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agilon health (AGL) investor relations material

agilon health Q3 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2025 earnings summary4 Nov, 2025

Executive summary

  • Q3 2025 revenue was $1.44 billion, with a net loss of $110 million and adjusted EBITDA of -$91 million; full-year 2025 revenue guidance is $5.81–$5.83 billion and adjusted EBITDA guidance is -$270 million to -$245 million.

  • Performance was impacted by a $73 million Q3 risk adjustment shortfall, $20 million negative impact from exited markets, and a 6% year-over-year membership decline, partially offset by cost discipline and ACO REACH program strength.

  • Strategic focus includes transformation initiatives for $30 million in 2026 cost reductions, improved contract economics, and leveraging data analytics and AI for financial visibility.

  • Enhanced data pipeline now covers 80% of members, supporting improved risk adjustment and contracting.

  • Leadership transition is ongoing, with CEO resignation and interim executive chairman engagement.

Financial highlights

  • Q3 2025 revenue was $1.44 billion, down 1% year-over-year; net loss was $110 million, an improvement from $118 million loss in Q3 2024.

  • Medical margin for Q3 2025 was -$57 million; adjusted EBITDA was -$91 million, both nearly flat year-over-year.

  • Gross profit for Q3 2025 was -$68 million; nine-month gross profit was -$69 million, down from $43 million in the prior year.

  • Operating expenses decreased, with general and administrative costs down 11% in Q3 and 15% year-to-date.

  • Ended Q3 with $311 million in cash and marketable securities, plus $172 million in ACO entities.

Outlook and guidance

  • Full-year 2025 revenue expected between $5.81 billion and $5.83 billion; medical margin guidance is -$5 million to $15 million; adjusted EBITDA guidance is -$270 million to -$245 million.

  • 2025 Medicare Advantage membership projected at 503,000–506,000; ACO Model membership at 113,000–115,000.

  • 2026 expected to benefit from a 9% benchmark rate increase, improved payer contracts, and $30 million in cost savings.

  • Anticipates ending 2025 with $310 million in cash and at least $100 million at end of 2026.

  • Guidance reflects a $150 million impact from lower-than-expected risk adjustment revenue and $60 million from exited markets.

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Frequently asked questions

Agilon Health inc provides healthcare management services focused on empowering physicians to transition to a value-based care model. The company offers technology, operational support, and infrastructure services to enable physician groups to manage patient care outcomes effectively. agilon health partners with independent physician associations across the United States. The company is headquartered in Austin, Texas, and its shares are listed on the NYSE.

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