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Alignment Healthcare, Inc.

ALHC NASDAQ Categories PDF
Healthcare · Medical - Healthcare Plans
Orange, CA 92868, United States IPO 2021 alignmenthealthcare.com Updated Jun 26, 11:57am
Price
$23.59
Market Cap
$4.9B
Employees
1,679
Beta
1.15
Avg Volume
5,543,575
CEO
John E. Kao
Business Description

Alignment Healthcare, Inc. is a technology-driven Medicare Advantage provider operating a healthcare platform focused squarely on the consumer. This organization delivers personalized medical services across the United States, primarily for elderly individuals and others requiring specific support, leveraging its suite of Medicare Advantage plans. The company directly owns and operates Medicare Advantage programs in California, North Carolina, and Nevada. Beyond its proprietary offerings, it also orchestrates and furnishes essential healthcare services—including professional, institutional, and supplementary care—for beneficiaries of select plans from unrelated Medicare Advantage Health Maintenance Organizations. Established in 2013, Alignment Healthcare maintains its corporate base in Orange, California.

Business History
Revenue & Net Income Trend
The directional story — useful even when net income is negative.
Last updated: Jun 20, 2026 11:11am (6d ago)
Revenue
The top line — total sales before any costs or taxes are subtracted. A measure of how much business the company is doing.
Net Income
The bottom line — profit left after subtracting all expenses, interest, and taxes from revenue. Reflects accounting profitability, but includes non-cash items like depreciation, so it isn't the same as cash earned.
Operating Cash Flow
The real cash generated by the day-to-day business — selling products, paying suppliers, collecting from customers. Calculated from net income by adding back non-cash items and adjusting for timing (unpaid bills, unsold inventory). When OCF consistently lags net income, the reported profit may not be converting to real money.
Period Revenue Net Income Net Margin YoY/QoQ
Key Metrics
API Direct from provider CALC Derived from statements
P/E Ratio (Price per dollar of earnings)
CALC
Stock Price / EPS (Diluted)
-6,375.86
Stock Price: $23.59
EPS (Diluted): 0.00
P/B Ratio (Price vs net asset value)
API
Stock Price / Book Value Per Share
21.81
Stock Price: $23.59
Total Equity: $179.28M
Shares: 198,006,216
EV/EBITDA (Total value vs operating profit)
API
Enterprise Value / EBITDA
80.99
Market Cap: $4.88B
Total Debt: $325.13M
Cash: $577.94M
EBITDA: $45.32M
Enterprise Value (Takeover price (cap + debt - cash))
API
Market Cap + Total Debt - Cash
$3.7B
Market Cap: $4.88B
Total Debt: $325.13M
Cash: $577.94M
P/S Ratio (Price per dollar of revenue)
API
Stock Price / Revenue Per Share
0.99
Stock Price: $23.59
Revenue: $3.95B
Shares: 198,006,216
EV/Sales (Total value vs revenue — works when P/E can't)
API
0.93
Gross Margin (Revenue left after direct costs)
API
Gross Profit / Revenue
12.4%
Gross Profit: $488.56M
Revenue: $3.95B
Operating Margin (Revenue left after all operations)
API
Operating Income / Revenue
0.4%
Operating Income: $14.75M
Revenue: $3.95B
Net Margin (Revenue left as actual profit)
API
Net Income / Revenue
0.0%
Net Income: -$724,000
Revenue: $3.95B
ROE (Profit from shareholder equity)
CALC
Net Income / Total Equity
-0.4%
Net Income: -$724,000
Total Equity: $179.28M
ROIC (Profit from all invested capital)
CALC
NOPAT / Invested Capital
-20.5%
Operating Income: $14.75M
Tax Rate: -2.1%
Equity: $179.28M
Total Debt: $325.13M
Cash: $577.94M
Current Ratio (Can it pay short-term bills)
API
Current Assets / Current Liabilities
1.74
Current Assets: $831.14M
Current Liabilities: $476.53M
Debt/Equity (Leverage — debt vs equity)
CALC
Total Debt / Total Equity
1.81
Short-Term Debt: $1.96M
Long-Term Debt: $323.18M
Total Debt: $325.13M
Total Equity: $179.28M
Rev/Share (Top-line per share)
CALC
Revenue / Shares Outstanding
$19.94
Revenue: $3.95B
Shares: 198,006,216
Book Value/Share (Net assets per share)
CALC
(Total Assets - Total Liabilities) / Shares
$0.91
Total Equity: $179.28M
Shares: 198,006,216
FCF/Share (Real cash generated per share)
CALC
(Operating Cash Flow + CapEx) / Shares
$0.57
Operating CF: $139.93M
CapEx: -$26.78M
Shares: 198,006,216
CapEx is negative (outflow) — added to OCF to get FCF
Div Yield (Annual income from holding)
API
Last Annual Dividend / Stock Price
0.0%
Last Dividend: N/A
Stock Price: $23.59
Payout Ratio (Earnings paid out as dividends)
Dividends Paid / Net Income
Dividends Paid: N/A
Net Income: -$724,000
Dividends paid not available in cash flow statement
Industry Benchmarks
Compares ALHC against LLM-researched typical ranges for its industry. One research call per industry, cached indefinitely — every stock in the same industry reuses the same baseline.
Deep Analysis

Pre-flight intelligence scans the company first, then routes to the right analytical methods.

0 Company Classification — What type of company is this?
1 Industry Landscape — Where is the industry headed?
2 Company Momentum — Where is this company trending?
3 Forward Projection — 1Y & 2Y projected metrics (requires Layer 1 + 2)
4a DCF Valuation — Present value of future cash flows
4b Earnings Power Value — Floor value — worth with zero growth
4c Anchored PE — Industry PE adjusted for growth differential
4d Reverse DCF — What growth is the market pricing in?
4e Revenue-Based DCF — For growth/narrative companies (skip if mature earner)
4f Anchored P/S — Price-to-Sales peer comparison (skip if mature earner)
4g Scenario Analysis — Bull / Base / Bear (skip if mature earner)
4h Dividend Discount Model — For dividend/income stocks only
4i Book Value Analysis — For deep value / turnaround stocks only
4j Insider Activity — Are insiders buying or selling?
4f Cash Flow Quality — How trustworthy is the FCF?
4g Debt Maturity Risk — Can it handle its debt?
4h Macro Environment — Rates, market valuation, volatility
4i Sector Intelligence — How does this company compare within its sector?
4j Revenue Confidence — How reliable is the growth projection?
4k Sensitivity Analysis — How fragile is the fair value estimate?
4l Sector Demand Cycle — Is the sector in a boom, steady state, or contraction?
5 AI Investigation — Adaptive research engine (Claude)
5b Thesis Evaluation — What does the market believe? (narrative/platform stocks only)
6 Valuation Synthesis — Weighted verdict from all methods (requires Layer 4)
Income Statement (Annual)
Last updated: Jun 20, 2026 11:11am (6d ago)
Metric 2021 2022 2023 2024 2025
Revenue $1.2B $1.4B $1.8B $2.7B $3.9B
Cost of Revenue $1.0B $1.2B $1.6B $2.4B $3.5B
Gross Profit $128.7M $184.3M $201.0M $296.7M $488.6M
Operating Expenses $306.8M $312.9M $328.8M $398.2M $473.8M
Operating Income -$178.1M -$128.6M -$127.8M -$101.6M $14.8M
Net Income -$195.3M -$149.5M -$148.0M -$128.0M $-724,000
EBITDA -$161.8M -$113.5M -$105.3M -$77.4M $45.3M
EPS $-1.14 $-0.83 $-0.79 $-0.67 $0.00
EPS (Diluted)
Balance Sheet (Annual)
Last updated: Jun 20, 2026 11:11am (6d ago)
Metric 2021 2022 2023 2024 2025
Cash & Equivalents $466.6M $409.5M $202.9M $432.9M $577.9M
Total Current Assets $552.9M $544.5M $483.5M $661.6M $831.1M
Total Assets $630.9M $633.9M $591.9M $782.1M $1.1B
Current Liabilities $167.2M $230.0M $263.0M $351.8M $476.5M
Long-Term Debt $150.6M $160.9M $161.8M $321.4M $323.2M
Total Liabilities $324.8M $394.6M $433.8M $681.1M $886.5M
Total Equity $306.0M $238.1M $156.9M $99.9M $179.3M
Retained Earnings -$582.7M -$732.2M -$880.3M -$1.0B -$1.0B
Cash Flow (Annual)
Last updated: Jun 20, 2026 11:11am (6d ago)
Metric 2021 2022 2023 2024 2025
Operating Cash Flow -$78.8M -$45.4M -$59.2M $34.8M $139.9M
Capital Expenditure -$18.4M -$23.8M -$36.0M -$41.4M -$26.8M
Free Cash Flow -$97.1M -$69.2M -$95.2M -$6.6M $113.1M
Acquisitions (net) $0 -$4.0M $0 $0 $1.1M
Debt Repayment
Dividends Paid
Stock Buybacks -$1.5M $0 $0 $-350,000 $0
Net Change in Cash $260.5M -$57.1M -$206.3M $230.0M $143.0M
Analyst Estimates (Annual)
Last updated: Jun 26, 2026 11:57am (22h ago)
Metric 2027 2028 2029 2030
Revenue $6.5B
$6.3B – $6.8B
$8.1B
$8.1B – $8.1B
$10.8B
$10.6B – $11.1B
$13.7B
$13.4B – $14.1B
EBITDA -$380.8M
-$398.8M – -$368.1M
-$471.2M
-$471.2M – -$471.2M
-$630.4M
-$649.1M – -$619.1M
-$801.1M
-$824.9M – -$786.7M
Net Income $96.9M
$71.4M – $106.1M
$163.5M
$113.9M – $167.7M
$236.6M
$231.1M – $245.8M
$316.8M
$309.4M – $329.1M
EPS
Growth Trends (YoY %)
Last updated: Jun 20, 2026 11:11am (6d ago)
Metric 2022 2023 2024 2025
Revenue Growth +22.8% +27.2% +48.3% +46.1%
Gross Profit Growth +43.2% +9.1% +47.6% +64.7%
Operating Income Growth +27.8% +0.6% +20.5% +114.5%
Net Income Growth +23.4% +1.0% +13.5% +99.4%
EBITDA Growth +29.8% +7.2% +26.5% +158.5%
Narrative Economics
The story the market is telling about this stock — the intangible X-factor (founder mythology, cult dynamics, TAM-of-imagination) that moves price beyond what cash flows alone explain. After Shiller, Narrative Economics.
No narrative profile yet for ALHC — it's generated by the pipeline (market-narrative step).
Community AI Feedback
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My Notes personal — only you see this
Data via Financial Modeling Prep · Cached for performance · fmp
v1.1.352 · d1100787 · 2026-06-26 11:39:30