Alignment Healthcare (NASDAQ:ALHC – Get Free Report) posted its quarterly earnings results on Thursday. The company reported ($0.05) earnings per share (EPS) for the quarter, topping analysts’ consensus estimates of ($0.15) by $0.10, FiscalAI reports. Alignment Healthcare had a negative net margin of 0.57% and a negative return on equity of 16.23%. The business had revenue of $1.01 billion during the quarter, compared to analysts’ expectations of $1 billion.
Here are the key takeaways from Alignment Healthcare’s conference call:
- Achieved strong growth — 25% membership growth to 236,300 in Q4 and full‑year revenue of $3.9B (46% YoY), with January 2026 membership rising to 275,300 (31% YoY).
- Meaningful margin progress — the company swung from roughly breakeven in 2024 to $110M adjusted EBITDA in 2025 and provided 2026 adjusted EBITDA guidance of $133M–$163M.
- Replicable ex‑California expansion — ex‑CA membership more than doubled to ~38,000 (16% of total), backed by multiple 4–5 star plans and management targeting long‑term scale toward ~1 million members.
- Reimbursement and policy risk — the 2027 advance rate notice and potential CMS changes (skin‑substitute offsets, V28 phase‑in, chart‑review rules) create a flatter rate environment that could pressure industry margins despite the company’s stated limited exposure.
Alignment Healthcare Stock Up 1.4%
ALHC stock traded up $0.29 during trading on Thursday, reaching $20.42. The stock had a trading volume of 2,603,198 shares, compared to its average volume of 2,717,012. Alignment Healthcare has a one year low of $11.63 and a one year high of $23.87. The company’s 50 day moving average is $21.01 and its two-hundred day moving average is $18.47. The company has a quick ratio of 1.61, a current ratio of 1.61 and a debt-to-equity ratio of 1.99. The company has a market capitalization of $4.09 billion, a price-to-earnings ratio of -170.17, a P/E/G ratio of 4.99 and a beta of 1.16.
Insider Buying and Selling at Alignment Healthcare
Institutional Trading of Alignment Healthcare
Several hedge funds have recently made changes to their positions in the company. Summit Securities Group LLC purchased a new stake in Alignment Healthcare in the 4th quarter worth about $26,000. Parallel Advisors LLC lifted its holdings in Alignment Healthcare by 87.7% during the 4th quarter. Parallel Advisors LLC now owns 1,654 shares of the company’s stock worth $33,000 after purchasing an additional 773 shares in the last quarter. Larson Financial Group LLC bought a new stake in shares of Alignment Healthcare during the third quarter valued at about $33,000. Wilmington Savings Fund Society FSB purchased a new stake in shares of Alignment Healthcare in the third quarter worth about $53,000. Finally, Wexford Capital LP purchased a new position in Alignment Healthcare during the third quarter valued at approximately $164,000. 86.19% of the stock is currently owned by institutional investors.
Wall Street Analysts Forecast Growth
A number of research analysts have recently issued reports on the company. Robert W. Baird set a $28.00 price objective on Alignment Healthcare in a research note on Friday, January 30th. Barclays lifted their target price on Alignment Healthcare from $13.00 to $18.00 and gave the stock an “equal weight” rating in a report on Friday, October 31st. JPMorgan Chase & Co. boosted their price target on Alignment Healthcare from $23.00 to $26.00 and gave the company an “overweight” rating in a research note on Thursday, February 5th. Piper Sandler raised their price objective on shares of Alignment Healthcare from $20.00 to $30.00 and gave the stock an “overweight” rating in a research report on Tuesday, January 6th. Finally, TD Cowen increased their target price on shares of Alignment Healthcare from $18.50 to $25.00 and gave the stock a “buy” rating in a research note on Friday, January 16th. One investment analyst has rated the stock with a Strong Buy rating, nine have assigned a Buy rating, three have assigned a Hold rating and one has issued a Sell rating to the company’s stock. Based on data from MarketBeat, the company presently has a consensus rating of “Moderate Buy” and a consensus target price of $23.95.
Get Our Latest Research Report on Alignment Healthcare
About Alignment Healthcare
Alignment Healthcare, Inc (NASDAQ: ALHC) is a health care company specializing in value-based care for Medicare Advantage beneficiaries. The company leverages an integrated care model that combines in-home clinical services, telehealth capabilities and digital health tools to manage chronic conditions, improve outcomes and enhance patient experience.
At the core of Alignment Healthcare’s approach is a proprietary technology platform that aggregates real-time clinical and claims data to support preventive care, risk stratification and personalized care plans.
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