Alignment Healthcare, Inc. (ALHC)
NASDAQ: ALHC · Real-Time Price · USD
7.91
-0.02 (-0.25%)
At close: Sep 29, 2026, 4:00 PM EDT
7.98
+0.07 (0.93%)
After-hours: Sep 29, 2026, 7:54 PM EDT

Alignment Healthcare Cash Flow Statement

Millions USD. Fiscal year is Jan - Dec.

Operating Activities

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Net Income
40.719.81-0.72-20.81-50.95-90.63-128.04-144.15-152.79-157.25-148.02-157.71-162.91-146.01-149.55-140.48-146.05-179.23-195.29-179.52
Depreciation & Amortization
31.5430.7229.8528.1827.8827.3826.4226.1223.9922.7221.6720.5619.5118.4817.4916.8816.516.2416.0316.04
Other Amortization
2.031.831.761.641.561.211.291.21.131.471.25-0.58-0.41-0.261.852.192.282.27-2.24
Gain (Loss) on Sale of Assets
-0-0.07-0.07-0.07-0.08-0.01-0.01-0.3-0.29-0.29-0.29-0.41-0.410.10.610.510.51--0.02
Gain (Loss) on Sale of Investments
-0.92-1.17-1.3-1.54-1.55-1.8-2.58-3.65-4.96-5.72-4.92-3.34-1.72-0.35--0.01----
Stock-Based Compensation
61.5458.9162.0865.266.2367.4771.1370.5566.8665.7166.8474.0779.1975.6581.7287.6599.47118.26110.682.93
Change in Accounts Receivable
-14.8-64.42-100.11-81.5-99.98-49.11-34.28-33.45-94.42-39.89-26.95-17.269.15-40.71-34.38-40.72-31.71-34.33-17.61-10.39
Change in Accounts Payable
0.415.2910.366.965.83.86-1.461.14.022.91-6.357.17.856.1513.743.01-0.29-0.880.443.6
Change in Unearned Revenue
---0.040.310.06--146.15-147.48-140.83-29.74147.22140.81-116.2-0.05-0.04-0.1
Change in Other Net Operating Assets
81.93198.63135.25177.28108.5793.3196.6382.27137.3998.4535.3222.61-27-11.6915.0819.1833.5218.2-2.2519.35
Other Operating Activities
2.291.651.364.383.864.494.751.941.81.952.163.947.378.557.869.17.157.059.186.71
Operating Cash Flow
205.55251.99139.93181.5963.2357.6234.77-143.99-164.18-150.54-59.19-20.9878.1451.32-45.4373.7-18.5-52.31-78.78-58.79
Operating Cash Flow Growth (YoY)
225.11%337.31%302.44%-----------------

Investing Activities

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Capital Expenditures
-28.04-25.89-26.78-31.04-34.82-38.55-41.42-42.73-43-39.83-36-31.86-28.85-26.15-23.77-20.27-19.67-20.23-19.77-21.54
Sale of Property, Plant & Equipment
-0.080.080.080.090.010.010.01------------
Cash Acquisitions
------------1.65-2.93-2.93-4.04-2.39-1.11-1.11--
Investment in Securities
26.1813.8210.6716.17-6.9431.5680.686.81102.0545.7-111.27-120.85-121.09-103.44-0.4-0.4-1.15-1.15-1.05-1.05
Investing Cash Flow
-1.85-10.93-14.97-13.73-40.61-6.9839.1944.0959.055.87-147.26-154.35-152.87-132.52-28.22-23.06-21.93-22.5-20.82-22.59

Financing Activities

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Long-Term Debt Issued
------380-------165-----
Total Debt Issued
---3303303803805050---165165165165----
Total Debt Repaid
----215-215-215-215------143.18-143.18-143.18-143.18----
Net Debt Issued (Repaid)
---1151151651655050---21.8221.8221.8221.82----
Issuance of Common Stock
21.9320.0318.072.931.980.360.16-----------390.6390.6
Repurchases of Common Stock
-------0.35-0.35-0.35-0.35---------1.47-1.62
Other Financing Activities
-2.4-1.66-0.03-8.31-8.31-8.82-8.78-0.45-0.450.090.11-0.47-5.07-5.2-5.23-4.7-0.1-3.53-29-29
Financing Cash Flow
19.5318.3818.04109.62108.67156.54156.0349.249.2-0.260.11-0.4716.7516.6216.5917.12-0.1-3.53360.13359.99

Net Cash Flow

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Net Cash Flow
223.23259.43142.99277.48131.29207.19229.99-50.69-55.94-144.93-206.35-175.8-57.98-64.57-57.0567.76-40.53-78.33260.54278.61

Free Cash Flow

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Free Cash Flow
177.51226.1113.15150.5628.4119.08-6.65-186.72-207.19-190.37-95.18-52.8449.2925.18-69.253.43-38.17-72.54-98.54-80.33
Free Cash Flow Growth (YoY)
524.92%1085.32%------------------
Free Cash Flow Margin
3.88%5.31%2.86%4.14%0.85%0.64%-0.25%-7.57%-9.28%-9.46%-5.22%-3.07%3.04%1.65%-4.83%3.90%-2.93%-5.82%-8.44%-7.22%
Free Cash Flow Per Share
0.871.110.570.770.150.10-0.04-0.98-1.10-1.01-0.51-0.290.270.14-0.380.30-0.21-0.41-0.57-0.48
Levered Free Cash Flow
188.58234.61124.5177.2242.7484.42122.27-47.43-48.4-87.06-149.48-116.290.74-12.09-1.07117.5513.36-11.59-19.39-
Unlevered Free Cash Flow
196.7242.73132.61186.4253.8897135.69-33.91-35.74-75-137.47-102.8713.45-0.018.51126.5822.17-2.86-8.48-

Additional Metrics

Fiscal Quarter
Q2 2026Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024Q4 2023Q3 2023Q2 2023Q1 2023Q4 2022Q3 2022Q2 2022Q1 2022Q4 2021Q3 2021
Period Ending
Jun '26 Mar '26 Dec '25 Sep '25 Jun '25 Mar '25 Dec '24 Sep '24 Jun '24 Mar '24 Dec '23 Sep '23 Jun '23 Mar '23 Dec '22 Sep '22 Jun '22 Mar '22 Dec '21 Sep '21
Cash Interest Paid
14.0313.7513.7513.318.6516.9822.1620.8220.4320.0619.1713.9425.8723.9722.4525.2511.1411.0710.9910.92
Cash Income Tax Paid
0.030.030.030.020.020.020.02---0.21---------
Change in Working Capital
67.54139.4945.51102.7814.7148.1160.89-96.23-100.49-79.352.0342.18137.2194.56-5.5597.671.45-17.05-19.4212.66
SEC Filings: 10-K · 10-Q