Alignment Healthcare (ALHC) Net Cash Flow (2020 - 2026)
Alignment Healthcare (ALHC) recorded Net Cash Flow of -$12.12 million in Q2 2026, compared with $24.08 million a year earlier.
Alignment Healthcare (ALHC) Net Cash Flow (2020 - 2026) Analysis & Trends
On a TTM basis, Alignment Healthcare's Net Cash Flow came in at $223.23 million as of Jun 30, 2026, up 70.0% year-over-year; for FY2025, it was $142.99 million, down 37.8% from FY2024.
- Annual Net Cash Flow has a five-year compound annual growth rate of 3.3% (FY2020 to FY2025).
- Across earlier years, Net Cash Flow came in at $229.99 million in FY2024, -$206.35 million in FY2023, -$57.05 million in FY2022 and $260.54 million in FY2021 (+114.7%).
- Quarterly Net Cash Flow has ranged from -$188.44 million in Q4 2023 to $147.82 million in Q3 2025 over the past five years.
- Per Business Quant, the preceding three quarters came in at $129.78 million (Q1 2026), -$42.24 million (Q4 2025) and $147.82 million (Q3 2025).
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | NCF (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 332.42 Bn | 217.05 Bn | 36.67 Bn | 631.00 Mn |
| 2 | Cvs Health | 109.55 Bn | 62.16 Bn | 47.23 Bn | 1.77 Bn |
| 3 | Mckesson | 99.61 Bn | 86.08 Bn | 3.69 Bn | 1.20 Bn |
| 4 | Elevance Health | 84.30 Bn | -57.44 Bn | 13.45 Bn | 578.00 Mn |
| 5 | Cigna | 71.83 Bn | 41.37 Bn | 14.97 Bn | -717.00 Mn |
| 6 | Cencora | 57.33 Bn | 46.42 Bn | 3.61 Bn | 646.09 Mn |
| 7 | Cardinal Health | 51.76 Bn | 35.76 Bn | 2.56 Bn | 921.00 Mn |
| 8 | Humana | 45.82 Bn | -41.98 Bn | 5.50 Bn | 1.94 Bn |
| 9 | Centene | 30.70 Bn | -59.59 Bn | 14.55 Bn | 2.98 Bn |
| 10 | Alignment Healthcare | 1.69 Bn | -985.74 Mn | 180.96 Mn | -12.12 Mn |
Historic Data
| Date | Value |
|---|---|
| Jun 30, 2026 | -12.12 Mn |
| Mar 31, 2026 | 129.78 Mn |
| Dec 31, 2025 | -42.24 Mn |
| Sep 30, 2025 | 147.82 Mn |
| Jun 30, 2025 | 24.08 Mn |
| Mar 31, 2025 | 13.34 Mn |
| Dec 31, 2024 | 92.24 Mn |
| Sep 30, 2024 | 1.63 Mn |
| Jun 30, 2024 | 99.98 Mn |
| Mar 31, 2024 | 36.13 Mn |
| Dec 31, 2023 | -188.44 Mn |
| Sep 30, 2023 | -3.62 Mn |
| Jun 30, 2023 | 11.00 Mn |
| Mar 31, 2023 | -25.29 Mn |
| Dec 31, 2022 | -157.90 Mn |
| Sep 30, 2022 | 114.21 Mn |
| Jun 30, 2022 | 4.40 Mn |
| Mar 31, 2022 | -17.77 Mn |
| Dec 31, 2021 | -33.09 Mn |
| Sep 30, 2021 | 5.92 Mn |
Alignment Healthcare Net Cash Flow API
Pull this series into your own models, spreadsheets and apps with the Business Quant
Historical Metrics API. The request below matches the chart above — change the
frequency, period or values and it follows. Swap YOUR_API_KEY for your own key.
https://data.businessquant.com/historic?slug=net-cash-flow&ticker=ALHC&period=max&api_key=YOUR_API_KEY
import requests
url = "https://data.businessquant.com/historic"
params = {"slug": "net-cash-flow", "ticker": "ALHC", "period": "max", "api_key": "YOUR_API_KEY"}
data = requests.get(url, params=params).json()
const res = await fetch("https://data.businessquant.com/historic?slug=net-cash-flow&ticker=ALHC&period=max&api_key=YOUR_API_KEY");
const data = await res.json();