Alignment Healthcare vs Quest Diagnostics
Quest Diagnostics reported revenue of $11.0 billion in fiscal 2025, 2.8 times Alignment Healthcare's $3.9 billion in fiscal 2025. Alignment Healthcare's revenue grew 46.1% in its latest year, and Quest Diagnostics' grew 11.8%. Alignment Healthcare had an operating margin of 0.4%, against 14.1% at Quest Diagnostics. Free cash flow was $113 million at Alignment Healthcare and $1.4 billion at Quest Diagnostics.
Side by side
| Alignment Healthcare | Quest Diagnostics | |
|---|---|---|
| Latest fiscal year | FY2025, Dec 31, 2025 | FY2025, Dec 31, 2025 |
| Revenue | $3.9B | $11.0B |
| Revenue growth | 46.1% | 11.8% |
| Revenue growth a year, last 5 years | 32.7% | 3.2% |
| Gross margin | — | 33.2% |
| Operating margin | 0.4% | 14.1% |
| Net margin | −0.0% | 9.0% |
| Free cash flow | $113M | $1.4B |
| Free cash flow margin | 2.9% | 12.3% |
| Return on capital | — | 9.5% |
| Net debt to EBITDA | −6.2x | 2.5x |
| Dividends and buybacks | $0M | $803M |
| Change in diluted share count | 3.8% | 0.0% |
| Last close | $7.89 | $242.95 |
| P/E at the last close | 41.5× | 24.2× |
| Insider trades, last 12 months | bought $197,627, sold $314.3 million | sold $37.0 million |
| Piotroski F-score | 5 of 8 | 6 of 9 |
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.
Ten years
Revenue
US$ billions, fiscal years
Alignment HealthcareQuest Diagnostics
Operating margin
Percent of revenue
Alignment HealthcareQuest Diagnostics
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Alignment HealthcareQuest Diagnostics
Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Alignment Healthcare and Quest Diagnostics pages.