Alignment Healthcare, Inc. (ALHC) reported a first-quarter 2026 earnings of 5 cents per share, reversing from a loss in the previous year. Total membership rose 30.9% year over year to approximately 284,800, driven by Medicare Advantage gains. The company has increased its full-year 2026 guidance to 294,000-299,000 members and projected revenues between $5.160 billion and $5.205 billion.
Quality remains crucial for ALHC, with 100% of its members enrolled in plans rated 4 stars or higher for the 2026 rating year. The company achieved an adjusted EBITDA of $37.9 million, an 87.6% increase from the previous year, attributed to automation improvements, including a rise in claims auto-adjudication to over 60%. However, risks remain, particularly around higher-acuity member utilization and operational complexities.
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