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Alignment Healthcare (ALHC)
NASDAQ:ALHC
US Market
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Alignment Healthcare (ALHC) AI Stock Analysis

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ALHC

Alignment Healthcare

(NASDAQ:ALHC)

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Neutral 57 (OpenAI - 4o)
Rating:57Neutral
Price Target:
$17.50
▲(2.22% Upside)
Alignment Healthcare's overall score reflects strong earnings call performance and technical momentum, offset by ongoing profitability challenges and valuation concerns. The company's strategic growth and operational improvements are promising, but consistent profitability remains a key hurdle.
Positive Factors
Revenue Growth
Strong revenue growth driven by increased membership indicates robust demand for services and strengthens the company's market position.
Improved Star Ratings
Consistently high star ratings enhance the company's reputation and can lead to higher enrollment and better reimbursement rates.
Cash Flow Improvements
Improved cash flow and liquidity position enhance financial stability and provide flexibility for future investments and growth.
Negative Factors
Profitability Challenges
Ongoing profitability challenges with negative margins may hinder long-term financial health and limit reinvestment capabilities.
Part D Margin Pressures
Margin pressures in Part D could impact overall profitability and require strategic adjustments to maintain financial performance.
Equity Financing Limitations
Limited equity financing options may restrict the company's ability to raise capital for expansion or to buffer against financial downturns.

Alignment Healthcare (ALHC) vs. SPDR S&P 500 ETF (SPY)

Alignment Healthcare Business Overview & Revenue Model

Company DescriptionAlignment Healthcare, Inc., a tech-enabled Medicare advantage company, operates consumer-centric health care platform. It provides customized health care in the United States to seniors and those who need it through its Medicare advantage plans. The company owns Medicare advantage plans in the states of California, North Carolina, and Nevada. It also coordinates and provides covered health care services, including professional, institutional, and ancillary services to members enrolled in certain benefit plans of unaffiliated Medicare Advantage Health Maintenance Organizations. The company was founded in 2013 and is based in Orange, California.
How the Company Makes MoneyAlignment Healthcare generates revenue primarily through its Medicare Advantage plans, which are funded by the federal government. The company receives monthly premiums from the Centers for Medicare & Medicaid Services (CMS) for each enrolled member, based on a risk-adjusted payment model. Additionally, ALHC may earn supplemental revenue through care coordination and management services, as well as partnerships with healthcare providers and hospitals that enhance service delivery and patient outcomes. The company’s focus on value-based care, which emphasizes quality and efficiency, allows it to potentially benefit from shared savings programs and incentive structures aligned with improving patient health while controlling costs.

Alignment Healthcare Earnings Call Summary

Earnings Call Date:Oct 30, 2025
(Q3-2025)
|
Next Earnings Date:Feb 26, 2026
Earnings Call Sentiment Positive
The earnings call reflected a positive sentiment with strong growth in membership, revenue, and profitability metrics, as well as improved star ratings and strategic investments for future growth. However, the acknowledgment of industry disruptions and seasonal challenges indicates a need for cautious optimism.
Q3-2025 Updates
Positive Updates
Strong Health Plan Membership Growth
Health plan membership grew to 229,600 members, representing a 26% increase year-over-year.
Revenue and Profit Growth
Total revenue for Q3 2025 was $994 million, a 44% increase year-over-year, and adjusted gross profit increased by 58% year-over-year to $127 million.
Improved Medical Benefit Ratio (MBR)
Consolidated MBR improved to 87.2%, a 120 basis point improvement over the prior year.
Adjusted EBITDA Performance
Adjusted EBITDA was $32 million, exceeding the high end of the adjusted EBITDA guidance.
High Star Ratings for Health Plans
100% of health plan members are in plans rated 4 stars or above for rating year 2026, with notable performance in California and new 5-star contracts in North Carolina and Nevada.
Cash and Investments Position
The company ended the third quarter with $644 million in cash, cash equivalents, and investments.
Increased Year-End Guidance
Full year revenue guidance raised to nearly $4 billion, with adjusted EBITDA guidance increased to between $90 million and $98 million.
Negative Updates
Seasonal and Operational Challenges
Expectations of higher utilization due to the seasonal impact of the flu and increased operating expenses in the fourth quarter.
Potential Industry Disruption
Acknowledgment of significant disruption in the Medicare Advantage (MA) industry, necessitating a cautious approach to growth and profitability.
Company Guidance
During the third quarter of 2025, Alignment Healthcare surpassed the high end of all its guidance metrics. The company reported a 26% year-over-year growth in health plan membership, reaching 229,600 members. This growth contributed to a 44% increase in total revenue, amounting to $994 million. Adjusted gross profit rose by 58% year-over-year to $127 million, resulting in a consolidated medical benefit ratio (MBR) of 87.2%, which is an improvement of 120 basis points from the previous year. The adjusted selling, general, and administrative (SG&A) ratio also improved by 120 basis points, down to 9.6%. Consequently, the adjusted EBITDA for the quarter was $32 million, significantly exceeding the high end of the guidance for this metric. The company also raised its full-year guidance, now expecting to achieve an adjusted EBITDA of $94 million at the midpoint for 2025, compared to the initial guidance of $47.5 million. This performance underscores Alignment Healthcare's ability to manage risk and deliver strong results in the Medicare Advantage space.

Alignment Healthcare Financial Statement Overview

Summary
Alignment Healthcare shows strong revenue growth and operational efficiency improvements, but continues to face challenges in achieving profitability with negative EBIT and EBITDA margins. The balance sheet is stable with low leverage, and cash flow improvements are notable, reflecting better cash management.
Income Statement
45
Neutral
Alignment Healthcare's revenue shows a strong growth trajectory, with a TTM revenue increase of 11% from the previous year. However, the company continues to operate at a net loss, reflected in negative EBIT and EBITDA margins, indicating challenges in achieving profitability. The gross profit margin has improved significantly, reaching 38.9% TTM, which demonstrates some operational efficiency improvements.
Balance Sheet
50
Neutral
The company's balance sheet shows a relatively low debt-to-equity ratio of 0.07 TTM, indicating conservative leverage. However, the equity ratio is only 12.1%, suggesting limited equity financing. The return on equity remains negative due to net losses, impacting overall financial stability.
Cash Flow
55
Neutral
Positive trends are seen in cash flow, with a positive operating cash flow TTM and a significant improvement in free cash flow. The operating cash flow to net income ratio is positive, indicating better cash generation relative to net income. However, the free cash flow growth rate is not calculable due to negative previous free cash flow.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue3.34B2.70B1.82B1.43B1.17B959.22M
Gross Profit404.91M296.69M201.03M184.28M128.73M166.23M
EBITDA1.54M-77.44M-105.30M-113.53M-161.81M9.47M
Net Income-50.95M-128.03M-148.02M-149.55M-195.29M-22.93M
Balance Sheet
Total Assets1.00B782.06M591.88M633.86M630.89M338.50M
Cash, Cash Equivalents and Short-Term Investments503.78M470.65M318.82M409.55M466.60M207.31M
Total Debt329.66M329.26M170.79M164.60M157.59M154.44M
Total Liabilities859.18M681.11M433.81M394.56M324.84M307.89M
Stockholders Equity140.97M99.85M156.95M238.13M306.04M30.61M
Cash Flow
Free Cash Flow28.41M-6.65M-95.18M-69.20M-97.14M-8.15M
Operating Cash Flow63.23M34.77M-59.19M-45.43M-78.78M7.56M
Investing Cash Flow-40.61M39.19M-147.26M-28.22M-20.82M-16.36M
Financing Cash Flow108.67M156.03M105.00K16.59M360.13M130.12M

Alignment Healthcare Technical Analysis

Technical Analysis Sentiment
Positive
Last Price17.12
Price Trends
50DMA
16.85
Positive
100DMA
15.30
Positive
200DMA
15.63
Positive
Market Momentum
MACD
0.27
Positive
RSI
48.54
Neutral
STOCH
62.19
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ALHC, the sentiment is Positive. The current price of 17.12 is below the 20-day moving average (MA) of 17.37, above the 50-day MA of 16.85, and above the 200-day MA of 15.63, indicating a neutral trend. The MACD of 0.27 indicates Positive momentum. The RSI at 48.54 is Neutral, neither overbought nor oversold. The STOCH value of 62.19 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ALHC.

Alignment Healthcare Risk Analysis

Alignment Healthcare disclosed 66 risk factors in its most recent earnings report. Alignment Healthcare reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Alignment Healthcare Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
$34.35B22.469.03%1.21%9.88%-7.25%
$17.21B-21.93%14.92%-286.72%
$7.77B9.3719.71%13.71%-18.02%
$3.61B-38.50%49.46%66.89%
$4.89B-14.04%48.29%-1436.25%
$7.86B-0.30-43.30%2.27%22.53%-2.21%
$1.78B-12.59%-4.87%66.16%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALHC
Alignment Healthcare
17.12
4.72
38.06%
CNC
Centene
35.02
-27.24
-43.75%
HUM
Humana
285.61
31.35
12.33%
MOH
Molina Healthcare
151.10
-170.12
-52.96%
CLOV
Clover Health Investments
3.47
-0.65
-15.78%
OSCR
Oscar Health
18.09
1.29
7.68%

Alignment Healthcare Corporate Events

Business Operations and StrategyFinancial Disclosures
Alignment Healthcare Discusses Strategy and Medicare Ratings
Positive
Sep 9, 2025

Senior leaders from Alignment Healthcare met with investors and analysts on September 9-10, 2025, to discuss the company’s strategy, market position, and recent results. During the meeting, they highlighted the preliminary CMS Medicare Advantage Star ratings for 2026, expecting nearly 100% of their membership to be in 4 Star or higher plans, which underscores their commitment to quality and could enhance their competitive positioning.

The most recent analyst rating on (ALHC) stock is a Buy with a $21.00 price target. To see the full list of analyst forecasts on Alignment Healthcare stock, see the ALHC Stock Forecast page.

Alignment Healthcare’s Earnings Call Highlights Growth and Challenges
Aug 1, 2025

The recent earnings call for Alignment Healthcare, Inc. exuded a largely positive sentiment, showcasing impressive strides in membership growth, revenue, and profitability. The company also raised its guidance, signaling confidence in its future trajectory. However, challenges such as rising drug costs and regulatory changes remain on the horizon.

Alignment Healthcare Reports Strong Q2 2025 Results
Jul 31, 2025

Alignment Healthcare, Inc., a company operating in the Medicare Advantage sector, focuses on providing high-quality, affordable care for seniors through its innovative care model and technology. The company recently announced its second quarter 2025 financial results, showcasing significant growth and surpassing its own guidance across key metrics such as membership, revenue, adjusted gross profit, and adjusted EBITDA.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Oct 31, 2025