Alignment Healthcare [ALHC] vs Elevance Health [ELV] Detailed Stock Comparison

Alignment Healthcare Inc.

NASDAQ
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Elevance Health Inc.

NYSE
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TLDR: Quick Comparison Summary

Based on 21 vital metrics comparison: Alignment Healthcare Inc. wins in 1 metrics, Elevance Health Inc. wins in 16 metrics, with 0 ties. Elevance Health Inc. appears stronger overall.

View Metrics Details

Vital Metrics Comparison

Metric Alignment Healthcare Inc. Elevance Health Inc. Better
P/E Ratio (TTM) N/A 13.19 N/A
Price-to-Book Ratio 24.07 1.67 Elevance Health Inc.
Debt-to-Equity Ratio 184.97 74.39 Elevance Health Inc.
PEG Ratio 29.04 0.38 Elevance Health Inc.
EV/EBITDA 87.70 7.65 Elevance Health Inc.
Profit Margin (TTM) -0.02% 2.84% Elevance Health Inc.
Operating Margin (TTM) -1.09% 1.54% Elevance Health Inc.
EBITDA Margin (TTM) N/A 1.54% N/A
Return on Equity -0.70% 13.25% Elevance Health Inc.
Return on Assets (TTM) 1.10% 4.35% Elevance Health Inc.
Free Cash Flow (TTM) $113.15M $3.17B Elevance Health Inc.
Dividend Yield N/A 2.36% N/A
1-Year Return 32.20% 5.08% Alignment Healthcare Inc.
Price-to-Sales Ratio (TTM) 1.09 0.37 Elevance Health Inc.
Enterprise Value $4.04B $69.19B Elevance Health Inc.
EV/Revenue Ratio 1.02 0.35 Elevance Health Inc.
Gross Profit Margin (TTM) 12.18% N/A N/A
Revenue per Share (TTM) $20 $889 Elevance Health Inc.
Earnings per Share (Diluted) $0.00 $25.20 Elevance Health Inc.
Beta (Stock Volatility) 1.20 0.50 Elevance Health Inc.
Short % of Float 12.15% 2.02% Elevance Health Inc.

Alignment Healthcare Inc. vs Elevance Health Inc. Stock Performance Analysis

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ALHC
ELV

Performance Comparison

Short-term Returns

Stock1D1W1M3M6MYTD
Alignment Healthcare Inc.0.15%28.86%25.75%12.96%-1.64%-2.18%
Elevance Health Inc.-0.54%-3.89%2.35%37.60%11.43%13.45%

Long-term Returns

Stock1Y3Y5Y10Y15Y20Y
Alignment Healthcare Inc.32.20%218.55%-26.31%14.10%14.10%14.10%
Elevance Health Inc.5.08%-8.83%9.44%205.33%430.00%468.71%

Performance & Financial Health Analysis: Alignment Healthcare Inc. vs Elevance Health Inc.

MetricALHCELV
Market Information
Market Cap i$4.32B$76.43B
Market Cap CategoryMid capLarge cap
10 Day Avg. Volume i2,483,1841,344,463
90 Day Avg. Volume i3,253,5211,625,618
Last Close$19.78$401.89
52 Week Range$11.62 - $23.87$273.71 - $426.98
% from 52W High-17.13%-5.88%
All-Time High$28.59 (May 03, 2021)$567.26 (Sep 02, 2024)
% from All-Time High-30.81%-29.15%
Growth Metrics
Quarterly Revenue Growth0.44%0.10%
Quarterly Earnings Growth0.44%0.31%
Financial Health
Profit Margin (TTM) i0.00%0.03%
Operating Margin (TTM) i-0.01%0.02%
Return on Equity (TTM) i-0.01%0.13%
Debt to Equity (MRQ) i184.9774.39
Cash & Liquidity
Book Value per Share (MRQ)$0.88$198.81
Cash per Share (MRQ)$2.96$163.64
Operating Cash Flow (TTM) i$139.93M$4.29B
Levered Free Cash Flow (TTM) i$124.50M$3.40B
Dividends
Last 12-Month Dividend Yield iN/A2.36%
Last 12-Month Dividend iN/A$6.85

Valuation & Enterprise Metrics Analysis: Alignment Healthcare Inc. vs Elevance Health Inc.

MetricALHC (Apr 26, 2026)ELV (Apr 23, 2026)
Price Ratios
P/E Ratio (TTM) iN/A13.19
Forward P/E i29.0411.44
PEG Ratio i29.040.38
Price to Sales (TTM) i1.090.37
Price to Book (MRQ) i24.071.67
Market Capitalization
Market Capitalization i$4.32B$76.43B
Enterprise Value i$4.04B$69.19B
Enterprise Value Metrics
Enterprise to Revenue i1.020.35
Enterprise to EBITDA i87.707.65
Risk & Other Metrics
Beta i1.200.50
Book Value per Share (MRQ) i$0.88$198.81

Financial Statements Comparison: Alignment Healthcare Inc. vs Elevance Health Inc.

Financial Metrics

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Revenue

Operating Margin

Profit Margin

Long Term Debt

Income Flow Analysis

Financial Statements Comparison

Income Statement

MetricALHC (2025)ELV (2025)
Revenue/Sales i3.95B199.13B
Cost of Goods Sold i3.46BN/A
COGS % of Revenue i87.6%0.0%
Gross Profit i488.56MN/A
Gross Margin i12.4%0.0%
Research & Development iN/AN/A
Operating Income (EBIT) i14.75MN/A
Operating Margin i0.4%0.0%
EBITDA i45.32MN/A
EBITDA Margin i1.1%0.0%
Pre-Tax Income i-958,0006.71B
Pre-Tax Income % of Revenue i0.0%3.4%
Income Tax i20,0001.05B
Income Tax % of Revenue i0.0%0.5%
Net Income (Profit) i-978,0005.66B
Profit Margin i0.0%2.8%

Balance Sheet & Liquidity Metrics

MetricALHC (2025)ELV (2025)
Cash & Equivalents i575.82M9.49B
Total Current Assets i951.58MN/A
Total Current Assets % of Revenue i24.1%0.0%
Total Current Liabilities i556.87MN/A
Total Current Liabilities % of Revenue i14.1%0.0%
Long-Term Debt i329.64M30.80B
Long-Term Debt % of Revenue i8.3%15.5%
Total Shareholders Equity i179.28M44.03B
Retained Earnings i-1.01B35.39B
Retained Earnings % of Revenue i-25.6%17.8%
Property, Plant & Equipment i7.02MN/A

Cash Flow Statement Comparison

MetricALHC (2025)ELV (2025)
Operating Cash Flow i3.66M2.15B
Operating Cash Flow % of Revenue i0.1%1.1%
Capital Expenditures i-26.71M-1.12B
Free Cash Flow i113.15M3.17B
FCF Margin i2.9%1.6%
Debt Repayment i0-3.87B
Common Stock Repurchase iN/A-2.61B

Short Interest & Institutional Ownership Analysis

MetricALHCELV
Shares Short i16.38M3.97M
Short Ratio i4.941.73
Short % of Float i12.15%2.02%
Shares Outstanding i204.15M220.72M
Float Shares i168.31M220.20M
% Held by Insiders i3.84%0.19%
% Held by Institutions i101.13%94.27%
% Held by Public i-4.97%5.54%

Dividend Analysis & Yield Comparison: Alignment Healthcare Inc. vs Elevance Health Inc.

MetricALHCELV
Last 12-Month Dividend iN/A$6.85
Last 12-Month Dividend Yield iN/A2.36%
3-Year Avg Annual Dividend iN/A$6.51
3-Year Avg Dividend Yield iN/A0.40%
3-Year Total Dividends iN/A$19.52
Ex-Dividend DateN/AMar 10, 2026