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Alignment Healthcare ALHC Premium — Earned premiums

Other product segments

Capitation
$258K-81.8%

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$3.12B+3.4%
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$163.62M+6.4%

Other financials

Income statement

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Revenue$1.2B+33.3%
Operating income$15.5M+387%
Net income$11.4M+225%
EPS (diluted)$0.05+200%

Balance sheet

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Cash & equivalents$707.7M+57.9%
Total debt$323.6M+0.5%
Total equity$206.9M+91.3%
Total assets$1.3B+40.9%

Cash flow

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Operating cash flow$128.7M+674%
CapEx$7.4M-10.8%
Free cash flow$121.3M+1,350%

Valuation

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Market cap$4.52B+0.8%

Profitability

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Operating margin0.1%0.0pp
Net margin0.5%+0.2pp
FCF margin4.1%—

Returns & leverage

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Return on equity12.6%+6.8pp
Debt / equity1.6×-1.4×
Current ratio1.6×-0.1×

Where this comes from

Reported directly by Alignment Healthcare in its filing.

Tagged under the XBRL concept us-gaap:PremiumsEarnedNet.

The official record: Alignment Healthcare’s 10-Q, filed April 30, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Alignment Healthcare's premium — earned premiums?
Alignment Healthcare (ALHC) reported premium — earned premiums of $1.23B in Q1 2026.
How has Alignment Healthcare's premium — earned premiums changed year-over-year?
Alignment Healthcare's premium — earned premiums increased by 33.8% year-over-year, from $916.62M to $1.23B.
What is the long-term trend for Alignment Healthcare's premium — earned premiums?
Over 3 years (2022 to 2025), Alignment Healthcare's premium — earned premiums has grown at a 41.7% compound annual growth rate (CAGR), from $1.37B to $3.91B.
What does premium — earned premiums mean?
This metric represents the total revenue recognized by the company from insurance premiums collected for Medicare Advantage plans during the reporting period. It reflects the core scale of the company's health insurance operations and the volume of covered lives enrolled in its proprietary clinical model. Growth in this figure indicates successful member acquisition and retention within the senior healthcare market.