Alignment Healthcare

ALHC • NASDAQ

Alignment Healthcare is a medical - healthcare plans company in the healthcare sector on NASDAQ, led by John Kao, with a market cap of $3.9B. As of Q3 2025, 93% of shares are held by 231 institutional investors, with GENERAL ATLANTIC LLC as the largest holder at 12.26%.

Director and Chief Executive OfficerJohn Kao

Market Cap$3.9B

Medical - Healthcare Plans

Healthcare

Employees1.5K

Websitealignmenthealthcare.com

Country

United States of America

Overview

Overview of institutional ownership in ALHC as of Q3 2025 with a market cap of $3.5B

All Institutions

Institutions: 231
Value Held: $3.2B
Shares Held: 183.8M
Avg Position: $13.9M
Median Position: $1.1M

Hedge Funds

Hedge Funds: 42
Value Held: $640.8M
Shares Held: 36.7M
Avg Position: $15.3M
Median Position: $4.7M

Ownership Breakdown

Institutional (non-HF)

74.28%

$2.6B

Hedge Funds

18.54%

$640.8M

Retail & Other

7.18%

$248.2M

Based on market cap of $3.5B as of Q3 2025. Institutional (non-HF) excludes hedge funds to avoid double counting.

Biggest Investors

Institutions with the largest positions in ALHC as of Q3 2025

Institution	Key People	Position Value	Ownership	Owned Since	Total AUM (Long)
G GENERAL ATLANTIC LLC Institution	-	$423.8M 12.72% of portfolio	12.26% 24.3M shares	Q1 2021 Held for 4y 8m	$3.3B
VANGUARD GROUP INC Institution	Salim Ramji CEO	$243.8M 0.00% of portfolio	7.05% 14.0M shares	Q1 2021 Held for 4y 8m	$6.69T
B BlackRock, Inc. Institution	-	$236.9M 0.00% of portfolio	6.86% 13.6M shares	Q1 2021 Held for 4y 8m	$5.67T
T T. Rowe Price Investment Management, Inc. Insurance Manager	John Edward Robison President	$219.3M 0.14% of portfolio	6.34% 12.6M shares	Q3 2022 Held for 3y 2m	$161.58B
WELLINGTON MANAGEMENT CO LLP Long Only Manager	Jean Marie Hynes CEO	$193.5M 0.03% of portfolio	5.60% 11.1M shares	Q2 2023 Held for 2y 5m	$571.21B
FMR LLC Institution	-	$141.0M 0.01% of portfolio	4.08% 8.1M shares	Q1 2021 Held for 4y 8m	$1.92T
CITADEL ADVISORS LLC Hedge Fund•Multi-Strategy	Kenneth Cordele Griffin CEO	$107.6M 0.09% of portfolio	3.11% 6.2M shares	Q2 2021 Held for 4y 5m	$122.08B
Hood River Capital Management LLC Long Only Manager	Brian Paul Smoluch Managing Partner	$103.3M 1.22% of portfolio	2.99% 5.9M shares	Q4 2022 Held for 2y 11m	$8.5B
PRICE T ROWE ASSOCIATES INC /MD/ Long Only Manager	Robert W Sharps President	$97.3M 0.01% of portfolio	2.81% 5.6M shares	Q1 2021 Held for 4y 8m	$912.31B
MILLENNIUM MANAGEMENT LLC Hedge Fund•Multi-Strategy	Dan Michael Berkovitz Chairman	$95.8M 0.08% of portfolio	2.77% 5.5M shares	Q3 2022 Held for 3y 2m	$121.98B

Net Capital Flow

Institutional buying and selling activity for ALHC in Q3 2025

Traded: −$7.5M
Buyers: 151
Sellers: 99
Total Bought: +$620.9M
Total Sold: −$628.4M
Avg Position: $12.1M

Biggest Buyers

Institution	Net Bought	Current Position
WELLINGTON MANAGEMENT CO LLP Long Only Manager	+$121.1M +6.9M shares	$193.5M 11.1M shares
PRICE T ROWE ASSOCIATES INC /MD/ Long Only Manager	+$59.0M +3.4M shares	$97.3M 5.6M shares
Broad Bay Capital Management, LP Hedge Fund•Long/Short	+$41.4M +2.4M shares	$41.4M 2.4M shares
GILDER GAGNON HOWE & CO LLC RIA/Wealth	+$30.3M +1.7M shares	$32.9M 1.9M shares
ING INVESTMENT MANAGEMENT LLC Insurance Manager	+$21.1M +1.2M shares	$55.8M 3.2M shares
Integral Health Asset Management, LLC Hedge Fund•Sector	+$20.9M +1.2M shares	$27.9M 1.6M shares
B BlackRock, Inc. Institution	+$20.2M +1.2M shares	$236.9M 13.6M shares
BANK OF AMERICA CORP /DE/ Institution	+$18.0M +1.0M shares	$24.6M 1.4M shares
TWO SIGMA INVESTMENTS LLC Hedge Fund•Multi-Strategy	+$17.2M +988.1K shares	$17.2M 988.1K shares
BALYASNY ASSET MANAGEMENT LLC Hedge Fund•Multi-Strategy	+$15.4M +882.0K shares	$28.5M 1.6M shares

Biggest Sellers

Institution	Net Sold	Current Position
G GENERAL ATLANTIC LLC Institution	−$343.9M −19.7M shares	$423.8M 24.3M shares
FMR LLC Institution	−$51.6M −3.0M shares	$141.0M 8.1M shares
CITADEL ADVISORS LLC Hedge Fund•Multi-Strategy	−$37.7M −2.2M shares	$107.6M 6.2M shares
8 8 KNOTS MANAGEMENT, LLC Hedge Fund•Long/Short	−$37.0M −2.1M shares	$50.5M 2.9M shares
BARCLAYS PLC Institution	−$15.2M −869.4K shares	$23.5M 1.3M shares
TUDOR INVESTMENT CORP ET AL Hedge Fund•Multi-Strategy	−$15.1M −865.7K shares	$4.8M 273.0K shares
MILLENNIUM MANAGEMENT LLC Hedge Fund•Multi-Strategy	−$12.4M −713.4K shares	$95.8M 5.5M shares
C Cubist Systematic Strategies, LLC Institution	−$10.6M −609.6K shares	$4.6M 264.5K shares
Q Qube Research & Technologies Ltd Institution	−$9.8M −563.1K shares	$16.8M 960.9K shares
UBS Group AG Institution	−$9.4M −539.9K shares	$5.0M 284.9K shares

Entry and Exit Activity

Institutions that initiated new positions or completely exited ALHC in Q3 2025

New Positions: 34
New Value: $35.7M
Exited Positions: 33
Exited Value: $15.8M

New Positions

Institution	Position Value
MARSICO CAPITAL MANAGEMENT LLC Long Only Manager	$12.4M 713.3K shares
P PICTON MAHONEY ASSET MANAGEMENT Institution	$6.9M 393.9K shares
Pier Capital, LLC Long Only Manager	$4.0M 227.3K shares
L Longaeva Partners L.P. Institution	$2.2M 125.0K shares
Yorkville Advisors Global, LP Hedge Fund•Multi-Strategy	$1.3M 75.0K shares
T TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY Institution	$803.8K 46.1K shares
Virtus ETF Advisers LLC Long Only Manager	$777.7K 44.6K shares
CAPSTONE INVESTMENT ADVISORS, LLC Hedge Fund•Multi-Strategy	$685.4K 39.3K shares
M Massar Capital Management, LP Institution	$636.9K 36.5K shares
E EntryPoint Capital, LLC Hedge Fund•Long/Short	$574.1K 32.9K shares

Exited Positions

Institution	Previous Position
Graham Capital Management, L.P. Hedge Fund•Multi-Strategy	$2.5M 181.6K shares
J JANE STREET GROUP, LLC Institution	$2.1M 149.5K shares
Harvest Investment Services, LLC RIA/Wealth	$1.8M 126.5K shares
H HUSSMAN STRATEGIC ADVISORS, INC. Institution	$1.2M 84.0K shares
Jain Global LLC Hedge Fund•Multi-Strategy	$923.5K 66.0K shares
F Fieldview Capital Management, LLC Hedge Fund•Long/Short	$905.9K 64.7K shares
D Dynamic Technology Lab Private Ltd Institution	$879.7K 62.8K shares
ExodusPoint Capital Management, LP Hedge Fund•Multi-Strategy	$785.5K 56.1K shares
H Her Majesty the Queen in Right of the Province of Alberta as represented by Alberta Investment Management Corp Institution	$592.2K 42.3K shares
F FOX RUN MANAGEMENT, L.L.C. Hedge Fund•Quant	$428.2K 30.6K shares

Options Activity

Institutions with the largest Call and Put options positions in ALHC as of Q3 2025

Call Positions: 12
Call Value: $47.3M
Put Positions: 6
Put Value: $4.5M

Call Positions

Institution	Position Value
SUSQUEHANNA INTERNATIONAL GROUP, LLP Private Equity	$21.3M 12.2K contracts
CITADEL ADVISORS LLC Hedge Fund•Multi-Strategy	$9.6M 5.5K contracts
J JANE STREET GROUP, LLC Institution	$4.3M 2.5K contracts
P PEAK6 LLC Institution	$4.3M 2.5K contracts
HBK INVESTMENTS L P Hedge Fund•Multi-Strategy	$3.9M 2.3K contracts
Walleye Trading LLC RIA/Wealth	$1.4M 814.0 contracts
D D. E. Shaw & Co., Inc. Institution	$1.4M 778.0 contracts
CAPITAL FUND MANAGEMENT S.A. Hedge Fund•Quant Macro	$324.6K 186.0 contracts
S Squarepoint Ops LLC Hedge Fund•Quant	$258.3K 148.0 contracts
Walleye Trading Advisors, LLC Hedge Fund•Multi-Strategy	$249.5K 143.0 contracts

Put Positions

Institution	Position Value
WOLVERINE ASSET MANAGEMENT LLC Hedge Fund•Multi-Strategy	$2.7M 1.5K contracts
CITADEL ADVISORS LLC Hedge Fund•Multi-Strategy	$858.5K 492.0 contracts
SUSQUEHANNA INTERNATIONAL GROUP, LLP Private Equity	$518.3K 297.0 contracts
CAPITAL FUND MANAGEMENT S.A. Hedge Fund•Quant Macro	$317.6K 182.0 contracts
Walleye Trading Advisors, LLC Hedge Fund•Multi-Strategy	$143.1K 82.0 contracts
Walleye Trading LLC RIA/Wealth	$52.4K 30.0 contracts

Most Committed Institutions

Institutions with ALHC as the highest % of their portfolio as of Q3 2025

Institution	Key People	Portfolio Weight	Ownership	Owned Since	Total AUM (Long)
G GENERAL ATLANTIC LLC Institution	-	12.72% $423.8M	12.26% 24.3M shares	Q1 2021 Held for 4y 8m	$3.3B
8 8 KNOTS MANAGEMENT, LLC Hedge Fund•Long/Short	Scott Joshua Green CEO	5.71% $50.5M	1.46% 2.9M shares	Q3 2024 Held for 1y 2m	$884.1M
Broad Bay Capital Management, LP Hedge Fund•Long/Short	Richard Scott Greeder Founder	5.13% $41.4M	1.20% 2.4M shares	Q4 2024 Held for 11 months	$808.0M
NEXT CENTURY GROWTH INVESTORS LLC Long Only Manager	Thomas Leigh Press CEO	2.93% $39.7M	1.15% 2.3M shares	Q4 2024 Held for 11 months	$1.4B
Rhenman & Partners Asset Management AB RIA/Wealth	William Eddy Roark Managing Partner	2.86% $25.8M	0.75% 1.5M shares	Q3 2022 Held for 3y 2m	$903.7M
Integral Health Asset Management, LLC Hedge Fund•Sector	Bhagwan Jay Rao CIO	2.11% $27.9M	0.81% 1.6M shares	Q4 2024 Held for 11 months	$1.3B
P Persistent Asset Partners Ltd Institution	-	1.62% $2.2M	0.06% 126.9K shares	Q4 2024 Held for 11 months	$137.1M
FORMULA GROWTH LTD Hedge Fund•Long/Short	Randall William Kelly President	1.50% $4.3M	0.13% 248.2K shares	Q1 2025 Held for 8 months	$288.3M
1492 Capital Management LLC Long Only Manager	Joseph Anthony Frohna Managing Partner	1.40% $3.5M	0.10% 200.7K shares	Q3 2024 Held for 1y 2m	$249.8M
Hood River Capital Management LLC Long Only Manager	Brian Paul Smoluch Managing Partner	1.22% $103.3M	2.99% 5.9M shares	Q4 2022 Held for 2y 11m	$8.5B

Hedge Fund Spotlight

Discover hedge funds investing in ALHC

Engineers Gate Manager LP

Hedge Fund • Quant

Portfolio ManagerRobert Gregory Eisner

Portfolio Value: $8.8B
Positions: 2,112
Last Reported: Q3 2025

Sector Allocation

Position in Alignment Healthcare

Market Value: $9.7M
Shares Held: 554.7K
Portfolio Weight: 0.11%
Owned Since: 2022-Q3

Top Holding	Sector	Market Value	Weight
1 Invesco QQQ Trust QQQ	ETF ETF	$155.2M	1.77%
2 SPDR S&P 500 ETF Trust SPY	ETF ETF	$115.3M	1.32%
3 Sabra Healthcare SBRA	REIT - Healthcare Facilities Real Estate	$112.9M	1.29%