Alignment Healthcare (ALHC) Gross Margin (2020 - 2026)
Alignment Healthcare (ALHC) posted Gross Margin of 11.7% for Q1 2026, down 3.93% on a QoQ basis from 12.18% in Q4 2025, and up 26.0% year-over-year from 9.28% in Q1 2025.
Alignment Healthcare (ALHC) Gross Margin (2020 - 2026) Analysis & Trends
Alignment Healthcare's Gross Margin history runs 7 years deep, the most recent figure standing at 11.7% for Q1 2026.
- Quarterly Gross Margin rose 26.0% year-over-year to 11.7% in Q1 2026, while the trailing twelve-month figure through Mar 2026 was 12.38% (up 81.0% YoY) and the FY2025 annual result came in at 12.37%, up 140.0% from the prior year.
- Gross Margin was 11.7% for Q1 2026 at Alignment Healthcare, down from 12.18% in the prior quarter.
- Across five years, Gross Margin topped out at 16.09% in Q2 2022 and bottomed at 8.81% in Q1 2024.
- A 5-year average of 11.65% and a median of 11.7% in 2026 frame the typical range for Gross Margin.
- Annual changes were most pronounced in 2022 — Gross Margin surged 610 bps — and 2023, when it sank 490 bps.
- Alignment Healthcare's Gross Margin stood at 10.12% in 2022, then slipped by 11 bps to 8.99% in 2023, then jumped by 37 bps to 12.31% in 2024, then fell by 1 bps to 12.18% in 2025, then dropped by 4 bps to 11.7% in 2026.
- Business Quant data shows ALHC's Gross Margin at 11.7% in Q1 2026, 12.18% in Q4 2025, and 12.65% in Q3 2025.
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Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Gross Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 384.70 Bn | 354.90 Bn | 38.23 Bn | 34.22% |
| 2 | Cvs Health | 136.05 Bn | 124.42 Bn | 22.85 Bn | 67.61% |
| 3 | Elevance Health | 82.25 Bn | 46.44 Bn | 35.79 Bn | 86.70% |
| 4 | Cigna | 75.16 Bn | 67.54 Bn | -44.29 Bn | -451.37% |
| 5 | Humana | 47.47 Bn | 25.57 Bn | 5.94 Bn | 14.98% |
| 6 | Centene | 31.35 Bn | 7.64 Bn | 43.95 Bn | 98.43% |
| 7 | Molina Healthcare | 10.44 Bn | 1.19 Bn | 1.43 Bn | 13.19% |
| 8 | Oscar Health | 8.62 Bn | 1.83 Bn | 1.42 Bn | 30.50% |
| 9 | Alignment Healthcare | 4.13 Bn | 3.41 Bn | 144.48 Mn | 11.70% |
| 10 | Progyny | 2.48 Bn | 2.26 Bn | 83.07 Mn | 25.29% |
Historic Data
Download Data| Date | Value |
|---|---|
| Mar 31, 2026 | 11.70% |
| Dec 31, 2025 | 12.18% |
| Sep 30, 2025 | 12.65% |
| Jun 30, 2025 | 13.15% |
| Mar 31, 2025 | 11.44% |
| Dec 31, 2024 | 12.31% |
| Sep 30, 2024 | 11.41% |
| Jun 30, 2024 | 11.15% |
| Mar 31, 2024 | 8.81% |
| Dec 31, 2023 | 8.99% |
| Sep 30, 2023 | 12.88% |
| Jun 30, 2023 | 11.19% |
| Mar 31, 2023 | 8.85% |
| Dec 31, 2022 | 10.12% |
| Sep 30, 2022 | 13.09% |
| Jun 30, 2022 | 16.09% |
| Mar 31, 2022 | 12.09% |
| Dec 31, 2021 | 12.92% |
| Sep 30, 2021 | 13.45% |
| Jun 30, 2021 | 11.19% |