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Stock research / United States / ALHC · Hospital & Medical Service Plans · Nasdaq

Alignment Healthcare, Inc. (ALHC)

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Alignment Healthcare, Inc. (ALHC) reported revenue of $1.3 billion for Q2 FY2026, the quarter ended 30 June 2026, up 31.6% on the same quarter a year earlier. Net income was $37 million, up 133.4% on the year, and diluted earnings per share $0.17. The figures are the company's own, from the 10-Q it filed with the SEC on 30 July 2026.

Revenue$1.3 billionup 31.6%
Net income$37 millionup 133.4%
Diluted EPS$0.17
QuarterQ2 FY2026ended 30 June 2026

Alignment Healthcare (ALHC) in brief

Alignment Healthcare (ALHC) reported revenue of $3.9 billion for fiscal 2025, the year ended 31 December 2025, up 46.1% on the year before.
Read moreNet loss was $1 million and diluted earnings per share $0.00. Revenue was $2.7 billion in fiscal 2024, $1.8 billion in fiscal 2023, $1.4 billion in fiscal 2022 and $1.2 billion in fiscal 2021. Net income in the same years was a loss of $128 million, a loss of $148 million, a loss of $150 million and a loss of $195 million. Over the twelve months to 30 June 2026, Alignment Healthcare reported revenue of $4.6 billion and net income of $41 million. Revenue grew 32.7% a year, compounded, over the five years to fiscal 2025. Alignment Healthcare had 207 million shares outstanding at the latest filed count. At the close of 9 October 2026 the market cap of Alignment Healthcare was $1.6 billion, 39.7 times its earnings over the last twelve months.

Ratios

From the filings

ROE15.4%
ROCE9.3%
Operating margin1.2%
Net margin0.9%
FCF margin3.9%
Interest cover3.39
Debt to equity1.22
Cash conversion5.05
Share count, 1 year4.7%
Sales CAGR, 3 years40.2%
Profit CAGR, 3 yearsn/a
EPS, TTM$0.19

At the close of 9 October 2026

Price$7.54
Market cap$1.6 billion
Stock P/E39.71
Price to book5.90
EV / EBITDA13.80
Dividend yieldn/a
Market cap / sales0.34
52-week high$24.56
52-week low$7.54
Price, 1 year-57.0%
Price CAGR, 3 years1.2%
Price CAGR, 5 years-15.5%
Worked from the filed figures; hover a name for the formula.
Read moreThe priced ones use the latest price, the last regular-hours trade on IEX. Debt to equity here stands on long-term debt as Alignment Healthcare, Inc. files it, with lease liabilities counted separately and never inside it. Nothing here is a valuation or a view.
ALHCgreeksoup.ai
Daily prices to 9 October 2026, adjusted for splits; from 28 September 2026 each day's price is the last regular-hours trade on IEX.
Read moreData provided for free by IEX. By accessing or using IEX Historical Data, you agree to the IEX Historical Data Terms of Use. Day by day for the last three years; before that one point a week, carrying the week's last close and its average daily volume, so a volume bar means the same thing across the whole series; the bars sit under the price on their own scale, on the right. The moving averages need consecutive days and are drawn from the daily part. P/E is the close over the trailing four quarters' EPS as filed at each filing date, on the current share count; the dashed line is the median over the range shown. Sales and margin are quarterly revenue and the operating margin from the tables above. EV/EBITDA, price to book and market cap to sales use the latest filed balance sheet and share count at each date. Before the quarters on file begin, P/E, price to book and market cap to sales stand on each annual report from the day it was filed. Drawn in your browser; the range and overlay you pick are remembered here only.

The public record on ALHC

Filings19 in twelve months: 9 current reports (8-K), about 4 results of operations; 3 regulation FD disclosure; 1 shareholder vote; 1 charter or bylaw amendment, or fiscal year change; 1 material agreement
Planned insider sales50 Form 144 notices in twelve months, $318.4 million; latest 5 October 2026
Options tapeput/call 0.48 by open interest at the 9 October 2026 close; the straddle prices a 8.5% move to 16 October 2026
13F holders7 of the followed funds hold it; largest FMR LLC; 16 Schedule 13D or 13G filings in twelve months
Insider trading81 sales and 1 purchase on Form 4 in twelve months
Congress0 House trades disclosed in six months
Short interest23.6 million shares short, 1.61 days to cover at 30 September 2026
Documentsthe 10-K, the 10-Qs, the proxy and 4 earnings press releases, each linked

Quarterly results, the last 12 quarters

Q3 FY2023Q4 FY2023 *Q1 FY2024Q2 FY2024Q3 FY2024Q4 FY2024 *Q1 FY2025Q2 FY2025Q3 FY2025Q4 FY2025 *Q1 FY2026Q2 FY2026
Revenue4574656296816927019271,0159941,0131,2351,336
SG&A83.183.790.587.990.9102104104110126121131
Operating income-29.8-41.9-41.1-18.4-19.5-22.5-5.422.77.7-10.315.542.1
Operating margin-7%-9%-7%-3%-3%-3%-1%2%1%-1%1%3%
Interest expense5.55.55.45.76.95.54.04.04.03.94.14.3
Pre-tax income-35.1-47.3-46.6-24.0-26.4-31.1-9.318.93.7-14.211.437.8
Tax raten/an/an/an/an/an/an/a17%0%n/a0%3%
Net income-35.0-47.2-46.5-24.0-26.4-31.1-9.115.73.7-11.011.436.6
Net margin-8%-10%-7%-4%-4%-4%-1%2%0%-1%1%3%
Diluted EPS-$0.19-$0.25-$0.25-$0.13-$0.14-$0.16-$0.05$0.07$0.02-$0.05$0.05$0.17
Operating cash flow6.0-187-6.223.526.2-8.716.629.1145-50.4129-17.3
Capital expenditure9.610.611.111.79.39.38.38.05.55.07.410.1
Free cash flow-3.6-198-17.411.816.9-18.08.421.1139-55.4121-27.5
Shares outstanding189m189m191m191m192m192m198m198m200m204m207m207m
Filing10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q
Each quarter as filed, linked to its filing.
Read more* The fourth quarter is the full year less the first three quarters, because the company files the year and not the quarter on its own. A fourth quarter's EPS and diluted share count are from the company's results press release for that quarter, used where the release gives the same revenue and net income as the table. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and the share count are as they are. Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Cash flow lines filed year to date are the difference between two filings. Shares outstanding are at the period end where the balance sheet tags them, otherwise the count on the filing's cover page. A derived fourth-quarter EPS is left blank when a split in the year makes the arithmetic meaningless.

Income statement (profit and loss), 7 fiscal years and the trailing twelve months

FY2019 †FY2020FY2021FY2022 †FY2023 †FY2024FY2025TTM
Revenue7579591,1681,4341,8242,7043,9494,577
Selling, general and administrative110156291296307371443488
Operating income-29.5-5.3-178-129-128-10214.855.0
Operating margin-3.9%-0.5%-15.2%-9.0%-7.0%-3.8%0.4%1.2%
Interest expense14.916.917.418.321.223.515.816.2
Pre-tax income-44.7-22.9-195-149-148-128-1.038.8
Income tax0.00.00.00.3-0.00.00.0-1.9
Effective tax raten/an/an/an/an/an/an/a-5.0%
Net income-44.7-22.9-195-150-148-128-0.740.7
Net margin-5.9%-2.4%-16.7%-10.4%-8.1%-4.7%-0.0%0.9%
Diluted EPS-$0.33-$0.15-$1.14-$0.83-$0.79-$0.67$0.00$0.19
Filing10-K10-K10-K10-K10-K10-K10-K
From each year's 10-K, linked; TTM is the last four quarters.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are. † The year as the company last restated it in a later filing; rest on a figure for the one first filed. EPS is as filed.

Cash flow and capital returned

FY2019 †FY2020FY2021FY2022 †FY2023 †FY2024FY2025TTM
Operating cash flow9.27.6-78.8-45.4-59.234.8140206
Capital expendituren/an/an/a23.836.041.426.828.0
Free cash flown/an/an/a-69.2-95.2-6.6113178
Free cash flow marginn/an/an/a-4.8%-5.2%-0.2%2.9%3.9%
Cash from investing-10.2-16.4-20.8-28.2-14739.2-15.0-1.9
Cash from financing52.713036016.60.115618.019.5
Depreciation and amortisation14.915.115.817.321.426.930.431.5
Share-based compensation0.00.40.681.766.871.162.161.5
Diluted shares, weighted00182m181m188m191m198m215m
Shares outstanding at period endn/a164m187m187m189m192m204m207m
Filing10-K10-K10-K10-K10-K10-K10-K
Cash paid in the year, from the cash flow statement.
Read moreThe dividend per share is as declared. Diluted shares are the weighted average for the year; a falling count is the buybacks net of issuance. TTM sums the last four quarters; the share counts are the latest quarter's.

Balance sheet at year end

FY2019 †FY2020FY2021FY2022 †FY2023 †FY2024FY2025TTM
Funded by
Shareholders' equity-78.730.630623815799.9179265
Non-controlling interestn/a0.00.01.21.11.10.0n/a
Debtn/a144151161162321323324
Operating lease liabilitiesn/a10.37.03.79.07.86.3n/a
Finance lease liabilitiesn/a0.40.30.10.00.00.2n/a
Other liabilitiesn/a153167230263352557690
Total liabilities and equityn/a3396316345927821,0661,279
Owned
Fixed assetsn/a27.130.437.251.967.164.366.2
Goodwilln/a29.329.334.834.834.832.132.1
Intangible assetsn/a34.635.15.55.34.54.54.5
Investmentsn/an/an/a0.011637.828.48.3
Cash and equivalents86.5207467410203433576693
Receivablesn/a40.158.592.9120154253297
Other assetsn/an/a11.054.061.351.0107178
Total assetsn/a3396316345927821,0661,279
Filing10-K10-K10-K10-K10-K10-K10-K
At the fiscal year end; the TTM column is the latest quarter end.
Read moreBoth totals are the company's own. Other liabilities is the filed total less the rows above it: payables, deferred revenue, taxes, borrowings the rows above do not carry and the rest; other assets is the same on the other side. Investments add the current and non-current lines as filed. Debt is the company's own stated total where it files one, otherwise its long-term debt with the current maturities, never parts added together. A row is left blank in a year where the lines shown overlap and the remainder would fall below nil.

Compounded growth

10 years5 years3 yearsTTM
Sales growth, compoundedn/a32.7%40.2%37.2%
Profit growth, compoundedn/an/an/an/a
Return on equity, averagen/a-69.9%-74.3%-0.4%
Yearly growth, compounded; TTM is the last four quarters against the four before.
Read moreReturn on equity is net income over shareholders' equity at each year end, averaged over the window (the TTM column is the latest year alone); equity is the parent's shareholders' equity as tagged in the 10-K. Arithmetic on filed numbers, nothing forecast.

Questions

What was Alignment Healthcare's revenue in fiscal 2025?

Alignment Healthcare (ALHC) reported revenue of $3.9 billion for fiscal 2025, the year ended 31 December 2025, up 46.1% on the year before.

How much did Alignment Healthcare earn in fiscal 2025?

Net loss was $1 million for fiscal 2025, and diluted earnings per share $0.00.

What is Alignment Healthcare's P/E ratio?

At the close of 9 October 2026, Alignment Healthcare traded at 39.7 times its earnings over the twelve months to 30 June 2026.

What is Alignment Healthcare's market cap?

The market cap of Alignment Healthcare was $1.6 billion at the close of 9 October 2026.

Peers: Insurance

CompanyMarket capP/EROEOp. marginSales growth
TTM
Debt to equityDiv. yield
UnitedHealth Group Inc. UNH$343.3 billion24.4113.5%4.8%6.5%0.672.3%
Elevance Health, Inc. ELV$89.5 billion18.3511.1%2.7%6.3%0.691.7%
Cigna Group CI$74.6 billion11.6815.1%3.5%7.8%0.682.1%
Humana Inc. HUM$51.7 billion40.786.7%1.9%18.3%0.620.8%
Centene Corp. CNC$32.3 billionn/a-22.6%-2.8%13.9%0.71n/a
Molina Healthcare, Inc. MOH$10.2 billionn/a-0.2%0.5%2.6%0.90n/a
Kemper Corp. KMPR$1.6 billionn/a-22.6%n/a-4.5%0.434.7%
Alignment Healthcare, Inc. ALHC$1.6 billion39.7115.4%1.2%37.2%1.22n/a
Stewart Information Services Corp. STC$1.5 billion11.128.1%5.9%22.5%0.394.0%
Safety Insurance Group Inc. SAFT$1.5 billion22.387.8%6.8%7.2%0.063.5%
United Fire Group Inc. UFCS$1.4 billion10.2414.4%12.0%11.4%0.151.2%
Trupanion, Inc. TRUP$1.1 billion49.215.7%1.6%11.8%0.24n/a
All 74 in Insurance
CompanyMarket capP/EROEOp. marginSales growth
TTM
Debt to equityDiv. yield
Berkshire Hathaway Inc. BRK.B$1.11 trillion12.9611.5%15.0%3.9%n/an/a
UnitedHealth Group Inc. UNH$343.3 billion24.4113.5%4.8%6.5%0.672.3%
Chubb Ltd. CB$131.6 billion12.0714.8%23.1%8.0%0.231.1%
Progressive Corp. PGR$126.4 billion10.9134.1%16.2%10.5%0.246.4%
Elevance Health, Inc. ELV$89.5 billion18.3511.1%2.7%6.3%0.691.7%
Marsh & McLennan Companies, Inc. MRSH$84.0 billion21.4825.8%21.6%8.3%1.272.0%
Travelers Companies, Inc. TRV$76.9 billion9.8325.1%21.1%2.4%0.270.8%
Cigna Group CI$74.6 billion11.6815.1%3.5%7.8%0.682.1%
Manulife Financial Corporation MFC *$71.2 billion19.7011.1%n/an/a0.153.3%
Metlife Inc. MET$62.7 billion18.8013.2%8.3%8.7%0.522.3%
Arthur J. Gallagher & Co. AJG$59.6 billion38.586.6%12.6%26.3%0.571.1%
Allstate Corp. ALL$58.3 billion4.5839.4%23.2%5.9%0.221.7%
Aon plc AON$58.0 billion15.0740.8%26.5%4.9%1.351.1%
Aflac Inc. AFL$57.5 billion12.3516.0%32.0%13.6%0.282.1%
Humana Inc. HUM$51.7 billion40.786.7%1.9%18.3%0.620.8%
Sun Life Financial Inc. SLF *$42.6 billion17.8314.5%n/a8.0%0.333.5%
American International Group, Inc. AIG$40.4 billion14.097.3%13.6%-4.2%0.222.3%
Prudential Financial Inc. PRU$39.0 billion10.2512.4%7.6%9.4%0.624.8%
Hartford Insurance Group, Inc. HIG$35.0 billion8.3522.2%17.3%7.0%0.221.7%
Arch Capital Group Ltd. ACGL$32.6 billion7.4719.5%26.9%0.4%0.185.2%
Centene Corp. CNC$32.3 billionn/a-22.6%-2.8%13.9%0.71n/a
Willis Towers Watson plc WTW$27.5 billion18.2220.4%22.2%3.0%0.751.2%
Everest Group, Ltd. EG$27.4 billion7.7912.4%13.4%-5.1%0.032.2%
W. R. Berkley Corp. WRB$26.7 billion14.7619.6%n/a4.3%n/a2.6%
Cincinnati Financial Corp. CINF$25.1 billion7.7120.0%29.8%19.6%0.052.1%
Principal Financial Group Inc. PFG$23.0 billion15.2712.8%11.9%3.7%0.362.9%
Loews Corp. L$21.8 billion13.098.8%12.3%3.5%0.470.2%
Brown & Brown, Inc. BRO$20.8 billion19.849.6%n/a34.2%0.621.0%
Reinsurance Group of America Inc. RGA$16.7 billion11.2411.0%7.2%19.4%0.421.4%
Corebridge Financial, Inc. CRBG$15.2 billion19.948.5%5.4%29.1%0.832.9%
Globe Life Inc. GL$15.1 billion10.9119.7%24.2%5.2%0.480.7%
Unum Group UNM$14.5 billion21.376.5%6.8%3.4%0.351.9%
Equitable Holdings, Inc. EQH$14.4 billionn/an/a-5.7%-22.1%n/a2.0%
Renaissancere Holdings Ltd. RNR$13.9 billion5.6522.3%39.6%-14.0%0.200.5%
Assurant, Inc. AIZ$13.2 billion12.7317.4%9.9%9.4%0.351.2%
American Financial Group Inc. AFG$11.7 billion12.3319.8%14.5%-0.2%0.385.2%
Erie Indemnity Co. ERIE$11.6 billion20.1123.4%17.9%3.7%0.00n/a
Fidelity National Financial, Inc. FNF$10.4 billion13.5110.4%11.3%13.0%0.595.2%
Molina Healthcare, Inc. MOH$10.2 billionn/a-0.2%0.5%2.6%0.90n/a
OLD Republic International Corp. ORI$9.2 billion8.3718.7%14.8%12.1%n/a9.6%
Jackson Financial Inc. JXN$8.8 billion158.051.0%55.8%15.1%0.282.6%
Voya Financial, Inc. VOYA$8.6 billion15.9713.0%9.1%3.2%0.451.9%
Primerica, Inc. PRI$8.5 billion11.0631.5%29.9%8.6%0.241.5%
Lincoln National Corp. LNC$7.7 billion3.4920.8%14.7%7.9%0.574.5%
Kinsale Capital Group, Inc. KNSL$7.7 billion13.6527.9%35.7%15.8%0.110.2%
Hanover Insurance Group, Inc. THG$7.6 billion10.4720.6%15.4%5.6%0.23n/a
Enact Holdings, Inc. ACT$6.4 billion9.6812.7%69.1%2.5%0.141.9%
First American Financial Corp. FAF$6.2 billion8.4713.3%12.3%22.6%n/a3.6%
Mercury General Corp. MCY$5.7 billion6.0733.0%18.3%10.0%0.331.2%
Mgic Investment Corp. MTG$5.7 billion8.5714.1%74.0%-1.9%0.132.2%
Essent Group Ltd. ESNT$5.6 billion8.7212.0%62.0%4.3%0.082.1%
RLI Corp. RLI$5.1 billion11.7025.0%28.0%8.7%0.174.7%
Selective Insurance Group Inc. SIGI$5.0 billion10.4513.6%11.5%7.0%0.251.9%
CNO Financial Group, Inc. CNO$4.9 billion18.2110.8%13.3%6.0%0.521.3%
Radian Group Inc. RDN$4.5 billion8.7211.2%n/a37.1%0.143.0%
Corvel Corp. CRVL$3.9 billion34.3028.2%n/a7.1%n/an/a
Genworth Financial Inc. GNW$3.6 billion18.062.4%5.4%2.1%0.17n/a
Palomar Holdings, Inc. PLMR$3.4 billion17.5920.7%24.1%60.0%0.30n/a
Assured Guaranty Ltd. AGO$3.1 billion9.336.3%37.0%-10.6%0.311.9%
NMI Holdings, Inc. NMIH$3.0 billion7.8814.6%69.3%7.5%0.25n/a
SiriusPoint Ltd. SPNT$2.9 billion6.0922.2%18.4%22.6%0.30n/a
Brighthouse Financial, Inc. BHF$2.8 billion3.9012.7%14.7%2.6%0.48n/a
F&G Annuities & Life, Inc. FG$2.5 billion6.589.1%n/a15.0%0.495.0%
HCI Group, Inc. HCI$2.4 billion8.2528.7%48.4%22.8%0.030.8%
Horace Mann Educators Corp. HMN$1.8 billion10.6411.8%12.4%5.9%0.403.1%
Kemper Corp. KMPR$1.6 billionn/a-22.6%n/a-4.5%0.434.7%
Alignment Healthcare, Inc. ALHC$1.6 billion39.7115.4%1.2%37.2%1.22n/a
Stewart Information Services Corp. STC$1.5 billion11.128.1%5.9%22.5%0.394.0%
Safety Insurance Group Inc. SAFT$1.5 billion22.387.8%6.8%7.2%0.063.5%
United Fire Group Inc. UFCS$1.4 billion10.2414.4%12.0%11.4%0.151.2%
Trupanion, Inc. TRUP$1.1 billion49.215.7%1.6%11.8%0.24n/a
Employers Holdings, Inc. EIG$887 million60.270.9%0.8%-5.8%0.152.5%
Amerisafe Inc. AMSF$453 million9.8518.8%17.5%9.5%n/a6.4%
Ryan Specialty Holdings, Inc. RYANn/an/a19.4%14.8%14.4%7.13n/a
7 companies share its SEC industry code (Hospital & Medical Service Plans); the rest are the names nearest in size in its wider industry, Insurance, one of the Fama-French 48 industries, a published grouping of SEC industry codes.
Read moreBy market capitalisation; a click on a heading sorts by it, largest first, and a second click turns it round. Each figure is the same arithmetic as the ratio box above, on each company's own filings and latest close; a name marked * is a foreign company that files once a year, on its latest fiscal year.

Filings

FilingPeriodFiledWhere
10-Q30 June 202630 July 2026EDGAR
10-Q31 March 202630 April 2026EDGAR
10-K31 December 202527 February 2026EDGAR
10-Q30 September 202530 October 2025EDGAR
10-Q30 June 202530 July 2025EDGAR
10-Q31 March 20251 May 2025EDGAR
10-K31 December 202427 February 2025EDGAR
10-Q30 September 202429 October 2024EDGAR
10-Q30 June 20241 August 2024EDGAR
10-Q31 March 20242 May 2024EDGAR

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