Filing Flows › Alignment Healthcare (ALHC) › Q1 2026
Alignment Healthcare (ALHC) Q1 2026 earnings results (first quarter 2026)
10-Q filed Apr 30, 2026
Alignment Healthcare (ALHC) reported revenue of $1.2B for the first quarter 2026 (Q1 2026), +33% from a year earlier and +22% from the quarter before. Operating margin was 1.3%, net earnings $11.4M (0.9% of revenue).
Alignment Healthcare, Q1 2026: revenue $1.2B (+33% year over year), operating margin 1.3%, net earnings $11.4M, operating cash flow $129M. The chart follows the revenue to costs, profit and cash.
| Q1 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $1.2B | +22% | +33% |
| Operating profit | $15.5M | — | — |
| Net earnings | $11.4M | — | — |
| Operating cash flow | $129M | — | +674% |
| Free cash flow | $121M | — | 15× |
What changed
Revenue was $1.2B in Q1 2026, up 33% year over year and up 22% from the previous quarter.
Operating profit was $0.02B, a 1.3% margin (up 1.8 points year over year). Total costs grew 31% against revenue growth of 33%. The fastest-growing cost line was Other operating costs (+33%). Net earnings were $0.01B. The effective tax rate was 0.2%.
Operating cash flow was $0.13B (up 674% year over year), 1127% of net earnings. Non-cash charges added back $0.01B of depreciation and amortization and $0.01B of share-based compensation. Working capital and other items added $0.10B. Capital expenditures of $0.01B left free cash flow of $0.12B.
Questions
What was Alignment Healthcare's revenue in the first quarter 2026?
Alignment Healthcare (ALHC) reported revenue of $1.2B for the first quarter 2026 (Q1 2026), +33% from a year earlier and +22% from the quarter before.
Was Alignment Healthcare profitable in the first quarter 2026?
Operating profit was $15.5M (1.3% of revenue) and net earnings $11.4M.