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Alignment Healthcare ALHC Medical expenses

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Segments

By segment

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Reportable Segment$1.09B+32.9%

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$2.78B+2.2%
Enterprise value$2.39B-6.8%
P/E140.1×—
P/S0.7×-0.2×

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 alhc:MedicalExpenses.

The source filing: Alignment Healthcare’s 10-Q, filed April 30, 2026.

Filed
Apr 30, 2026, 4:14 PM EDT
Fiscal quarter
Q1 FY2026
Calendar quarter
Q1 2026
Accession
0001628280-26-028901
Line itemThree Months Ended March 31, 20262025
Other8,6318,889
Total revenues1,235,197926,932
Expenses:
Medical expenses1,090,717820,900
Selling, general, and administrative expenses121,138103,831
Depreciation and amortization7,8397,594
Total expenses1,219,694932,325
Income (loss) from operations15,503(5,393)

Item 1. Financial Statements (Unaudited):

FAQ

What is Alignment Healthcare's medical expenses?
Alignment Healthcare (ALHC) reported medical expenses of $1.09B in Q1 2026.
How has Alignment Healthcare's medical expenses changed year-over-year?
Alignment Healthcare's medical expenses increased by 32.9% year-over-year, from $820.9M to $1.09B.
What is the long-term trend for Alignment Healthcare's medical expenses?
Over 4 years (2021 to 2025), Alignment Healthcare's medical expenses has grown at a 35.1% compound annual growth rate (CAGR), from $1.04B to $3.46B.
What does medical expenses mean?
This metric captures the total costs incurred for providing healthcare services, including claims payments and clinical care delivery for covered members. It is a critical measure of the company's medical loss ratio and the efficiency of its clinical model in managing patient health outcomes. Monitoring this expense relative to premium revenue is essential for assessing the profitability and sustainability of the insurance product offerings.

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