Alignment Healthcare Inc. (ALHC) shares plummeted 9.09% in after-hours trading following the release of its first-quarter 2026 financial results. The steep decline occurred despite the company reporting earnings and revenue that exceeded analyst expectations.

The healthcare provider posted quarterly adjusted earnings of $0.05 per share, significantly beating the consensus estimate of $0.01. Revenue surged 33.3% year-over-year to $1.24 billion, also topping forecasts. The company swung to a net income of $11.4 million from a loss in the same period last year.

However, investors appeared focused on the company's full-year 2026 revenue guidance range of $5.16 billion to $5.21 billion, which has a midpoint only slightly above the FactSet consensus estimate of $5.17 billion. Additionally, the earnings summary noted that the mean earnings estimate of analysts had fallen by about 40.5% over the last three months, with one analyst negatively revising estimates in the past 30 days, potentially signaling underlying concerns about future performance.