Alignment Healthcare, Inc. (ALHC) Stock

Alignment Healthcare, Inc. (ALHC) is a Healthcare stock trading at $19.43 (as of 2026-07-24), with a market capitalization of $4.02B and a trailing P/E of 202.8. Figures are sourced from first-party U.S. SEC EDGAR filings and market data.

Alignment Healthcare, Inc. is a Medicare Advantage health care company offering technology-enabled plans and coordinated services for members in the United States. It owns Medicare Advantage plans in California, North Carolina, and Nevada, and arranges covered professional, institutional, and ancillary care for certain enrollees in benefit plans of unaffiliated Medicare Advantage organizations.

Understand Alignment Healthcare, Inc.: how it makes money

Alignment Healthcare operates a tech-enabled Medicare Advantage health care business, providing customized covered health care services to seniors through its Medicare Advantage plans, and it earns revenue primarily from health plan premiums (with smaller contributions from direct contracting venture revenue and other revenue).

The core profit engine is the spread between Medicare Advantage premium revenue and member medical costs, reflected in the Consolidated Medicare Benefit Ratio (Medicare Benefit Ratio).

Revenue by segment (latest quarter)
Health Plan Premium Revenue$0.3B
Direct Contracting Venture Revenue$0.0B
Other Revenue$0.0B
Remaining Revenue$0.8B

Business quality (Mixed): Segment revenue candidates provided do not sum to the reported total revenue, so the remaining revenue bucket is calculated as Total Revenue minus the listed candidates (no other segment categories were provided).

Valuation: At 198× earnings, ALHC trades 1455% above the Insurance average (13×). Note: one-time items can distort reported P/E.

Bull case

  • Membership is growing: The company reports Health Plan Members of 284,800 and Net Membership Adds of 55,400 in the latest period.
  • Star ratings for members and plans: Members in plans rated Four Stars or Above for 2024 are 92.0 percent, and the Percentage of Health Plan Members in Plans Rated Four Stars or Above for 2025 is 98.0 percent.
  • Operational cost efficiency tracked by benefit ratios: Consolidated Medical Benefit Ratio is 87.2 percent and Consolidated Medicare Benefit Ratio is 87.5 percent, providing a direct read on how medical costs are running versus premiums.

Bear case

  • Benefit ratio levels suggest sensitivity to medical cost trends: With Consolidated Medical Benefit Ratio at 87.2 percent and Consolidated Medicare Benefit Ratio at 87.5 percent, unfavorable changes in medical utilization or costs could pressure results.
  • Small contribution from direct contracting venture revenue: Direct Contracting Venture Revenue is 0.01 billion, so diversification beyond core health plan premium revenue appears limited based on provided segment candidates.
  • Profitability is modest in the latest quarter: Operating margin is 1.3 percent in the latest reported period, which can leave less room for adverse operating developments.
Valuation — source: SEC EDGAR (first-party)
Price$19.43
Market Cap$4.02B
P/E Ratio202.8
EV / EBITDA54.8
Price / Book19.42
Price / Sales0.94
FCF Yield5.6%
Profitability & Growth — source: SEC EDGAR
Revenue (TTM)$3.95B
Net Margin-0.0%
Revenue Growth (YoY)33.3%
EPS Growth (YoY)-220.0%
FCF Growth (YoY)1350.5%
Financial Health — source: SEC EDGAR
Altman Z-Score5.56 (safe)
Valuation vs Sector & Industry
Stock P/E202.8
Sector P/E (Healthcare)21.2
Industry P/E (Insurance)12.7
vs Sector855.2%
vs Industry1490.9%
Smart-Money Activity — SEC Form 4 / 13F / Congressional disclosures
Top Institutional HolderVANGUARD GROUP INC ($305.98M)
Institutional Holders Tracked10
Company
SectorHealthcare
IndustryInsurance
CEOJohn E. Kao
Employees1,679
CountryUS
IPO Date2021-03-26

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ALHC earnings history · ALHC institutional & insider holders · ALHC KPIs & operating metrics · Congress trades · Insider trades · Short interest · Stock screener

Data as of 2026-07-24.

Figures sourced from U.S. Securities and Exchange Commission (SEC EDGAR) filings and market data. Not personalized investment advice.