Alignment Healthcare Raises 2026 Outlook After Strong First Half

Earnings
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Summary · why it matters

Alignment Healthcare raised its full-year 2026 guidance following a second quarter that saw membership jump 31.5% to about 294,100 and adjusted EBITDA climb 60% year over year to $106 million for the first half. The company now expects 2026 revenues of $5.195 billion to $5.225 billion, membership of 298,000 to 301,000, adjusted gross profit of $630 million to $650 million, and adjusted EBITDA of $145 million to $163 million. However, management plans heavier clinical, artificial intelligence, and expansion spending in the second half, with third-quarter adjusted EBITDA projected at just $20 million to $30 million compared with $68.1 million in the second quarter. The company’s adjusted medical benefit ratio improved 40 basis points year over year to 86.3%, its lowest since going public, while adjusted selling, general and administrative expenses fell to 8.7% of revenues. The stock carries a Zacks Rank #3 (Hold).

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