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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.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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