115 | $3,087,112 | $2,123,427 | | Medical services expense | $1,374,060 | $932,823 | $2,817,902 | $1,830,395 | | Income (loss) from operations | ($43,344) | ($28,957) | ($50,522) | ($28,540) | | Net income (loss) | ($30,662) | ($16,795) | ($36,696) | ($836) | | Net income (loss) per share, diluted | ($0.07) | ($0.04) | ($0.07) | ($0.01) | Condensed Consolidated Statements of Cash Flows Highlights (in thousands) | Cash Flow Activity | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Net cash used in operating activities | ($66,493) | ($82,015) | | Net cash provided by (used in) investing activities | $69,655 | ($30,782) | | Net cash provided by (used in) financing activities | ($1,155) | ($193,698) | [Note 1: Business](index=11&type=section&id=NOTE%201.%20Business) agilon health empowers physician groups with a Medicare-centric, globally capitated model, serving **512,800** Medicare Advantage members and expanding into new markets and CMS ACO models in 2024 - As of June 30, 2024, the company provided care to approximately **512,800 Medicare Advantage members** through its contracted physician networks[19](index=19&type=chunk) - On January 1, 2024, the company expanded operations into Lexington, Kentucky, and Augusta, Georgia, and added partnerships in existing markets, also beginning participation in the Medicare Shared Savings Program (MSSP)[19](index=19&type=chunk) [Note 3: Revenue, Receivables, and Concentration of Credit Risk](index=13&type=section&id=NOTE%203.%20Revenue%2C%20Receivables%2C%20and%20Concentration%20of%20Credit%20Risk) Revenue from PMPM capitation fees is concentrated among major payors and subject to CMS risk adjustment, with Q2 2024 seeing a **$55.9 million** reduction due to contract terminations Revenue Concentration by Major Payor | Payor | Q2 2024 | Q2 2023 | YTD 2024 | YTD 2023 | | :--- | :--- | :--- | :--- | :--- | | Payor A | 22% | 23% | 22% | 21% | | Payor B | 19% | 15% | 17% | 16% | - During Q2 2024, the termination of certain payor contracts, retroactively effective to January 1, 2024, led to a **$55.9 million reduction** in medical services revenue[36](index=36&type=chunk) [Note 6: Medical Claims and Related Payables](index=17&type=section&id=NOTE%206.%20Medical%20Claims%20and%20Related%20Payables) Medical claims and related payables, including IBNR, are actuarially estimated, with current year incurred costs of approximately **$2.8 billion** and a **$15.1 million** favorable prior-year development for the six months ended June 30, 2024 Changes in Medical Claims and Related Payables (in thousands) | Description | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Beginning Balance | $723,071 | $339,748 | | Incurred costs - Current year | $2,802,803 | $1,790,634 | | Incurred costs - Prior years | $15,099 | $39,761 | | Claims paid - Current year | ($1,806,692) | ($774,743) | | Claims paid - Prior years | ($650,106) | ($304,682) | | Ending Balance | $1,084,175 | $1,086,960 | - In Q2 2024, the termination of certain payor contracts resulted in a **$54.3 million reduction** in medical services expense, retroactive to January 1, 2024[52](index=52&type=chunk) [Note 8: Debt](index=19&type=section&id=NOTE%208.%20Debt) As of June 30, 2024, the company's credit facility had **$36.2 million** outstanding on its term loan at a **9.376%** effective interest rate, with **$51.4 million** available under the revolving facility - As of June 30, 2024, the company had **$36.2 million** outstanding under its Secured Term Loan Facility[58](index=58&type=chunk) - Availability under the **$100.0 million** Secured Revolving Facility was **$51.4 million**, as **$48.6 million** was utilized for outstanding letters of credit[58](index=58&type=chunk) - The effective interest rate on the Secured Term Loan Facility was **9.376%** as of June 30, 2024[59](index=59&type=chunk) [Note 9: Commitments and Contingencies](index=21&type=section&id=NOTE%209.%20Commitments%20and%20Contingencies) Three putative class action lawsuits filed in early 2024 allege securities fraud regarding medical utilization and financial metrics, with the potential financial impact currently inestimable due to early litigation stages - Three putative class action lawsuits were filed against the company and certain executives in February and March 2024, alleging securities fraud under the Securities Act of 1933 and the Securities Exchange Act of 1934[63](index=63&type=chunk) - The lawsuits pertain to statements made between April 2021 and February 2024 regarding medical utilization, claims rates, medical margin, and profit margins, with the company unable to estimate potential liability[63](index=63&type=chunk) [Note 14: Variable Interest Entities](index=24&type=section&id=NOTE%2014.%20Variable%20Interest%20Entities) The company consolidates 34 wholly-owned risk-bearing entities as VIEs, holding **$1.60 billion** in assets and **$1.36 billion** in liabilities as of June 30, 2024, and also invests in 11 unconsolidated CMS ACO Model VIEs - The company consolidates **34 wholly-owned risk-bearing entities (RBEs)** as VIEs, as it is deemed the primary beneficiary[76](index=76&type=chunk)[79](index=79&type=chunk) CMS ACO Models Equity Method Investment Operating Results (in thousands) | Metric | Three Months Ended June 30, 2024 | Three Months Ended June 30, 2023 | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | :--- | :--- | | Medical services revenue | $446,914 | $280,820 | $887,074 | $561,349 | | Medical services expense | ($406,921) | ($241,844) | ($805,713) | ($499,321) | | Net income (loss) | $9,921 | $8,426 | $15,552 | $9,760 | [Note 15: Discontinued Operations](index=27&type=section&id=NOTE%2015.%20Discontinued%20Operations) Hawaii operations, including MDX Hawaii, Inc., are reported as discontinued following their October 2023 disposition, resulting in a **$9.3 million net loss** for the six months ended June 30, 2024, primarily from asset sale losses - The disposition of MDX Hawaii, Inc. and related operations was completed on October 31, 2023, and is reflected as discontinued operations for all periods presented[85](index=85&type=chunk) Results of Discontinued Operations (in thousands) | Metric | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Total revenues | $0 | $161,772 | | Gain (loss) on sales of assets, net | ($8,763) | $0 | | Net income (loss) from discontinued operations | ($9,281) | $5,239 | [Management's Discussion and Analysis of Financial Condition and Results of Operations](index=29&type=section&id=Item%202.%20Management%27s%20Discussion%20and%20Analysis%20of%20Financial%20Condition%20and%20Results%20of%20Operations) Management discusses significant Q2 and YTD 2024 membership and revenue growth, offset by increased medical expenses leading to declines in gross profit, medical margin, and Adjusted EBITDA, and a larger net loss, while affirming sufficient liquidity for the next 12 months [Overview and Recent Developments](index=31&type=section&id=Overview%20and%20Recent%20Developments) The company's Q2 2024 revenue grew **39%** to **$1.5 billion** with **38%** MA member growth, but medical margin decreased to **$106 million**, resulting in a **$31 million** net loss Q2 2024 Financial Highlights vs. Q2 2023 | Metric | Q2 2024 | Q2 2023 | | :--- | :--- | :--- | | Medicare Advantage members | ~512,800 | Not specified in summary | | Total revenue | $1.5 billion | Not specified in summary | | Medical margin | $106 million | $134 million | | Net loss | $31 million | $17 million | | Adjusted EBITDA | ($3 million) | $12 million | YTD 2024 Financial Highlights vs. YTD 2023 | Metric | YTD 2024 | YTD 2023 | | :--- | :--- | :--- | | Total revenue | $3.1 billion | Not specified in summary | | Medical margin | $263 million | $290 million | | Net loss | $37 million | $1 million | | Adjusted EBITDA | $26 million | $37 million | [Key Financial and Operating Metrics](index=32&type=section&id=Key%20Financial%20and%20Operating%20Metrics) For the six months ended June 30, 2024, MA members grew **38%** and medical services revenue increased **45%** to **$3.1 billion**, but gross profit, medical margin, and Adjusted EBITDA declined by **16%**, **9%**, and **28%** respectively Key Metrics Comparison (Six Months Ended June 30) | Metric | 2024 | 2023 | % Change | | :--- | :--- | :--- | :--- | | MA members | 512,800 | 372,800 | 38% | | Medical services revenue (in thousands) | $3,080,774 | $2,120,353 | 45% | | Gross profit (in thousands) | $107,263 | $127,699 | (16)% | | Medical margin (in thousands) | $262,872 | $289,958 | (9)% | | Net loss (in thousands) | ($36,696) | ($836) | (4,289)% | | Adjusted EBITDA (in thousands) | $26,224 | $36,507 | (28)% | [Results of Operations](index=36&type=section&id=Results%20of%20Operations) Total revenues for the first six months of 2024 increased **45%** to **$3.1 billion** due to membership and PMPM rate growth, but medical services expense grew **54%**, leading to decreased gross profit and an increased operating loss - **Medical Services Revenue (YTD):** Increased **45%** to **$3.1 billion**, primarily due to a **39%** growth in average membership and a **4%** increase in PMPM capitation rates[130](index=130&type=chunk) - **Medical Services Expense (YTD):** Increased **54%** to **$2.8 billion**, driven by **39%** membership growth and an **11%** increase in average medical services expense per member[132](index=132&type=chunk) - **Other Medical Expenses (YTD):** Decreased **2%** to **$161.9 million**, as a **$22.3 million** decline in partner physician incentive expense offset an **$18.9 million** increase in other provider costs[134](index=134&type=chunk) - **General and Administrative (YTD):** Decreased **2%** to **$146.0 million**, mainly due to reduced investments to support new geography entry[136](index=136&type=chunk) [Non-GAAP Financial Measures](index=40&type=section&id=Non-GAAP%20Financial%20Measures) The company utilizes non-GAAP measures, Medical Margin and Adjusted EBITDA, for performance evaluation, reporting **$262.9 million** and **$26.2 million** respectively for the six months ended June 30, 2024 Reconciliation of Gross Profit to Medical Margin (in thousands) | Line Item | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Gross profit | $107,263 | $127,699 | | Other operating revenue | ($6,338) | ($3,074) | | Other medical expenses | $161,947 | $165,333 | | **Medical margin** | **$262,872** | **$289,958** | Reconciliation of Net Income (Loss) to Adjusted EBITDA (in thousands) | Line Item | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Net income (loss) | ($36,696) | ($836) | | Adjustments | $62,920 | $41,461 | | **Adjusted EBITDA** | **$26,224** | **$36,507** | [Liquidity and Capital Resources](index=42&type=section&id=Liquidity%20and%20Capital%20Resources) As of June 30, 2024, the company held **$116.3 million** in cash and **$291.6 million** in marketable securities, with management affirming sufficient liquidity for the next 12 months despite continued operating losses, and net cash used in operations improving to **$66.5 million** - As of June 30, 2024, the company had cash, cash equivalents, and restricted cash of **$116.3 million** and marketable securities of **$291.6 million**[152](index=152&type=chunk) - Management believes existing cash, investments, and available borrowing capacity are sufficient to meet working capital and capital expenditure needs for at least the next 12 months[155](index=155&type=chunk) Summary of Cash Flows (in thousands) | Cash Flow Activity | Six Months Ended June 30, 2024 | Six Months Ended June 30, 2023 | | :--- | :--- | :--- | | Net cash used in operating activities | ($66,493) | ($82,015) | | Net cash provided by (used in) investing activities | $69,655 | ($30,782) | | Net cash used in financing activities | ($1,155) | ($193,698) | [Quantitative and Qualitative Disclosures About Market Risk](index=45&type=section&id=Item%203.%20Quantitative%20and%20Qualitative%20Disclosures%20About%20Market%20Risk) The company's primary market risk is interest rate fluctuations affecting floating-rate debt and investment income, with a 100 basis point change not expected to materially impact interest expense or marketable securities fair value - The company's main market risk is interest rate changes affecting its floating-rate debt and investment income[170](index=170&type=chunk) - A hypothetical **100 basis point change** in interest rates would not materially impact interest expense or the fair value of marketable securities[171](index=171&type=chunk)[172](index=172&type=chunk) [Controls and Procedures](index=45&type=section&id=Item%204.%20Controls%20and%20Procedures) As of June 30, 2024, disclosure controls and procedures were deemed ineffective due to an ongoing material weakness in internal control over financial reporting, with no new material changes identified during the quarter - The CEO and CFO concluded that disclosure controls and procedures were not effective as of June 30, 2024, due to a previously disclosed material weakness in internal control over financial reporting[173](index=173&type=chunk) - Efforts to remediate the material weakness are ongoing, and no changes occurred in the quarter that have materially affected, or are reasonably likely to materially affect, the company's internal control over financial reporting[175](index=175&type=chunk) PART II. OTHER INFORMATION [Legal Proceedings](index=46&type=section&id=Item%201.%20Legal%20Proceedings) Legal proceedings information, including ongoing putative class action lawsuits, is incorporated by reference from Note 9 of the Condensed Consolidated Financial Statements - Details on legal proceedings are provided in Note 9 to the Condensed Consolidated Financial Statements[177](index=177&type=chunk) [Risk Factors](index=46&type=section&id=Item%201A.%20Risk%20Factors) No material changes have occurred to the risk factors previously disclosed in the company's Annual Report on Form 10-K for the fiscal year ended December 31, 2023 - No material changes have been made to the risk factors disclosed in the Annual Report on Form 10-K for the year ended December 31, 2023[178](index=178&type=chunk) [Other Information](index=46&type=section&id=Item%205.%20Other%20Information) Effective August 1, 2024, Veeral Desai resigned as Chief Strategy and Development Officer to transition into a strategic advisor role focusing on future growth and payor strategies - Effective August 1, 2024, Veeral Desai resigned as Chief Strategy and Development Officer and transitioned to a strategic advisor role[182](index=182&type=chunk)
agilon health(AGL) - 2024 Q2 - Quarterly Results
2024-08-06 20:04
Revenue Performance - Revenue increased 39% to $1.48 billion in Q2 2024 compared to $1.07 billion in Q2 2023[3] - Total revenues for the three months ended June 30, 2024, were $1,482,758, a 38.7% increase from $1,069,115 in the same period of 2023[21] - Medical services revenue for the six months ended June 30, 2024, reached $3,080,774, compared to $2,120,353 for the same period in 2023, reflecting a 45.4% growth[21] - Medical services revenue for Q2 2024 was $1,479,579, compared to $3,080,774 for the same period in 2023, indicating a significant decline in revenue[30] - Total revenues for Q2 2024 were $1,482,758, down from $3,087,112 in Q2 2023, marking a decrease of approximately 52%[30] Membership Growth - Medicare Advantage membership grew 38% to 513,000, while total members on the agilon platform increased 40% to 645,000[1][3] Financial Metrics - Medical margin was $106 million in Q2 2024, down 21% from $134 million in Q2 2023[4] - Adjusted EBITDA showed a loss of $3 million in Q2 2024, compared to earnings of $12 million in Q2 2023[4] - The company expects total revenues for FY 2024 to be between $6.01 billion and $6.04 billion[9] - For Q3 2024, total revenues are projected to be between $1.465 billion and $1.475 billion[10] - The company is maintaining its guidance for medical margin for FY 2024, expecting it to be between $400 million and $450 million[9] Cash and Assets - As of June 30, 2024, agilon health had cash and marketable securities totaling $408 million and total debt of $36 million[8] - Total current assets increased to $1,884,010 as of June 30, 2024, compared to $1,480,076 as of December 31, 2023, representing a growth of 27.3%[18] - Total assets increased to $2,163,315 as of June 30, 2024, from $1,740,866 as of December 31, 2023, representing a growth of 24.2%[18] - Cash and cash equivalents increased to $109,490 as of June 30, 2024, from $107,570 as of December 31, 2023[18] Expenses and Losses - Medical services expense for the three months ended June 30, 2024, was $1,374,060, up from $932,823 in the same period of 2023, reflecting a 47.4% increase[21] - Net loss attributable to common shares for the six months ended June 30, 2024, was $(36,746), compared to a loss of $(727) in the same period of 2023[21] - The company reported a net cash used in operating activities of $(66,493) for the six months ended June 30, 2024, compared to $(82,015) for the same period in 2023[22] - The company reported a net loss of $(30,662) for Q2 2024, compared to a net loss of $(16,795) in Q2 2023[29] Cost Management - Platform support costs for Q2 2024 were $41,687, a decrease from $42,041 in Q2 2023, while total general and administrative costs decreased to $69,612 from $79,254 year-over-year[26] - The company expects platform support costs to decrease over time as revenue grows and physician partners add members[26] - Geography entry costs for Q2 2024 were $4,866, down from $11,306 in Q2 2023, indicating a reduction in expansion-related expenses[26] Strategic Initiatives - The action plan includes improving payor relationships and increasing engagement among primary care physicians (PCPs)[6] - The company aims to onboard 75% of member data into its financial data pipeline by the end of 2024[7]
The Portnoy Law Firm Announces Investigation of agilon health, inc. (NYSE: AGL)
GlobeNewswire News Room· 2024-06-10 19:57
Core Viewpoint - The Portnoy Law Firm is investigating potential claims against the board of directors of Agilon Health, focusing on possible breaches of fiduciary duties and mismanagement [1]. Group 1: Company Overview - Agilon Health, Inc. specializes in healthcare for seniors by partnering with primary care physicians, providing support for both administrative and financial aspects of care [1]. Group 2: Legal Investigation - The investigation by the Portnoy Law Firm centers on whether Agilon's board of directors has acted in the best interests of shareholders and whether there has been gross mismanagement of the company [1]. - Investors who purchased Agilon shares prior to 2021 are encouraged to discuss their rights and interests regarding this matter with the law firm [1]. Group 3: Investor Support - The Portnoy Law Firm has a history of representing investors in claims related to corporate wrongdoing, having recovered over $5.5 billion for aggrieved investors [2]. - Investors still holding Agilon shares are urged to contact the law firm for assistance [2].
Deadline in 1 Day: Kessler Topaz Meltzer & Check, LLP agilon health, inc. Shareholders of Securities Fraud Class Action Lawsuit and Encourages Investors to Contact the Firm (AGL)
prnewswire.com· 2024-05-19 23:30
RADNOR, Pa., May 19, 2024 /PRNewswire/ -- The law firm of Kessler Topaz Meltzer & Check, LLP informs investors that the firm has filed a securities fraud class action lawsuit against agilon health, inc. (NYSE: AGL) ("agilon" or the "Company"). This action, captioned Hope v. agilon health, inc., et al., Case No. 1:24-cv-00305, was filed in the United States District Court for the Western District of Texas and expanded the class period which was pled in a first-filed case in that same Court. After the Hope ...
AGL Investors Have Opportunity to Lead agilon health, inc. Securities Fraud Lawsuit
prnewswire.com· 2024-05-16 17:45
Core Viewpoint - Investors with significant losses have the opportunity to lead a securities fraud class action lawsuit against Agilon Health, Inc. due to alleged misleading statements regarding the company's medical costs and business model [1][2]. Group 1: Class Action Details - The class period for the lawsuit is from April 15, 2021, to February 27, 2024 [1]. - The deadline for potential lead plaintiffs to submit their information is May 20, 2024 [1]. Group 2: Allegations Against Agilon - The complaint alleges that Agilon misled investors by claiming visibility into utilization trends and medical costs while failing to disclose increased medical costs incurred due to higher healthcare utilization by MA patients [2]. - It is claimed that Agilon falsely stated its Incurred But Not Reported (IBNR) Reserve was adequate and made misleading statements about the effectiveness of its business model [2]. - The company is accused of issuing overly optimistic financial guidance and providing materially false risk disclosures that downplayed adverse facts [2]. - As a result, the positive statements made by Agilon regarding its business operations and prospects were deemed materially misleading [2].
SHAREHOLDER ALERT: Pomerantz Law Firm Announces the Filing of a Class Action Against agilon health, inc. - AGL
prnewswire.com· 2024-05-16 16:20
Core Viewpoint - A class action lawsuit has been filed against Agilon Health, Inc. for alleged securities fraud and unlawful business practices, following significant financial disclosures that negatively impacted the company's stock price [1][4]. Financial Performance - Agilon conducted its initial public offering on April 15, 2021, selling over 53 million shares at $23.00 per share [2]. - In Q3 2023, Agilon reported medical margins of $108 million, significantly below analyst expectations, partly due to $9 million in previously unreported claims [3]. - The company experienced a $6 million loss in adjusted EBITDA for the quarter, which also missed analyst estimates, and lowered its 2023 expected medical margins [3]. - On January 5, 2024, Agilon revealed higher prior medical expenses, leading to a further reduction in its 2023 expected medical margin and a withdrawal of its 2026 guidance [4]. - For the year 2023, Agilon's medical margin was reported at just $299 million, falling short of the reduced range of $340 million to $360 million [5]. - The company slashed its 2024 medical margin guidance by 27% and adjusted EBITDA guidance from a projected gain of $40 to $60 million to a loss of $15 to $60 million [5]. Stock Price Impact - Following the Q3 2023 results announcement, Agilon's stock price fell by $2.23, or 13%, closing at $14.66 per share [3]. - After the January 5, 2024 announcement, the stock price dropped by $3.45, nearly 29%, closing at $8.63 per share [4]. - On March 1, 2024, after the disclosure of further financial issues, the stock price fell by $0.44, or 7%, closing at $6.04 per share, with subsequent declines reaching a low of $5.66 per share [5].
agilon health(AGL) - 2024 Q1 - Earnings Call Transcript
2024-05-09 00:33
Financial Data and Key Metrics Changes - MA membership grew 43% to 523,000 members, while revenue increased 52% to $1.604 billion, both metrics towards the low end of guidance ranges [5][6] - Medical margin grew 1% to $157 million, reflecting an in-quarter medical cost trend of 9.1%, which is above trends observed in Q4 2023 [6][14] - Adjusted EBITDA increased 21% to $29 million, exceeding guidance due to better flow-through of medical margin to gross profit [6][7] Business Line Data and Key Metrics Changes - The company began implementation work with five new physician groups as part of the Class of 2025, indicating strong demand for its platform among high-quality physician groups [7][16] - The decision to exit certain unprofitable payer contracts was made to refine the business model and improve profitability [5][10] Market Data and Key Metrics Changes - Paid claims data for major payers indicated elevated medical cost trends in January, which began to moderate in February [7][14] - Inpatient utilization moderated throughout the quarter, remaining relatively flat in March and declining in April [7][14] Company Strategy and Development Direction - The company is focused on refining payer relationships, expanding support for primary care doctors, improving data visibility, and enhancing operating efficiency [8][14] - The demand for value-based care is accelerating among payers and physicians, reinforcing the company's strategic position [15][16] Management's Comments on Operating Environment and Future Outlook - Management expressed disappointment with the constrained Medicare program funding environment but emphasized the unique value the company provides [14][15] - The company maintains its full-year guidance for medical margin and adjusted EBITDA, taking a cautious approach to medical cost trends [22][23] Other Important Information - The company ended the quarter with cash and marketable securities of $426 million, expecting to use $125 million to $150 million of cash during 2024 [21][22] - The ongoing search for a new CFO and CMO is progressing well, with a focus on finding the right candidates [17] Q&A Session Summary Question: Impact of cost pressures on value-based care - Management noted that the current environment is accelerating the value provided to payers and physician partners, with a focus on sustainable value-based care networks [25][26] Question: Progress on contract renegotiations - Management indicated that they are focusing on long-term relationships with payers and are pivoting to focus on 2025 contract renewals [28][30] Question: Update on older cohorts' medical margin progression - Management stated that they are on track with reducing variability and improving medical margins for older cohorts [32][33] Question: Utilization trends and cost buckets - Management observed elevated utilization in outpatient services and Part B drugs, particularly in oncology, with a cautious approach to medical cost trends [40][74] Question: Visibility on claims data and margin expectations - Management emphasized improved data visibility and ongoing dialogue with payers, providing comfort in their margin outlook despite industry challenges [42][46] Question: Mechanism of exiting unprofitable contracts - Management clarified that exits from unprofitable contracts will end financial responsibility for those members effective June 30, with expected benefits exceeding $10 million [48][49] Question: Characteristics evaluated for contract changes - Management highlighted that decisions to exit contracts were based on higher utilization and payer benefit design changes, made in concert with partners [62][64]
Agilon (AGL) Q1 Earnings: Taking a Look at Key Metrics Versus Estimates
Zacks Investment Research· 2024-05-07 23:31
Financial Performance - For the quarter ended March 2024, Agilon Health reported revenue of $1.6 billion, reflecting a year-over-year increase of 41.2% [1] - The earnings per share (EPS) was $0.01, down from $0.04 in the same quarter last year [1] - The reported revenue was a slight miss of -0.85% compared to the Zacks Consensus Estimate of $1.62 billion, while the EPS exceeded the consensus estimate of -$0.02 by +150.00% [1] Key Metrics - Average Medicare Advantage membership reached 518,400, surpassing the estimated 513,855 [2] - Direct Contracting beneficiaries (ACO REACH) totaled 131,000, exceeding the average estimate of 119,150 [2] - Medicare Advantage Members were reported at 522,800, slightly below the average estimate of 527,365 [2] - Revenues from medical services were $1.60 billion, compared to the average estimate of $1.61 billion, marking a +41.1% change year over year [2] - Revenues from other operating activities were $3.16 million, significantly higher than the estimated $1.92 million, representing a +139.9% change compared to the previous year [2] Stock Performance - Agilon's shares have returned -6.8% over the past month, while the Zacks S&P 500 composite experienced a -0.4% change [3] - The stock currently holds a Zacks Rank 3 (Hold), indicating potential performance in line with the broader market in the near term [3]
agilon health(AGL) - 2024 Q1 - Quarterly Report
2024-05-07 20:09
Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 _______________________________________________________ FORM 10-Q _______________________________________________________ (Mark One) x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the quarterly period ended March 31, 2024 OR o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to Commission file number 0 ...
agilon health(AGL) - 2024 Q1 - Quarterly Results
2024-05-07 20:05
Exhibit 99.1 agilon health Reports First Quarter 2024 Results Revenue increased 52% to $1.6 billion, Medicare Advantage membership increased 43% to 523,000, and total members on the agilon platform grew to 654,000 Continued progress executing performance action plan with focus on driving profitability and enhancing operating efficiency Maintaining full year 2024 guidance for Medical Margin and Adjusted EBITDA AUSTIN, T.X., May 7, 2024 – agilon health, inc. (NYSE: AGL), the trusted partner empowering physici ...