What is Alignment Healthcare's net debt / EBITDA?

Alignment Healthcare (ALHC) reported net debt / EBITDA of -5.8× in Q1 2026.

What does net debt / EBITDA mean?

Net debt (total debt minus cash) divided by trailing-twelve-month EBITDA. Expresses leverage in years — roughly how long it would take to repay net debt out of operating cash earnings.

Alignment Healthcare ALHC Net debt / EBITDA

Net debt / EBITDA at other companies

HumanaHUM

2×+1.6×

CVS HealthCVS

0.5×0.0×

UnitedHealth GroupUNH

2.2×+0.8×

Elevance HealthELV

2.4×+0.4×

Molina HealthcareMOH

-0.2×-0.1×

CenteneCNC

1×+1.0×

Other financials

Income statement

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Revenue$1.2B+33.3%

Operating income$15.5M+387%

Net income$11.4M+225%

EPS (diluted)$0.05+200%

Balance sheet

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Cash & equivalents$707.7M+57.9%

Total debt$323.6M+0.5%

Total equity$206.9M+91.3%

Total assets$1.3B+40.9%

Cash flow

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Operating cash flow$128.7M+674%

CapEx$7.4M-10.8%

Free cash flow$121.3M+1,350%

Valuation

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Market cap$4.52B+0.8%

Enterprise value$4.14B-6.7%

P/E228.2×—

P/S1.1×-0.4×

Profitability

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Operating margin0.1%0.0pp

Net margin0.5%+0.2pp

FCF margin4.1%—

Returns & leverage

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Return on equity12.6%+6.8pp

Debt / equity1.6×-1.4×

Current ratio1.6×-0.1×

Where this comes from

Calculated from Alignment Healthcare’s reported figures.

net debt/ebitda=-5.8×

Based on the most recent quarter.

The official record: Alignment Healthcare’s 10-Q, filed April 30, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is Alignment Healthcare's net debt / EBITDA?: Alignment Healthcare (ALHC) reported net debt / EBITDA of -5.8× in Q1 2026.
What does net debt / EBITDA mean?: Net debt (total debt minus cash) divided by trailing-twelve-month EBITDA. Expresses leverage in years — roughly how long it would take to repay net debt out of operating cash earnings.