Alignment Healthcare is growing revenue about 37% YoY with consistent earnings beats and strong cash conversion, but sub-par business quality, heavy insider selling and a confirmed downtrend keep it speculative.
Thesis pillars
- Cash Conversion Strength↓Deteriorating
- Rapid Revenue Growth→Stable
- Earnings Beat Streak↓Deteriorating
- +2 more pillars — see the Why tab for full reasoning
Pillars as of Nov 1, 2026, based on the 10-K filed Feb 27, 2026
Alignment Healthcare, Inc. (ALHC) Stock Analysis
Recovery setup
Healthcare · Healthcare Plans
Sell if holding. Engine safety override at $8.14: Quality below floor (3.9 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.7/10. Specifically: High short interest: 13%; Below-average business quality; Negative price momentum.
Alignment Healthcare offers Medicare Advantage plans to seniors in 45 markets across California, North Carolina, Nevada, Arizona, and Texas, with 236,300 members as of December 31, 2025. Revenue comes via capitated per-member-per-month CMS payments; the company earned its 36%... Read more
Sell if holding. Engine safety override at $8.14: Quality below floor (3.9 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.7/10. Specifically: High short interest: 13%; Below-average business quality; Negative price momentum. Chart setup: Death cross but MACD improving, RSI 50. Score 5.7/10, moderate confidence.
Passes 4/8 gates (no SEC red flags, earnings proximity 112d clear, semi cycle peak clear, materials cycle peak clear). Fails on weak momentum and favorable risk/reward ratio and clean insider activity and death cross (50MA < 200MA). Suitability: speculative.
About Alignment Healthcare, Inc.
About Alignment Healthcare, Inc.
Alignment Healthcare enrolled 236,300 Medicare Advantage members across 45 markets as of December 31, 2025, having grown from approximately 13,000 at inception in 2013 at a 30% compound annual growth rate. The company operates in California (22 markets), North Carolina (16 markets), Arizona (3 markets), Nevada (2 markets), and Texas (2 markets), covering approximately 8.4 million Medicare-eligible seniors. Five-year compound revenue growth through December 31, 2025 reached 36%.
Alignment earns revenue through fixed capitated per-member-per-month (PMPM) payments from the Centers for Medicare & Medicaid Services (CMS) under Medicare Advantage contracts. Payment rates vary by county-level benchmarks, member health risk scores, and CMS Star Ratings; plans rated 4.0 Stars or higher receive benchmark increases that allow richer supplemental benefits. Approximately 100% of members were enrolled in 4.0 Star-rated plans for the 2026 rating year and 2027 payment year. Rather than relying on prior authorization and administrative cost controls common to traditional health insurers, Alignment deploys its Care Anywhere program, staffed by more than 450 full-time clinical employees — roughly 25% of its total workforce — including employed physicians, advanced practice clinicians, case managers, social workers, and behavioral health coaches. These clinicians target the 14% of members classified as "chronic," who account for 78% of institutional claims. The proprietary AVA platform ingests longitudinal data from more than 200 sources, generating prescriptive care interventions and predicting hospital admission and re-admission risk.
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CMS annually updates Star Ratings methodology, creating a revenue threshold at the 4.0-Star boundary. In 2024, CMS removed performance outliers via the Turkey outlier deletion method, raising cut points industry-wide; the 2026 Star ratings cycle yielded only 18 five-star MA-Part D contracts, down from 57 in 2023. Alignment's CMS contracts each carry a one-year term expiring December 31 of the applicable calendar year, subject to annual renewal — meaning a single adverse Star rating action or contract termination could immediately affect any of the company's 45 markets.
See also: Healthcare · Healthcare Plans
From Alignment Healthcare, Inc.'s most recent 10-K filing, extracted June 9, 2026.
Recent developments
updated Oct 29, 2026Recent Developments — Alignment Healthcare, Inc.
Latest news
- NEWS Alignment Healthcare Q3 2026 Earnings Call Transcript - Benzinga — Benzinga Oct 29, 2026 neutral
- NEWS ALIGNMENT HEALTHCARE ($ALHC) Releases Q3 2026 Earnings - Quiver Quantitative — Quiver Quantitative Oct 29, 2026 neutral
- NEWS Alignment Healthcare’s (NASDAQ:ALHC) Q3 2026 sales beat estimates but stock drops - Yahoo Finance — Yahoo Finance Oct 29, 2026 positive
- NEWS Alignment Healthcare’s (NASDAQ:ALHC) Q3 2026 sales beat estimates but stock drops - FinancialContent — FinancialContent Oct 29, 2026 positive
- NEWS Needham initiates Alignment Healthcare stock rating at Hold By Investing.com - Investing.com Nigeria — Investing.com Nigeria Oct 28, 2026 neutral
Latest item Oct 29, 2026 · Generated 2026-11-05T11:39:29Z.
Upcoming dated catalysts
Thesis
Key Metrics
Quality Signals
Options Flow
Concentration Risks(10-K Item 1A)
- HIGHCustomerCMS contracts10-K Item 1: 'We currently derive substantially all of our revenue from CMS contracts related to our Medicare Advantage health plans.'
- MEDIUMGeographiclimited number of U.S. states10-K Item 1A: 'Our plans are concentrated in a limited number of U.S. states and we may not be able to establish new geographic presences.'
Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results. How we score · Editorial policy
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Rating Breakdown
4 floor-breakers·1 ceiling hit
Technicals below the gate floor. Component breakdown shows what dragged the score down.static
Ranks in the bottom of its industry peers on the composite signal. Better names in the same sector exist.static
Momentum below the gate floor. Component breakdown shows what dragged the score down.static
Quality below the gate floor. Component breakdown shows what dragged the score down.static
Price Targets
Position Sizing
Risk Alerts
Earnings
Verdict History
Frequently Asked Questions
Sell if holding. Engine safety override at $8.14: Quality below floor (3.9 < 4.0) triggers a hard block regardless of the otherwise-positive setup — overall score 5.7/10. Specifically: High short interest: 13%; Below-average business quality; Negative price momentum. Chart setup: Death cross but MACD improving, RSI 50. Prior stop was $7.57. Score 5.7/10, moderate confidence.
Analyst target: $9.39 (+15.3% upside). Prior stop was $7.57. Stop-loss: $7.57.
Concentration risk — Customer: CMS contracts; Quality below floor (3.9 < 4.0).
Alignment Healthcare, Inc. trades at a P/E of 58.1 (forward 14.7). TrendMatrix value score: 6.9/10. Verdict: Sell.
22 analysts rate ALHC, with a consensus score of 4.0/5. 12 analysts publish price targets averaging $11.
What does Alignment Healthcare, Inc. do?Alignment Healthcare offers Medicare Advantage plans to seniors in 45 markets across California, North Carolina,...
Alignment Healthcare offers Medicare Advantage plans to seniors in 45 markets across California, North Carolina, Nevada, Arizona, and Texas, with 236,300 members as of December 31, 2025. Revenue comes via capitated per-member-per-month CMS payments; the company earned its 36% five-year compound revenue growth by proactively managing member care through its proprietary AVA technology platform and in-house Care Anywhere clinical teams.