The company narrowed its net loss from $128.1 million in 2024 to $1.0 million in 2025, indicating substantial operating leverage. Revenue and Health Plan Membership posted five-year compound annual growth rates of 36% and 29%, respectively, and the business spans 45 markets across five states. Alignment differentiates through its proprietary AVA technology platform and in-house clinical teams focused on coordinated care delivery.
Cyborg Score Rationale
The company achieved near-profitability in 2025 with net loss narrowing dramatically and Health Plan Membership reaching 236,300 members with strong growth rates. While showing rapid scale and improving margins, the company carries significant regulatory risk and remains dependent on CMS reimbursement policies.
Top Insights
Net loss of $1.0 million in 2025 versus $128.1 million in 2024 signals achievement of near break-even operations
Health Plan Membership reached 236,300 as of December 31, 2025, up from approximately 13,000 at inception, supported by AVA proprietary technology
Five-year revenue and membership CAGRs of 36% and 29% reflect rapid scaling across 45 markets
Operates under a highly regulated Medicare Advantage model with significant compliance obligations and faces risks including reimbursement dependence on CMS and regulatory changes
Named Competitors
HUM — Diversified health insurance company with largest Medicare Advantage presence
ELV — Large health insurer with significant Medicare Advantage portfolio
MOH — Medicaid and Medicare managed care provider
OSCR — Technology-enabled health insurance company
Recent Developments
(February 2026) Reported Q4 2025 results with positive progress toward profitability and raised full-year 2026 revenue guidance
(October 2025) Reported second consecutive profitable quarter, demonstrating improved medical expense management
(July 2025) Released Q2 2025 earnings showing continued membership growth and operational improvements
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