Alignment Healthcare (ALHC) Net Cash Flow (2020 - 2026)
Alignment Healthcare (ALHC) reported Net Cash Flow of $129.8 million for Q1 2026, up 873.19% on a YoY basis from $13.3 million in Q1 2025, and up 407.22% quarter-over-quarter from -$42.2 million in Q4 2025.
Alignment Healthcare (ALHC) Net Cash Flow (2020 - 2026) Analysis & Trends
Alignment Healthcare has reported Net Cash Flow for 7 years, with the latest figure at $129.8 million in Q1 2026.
- For the quarter ending Q1 2026, Net Cash Flow rose 873.19% year-over-year to $129.8 million; the trailing twelve-month figure through Mar 2026 stood at $259.4 million (up 25.21% YoY), and the FY2025 full-year result was $143.0 million, down 37.83% from the prior year.
- Net Cash Flow for Q1 2026 stood at $129.8 million, up from -$42.2 million in the prior quarter.
- The five-year high for Net Cash Flow was $147.8 million in Q3 2025, with the low at -$188.4 million in Q4 2023.
- Historically, Net Cash Flow has averaged $14.1 million across 5 years, with a median of $11.0 million in 2023.
- Annual changes were most pronounced in 2022 — Net Cash Flow tumbled 377.25% — and 2025, when it jumped 8968.65%.
- Alignment Healthcare's Net Cash Flow stood at -$157.9 million in 2022, then dropped by 19.34% to -$188.4 million in 2023, then jumped by 148.95% to $92.2 million in 2024, then tumbled by 145.79% to -$42.2 million in 2025, then surged by 407.22% to $129.8 million in 2026.
- The last three Net Cash Flow figures came in at $129.8 million (Q1 2026), -$42.2 million (Q4 2025), and $147.8 million (Q3 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Net Cash Flow (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 363.95 Bn | 334.15 Bn | 98.90 Bn | 3.47 Bn |
| 2 | Cvs Health | 124.98 Bn | 113.36 Bn | 4.43 Bn | 1.06 Bn |
| 3 | Elevance Health | 85.46 Bn | 50.04 Bn | 13.88 Bn | 175.00 Mn |
| 4 | Cigna | 73.39 Bn | 65.77 Bn | -44.29 Bn | -647.00 Mn |
| 5 | Humana | 43.40 Bn | 21.50 Bn | 4.00 Bn | 751.00 Mn |
| 6 | Centene | 30.02 Bn | 6.36 Bn | 49.24 Bn | 3.39 Bn |
| 7 | Molina Healthcare | 9.92 Bn | 668.90 Mn | 1.53 Bn | 1.07 Bn |
| 8 | Oscar Health | 8.44 Bn | 1.64 Bn | -3.22 Bn | 2.03 Bn |
| 9 | Alignment Healthcare | 4.50 Bn | 3.77 Bn | 135.85 Mn | 129.78 Mn |
| 10 | Clover Health Investments | 2.61 Bn | 2.41 Bn | 154.54 Mn | 94.96 Mn |
Historic Data
Download Data| Date | Value |
|---|---|
| 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 |