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Stocks
Alignment Healthcare, Inc.
ALHC

ALHC Alignment Healthcare, Inc.

Alignment Healthcare, Inc. · NASDAQ
Market Closed
12.61
▼ ⁦-1.18%⁩ (-0.15)
Market Cap$2.6B
Beta1.13
52w Low52w High
12.3924.69
Last Week
⁦-7.21%⁩
Last Month
⁦-5.75%⁩
Last 3 Months
⁦-20.84%⁩
Last Year
⁦-19.06%⁩
EL7 Factor Analysis
How we score this
Overall22
Poor — bottom quartile of the marketFalling StarF 6/9SafeBetter than 22% of Market stocks, per EL7's model
FactorScoreDistributionValueAvgRank
▸
Valuation
49
—17.8xAround median
▸
Growth
96
37.2%▲7.1%Top tier
▸
Quality
55
—4.5%Around median
▸
Safety
66
—2.6xAround median
▸
Capital Return
49
—2.12%Around median
▸
Momentum
16
-13.6%▼2.9%Bottom tier
▸
Sentiment
34
6▲3Bottom tier
Fair Value
Current price$13
Analyst target · 3 analysts
$19
⁦+51%⁩
See it clearly undervalued
Range ⁦$16–$22⁩
vs
DCF (estimate)
$20
⁦+57%⁩
Sees it clearly undervalued
⁦9.4⁩% discount · ⁦9⁩% growth
Bottom lineThe two methods broadly agree — estimate range ⁦$19–$20⁩.

Estimates — analyst targets and a simplified DCF, not investment advice.

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Analyst Consensus

This section combines price targets, revision history, analyst coverage changes, and an AI summary of what changed on the Street.

Price Target· 3 analysts setting price target
$19.00
⁦+50.7%⁩
Current Price $12.61·Median $19.00
Low
$16.00
High
$22.00
Current price
$12.61
Average target
$19.00
Street summary

Negative revision of ALHC price targets

Bearish tilt

Alignment Healthcare stock has seen a notable decline in analyst optimism over the past thirty days, with the average price target falling from 23.2 to 19 dollars, a decrease of 18.1%. This adjustment reflects a cautious reassessment by analysts, particularly with Raymond James downgrading the stock from 'Strong Buy' to 'Outperform' on August 3, 2026, signaling a decline in positive momentum despite the current price (13.78) remaining below the lowest price target (16).

As of 2026-08-10
Revisions momentum · 30d
⁦0.0%⁩
Average rating
★ 4.07
Buy
Analyst coverage
14
Buy conviction
86%
High
Target dispersion
48%
Wide
Analyst ratings over time14 analysts rating
3
9
2
Strong BuyBuyHoldSellStrong Sell
Rating trend — last 12 months4.00 → 4.07
Recent analyst moves
  • = Reiterate2026-08-03
    TD Cowen
    Buy
  • ⬇ Downgrade2026-08-03
    Raymond James
    Strong BuyOutperform
  • = Reiterate2026-07-08
    UBS
    Neutral
Premium content
Key Financials

Ten ratios that matter, each compared against its sector median and average — so you can see whether a number is rich or cheap relative to peers in the same sector.

StockSector medianSector averagetypical sector range
MetricValuePosition within sectorVerdict
  • P/E (TTM)
    —
    —
  • Forward P/E
    40.29x
    4.64x37.16x
    Above average
  • EV / EBITDA
    26.06x
    3.77x30.13x
    Near median
  • FCF Yield
    6.8%
    -138.2%7.8%
    Strong
  • Revenue Growth YoY
    37.2%
    -56.9%93.8%
    Above average
  • EPS Growth YoY
    174.1%
    -160.1%130.2%
    Exceptional
  • Gross Margin
    12.5%
    12.8%90.7%
    Weak
  • ROIC
    —
    —
  • Net Debt / EBITDA
    —
    —
  • Dividend Yield
    —
    —
  • Payout Ratio
    —
    —
  • Altman Z-Score
    4.66
    -38.7417.53
    Strong
Financial Analysis
|

Stock Analysis

AI-generated
Based on 2026-07-30 data

Company Overview

Alignment Healthcare operates healthcare plans in the Medicare Advantage market, linking its revenue growth to plan membership and its ability to manage medical care costs. The company relies on the AVA Care Anywhere model and clinical teams to intervene with members at greatest risk of hospitalization, while also using contractual arrangements that include risk sharing and direct contracting with care providers. Its profitability is therefore primarily determined by the spread between membership revenue and medical claims and benefits, alongside the efficiency of selling, general, and administrative expenses.

In Q2 FY2026, health plan membership increased 31% year over year to 294 thousand members, while revenue rose 32% to $1.3 billion. Net income according to EDGAR data was approximately $36.6 million, and earnings per share were $0.17, while adjusted gross profit reached $183 million and the adjusted MBR was 86.3%, an improvement of 40 basis points. Adjusted earnings before interest, taxes, depreciation, and amortization were $68 million, up 48%, with the margin expanding 60 basis points to 5.1%.

The membership mix reflects high growth but includes an upfront cost: approximately 50% of the company's members were in their first- or second-year cohorts as of June 30, 2026, while those eligible for C-SNP and D-SNP plans and dual-eligible beneficiaries represented 50% of new members in FY2026. Management raised its FY2026 revenue range to $5.20–5.23 billion, with adjusted gross profit between $630 million and $650 million and adjusted earnings before interest, taxes, depreciation, and amortization between $145 million and $163 million.

What's Driving the Stock

  • Membership growth is the largest direct driver: membership reached 294 thousand in Q2 FY2026, up 31%, supporting 32% revenue growth to $1.3 billion and prompting management to raise its annual revenue guidance to $5.20–5.23 billion.
Earnings callEDGAR filings30-day newsInsider activity

Automated analysis for informational purposes only — not investment advice.

The latest version of the AI-powered stratification model within AVA improved the company's ability to identify the 10% of members expected to account for approximately 70% of hospitalizations over the following thirty days, supporting early clinical intervention and medical cost management.
  • Operating efficiency improved in Q2 FY2026; the adjusted MBR declined 40 basis points to 86.3%, and adjusted selling, general, and administrative expenses as a percentage of revenue fell 20 basis points to 8.6%, driving a 48% increase in adjusted earnings before interest, taxes, depreciation, and amortization to $68 million.
  • On July 30, 2026, management estimated the embedded adjusted gross profit potential in the existing membership base at approximately $880 million, compared with the $640 million midpoint of FY2026 guidance, based on improving member economics as cohorts mature and engage with clinical programs.
  • The company is preparing for expansions within the states where it operates during FY2027 and confirmed during the July 30, 2026 call that targeting approximately 20% membership growth in FY2027 was a fair estimate, while directing investments toward AVA Care Anywhere, automation, artificial intelligence, and market launch preparations.
  • Buying & Selling Case

    ▲ Buying Case4 pts

    • +Q2 FY2026 performance combines 32% revenue growth with a 60-basis-point expansion in the adjusted earnings before interest, taxes, depreciation, and amortization margin, providing numerical evidence that membership growth did not prevent operating economics from improving.
    • +Management raised the lower end of adjusted gross profit guidance by $10 million and the lower end of adjusted earnings before interest, taxes, depreciation, and amortization guidance by $7 million after first-half adjusted earnings before interest, taxes, depreciation, and amortization reached $106 million, up 60% year over year.
    • +Recent cohorts represent embedded earnings potential if the stated maturation pattern materializes; approximately 50% of members were in their first or second year, while management said that the trend of improving MBR as cohorts age remained consistent with the framework it had previously presented.
    • +Liquidity provides the capacity to fund growth and investment; the company generated $111 million in operating cash flow during the first half of FY2026 and ended Q2 FY2026 with approximately $702 million in cash and equivalents and short-term investments, while the funded leverage ratio improved to 2.2 times last-twelve-month adjusted earnings before interest, taxes, depreciation, and amortization.

    ▼ Selling Case6 pts

    • −The new-member mix carries higher initial medical cost risk; those eligible for C-SNP and D-SNP plans and dual-eligible beneficiaries represented 50% of new additions in FY2026, and management acknowledged that the acuity of their needs raises the medical loss ratio compared with a typical new member.
    • −Q3 FY2026 guidance indicates a clear seasonal slowdown in profitability, as the company expects adjusted earnings before interest, taxes, depreciation, and amortization of only $20 million to $30 million, compared with $68 million in Q2 FY2026, due to a higher MBR and the timing of clinical investments and administrative expenses.
    • −Q2 FY2026 recorded approximately $6 million of unfavorable prior-period development, which the disclosure linked to lower collections and higher costs, although management also described it as a strengthening of FY2025 claims reserves; a recurrence of such developments could pressure the accuracy of medical cost estimates.
    • −On July 30, 2026, management expected two or three players to become more aggressive in the Medicare Advantage market during FY2027, which could pressure member retention, benefit pricing, and plan margins as Alignment Healthcare expands beyond its more mature markets in California.
    • −Regulatory exposure remains significant, as management said on July 30, 2026 that it had no visibility into the CMS technical rule for FY2028 and described the regulatory and legal environment surrounding Stars ratings as unsettled, creating uncertainty regarding future thresholds and bonuses.
    • −Net insider activity during the three months ended August 14, 2026 amounted to $23.2 million in sales, with 13 sales versus one purchase; this is a secondary trading signal rather than independent evidence of business deterioration, because insider sales may be prearranged unless disclosures establish otherwise.

    Valuation

    The analyst consensus rates ALHC shares a “Buy,” with an average price target of $19 and a target range of $16 to $22. The average target is approximately 24% below the 52-week high of $25.12, while even the highest target of $22 does not reach that peak, reflecting a degree of caution despite revenue and margin growth. This consensus should be weighed against the wide 52-week range of $12.70–25.12 and the risks of rising medical costs, intensive investment, and regulatory uncertainty.

    BuyAnalyst target: $19(+50.7%)

    Figures in the text are as of 2026-08-31; the live price is shown at the top of the page.

    FAQ

    How does Alignment Healthcare generate revenue?

    Alignment Healthcare generates revenue by operating Medicare Advantage plans tied to health plan membership. In Q2 FY2026, membership of 294 thousand generated revenue of $1.3 billion, up 32% year over year. The company manages care costs through AVA Care Anywhere, risk-sharing arrangements, and direct contracting with providers, so medical claims and the effectiveness of clinical intervention directly affect profitability.

    What distinguished the Q2 FY2026 results?

    Revenue in Q2 FY2026 rose 32% to $1.3 billion, while net income reached $36.6 million and earnings per share were $0.17. Adjusted gross profit was $183 million, and the adjusted MBR improved 40 basis points to 86.3%. Adjusted earnings before interest, taxes, depreciation, and amortization also rose 48% to $68 million, with a margin of 5.1%.

    What is Alignment Healthcare's outlook for the remainder of FY2026?

    The company expects FY2026 revenue between $5.20 billion and $5.23 billion, equivalent to approximately 32% growth at the midpoint of the range. It expects adjusted gross profit between $630 million and $650 million and adjusted earnings before interest, taxes, depreciation, and amortization between $145 million and $163 million. For Q3 FY2026, it expects revenue between $1.30 billion and $1.32 billion and adjusted earnings before interest, taxes, depreciation, and amortization between $20 million and $30 million due to seasonality and investments.

    How does the company use artificial intelligence in AVA?

    The company announced on July 30, 2026 the deployment of the latest version of the AI-powered stratification model within AVA. The model can identify the 10% of members expected to account for approximately 70% of hospitalizations over the following thirty days. AVA Care Anywhere teams use these signals and medical case records to direct proactive interventions, while the company also invests in automating record preparation, administrative processes, and risk data reconciliation.

    Why might costs rise in Q3 FY2026?

    The company intends to make additional investments in the tens of millions of dollars during the second half of FY2026 across clinical operations and administrative expenses, with a greater concentration in Q3. These expenditures include expanding AVA Care Anywhere, early clinical hiring, automation, artificial intelligence, and preparations for market launches in FY2027. As a result, management expects a seasonal increase in MBR and a higher share of selling, general, and administrative expenses to be recorded in Q3 FY2026.

    What are the main regulatory and competitive risks facing ALHC?

    Management said on July 30, 2026 that it had no visibility into the content of the CMS technical rule for FY2028 and that the regulatory and legal environment surrounding Stars ratings was unsettled. It also expected two or three players to become more aggressive in the Medicare Advantage market during FY2027. These factors could pressure benefit design, pricing, and member retention alongside Alignment Healthcare's expansions within existing states in FY2027.