Alignment Healthcare (ALHC) Gross Margin (2020 - 2026)
Alignment Healthcare (ALHC) reported Gross Margin of 11.08% for Q1 2026, up 49.0% on a YoY basis from 7.43% in Q1 2025, and down 23.81% quarter-over-quarter from 14.54% in Q4 2025.
Alignment Healthcare (ALHC) Gross Margin (2020 - 2026) Analysis & Trends
Alignment Healthcare has reported Gross Margin for 7 years, with the latest figure 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.
- The five-year high for Gross Margin was 16.09% in Q2 2022, with the low at 7.78% in Q1 2024.
- Historically, Gross Margin has averaged 11.66% across 5 years, with a median of 11.63% in 2023.
- Annual changes were most pronounced in 2022 — Gross Margin soared 604 bps — and 2023, when it plunged 597 bps.
- Alignment Healthcare's Gross Margin stood at 9.24% in 2022, then soared by 44 bps to 13.27% in 2023, then dropped by 7 bps to 12.31% in 2024, then rose by 18 bps to 14.54% in 2025, then declined 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.
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Peer Comparison
| # | Company | Market Cap | Enterprise Value | Gross Profit (Qtr) | Gross Margin (Qtr) |
|---|---|---|---|---|---|
| 1 | Unitedhealth | 363.95 Bn | 334.15 Bn | 98.90 Bn | 88.52% |
| 2 | Cvs Health | 124.98 Bn | 113.36 Bn | 4.43 Bn | 13.12% |
| 3 | Elevance Health | 85.46 Bn | 50.04 Bn | 13.88 Bn | 28.04% |
| 4 | Cigna | 73.39 Bn | 65.77 Bn | -44.29 Bn | -451.37% |
| 5 | Humana | 43.40 Bn | 21.50 Bn | 4.00 Bn | 10.61% |
| 6 | Centene | 30.02 Bn | 6.36 Bn | 49.24 Bn | 98.59% |
| 7 | Molina Healthcare | 9.92 Bn | 668.90 Mn | 1.53 Bn | 14.13% |
| 8 | Oscar Health | 8.44 Bn | 1.64 Bn | -3.22 Bn | -56,385.78% |
| 9 | Alignment Healthcare | 4.50 Bn | 3.77 Bn | 135.85 Mn | 11.08% |
| 10 | Clover Health Investments | 2.61 Bn | 2.41 Bn | 154.54 Mn | 20.77% |
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% |