Alignment Healthcare reported Medicare Advantage health plan membership of approximately 275,300 as of January 1, 2026, reflecting 31% year-over-year growth after its annual enrollment period. Since its 2021 IPO, the company has sustained a compounded annual membership growth rate of roughly 30%, underscoring its ability to expand in a market where some larger competitors have scaled back. Investors will note that this scale reinforces the company’s negotiating leverage with providers and enhances its fixed-cost absorption as it grows.

The company projects year-end 2026 health plan membership in a range of 290,000 to 296,000, representing approximately 24% to 27% growth relative to the midpoint of its 2025 guidance. Alignment Healthcare also expects consensus adjusted EBITDA of around $145 million for 2026, which falls within its forthcoming full-year guidance range. By reaffirming its full-year 2025 guidance on membership, revenue, adjusted gross profit and adjusted EBITDA, management signals confidence in stable operations and disciplined cost management through the remainder of the year.

Alignment Healthcare’s care-centered model continues to deliver high-quality outcomes, with 100% of members enrolled in plans rated four stars or higher by the Centers for Medicare & Medicaid Services for the second consecutive year. CEO John Kao emphasized that the company’s technology-enabled, concierge care teams and partnerships with national and local providers drive both member satisfaction and cost efficiency. This performance may support favorable capital markets reception as Alignment Healthcare pursues scalable growth across new regions.