Alignment Healthcare (ALHC) 43rd Annual J.P. Morgan Healthcare Conference 2025 summary

2024 performance highlights

• Achieved 55% year-over-year membership growth in 2024, reaching 185,000 members and profitability scale, with projections to surpass 209,900 members by January 2025.

• Improved operating leverage with a 340 basis point reduction in adjusted SG&A ratios and $33 million EBITDA improvement year-over-year.

• 98% of members are enrolled in four-star or above plans for 2025, reflecting high quality and a widening advantage over industry peers.

• Fourth quarter and full-year results met expectations, with utilization managed in line with forecasts.

• Achieved a 30% five-year membership CAGR, with 80% of growth from plan switchers.

Strategic approach and differentiation

• Focuses on care management, not just underwriting, with 25% of employees in clinical roles and high engagement with high-need members.

• Utilizes a unified, real-time data architecture and AVA technology platform integrating 200+ data sources to support daily clinical decision-making.

• Operates a capital-efficient, scalable home and virtual care model targeting high-risk seniors, not reliant on brick-and-mortar clinics.

• Emphasizes provider partnerships and empowers community doctors, reinvesting medical cost savings into richer benefits and tailored products.

• Maintains high engagement (60%) with high-need members, aiming for 80%.

Clinical outcomes and member experience

• 74% of members are healthy, accounting for only 5% of institutional costs; 26% account for 95%.

• Intensive care for chronic and pre-chronic members, with up to 36 annual touchpoints and proactive management by Care Anywhere teams.

• Interdisciplinary care teams conduct daily rounds and maintain real-time hospital data.

• Achieved >80 NPS for Care Anywhere members, 4.9 Google rating, and 98% in four-star or above plans.

• 47% lower voluntary turnover and 39% better inpatient admission rates than fee-for-service Medicare.