Income Taxes
The reconciliation of income tax expense recorded in the consolidated statement of operations and amounts computed at the statutory federal income tax rate for the years ended December 31, 2025, 2024 and 2023, were as follows:
 December 31,
2025
December 31,
2024
December 31,
2023
 
Amount
Percentage
Amount
Percentage
Amount
Percentage
Loss before tax at statutory federal rate$(201)21.0 %$(26,891)21.0 %$(31,121)21.0 %
State and local income taxes, net of federal income tax effect221 (23.0)1,815 (1.4)1,133 (0.8)
Enactment of new tax laws— — — — — — 
Effect of cross-border tax laws— — — — — — 
Tax credits— — — — — — 
Change in valuation allowance517 (53.9)17,107 (13.4)23,955 (16.1)
Nondeductible Items
Stock Compensation(6,271)653.6 — — — — 
Nondeductible executive compensation6,518 (679.8)8,703 (6.8)6,716 (4.5)
Nondeductible entertainment159 (16.6)138 (0.2)48 — 
Other193 (20.3)43 — 120 (0.1)
Worldwide changes in unrecognized tax benefits— — — — — — 
Other
Federal deferred tax adjustments(1,941)202.4 844 (0.7)(947)0.6 
Federal tax return true-up825 (86.0)(1,738)1.4 74 — 
Foreign Tax Effects
Total$20 (2.6)%$21 (0.1)%$(22)0.1 %
In each year, California comprised the majority of the state and local income taxes, net of federal effect.
The cash paid for income taxes (net of refunds) during the year was as follows:
December 31, 2025December 31, 2024December 31, 2023
Federal$ $ $ 
State and local
California— 190 
Colorado— 
Massachusetts— 
New Jersey— 
Other15 
Total state and local25 20 205 
Total$25 $20 $205 
The components of deferred income taxes as of December 31, 2025 and 2024, were as follows:
 December 31,
2025
December 31,
2024
Deferred tax assets:
Federal and state net operating loss carryforwards$178,835 $169,044 
Employee benefits12,151 8,278 
Interest deduction limitation4,851 11,661 
Other1,930 3,330 
R&D credits839 — 
ROU lease liabilities2,314 2,446 
Stock compensation48,053 48,416 
Total deferred tax assets248,973 243,175 
Deferred tax liabilities:
Intangibles(6,127)(1,404)
Depreciation(1,453)(214)
ROU assets(1,950)(2,105)
Other(80)(31)
Total deferred tax liabilities(9,610)(3,754)
Valuation allowance(239,363)(239,421)
Net deferred taxes$— $— 
Valuation allowances are provided when it is considered more likely than not that deferred tax assets will not be realized. The valuation allowances primarily relate to future tax benefits on certain federal and state net operating loss (“NOL”) carryforwards. For the years ended December 31, 2025 and 2024, federal NOL carryforwards were $617,001 and $565,838, respectively. For the years ended December 31, 2025 and 2024, state NOL carryforwards were $531,012 and $543,513, respectively, and $95,332 of the total federal net operating loss carryforwards have an indefinite life while the remaining federal and state net operating loss carryforwards begin to expire in 2033 if not utilized.
Of the total NOL carryforwards, approximately $19,031 of federal and $13,221 of California NOL carryforwards relate to Alignment Health Plan, Inc. for which the utilization of the federal NOL carryforward is subject to a federal Section 382 limitation of $870 per year, and the utilization of the California NOL carryforwards is subject to a similar California annual limitation. In June 2024, California’s Governor signed into law Assembly Bill (“AB”) 167 suspending California NOL utilization for taxpayers with more than $1 million of taxable income, effective for tax years 2024, 2025, and 2026. AB 167 includes an extended carryover period for suspended NOLs that would have been utilized if not for AB 167.
We have cumulative NOLs as of December 31, 2025 and 2024. Given the history of losses, and after consideration for the risk associated with estimates of future taxable income, we established a full valuation allowance against net deferred tax assets at December 31, 2025 and 2024. Under the Tax Cuts and Jobs Act (“TCJA”), federal NOLs generated after 2017 will be carried forward indefinitely but are limited to an 80% deduction of taxable income. NOLs generated prior to 2018 have a 20-year carryforward period and can be used to offset 100% of taxable income. An exception to the TCJA federal NOL rule applies to certain of our subsidiaries and requires all NOLs generated from those entities to have a 20-year carryforward period and offset 100% of taxable income.
Additionally, an “ownership change” as defined under Section 382 of the Internal Revenue Code, could potentially limit the ability to utilize certain tax attributes including the Company’s substantial NOLs. Ownership change is generally defined as any significant change in ownership of more than 50% of its stock over a three-year testing period. If, as a result of current or future transactions involving our common stock, we undergo cumulative ownership changes which exceed 50% over the testing period, our ability to utilize our NOL carryforwards would be subject to additional limitations under IRC Section 382. We continue to monitor changes in ownership with respect to these income tax provisions.
We record uncertain tax positions in accordance with ASC 740, on the basis of a two-step process in which (i) we determine whether it is more likely than not a tax position will be sustained on the basis of the technical merits of such position and (ii) for those tax positions meeting the more-likely-than-not recognition threshold, we recognize the largest amount of tax benefit that is more than 50.0% likely to be realized upon ultimate settlement with the related tax authority. The following table summarizes the gross amount of our uncertain tax positions:
December 31, 2025
Gross unrecognized tax benefits at the beginning of the year$— 
Increases related to prior year tax positions$1,019 
Increases from tax positions taken in the current year$192 
Gross unrecognized tax benefits at the end of the year$1,211 
Due to the existence of the valuation allowance, future changes in our unrecognized tax benefits will not impact our effective tax rate.
Our policy is to recognize interest and penalties related to income tax matters as a component of income tax expense. As of December 31, 2025, no interest and penalties have been recognized.
The One Big Beautiful Bill Act (“OBBB Act”) was enacted on July 4, 2025 in the United States. The OBBB Act includes several significant provisions, including re-establishing a 100% bonus depreciation deduction, re-establishing rules in calculating business interest expense limitations pursuant to §163(j), and removing the capitalization requirements for domestic research or experimental (“R&E”) expenditures paid or incurred in tax years beginning after December 31, 2024. We have considered applicable tax impacts of the OBBB Act within the 2025 financial statements.

About Income Taxes Disclosures

The income tax disclosure reveals how much a company actually pays in taxes versus what the statutory rate would predict. Analysts focus on the effective tax rate (ETR) reconciliation, which breaks down every item driving the gap between the 21% federal rate and the company's reported ETR — including R&D credits, foreign rate differentials, and state taxes. Deferred tax assets (DTAs) and their valuation allowances signal management's confidence in future profitability: a rising allowance suggests the company doubts it can use accumulated tax benefits. Uncertain tax benefit (UTB) reserves quantify exposure to IRS challenges on aggressive positions.

Key signals to watch: sudden ETR drops without clear operational reasons, large increases in valuation allowances, growing UTB balances, and significant unremitted foreign earnings. Post-TCJA, pay attention to GILTI and BEAT provisions that affect multinational tax structures. Compare the cash taxes paid (from the cash flow statement) against the income tax provision to gauge earnings quality.