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NeueHealth, Inc. (NEUE)·Q1 2025 Earnings Summary

Executive Summary

  • Q1 2025 revenue was $215.79M, down year-over-year and below S&P Global consensus; Adjusted EBITDA reached $13.48M, marking the fifth consecutive quarter of adjusted EBITDA profitability .
  • Versus estimates: Revenue missed ($215.79M vs $270.10M consensus*) while EPS beat (Primary EPS −1.93 actual vs −4.18 consensus*); EBITDA came in at $6.22M actual vs $8.50M consensus* (company-reported Adjusted EBITDA $13.48M reflects non‑GAAP adjustments) .
  • Management highlighted a shift in membership mix away from ACO REACH as a driver of lower revenue year-over-year; consumer count expanded to ~709K (+51% YoY), supporting segment momentum across NeueCare and NeueSolutions .
  • The go‑private transaction with NEA remains the key near‑term catalyst; management anticipates closing in mid‑2025 pending approvals, which likely dominates stock reaction ahead of completion .

Values retrieved from S&P Global for estimates*

What Went Well and What Went Wrong

What Went Well

  • Fifth consecutive quarter of positive Adjusted EBITDA, delivering $13.48M in Q1 and underscoring a more durable profitability trajectory .
  • Strong consumer growth: served ~709K consumers (+51% YoY), including 571K value‑based consumers and 138K enablement lives, expanding across ACA Marketplace, Medicare, and Medicaid .
  • CEO emphasized the relationship-based, consumer‑centric model: “Our value-driven, consumer-centric care model is compelling…align interests to create a seamless, more coordinated care experience” (Mike Mikan) .

What Went Wrong

  • Revenue declined year-over-year (to $215.79M from $245.10M), driven by lower ACO REACH revenue ($124.04M vs $171.81M YoY) and missed Wall Street consensus .
  • Continued GAAP net loss in the quarter (−$10.85M), with net loss attributable to common shareholders at −$24.88M; interest expense increased to $6.64M .
  • Legal overhang: external shareholder alert announced an investigation into potential fiduciary breaches, adding governance headline risk during the go‑private process .

Financial Results

Consolidated Results vs Prior Periods and Estimates

MetricQ3 2024Q4 2024Q1 2025
Revenue ($USD)$232.93M $232.64M $215.79M
Primary EPS (Actual)−5.89*−4.27*−1.93*
Primary EPS (Consensus Mean)−2.72*−3.99*−4.18*
Revenue (Consensus Mean)$241.20M*$261.80M*$270.10M*
Adjusted EBITDA (Company)$9.40M $5.48M $13.48M
EBITDA (Actual, SPGI)−$13.84M*−$21.84M*$6.22M*

Values retrieved from S&P Global*

Notes:

  • Company Adjusted EBITDA is non‑GAAP. SPGI “EBITDA actual” reflects a different methodology; use caution comparing to company Adjusted EBITDA .

Income Statement Highlights (Company GAAP)

MetricQ3 2024Q4 2024Q1 2025
Operating Income (Loss)−$17.34M −$29.42M $2.66M
Net Loss (GAAP)−$40.37M $2.52M −$10.85M
Basic & Diluted Loss per Share−$8.51 −$1.94 −$2.90
Gross Margin$50.20M $47.70M $54.90M

Segment Breakdown

SegmentMetricQ3 2024Q4 2024Q1 2025
NeueCareRevenue$83.87M $79.25M $90.52M
NeueCareOperating Income$16.43M $9.23M $23.01M
NeueSolutionsRevenue$152.04M $157.07M $127.61M
NeueSolutionsOperating Income (Loss)−$5.83M $3.10M −$2.99M

KPIs

KPIQ3 2024Q4 2024Q1 2025
Consumers Served (Total)~509,000 483,000 FY; 717,000 to start 2025 ~709,000
Value‑Based Consumers (NeueCare)347,000 318,000 FY 571,000
Enablement Services Lives (NeueSolutions)119,000 123,000 FY 138,000
ACO REACH/MSSP Beneficiaries~43,000 (REACH) N/A stated~41,000 (REACH+MSSP)

Guidance Changes

MetricPeriodPrevious GuidanceCurrent Guidance (Q1 2025)Change
Total RevenueFY 2024~$950M N/A (no new quantitative FY 2025 guidance provided) N/A
NeueCare RevenueFY 2024~$320M N/A N/A
NeueSolutions RevenueFY 2024~$640M N/A N/A
Adjusted EBITDAFY 2024$15M–$25M N/A N/A
Adjusted Operating Cost Ratio (incl. corp.)FY 202419%–20% N/A N/A

Management did not provide new FY 2025 quantitative guidance in Q1 materials; commentary focused on strategy and consumer growth .

Earnings Call Themes & Trends

TopicPrevious Mentions (Q3 2024)Previous Mentions (Q4 2024)Current Period (Q1 2025)Trend
Consumer Growth~509K served; momentum into 2025 483K in 2024; 717K to start 2025 ~709K (+51% YoY) Strengthening
Provider Enablement (Medicaid)119K enablement lives; growth accelerating 123K enablement lives 138K enablement lives; strong growth Strengthening
ACO REACH/MSSP participation~43K REACH beneficiaries; potential MSSP expansion MSSP participation planned for 2025 ~41K served across REACH + MSSP Diversifying
Footprint ExpansionCentral Florida expansion Evaluating new markets Expand in existing markets; evaluate new geographies Ongoing
Go‑Private Transaction (NEA)Announced Oct/Dec; strategic flexibility Anticipated close Q2 2025 Anticipated mid‑2025 close Progressing
Operating ProfitabilityBest quarterly Adjusted EBITDA ($9.4M) Fourth consecutive positive quarter ($5.5M) Fifth consecutive positive ($13.5M) Improving

Management Commentary

  • CEO Mike Mikan: “Our value-driven, consumer-centric care model is compelling, and we continue to see it resonate…as we align interests to create a seamless, more coordinated care experience for consumers, providers, and payors.”
  • CFO Jay Matushak: “Consolidated revenue…was $215.8 million, slightly lower than prior year due to a shift in membership mix away from ACO REACH to other lines of business…we achieved adjusted EBITDA profitability, driving $13.5 million in the first quarter.”
  • CEO on strategy: focus on diverse populations across ACA, Medicare, Medicaid; expand footprint in existing markets and evaluate new geographies; deepen payer and provider partnerships .

Q&A Highlights

  • The transcript materials reviewed were prepared remarks without a captured analyst Q&A section; no additional guidance clarifications or detailed Q&A exchanges were present in the documents accessed .

Estimates Context

  • Revenue: Actual $215.79M vs consensus $270.10M (miss)* .
  • Primary EPS: Actual −1.93 vs consensus −4.18 (beat)*.
  • EBITDA: SPGI actual $6.22M vs consensus $8.50M (miss)*; Company Adjusted EBITDA $13.48M reflects non‑GAAP adjustments (transaction costs, share-based comp, warrant liability, discontinued operations, etc.) .
  • Coverage depth: Revenue and EPS consensus were based on limited estimates (1–2 analysts), increasing potential for revisions post‑print*.

Values retrieved from S&P Global*

Key Takeaways for Investors

  • Sequential operating improvement: Q1 2025 operating income turned positive ($2.66M), and Adjusted EBITDA reached $13.48M, the fifth consecutive quarter—supporting a narrative of improving core operations .
  • Top‑line headwinds stemmed from lower ACO REACH revenue; management is shifting mix toward enablement and clinic care, evidenced by higher NeueCare revenue and consumer growth .
  • Estimate dispersion and low coverage: with 1–2 estimates, consensus may shift meaningfully as the Street recalibrates to the new mix and non‑GAAP adjustments post‑quarter*.
  • Strategic catalyst: pending go‑private transaction with NEA anticipated mid‑2025; deal outcome is a primary near‑term stock driver and could overshadow quarterly fundamentals .
  • Watch capital structure and cash: interest expense rose (to $6.64M), but cash and investments increased quarter‑end, with non‑regulated cash cited at $145.1M, supporting liquidity during the transition .
  • Segment focus: NeueCare’s operating income expanded to $23.01M; NeueSolutions posted a modest loss (−$2.99M). Sustained execution in enablement and disciplined ACO/MSSP participation are key to margin trajectory .
  • Governance risk: external shareholder alert adds headline risk while the proxy and merger process advance; monitor SEC filings and transaction milestones .

Values retrieved from S&P Global for estimates*

Appendix: Additional Financial Detail

Revenue Composition (Q1 2025 vs Q1 2024)

Revenue LineQ1 2024Q1 2025
Capitated revenue$61.47M $80.99M
ACO REACH revenue$171.81M $124.04M
Service revenue$11.62M $9.83M
Investment income$0.20M $0.93M
Total revenue$245.10M $215.79M

Selected Balance Sheet Items (Q1 2025 vs YE 2024)

ItemDec 31, 2024Mar 31, 2025
Cash & cash equivalents$83.30M $138.10M
Short‑term investments$9.87M $7.00M
ACO REACH receivable$95.08M $468.35M
ACO REACH obligation$382.48M
Total liabilities$930.49M $1,288.65M

Non‑GAAP Reconciliation (Excerpt, Q1 2025)

  • Adjusted EBITDA reconciled from net loss includes add‑backs for interest expense ($6.64M), D&A ($3.56M), share‑based compensation ($5.64M), and change in warrant liability (−$2.65M), among others, totaling $14.92M add‑backs to arrive at $13.48M Adjusted EBITDA .

Key Management Quotes

  • “We are starting 2025 in a very strong position…delivering another quarter of Adjusted EBITDA profitability.” — Mike Mikan .
  • “Consolidated revenue…slightly lower than prior year due to a shift in membership mix away from ACO REACH to other lines of business.” — Jay Matushak .
  • “We anticipate the transaction closing in mid‑2025, pending satisfaction of the necessary closing conditions.” — Mike Mikan .