Growth Metrics

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

Alignment Healthcare posted quarterly Free Cash Flow of $121.3 million for Q1 2026, up 1350.48% year-on-year from $8.4 million in Q1 2025, and up 522.42% on a QoQ basis from -$28.7 million in Q4 2025.

Alignment Healthcare (ALHC) has 7 years of Free Cash Flow data on file, last reported 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.
  • Across five years, Free Cash Flow topped out at $122.9 million in Q3 2025 and bottomed at -$223.3 million in Q4 2023.
  • The 5-year median for Free Cash Flow is $11.2 million (2022), against an average of $9.1 million.
  • The widest annual swing landed in 2022, when Free Cash Flow sank 394.24%; it then soared 1350.48% in 2026.
  • A 5-year view of Free Cash Flow shows it stood at -$148.9 million in 2022, then tumbled by 49.96% to -$223.3 million in 2023, then soared by 96.12% to -$8.7 million in 2024, then plunged by 231.3% to -$28.7 million in 2025, then surged 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 345.31 Bn 315.51 Bn 98.90 Bn 8.15 Bn
2 Cvs Health 115.41 Bn 103.79 Bn 4.43 Bn 3.40 Bn
3 Elevance Health 88.60 Bn 53.18 Bn 13.88 Bn 4.10 Bn
4 Cigna 72.05 Bn 64.43 Bn -44.29 Bn 864.00 Mn
5 Humana 39.05 Bn 17.15 Bn 4.00 Bn 1.13 Bn
6 Centene 30.50 Bn 6.84 Bn 49.24 Bn 4.17 Bn
7 Molina Healthcare 9.31 Bn 60.65 Mn 1.53 Bn 1.06 Bn
8 Oscar Health 6.86 Bn 63.05 Mn -3.22 Bn 2.61 Bn
9 Alignment Healthcare 2.69 Bn 1.96 Bn 135.85 Mn 121.32 Mn
10 Progyny 2.12 Bn 1.90 Bn 83.07 Mn 39.60 Mn

Historic Data

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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
Sep 30, 2023 5.92 Mn
Sep 30, 2023 5.92 Mn
Jun 30, 2023 44.42 Mn
Jun 30, 2023 44.42 Mn
Mar 31, 2023 77.83 Mn
Mar 31, 2023 77.83 Mn
Dec 31, 2022 -148.94 Mn
Dec 31, 2022 -148.94 Mn
Sep 30, 2022 104.99 Mn
Sep 30, 2022 104.99 Mn
Jun 30, 2022 11.23 Mn
Jun 30, 2022 11.23 Mn
Mar 31, 2022 -12.75 Mn
Mar 31, 2022 -12.75 Mn
Dec 31, 2021 -30.13 Mn
Dec 31, 2021 -30.13 Mn
Sep 30, 2021 12.91 Mn
Sep 30, 2021 12.91 Mn
Jun 30, 2021 -23.45 Mn
Jun 30, 2021 -23.45 Mn
Mar 31, 2021 -38.11 Mn
Mar 31, 2021 -38.11 Mn
Dec 31, 2020 -10.15 Mn
Dec 31, 2020 -10.15 Mn
Sep 30, 2020 26.04 Mn
Sep 30, 2020 26.04 Mn
Jun 30, 2020 13.49 Mn
Jun 30, 2020 13.49 Mn
Mar 31, 2020 -21.82 Mn
Mar 31, 2020 -21.82 Mn