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Condensed Financial Information (Parent Company Only) - Schedule of Condensed Statements of Cash Flows Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Operating Activities:      
Net loss attributable to Alignment Healthcare, Inc. $ (128,035) $ (148,017) $ (149,547)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Amortization of debt issuance costs 1,293 1,254 1,850
Changes in operating assets and liabilities:      
Net cash provided by (used in) operating activities 34,770 (59,187) (45,427)
Investing Activities:      
Investment in Subsidiary (82,200) (379,058) (2,825)
Net cash provided by (used in) investing activities 39,191 (147,263) (28,217)
Financing Activities:      
Shares withheld net of restricted stock (350) 0 0
Stock options exercised 155 0 0
Proceeds from long-term debt 380,000 0 165,000
Debt issuance costs (8,792) 0 (5,196)
Net cash provided by financing activities 156,028 105 16,593
Net (decrease) increase in cash 229,989 (206,345) (57,051)
Cash, cash equivalents and restricted cash at beginning of period 204,954 411,299 468,350
Cash, cash equivalents and restricted cash at end of period 434,943 204,954 411,299
Supplemental non-cash financing and investing activities:      
Debt issuance costs in accounts payable 512 0 0
Parent Company      
Operating Activities:      
Net loss attributable to Alignment Healthcare, Inc. (128,035) (148,017) (149,547)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Equity in loss of subsidiary 125,892 147,529 149,109
Amortization of debt issuance costs 220 0 0
Changes in operating assets and liabilities:      
Due to subsidiary 1,923 488 438
Net cash provided by (used in) operating activities 0 0 0
Investing Activities:      
Investment in Subsidiary (321,525) 0 0
Net cash provided by (used in) investing activities (321,525) 0 0
Financing Activities:      
Shares withheld net of restricted stock (350) 0 0
Stock options exercised 155 0 0
Proceeds from long-term debt 330,000 0 0
Debt issuance costs (8,280) 0 0
Net cash provided by financing activities 321,525 0 0
Net (decrease) increase in cash 0 0 0
Cash, cash equivalents and restricted cash at beginning of period 0 0 0
Cash, cash equivalents and restricted cash at end of period 0 0 0
Supplemental non-cash financing and investing activities:      
Contribution of equity to subsidiary related to equity-based compensation 71,132 66,835 81,718
Distribution from subsidiary 0 0 85
Debt issuance costs in accounts payable $ 512 $ 0 $ 0