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 ($851.7k this quarter). Holder counts are more reliable. Shares outstanding: 206.7m as of 2026-04-27, 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 ≈ $17.63. Options: 10 managers hold calls ($14.3m notional), 7 hold puts ($3.8m).
Trends to Q1 2026
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 |
| Q1 2026 | 293 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| 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 |
| Q1 2026 | 178 | 115 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q2 2025 | $14.5m | $2.9m | 0.20 |
| Q3 2025 | $62.0m | $5.1m | 0.08 |
| Q4 2025 | $80.2m | $1.8m | 0.02 |
| Q1 2026 | $14.3m | $3.8m | 0.27 |
Biggest buyers
| Capital Research Global Investors | New | +3.6m |
| WELLINGTON MANAGEMENT GROUP LLP | Added | +3.0m |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | Added | +2.9m |
| Bank of New York Mellon Corp | Added | +2.3m |
| BANK OF AMERICA CORP /DE/ | Added | +2.0m |
| Allspring Global Investments Holdings, LLC | Added | +1.8m |
| MILLENNIUM MANAGEMENT LLC | Added | +1.3m |
| FMR LLC | Added | +1.2m |
| CITADEL ADVISORS LLC | Added | +1.0m |
| ADAGE CAPITAL PARTNERS GP, L.L.C. | Added | +914.4k |
Biggest sellers
| GENERAL ATLANTIC, L.P. | Sold out | -13.2m |
| Assenagon Asset Management S.A. | Reduced | -1.6m |
| T. Rowe Price Investment Management, Inc. | Reduced | -1.2m |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | Reduced | -945.1k |
| VOYA INVESTMENT MANAGEMENT LLC | Reduced | -876.7k |
| MORGAN STANLEY | Reduced | -835.7k |
| BARCLAYS PLC | Reduced | -603.1k |
| Nuveen, LLC | Reduced | -556.4k |
| Trexquant Investment LP | Reduced | -530.5k |
| Balyasny Asset Management L.P. | Reduced | -506.8k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $5.6m320.0k shares |
| CITADEL ADVISORS LLC | Reduced | $3.2m182.7k shares |
| MILLENNIUM MANAGEMENT LLC | New | $1.2m70.0k shares |
| HRT FINANCIAL LP | Added | $977.0k55.5k shares |
| JANE STREET GROUP, LLC | Reduced | $817.6k46.4k shares |
| GROUP ONE TRADING LLC | Reduced | $755.9k42.9k shares |
| SIMPLEX TRADING, LLC | Reduced | $627.3k35.6k shares |
| HBK INVESTMENTS L P | Reduced | $574.4k32.6k shares |
| IMC-Chicago, LLC | Added | $444.0k25.2k shares |
| Walleye Capital LLC | Reduced | $1.8k100 shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $1.9m108.7k shares |
| JANE STREET GROUP, LLC | New | $540.9k30.7k shares |
| CITADEL ADVISORS LLC | New | $518.0k29.4k shares |
| SIMPLEX TRADING, LLC | Added | $514.5k29.2k shares |
| IMC-Chicago, LLC | New | $186.8k10.6k shares |
| GROUP ONE TRADING LLC | Added | $67.0k3.8k shares |
| Walleye Capital LLC | Reduced | $56.4k3.2k 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 Q1 2026
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 |
|---|---|---|---|---|---|
| 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 |
| Q1 2026 | 0 | — | 7 | $28.0m | $22.9m |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2026-03-23 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $2.1m118.0k shares |
| 2026-03-19 | Wagner Andreas P. Chief Human Resources Officer | Sold plan | $211.4k11.6k shares |
| 2026-03-18 | KAO JOHN E Chief Executive Officer, director | Sold | $1.3m73.0k shares |
| 2026-03-18 | Maroney Dawn Christine President | Sold | $655.6k36.7k shares |
| 2026-03-18 | JOYCE CHRISTOPHER J Chief Legal and Admin. Officer | Sold | $448.2k25.1k shares |
| 2026-03-18 | Kim Hyong Chief Medical Officer | Sold | $328.3k18.4k shares |
| 2026-03-18 | Burzacchi Sebastian COO - Mgmt Services Org | Sold | $274.0k15.4k shares |
| 2026-03-18 | Wagner Andreas P. Chief Human Resources Officer | Sold plan | $214.1k12.0k shares |
| 2026-03-18 | Scavo Robert L. Chief Information Officer | Sold | $201.3k11.3k shares |
| 2026-03-16 | Maroney Dawn Christine President | Sold plan | $524.4k30.0k shares |
| 2026-03-12 | KAO JOHN E Chief Executive Officer, director | Sold | $853.3k48.9k shares |
| 2026-03-12 | Maroney Dawn Christine President | Sold | $508.0k29.1k shares |
| 2026-03-12 | Scavo Robert L. Chief Information Officer | Sold | $70.6k4.0k shares |
| 2026-03-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $3.3m180.0k shares |
| 2026-03-04 | Wagner Andreas P. Chief Human Resources Officer | Sold plan | $393.2k21.1k shares |
| 2026-02-17 | Maroney Dawn Christine President | Sold plan | $618.9k30.0k shares |
| 2026-02-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $3.7m180.0k shares |
| 2026-02-10 | Wagner Andreas P. Chief Human Resources Officer | Sold | $455.2k22.2k shares |
| 2026-01-15 | Maroney Dawn Christine President | Sold plan | $674.5k30.0k shares |
| 2026-01-12 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $3.8m180.0k shares |
| 2026-01-06 | Maroney Dawn Christine President | Sold plan | $4.9m228.2k shares |
| 2026-01-06 | Kim Hyong Chief Medical Officer | Sold plan | $352.4k16.5k shares |
| 2026-01-02 | Maroney Dawn Christine President | Sold plan | $2.0m100.0k shares |
| 2026-01-02 | JOYCE CHRISTOPHER J Chief Legal and Admin. Officer | Sold plan | $212.5k10.6k 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, Q1 2026
| Manager | Shares | Change |
|---|---|---|
| WELLINGTON MANAGEMENT GROUP LLP 0.06% of their portfolio | 17.1m $301.3m | Added +3.0m |
| FMR LLC 0.01% of their portfolio | 15.9m $280.0m | Added +1.2m |
| BlackRock, Inc. 0.00% of their portfolio | 14.1m $248.0m | Added +363.9k |
| T. Rowe Price Investment Management, Inc. 0.16% of their portfolio | 13.1m $231.7m | Reduced -1.2m |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.01% of their portfolio | 9.7m $171.1m | First filing |
| VANGUARD CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 8.0m $140.5m | First filing |
| Invesco Ltd. 0.01% of their portfolio | 7.0m $123.3m | Added +797.5k |
| Hood River Capital Management LLC 1.07% of their portfolio | 6.1m $106.7m | Reduced -119.0k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 5.7m $101.2m | Added +275.2k |
| CITADEL ADVISORS LLC 0.07% of their portfolio | 5.4m $94.5m | Added +1.0m |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 0.30% of their portfolio | 5.2m $91.9m | Added +2.9m |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 4.4m $77.7m | Added +569.6k |
| STATE STREET CORP 0.00% of their portfolio | 4.3m $75.7m | Added +625.1k |
| MILLENNIUM MANAGEMENT LLC 0.05% of their portfolio | 3.8m $67.6m | Added +1.3m |
| Capital Research Global Investors 0.01% of their portfolio | 3.6m $63.3m | New |
| Bank of New York Mellon Corp 0.01% of their portfolio | 3.3m $58.4m | Added +2.3m |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 3.2m $56.7m | Added +2.0m |
| Broad Bay Capital Management, LP 5.29% of their portfolio | 2.9m $51.4m | Added +408.7k |
| RENAISSANCE TECHNOLOGIES LLC 0.08% of their portfolio | 2.9m $51.2m | Added +235.9k |
| VOYA INVESTMENT MANAGEMENT LLC 0.05% of their portfolio | 2.8m $49.3m | Reduced -876.7k |
| Capital World Investors 0.01% of their portfolio | 2.7m $47.0m | Added +427.9k |
| Integral Health Asset Management, LLC 2.40% of their portfolio | 2.6m $45.4m | Added +375.0k |
| Danica Pension, Livsforsikringsaktieselskab 0.83% of their portfolio | 2.5m $44.1m | Added +503.6k |
| Allspring Global Investments Holdings, LLC 0.07% of their portfolio | 2.5m $43.9m | Added +1.8m |
| Point72 Asset Management, L.P. 0.07% of their portfolio | 2.4m $43.0m | Added +397.8k |
| NEXT CENTURY GROWTH INVESTORS LLC 2.89% of their portfolio | 2.3m $39.9m | Reduced -46.2k |
| LOOMIS SAYLES & CO L P 0.05% of their portfolio | 2.1m $37.1m | Reduced -130.0k |
| AMERIPRISE FINANCIAL INC 0.01% of their portfolio | 2.1m $37.0m | Added +173.5k |
| GILDER GAGNON HOWE & CO LLC 0.39% of their portfolio | 1.8m $32.3m | Reduced -23.4k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 1.6m $27.9m | Added +200.3k |
| Nuveen, LLC 0.01% of their portfolio | 1.6m $27.8m | Reduced -556.4k |
| MORGAN STANLEY 0.00% of their portfolio | 1.5m $26.9m | Reduced -835.7k |
| Qube Research & Technologies Ltd 0.04% of their portfolio | 1.5m $26.7m | Added +4.1k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.00% of their portfolio | 1.4m $24.7m | Added +125.3k |
| Freestone Grove Partners LP 0.17% of their portfolio | 1.3m $23.6m | Added +717.6k |
| VANGUARD FIDUCIARY TRUST CO 0.01% of their portfolio | 1.2m $20.5m | First filing |
| Rhenman & Partners Asset Management AB 2.29% of their portfolio | 1.1m $18.6m | Added +44.0k |
| ADAGE CAPITAL PARTNERS GP, L.L.C. 0.03% of their portfolio | 1.1m $18.5m | Added +914.4k |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 1.0m $17.8m | Reduced -140.8k |
| OBERWEIS ASSET MANAGEMENT INC/ 0.50% of their portfolio | 966.6k $17.0m | Added +219.1k |
| JUPITER ASSET MANAGEMENT LTD 0.08% of their portfolio | 877.8k $15.5m | Added +112.5k |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 817.3k $14.4m | Reduced -67.7k |
| ORBIMED ADVISORS LLC 0.30% of their portfolio | 791.0k $13.9m | New |
| Granahan Investment Management, LLC 0.67% of their portfolio | 780.5k $13.8m | Added +31.0k |
| MARSICO CAPITAL MANAGEMENT LLC 0.40% of their portfolio | 779.8k $13.7m | Added +66.4k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.01% of their portfolio | 760.0k $13.4m | Reduced -945.1k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 739.1k $13.0m | Added +295.6k |
| ACADIAN ASSET MANAGEMENT LLC 0.02% of their portfolio | 692.6k $12.2m | Reduced -343.1k |
| FIRST TRUST ADVISORS LP 0.01% of their portfolio | 626.2k $11.0m | Added +4.8k |
| FEDERATED HERMES, INC. 0.02% of their portfolio | 604.8k $10.7m | Added +33.3k |
| ROYCE & ASSOCIATES LP 0.10% of their portfolio | 557.9k $9.8m | Added +35.5k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 551.3k $9.7m | Added +527.5k |
| PRINCIPAL FINANCIAL GROUP INC 0.01% of their portfolio | 544.3k $9.6m | Added +145.5k |
| TD Asset Management Inc 0.01% of their portfolio | 541.2k $9.5m | Reduced -9.8k |
| Pier Capital, LLC 1.56% of their portfolio | 537.0k $9.5m | Reduced -9.6k |
| HENNESSY ADVISORS INC 0.30% of their portfolio | 471.6k $8.3m | Reduced -16.4k |
| TWO SIGMA INVESTMENTS, LP 0.01% of their portfolio | 465.1k $8.2m | Added +148.4k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 450.5k $7.9m | Added +34.9k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 445.8k $8.8m | Reduced -36.9k |
| SEB Asset Management AB 0.03% of their portfolio | 438.5k $7.7m | First filing |
| Aberdeen Group plc 0.01% of their portfolio | 413.0k $7.3m | New |
| PICTON MAHONEY ASSET MANAGEMENT 0.07% of their portfolio | 401.8k $7.1m | Reduced -2.3k |
| PFM Health Sciences, LP 0.67% of their portfolio | 359.8k $6.3m | New |
| Burkehill Global Management, LP 0.31% of their portfolio | 350.0k $6.2m | Unchanged |
| OSTERWEIS CAPITAL MANAGEMENT INC 0.32% of their portfolio | 347.0k $6.1m | New |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 337.0k $5.9m | Reduced -150.7k |
| Swiss National Bank 0.00% of their portfolio | 331.9k $5.8m | Unchanged |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.01% of their portfolio | 327.0k $5.8m | Added +80.2k |
| 1492 Capital Management LLC 2.17% of their portfolio | 324.0k $5.7m | Reduced -846 |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 312.9k $5.5m | Added +271.3k |
| PANAGORA ASSET MANAGEMENT INC 0.02% of their portfolio | 295.6k $5.2m | Unchanged |
| Edgestream Partners, L.P. 0.16% of their portfolio | 275.4k $4.9m | New |
| LGT Fund Management Co Ltd. 0.21% of their portfolio | 272.7k $4.8m | Reduced -14.3k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.00% of their portfolio | 267.1k $4.5m | Reduced -75.6k |
| FORMULA GROWTH LTD 1.90% of their portfolio | 239.2k $4.2m | Reduced -300 |
| NOMURA ASSET MANAGEMENT INTERNATIONAL INC. 0.01% of their portfolio | 238.1k $4.2m | Added +130.6k |
| CITIGROUP INC 0.00% of their portfolio | 237.9k $4.2m | Added +87.5k |
| MARSHALL WACE, LLP 0.00% of their portfolio | 237.7k $4.2m | Added +220.5k |
| Maven Securities LTD 0.38% of their portfolio | 236.7k $4.2m | Added +126.7k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.01% of their portfolio | 232.1k $4.1m | Added +40.0k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.01% of their portfolio | 229.5k $4.0m | Added +14.9k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 224.4k $4.0m | Reduced -454 |
| Voleon Capital Management LP 0.08% of their portfolio | 220.8k $3.9m | Reduced -228.1k |
| RHUMBLINE ADVISERS 0.00% of their portfolio | 218.5k $3.9m | Added +19.8k |
| Squarepoint Ops LLC 0.01% of their portfolio | 217.2k $3.8m | Reduced -30.5k |
| TUDOR INVESTMENT CORP ET AL 0.02% of their portfolio | 212.5k $3.7m | New |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 198.2k $3.5m | Added +40.1k |
| Simplify Asset Management Inc. 0.05% of their portfolio | 193.0k $3.4m | Reduced -69.8k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 188.5k $3.2m | Added +63.6k |
| NORDEA INVESTMENT MANAGEMENT AB 0.00% of their portfolio | 175.0k $3.0m | New |
| Hillsdale Investment Management Inc. 0.08% of their portfolio | 173.9k $3.1m | Added +17.6k |
| DEUTSCHE BANK AG\ 0.00% of their portfolio | 173.7k $3.1m | Added +34.4k |
| Baird Financial Group, Inc. 0.00% of their portfolio | 171.0k $3.0m | Reduced -13.4k |
| Legal & General Group Plc 0.00% of their portfolio | 154.5k $2.7m | Reduced -24.6k |
| Jain Global LLC 0.03% of their portfolio | 152.9k $2.7m | Added +40.9k |
| Assenagon Asset Management S.A. 0.00% of their portfolio | 152.8k $2.7m | Reduced -1.6m |
| VANGUARD ASSET MANAGEMENT, Ltd 0.00% of their portfolio | 150.8k $2.7m | First filing |
| SEVEN GRAND MANAGERS, LLC 0.18% of their portfolio | 150.0k $2.6m | New |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.00% of their portfolio | 149.9k $2.6m | Added +102.5k |
| UBS Group AG 0.00% of their portfolio | 149.5k $2.6m | Reduced -254.5k |