Alignment Healthcare posts first profit

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Alignment Healthcare posted its first quarterly profit and raised its full-year membership, revenue, adjusted profit and adjusted EBITDA outlooks in its second quarter earnings published July 30.

“Our strong Q2 performance proves two things: one that there is a model of high-integrity Medicare Advantage that works well for both members and investors, and two that Alignment Healthcare continues to defy the odds,” founder and CEO John Kao told Becker’s. “What has worked for MA in the last 10 years no longer works. Our success signals a new paradigm shift in the industry – one that focuses on clinical excellence to improve lives.”

Total revenue in the second quarter was $1 billion, up 49% from $674 million at the same time last year.

The company posted a net income of $15.7 million in the second quarter, compared to a loss of $24 million in Q2 2024. For the first six months of 2025, Alignment’s net income was nearly $6.3 million.

The company’s medical loss ratio in Q2 based on adjusted gross profit was 86.7%

Total membership as of June 30 was approximately 223,700, up 27.8% year over year. By the end of 2025, the company’s membership could reach 234,000.

All members were enrolled in plans rated 4 stars or above for 2025.

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