Growth Metrics

Alignment Healthcare (ALHC) Change in Cash (2020 - 2026)

Alignment Healthcare posted quarterly Change in Cash of $129.8 million for Q1 2026, up 873.19% year-on-year from $13.3 million in Q1 2025, and up 407.22% on a QoQ basis from -$42.2 million in Q4 2025.

Alignment Healthcare (ALHC) has 7 years of Change in Cash data on file, last reported at $129.8 million in Q1 2026.

  • For the quarter ending Q1 2026, Change in Cash rose 873.19% year-over-year to $129.8 million; the trailing twelve-month figure through Mar 2026 stood at $259.4 million (up 25.21% YoY), and the FY2025 full-year result was $143.0 million, down 37.83% from the prior year.
  • Change in Cash for Q1 2026 stood at $129.8 million, up from -$42.2 million in the prior quarter.
  • Across five years, Change in Cash topped out at $147.8 million in Q3 2025 and bottomed at -$188.4 million in Q4 2023.
  • The 5-year median for Change in Cash is $11.0 million (2023), against an average of $14.1 million.
  • The widest annual swing landed in 2022, when Change in Cash sank 377.25%; it then jumped 8968.65% in 2025.
  • A 5-year view of Change in Cash shows it stood at -$157.9 million in 2022, then declined by 19.34% to -$188.4 million in 2023, then surged by 148.95% to $92.2 million in 2024, then slumped by 145.79% to -$42.2 million in 2025, then soared by 407.22% to $129.8 million in 2026.
  • The last three Change in Cash figures came in at $129.8 million (Q1 2026), -$42.2 million (Q4 2025), and $147.8 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Change in Cash (Qtr)
1 Unitedhealth 345.31 Bn 315.51 Bn 98.90 Bn 3.64 Bn
2 Cvs Health 115.41 Bn 103.79 Bn 4.43 Bn 1.06 Bn
3 Elevance Health 88.60 Bn 53.18 Bn 13.88 Bn 166.00 Mn
4 Cigna 72.05 Bn 64.43 Bn -44.29 Bn -656.00 Mn
5 Humana 39.05 Bn 17.15 Bn 4.00 Bn 751.00 Mn
6 Centene 30.50 Bn 6.84 Bn 49.24 Bn 3.39 Bn
7 Molina Healthcare 9.31 Bn 60.65 Mn 1.53 Bn 1.07 Bn
8 Oscar Health 6.86 Bn 63.05 Mn -3.22 Bn 2.03 Bn
9 Alignment Healthcare 2.69 Bn 1.96 Bn 135.85 Mn 129.78 Mn
10 Progyny 2.12 Bn 1.90 Bn 83.07 Mn 19.38 Mn

Historic Data

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DateValue
Mar 31, 2026 129.78 Mn
Dec 31, 2025 -42.24 Mn
Sep 30, 2025 147.82 Mn
Jun 30, 2025 24.08 Mn
Mar 31, 2025 13.34 Mn
Dec 31, 2024 92.24 Mn
Sep 30, 2024 1.63 Mn
Jun 30, 2024 99.98 Mn
Mar 31, 2024 36.13 Mn
Dec 31, 2023 -188.44 Mn
Sep 30, 2023 -3.62 Mn
Jun 30, 2023 11.00 Mn
Mar 31, 2023 -25.29 Mn
Dec 31, 2022 -157.90 Mn
Sep 30, 2022 114.21 Mn
Jun 30, 2022 4.40 Mn
Mar 31, 2022 -17.77 Mn
Dec 31, 2021 -33.09 Mn
Sep 30, 2021 5.92 Mn
Jun 30, 2021 -33.40 Mn
Mar 31, 2021 321.11 Mn
Dec 31, 2020 -15.02 Mn
Sep 30, 2020 21.44 Mn
Jun 30, 2020 8.97 Mn
Mar 31, 2020 105.93 Mn