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Alignment Healthcare (ALHC) Q3 2025 earnings results (third quarter 2025)

10-Q filed Oct 30, 2025

Alignment Healthcare (ALHC) reported revenue of $994M for the third quarter 2025 (Q3 2025), +44% from a year earlier and -2% from the quarter before. Operating margin was 0.8%, net earnings $3.7M (0.4% of revenue).

Revenue$994M
Year over year+44%
Quarter over quarter-2%
Operating margin0.8%
Net earnings$3.7M

Alignment Healthcare, Q3 2025: revenue $994M (+44% year over year), operating margin 0.8%, net earnings $3.7M, operating cash flow $145M. The chart follows the revenue to costs, profit and cash.

Q3 2025AmountQ/QY/Y
Revenue$994M-2%+44%
Operating profit$7.7M-66%—
Net earnings$3.7M-76%—
Operating cash flow$145M+396%+452%
Free cash flow$139M+558%+722%

What changed

Revenue was $993.7M in Q3 2025, up 44% year over year and down 2% from the previous quarter.

Operating profit was $7.7M, a 0.8% margin (up 3.6 points year over year). Total costs grew 38% against revenue growth of 44%. The fastest-growing cost line was Other operating costs (+41%). Net earnings were $3.7M. The effective tax rate was 0.1%.

Operating cash flow was $144.6M (up 452% year over year), 3877% of net earnings. Non-cash charges added back $8.0M of depreciation and amortization and $16.2M of share-based compensation. Working capital and other items added $116.6M. Capital expenditures of $5.5M left free cash flow of $139.1M.

Questions

What was Alignment Healthcare's revenue in the third quarter 2025?

Alignment Healthcare (ALHC) reported revenue of $994M for the third quarter 2025 (Q3 2025), +44% from a year earlier and -2% from the quarter before.

Was Alignment Healthcare profitable in the third quarter 2025?

Operating profit was $7.7M (0.8% of revenue) and net earnings $3.7M.

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Source: Alignment Healthcare 10-Q on SEC EDGAR.