Alignment Healthcare delivered strong Q4 2025 growth with revenue increasing 44.4% year-over-year to 1012804000 and health plan membership rising 25.0%. The company reported a net loss of 11006000 but generated adjusted EBITDA of 11414000 and achieved an 87.7% medical benefits ratio.
Total revenue increased 44.4% year-over-year to 1012804000
Health plan membership grew 25.0% year-over-year to 236300
Adjusted gross profit was 124927000 with an 87.7% medical benefits ratio
Adjusted EBITDA was 11414000 compared to 1363000 in Q4 2024
For full year 2026, Alignment Healthcare introduced revenue guidance of 5135000000 to 5190000000 and adjusted EBITDA guidance of 133000000 to 163000000, alongside increased health plan membership expectations.
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