Medical - Care Facilities
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2 / 10Stock Comparison
ADUS vs ALHC
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Healthcare Plans
ADUS vs ALHC — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Care Facilities | Medical - Healthcare Plans |
| Market Cap | $1.80B | $3.71B |
| Revenue (TTM) | $1.45B | $4.26B |
| Net Income (TTM) | $100M | $20M |
| Gross Margin | 32.5% | 9.0% |
| Operating Margin | 9.8% | 0.8% |
| Forward P/E | 14.0x | 140.1x |
| Total Debt | $209M | $338M |
| Cash & Equiv. | $82M | $578M |
ADUS vs ALHC — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Mar 21 | May 26 | Return |
|---|---|---|---|
| Addus HomeCare Corp… (ADUS) | 100 | 92.4 | -7.6% |
| Alignment Healthcar… (ALHC) | 100 | 82.7 | -17.3% |
Price return only. Dividends and distributions are not included.
Quick Verdict: ADUS vs ALHC
Each card shows where this stock fits in a portfolio — not just who wins on paper.
ADUS carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.
- Dividend streak 2 yrs, beta 0.58
- 427.2% 10Y total return vs ALHC's 4.8%
- Lower volatility, beta 0.58, Low D/E 19.2%, current ratio 1.80x
ALHC is the clearest fit if your priority is growth exposure.
- Rev growth 46.1%, EPS growth 99.4%, 3Y rev CAGR 40.2%
- 46.1% revenue growth vs ADUS's 23.2%
- +15.4% vs ADUS's -11.0%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 46.1% revenue growth vs ADUS's 23.2% | |
| Value | Lower P/E (14.0x vs 140.1x) | |
| Quality / Margins | 6.9% margin vs ALHC's 0.5% | |
| Stability / Safety | Beta 0.58 vs ALHC's 0.75, lower leverage | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +15.4% vs ADUS's -11.0% | |
| Efficiency (ROA) | 7.0% ROA vs ALHC's 1.8% |
ADUS vs ALHC — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
ADUS vs ALHC — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
ADUS leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
ALHC is the larger business by revenue, generating $4.3B annually — 2.9x ADUS's $1.4B. ADUS is the more profitable business, keeping 6.9% of every revenue dollar as net income compared to ALHC's 0.5%. On growth, ALHC holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $1.4B | $4.3B |
| EBITDAEarnings before interest/tax | $159M | $66M |
| Net IncomeAfter-tax profit | $100M | $20M |
| Free Cash FlowCash after capex | $137M | $237M |
| Gross MarginGross profit ÷ Revenue | +32.5% | +9.0% |
| Operating MarginEBIT ÷ Revenue | +9.8% | +0.8% |
| Net MarginNet income ÷ Revenue | +6.9% | +0.5% |
| FCF MarginFCF ÷ Revenue | +9.5% | +5.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +7.7% | +33.3% |
| EPS Growth (YoY)Latest quarter vs prior year | +17.2% | +2.1% |
Valuation Metrics
ADUS leads this category, winning 4 of 6 comparable metrics.
Valuation Metrics
On an enterprise value basis, ADUS's 12.4x EV/EBITDA is more attractive than ALHC's 76.6x.
| Metric | ||
|---|---|---|
| Market CapShares × price | $1.8B | $3.7B |
| Enterprise ValueMkt cap + debt − cash | $1.9B | $3.5B |
| Trailing P/EPrice ÷ TTM EPS | 18.55x | -4902.70x |
| Forward P/EPrice ÷ next-FY EPS est. | 14.02x | 140.08x |
| PEG RatioP/E ÷ EPS growth rate | 0.92x | — |
| EV / EBITDAEnterprise value multiple | 12.44x | 76.63x |
| Price / SalesMarket cap ÷ Revenue | 1.27x | 0.94x |
| Price / BookPrice ÷ Book value/share | 1.64x | 20.04x |
| Price / FCFMarket cap ÷ FCF | 17.36x | 32.75x |
Profitability & Efficiency
ADUS leads this category, winning 6 of 8 comparable metrics.
Profitability & Efficiency
ALHC delivers a 11.5% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $9 for ADUS. ADUS carries lower financial leverage with a 0.19x debt-to-equity ratio, signaling a more conservative balance sheet compared to ALHC's 1.89x. On the Piotroski fundamental quality scale (0–9), ADUS scores 7/9 vs ALHC's 6/9, reflecting strong financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | +9.3% | +11.5% |
| ROA (TTM)Return on assets | +7.0% | +1.8% |
| ROICReturn on invested capital | +8.8% | — |
| ROCEReturn on capital employed | +10.9% | +2.9% |
| Piotroski ScoreFundamental quality 0–9 | 7 | 6 |
| Debt / EquityFinancial leverage | 0.19x | 1.89x |
| Net DebtTotal debt minus cash | $127M | -$240M |
| Cash & Equiv.Liquid assets | $82M | $578M |
| Total DebtShort + long-term debt | $209M | $338M |
| Interest CoverageEBIT ÷ Interest expense | 14.45x | 1.27x |
Total Returns (Dividends Reinvested)
Evenly matched — ADUS and ALHC each lead in 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in ADUS five years ago would be worth $10,257 today (with dividends reinvested), compared to $7,216 for ALHC. Over the past 12 months, ALHC leads with a +15.4% total return vs ADUS's -11.0%. The 3-year compound annual growth rate (CAGR) favors ALHC at 35.9% vs ADUS's 4.9% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | -9.3% | -10.3% |
| 1-Year ReturnPast 12 months | -11.0% | +15.4% |
| 3-Year ReturnCumulative with dividends | +15.5% | +150.9% |
| 5-Year ReturnCumulative with dividends | +2.6% | -27.8% |
| 10-Year ReturnCumulative with dividends | +427.2% | +4.8% |
| CAGR (3Y)Annualised 3-year return | +4.9% | +35.9% |
Risk & Volatility
ADUS leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
ADUS is the less volatile stock with a 0.58 beta — it tends to amplify market swings less than ALHC's 0.75 beta. A beta below 1.0 means the stock typically moves less than the S&P 500.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.58x | 0.75x |
| 52-Week HighHighest price in past year | $124.44 | $23.87 |
| 52-Week LowLowest price in past year | $90.89 | $11.63 |
| % of 52W HighCurrent price vs 52-week peak | +77.7% | +76.0% |
| RSI (14)Momentum oscillator 0–100 | 54.6 | 38.0 |
| Avg Volume (50D)Average daily shares traded | 239K | 3.6M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates ADUS as "Buy" and ALHC as "Buy". Consensus price targets imply 36.9% upside for ALHC (target: $25) vs 33.1% for ADUS (target: $129).
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $128.67 | $24.83 |
| # AnalystsCovering analysts | 15 | 16 |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | 2 | — |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% |
ADUS leads in 4 of 6 categories — strongest in Income & Cash Flow and Valuation Metrics. 1 category is tied.
ADUS vs ALHC: Frequently Asked Questions
10 questions · data-driven answers · updated daily
01Is ADUS or ALHC a better buy right now?
For growth investors, Alignment Healthcare, Inc.
(ALHC) is the stronger pick with 46. 1% revenue growth year-over-year, versus 23. 2% for Addus HomeCare Corporation (ADUS). Addus HomeCare Corporation (ADUS) offers the better valuation at 18. 5x trailing P/E (14. 0x forward), making it the more compelling value choice. Analysts rate Addus HomeCare Corporation (ADUS) a "Buy" — based on 15 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — ADUS or ALHC?
On forward P/E, Addus HomeCare Corporation is actually cheaper at 14.
0x.
03Which is the better long-term investment — ADUS or ALHC?
Over the past 5 years, Addus HomeCare Corporation (ADUS) delivered a total return of +2.
6%, compared to -27. 8% for Alignment Healthcare, Inc. (ALHC). Over 10 years, the gap is even starker: ADUS returned +427. 2% versus ALHC's +4. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — ADUS or ALHC?
By beta (market sensitivity over 5 years), Addus HomeCare Corporation (ADUS) is the lower-risk stock at 0.
58β versus Alignment Healthcare, Inc. 's 0. 75β — meaning ALHC is approximately 30% more volatile than ADUS relative to the S&P 500. On balance sheet safety, Addus HomeCare Corporation (ADUS) carries a lower debt/equity ratio of 19% versus 189% for Alignment Healthcare, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — ADUS or ALHC?
By revenue growth (latest reported year), Alignment Healthcare, Inc.
(ALHC) is pulling ahead at 46. 1% versus 23. 2% for Addus HomeCare Corporation (ADUS). On earnings-per-share growth, the picture is similar: Alignment Healthcare, Inc. grew EPS 99. 4% year-over-year, compared to 23. 2% for Addus HomeCare Corporation. Over a 3-year CAGR, ALHC leads at 40. 2% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — ADUS or ALHC?
Addus HomeCare Corporation (ADUS) is the more profitable company, earning 6.
7% net margin versus -0. 0% for Alignment Healthcare, Inc. — meaning it keeps 6. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ADUS leads at 9. 7% versus 0. 4% for ALHC. At the gross margin level — before operating expenses — ADUS leads at 32. 5%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is ADUS or ALHC more undervalued right now?
On forward earnings alone, Addus HomeCare Corporation (ADUS) trades at 14.
0x forward P/E versus 140. 1x for Alignment Healthcare, Inc. — 126. 1x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ALHC: 36. 9% to $24. 83.
08Which pays a better dividend — ADUS or ALHC?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
09Is ADUS or ALHC better for a retirement portfolio?
For long-horizon retirement investors, Addus HomeCare Corporation (ADUS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
58), +427. 2% 10Y return). Both have compounded well over 10 years (ADUS: +427. 2%, ALHC: +4. 8%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between ADUS and ALHC?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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