Form 8-K

8-K — Alignment Healthcare, Inc.

Accession: 0001171843-26-002895

Filed: 2026-04-30

Period: 2026-04-30

CIK: 0001832466

SIC: 6324 (HOSPITAL & MEDICAL SERVICE PLANS)

Item: Results of Operations and Financial Condition

Item: Financial Statements and Exhibits

Documents

8-K — f8k_043026.htm (Primary)

EX-99.1 — PRESS RELEASE (exh_991.htm)

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_________________

FORM 8-K

_________________

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): April 30, 2026

_______________________________

Alignment Healthcare, Inc.

(Exact name of registrant as specified in its charter)

_______________________________

Delaware 001-40295 46-5596242

(State or Other Jurisdiction of Incorporation) (Commission File Number) (I.R.S. Employer Identification No.)

1100 W. Town and Country Road, Suite 1600

Orange, California 92868

(Address of Principal Executive Offices) (Zip Code)

(844) 310-2247

(Registrant's telephone number, including area code)

N/A

(Former name or former address, if changed since last report)

_______________________________

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each class Trading Symbol(s) Name of each exchange on which registered

Common Stock, par value $0.001 per share ALHC The NASDAQ Stock Market LLC

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Item 2.02. Results of Operations and Financial Condition.

On April 30, 2026, Alignment Healthcare, Inc. issued a press release announcing its financial results for its first quarter ended March 31, 2026. A copy of the press release is furnished herewith as Exhibit 99.1 and incorporated herein by reference.

The information contained in this Current Report on Form 8-K and in the accompanying exhibit are “furnished” and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, and shall not be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act regardless of any general incorporation language in such filing, unless expressly incorporated by specific reference in such filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits

Exhibit Number Description

99.1 Press Release dated April 30, 2026

104 Cover Page Interactive Data File (embedded within the Inline XBRL document)

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Alignment Healthcare, Inc.

Date: April 30, 2026 By: /s/ James M. Head

James M. Head

Chief Financial Officer

EX-99.1 — PRESS RELEASE

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Filename: exh_991.htm · Sequence: 2

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EXHIBIT 99.1

Alignment Healthcare Delivers Strong First Quarter 2026 Results, Demonstrating Disciplined Growth and Margin Expansion

Delivers $1.24 billion in total revenue, representing 33.3% growth year-over-year

Grows Medicare Advantage membership 30.9% year-over-year to approximately 284,800 members

Raises the midpoint of all guidance metrics: membership, revenue, adjusted gross profit and adjusted EBITDA

ORANGE, Calif., April 30, 2026 (GLOBE NEWSWIRE) -- Alignment Healthcare, Inc. (NASDAQ: ALHC), today reported financial results for its first quarter ended March 31, 2026.

“Our first-quarter performance demonstrates that Alignment continues to grow with discipline,” said John Kao, founder and CEO. "We expanded our profitability by executing across sales, clinical operations and cost management, even as the Medicare Advantage environment continues to change. We delivered strength within our results even while we are investing in our people, processes and technologies. The improvements we are making across each of these areas will position us to scale the business and achieve our embedded earnings potential.”

First Quarter 2026 Financial Highlights

All comparisons, unless otherwise noted, are to the three months ended March 31, 2025.

Health plan membership at the end of the quarter was approximately 284,800, up 30.9% year-over-year

Total revenue was $1,235.2 million, up 33.3% year-over-year

Adjusted gross profit* was $145.9 million, up 36.1% year-over-year, and income from operations was $15.5 million

Adjusted gross profit excludes depreciation and amortization of $7.8 million and selling, general, and administrative expenses of $121.1 million (which includes $12.6 million of equity-based compensation). Adjusted gross profit also excludes $0.02 million of depreciation expense and an additional $1.4 million of equity-based compensation recorded within medical expenses

Medical benefits ratio based on adjusted gross profit was 88.2%, an improvement of 25 basis points year-over-year

Adjusted EBITDA* of $37.9 million represented an adjusted EBITDA margin of 3.1% and grew 87.6% year-over-year, while net income was $11.4 million, compared to $9.4 million net loss the year prior

* Please see "First Quarter 2026 Non-GAAP Reconciliation Tables" below for more information on the non-GAAP financial measures reported here as supplemental information.

Outlook for Second Quarter and Fiscal Year 2026

Three Months Ending June 30, 2026

Twelve Months Ending December 31, 2026

$ Millions Low

High

Low

High

Health Plan Membership 288,000 290,000 294,000 299,000

Revenue $1,295 $1,315 $5,160 $5,205

Adjusted Gross Profit(1) $167 $177 $620 $650

Adjusted EBITDA(1) $50 $60 $138 $163

_______________________

(1) Adjusted gross profit and adjusted EBITDA are non-GAAP financial measures presented as supplemental disclosure. We cannot provide estimated ranges for the most directly comparable GAAP measures without unreasonable efforts because of the uncertainty around certain items that may impact such GAAP measures, including equity-based compensation expense and depreciation and amortization, that are not within our control or cannot be reasonably predicted. See “First Quarter 2026 Non-GAAP Reconciliation Tables” for additional information.

First Quarter 2026 Non-GAAP Reconciliation Tables

Adjusted Gross Profit(1) is reconciled as follows:

Three Months Ended March 31,

2026

2025

(dollars in thousands)

Income (loss) from operations $ 15,503 $ (5,393 )

Add back:

Equity-based compensation (medical expenses) 1,411 1,152

Depreciation (medical expenses) 23 33

Depreciation and amortization (2) 7,839 7,594

Selling, general, and administrative expenses 121,138 103,831

Total add back 130,411 112,610

Adjusted gross profit $ 145,914 $ 107,217

(1) Adjusted gross profit is a non-GAAP financial measure that is presented as supplemental disclosure, that we define as income (loss) from operations before depreciation and amortization, medical equity-based compensation expense, and selling, general, and administrative expenses.

(2) Amortization expense for the year ended March 31, 2025, includes $0.6 million in impairment expense related to the remeasurement of goodwill associated with one of our subsidiaries.

Adjusted EBITDA(1) is reconciled as follows:

Three Months Ended March 31,

2026

2025

(dollars in thousands)

Net income (loss) $ 11,416 $ (9,354 )

Less: Net loss attributable to noncontrolling interest — 240

Adjustments:

Interest expense 4,062 3,950

Depreciation and amortization(2) 7,862 7,627

Income tax expense 25 21

Equity-based compensation(3) 14,019 17,187

Litigation costs (4) 467 507

Adjusted EBITDA $ 37,851 $ 20,178

(1) Adjusted EBITDA is a non-GAAP financial measure that is presented as supplemental disclosure, that we define as net income (loss) before interest expense, income taxes, depreciation and amortization expense, certain litigation costs, and equity-based compensation expense.

(2) Amortization expense for the year ended March 31, 2025, includes $0.6 million in impairment expense related to the remeasurement of goodwill associated with one of our subsidiaries.

(3) Represents equity-based compensation related to grants made in the applicable year

(4) Represents litigation costs considered outside of the ordinary course of business based on the following considerations which we assess regularly: (i) the frequency of similar cases that have been brought to date, or are expected to be brought within two years, (ii) complexity of the case, (iii) nature of the remedies sought, (iv) litigation posture of the Company, (v) counterparty involved, and (vi) the Company's overall litigation strategy

Conference Call Details

The company will host a conference call at 5 p.m. EDT today to discuss these results and management’s outlook for future financial and operational performance. A live audio webcast will be available online at https://ir.alignmenthealth.com/. At the start of the conference call, participants may access the webcast at the following link: https://edge.media-server.com/mmc/p/53zw9jkh. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web links, and will remain available for approximately 12 months.

About Alignment Health

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. A consumer brand name of Alignment Healthcare (NASDAQ: ALHC), Alignment Health’s mission-focused team makes high-quality, low-cost care a reality for its Medicare Advantage members every day. Based in California, the company partners with nationally recognized and trusted local providers to deliver coordinated care, powered by its customized care model, 24/7 concierge care team and purpose-built technology, AVA®. As it expands its offerings and grows its national footprint, Alignment upholds its core values of leading with a serving heart and putting the senior first. For more information, visit www.alignmenthealth.com.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. These forward-looking statements include statements regarding our future growth and our financial outlook for the quarter ending June 30, 2026, and year ending Dec. 31, 2026. Forward-looking statements are subject to risks and uncertainties and are based on assumptions that may prove to be inaccurate, which could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the results predicted, and reported results should not be considered as an indication of future performance. Important risks and uncertainties that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: our ability to attract new members and enter new markets, including the need for certain governmental approvals; our ability to maintain a high rating for our plans on the Five Star Quality Rating System; our ability to develop and maintain satisfactory relationships with care providers that service our members; risks associated with being a government contractor, including potential federal reductions in MA funding; changes in laws and regulations applicable to our business model; risks related to our indebtedness; changes in market or industry conditions and receptivity to our technology and services; results of litigation or a security incident; and the impact of shortages of qualified personnel and related increases in our labor costs. For a detailed discussion of the risk factors that could affect our actual results, please refer to the risk factors identified in our Annual Report on Form 10-K for the year ended Dec. 31, 2025, and the other periodic reports we file with the SEC. All information provided in this release and in the attachments is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.

Condensed Consolidated Balance Sheets

(in thousands, except par value and share amounts)

(Unaudited)

March 31,

2026 December 31,

2025

Assets

Current Assets:

Cash and cash equivalents $ 705,584 $ 575,817

Accounts receivable (less allowance for credit losses of $0 at March 31, 2026 and $833 at December 31, 2025) 277,678 253,207

Investments - current 20,707 28,413

Prepaid expenses and other current assets 141,396 94,140

Total current assets 1,145,365 951,577

Property and equipment, net 63,867 64,251

Right of use asset, net 7,073 7,019

Goodwill 32,060 32,060

Intangible assets, net 4,550 4,550

Other assets 8,693 6,329

Total assets $ 1,261,608 $ 1,065,786

Liabilities and Stockholders' Equity

Current Liabilities:

Medical expenses payable $ 655,967 $ 474,569

Accounts payable and accrued expenses 34,502 33,284

Accrued compensation 34,288 49,013

Total current liabilities 724,757 556,866

Long-term debt, net of debt issuance costs 323,616 323,176

Long-term portion of lease liabilities 6,350 6,467

Total liabilities 1,054,723 886,509

Stockholders' Equity:

Preferred stock, $.001 par value; 100,000,000 shares authorized as of March 31, 2026 and December 31, 2025, respectively; no shares issued and outstanding as of March 31, 2026 and December 31, 2025 — —

Common stock, $.001 par value; 1,000,000,000 shares authorized as of March 31, 2026 and December 31, 2025; 206,671,068 and 204,153,619 shares issued and outstanding as of March 31, 2026 and December 31, 2025, respectively 207 205

Additional paid-in capital 1,204,279 1,188,089

Accumulated deficit (997,601 ) (1,009,017 )

Total stockholders' equity 206,885 179,277

Total liabilities and stockholders' equity $ 1,261,608 $ 1,065,786

Condensed Consolidated Statements of Operations

(in thousands, except per share amounts)

(Unaudited)

Three Months Ended March 31,

2026

2025

Revenues:

Earned premiums $ 1,226,566 $ 918,043

Other 8,631 8,889

Total revenues 1,235,197 926,932

Expenses:

Medical expenses 1,090,717 820,900

Selling, general, and administrative expenses 121,138 103,831

Depreciation and amortization 7,839 7,594

Total expenses 1,219,694 932,325

Income (loss) from operations 15,503 (5,393 )

Other expenses:

Interest expense 4,062 3,950

Other expenses (income), net — (10 )

Total other expense 4,062 3,940

Income (loss) before income taxes 11,441 (9,333 )

Provision for income taxes 25 21

Net income (loss) $ 11,416 $ (9,354 )

Less: Net loss attributable to noncontrolling interest — 240

Net income (loss) attributable to Alignment Healthcare, Inc. $ 11,416 $ (9,114 )

Net income (loss) per share attributable to Alignment Healthcare, Inc.:

Basic 0.06 (0.05 )

Diluted 0.05 (0.05 )

Weighted-average common shares outstanding:

Basic 205,356,397 193,606,438

Diluted 213,128,231 193,606,438

Condensed Consolidated Statements of Cash Flows

(in thousands)

(Unaudited)

Three Months Ended March 31,

2026 2025

Operating Activities:

Net income (loss) $ 11,416 $ (9,354 )

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

Depreciation and amortization 7,862 7,627

Amortization-investment discount (245 ) (370 )

Amortization-debt issuance costs 507 440

Equity-based compensation 14,019 17,187

Non-cash lease expense 450 395

Changes in operating assets and liabilities:

Accounts receivable (24,471 ) (60,155 )

Prepaid expenses and other current assets (47,256 ) (43,800 )

Other assets (16 ) (23 )

Medical expenses payable 181,398 106,946

Accounts payable and accrued expenses 287 5,365

Accrued compensation (14,725 ) (7,577 )

Lease liabilities (544 ) (65 )

Net cash provided by operating activities 128,682 16,616

Investing Activities:

Purchase of investments (10,598 ) (17,905 )

Maturities of investments 18,540 22,695

Acquisition of property and equipment (7,364 ) (8,252 )

Net cash provided by (used in) investing activities 578 (3,462 )

Financing Activities:

Debt issuance costs (1,658 ) (26 )

Proceeds from stock option exercises 2,173 207

Net cash provided by financing activities 515 181

Net increase in cash 129,775 13,335

Cash, cash equivalents and restricted cash at beginning of period 577,937 434,942

Cash, cash equivalents and restricted cash at end of period $ 707,712 $ 448,277

Supplemental disclosure of cash flow information:

Cash paid for interest $ — $ —

Supplemental non-cash investing and financing activities:

Acquisition of property in accounts payable $ 94 $ 85

Debt issuance costs in accounts payable $ 719 $ —

The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the consolidated balance sheets to the total above:

March 31, 2026

March 31, 2025

Cash and cash equivalents $ 705,584 $ 446,184

Restricted cash in other assets 2,128 2,093

Total $ 707,712 $ 448,277

Non-GAAP Financial Measures

Certain of these financial measures are considered “non-GAAP” financial measures within the meaning of Item 10 of Regulation S-K promulgated by the SEC. We believe that non-GAAP financial measures provide an additional way of viewing aspects of our operations that, when viewed with the GAAP results, provide a more complete understanding of our results of operations and the factors and trends affecting our business. These non-GAAP financial measures are also used by our management to evaluate financial results and to plan and forecast future periods. However, non-GAAP financial measures should be considered as a supplement to, and not as a substitute for, or superior to, the corresponding measures calculated in accordance with GAAP. Non-GAAP financial measures used by us may differ from the non-GAAP measures used by other companies, including our competitors. To supplement our consolidated financial statements presented on a GAAP basis, we disclose the following non-GAAP measures: Medical Benefits Ratio, Adjusted EBITDA and Adjusted Gross Profit as these are performance measures that our management uses to assess our operating performance. Because these measures facilitate internal comparisons of our historical operating performance on a more consistent basis, we use these measures for business planning purposes and in evaluating acquisition opportunities.

Adjusted EBITDA

Adjusted EBITDA is a non-GAAP financial measure that we define as net income (loss) before interest expense, income taxes, depreciation and amortization expense, certain litigation costs, and equity-based compensation expense.

Adjusted EBITDA should not be considered in isolation of, or as an alternative to, measures prepared in accordance with GAAP. There are a number of limitations related to the use of Adjusted EBITDA in lieu of net income (loss), which is the most directly comparable financial measure calculated in accordance with GAAP.

Our use of the term Adjusted EBITDA may vary from the use of similar terms by other companies in our industry and accordingly may not be comparable to similarly titled measures used by other companies.

Medical Benefits Ratio (MBR)

We calculate our MBR by dividing total medical expenses, excluding depreciation, and medical equity-based compensation, by total revenues in a given period.

Adjusted Gross Profit

Adjusted gross profit is a non-GAAP financial measure that we define as income (loss) from operations before depreciation and amortization, medical equity-based compensation expense, and selling, general, and administrative expenses.

Adjusted gross profit should not be considered in isolation of, or as an alternative to, measures prepared in accordance with GAAP. There are a number of limitations related to the use of adjusted gross profit in lieu of income (loss) from operations, which is the most directly comparable financial measure calculated in accordance with GAAP.

Our use of the term adjusted gross profit may vary from the use of similar terms by other companies in our industry and accordingly may not be comparable to similarly titled measures used by other companies.

Investor Contact

Harrison Zhuo

hzhuo@ahcusa.com

Media Contact

Jerry Slowey

publicrelations@ahcusa.com

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Period Type:

duration

- Definition

Trading symbol of an instrument as listed on an exchange.

+ References

No definition available.

+ Details

Name:

dei_TradingSymbol

Namespace Prefix:

dei_

Data Type:

dei:tradingSymbolItemType

Balance Type:

Period Type:

duration

- Definition

Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Securities Act

-Number 230

-Section 425

+ Details

Name:

dei_WrittenCommunications

Namespace Prefix:

dei_

Data Type:

xbrli:booleanItemType

Balance Type:

Period Type:

duration