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

Alignment Healthcare (ALHC) reported Change in Cash of $129.8 million for Q1 2026, up 873.19% on a YoY basis from $13.3 million in Q1 2025, and up 407.22% quarter-over-quarter from -$42.2 million in Q4 2025.

Alignment Healthcare (ALHC) Change in Cash (2020 - 2026) Analysis & Trends

Alignment Healthcare has reported Change in Cash for 7 years, with the latest figure 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.
  • The five-year high for Change in Cash was $147.8 million in Q3 2025, with the low at -$188.4 million in Q4 2023.
  • Historically, Change in Cash has averaged $14.1 million across 5 years, with a median of $11.0 million in 2023.
  • Annual changes were most pronounced in 2022 — Change in Cash tumbled 377.25% — and 2025, when it jumped 8968.65%.
  • Alignment Healthcare's Change in Cash stood at -$157.9 million in 2022, then dropped by 19.34% to -$188.4 million in 2023, then jumped by 148.95% to $92.2 million in 2024, then tumbled by 145.79% to -$42.2 million in 2025, then surged 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 363.95 Bn 334.15 Bn 98.90 Bn 3.64 Bn
2 Cvs Health 124.98 Bn 113.36 Bn 4.43 Bn 1.06 Bn
3 Elevance Health 85.46 Bn 50.04 Bn 13.88 Bn 166.00 Mn
4 Cigna 73.39 Bn 65.77 Bn -44.29 Bn -656.00 Mn
5 Humana 43.40 Bn 21.50 Bn 4.00 Bn 751.00 Mn
6 Centene 30.02 Bn 6.36 Bn 49.24 Bn 3.39 Bn
7 Molina Healthcare 9.92 Bn 668.90 Mn 1.53 Bn 1.07 Bn
8 Oscar Health 8.44 Bn 1.64 Bn -3.22 Bn 2.03 Bn
9 Alignment Healthcare 4.50 Bn 3.77 Bn 135.85 Mn 129.78 Mn
10 Clover Health Investments 2.61 Bn 2.41 Bn 154.54 Mn 94.96 Mn

Historic Data

Download Data
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