Strong Revenue Growth
Total revenue of $11.7 billion in 2025, a 28% year-over-year increase; 2026 revenue guidance of $18.7–$19.0 billion (≈61% YoY growth at midpoint).
Large Membership and Market Share Gains
Company reported 3.4 million members as of Feb 1, 2026 and expects ~3.0 million paid members by start of Q2 (a 58% year-over-year increase in paid members); footprint market share rose from 17% in 2025 to 30% in 2026.
Clear Path to Profitability in 2026
Guidance expects earnings from operations of $250–$450 million in 2026 (midpoint implies ~ $750 million year-over-year improvement) and an operating margin ~1.9% at midpoint; adjusted EBITDA expected to be ~ $115 million above operating earnings.
Material SG&A Efficiency Improvements
Full year SG&A expense ratio improved to 17.5%, roughly 160 basis points better year-over-year; 2026 SG&A guidance 15.8%–16.3% (≈140 bps YoY improvement at midpoint) driven by scale, technology and AI.
AI and Technology-Driven Operational Gains
Administrative costs lowered ~160 basis points YoY due to AI; agentic AI care-guide reduced response times by 67% during peak/enrollment; Oswell handles 86% of member questions with high accuracy — cited as core efficiency driver.
Product & Distribution Momentum
Record open enrollment with product innovation (Hello Menno, A Salud, Hive Health with Oscar), broker partnerships expanded 60%, and lifestyle-product members showing stronger engagement (50% more likely to recommend and higher direct enrollment rates).
Balance Sheet and Capital Actions
Ended year with ~$5.5 billion cash and investments (including $414M at parent); completed $410M convertible offering (net $360M) and a new $475M 3-year revolver, and insurance subsidiaries had ~ $1.0B surplus (including $315M excess).