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Companies / Financials / Alignment Healthcare, Inc.
ALHC

Alignment Healthcare, Inc.

FinancialsInsurance
Ticker ALHCORANGE, CAFiscal year ends DecemberBook value per share $1.24Diluted shares 214.4M

Alignment Healthcare, Inc. (NASDAQ: ALH) operates as a population health management company delivering integrated care solutions to Medicare Advantage beneficiaries and other at-risk populations. The company's website is www.alignmenthealthcare.com. From the company’s description.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-06-30
Sales & profitability
$3.95B
+46.1% year over year
Last 12 mo $4.58B
0.37%
+4.1 percentage points
Last 12 mo 1.20%
$-0.98M
+99.2% year over year
Last 12 mo $40.70M
-0.40%
+127.8 percentage points
Last 12 mo 15.35%
Cash & financing
$139.93M
+302.4% year over year
Last 12 mo $205.55M
$113.15M
+1802.0% year over year
Last 12 mo $177.51M
1.80
Was 3.22× a year earlier
Last 12 mo 1.22
198.0M
+3.8% year over year
Last 12 mo 214.4M

Margins and return on equity change in ; everything else in percent. Fewer shares and less debt are shown plainly, not as bad news — it depends what you make of buybacks. Dotted labels explain each measure. is shown separately from the annual figures.

What Alignment Healthcare, Inc. does

In the company’s own words

Alignment Healthcare, Inc. (NASDAQ: ALH) operates as a population health management company delivering integrated care solutions to Medicare Advantage beneficiaries and other at-risk populations. The company's website is www.alignmenthealthcare.com.

The company provides technology-enabled care coordination, care management, risk stratification, and member engagement services through its care-as-a-service platform. Alignment Healthcare operates through its primary operating subsidiary, Alignment Healthcare USA, LLC, which serves as the borrower under this credit facility. The company's business model centers on partnering with healthcare providers, health systems, accountable care organizations, and other third parties to deliver population health management services that improve clinical outcomes while reducing healthcare costs.

Alignment Healthcare's core offerings include managed care services, care coordination programs, and technology platforms that enable providers to better manage patient populations. The company serves Medicare Advantage members across multiple states, leveraging data analytics and clinical expertise to identify high-risk patients and coordinate their care. The platform integrates medical, behavioral health, and social determinant factors to create comprehensive care management strategies.

The company operates as a holding company structure with Alignment Healthcare, Inc. as the parent entity, supported by intermediate holding companies and operating subsidiaries. This credit agreement, dated February 26, 2026, establishes a $200 million secured revolving credit facility with Citibank, N.A. serving as administrative agent. The facility is secured by substantially all assets of the borrower and loan parties, reflecting the capital-intensive nature of healthcare operations and the company's growth strategy.

Alignment Healthcare's competitive positioning derives from its proprietary technology platforms, clinical expertise, and established relationships with healthcare providers and payers. The company operates within the healthcare services sector, specifically focused on value-based care models that align financial incentives with improved patient outcomes. The business model generates revenue through management fees, shared savings arrangements, and other performance-based compensation structures typical of population health management companies.

Company details
Sector
Financials
Industry
Insurance
Headquarters
ORANGE, CA
Fiscal year end
December
CIK
1832466
SIC
6324

Financial performance, year by year

Fiscal 2021–2025 · USD
$-672.55M$759.24M$2.19B$3.62B$5.05B20212022202320242025Last 12 moLast 12 monthsLast 12 months

The full income statement, balance sheet and cash flow for each of these years — every figure traceable to its filing — is on the Financials tab with a free account.

Ownership

Who owns Alignment Healthcare, Inc. — and what changed

Funds as of 2026Q2 · superinvestors as of 2026-06-30

359
funds hold it
0 of 35
superinvestors hold it
$2.59B
held by funds, at market
56.5%
of shares held by funds

Largest fund holders · Alignment Healthcare, Inc.’s weight in each

0.19%of fund net assets
VANGUARD HEALTH CARE FUND
VGHCX · VANGUARD SPECIALIZED FUNDS
0.38%of fund net assets
VANGUARD TOTAL STOCK MARKET INDEX FUND
VTI · VANGUARD INDEX FUNDS
0.01%of fund net assets
iShares Russell 2000 ETF
IWM · iShares Trust
0.13%of fund net assets
iShares Core S&P Small-Cap ETF
IJR · iShares Trust
0.10%of fund net assets

Fund ownership is a floor, not a census — pensions, insurers and people holding shares directly are not visible here.

Fund ownership counts N-PORT filers only, so it is a floor rather than a census — pensions, insurers and direct holders are not visible here, and the remainder is not “held by individuals”.

Could not be determined for this company: bond issues.

Every fund and institutional holder, quarter by quarter, is on the Ownership tab with a free account.

Connected research

Put this business in context.

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