Alignment Healthcare (ALHC) Cash Flow: Operating & Free Cash Flow

Alignment Healthcare Cash Flow Statement Analysis

Values in millions USD

Income Statement Balance Sheet Cash Flow Ratios

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Cash flow statement showing operating, investing, and financing activities for Alignment Healthcare, Inc. (ALHC) - Annual data in millions USD
Breakdown	FY 2025	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020	FY 2019
Period ending	Dec 2025	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020	Dec 2019
Operating Activities
Net Income	-0.98	-128.07	-148.17	-149.64	-195.29	-22.93	-44.73
Depreciation & Amortization	30.48	27.06	21.67	17.49	16.03	15.46	16.58
Stock Based Compensation	62.08	71.13	66.84	81.72	110.60	2.12	1.16
Change in Working Capital	45.51	60.89	2.03	-5.55	-19.42	3.25	29.00
Change in Accounts Receivable	-100.11	-34.28	-26.95	-34.38	-17.61	-4.63	-5.78
Change in Accounts Payable	195.15	-1.46	-6.35	13.74	0.44	0.65	1.29
Change in Other Working Capital	3.37	96.63	28.75	11.47	-1.00	7.24	33.49
Other Operating Activities	3.37	3.76	-1.54	10.56	9.29	9.65	7.21
Net Cash from Operating Activities	139.93	34.77	-59.19	-45.43	-78.78	7.56	9.21
Investing Activities
Capital Expenditures	-26.78	-41.42	-36.00	-23.77	-18.36	-15.71	-10.25
Acquisitions	1.07	0.00	0.00	-4.04	-1.41	0.00	0.00
Purchases of Investments	-65.63	-82.20	-379.06	-2.83	-2.48	-0.75	-0.32
Sales/Maturities of Investments	76.30	162.80	267.79	2.43	1.43	0.83	0.33
Other Investing Activities	0.08	0.01	0.00	0.00	-1.41	0.10	0.00
Net Cash from Investing Activities	-14.97	39.19	-147.26	-28.22	-20.82	-16.36	-10.24
Financing Activities
Debt Repayment	0.00	165.00	0.00	-143.18	0.00	0.00	55.00
Common Stock Issued	18.07	0.00	0.00	0.00	361.59	135.00	0.50
Common Stock Repurchased	0.00	-0.35	0.00	0.00	-1.47	-1.51	-1.98
Other Financing Activities	-0.03	-8.62	0.11	-5.23	0.02	-3.37	-0.85
Net Cash from Financing Activities	18.04	156.03	0.11	16.59	360.13	130.12	52.67
Summary
Net Change in Cash	142.99	229.99	-206.35	-57.05	260.54	121.33	51.63
Cash at Beginning of Period	434.94	204.95	411.30	468.35	207.81	86.48	34.85
Cash at End of Period	577.94	434.94	204.95	411.30	468.35	207.81	86.48
Free Cash Flow	113.15	-6.65	-95.18	-69.20	-98.54	-8.15	-1.04
Supplemental Disclosures
Interest Paid	-	22.16	19.17	22.45	10.99	10.72	-

Source: Company financial statements from annual and quarterly filings. Data as of Jun 30, 2026. Data sources and methodology

Frequently Asked Questions About Alignment Healthcare Cash Flow

What is Alignment Healthcare's free cash flow?

Alignment Healthcare generated free cash flow of $113.15M in fiscal 2025 (fiscal year ended Dec 31, 2025), operating cash flow of $139.93M minus $26.78M of capital expenditures. Free cash flow equaled 2.9% of revenue.

How much does Alignment Healthcare spend on capital expenditures?

Alignment Healthcare spent $26.78M on capital expenditures in fiscal 2025, compared with $41.42M a year earlier. That equals 19.1% of operating cash flow.

Does Alignment Healthcare pay dividends or buy back shares?

Alignment Healthcare's cash flow statement for fiscal 2025 shows no dividend payments or share repurchases.

What is free cash flow?

Free cash flow is operating cash flow minus capital expenditures. It is the cash a company has left for dividends, buybacks, debt repayment or acquisitions after funding its operations and investment. Full definition