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Alignment Healthcare

ALHC
47
Medical - Healthcare Plans · Healthcare
Price
$13.16
+0.23 (+1.78%)
Market Cap
$2.73B
Exchange
NASDAQ
Winston Score
47
Winston is serious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Strong
Cash Flow
Strong
Stability
Mixed
Valuation
Good

Share count rising — dilution

+15.1% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 172.0M (2021) → 198.0M (2025)

Winston Score History

The full picture

Alignment Healthcare is a health insurance company that focuses specifically on Medicare Advantage plans for seniors aged 65 and older. Instead of traditional fee-for-service Medicare, it offers managed care plans that bundle hospital, doctor, and prescription drug coverage into one package. The company operates primarily in California, North Carolina, Nevada, Arizona, and Florida, targeting lower-income seniors who also qualify for Medicaid.

The company earns money by receiving fixed monthly payments from the federal government for each enrolled member, then managing that member's healthcare costs to generate a profit. Alignment uses a proprietary data platform called AVA to predict patient health needs and coordinate care, which it considers a key competitive advantage over traditional insurers. The company is relatively small compared to giants like UnitedHealth and Humana, with thin margins that leave little room for error. Its main growth driver is expanding membership in existing and new markets, while its biggest risk is rising medical costs outpacing the government reimbursement rates it receives.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+31.6% YoY

YoY Growth Rate

Strong revenue growth

EPS Growth

+127.8% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

9.6%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~7 years

$702M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

$702M cash & investments at current burn rate

Strong grower

Alignment Healthcare is growing revenue at 32% year-over-year. The Winston Score penalises unprofitable companies, but revenue at this pace tells a different story — this is a company still in "build mode."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
13.5%
Thin — 13.5% gross margin
Profit after running costs
Operating Margin
3.2%
Thin — 3.2% operating margin
Return on the money invested
ROCE
9.3%
Below par — 9.3% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+37.2%
Fast-growing sales (+37.2% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
505%
Turns 505% of profit into real cash
Spare cash per sale
FCF Margin
3.5%
Thin free cash flow (3.5%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
1.22
Elevated debt (1.22)
Covers its interest
Interest Cover
3.39x
Tight — interest eats into profit (3.4x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
66.0x
Expensive — P/E 66.0

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+41.1
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (66.0 → 24.8)

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Dividends

Not applicable for this business.
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