NASDAQ$ALHC
Alignment Healthcare Inc · Q4 2025 earnings
Q4 2025 earnings · · After market close · Investor relations
Briefing
Alignment Healthcare reported Q4 2025, revenue of $1.01B, net loss of $11M.
For Q4 2025, Alignment Healthcare reported revenue of $1.01B, a net loss of $11M. Management discusses segment performance, capital allocation, and macro risks in the quarterly filing.
- Revenue $1.01B.
- Net loss $11M.
- Alignment Healthcare MD&A covers liquidity, credit, and operating priorities.
Headline financials
Revenue & EPS history
Alignment Healthcare · Revenue · Quarterly
$1.01B
Revenue by segment
Alignment Healthcare · $265M total across 2 segments · Q1 2021
- Earned premiums$265M+18.0%100.0%
- Other revenue$82K—0.0%
Forward guidance
2026 revenue guidance $5.135B–$5.190B (+30–31% YoY); adjusted EBITDA $133M–$163M; membership growth continues.
Tailwinds
- Q4 revenue $1.01B (+44% YoY) beat expectations.
- Full-year free cash flow positive.
- Fortune Most Admired recognition underscores model.
Headwinds
- Q4 net loss $11M on scaling investments.
- Medicare Advantage regulatory and risk adjustment sensitivity.
- Medical cost trend and star-rating pressure.
Historical earnings impact
How earnings announcements have historically affected this stock's price.
Avg. return before/after earnings
Based on 20 quarterly earnings reports · overlaid with Q4 2025
+1.8%
Avg return
Earnings day
+1.8%
Avg return
5 days after
+2.6%
Avg return
30 days after
57%
12 / 21 earnings
Positive
+27.0%
Q1 2024
Best reaction
-16.4%
Q4 2022
Worst reaction
| Quarter | Report date | Reaction (Day 0) | +5 days | +30 days |
|---|---|---|---|---|
| Q1 2026 | +3.8% | -15.7% | -29.5% | |
| Q4 2025 | -5.8% | -7.5% | -18.6% | |
| Q3 2025 | -1.9% | -0.4% | +12.2% | |
| Q1 2025 | -7.7% | -7.5% | -8.3% | |
| Q4 2024 | +16.5% | +17.4% | +35.9% | |
| Q3 2024 | +1.6% | +12.2% | +11.2% | |
| Q2 2024 | +2.3% | +4.9% | +3.1% | |
| Q1 2024 | +27.0% | +31.6% | +51.0% | |
| Q4 2023 | -8.9% | -9.2% | -20.1% | |
| Q3 2023 | -9.6% | -7.2% | +10.5% | |
| Q2 2023 | +7.5% | +10.5% | -4.2% | |
| Q1 2023 | +3.5% | +11.3% | -5.1% | |
| Q4 2022 | -16.4% | -20.9% | -35.2% | |
| Q3 2022 | -3.1% | -3.3% | -2.7% | |
| Q2 2022 | +10.4% | +4.3% | -8.7% | |
| Q1 2022 | -7.0% | -18.8% | +6.8% | |
| Q4 2021 | +10.7% | +8.0% | +39.7% | |
| Q3 2021 | +10.6% | +6.1% | -26.7% | |
| Q2 2021 | -8.5% | -4.8% | -11.2% | |
| Q1 2021 | +6.8% | +13.3% | +27.6% | |
| Q4 2020 | +6.8% | +13.3% | +27.6% | |
| Q3 2020 | — | — | — | |
| Q2 2020 | — | — | — | |
| Q1 2020 | — | — | — |
Discussion
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