Align Technology reaches 20 million patients, hits $979M revenue in Q1: 10 notes

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Align Technology surpassed 20 million patients and brought in nearly $1 billion in revenue during the first quarter of 2025, according to an April 30 news release. 

Here are 10 things to know about the company’s first quarter:

  1. The company had a total revenue of $979.3 million during the first quarter of 2025, down 1.6% sequentially and 1.8% year over year. 
  2. Clear aligner revenue totaled $796.8 million, a decrease of 2.5% year over year. 
  3. Clear aligner volume was more than 642,000 cases, a 6.2% year-over-year increase. 
  4. Imaging systems and CAD/CAM services had a revenue of $182.4 million, a 1.2% year-over-year increase.
  5. Align Technology had an operating income of $131.1 million and an operating margin of 13.4% in the first quarter. 
  6. The company is launching a campaign to celebrate 20 million patients.
  7. During the first quarter, the company repurchased $72.1 million in its common stock. 
  8. Align Technology does not expect there to be a significant impact on its costs as a result of China’s retaliatory tariffs.  
  9. The company primarily manufactures its intraoral scanners in Israel. It is expecting the average monthly impact from tariffs on the scanner to be about $1 million.
  10. Align Technology is projecting second-quarter worldwide revenue to be over $1 billion. 
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