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| 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 |