Alignment Healthcare Q3 revenue beats; FY adjusted core profit outlook lowered
ALHC•Alignment Healthcare reported Q3 revenue of $1.36 billion, up 36.7% year over year and above the $1.31 billion analyst estimate, while adjusted EBITDA fell 32.8% to $21.8 million and missed estimates. The company lowered full-year adjusted gross profit and adjusted EBITDA guidance, citing higher medical costs.
1. Third-quarter results
Q3 revenue rose 36.7% year over year to $1.36 billion, beating the $1.31 billion analyst estimate. Adjusted EBITDA declined 32.8% to $21.8 million, below the $22.8 million estimate, and the company reported an $8.1 million net loss. Membership increased 31.2% year over year.
2. Guidance and costs
Alignment Healthcare expects Q4 revenue of $1.316 billion and forecasts 2026 full-year revenue of $5.245 billion. It lowered 2026 adjusted gross profit and adjusted EBITDA guidance, attributing the reductions to higher medical costs, including elevated appeals, disputes, catastrophic cases and skilled nursing.




