Alignment Healthcare, Inc.(ALHC)Stock Analysis
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Rank #703 of 2,879 stocksTOP 25%
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
ALHC Stock Analysis & AI Quality Score
AI stock analysis and institutional research for Alignment Healthcare, Inc. (ALHC), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores ALHC at 63.0/100 on a 32-signal composite quality model, placing it at rank #703 of 2,879 stocks — the top 25% of the AI-ranked universe. ALHC scores in the top quartile across revenue growth (91.5), revenue scale (75.4). Areas of concern include earnings quality (30.0), which score below median versus the broader universe. Shareholder dilution risk is elevated at 45.8/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), Alignment Healthcare, Inc. reports quarterly revenue of $1.2B, net income of $11.4M, an operating margin of 1.3%. Top institutional holders of ALHC by reported 13-F value include WELLINGTON MANAGEMENT GROUP LLP, FMR, BlackRock,, based on the most recent SEC filings. ALHC trades on the Nasdaq exchange and files with the SEC under CIK 1832466. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate ALHC daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for Alignment Healthcare, Inc. directly from SEC EDGAR. Alignment Healthcare, Inc.'s 13F Pro composite quality score has ranged between 8 and 80 since 2022, currently 63.0 — an improving long-term trajectory across 52 quarterly and live scoring snapshots.
Revenue
Q1 2026
$1.2B
Net Income
Q1 2026
$11.4M
Free Cash Flow
Q1 2026
$121.3M
Operating Margin
Q1 2026
1.3%
ROIC
Q1 2026
2.9%
D/E Ratio
Q1 2026
1.56
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+46.1% YoYNet Income
+99.4% YoYOperating Income
+114.5% YoYEPS (Diluted)
+100.0% YoYTotal Assets
+36.3% YoYTotal Debt
+0.5% YoYOp. Cash Flow
+302.4% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2019 |
|---|---|---|---|---|---|---|
| Revenue | $3.95B +46.1% | $2.70B +48.3% | $1.82B +27.2% | $1.43B +22.8% | $1.17B +54.3% | $757.0M |
| Net Income | $-724.0K +99.4% | $-128.0M +13.5% | $-148.0M +1.0% | $-149.5M +23.4% | $-195.3M -336.6% | $-44.7M |
| Operating Income | $14.8M +114.5% | $-101.6M +20.5% | $-127.8M +0.6% | $-128.6M +27.8% | $-178.1M -504.0% | $-29.5M |
| EPS (Diluted) | $0.00 +100.0% | $-0.67 +15.2% | $-0.79 +4.8% | $-0.83 +27.2% | $-1.14 | — |
| Total Assets | $1.07B +36.3% | $782.1M +32.1% | $591.9M -6.6% | $633.9M +0.5% | $630.9M | — |
| Total Debt | $323.2M +0.5% | $321.4M +98.6% | $161.8M +0.6% | $160.9M +6.8% | $150.6M | — |
| Operating Cash Flow | $139.9M +302.4% | $34.8M +158.7% | $-59.2M -30.3% | $-45.4M +42.3% | $-78.8M -955.5% | $9.2M |
AI Insight: ALHC Financial Trends
ALHC delivered 33% revenue growth in Q1 2026 while achieving profitability turnaround from consistent losses through Q1 2025.
• Revenue surged 33% from $927M in Q1 2025 to $1,235M in Q1 2026, marking sustained growth acceleration.
• Operating income turned positive at $16M in Q1 2026 after operating losses through Q1 2025.
• Equity strengthened from $124M in Q2 2024 to $207M in Q1 2026, improving balance sheet foundation.
⚠ Operating cash flow volatility with -$50M in Q4 2025 followed by $129M rebound in Q1 2026.
⚠ Total debt increased from $212M to $324M over the period, raising leverage concerns despite equity growth.
AI Insight: ALHC Ratio Trends
ALHC achieved dramatic turnaround from deep losses in 2024 to positive profitability, with operating margin reaching 1.3% in Q1 2026.
• Operating margin improved from -3.2% in Q4 2024 to 1.3% in Q1 2026, marking sustained recovery from operational losses.
• ROE swung from -124.6% in Q4 2024 to 22.1% in Q1 2026, reflecting strong earnings recovery.
• Debt-to-equity ratio declined from peak of 3.22 in Q4 2024 to 1.56 in Q1 2026, indicating improving leverage.
⚠ Profitability remains volatile with negative margins in Q4 2025 despite overall improvement trend since 2024 lows.
⚠ ROIC turned negative again to -8.2% in Q4 2025 after reaching 19.6% in Q2 2025, showing inconsistent capital efficiency.
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Available Research
13F Pro tracks comprehensive data for Alignment Healthcare, Inc. including:
Top Institutional Holders of ALHC
WELLINGTON MANAGEMENT GROUP LLP
$301.3M17,098,936 shFMR LLC
$280.0M15,892,064 shBlackRock, Inc.
$248.0M14,075,197 shVANGUARD PORTFOLIO MANAGEMENT LLC
$171.1M9,710,071 shVANGUARD CAPITAL MANAGEMENT LLC
$140.5M7,973,663 shInvesco Ltd.
$123.3M7,000,099 shHood River Capital Management LLC
$106.7M6,054,477 shCITADEL ADVISORS LLC
$94.5M5,362,666 shWILLIAM BLAIR INVESTMENT MANAGEMENT, LLC
$91.9M5,214,614 shDEERFIELD MANAGEMENT COMPANY, L.P. (SERIES C)
$85.9M61,000,000 sh
| Fund | Value | Shares |
|---|---|---|
| WELLINGTON MANAGEMENT GROUP LLP | $301.3M | 17,098,936 |
| FMR LLC | $280.0M | 15,892,064 |
| BlackRock, Inc. | $248.0M | 14,075,197 |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $171.1M | 9,710,071 |
| VANGUARD CAPITAL MANAGEMENT LLC | $140.5M | 7,973,663 |
| Invesco Ltd. | $123.3M | 7,000,099 |
| Hood River Capital Management LLC | $106.7M | 6,054,477 |
| CITADEL ADVISORS LLC | $94.5M | 5,362,666 |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | $91.9M | 5,214,614 |
| DEERFIELD MANAGEMENT COMPANY, L.P. (SERIES C) | $85.9M | 61,000,000 |
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Popular Research
Is ALHC a good stock to buy?
13F Pro's AI-powered analysis of Alignment Healthcare, Inc. (ALHC) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for ALHC are available on the ALHC stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own ALHC?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling ALHC. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of Alignment Healthcare, Inc.'s investment landscape.