profitability company We of this into Thank adjusted metrics for a touch of quarter EBITDA total each performance. XXXX our most year. expectations have shifting to you, will highlights clear EBITDA sight few on adjusted line I with financial results insurance and quarter everyone. a XXXX delivered delivered full in core our achieving our on in for fourth Mark, company We and commitment good year. year exceeding before strong evening, the profitability full
We had a XXXX. to strong close
rates loss medical the EBITDA was year We points increased total a to Membership improved quarter-over-quarter, members. with ratio quarter increased and significantly special lower And our additions. million, million year-over-year $XX by XXX basis fourth approximately loss X ended to due retention driven enrollment X% XX.X%. fourth Our higher company by quarter improvement. adjusted million $XXX lapse
full below Direct guidance This full the lower a assumed our range. driven and point high policy end XXX year. premiums a $X.X X% of our to and the offset year-over-year low of medical and year above guidance was billion, partially by was range. improvement ratio were year-over-year The end rate membership, increases. approximately basis the loss modestly decrease by XX.X%, Turning
were cost for the cost initiatives. our full savings trends care total expectations utilization year, delivered we of medical through to our Overall and favorable relative modestly
year. As Mark mentioned, utilization remain the categories trends throughout within consistent specific service
risk at to Wakely ACA risk adjustment, year-over-year population. our modest our profiles premiums policy of December On as approximately XX% updates a lower overall transfer shifted our direct having assumed The risk to in closer estimates. and to transfer the XXXX only resulted report was percentage member due for
fourth of percent for a a positive optimization Switching compared offsetting costs. as credit XX.X%, have This XXX improved sharing administrative risk driven transfer which member a per company losses administrative on The impacted ratio year. provider XXXX basis provision these was the to to risk Partially of year-over-year terminated. the relates points distribution since insurance small receivables, quarter. which expense risk number lower deals, developments and been to by to prior million premiums $XX mainly
improved range. In The representing basis improved company a by $XXX improvement, driven above to $XXX combined achieved EBITDA guidance cost company XXXX, administrative MLR adjusted approximately of insurance that year-over-year high and XXXX XXX the we insurance ratio was XX.X% year-over-year our by efficiencies. end significantly million, an points and both million of
our XX% full the Our income. lower The expectations. year, ratio adjusted same expense points adjusted impacted for line well as net by to was insurance administrative higher administrative ratio expense basis ratio company driven in improved that factors with XXX as the year-over-year investment the administrative
progress on made have significant our We profitability. improving
$XX of was improvement million Our a guidance than EBITDA loss range. and full better million, total $XXX end high of the year adjusted a company substantial our year-over-year
has the improved as before years, percentage past of premiums EBITDA, XX a approximately X ceded adjusted Over by points. reinsurance,
Shifting to sheet. the balance
billion strong. position investments, at of million investments year remains very and $X.X parent. with We including the capital cash cash of the ended $XXX Our
by and As insurance of million of approximately surplus, million our of December including XX, excess subsidiaries $XXX driven $XXX operating capital XXXX, capital performance. had strong our
largest at year. in the for the As capital state, requirements us this reminder, our start of new for expired a carriers higher Florida,
ratio As in generate a insurance our excess an subsidiaries. of January of capital $XXX lower additional X, expect XXXX, capital to we million requirement
Given ceding premiums around of expect reinsurance, With capital XXXX the parent in the growth XXXX, share our before respect our quota we excess of will impact to funding reinsurance on XX% insurance to range. low cash. XX% increase subsidiaries, our in from percentage ceded to requirements have minimal capital
to of XXXX structure turn with of total the financial with In beginning order I be roll discuss we company. and guidance a outlook, our statement quarter income peers, our improve more will results. XXXX will first results that comparability, out our our transparency the we the financial to I new reporting increase presentation discussion want and to performance the and revising of closely on will align focus Before to
we medical measures outlook, guidance year revenue, XXXX, earnings XXXX expense company adjusted included and for results full information these supplemental components ratio calculations. provide metrics the including will as of for In ratio, For XXXX total we total EBITDA. as on SG&A on and well details the today's loss financial release, the
XXXX Turning year now to full the guidance.
strong achieve profitability build in momentum XXXX the XXXX. expect We on and adjusted in company EBITDA to total
expect on of the strong total open SEP revenues growth retention, above-market throughout to enrollment additions based in range billion $X.X year billion redeterminations continue. member XXXX We as $X.X Medicaid period the the and during
guidance acuity these On year assumes members. and risk for dynamics Medicaid our contemplates partial XXXX strong and additions redeterminations, SEP adjustment higher
pleased enrollment membership and expect in, are open healthier We overall, it profile. a our to growth result with strong
representing range the We a in midpoint. year-over-year expect ratio our loss of XX.X%, XX XX.X% basis be point medical the improvement to at to
priced trends PBM expect our and including XXXX, total driven of MLR improvements For by to for be initiatives, care cost savings. medical we cost
steeper MLR slope. similar to quarterly be our with seasonality a to XXXX, expect We although
risk we compared of as For higher our mix. as updated based transfer XXXX a XXXX, to a membership expect premiums on percentage
underwriting for As our on matures, we MLR, year may on per impacts transfer. impact the changes have but change per impact not expect the levels member with estimate numerator and economics. Such member denominator overall our risk would new claims corresponding to our an policy of business our them
cancellation $XX improvement a be $XXX XXX result of to SG&A the We representing compensation million point in our to stock-based year-over-year related the million range expense of was includes at expense, ratio ratio basis stock-based the recognized the of accelerated XX.X% founders awards. a midpoint. as a onetime This compensation to XXXX, and expect in included expense of which, XX%, charge approximately
fourth ratio to modest our first in consistent in quarters X expense the with expect SG&A the be a We fairly uptick quarter.
We $XXX be midpoint. range EBITDA representing expect $XXX improvement to $XXX million, to of adjusted total million million an company the in at year-over-year almost the
profitability, and growth total our on pivotal insurance year. and adjusted We profitability adjusted this company delivered EBITDA In well are to closing, XXXX to we a for was return commitments Oscar. company year achieve EBITDA for positioned
turn for me let closing that, Mark over back to with remarks. call the And