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flag Alignment Healthcare grew membership 31% YoY to 275,300 by Jan 2026 and raised 2026 revenue guidance amid strong financial performance.

flag Alignment Healthcare reported strong 2025 results, with 25% year-over-year membership growth to 236,300 and $1.0 billion in revenue, up 44% from 2024. flag The company exceeded profitability forecasts, posting $11 million in adjusted EBITDA for Q4 and $110 million for the year, with a medical benefit ratio of 87.5%. flag Ex-state membership reached 38,000, driven by growth in North Carolina and other markets. flag By January 2026, membership hit 275,300, up 31% year-over-year. flag The company raised 2026 guidance, projecting 31% revenue growth and an MBR of 87.7%, amid challenges from risk model changes and higher-acuity members.

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