Adjusted EBITDA Turnaround
Delivered $26 million of adjusted EBITDA in Q1 2026, exceeding internal expectations and improving from a loss of $22 million in Q1 2025, demonstrating a substantial swing to positive operating performance.
Raised Full-Year 2026 Outlook
Revised full-year 2026 adjusted EBITDA guidance to a range of $20 million to $60 million (midpoint $40 million), reflecting confidence in underlying operating trajectory and structural improvements.
Material Improvement in Medicare Advantage Funding
Per-member funding for the Medicare Advantage population improved approximately 15% year-over-year, driven by rate progression and contractual restructuring.
Delegation and Network Alignment Expansion
Delegated functions expanded to cover approximately 63% of membership in 2026; Tier 1 provider concentration increased from 56% in Q1 2025 to 62% in Q1 2026, strengthening clinical integration and cost performance.
Strong Medical Margin and Controlled Expenses
Q1 medical margin was $74 million with adjusted operating expense controlled at $25 million; the company continues selective investment in frontline clinical capabilities while maintaining cost efficiency.
Favorable Claims Development and Settlements
Q1 included approximately $17 million of favorable prior-year development and payer settlements (split ~65% PYD / ~35% payer settlements), which contributed to the quarter's results.
Flat MA Medical Cost Trend vs Industry
Q1 Medicare Advantage medical expense trend was roughly flat to full-year 2025 (FY2025 MA trend was under 2%), contrasted with industry guidance of ~7%+, indicating durable cost-management differentiation.
Balance Sheet and Capital Structure Actions
Completed conversion of roughly $250 million of debt to preferred equity (4/28) and has issued $30 million of a planned up-to-$70 million preferred raise to improve stockholders' equity and NASDAQ compliance; cash and equivalents were $25 million at quarter-end.
Platform Scale and New Partnerships
Total lives under management approximately 135,000 (106,000 at-risk plus ~29,000 under management service arrangements); Nebraska partnership added ~28,600 lives, demonstrating disciplined, delegation-focused growth.