Alignment Healthcare (ALHC) Net Cash Flow (2020 - 2026)
Alignment Healthcare posted quarterly Net Cash Flow of $129.8 million for Q1 2026, up 873.19% year-on-year from $13.3 million in Q1 2025, and up 407.22% on a QoQ basis from -$42.2 million in Q4 2025.
Alignment Healthcare (ALHC) has 7 years of Net Cash Flow data on file, last reported 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.
- Across five years, Net Cash Flow topped out at $147.8 million in Q3 2025 and bottomed at -$188.4 million in Q4 2023.
- The 5-year median for Net Cash Flow is $11.0 million (2023), against an average of $14.1 million.
- The widest annual swing landed in 2022, when Net Cash Flow sank 377.25%; it then jumped 8968.65% in 2025.
- A 5-year view of Net Cash Flow shows it stood at -$157.9 million in 2022, then declined by 19.34% to -$188.4 million in 2023, then surged by 148.95% to $92.2 million in 2024, then slumped by 145.79% to -$42.2 million in 2025, then soared 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 | 345.31 Bn | 315.51 Bn | 98.90 Bn | 3.47 Bn |
| 2 | Cvs Health | 115.41 Bn | 103.79 Bn | 4.43 Bn | 1.06 Bn |
| 3 | Elevance Health | 88.60 Bn | 53.18 Bn | 13.88 Bn | 175.00 Mn |
| 4 | Cigna | 72.05 Bn | 64.43 Bn | -44.29 Bn | -647.00 Mn |
| 5 | Humana | 39.05 Bn | 17.15 Bn | 4.00 Bn | 751.00 Mn |
| 6 | Centene | 30.50 Bn | 6.84 Bn | 49.24 Bn | 3.39 Bn |
| 7 | Molina Healthcare | 9.31 Bn | 60.65 Mn | 1.53 Bn | 1.07 Bn |
| 8 | Oscar Health | 6.86 Bn | 63.05 Mn | -3.22 Bn | 2.03 Bn |
| 9 | Alignment Healthcare | 2.69 Bn | 1.96 Bn | 135.85 Mn | 129.78 Mn |
| 10 | Progyny | 2.12 Bn | 1.90 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 |
| Sep 30, 2023 | -3.62 Mn |
| Sep 30, 2023 | -3.62 Mn |
| Jun 30, 2023 | 11.00 Mn |
| Jun 30, 2023 | 11.00 Mn |
| Mar 31, 2023 | -25.29 Mn |
| Mar 31, 2023 | -25.29 Mn |
| Dec 31, 2022 | -157.90 Mn |
| Dec 31, 2022 | -157.90 Mn |
| Sep 30, 2022 | 114.21 Mn |
| Sep 30, 2022 | 114.21 Mn |
| Jun 30, 2022 | 4.40 Mn |
| Jun 30, 2022 | 4.40 Mn |
| Mar 31, 2022 | -17.77 Mn |
| Mar 31, 2022 | -17.77 Mn |
| Dec 31, 2021 | -33.09 Mn |
| Dec 31, 2021 | -33.09 Mn |
| Sep 30, 2021 | 5.92 Mn |
| Sep 30, 2021 | 5.92 Mn |
| Jun 30, 2021 | -33.40 Mn |
| Jun 30, 2021 | -33.40 Mn |
| Mar 31, 2021 | 321.11 Mn |
| Mar 31, 2021 | 321.11 Mn |
| Dec 31, 2020 | -15.02 Mn |
| Dec 31, 2020 | -15.02 Mn |
| Sep 30, 2020 | 21.44 Mn |
| Sep 30, 2020 | 21.44 Mn |
| Jun 30, 2020 | 8.97 Mn |
| Jun 30, 2020 | 8.97 Mn |
| Mar 31, 2020 | 105.93 Mn |
| Mar 31, 2020 | 105.93 Mn |