Alignment Healthcare (ALHC) Free Cash Flow (2020 - 2026)

Alignment Healthcare (ALHC) reported Free Cash Flow of $121.3 million for Q1 2026, up 1350.48% on a YoY basis from $8.4 million in Q1 2025, and up 522.42% quarter-over-quarter from -$28.7 million in Q4 2025.

Alignment Healthcare (ALHC) Free Cash Flow (2020 - 2026) Analysis & Trends

Alignment Healthcare has reported Free Cash Flow for 7 years, with the latest figure at $121.3 million in Q1 2026.

  • For the quarter ending Q1 2026, Free Cash Flow rose 1350.48% year-over-year to $121.3 million; the trailing twelve-month figure through Mar 2026 stood at $252.8 million (up 411.11% YoY), and the FY2025 full-year result was $139.8 million, up 302.97% from the prior year.
  • Free Cash Flow for Q1 2026 stood at $121.3 million, up from -$28.7 million in the prior quarter.
  • The five-year high for Free Cash Flow was $122.9 million in Q3 2025, with the low at -$223.3 million in Q4 2023.
  • Historically, Free Cash Flow has averaged $9.1 million across 5 years, with a median of $11.2 million in 2022.
  • Annual changes were most pronounced in 2022 — Free Cash Flow tumbled 394.24% — and 2026, when it soared 1350.48%.
  • Alignment Healthcare's Free Cash Flow stood at -$148.9 million in 2022, then plunged by 49.96% to -$223.3 million in 2023, then surged by 96.12% to -$8.7 million in 2024, then sank by 231.3% to -$28.7 million in 2025, then jumped by 522.42% to $121.3 million in 2026.
  • The last three Free Cash Flow figures came in at $121.3 million (Q1 2026), -$28.7 million (Q4 2025), and $122.9 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Unitedhealth 363.95 Bn 334.15 Bn 98.90 Bn 8.15 Bn
2 Cvs Health 124.98 Bn 113.36 Bn 4.43 Bn 3.40 Bn
3 Elevance Health 85.46 Bn 50.04 Bn 13.88 Bn 4.10 Bn
4 Cigna 73.39 Bn 65.77 Bn -44.29 Bn 864.00 Mn
5 Humana 43.40 Bn 21.50 Bn 4.00 Bn 1.13 Bn
6 Centene 30.02 Bn 6.36 Bn 49.24 Bn 4.17 Bn
7 Molina Healthcare 9.92 Bn 668.90 Mn 1.53 Bn 1.06 Bn
8 Oscar Health 8.44 Bn 1.64 Bn -3.22 Bn 2.61 Bn
9 Alignment Healthcare 4.50 Bn 3.77 Bn 135.85 Mn 121.32 Mn
10 Clover Health Investments 2.61 Bn 2.41 Bn 154.54 Mn 107.04 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 121.32 Mn
Mar 31, 2026 121.32 Mn
Dec 31, 2025 -28.72 Mn
Dec 31, 2025 -28.72 Mn
Sep 30, 2025 122.92 Mn
Sep 30, 2025 122.92 Mn
Jun 30, 2025 37.27 Mn
Jun 30, 2025 37.27 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 23.56 Mn
Jun 30, 2024 23.56 Mn
Mar 31, 2024 -6.39 Mn
Mar 31, 2024 -6.39 Mn
Dec 31, 2023 -223.34 Mn
Dec 31, 2023 -223.34 Mn