Health Check: How Prudently Does agilon health (NYSE:AGL) Use Debt?

Some say volatility, rather than debt, is the best way to think about risk as an investor, but Warren Buffett famously said that 'Volatility is far from synonymous with risk.' It's only natural to consider a company's balance sheet when you examine how risky it is, since debt is often involved when a business collapses. Importantly, agilon health, inc. (NYSE:AGL) does carry debt. But the more important question is: how much risk is that debt creating?

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What Risk Does Debt Bring?

Generally speaking, debt only becomes a real problem when a company can't easily pay it off, either by raising capital or with its own cash flow. Part and parcel of capitalism is the process of 'creative destruction' where failed businesses are mercilessly liquidated by their bankers. However, a more usual (but still expensive) situation is where a company must dilute shareholders at a cheap share price simply to get debt under control. Of course, debt can be an important tool in businesses, particularly capital heavy businesses. The first step when considering a company's debt levels is to consider its cash and debt together.

How Much Debt Does agilon health Carry?

The chart below, which you can click on for greater detail, shows that agilon health had US$34.9m in debt in June 2025; about the same as the year before. But it also has US$327.0m in cash to offset that, meaning it has US$292.1m net cash.

debt-equity-history-analysis
NYSE:AGL Debt to Equity History October 2nd 2025

How Strong Is agilon health's Balance Sheet?

According to the last reported balance sheet, agilon health had liabilities of US$1.25b due within 12 months, and liabilities of US$54.9m due beyond 12 months. On the other hand, it had cash of US$327.0m and US$1.10b worth of receivables due within a year. So it actually has US$120.1m more liquid assets than total liabilities.

It's good to see that agilon health has plenty of liquidity on its balance sheet, suggesting conservative management of liabilities. Due to its strong net asset position, it is not likely to face issues with its lenders. Succinctly put, agilon health boasts net cash, so it's fair to say it does not have a heavy debt load! There's no doubt that we learn most about debt from the balance sheet. But it is future earnings, more than anything, that will determine agilon health's ability to maintain a healthy balance sheet going forward. So if you want to see what the professionals think, you might find this free report on analyst profit forecasts to be interesting.

Check out our latest analysis for agilon health

In the last year agilon health wasn't profitable at an EBIT level, but managed to grow its revenue by 12%, to US$5.9b. That rate of growth is a bit slow for our taste, but it takes all types to make a world.

So How Risky Is agilon health?

By their very nature companies that are losing money are more risky than those with a long history of profitability. And we do note that agilon health had an earnings before interest and tax (EBIT) loss, over the last year. And over the same period it saw negative free cash outflow of US$92m and booked a US$329m accounting loss. But the saving grace is the US$292.1m on the balance sheet. That kitty means the company can keep spending for growth for at least two years, at current rates. Overall, its balance sheet doesn't seem overly risky, at the moment, but we're always cautious until we see the positive free cash flow. When analysing debt levels, the balance sheet is the obvious place to start. However, not all investment risk resides within the balance sheet - far from it. To that end, you should learn about the 2 warning signs we've spotted with agilon health (including 1 which is concerning) .

Of course, if you're the type of investor who prefers buying stocks without the burden of debt, then don't hesitate to discover our exclusive list of net cash growth stocks, today.

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Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team (at) simplywallst.com.

This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

About NYSE:AGL

agilon health

Provides healthcare services for seniors through primary care physicians in the communities of the United States.

Undervalued with excellent balance sheet.

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