---
schema_version: "secwatch.filing_event.v1"
accession: "0001171843-24-001014"
form_type: "8-K"
ticker: "ALHC"
cik: "0001832466"
company_name: "Alignment Healthcare, Inc."
filed_at: "2024-02-27T23:59:59+00:00"
generated_at: "2026-06-05T12:47:37.614214+00:00"
event_type: "earnings"
sentiment: "neutral"
materiality_score: 0.6
calibrated_materiality_score: 0.6
confidence: "high"
source: SEC EDGAR
---

# Alignment Healthcare reports Q4 2023 revenue $465M, up 28.6% YoY; guides FY2024 EBITDA breakeven at midpoint

## Summary
- Total revenue $1.82B for FY2023, up 27.2% YoY; health plan members 119,200 at year end, up 21.1% YoY.
- Q4 adjusted gross profit $49.2M, medical benefits ratio 89.4%; adjusted EBITDA -$19.7M, net loss -$47.2M.
- FY2024 guidance: revenue $2.38-2.41B, health plan members 162k-164k (up ~37% YoY), adjusted EBITDA range -$15M to $15M.
- Cash $202.9M, debt $165.0M as of Dec 31, 2023.
- Full-year 2023 adjusted gross profit $208.8M, adjusted EBITDA -$35.3M, net loss -$148.2M.

## SEC filing metadata
- accession: 0001171843-24-001014
- form_type: 8-K
- ticker: ALHC
- cik: 0001832466
- company_name: Alignment Healthcare, Inc.
- filed_at: 2024-02-27T23:59:59+00:00
- event_type: earnings
- sentiment: neutral
- materiality_score: 0.6
- calibrated_materiality_score: 0.6
- confidence: high
- sec_items: 2.02, 9.01
- EDGAR index: https://www.sec.gov/Archives/edgar/data/1832466/000117184324001014/0001171843-24-001014-index.htm
- EDGAR primary document: https://www.sec.gov/Archives/edgar/data/1832466/000117184324001014/f8k_022724.htm

## Machine-readable alternates
- HTML: https://secwatch.observer/filing/0001171843-24-001014
- JSON: https://secwatch.observer/filing/0001171843-24-001014.json
- Plain text: https://secwatch.observer/filing/0001171843-24-001014.txt

## Key facts
- Earnings Releases
  Alignment Healthcare, Inc. reported fourth quarter ended December 31, 2023 results: revenue $465.4 million, net income $(47.2) million. Guidance initiated.
  - Period: fourth quarter ended December 31, 2023
  - Revenue: $465.4 million
  - Net income: $(47.2) million
  - Guidance: initiated
  - Result: reported results
  source text: Health plan membership at the end of the quarter was approximately 119,200, up 21.1% year over year Total revenue was $465.4 million, up 28.6% year over year Health plan premium revenue of $459.0 million represented 27.5% growth year over year Adjusted gross profit was $49.2 million and loss from operations was ($41.9) million Adjusted gross profit excludes depreciation and amortization of $5.9 million and selling, general, and administrative expenses of $83.7 million (which includes $14.1 million of equity-based compensation). Adjusted gross profit also excludes an additional $1.5 million of equity-based compensation recorded within medical expenses Medical benefits ratio based on adjusted gross profit was 89.4% Adjusted EBITDA was ($19.7) million and net loss was ($47.2) million
  evidence_url: https://www.sec.gov/Archives/edgar/data/1832466/000117184324001014/0001171843-24-001014-index.htm
- Earnings Releases
  Alignment Healthcare, Inc. reported full year ended December 31, 2023 results: revenue $1,823.6 million, net income $(148.2) million. Guidance initiated.
  - Period: full year ended December 31, 2023
  - Revenue: $1,823.6 million
  - Net income: $(148.2) million
  - Guidance: initiated
  - Result: reported results
  source text: Total revenue was $1,823.6 million, up 27.2% year over year Health plan premium revenue of $1,800.9 million represented 25.8% growth year over year Adjusted gross profit was $208.8 million and loss from operations was ($127.8) million Adjusted gross profit excludes depreciation and amortization of $21.7 million and selling, general, and administrative expenses of $307.4 million (which includes $59.3 million of equity-based compensation). Adjusted gross profit also excludes an additional $7.5 million of equity-based compensation recorded within medical expenses Medical benefits ratio based on adjusted gross profit was 88.5% Adjusted EBITDA was ($35.3) million and net loss was ($148.2) million
  evidence_url: https://www.sec.gov/Archives/edgar/data/1832466/000117184324001014/0001171843-24-001014-index.htm

This AI-assisted summary is a reading aid. Review the linked SEC EDGAR filing before relying on any specific claim.