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Alignment Healthcare, Inc.

alignmenthealth.com

What Do They Do?

Sells Medicare Advantage plans to seniors and coordinates their covered healthcare.

How Do They Make Money?

Receives a fixed monthly payment from the federal government for each member enrolled in its Medicare Advantage plans, and monthly payments from other health plans for managing members’ care.

FY2025 revenue

Who Are Their Customers?

Seniors select Alignment’s Medicare Advantage plans directly; Alignment contracts with CMS, which pays a fixed monthly amount for each enrolled member.

Do Revenues Turn Into Profits?

Not on paper. It lost $724K in FY2025, but brought in more cash than it spent: $113.1M of free cash flow.

Operating income, FY2025
0% of revenue
▲ Now profitable vs FY2024 (−$101.6M, −4%)
Net income, FY2025
0% of revenue
▼ −99% (Loss) vs FY2024 (−$128M, −5%)
Free cash flow, FY2025
3% of revenue
▲ Now profitable vs FY2024 (−$6.6M, 0%)

How Are They Changing?

Since the FY2025 annual report
Latest quarter: Q2 FY2026, the three months to Jun 30, 2026
Revenue
▲ +32%
vs $1B in Q2 FY2025
Net income
▲ +133%
vs $15.7M in Q2 FY2025

Growing. Revenue grew 3.4x in 4 years, from $1.2B in FY2021 to $3.9B in FY2025, about 36% a year.

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