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
Download Data| Date | Value |
|---|---|
| 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 |