Alignment Healthcare (ALHC) Free Cash Flow (2020 - 2026)
Alignment Healthcare (ALHC) posted Free Cash Flow of $128.6 million for Q1 2026, up 355.17% on a QoQ basis from -$50.4 million in Q4 2025, and up 1437.4% year-over-year from $8.4 million in Q1 2025.
Alignment Healthcare (ALHC) Free Cash Flow (2020 - 2026) Analysis & Trends
Alignment Healthcare's Free Cash Flow history runs 7 years deep, the most recent figure standing at $128.6 million for Q1 2026.
- Quarterly Free Cash Flow rose 1437.4% year-over-year to $128.6 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $260.1 million (up 330.39% YoY) and the FY2025 annual result came in at $139.8 million, up 302.97% from the prior year.
- Free Cash Flow was $128.6 million for Q1 2026 at Alignment Healthcare, up from -$50.4 million in the prior quarter.
- Across five years, Free Cash Flow topped out at $160.7 million in Q3 2025 and bottomed at -$198.1 million in Q4 2023.
- A 5-year average of $9.3 million and a median of $10.4 million in 2022 frame the typical range for Free Cash Flow.
- Annual changes were most pronounced in 2025 — Free Cash Flow sank 481.3% — and 2026, when it jumped 1437.4%.
- Alignment Healthcare's Free Cash Flow stood at -$150.9 million in 2022, then sank by 31.24% to -$198.1 million in 2023, then jumped by 95.62% to -$8.7 million in 2024, then sank by 481.3% to -$50.4 million in 2025, then surged by 355.17% to $128.6 million in 2026.
- Business Quant data shows ALHC's Free Cash Flow at $128.6 million in Q1 2026, -$50.4 million in Q4 2025, and $160.7 million in Q3 2025.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Free Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 384.70 Bn | 354.90 Bn | 38.23 Bn | 8.15 Bn |
| 2 | Cvs Health | 136.05 Bn | 124.42 Bn | 22.85 Bn | 3.40 Bn |
| 3 | Elevance Health | 82.25 Bn | 46.44 Bn | 35.79 Bn | 1.63 Bn |
| 4 | Cigna | 75.16 Bn | 67.54 Bn | -44.29 Bn | 864.00 Mn |
| 5 | Humana | 47.47 Bn | 25.57 Bn | 5.94 Bn | 1.13 Bn |
| 6 | Centene | 31.35 Bn | 7.64 Bn | 43.95 Bn | 4.17 Bn |
| 7 | Molina Healthcare | 10.44 Bn | 1.19 Bn | 1.43 Bn | -324.00 Mn |
| 8 | Oscar Health | 8.62 Bn | 1.83 Bn | 1.42 Bn | 2.61 Bn |
| 9 | Alignment Healthcare | 4.13 Bn | 3.41 Bn | 144.48 Mn | 128.59 Mn |
| 10 | Progyny | 2.48 Bn | 2.26 Bn | 83.07 Mn | 45.14 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 128.59 Mn |
| Mar 31, 2026 | 128.59 Mn |
| Dec 31, 2025 | -50.39 Mn |
| Dec 31, 2025 | -50.39 Mn |
| Sep 30, 2025 | 160.73 Mn |
| Sep 30, 2025 | 160.73 Mn |
| Jun 30, 2025 | 21.13 Mn |
| Jun 30, 2025 | 21.13 Mn |
| Mar 31, 2025 | 8.36 Mn |
| Mar 31, 2025 | 8.36 Mn |
| Dec 31, 2024 | -8.67 Mn |
| Dec 31, 2024 | -8.67 Mn |
| Sep 30, 2024 | 26.20 Mn |
| Sep 30, 2024 | 26.20 Mn |
| Jun 30, 2024 | 34.53 Mn |
| Jun 30, 2024 | 34.53 Mn |
| Mar 31, 2024 | -17.36 Mn |
| Mar 31, 2024 | -17.36 Mn |
| Dec 31, 2023 | -198.06 Mn |
| Dec 31, 2023 | -198.06 Mn |