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Technology-enabled Medicare Advantage health plan providing coordinated care for seniors across several US states.
Technology-enabled Medicare Advantage health plan providing coordinated care for seniors across several US states.
Is paid a fixed monthly amount per member by the federal Medicare programme, adjusted for how sick each member is, and keeps what it does not spend on medical care. That makes the share of premiums spent on claims, and quality star ratings that unlock bonus payments, the key measures. California is its largest market.
In one line: A smaller, tech-driven Medicare Advantage insurer.
Moat: narrow (data, process know-how). Proprietary AVA analytics platform helps manage medical costs for high-risk senior populations.
Headquarters: Orange, California · Founded: 2013 · Employees: 1,849
Size Alignment Healthcare (ALHC) is a United States Health Care company (Managed Health Care) with a market value of $1.54B, the 1976th largest of 3,117 United States companies the cockpit tracks. Shares closed at $7.34 on 6 Nov 2026.
Performance Over six months the shares fell 59.1%, against +13.0% for the median peer and -1.1% for the United States market (cap-weighted) — lowest of 8 in its peer set.
Growth Revenue grew 35.9% over the last twelve months (peer median +8.2%); the operating margin is 0.9% (peer median 3.8%).
Valuation It trades at 5.54× book value against a peer median of 2.62× (most expensive of 8).
Price implies The share price implies a return on equity of about 42.9%; Alignment Healthcare delivers 13.2%, so the price asks more than the business earns today.
Credit Alignment Healthcare has 1 bond outstanding ($330M).
Short interest Short interest is 12.3% of the free float (15 Oct 2026).
Next results Next results expected around 4 Mar 2027 (exchange calendar; dates can move).
| TTM | FY2025 | FY2024 | FY2023 | FY2022 | |
|---|---|---|---|---|---|
| Revenue | $4.94B | $3.95B | $2.70B | $1.82B | $1.43B |
| Revenue growth | — | +46% | +48% | +27% | — |
| Net income | $28.9M | -$724,000 | -$128M | -$148M | -$150M |
| Free cash flow | $77.0M | $113M | -$6.65M | -$95.2M | -$69.2M |
| Capital expenditure | $31.0M | $26.8M | $41.4M | $36.0M | $23.8M |
| Total debt | $331M | $338M | $338M | $181M | $172M |
The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.
| Company | Market cap | 6M return | Revenue growth | ROE | Price / book | Implied ROE |
|---|---|---|---|---|---|---|
| Alignment Healthcare ALHC | $1.54B | -59% | +36% | 13% | 5.54× | 42.9% |
| Humana HUM | $52.1B | +58% | +18% | 7% | 2.71× | 16.9% |
| UnitedHealth UNH | $353B | +4% | +3% | 16% | 3.60× | 19.1% |
| CVS Health CVS | $107B | -7% | +7% | 14% | 1.33× | 9.3% |
| Clover Health Investments CLOV | $2.56B | +54% | +54% | -5% | 6.32× | 94.7% |
| Centene CNC | $34.5B | +25% | +10% | 7% | 1.55× | 14.3% |
Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.
| Measure | ALHC | Peer median | Rank in peer set |
|---|---|---|---|
| 1-month return | -15.7% | +6.2% | lowest of 8 |
| 6-month return | -59.1% | +13.0% | lowest of 8 |
| Return on equity | 13.2% | 11.6% | 4th highest of 8 |
| Price / book | 5.54× | 2.62× | most expensive of 8 |
| Trailing P/E | 56.4× | 22.4× | most expensive of 7 |
| ROE the price implies | 42.9% | 16.9% | 2nd most demanding of 8 |
| ROE delivered | 13.2% | 11.6% | 4th highest of 8 |
| Company | Market | Market cap | 6M return | Revenue growth | ROE | Price / book | Implied ROE | Delivered ROE |
|---|---|---|---|---|---|---|---|---|
| Alignment Healthcare ALHC | United States | $1.54B | -59% | +36% | 13% | 5.54× | 42.9% | 13.2% |
| Oscar Health OSCR | United States | $8.38B | +44% | +43% | 34% | 4.61× | 70.7% | 34.3% |
| Molina Healthcare MOH | United States | $10.9B | +12% | -1% | -1% | 2.62× | 17.6% | -1.2% |
| Centene CNC | United States | $34.5B | +25% | +10% | 7% | 1.55× | 14.3% | 6.8% |
| Humana HUM | United States | $52.1B | +58% | +18% | 7% | 2.71× | 16.9% | 6.8% |
| Cigna CI | United States | $77.6B | +3% | +8% | 15% | 1.82× | 9.1% | 15.5% |
| Elevance Health ELV | United States | $92.0B | +13% | +4% | 12% | 2.06× | 13.4% | 11.6% |
| UnitedHealth UNH | United States | $353B | +4% | +3% | 16% | 3.60× | 19.1% | 16.4% |
Alignment Healthcare has 1 bond outstanding with $330M face value.