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v3.25.4

Condensed Financial Information (Parent Company Only) - Schedule of Condensed Statements of Cash Flows Information (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Operating Activities: |  |  |
Net loss attributable to Alignment Healthcare, Inc. | $ (724) | $ (128,035) | $ (148,017)
Adjustments to reconcile Net loss to net cash provided by (used in) operating activities: |  |  |
Amortization of debt issuance costs | 1,761 | 1,293 | 1,254
Net cash provided by (used in) operating activities | 139,927 | 34,770 | (59,187)
Investing Activities: |  |  |
Investment in Subsidiary | (65,633) | (82,200) | (379,058)
Net cash provided by (used in) investing activities | (14,974) | 39,191 | (147,263)
Financing Activities: |  |  |
Shares withheld net of restricted stock | 0 | (350) | 0
Stock options exercised | 18,067 | 155 | 0
Proceeds from long-term debt | 0 | 380,000 | 0
Debt issuance costs | (26) | (8,792) | 0
Net cash provided by financing activities | 18,041 | 156,028 | 105
Net (decrease) increase in cash | 142,994 | 229,989 | (206,345)
Cash, cash equivalents and restricted cash at beginning of period | 434,943 | 204,954 | 411,299
Cash, cash equivalents and restricted cash at end of period | 577,937 | 434,943 | 204,954
Supplemental non-cash financing and investing activities: |  |  |
Debt issuance costs in accounts payable | 0 | 512 | 0
Parent Company |  |  |
Operating Activities: |  |  |
Net loss attributable to Alignment Healthcare, Inc. | (724) | (128,035) | (148,017)
Adjustments to reconcile Net loss to net cash provided by (used in) operating activities: |  |  |
Equity in loss of subsidiary | (15,100) | 125,892 | 147,529
Amortization of debt issuance costs | 1,761 | 220 | 0
Due to subsidiary | 14,063 | 1,923 | 488
Net cash provided by (used in) operating activities | 0 | 0 | 0
Investing Activities: |  |  |
Investment in Subsidiary | (18,068) | (321,525) | 0
Net cash provided by (used in) investing activities | (18,068) | (321,525) | 0
Financing Activities: |  |  |
Shares withheld net of restricted stock | 0 | (350) | 0
Stock options exercised | 18,068 | 155 | 0
Proceeds from long-term debt | 0 | 330,000 | 0
Debt issuance costs | 0 | (8,280) | 0
Net cash provided by financing activities | 18,068 | 321,525 | 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 | 62,082 | 71,132 | 66,835
Debt issuance costs in accounts payable | $ 26 | $ 512 | $ 0

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