Alignment Healthcare, Inc.
Business
Alignment Healthcare is a Medicare Advantage health plan operator that serves seniors through integrated clinical management and technology. The company offers HMO and PPO plans across five states (California, North Carolina, Nevada, Arizona, Texas) with 236,300 enrolled members as of December 31, 2025. Its differentiated model combines employed clinical staff, proprietary data analytics (AVA platform), and Care Anywhere in-home services to manage chronic conditions and reduce costs. Revenue grows through capitated per-member-per-month payments from CMS, reinvested into enhanced benefits to drive membership growth and maintain margins.
Summary from 10-K filed 2026-02-27
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 | FY 2020 2020-12-31 |
|---|---|---|---|---|---|---|
| Earned premiums | 2,672 | 1,801 | 1,432 | 1,167 | 955 | |
| Other | 32 | 23 | 3 | — | — | |
| Total revenues | 2,704 | 1,824 | 1,434 | 1,168 | 959 | |
| Medical expenses | 2,407 | 1,623 | 1,250 | 1,039 | 793 | |
| Selling, general, and administrative expenses | 371 | 307 | 296 | 291 | 156 | |
| Depreciation and amortization | 27 | 21 | 17 | 16 | 15 | |
| Total expenses | 2,805 | 1,951 | 1,563 | 1,346 | 964 | |
| Loss from operations | −102 | −128 | −129 | −178 | −5 | |
| Interest expense | 24 | 21 | 18 | — | — | |
| Other (income) expenses, net | −72,000 | −853,000 | 176,000 | 17 | 18 | |
| Loss on extinguishment of debt | 3 | 0 | 2 | 0 | 0 | |
| Total other expenses | 26 | 20 | 21 | — | — | |
| Loss before income taxes | −128 | −148 | −149 | −195 | −23 | |
| Net income tax expense (benefit) | 21,000 | −22,000 | 339,000 | 0 | 0 | |
| Net loss | −128 | −148 | −150 | −195 | −23 | |
| Less: Net loss attributable to noncontrolling interest | 36,000 | 156,000 | 92,000 | 0 | 0 | |
| Net loss attributable to Alignment Healthcare, Inc. | −128 | −148 | −150 | −195 | −23 | |
| Total weighted-average common shares outstanding - basic (in shares) | 191 | 186 | 181 | — | — | |
| Total weighted-average common shares outstanding - diluted (in shares) | 191 | 186 | 181 | — | — | |
| Net loss per share attributable to Alignment Healthcare, Inc. - basic (in dollars per share) | −0.67 | −0.79 | −0.83 | −1.14 | −0.15 | |
| Net loss per share attributable to Alignment Healthcare, Inc. - diluted (in dollars per share) | −0.67 | −0.79 | −0.83 | −1.14 | −0.15 |
Consolidated Balance Sheet
| Concept | Trend | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 | FY 2020 2020-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 433 | 203 | 410 | 467 | — | |
| Accounts receivable (less allowance for credit losses of $0 at December 31, 2024 and 2023) | 154 | 120 | 93 | 59 | 40 | |
| Investments - current | 38 | 116 | 0 | — | — | |
| Prepaid expenses and other current assets | 37 | 45 | 42 | 28 | 17 | |
| Total current assets | 662 | 484 | 545 | 553 | 265 | |
| Property and equipment, net | 67 | 52 | 37 | 30 | 27 | |
| Right of use asset, net | 8 | 10 | — | — | — | |
| Goodwill | 35 | 35 | 35 | — | — | |
| Intangible Assets, net | 5 | 5 | 5 | — | — | |
| Other assets | 6 | 6 | 6 | 5 | 2 | |
| Total assets | 782 | 592 | 634 | 631 | 339 | |
| Medical expenses payable | 290 | 205 | 170 | 126 | 113 | |
| Accounts payable and accrued expenses | 22 | 24 | 32 | 17 | 16 | |
| Accrued compensation | 40 | 34 | — | — | — | |
| Total current liabilities | 352 | 263 | 230 | 167 | 153 | |
| Long-term debt, net of debt issuance costs | 321 | 162 | 161 | 151 | 144 | |
| Long-term portion of lease liabilities | 8 | 9 | — | — | — | |
| Total liabilities | 681 | 434 | 395 | 325 | 308 | |
| Commitments and Contingencies (Note 14) | — | — | — | — | — | |
| Preferred stock, $.001 par value; 100,000,000 shares authorized as of December 31, 2024 and 2023, respectively; no shares issued and outstanding as of December 31, 2024 and 2023 | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $.001 par value; 1,000,000,000 shares authorized as of December 31, 2024 and December 31, 2023; 191,778,639 and 188,951,643 shares issued and outstanding as of December 31, 2024 and December 31, 2023, respectively | 192,000 | 189,000 | 187,000 | 187,000 | 164,000 | |
| Additional paid-in capital | 1,108 | 1,037 | 970 | 889 | 410 | |
| Accumulated deficit | −1,008 | −880 | −732 | −583 | −380 | |
| Total Alignment Healthcare, Inc. stockholders' equity | 100 | 157 | 238 | 306 | 31 | |
| Noncontrolling interest | 1 | 1 | 1 | 15,000 | 0 | |
| Total stockholders' equity | 101 | 158 | 239 | 306 | 31 | |
| Total liabilities and stockholders' equity | 782 | 592 | 634 | 631 | 339 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 | FY 2020 2020-12-31 |
|---|---|---|---|---|---|---|
| Provision for credit loss | 123,000 | 91,000 | 150,000 | 111,000 | 118,000 | |
| (Gain) loss on right of use assets | 143,000 | −289,000 | 510,000 | — | — | |
| Gain on sale of property and equipment | −9,000 | 0 | 0 | — | — | |
| Depreciation and amortization | 27 | 22 | 17 | 16 | 15 | |
| Amortization-debt issuance costs | 1 | 1 | 2 | 2 | 2 | |
| Amortization-investment discount | −3 | −5 | 0 | — | — | |
| Amortization of payment-in-kind interest | 0 | 0 | 3 | 4 | 4 | |
| Loss on disposal of property and equipment | 0 | 0 | 101,000 | 0 | 1 | |
| Equity-based compensation | 71 | 67 | 82 | — | — | |
| Non-cash lease expense | 2 | 2 | 3 | — | — | |
| Accounts receivable | −34 | −27 | −34 | −18 | −5 | |
| Prepaid expenses and other current assets | 8 | −3 | −14 | −10 | −12 | |
| Other assets | 60,000 | −142,000 | −86,000 | 644,000 | 3 | |
| Medical expenses payable | 84 | 35 | 44 | 13 | 6 | |
| Accounts payable and accrued expenses | −1 | −6 | 14 | 437,000 | 645,000 | |
| Accrued compensation | 6 | 7 | 4 | — | — | |
| Lease liabilities | −2 | −4 | −4 | −4 | 1 | |
| Payment-in-kind interest | 0 | 0 | −14 | 0 | 0 | |
| Net cash provided by (used in) operating activities | 35 | −59 | −45 | −79 | 8 | |
| Purchase of business, net of cash received | 0 | 0 | −4 | 0 | 0 | |
| Purchase of investments | −82 | −379 | −3 | −2 | −2 | |
| Sale of property and equipment | 14,000 | 0 | 0 | 0 | 100,000 | |
| Maturities of investments | 163 | 268 | 2 | — | — | |
| Acquisition of property and equipment | −41 | −36 | −24 | — | — | |
| Net cash provided by (used in) investing activities | 39 | −147 | −28 | −21 | −16 | |
| Repurchase of noncontrolling interest | 0 | 0 | −100,000 | 0 | 0 | |
| Proceeds from long-term debt | 380 | 0 | 165 | 0 | 0 | |
| Debt issuance costs | −9 | 0 | −5 | 0 | 0 | |
| Repayment of long-term debt | −215 | 0 | −143 | 0 | 0 | |
| Payment of employment taxes related to release of restricted stock | −350,000 | 0 | 0 | — | — | |
| Proceeds from exercise of stock options | 155,000 | 0 | 0 | — | — | |
| Contributions from noncontrolling interest holders | 15,000 | 105,000 | 68,000 | 15,000 | 0 | |
| Net cash provided by financing activities | 156 | 105,000 | 17 | 360 | 130 | |
| Net increase (decrease) in cash | 230 | −206 | −57 | — | — | |
| Cash paid for interest | 22 | 19 | 22 | 11 | 11 | |
| Acquisition of property in accounts payable | 70,000 | 59,000 | 47,000 | 0 | 0 | |
| Purchase of business in accounts payable | 0 | 0 | 505,000 | — | — | |
| Debt issuance costs in accounts payable | 512,000 | 0 | 0 | — | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is Alignment Healthcare, Inc.'s CIK number?
Alignment Healthcare, Inc.'s SEC CIK number is 0001832466 (1832466). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find Alignment Healthcare, Inc.'s SEC filings?
All of Alignment Healthcare, Inc.'s EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did Alignment Healthcare, Inc. last report earnings?
Alignment Healthcare, Inc. (ALHC) most recently filed an earnings 8-K with the SEC on Apr 30, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001171843-26-002895). This is Alignment Healthcare, Inc.'s most recent earnings filing of record — not a forecast of its next earnings date.
What is Alignment Healthcare, Inc.'s most recent earnings 8-K?
Alignment Healthcare, Inc.'s latest earnings 8-K (Item 2.02) was filed Apr 30, 2026 under accession 0001171843-26-002895. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
View Alignment Healthcare, Inc.'s latest earnings 8-K →
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