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Companies / Health Care / Alignment Healthcare, Inc.
ALHC

Alignment Healthcare, Inc.

Health CareInsurance
Ticker ALHCORANGE, CAFiscal year ends DecemberBook value per share $1.29Diluted shares 214.8M

Alignment Healthcare, Inc. (Nasdaq: ALHC) is a consumer-focused health care company that offers Medicare Advantage plans to seniors enrolled in Medicare. Its licensed plans contract with the Centers for Medicare & Medicaid Services and receive fixed monthly payments per member, taking responsibility for coordinating… From the company’s description.

Over the twelve months to Sep 30, 2026, Alignment Healthcare, Inc. reported revenue of $4.94B, up 35.9% from a year earlier, and net income of $28.92M. Its operating margin was 0.9%, and operations generated $108.02M in cash. In fiscal 2025, it reported revenue of $3.95B, up 46.1% from fiscal 2024, and a net loss of $0.98M.

Fiscal year 2025 · ends 12-31Changes are against fiscal 2024The amber dot is the latest twelve months, to 2026-09-30
Sales & profitability
$3.95BFY2025
+46.1% year over year
Last 12 mo $4.94B
0.37%FY2025
+4.1 percentage points
Last 12 mo 0.88%
$-0.98MFY2025
+99.2% year over year
Last 12 mo $28.92M
-0.40%FY2025
+127.8 percentage points
Last 12 mo 10.44%
Cash & financing
$139.93MFY2025
+302.4% year over year
Last 12 mo $108.02M
$113.15MFY2025
+1802.0% year over year
Last 12 mo $77.04M
1.80FY2025
Was 3.22× a year earlier
Last 12 mo 1.17
198.0MFY2025
+3.8% year over year
Last 12 mo 214.8M

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: ALHC) is a consumer-focused health care company that offers Medicare Advantage plans to seniors enrolled in Medicare. Its licensed plans contract with the Centers for Medicare & Medicaid Services and receive fixed monthly payments per member, taking responsibility for coordinating covered medical care, prescription drugs and plan benefits. Members receive services through community providers and the company’s clinical teams, with care delivered in person, at home and virtually. Alignment’s Care Anywhere program provides proactive, coordinated support for members with complex or chronic conditions, while its proprietary AVA platform uses member data to inform care teams and provider partners. The company also offers supplemental benefits, including dental, vision, fitness, caregiver support and non-emergency transportation, and provides 24/7 concierge services. Alignment operated in 45 markets in California, North Carolina, Nevada, Arizona and Texas for the 2025 plan year, and had 236,300 health plan members as of December 31, 2025. More than 450 full-time clinical employees supported its care model. Founded in 2013, Alignment focuses on improving care coordination and access for seniors.

Company details
Sector
Health Care
Industry (SIC)
Insurance
Headquarters
ORANGE, CA
Fiscal year end
December
CIK
1832466
SIC
6324

Financial performance, year by year

Fiscal 2021–2025 · USD
$-709.01M$832.16M$2.37B$3.91B$5.46B20212022202320242025Last 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
56.0%
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
—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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