Alignment Healthcare, Inc.

Annual Trend FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024 FY 2025
Cash flows from operating activities:
Adjustments to reconcile net income to net cash provided by operating activities:
Net loss ($44.7m) ($22.9m) ($195.3m) ($149.6m) ($148.2m) ($128.1m) ($978k)
Net Income (Loss) Attributable to Parent ($22.9m)
($195.3m) -751.81%
($149.5m) +23.42%
($148.0m) +1.02%
($128.0m) +13.50%
($724k) +99.43%
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest ($22.9m) ($195.3m) ($149.6m) ($148.2m) ($128.1m) ($978k)
Net Income (Loss) Attributable to Noncontrolling Interest $0 ($92k) ($156k) ($36k) ($254k)
Depreciation, Depletion and Amortization $16.6m $15.1m $15.8m $17.3m $21.4m $26.9m $30.4m
Amortization of Debt Issuance Costs $2.2m $2.3m $1.9m $1.3m $1.8m
Amortization of Debt Issuance Costs and Discounts ($3.7m)
Amortization of Intangible Assets $327k $362k $386k $226k $702k $634k
Depreciation $16.6m $15.1m $15.7m $17.1m $21.4m $26.4m $29.8m
Amortization-debt issuance costs $1.9m $2.2m $2.3m $1.9m $1.3m $1.3m $1.8m
Amortization-investment discount $0 ($4.9m) ($2.6m) ($1.3m)
Share-based Payment Arrangement, Noncash Expense $446k $621k $0 $0 $71.1m $62.1m
Payment, Tax Withholding, Share-based Payment Arrangement $350k $0
Share-based Payment Arrangement, Expense $2.1m $122.0m $81.7m $66.8m $71.1m $62.1m
Goodwill and Intangible Asset Impairment $0 $0 $0 $0 $645k $634k
Nonoperating Income (Expense) ($26.5m) ($15.7m)
Other Nonoperating Income (Expense) ($17.7m) ($17.2m) ($20.7m) ($20.4m) $72k $89k
Changes in operating assets and liabilities:
Increase (Decrease) in Accounts Receivable $4.6m $17.6m $34.4m $26.9m $34.3m $100.1m
Accounts receivable ($5.8m) ($4.6m) ($17.6m) ($34.4m) ($26.9m) ($34.3m) ($100.1m)
Accounts payable and accrued expenses $1.3m $645k $437k $13.7m ($6.3m) ($1.5m) $10.4m
Acquisition of property in accounts payable $366k $106k $347k $505k $0 $70k $97k
Debt issuance costs in accounts payable $0 $0 $512k $0
Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims $261.6m $319.2m $385.5m $477.8m $823.6m $1.1b
Accrued compensation ($196k) $12.7m ($1.2m) $3.6m $6.6m $5.8m $9.1m
Increase (Decrease) in Other Operating Assets ($2.8m) ($644k) $86k $142k ($60k) $50k
Prepaid expenses and other current assets ($2.7m) ($12.0m) ($10.3m) ($14.4m) ($2.9m) $7.9m ($57.1m)
Other assets $1.2m $2.8m $644k ($86k) ($142k) $60k ($50k)
Restricted cash in other assets $0 $500k $1.8m $1.8m $2.0m $2.1m $2.1m
Net Cash Provided by (Used in) Operating Activities $9.2m
$7.6m -17.89%
($78.8m) -1141.87%
($45.4m) +42.33%
($59.2m) -30.29%
$34.8m +158.75%
$139.9m +302.44%
Cash flows from investing activities:
Payments to Acquire Property, Plant, and Equipment $41.4m $26.8m
Gain (Loss) on Disposition of Property Plant Equipment $0 ($1.0m) $0 ($101k) $0 $0 $72k
Payments to Acquire Investments $1.6m $2.5m $2.8m $379.1m $82.2m $65.6m
Purchase of investments ($320k) ($1.6m) ($2.5m) ($2.8m) ($379.1m) ($82.2m) ($65.6m)
Maturities of investments $2.4m $267.8m $162.8m $76.3m
Payments to Acquire Businesses, Net of Cash Acquired $0 $0
Net Cash Provided by (Used in) Investing Activities ($10.2m) ($16.4m) ($20.8m) ($28.2m) ($147.3m) $39.2m ($15.0m)
Cash flows from financing activities:
Repayments of Long-term Debt $143.2m $0 $215.0m $0
Proceeds from Issuance of Long-term Debt $0 $0 $165.0m $0 $380.0m $0
Gain (Loss) on Extinguishment of Debt ($2.2m) $0 ($3.0m) $0
Loss on extinguishment of debt $0 $0 $2.2m $0 $3.0m $0
Proceeds from long-term debt $55.0m $0 $0 $165.0m $0 $380.0m $0
Debt issuance costs ($854k) $0 $0 ($5.2m) $0 ($8.8m) ($26k)
Repayment of long-term debt $0 $0 ($143.2m) $0 ($215.0m) $0
Proceeds from Issuance of Common Stock $135.0m $390.6m $0 $0
Net Cash Provided by (Used in) Financing Activities $52.7m
$130.1m +147.08%
$360.1m +176.76%
$16.6m -95.39%
$105k -99.37%
$156.0m +148498.10%
$18.0m -88.44%
Net increase (decrease) in cash $51.6m $121.3m $260.5m ($57.1m) ($206.3m) $230.0m $143.0m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect $230.0m $143.0m
Cash, cash equivalents and restricted cash at beginning of period $86.5m $207.8m $468.4m $411.3m $205.0m $434.9m $577.9m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents $207.8m $468.4m $411.3m $205.0m $434.9m $577.9m
Additional Supplementary Disclosures
Additional Supplementary Disclosures
Additional Supplementary Disclosures
Supplemental disclosure of cash flow information:
Interest Paid, Excluding Capitalized Interest, Operating Activities $9.5m $10.7m $11.0m $22.4m $19.2m $22.2m $13.8m
Income Taxes Paid, Net $25k
Additional Financial Items
Goodwill $29.3m $29.3m $34.8m $34.8m $34.8m $32.1m
Income Tax Expense (Benefit) $0 $0 $339k ($22k) $21k $20k
Interest Expense Nonoperating $23.5m $15.8m
Operating Expenses $964.5m $1.3b $1.6b $2.0b $2.8b $3.9b
Proceeds from Noncontrolling Interests $68k $105k $15k $0
Proceeds from (Payments to) Noncontrolling Interests $0 $15k
Proceeds from Stock Options Exercised $155k $18.1m
Provision for credit loss $1.4m $118k $111k $150k $91k $123k $833k
(Gain) loss on right of use assets $0 $510k ($289k) $143k $0
Equity-based compensation $81.7m $66.8m $71.1m $62.1m
Non-cash lease expense $0 $2.3m $2.7m $2.8m $2.3m $1.8m $1.6m
Medical expenses payable $36.6m $6.5m $12.5m $44.2m $35.3m $84.4m $184.8m
Lease liabilities $0 $1.3m ($3.8m) ($4.2m) ($3.5m) ($1.5m) ($1.5m)
Sale of business $0 $0 $1.1m
Payment of employment taxes related to release of restricted stock $0 $0 ($350k) $0
Proceeds from exercise of stock options $0 $0 $155k $18.1m
Contributions from noncontrolling interest holders $0 $15k $68k $105k $15k $0
Cash and cash equivalents $86.5m $207.3m $466.6m $409.5m $202.9m $432.9m $575.8m

Values abbreviated: b = billions, m = millions, k = thousands. Per share data in USD.