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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
Vanguard Group
1
Vanguard Group
Pennsylvania
$306M +$27.4M +1,524,218 +11%
Fidelity Investments
2
Fidelity Investments
Massachusetts
$289M +$118M +6,574,721 +81%
Wellington Management Group
3
Wellington Management Group
Massachusetts
$278M +$53.6M +2,981,166 +27%
BlackRock
4
BlackRock
New York
$271M +$2.43M +135,508 +1%
GA
5
General Atlantic
New York
$260M -$200M -11,119,494 -46%
T. Rowe Price Investment Management
6
T. Rowe Price Investment Management
Maryland
$250M +$1.42M +79,268 +0.6%
Invesco
7
Invesco
Georgia
$123M +$31.2M +1,735,962 +39%
HRCM
8
Hood River Capital Management
Florida
$122M +$4.6M +256,004 +4%
T. Rowe Price Associates
9
T. Rowe Price Associates
Maryland
$108M -$1.92M -107,082 -2%
Citadel Advisors
10
Citadel Advisors
Florida
$85.7M -$32.8M -1,824,341 -30%
Geode Capital Management
11
Geode Capital Management
Massachusetts
$75.9M +$5.38M +299,279 +8%
VOYA Investment Management
12
VOYA Investment Management
Georgia
$72.5M +$8.55M +476,142 +15%
State Street
13
State Street
Massachusetts
$72.5M +$8.27M +460,154 +14%
Renaissance Technologies
14
Renaissance Technologies
New York
$52.7M -$5.48M -305,300 -10%
Millennium Management
15
Millennium Management
New York
$50.7M -$52.5M -2,924,624 -53%
BBCM
16
Broad Bay Capital Management
New York
$49.6M +$2.44M +135,915 +6%
Morgan Stanley
17
Morgan Stanley
New York
$46.7M +$6.91M +384,448 +19%
NCGI
18
Next Century Growth Investors
Minnesota
$45.6M +$639K +35,542 +2%
William Blair Investment Management
19
William Blair Investment Management
Illinois
$45.5M +$3.33M +185,303 +9%
Capital World Investors
20
Capital World Investors
California
$44.2M +$40.2M +2,238,147 New
Loomis, Sayles & Company
21
Loomis, Sayles & Company
Massachusetts
$44.2M +$40.2M +2,236,058 New
IHAM
22
Integral Health Asset Management
New York
$43.5M +$10.8M +600,000 +38%
N
23
Nuveen
North Carolina
$42.2M -$627K -34,926 -2%
Point72 Asset Management
24
Point72 Asset Management
Connecticut
$40.3M -$14.1M -783,326 -28%
DPL
25
Danica Pension Livsforsikrings
$39.5M +$35.9M +2,000,000 New
1
2 3 4 5

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.