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| 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 |