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Alignment Healthcare, Inc. (ALHC) 10-Year Financial Performance & Capital Metrics

ALHC • • Insurance & Managed Care
HealthcareHealth InsuranceMedicare Advantage SpecialistsTech-Enabled Medicare Advantage
AboutAlignment Healthcare, Inc., a tech-enabled Medicare advantage company, operates consumer-centric health care platform. It provides customized health care in the United States to seniors and those who need it through its Medicare advantage plans. The company owns Medicare advantage plans in the states of California, North Carolina, and Nevada. It also coordinates and provides covered health care services, including professional, institutional, and ancillary services to members enrolled in certain benefit plans of unaffiliated Medicare Advantage Health Maintenance Organizations. The company was founded in 2013 and is based in Orange, California.Show more
  • Revenue $2.7B +48.3%
  • Combined Ratio 103.76% -3.0%
  • Net Income -$128M +13.5%
  • Return on Equity -98.86% -32.7%
  • Medical Cost Ratio 89.03%
  • Operating Margin -3.76% +46.4%
  • Net Margin -4.74% +41.7%
  • ROA -18.64% +22.8%
  • Equity / Assets 12.91% -51.7%
  • Book Value per Share 0.53 -37.7%
  • Tangible BV/Share 0.32 -49.1%
  • Debt/Equity 3.26 +201.9%
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Momentum leader: RS Rating 83 (top 17%)
  • ✓Trading near 52-week high

✗Weaknesses

  • ✗High debt to equity ratio of 3.3x
  • ✗High loss ratio of 89.0%
  • ✗Expensive at 39.5x book value

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y-
5Y28.99%
3Y32.29%
TTM47.39%

Profit (Net Income) CAGR

10Y-
5Y-
3Y-
TTM85.56%

EPS CAGR

10Y-
5Y-
3Y-
TTM85.13%

ROCE

10Y Avg-32.85%
5Y Avg-30.09%
3Y Avg-30.43%
Latest-26.76%

Peer Comparison

Tech-Enabled Medicare Advantage
Select Columns
Size & Scale
Valuation
Per Share
Growth
Profitability
Quality & Returns
Safety & Leverage
TTM Growth
Famous Investor Metrics
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Latest Quarter
Momentum & Returns
Total Return (DRIP)
Technical
Volume & Trading
Shares & Dilution
Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
OSCROscar Health, Inc.4.38B17.38181.6156.54%-2.16%-23.77%21.67%0.29
CLOVClover Health Investments, Corp.1.08B2.54-28.938.77%-3.29%-17.11%3.09%
ALHCAlignment Healthcare, Inc.4.19B20.92-31.2248.25%-0.57%-12.86%3.26

Profit & Loss

Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Revenue+756.96M959.22M1.17B1.43B1.82B2.7B
Revenue Growth %-0.27%0.22%0.23%0.27%0.48%
Medical Costs & Claims+661.39M792.99M1.04B1.25B1.62B2.41B
Medical Cost Ratio %------
Gross Profit+95.57M166.23M128.73M184.28M201.03M296.69M
Gross Margin %------
Gross Profit Growth %-0.74%-0.23%0.43%0.09%0.48%
Operating Expenses+125.06M171.49M306.8M312.92M328.85M398.25M
OpEx / Revenue %------
Depreciation & Amortization16.58M15.46M16.03M17.49M21.67M27.06M
Combined Ratio %------
Operating Income+-29.48M-5.26M-178.07M-128.64M-127.82M-101.56M
Operating Margin %------
Operating Income Growth %-0.82%-32.83%0.28%0.01%0.21%
EBITDA+-12.9M10.2M-162.04M-111.15M-106.15M-74.49M
EBITDA Margin %------
Interest Expense14.9M16.93M17.44M18.29M21.23M23.55M
Non-Operating Income351K732K-229K2.37M-853K2.95M
Pretax Income+-44.73M-22.93M-195.29M-149.3M-148.19M-128.05M
Pretax Margin %------
Income Tax+000339K-22K21K
Effective Tax Rate %------
Net Income+-44.73M-22.93M-195.29M-149.55M-148.02M-128.03M
Net Margin %------
Net Income Growth %-0.49%-7.52%0.23%0.01%0.13%
EPS (Diluted)+-0.29-0.12-1.14-0.83-0.79-0.67
EPS Growth %-0.59%-8.5%0.27%0.05%0.15%
EPS (Basic)-0.29-0.12-1.14-0.83-0.79-0.67
Diluted Shares Outstanding152.13M187.27M171.96M181.21M186.21M190.79M

Balance Sheet

Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Total Assets+193.44M338.5M630.89M633.86M591.88M782.06M
Asset Growth %-0.75%0.86%0%-0.07%0.32%
Total Investment Assets+0000115.91M37.79M
Long-Term Investments000000
Short-Term Investments0000115.91M37.79M
Total Current Assets+127.35M264.68M552.86M544.55M483.54M661.64M
Cash & Equivalents86.48M207.31M466.6M409.55M202.9M432.86M
Receivables1000K1000K1000K1000K1000K1000K
Other Current Assets00042.11M44.97M37.08M
Goodwill & Intangibles+34.97M34.65M35.12M40.29M40.08M39.38M
Goodwill29.3M29.3M29.3M34.81M34.83M34.83M
Intangible Assets5.67M5.34M5.81M5.48M5.25M4.55M
PP&E (Net)27.44M37.03M38.21M42.99M61.86M74.96M
Other Assets3.68M2.15M4.71M6.04M6.41M6.09M
Total Liabilities272.15M307.89M324.84M394.56M433.81M681.11M
Total Debt+137.96M154.44M157.59M164.6M170.79M329.26M
Net Debt51.47M-52.87M-309M-244.95M-32.12M-103.6M
Long-Term Debt137.96M144.17M150.62M160.9M161.81M321.43M
Short-Term Debt000001.21M
Total Current Liabilities+130.26M153.45M167.25M229.96M263.02M351.85M
Accounts Payable117.73M128.28M17.43M171.92M170.07M242.5M
Deferred Revenue000000
Other Current Liabilities000034.11M38.72M
Deferred Taxes000000
Other Liabilities3.94M00000
Total Equity+-78.71M30.61M306.06M239.3M158.07M100.95M
Equity Growth %-1.39%9%-0.22%-0.34%-0.36%
Shareholders Equity-78.71M30.61M306.04M238.13M156.95M99.85M
Minority Interest0015K1.18M1.13M1.1M
Retained Earnings-78.71M-379.57M-582.69M-732.24M-880.26M-1.01B
Common Stock0164K187K187K189K192K
Accumulated OCI000000
Return on Equity (ROE)--0.75%-1.16%-0.55%-0.74%-0.99%
Return on Assets (ROA)-0.23%-0.09%-0.4%-0.24%-0.24%-0.19%
Equity / Assets------
Debt / Equity-5.05x0.51x0.69x1.08x3.26x
Book Value per Share-0.520.161.781.320.850.53
Tangible BV per Share------

Cash Flow

Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024
Cash from Operations+9.21M7.56M-78.78M-45.43M-59.19M34.77M
Operating CF Growth %--0.18%-11.42%0.42%-0.3%1.59%
Operating CF / Revenue %------
Net Income-44.73M-22.93M-195.29M-149.64M-148.17M-128.07M
Depreciation & Amortization16.58M15.46M16.03M17.49M21.67M27.06M
Stock-Based Compensation1.16M2.12M110.6M81.72M66.83M71.13M
Deferred Taxes000000
Other Non-Cash Items7.21M9.65M9.29M10.56M-1.54M3.75M
Working Capital Changes29M3.25M-19.42M-5.55M2.03M60.89M
Cash from Investing+-10.24M-16.36M-20.82M-28.22M-147.26M39.19M
Capital Expenditures-10.24M-15.71M-18.36M-23.77M-35.99M-41.42M
Acquisitions000-4.04M00
Purchase of Investments-320K-1.57M-2.48M-2.83M-379.06M-82.2M
Sale/Maturity of Investments325K825K1000K1000K1000K1000K
Other Investing0100K-1.41M0014K
Cash from Financing+52.66M130.12M360.13M16.59M105K156.03M
Dividends Paid000000
Share Repurchases-1.98M-1.5M-1.47M00-350K
Stock Issued500K135M390.6M000
Debt Issuance (Net)1000K001000K01000K
Other Financing-854K-3.37M-29M-5.23M105K-8.62M
Net Change in Cash+51.63M121.33M260.54M-57.05M-206.34M229.99M
Exchange Rate Effect000000
Cash at Beginning34.85M86.48M207.81M468.35M411.3M204.95M
Cash at End86.48M207.81M468.35M411.3M204.95M434.94M
Free Cash Flow+-1.04M-8.15M-97.14M-69.2M-95.18M-6.65M
FCF Growth %--6.86%-10.92%0.29%-0.38%0.93%
FCF Margin %------
FCF per Share-0.01-0.04-0.56-0.38-0.51-0.03

Key Ratios

Metric201920202021202220232024
Combined Ratio103.9%100.55%115.25%108.97%107.01%103.76%
Medical Cost Ratio87.37%82.67%88.98%87.15%88.98%89.03%
Return on Equity (ROE)--74.89%-116.01%-54.84%-74.5%-98.86%
Return on Assets (ROA)-23.12%-8.62%-40.29%-23.65%-24.15%-18.64%
Equity / Assets-40.69%9.04%48.51%37.75%26.71%12.91%
Book Value / Share-0.520.161.781.320.850.53
Debt / Equity-5.05x0.51x0.69x1.08x3.26x
Revenue Growth-26.72%21.74%22.81%27.16%48.25%

Revenue by Segment

202120222023
Health Care, Premium1.12B1.37B1.67B
Health Care, Premium Growth-22.44%21.55%
Health Care Capitation46.22M59.22M132.8M
Health Care Capitation Growth-28.11%124.27%

Frequently Asked Questions

Growth & Financials

Alignment Healthcare, Inc. (ALHC) grew revenue by 48.3% over the past year. This is strong growth.

Alignment Healthcare, Inc. (ALHC) reported a net loss of $20.8M for fiscal year 2024.

Dividend & Returns

Alignment Healthcare, Inc. (ALHC) has a return on equity (ROE) of -98.9%. Negative ROE indicates the company is unprofitable.

Industry Metrics

Alignment Healthcare, Inc. (ALHC) has a combined ratio of 103.8%. A ratio above 100% means claims and expenses exceed premiums.

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