Alignment Healthcare (ALHC) Gross Margin (2020 - 2026)
Alignment Healthcare posted quarterly Gross Margin of 11.08% for Q1 2026, up 49.0% year-on-year from 7.43% in Q1 2025, and down 23.81% on a QoQ basis from 14.54% in Q4 2025.
Alignment Healthcare (ALHC) has 7 years of Gross Margin data on file, last reported at 11.08% in Q1 2026.
- For the quarter ending Q1 2026, Gross Margin rose 49.0% year-over-year to 11.08%; the trailing twelve-month figure through Mar 2026 stood at 12.59% (up 150.0% YoY), and the FY2025 full-year result was 12.37%, up 140.0% from the prior year.
- Gross Margin for Q1 2026 stood at 11.08%, down from 14.54% in the prior quarter.
- Across five years, Gross Margin topped out at 16.09% in Q2 2022 and bottomed at 7.78% in Q1 2024.
- The 5-year median for Gross Margin is 11.63% (2023), against an average of 11.66%.
- The widest annual swing landed in 2022, when Gross Margin soared 604 bps; it then slumped 597 bps in 2023.
- A 5-year view of Gross Margin shows it stood at 9.24% in 2022, then jumped by 44 bps to 13.27% in 2023, then declined by 7 bps to 12.31% in 2024, then gained by 18 bps to 14.54% in 2025, then fell by 24 bps to 11.08% in 2026.
- The last three Gross Margin figures came in at 11.08% (Q1 2026), 14.54% (Q4 2025), and 12.65% (Q3 2025), per Business Quant data.
Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Gross Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 345.31 Bn | 315.51 Bn | 98.90 Bn | 88.52% |
| 2 | Cvs Health | 115.41 Bn | 103.79 Bn | 4.43 Bn | 13.12% |
| 3 | Elevance Health | 88.60 Bn | 53.18 Bn | 13.88 Bn | 28.04% |
| 4 | Cigna | 72.05 Bn | 64.43 Bn | -44.29 Bn | -451.37% |
| 5 | Humana | 39.05 Bn | 17.15 Bn | 4.00 Bn | 10.61% |
| 6 | Centene | 30.50 Bn | 6.84 Bn | 49.24 Bn | 98.59% |
| 7 | Molina Healthcare | 9.31 Bn | 60.65 Mn | 1.53 Bn | 14.13% |
| 8 | Oscar Health | 6.86 Bn | 63.05 Mn | -3.22 Bn | -56,385.78% |
| 9 | Alignment Healthcare | 2.69 Bn | 1.96 Bn | 135.85 Mn | 11.08% |
| 10 | Progyny | 2.12 Bn | 1.90 Bn | 83.07 Mn | 25.29% |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 11.08% |
| Dec 31, 2025 | 14.54% |
| Sep 30, 2025 | 12.65% |
| Jun 30, 2025 | 12.37% |
| Mar 31, 2025 | 10.58% |
| Dec 31, 2024 | 12.31% |
| Sep 30, 2024 | 11.41% |
| Jun 30, 2024 | 10.20% |
| Mar 31, 2024 | 7.78% |
| Dec 31, 2023 | 13.27% |
| Sep 30, 2023 | 11.63% |
| Jun 30, 2023 | 10.12% |
| Mar 31, 2023 | 9.76% |
| Dec 31, 2022 | 9.24% |
| Sep 30, 2022 | 13.09% |
| Jun 30, 2022 | 16.09% |
| Mar 31, 2022 | 12.03% |
| Dec 31, 2021 | 12.92% |
| Sep 30, 2021 | 13.45% |
| Jun 30, 2021 | 11.19% |
| Mar 31, 2021 | 5.99% |
| Dec 31, 2020 | 9.88% |
| Sep 30, 2020 | 23.31% |
| Jun 30, 2020 | 20.27% |
| Mar 31, 2020 | 13.91% |