Alignment Healthcare (ALHC) Cash from Operations (2020 - 2026)
Alignment Healthcare (ALHC) posted Cash from Operations of -$17.31 million for Q2 2026, compared with $29.13 million a year earlier.
Alignment Healthcare (ALHC) Cash from Operations (2020 - 2026) Analysis & Trends
For the trailing twelve months through Jun 30, 2026, Cash from Operations at Alignment Healthcare was $205.55 million, up 225.1% year-over-year; for FY2025, it was $139.93 million, up 302.4% from FY2024.
- Annual Cash from Operations shows a five-year compound annual growth rate of 79.3% (FY2020 to FY2025).
- In prior years, Alignment Healthcare's Cash from Operations was $34.77 million in FY2024, -$59.19 million in FY2023, -$45.43 million in FY2022 and -$78.78 million in FY2021.
- Quarterly Cash from Operations has run from a low of -$187.47 million in Q4 2023 to a high of $144.56 million in Q3 2025 over five years.
- The strongest year-over-year quarter for Cash from Operations in the past five years was Q3 2022, with growth of 714.0%; the weakest was Q3 2023, with a decline of 94.3%.
- According to Business Quant data, Cash from Operations for the three prior quarters was $128.68 million (Q1 2026), -$50.38 million (Q4 2025) and $144.56 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Cash from Ops. (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 332.42 Bn | 217.05 Bn | 36.67 Bn | 11.05 Bn |
| 2 | Cvs Health | 109.55 Bn | 62.16 Bn | 47.23 Bn | 6.35 Bn |
| 3 | Mckesson | 99.61 Bn | 86.08 Bn | 3.69 Bn | -220.00 Mn |
| 4 | Elevance Health | 84.30 Bn | -57.44 Bn | 13.45 Bn | 1.91 Bn |
| 5 | Cigna | 71.83 Bn | 41.37 Bn | 14.97 Bn | -421.00 Mn |
| 6 | Cencora | 57.33 Bn | 46.42 Bn | 3.61 Bn | 2.65 Bn |
| 7 | Cardinal Health | 51.76 Bn | 35.76 Bn | 2.56 Bn | 1.69 Bn |
| 8 | Humana | 45.82 Bn | -41.98 Bn | 5.50 Bn | 1.97 Bn |
| 9 | Centene | 30.70 Bn | -59.59 Bn | 14.55 Bn | 3.59 Bn |
| 10 | Alignment Healthcare | 1.69 Bn | -985.74 Mn | 180.96 Mn | -17.31 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | -17.31 Mn |
| Mar 31, 2026 | 128.68 Mn |
| Dec 31, 2025 | -50.38 Mn |
| Sep 30, 2025 | 144.56 Mn |
| Jun 30, 2025 | 29.13 Mn |
| Mar 31, 2025 | 16.62 Mn |
| Dec 31, 2024 | -8.71 Mn |
| Sep 30, 2024 | 26.19 Mn |
| Jun 30, 2024 | 23.53 Mn |
| Mar 31, 2024 | -6.24 Mn |
| Dec 31, 2023 | -187.47 Mn |
| Sep 30, 2023 | 5.99 Mn |
| Jun 30, 2023 | 37.18 Mn |
| Mar 31, 2023 | 85.11 Mn |
| Dec 31, 2022 | -149.26 Mn |
| Sep 30, 2022 | 105.12 Mn |
| Jun 30, 2022 | 10.35 Mn |
| Mar 31, 2022 | -11.64 Mn |
| Dec 31, 2021 | -30.13 Mn |
| Sep 30, 2021 | 12.91 Mn |
Alignment Healthcare Cash from Operations API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=cash-from-operations&ticker=ALHC&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "cash-from-operations", "ticker": "ALHC", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()
const res = await fetch("https://data.businessquant.com/historic?slug=cash-from-operations&ticker=ALHC&period=max&api_key=YOUR_API_KEY");
const data = await res.json();