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Alignment Healthcare
ALHC

263 hedge funds and large institutions have $3.79B invested in Alignment Healthcare in 2025 Q4 according to their latest regulatory filings, with 55 funds opening new positions, 128 increasing their positions, 63 reducing their positions, and 25 closing their positions.

New
Increased
Maintained
Reduced
Closed

4,792% more call options, than puts

Call options by funds: $68.4M | Put options by funds: $1.4M

120% more first-time investments, than exits

New positions opened: 55 | Existing positions closed: 25

103% more repeat investments, than reductions

Existing positions increased: 128 | Existing positions reduced: 63

50% more funds holding in top 10

Funds holding in top 10: 6 → 9 (+3)

18% more capital invested

Capital invested by funds: $3.21B → $3.79B (+$574M)

11% more funds holding

Funds holding: 236 → 263 (+27)

2.98% more ownership

Funds ownership: 92.84% → 95.82% (+3%)

Holders
263
Holders Change
+27
Holders Change %
+11.44%
% of All Funds
3.2%
Holding in Top 10
9
Holding in Top 10 Change
+3
Holding in Top 10 Change %
+50%
% of All Funds
0.11%
New
55
Increased
128
Reduced
63
Closed
25
Calls
$68.4M
Puts
$1.4M
Net Calls
+$67M
Net Calls Change
+$14.4M

Top Buyers

1
Fidelity Investments
Fidelity Investments
Massachusetts
+$118M
2
Wellington Management Group
Wellington Management Group
Massachusetts
+$53.6M
3
Capital World Investors
Capital World Investors
California
+$40.2M
4
Loomis, Sayles & Company
Loomis, Sayles & Company
Massachusetts
+$40.2M
5
DPL
Danica Pension Livsforsikrings
+$35.9M

Top Sellers

1
GA
General Atlantic
New York
-$200M
2
Millennium Management
Millennium Management
New York
-$52.5M
3
Citadel Advisors
Citadel Advisors
Florida
-$32.8M
4
Balyasny Asset Management
Balyasny Asset Management
Illinois
-$18.5M
5
8KM
8 Knots Management
Texas
-$18.4M
Name Holding Trade Value Shares
Change 		Change in
Stake
Ameriprise
26
Ameriprise
Minnesota
$38.1M -$348K -19,396 -1%
8KM
27
8 Knots Management
Texas
$36.9M -$18.4M -1,024,726 -35%
GGHC
28
Gilder Gagnon Howe & Co
New York
$36.7M -$484K -26,937 -1%
Assenagon Asset Management
29
Assenagon Asset Management
Luxembourg
$35.1M +$31.4M +1,748,903 +6,708%
Arrowstreet Capital
30
Arrowstreet Capital
Massachusetts
$33.7M +$1.77M +98,331 +6%
Qube Research & Technologies (QRT)
31
Qube Research & Technologies (QRT)
United Kingdom
$29.9M +$9.93M +552,958 +58%
Northern Trust
32
Northern Trust
Illinois
$27.3M +$1.32M +73,665 +6%
Charles Schwab
33
Charles Schwab
California
$25.2M +$1.05M +58,419 +5%
Bank of America
34
Bank of America
North Carolina
$24.8M -$2.85M -158,609 -11%
Goldman Sachs
35
Goldman Sachs
New York
$22.8M +$4.62M +257,281 +29%
Acadian Asset Management
36
Acadian Asset Management
Massachusetts
$20.4M +$17.4M +967,567 +1,419%
RPAM
37
Rhenman & Partners Asset Management
Sweden
$19.9M -$8.44M -469,834 -32%
Bank of New York Mellon
38
Bank of New York Mellon
New York
$19.7M +$9.67M +538,149 +117%
AQR Capital Management
39
AQR Capital Management
Connecticut
$17.5M +$2.34M +130,003 +17%
JAM
40
Jupiter Asset Management
United Kingdom
$15.1M +$9.97M +555,063 +264%
GIM
41
Granahan Investment Management
Massachusetts
$14.8M +$3.03M +168,758 +29%
OAM
42
Oberweis Asset Management
Illinois
$14.8M +$13.4M +747,500 New
MCM
43
Marsico Capital Management
Colorado
$14.1M – – –
Barclays
44
Barclays
United Kingdom
$13.2M -$12.2M -678,201 -50%
Allspring Global Investments
45
Allspring Global Investments
North Carolina
$13.2M +$292K +16,265 +3%
First Trust Advisors
46
First Trust Advisors
Illinois
$12.3M +$2.97M +165,167 +36%
FGP
47
Freestone Grove Partners
California
$12.2M -$10.6M -587,777 -49%
Balyasny Asset Management
48
Balyasny Asset Management
Illinois
$11.9M -$18.5M -1,030,358 -63%
TI
49
Trexquant Investment
Connecticut
$11.5M -$1.15M -64,140 -10%
Federated Hermes
50
Federated Hermes
Pennsylvania
$11.3M +$2.27M +126,283 +28%
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ALHC Hedge Fund Activity: Q4 2025 in Review

263 of the 8,223 institutional investors tracked by Wall St. Rank reported a position in Alignment Healthcare (ALHC) for Q4 2025, worth a combined $3.79B — up 18% from $3.21B a quarter earlier.

Buyers outnumbered sellers: 55 funds opened new ALHC positions and 25 closed out — a net gain of 30 holders — while 128 added to existing stakes and 63 trimmed.

The largest buyer was Fidelity Investments, adding an estimated $118M. The largest seller was General Atlantic, cutting an estimated $200M.

  • 263 institutional investors held Alignment Healthcare (ALHC) as of Q4 2025, up from 236 in Q3 2025.
  • Funds reported $3.79B of Alignment Healthcare stock for Q4 2025, up 18% quarter-over-quarter.
  • 55 funds opened new Alignment Healthcare positions in Q4 2025 and 25 closed out, a net change of +30 holders.
  • The largest Alignment Healthcare buyer in Q4 2025 was Fidelity Investments, an estimated $118M added.
  • The largest Alignment Healthcare seller in Q4 2025 was General Atlantic, an estimated $200M sold.

Based on aggregated 13F filings for Q4 2025.