Alignment Healthcare (ALHC) | Financial Analysis & Statements
Alignment Healthcare Inc. Mid-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
1.0B
Gross Profit
123.3M
12.18%
Operating Income
-10.3M
-1.02%
Net Income
-11.0M
-1.09%
EPS (Diluted)
$-0.05
Balance Sheet Metrics
Total Assets
1.1B
Total Liabilities
886.5M
Shareholders Equity
179.3M
Debt to Equity
4.94
Cash Flow Metrics
Operating Cash Flow
-24.2M
Free Cash Flow
-55.4M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
Alignment Healthcare Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 3.9B | 2.7B | 1.8B | 1.4B | 1.2B |
| Cost of Goods Sold | 3.5B | 2.4B | 1.6B | 1.2B | 1.0B |
| Gross Profit | 488.6M | 296.7M | 201.0M | 184.3M | 128.7M |
| Gross Margin % | 12.4% | 11.0% | 11.0% | 12.8% | 11.0% |
| Operating Expenses | |||||
| Research & Development | - | - | - | - | - |
| Selling, General & Administrative | 443.4M | 371.4M | 307.4M | 295.6M | 291.0M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 443.4M | 371.4M | 307.4M | 295.6M | 291.0M |
| Operating Income | 14.8M | -101.6M | -127.8M | -128.6M | -178.1M |
| Operating Margin % | 0.4% | -3.8% | -7.0% | -9.0% | -15.2% |
| Non-Operating Items | |||||
| Interest Income | - | - | - | - | - |
| Interest Expense | 15.8M | 23.5M | 21.2M | 18.3M | 17.4M |
| Other Non-Operating Income | 89.0K | -2.9M | 853.0K | -2.4M | 229.0K |
| Pre-tax Income | -958.0K | -128.0M | -148.2M | -149.3M | -195.3M |
| Income Tax | 20.0K | 21.0K | -22.0K | 339.0K | 0 |
| Effective Tax Rate % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Net Income | -978.0K | -128.1M | -148.2M | -149.6M | -195.3M |
| Net Margin % | -0.0% | -4.7% | -8.1% | -10.4% | -16.7% |
| Key Metrics | |||||
| EBITDA | 45.3M | -74.4M | -105.3M | -111.3M | -161.8M |
| EPS (Basic) | - | $-0.67 | $-0.79 | $-0.83 | $-1.14 |
| EPS (Diluted) | - | $-0.67 | $-0.79 | $-0.83 | $-1.14 |
| Basic Shares Outstanding | - | 190793552 | 186214784 | 181212757 | 171956849 |
| Diluted Shares Outstanding | - | 190793552 | 186214784 | 181212757 | 171956849 |
Income Statement Trend
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Alignment Healthcare Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 575.8M | 432.9M | 202.9M | 409.5M | 466.6M |
| Short-term Investments | 28.4M | 37.8M | 115.9M | 0 | - |
| Accounts Receivable | 253.2M | 153.9M | 119.7M | 92.9M | 58.5M |
| Inventory | - | - | - | - | - |
| Other Current Assets | 94.1M | 37.1M | 45.0M | 42.1M | 27.7M |
| Total Current Assets | 951.6M | 661.6M | 483.5M | 544.5M | 552.9M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 7.0M | 7.8M | 10.0M | 5.8M | 7.9M |
| Goodwill | 68.7M | 74.2M | 74.9M | 75.1M | 64.4M |
| Intangible Assets | 4.6M | 4.6M | 5.3M | 5.5M | 5.8M |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 6.3M | 6.1M | 6.4M | 6.0M | 4.7M |
| Total Non-Current Assets | 114.2M | 120.4M | 108.3M | 89.3M | 78.0M |
| Total Assets | 1.1B | 782.1M | 591.9M | 633.9M | 630.9M |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 415.7M | 242.5M | 170.1M | 171.9M | 17.4M |
| Short-term Debt | - | - | - | - | - |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | - |
| Total Current Liabilities | 556.9M | 351.8M | 263.0M | 230.0M | 167.2M |
| Non-Current Liabilities | |||||
| Long-term Debt | 329.6M | 329.3M | 170.8M | 164.6M | 157.6M |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | - | - | - | - | - |
| Total Non-Current Liabilities | 329.6M | 329.3M | 170.8M | 164.6M | 157.6M |
| Total Liabilities | 886.5M | 681.1M | 433.8M | 394.6M | 324.8M |
| Equity | |||||
| Common Stock | 205.0K | 192.0K | 189.0K | 187.0K | 187.0K |
| Retained Earnings | -1.0B | -1.0B | -880.3M | -732.2M | -582.7M |
| Treasury Stock | - | - | - | - | - |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 179.3M | 101.0M | 158.1M | 239.3M | 306.1M |
| Key Metrics | |||||
| Total Debt | 329.6M | 329.3M | 170.8M | 164.6M | 157.6M |
| Working Capital | 394.7M | 309.8M | 220.5M | 314.6M | 385.6M |
Balance Sheet Composition
Alignment Healthcare Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | -978.0K | -128.1M | -148.2M | -149.6M | -195.3M |
| Depreciation & Amortization | 30.5M | 27.1M | 21.7M | 17.5M | 16.0M |
| Stock-Based Compensation | 62.1M | 71.1M | 66.8M | 81.7M | 110.6M |
| Working Capital Changes | -91.3M | -37.2M | -36.9M | -21.3M | -21.6M |
| Operating Cash Flow | 3.7M | -64.0M | -98.0M | -64.2M | -81.1M |
| Investing Activities | |||||
| Capital Expenditures | -26.7M | -41.4M | -36.0M | -23.8M | -18.4M |
| Acquisitions | 1.1M | 0 | 0 | -4.0M | 0 |
| Investment Purchases | -65.6M | -82.2M | -379.1M | -2.8M | -2.5M |
| Investment Sales | 76.3M | 162.8M | 267.8M | 2.4M | 1.4M |
| Investing Cash Flow | -15.0M | 39.2M | -147.3M | -28.2M | -20.8M |
| Financing Activities | |||||
| Share Repurchases | - | - | 0 | 0 | -1.5M |
| Dividends Paid | - | - | - | - | - |
| Debt Issuance | 0 | 380.0M | 0 | 165.0M | 0 |
| Debt Repayment | 0 | -215.0M | 0 | -143.2M | 0 |
| Financing Cash Flow | -26.0K | 155.9M | 105.0K | 16.6M | 360.1M |
| Free Cash Flow | 113.1M | -6.6M | -95.2M | -69.2M | -97.1M |
| Net Change in Cash | -11.3M | 131.0M | -245.1M | -75.8M | 258.3M |
Cash Flow Trend
Alignment Healthcare Key Financial Ratios
Valuation Ratios
Forward P/E
29.04
Price to Book
24.07
Price to Sales
1.09
PEG Ratio
29.04
Profitability Ratios
Profit Margin
-0.02%
Operating Margin
-1.09%
Return on Equity
-0.70%
Return on Assets
1.10%
Financial Health
Current Ratio
1.71
Debt to Equity
184.97
Beta
1.20
Per Share Data
EPS (TTM)
$0.00
Book Value per Share
$0.88
Revenue per Share
$19.94
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| ALHC | 4.3B | - | 24.07 | -0.70% | -0.02% | 184.97 |
| UnitedHealth | 322.3B | 26.81 | 3.42 | 12.18% | 2.68% | 73.98 |
| CVS Health | 101.1B | 55.65 | 1.31 | 2.29% | 0.44% | 106.06 |
| Molina Healthcare | 9.1B | 16.83 | 1.89 | 11.02% | 1.08% | 99.44 |
| Oscar Health | 4.9B | 34.55 | 5.00 | -44.35% | -3.79% | 50.86 |
| Elevance Health | 76.4B | 13.19 | 1.67 | 13.25% | 2.84% | 74.39 |
Financial data is updated regularly. All figures are in the company's reporting currency.






