ALIGNMENT HEALTHCARE INC ALHC
COM · Common Stock · CUSIP 01625V104
- SectorHealth care
- IndustryHospital & Medical Service Plans
- HeadquartersOrange, CA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($1.5m this quarter). Holder counts are more reliable. Shares outstanding: 200.1m as of 2025-10-27, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $19.75. Options: 12 managers hold calls ($80.2m notional), 8 hold puts ($1.8m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 150 |
| Q4 2022 | 147 |
| Q1 2023 | 131 |
| Q2 2023 | 142 |
| Q3 2023 | 132 |
| Q4 2023 | 122 |
| Q1 2024 | 131 |
| Q2 2024 | 119 |
| Q3 2024 | 138 |
| Q4 2024 | 173 |
| Q1 2025 | 208 |
| Q2 2025 | 219 |
| Q3 2025 | 236 |
| Q4 2025 | 263 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 63 | 64 |
| Q2 2024 | 69 | 64 |
| Q3 2024 | 72 | 52 |
| Q4 2024 | 103 | 49 |
| Q1 2025 | 144 | 58 |
| Q2 2025 | 154 | 91 |
| Q3 2025 | 149 | 104 |
| Q4 2025 | 174 | 88 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $17.5m | $4.4m | 0.25 |
| Q2 2025 | $14.5m | $2.9m | 0.20 |
| Q3 2025 | $62.0m | $5.1m | 0.08 |
| Q4 2025 | $80.2m | $1.8m | 0.02 |
Biggest buyers
| FMR LLC | Added | +6.6m |
| WELLINGTON MANAGEMENT GROUP LLP | Added | +3.0m |
| Capital World Investors | New | +2.2m |
| LOOMIS SAYLES & CO L P | New | +2.2m |
| Danica Pension, Livsforsikringsaktieselskab | New | +2.0m |
| T. Rowe Price Investment Management, Inc. | Added | +1.8m |
| Assenagon Asset Management S.A. | Added | +1.7m |
| Invesco Ltd. | Added | +1.7m |
| VANGUARD GROUP INC | Added | +1.5m |
| ACADIAN ASSET MANAGEMENT LLC | Added | +967.6k |
Biggest sellers
| GENERAL ATLANTIC, L.P. | Reduced | -11.1m |
| MILLENNIUM MANAGEMENT LLC | Reduced | -2.9m |
| CITADEL ADVISORS LLC | Reduced | -1.8m |
| Balyasny Asset Management L.P. | Reduced | -1.0m |
| 8 KNOTS MANAGEMENT, LLC | Reduced | -1.0m |
| Point72 Asset Management, L.P. | Reduced | -783.3k |
| JPMORGAN CHASE & CO | Reduced | -774.3k |
| Jump Financial, LLC | Reduced | -726.5k |
| TWO SIGMA ADVISERS, LP | Reduced | -694.1k |
| BARCLAYS PLC | Reduced | -678.2k |
Biggest calls
| PEAK6 LLC | Added | $23.5m1.2m shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $22.8m1.2m shares |
| CITADEL ADVISORS LLC | Reduced | $9.1m462.7k shares |
| JANE STREET GROUP, LLC | Added | $6.7m337.5k shares |
| SIMPLEX TRADING, LLC | Added | $5.4m275.7k shares |
| HBK INVESTMENTS L P | Unchanged | $4.5m225.4k shares |
| GROUP ONE TRADING LLC | Reduced | $2.7m137.3k shares |
| D. E. Shaw & Co., Inc. | Unchanged | $1.5m77.8k shares |
| Walleye Trading LLC | Reduced | $1.3m63.3k shares |
| Walleye Capital LLC | Added | $1.2m62.4k shares |
Biggest puts
| PEAK6 LLC | New | $837.4k42.4k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $377.2k19.1k shares |
| CAPITAL FUND MANAGEMENT S.A. | Reduced | $349.6k17.7k shares |
| Walleye Capital LLC | Reduced | $132.3k6.7k shares |
| Walleye Trading LLC | Reduced | $53.3k2.7k shares |
| GROUP ONE TRADING LLC | Reduced | $39.5k2.0k shares |
| LuminArx Capital Management LP | First filing | $16.5k20.0k shares |
| SIMPLEX TRADING, LLC | Reduced | $11.8k600 shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution +2.2 pts · filed 2026-10-05 | 11.3% |
| WELLINGTON MANAGEMENT GROUP LLP 13G · institution +1.1 pts · filed 2026-05-15 | 8.4% |
| FMR LLC 13G · institution +3.5 pts · filed 2026-02-05 | 7.7% |
| Qatar Investment Authority 13G · passive investor new · filed 2025-09-24 | 6.7% |
| T. Rowe Price Investment Management, Inc. 13G · institution new · filed 2025-08-14 | 6.2% |
| VANGUARD PORTFOLIO MANAGEMENT LLC 13G · institution new · filed 2026-07-31 | 5.7% |
| Invesco Ltd. 13G · institution new · filed 2026-08-13 | 5.0% |
Fell to 5% or below in the last year: GENERAL ATLANTIC, L.P. (0.1%, 2026-05-15), VANGUARD GROUP INC (0.0%, 2026-03-26; now reported by VANGUARD PORTFOLIO MANAGEMENT LLC)
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 1 | $496.5k | 6 | $987.3k | — |
| Q2 2024 | 0 | — | 3 | $302.0k | $302.0k |
| Q3 2024 | 0 | — | 7 | $8.1m | $7.9m |
| Q4 2024 | 0 | — | 8 | $8.3m | $7.4m |
| Q1 2025 | 0 | — | 9 | $36.2m | $15.5m |
| Q2 2025 | 0 | — | 7 | $273.4m | $13.7m |
| Q3 2025 | 0 | — | 9 | $337.2m | $20.4m |
| Q4 2025 | 0 | — | 7 | $33.7m | $14.9m |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-12-29 | KAO JOHN E Chief Executive Officer, director | Sold | $11.4m605.6k shares |
| 2025-12-29 | Maroney Dawn Christine President | Sold | $5.3m282.1k shares |
| 2025-12-29 | Scavo Robert L. Chief Information Officer | Sold | $1.3m69.5k shares |
| 2025-12-29 | JOYCE CHRISTOPHER J Chief Legal and Admin. Officer | Sold | $303.5k16.2k shares |
| 2025-12-29 | Kim Hyong Chief Medical Officer | Sold | $238.0k12.7k shares |
| 2025-12-15 | Maroney Dawn Christine President | Sold plan | $2.3m113.3k shares |
| 2025-12-12 | GENERAL ATLANTIC, L.P. +9 10% owner · See footnote | Sold | $206.5m11.1m shares |
| 2025-12-12 | General Atlantic (ALN HLTH), L.P. 10% owner · See footnote | Sold | $206.5m11.1m shares |
| 2025-12-12 | Maroney Dawn Christine President | Sold plan | $334.0k16.7k shares |
| 2025-12-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $3.4m180.0k shares |
| 2025-12-10 | Burzacchi Sebastian COO - Mgmt Services Org | Sold | $242.4k12.6k shares |
| 2025-12-08 | JOYCE CHRISTOPHER J Chief Legal and Admin. Officer | Sold plan | $380.9k19.7k shares |
| 2025-11-25 | KONOWIECKI JOSEPH S Director | Sold plan | $475.0k25.0k shares |
| 2025-11-11 | KONOWIECKI JOSEPH S Director | Sold | $79.7k4.8k shares |
| 2025-11-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $2.9m180.0k shares |
| 2025-10-28 | KONOWIECKI JOSEPH S Director | Sold plan | $450.0k25.0k shares |
| 2025-10-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $3.1m180.0k shares |
| 2025-10-09 | Kim Hyong Chief Medical Officer | Sold plan | $902.7k51.4k shares |
| 2025-10-08 | Kim Hyong Chief Medical Officer | Sold plan | $581.9k33.7k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| VANGUARD GROUP INC 0.00% of their portfolio | 15.5m $306.0m | Added +1.5m |
| FMR LLC 0.01% of their portfolio | 14.7m $289.5m | Added +6.6m |
| T. Rowe Price Investment Management, Inc. 0.11% of their portfolio | 14.3m $283.1m | Added +1.8m |
| WELLINGTON MANAGEMENT GROUP LLP 0.05% of their portfolio | 14.1m $277.9m | Added +3.0m |
| BlackRock, Inc. 0.00% of their portfolio | 13.7m $270.8m | Added +135.5k |
| GENERAL ATLANTIC, L.P. 9.05% of their portfolio | 13.2m $260.1m | Reduced -11.1m |
| Invesco Ltd. 0.01% of their portfolio | 6.2m $122.5m | Added +1.7m |
| Hood River Capital Management LLC 1.34% of their portfolio | 6.2m $121.9m | Added +256.0k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 5.5m $108.0m | Reduced -107.1k |
| CITADEL ADVISORS LLC 0.06% of their portfolio | 4.3m $85.7m | Reduced -1.8m |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 3.8m $75.9m | Added +299.3k |
| VOYA INVESTMENT MANAGEMENT LLC 0.07% of their portfolio | 3.7m $72.5m | Added +476.1k |
| STATE STREET CORP 0.00% of their portfolio | 3.7m $72.5m | Added +460.2k |
| RENAISSANCE TECHNOLOGIES LLC 0.08% of their portfolio | 2.7m $52.7m | Reduced -305.3k |
| MILLENNIUM MANAGEMENT LLC 0.04% of their portfolio | 2.6m $50.7m | Reduced -2.9m |
| Broad Bay Capital Management, LP 5.66% of their portfolio | 2.5m $49.6m | Added +135.9k |
| MORGAN STANLEY 0.00% of their portfolio | 2.4m $46.7m | Added +384.4k |
| NEXT CENTURY GROWTH INVESTORS LLC 3.17% of their portfolio | 2.3m $45.6m | Added +35.5k |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 0.13% of their portfolio | 2.3m $45.5m | Added +185.3k |
| Capital World Investors 0.01% of their portfolio | 2.2m $44.2m | New |
| LOOMIS SAYLES & CO L P 0.05% of their portfolio | 2.2m $44.2m | New |
| Integral Health Asset Management, LLC 2.20% of their portfolio | 2.2m $43.5m | Added +600.0k |
| Nuveen, LLC 0.01% of their portfolio | 2.1m $42.2m | Reduced -34.9k |
| Point72 Asset Management, L.P. 0.06% of their portfolio | 2.0m $40.3m | Reduced -783.3k |
| Danica Pension, Livsforsikringsaktieselskab 0.57% of their portfolio | 2.0m $39.5m | New |
| AMERIPRISE FINANCIAL INC 0.01% of their portfolio | 1.9m $38.1m | Reduced -19.4k |
| 8 KNOTS MANAGEMENT, LLC 4.25% of their portfolio | 1.9m $36.9m | Reduced -1.0m |
| GILDER GAGNON HOWE & CO LLC 0.39% of their portfolio | 1.9m $36.7m | Reduced -26.9k |
| Assenagon Asset Management S.A. 0.05% of their portfolio | 1.8m $35.1m | Added +1.7m |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.02% of their portfolio | 1.7m $33.7m | Added +98.3k |
| Qube Research & Technologies Ltd 0.04% of their portfolio | 1.5m $29.9m | Added +553.0k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 1.4m $27.3m | Added +73.7k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 1.3m $25.2m | Added +58.4k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 1.3m $24.8m | Reduced -158.6k |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 1.2m $22.8m | Added +257.3k |
| ACADIAN ASSET MANAGEMENT LLC 0.03% of their portfolio | 1.0m $20.4m | Added +967.6k |
| Rhenman & Partners Asset Management AB 1.86% of their portfolio | 1.0m $19.9m | Reduced -469.8k |
| Bank of New York Mellon Corp 0.00% of their portfolio | 996.3k $19.7m | Added +538.1k |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 885.0k $17.5m | Added +130.0k |
| JUPITER ASSET MANAGEMENT LTD 0.12% of their portfolio | 765.2k $15.1m | Added +555.1k |
| Granahan Investment Management, LLC 0.63% of their portfolio | 749.5k $14.8m | Added +168.8k |
| OBERWEIS ASSET MANAGEMENT INC/ 0.54% of their portfolio | 747.5k $14.8m | New |
| MARSICO CAPITAL MANAGEMENT LLC 0.39% of their portfolio | 713.3k $14.1m | Unchanged |
| BARCLAYS PLC 0.01% of their portfolio | 669.5k $13.2m | Reduced -678.2k |
| Allspring Global Investments Holdings, LLC 0.02% of their portfolio | 652.6k $13.2m | Added +16.3k |
| FIRST TRUST ADVISORS LP 0.01% of their portfolio | 621.4k $12.3m | Added +165.2k |
| Freestone Grove Partners LP 0.09% of their portfolio | 620.2k $12.2m | Reduced -587.8k |
| Balyasny Asset Management L.P. 0.02% of their portfolio | 600.5k $11.9m | Reduced -1.0m |
| Trexquant Investment LP 0.10% of their portfolio | 583.9k $11.5m | Reduced -64.1k |
| FEDERATED HERMES, INC. 0.02% of their portfolio | 571.5k $11.3m | Added +126.3k |
| TD Asset Management Inc 0.01% of their portfolio | 551.0k $10.9m | Added +1.8k |
| Pier Capital, LLC 1.72% of their portfolio | 546.7k $10.8m | Added +319.3k |
| ROYCE & ASSOCIATES LP 0.10% of their portfolio | 522.5k $10.3m | Added +8.4k |
| Skandinaviska Enskilda Banken AB (publ) 0.04% of their portfolio | 502.2k $9.9m | Added +499.9k |
| HENNESSY ADVISORS INC 0.34% of their portfolio | 488.0k $9.6m | Reduced -31.7k |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 487.6k $9.6m | Added +16.1k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 482.7k $9.5m | Added +230.3k |
| Voleon Capital Management LP 0.19% of their portfolio | 449.0k $8.9m | Added +404.2k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 443.4k $8.8m | Added +248.7k |
| Jefferies Financial Group Inc. 0.07% of their portfolio | 433.7k $8.6m | Added +409.4k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 415.7k $8.2m | Added +51.1k |
| PICTON MAHONEY ASSET MANAGEMENT 0.09% of their portfolio | 404.2k $8.0m | Added +10.2k |
| UBS Group AG 0.00% of their portfolio | 404.0k $8.0m | Added +119.1k |
| PRINCIPAL FINANCIAL GROUP INC 0.00% of their portfolio | 398.8k $7.9m | Added +231.4k |
| ExodusPoint Capital Management, LP 0.08% of their portfolio | 381.2k $7.5m | New |
| Burkehill Global Management, LP 0.46% of their portfolio | 350.0k $6.9m | New |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.00% of their portfolio | 342.7k $6.6m | Added +3.9k |
| Swiss National Bank 0.00% of their portfolio | 331.9k $6.6m | Added +63.4k |
| 1492 Capital Management LLC 2.46% of their portfolio | 324.9k $6.4m | Added +124.1k |
| TWO SIGMA INVESTMENTS, LP 0.01% of their portfolio | 316.7k $6.3m | Reduced -671.3k |
| PANAGORA ASSET MANAGEMENT INC 0.02% of their portfolio | 295.6k $5.8m | Added +8.5k |
| Quantbot Technologies LP 0.19% of their portfolio | 292.6k $5.8m | Reduced -35.5k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.01% of their portfolio | 290.6k $5.7m | New |
| LGT Fund Management Co Ltd. 0.44% of their portfolio | 287.0k $5.5m | Added +135.5k |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 275.3k $5.4m | Added +143.7k |
| Simplify Asset Management Inc. 0.09% of their portfolio | 262.9k $5.2m | Added +125.9k |
| Y-Intercept (Hong Kong) Ltd 0.12% of their portfolio | 262.5k $5.2m | Added +62.0k |
| NORGES BANK 0.00% of their portfolio | 260.4k $5.1m | Not comparable |
| CAXTON ASSOCIATES LLP 0.10% of their portfolio | 259.4k $5.1m | New |
| ALGERT GLOBAL LLC 0.08% of their portfolio | 252.6k $5.0m | Reduced -220.5k |
| Squarepoint Ops LLC 0.01% of their portfolio | 247.7k $4.9m | Reduced -446.5k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.01% of their portfolio | 246.9k $4.9m | Added +245.4k |
| FORMULA GROWTH LTD 1.82% of their portfolio | 239.5k $4.7m | Reduced -8.7k |
| Verition Fund Management LLC 0.03% of their portfolio | 236.2k $4.7m | Reduced -40.6k |
| Jump Financial, LLC 0.06% of their portfolio | 228.2k $4.5m | Reduced -726.5k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 224.8k $4.4m | Added +16.4k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.01% of their portfolio | 214.6k $4.2m | Added +7.1k |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 198.7k $3.9m | Reduced -1.3k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.01% of their portfolio | 192.0k $3.8m | Added +64.2k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 191.3k $3.8m | Added +98.3k |
| Baird Financial Group, Inc. 0.01% of their portfolio | 184.4k $3.6m | Reduced -13.4k |
| Legal & General Group Plc 0.00% of their portfolio | 179.1k $3.5m | Added +12.6k |
| D. E. Shaw & Co., Inc. 0.00% of their portfolio | 168.3k $3.3m | Reduced -148.3k |
| DEERFIELD MANAGEMENT COMPANY, L.P. 0.04% of their portfolio | 164.3k $3.2m | Added +61.4k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 158.1k $3.1m | Added +31.1k |
| Hillsdale Investment Management Inc. 0.09% of their portfolio | 156.3k $3.1m | Reduced -2.0k |
| CITIGROUP INC 0.00% of their portfolio | 150.4k $3.0m | Added +133.8k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 150.3k $3.0m | Added +7.7k |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.00% of their portfolio | 146.1k $2.9m | Added +14.2k |
| TWO SIGMA ADVISERS, LP 0.01% of their portfolio | 140.7k $2.8m | Reduced -694.1k |