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 ($5.3m this quarter). Holder counts are more reliable. Shares outstanding: 207.4m as of 2026-07-27, 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 ≈ $23.80. Options: 11 managers hold calls ($41.3m notional), 8 hold puts ($6.9m).
Trends to Q2 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 |
| Q2 2026 | 323 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| 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 |
| Q2 2026 | 217 | 127 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q3 2025 | $62.0m | $5.1m | 0.08 |
| Q4 2025 | $80.2m | $1.8m | 0.02 |
| Q1 2026 | $14.3m | $3.8m | 0.27 |
| Q2 2026 | $41.3m | $6.9m | 0.17 |
Biggest buyers
| BANK OF AMERICA CORP /DE/ | Added | +6.1m |
| BlackRock, Inc. | Added | +5.3m |
| Invesco Ltd. | Added | +3.4m |
| STATE STREET CORP | Added | +3.0m |
| GOLDMAN SACHS GROUP INC | Added | +3.0m |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | Added | +2.5m |
| VANGUARD PORTFOLIO MANAGEMENT LLC | Added | +2.0m |
| DIMENSIONAL FUND ADVISORS LP | Added | +1.7m |
| WELLINGTON MANAGEMENT GROUP LLP | Added | +1.7m |
| UBS Group AG | Added | +1.3m |
Biggest sellers
| CITADEL ADVISORS LLC | Sold out | -5.4m |
| Point72 Asset Management, L.P. | Sold out | -2.4m |
| MILLENNIUM MANAGEMENT LLC | Reduced | -2.4m |
| FMR LLC | Reduced | -2.0m |
| RENAISSANCE TECHNOLOGIES LLC | Reduced | -1.9m |
| Qube Research & Technologies Ltd | Sold out | -1.5m |
| Freestone Grove Partners LP | Sold out | -1.3m |
| VOYA INVESTMENT MANAGEMENT LLC | Reduced | -1.2m |
| Nuveen, LLC | Reduced | -1.1m |
| ADAGE CAPITAL PARTNERS GP, L.L.C. | Sold out | -1.1m |
Biggest calls
| CITADEL ADVISORS LLC | Added | $16.0m671.9k shares |
| Caption Management, LLC | New | $7.1m300.0k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $6.5m273.5k shares |
| JANE STREET GROUP, LLC | Added | $3.7m154.9k shares |
| GROUP ONE TRADING LLC | Added | $2.0m82.1k shares |
| IMC-Chicago, LLC | Added | $1.8m76.8k shares |
| HRT FINANCIAL LP | Unchanged | $1.3m55.5k shares |
| SIMPLEX TRADING, LLC | Added | $1.1m47.8k shares |
| HBK INVESTMENTS L P | Added | $828.6k34.8k shares |
| Walleye Trading LLC | New | $659.5k27.7k shares |
Biggest puts
| CITADEL ADVISORS LLC | Added | $4.1m171.7k shares |
| JANE STREET GROUP, LLC | Added | $1.7m71.5k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $609.5k25.6k shares |
| GROUP ONE TRADING LLC | Added | $273.8k11.5k shares |
| Walleye Capital LLC | Added | $171.4k7.2k shares |
| Walleye Trading LLC | New | $64.3k2.7k shares |
| SIMPLEX TRADING, LLC | Reduced | $26.2k1.1k shares |
| WOLVERINE ASSET MANAGEMENT LLC | New | $2.4k100 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), CITADEL ADVISORS LLC (3.4%, 2025-11-14)
Insider purchases and sales since 1 Apr 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 |
|---|---|---|---|---|---|
| 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 |
| Q2 2026 | 1 | $197.6k | 6 | $27.1m | $26.9m |
| Q3 2026 | 0 | — | 3 | $23.7m | $21.9m |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2026-09-17 | KONOWIECKI JOSEPH S EVP, Corporate Affairs, director | Sold | $202.4k23.5k shares |
| 2026-09-14 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $356.2k27.4k shares |
| 2026-09-11 | KAO JOHN E Chief Executive Officer, director | Sold plan | $4.9m385.3k shares |
| 2026-09-11 | Maroney Dawn Christine President | Sold | $1.6m122.7k shares |
| 2026-09-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $2.2m172.6k shares |
| 2026-08-14 | Maroney Dawn Christine President | Sold plan | $70.0k5.0k shares |
| 2026-08-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $4.1m298.0k shares |
| 2026-07-15 | Maroney Dawn Christine President | Sold plan | $3.7m177.1k shares |
| 2026-07-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $5.9m298.0k shares |
| 2026-07-01 | KONOWIECKI JOSEPH S EVP, Corporate Affairs, director | Sold plan | $600.0k25.0k shares |
| 2026-06-26 | KONOWIECKI JOSEPH S EVP, Corporate Affairs, director | Sold plan | $575.0k25.0k shares |
| 2026-06-18 | KONOWIECKI JOSEPH S EVP, Corporate Affairs, director | Sold plan | $550.0k25.0k shares |
| 2026-06-15 | Maroney Dawn Christine President | Sold plan | $586.5k30.0k shares |
| 2026-06-12 | Kim Hyong Chief Medical Officer | Sold plan | $714.0k36.0k shares |
| 2026-06-11 | KONOWIECKI JOSEPH S EVP, Corporate Affairs, director | Sold plan | $525.0k25.0k shares |
| 2026-06-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $6.1m298.0k shares |
| 2026-06-02 | Kent Mark D. President - MSO | Bought | $197.6k14.8k shares |
| 2026-05-15 | Maroney Dawn Christine President | Sold plan | $482.7k30.0k shares |
| 2026-05-11 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $5.0m298.0k shares |
| 2026-04-15 | Maroney Dawn Christine President | Sold plan | $626.1k30.0k shares |
| 2026-04-13 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $1.7m82.3k shares |
| 2026-04-10 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $4.5m215.7k shares |
| 2026-04-07 | KAO JOHN E Chief Executive Officer, director · See Footnote | Sold plan | $5.3m250.0k shares |
| 2026-04-07 | Head James M Chief Financial Officer | Sold | $234.0k11.1k shares |
| 2026-04-01 | JOYCE CHRISTOPHER J Chief Legal and Admin. Officer | Sold plan | $320.5k18.0k 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, Q2 2026
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.01% of their portfolio | 19.3m $460.6m | Added +5.3m |
| WELLINGTON MANAGEMENT GROUP LLP 0.08% of their portfolio | 18.8m $447.2m | Added +1.7m |
| FMR LLC 0.01% of their portfolio | 13.9m $331.5m | Reduced -2.0m |
| T. Rowe Price Investment Management, Inc. 0.20% of their portfolio | 13.1m $312.4m | Reduced -28.1k |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.01% of their portfolio | 11.7m $277.9m | Added +2.0m |
| Invesco Ltd. 0.02% of their portfolio | 10.4m $246.8m | Added +3.4m |
| BANK OF AMERICA CORP /DE/ 0.01% of their portfolio | 9.3m $222.5m | Added +6.1m |
| VANGUARD CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 8.1m $193.9m | Added +170.6k |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC 0.56% of their portfolio | 7.8m $184.8m | Added +2.5m |
| STATE STREET CORP 0.01% of their portfolio | 7.3m $173.8m | Added +3.0m |
| Hood River Capital Management LLC 1.07% of their portfolio | 6.2m $147.3m | Added +130.0k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 4.9m $117.6m | Reduced -802.2k |
| GEODE CAPITAL MANAGEMENT, LLC 0.01% of their portfolio | 4.8m $115.4m | Added +434.2k |
| Capital Research Global Investors 0.01% of their portfolio | 4.4m $104.7m | Added +805.8k |
| GOLDMAN SACHS GROUP INC 0.01% of their portfolio | 4.0m $95.6m | Added +3.0m |
| Capital World Investors 0.01% of their portfolio | 3.9m $93.1m | Added +1.2m |
| Danica Pension, Livsforsikringsaktieselskab 1.40% of their portfolio | 3.7m $87.8m | Added +1.2m |
| Bank of New York Mellon Corp 0.01% of their portfolio | 3.7m $87.1m | Added +344.1k |
| Allspring Global Investments Holdings, LLC 0.11% of their portfolio | 3.1m $73.3m | Added +595.1k |
| NEXT CENTURY GROWTH INVESTORS LLC 3.20% of their portfolio | 2.5m $60.4m | Added +275.5k |
| AMERIPRISE FINANCIAL INC 0.01% of their portfolio | 2.4m $56.1m | Added +255.6k |
| LOOMIS SAYLES & CO L P 0.06% of their portfolio | 2.1m $51.2m | Added +42.8k |
| Integral Health Asset Management, LLC 1.95% of their portfolio | 2.0m $47.6m | Reduced -575.0k |
| NORTHERN TRUST CORP 0.01% of their portfolio | 2.0m $47.5m | Added +412.7k |
| Broad Bay Capital Management, LP 4.27% of their portfolio | 1.9m $45.1m | Reduced -1.0m |
| DIMENSIONAL FUND ADVISORS LP 0.01% of their portfolio | 1.8m $42.2m | Added +1.7m |
| MORGAN STANLEY 0.00% of their portfolio | 1.7m $40.5m | Added +172.1k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.01% of their portfolio | 1.7m $39.4m | Added +251.7k |
| VOYA INVESTMENT MANAGEMENT LLC 0.03% of their portfolio | 1.6m $37.1m | Reduced -1.2m |
| MILLENNIUM MANAGEMENT LLC 0.02% of their portfolio | 1.5m $34.8m | Reduced -2.4m |
| UBS Group AG 0.01% of their portfolio | 1.4m $33.8m | Added +1.3m |
| GILDER GAGNON HOWE & CO LLC 0.34% of their portfolio | 1.4m $33.3m | Reduced -434.2k |
| ACADIAN ASSET MANAGEMENT LLC 0.04% of their portfolio | 1.3m $30.4m | Added +586.7k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.04% of their portfolio | 1.2m $29.5m | New |
| VANGUARD FIDUCIARY TRUST CO 0.01% of their portfolio | 1.2m $29.5m | Added +75.8k |
| OBERWEIS ASSET MANAGEMENT INC/ 0.54% of their portfolio | 1.1m $25.9m | Added +123.0k |
| PRINCIPAL FINANCIAL GROUP INC 0.01% of their portfolio | 1.1m $25.6m | Added +529.7k |
| RENAISSANCE TECHNOLOGIES LLC 0.03% of their portfolio | 998.4k $23.8m | Reduced -1.9m |
| Rhenman & Partners Asset Management AB 2.24% of their portfolio | 997.1k $23.7m | Reduced -56.4k |
| D. E. Shaw & Co., Inc. 0.01% of their portfolio | 854.8k $20.4m | Added +741.5k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 841.2k $20.0m | Added +289.9k |
| MACKENZIE FINANCIAL CORP 0.02% of their portfolio | 818.2k $19.5m | New |
| ROYCE & ASSOCIATES LP 0.15% of their portfolio | 780.9k $18.6m | Added +223.0k |
| MARSHALL WACE, LLP 0.01% of their portfolio | 697.5k $16.6m | Added +459.9k |
| PICTON MAHONEY ASSET MANAGEMENT 0.15% of their portfolio | 666.0k $15.9m | Added +264.2k |
| FIRST TRUST ADVISORS LP 0.01% of their portfolio | 663.8k $15.8m | Added +37.5k |
| HRT FINANCIAL LP 0.04% of their portfolio | 643.2k $15.3m | New |
| PANAGORA ASSET MANAGEMENT INC 0.04% of their portfolio | 605.6k $14.4m | Added +310.0k |
| OSTERWEIS CAPITAL MANAGEMENT INC 0.68% of their portfolio | 604.0k $14.4m | Added +257.0k |
| AQR CAPITAL MANAGEMENT LLC 0.00% of their portfolio | 593.7k $14.1m | Reduced -223.5k |
| JACOBS LEVY EQUITY MANAGEMENT, INC 0.05% of their portfolio | 582.7k $13.9m | New |
| Aberdeen Group plc 0.02% of their portfolio | 577.1k $13.7m | Added +164.0k |
| SEI INVESTMENTS CO 0.01% of their portfolio | 571.9k $13.6m | Reduced -167.2k |
| Public Sector Pension Investment Board 0.04% of their portfolio | 568.2k $13.5m | New |
| Pier Capital, LLC 1.66% of their portfolio | 527.5k $12.6m | Reduced -9.6k |
| TWO SIGMA INVESTMENTS, LP 0.01% of their portfolio | 519.5k $12.4m | Added +54.4k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 499.1k $11.8m | Added +310.6k |
| CITIGROUP INC 0.01% of their portfolio | 495.6k $11.8m | Added +257.6k |
| 1492 Capital Management LLC 3.43% of their portfolio | 487.4k $11.6m | Added +163.3k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 487.2k $11.6m | Added +36.6k |
| TD Asset Management Inc 0.01% of their portfolio | 486.6k $11.6m | Reduced -54.6k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.01% of their portfolio | 477.4k $11.4m | Added +150.4k |
| Nuveen, LLC 0.00% of their portfolio | 471.6k $11.2m | Reduced -1.1m |
| AMERICAN CENTURY COMPANIES INC 0.00% of their portfolio | 452.6k $10.8m | Added +139.7k |
| RHUMBLINE ADVISERS 0.01% of their portfolio | 428.9k $10.2m | Added +210.4k |
| Trexquant Investment LP 0.06% of their portfolio | 422.8k $10.1m | Added +369.4k |
| Legal & General Group Plc 0.00% of their portfolio | 405.9k $9.7m | Added +251.4k |
| Swiss National Bank 0.00% of their portfolio | 389.4k $9.3m | Added +57.5k |
| O'Neil Global Advisors, Inc. 1.98% of their portfolio | 372.7k $8.9m | New |
| BNP PARIBAS FINANCIAL MARKETS 0.00% of their portfolio | 367.4k $8.7m | Added +278.9k |
| Granahan Investment Management, LLC 0.30% of their portfolio | 355.0k $8.5m | Reduced -425.5k |
| Burkehill Global Management, LP 0.30% of their portfolio | 350.0k $8.3m | Unchanged |
| LOS ANGELES CAPITAL MANAGEMENT LLC 0.03% of their portfolio | 347.0k $8.3m | Added +346.3k |
| Thrivent Financial for Lutherans 0.01% of their portfolio | 323.2k $7.7m | New |
| Counterpoint Mutual Funds LLC 0.73% of their portfolio | 310.8k $7.4m | New |
| Tredje AP-fonden 0.03% of their portfolio | 301.0k $7.2m | New |
| NEW YORK STATE COMMON RETIREMENT FUND 0.01% of their portfolio | 276.2k $6.6m | Added +46.7k |
| Susquehanna Portfolio Strategies, LLC 0.10% of their portfolio | 270.5k $6.4m | Added +250.5k |
| Jump Financial, LLC 0.06% of their portfolio | 264.0k $6.3m | New |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 254.3k $6.1m | Reduced -82.7k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 248.9k $4.4m | Reduced -196.9k |
| Russell Investments Group, Ltd. 0.00% of their portfolio | 232.2k $5.5m | Added +191.7k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 224.9k $5.4m | Added +75.9k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 223.7k $5.3m | Added +25.5k |
| FORMULA GROWTH LTD 1.85% of their portfolio | 221.3k $5.3m | Reduced -17.9k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.01% of their portfolio | 220.5k $5.2m | Reduced -11.6k |
| SCHRODER INVESTMENT MANAGEMENT GROUP 0.00% of their portfolio | 218.1k $5.1m | Reduced -49.0k |
| DEUTSCHE BANK AG\ 0.00% of their portfolio | 216.3k $5.2m | Added +42.7k |
| SEB Asset Management AB 0.02% of their portfolio | 210.8k $5.0m | Reduced -227.7k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 210.7k $5.0m | Added +126.9k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 210.5k $5.0m | Added +73.6k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.00% of their portfolio | 202.7k $4.8m | Reduced -21.7k |
| CAXTON ASSOCIATES LLP 0.09% of their portfolio | 200.0k $4.8m | New |
| Squarepoint Ops LLC 0.01% of their portfolio | 192.7k $4.6m | Reduced -24.5k |
| NORDEA INVESTMENT MANAGEMENT AB 0.00% of their portfolio | 192.1k $4.5m | Added +17.1k |
| FEDERATED HERMES, INC. 0.01% of their portfolio | 187.7k $4.5m | Reduced -417.1k |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.01% of their portfolio | 186.5k $4.4m | Added +36.6k |
| VANGUARD ASSET MANAGEMENT, Ltd 0.00% of their portfolio | 185.3k $4.4m | Added +34.5k |
| Quantinno Capital Management LP 0.01% of their portfolio | 184.8k $4.4m | Added +95.4k |
| LGT Fund Management Co Ltd. 0.18% of their portfolio | 179.7k $4.3m | Reduced -93.0k |