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
DateValue
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