Strong Revenue Growth
Total revenue of $4.6 billion in Q1 2026, an increase of 53% year-over-year driven by higher membership and rate increases.
Record Membership Expansion
Ended Q1 with ~3.2 million members, a 56% year-over-year increase; started Q2 with ~3.0 million paid members, driven by above-market growth during open enrollment and solid retention.
Significant Profitability Improvements
Earnings from operations of $704 million in Q1 (nearly 2.5x year-over-year improvement, +$407 million), net income of ~$679 million ($2.07 per diluted share), the highest in company history (+$404 million YoY), and adjusted EBITDA of $727 million (+$398 million YoY).
Improved Loss Ratios and Margins
Medical Loss Ratio (MLR) improved 490 basis points year-over-year to 70.5% in Q1; operating margin of 15.2% (+540 basis points YoY).
Lower SG&A and Operating Leverage
SG&A expense ratio improved by 60 basis points year-over-year to 15.2% in Q1 (lowest in company history); SG&A dollars grew 46% YoY, showing fixed-cost leverage against revenue growth.
Strong Capital and Cash Position
Cash and investments of approximately $8.1 billion (including $279 million at the parent); insurance subsidiaries had ~$1.7 billion of capital and surplus, including $809 million of excess capital.
Product, Technology and Distribution Momentum
Launched transparency tools (real-time drug pricing), scaled AI/bilingual voice agents, launched ICHRA X data exchange and the Lucie Health Marketplace (carrier-agnostic shopping platform); management expects modest 2026 contribution and meaningful long-term opportunity.
Reaffirmed Full-Year Guidance
Company reaffirmed full-year 2026 guidance: total revenues $18.7B–$19.0B; full-year MLR guidance 82.4%–83.4%; SG&A ratio guidance 15.8%–16.3%; earnings from operations $250M–$450M (with adjusted EBITDA expected ~ $115M higher).