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

Alignment Healthcare (ALHC) posted Net Cash Flow of $129.8 million for Q1 2026, up 407.22% on a QoQ basis from -$42.2 million in Q4 2025, and up 873.19% year-over-year from $13.3 million in Q1 2025.

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

Alignment Healthcare's Net Cash Flow history runs 7 years deep, the most recent figure standing at $129.8 million for Q1 2026.

  • Quarterly Net Cash Flow rose 873.19% year-over-year to $129.8 million in Q1 2026, while the trailing twelve-month figure through Mar 2026 was $259.4 million (up 25.21% YoY) and the FY2025 annual result came in at $143.0 million, down 37.83% from the prior year.
  • Net Cash Flow was $129.8 million for Q1 2026 at Alignment Healthcare, up from -$42.2 million in the prior quarter.
  • Across five years, Net Cash Flow topped out at $147.8 million in Q3 2025 and bottomed at -$188.4 million in Q4 2023.
  • A 5-year average of $14.1 million and a median of $11.0 million in 2023 frame the typical range for Net Cash Flow.
  • Annual changes were most pronounced in 2022 — Net Cash Flow slumped 377.25% — and 2025, when it jumped 8968.65%.
  • Alignment Healthcare's Net Cash Flow stood at -$157.9 million in 2022, then fell by 19.34% to -$188.4 million in 2023, then soared by 148.95% to $92.2 million in 2024, then sank by 145.79% to -$42.2 million in 2025, then jumped by 407.22% to $129.8 million in 2026.
  • Business Quant data shows ALHC's Net Cash Flow at $129.8 million in Q1 2026, -$42.2 million in Q4 2025, and $147.8 million in Q3 2025.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Unitedhealth 384.70 Bn 354.90 Bn 38.23 Bn 3.47 Bn
2 Cvs Health 136.05 Bn 124.42 Bn 22.85 Bn 1.06 Bn
3 Elevance Health 82.25 Bn 46.44 Bn 35.79 Bn 578.00 Mn
4 Cigna 75.16 Bn 67.54 Bn -44.29 Bn -647.00 Mn
5 Humana 47.47 Bn 25.57 Bn 5.94 Bn 751.00 Mn
6 Centene 31.35 Bn 7.64 Bn 43.95 Bn 3.39 Bn
7 Molina Healthcare 10.44 Bn 1.19 Bn 1.43 Bn -328.00 Mn
8 Oscar Health 8.62 Bn 1.83 Bn 1.42 Bn 2.03 Bn
9 Alignment Healthcare 4.13 Bn 3.41 Bn 144.48 Mn 129.78 Mn
10 Progyny 2.48 Bn 2.26 Bn 83.07 Mn 19.43 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 129.78 Mn
Mar 31, 2026 129.78 Mn
Dec 31, 2025 -42.24 Mn
Dec 31, 2025 -42.24 Mn
Sep 30, 2025 147.82 Mn
Sep 30, 2025 147.82 Mn
Jun 30, 2025 24.08 Mn
Jun 30, 2025 24.08 Mn
Mar 31, 2025 13.34 Mn
Mar 31, 2025 13.34 Mn
Dec 31, 2024 92.24 Mn
Dec 31, 2024 92.24 Mn
Sep 30, 2024 1.63 Mn
Sep 30, 2024 1.63 Mn
Jun 30, 2024 99.98 Mn
Jun 30, 2024 99.98 Mn
Mar 31, 2024 36.13 Mn
Mar 31, 2024 36.13 Mn
Dec 31, 2023 -188.44 Mn
Dec 31, 2023 -188.44 Mn