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Stock Comparison

ALHC vs CNC

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
ALHC
Alignment Healthcare, Inc.

Medical - Healthcare Plans

HealthcareNASDAQ • US
Market Cap$3.74B
5Y Perf.-16.6%
CNC
Centene Corporation

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$26.15B
5Y Perf.-17.1%

ALHC vs CNC — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
ALHC logoALHC
CNC logoCNC
IndustryMedical - Healthcare PlansMedical - Healthcare Plans
Market Cap$3.74B$26.15B
Revenue (TTM)$4.26B$198.10B
Net Income (TTM)$20M$-6.44B
Gross Margin9.0%14.9%
Operating Margin0.8%-3.7%
Forward P/E141.3x15.7x
Total Debt$338M$18.78B
Cash & Equiv.$578M$17.89B

ALHC vs CNCLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

ALHC
CNC
StockMar 21May 26Return
Alignment Healthcar… (ALHC)10083.4-16.6%
Centene Corporation (CNC)10082.9-17.1%

Price return only. Dividends and distributions are not included.

Quick Verdict: ALHC vs CNC

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: ALHC leads in 4 of 7 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. Centene Corporation is the stronger pick specifically for valuation and capital efficiency and capital preservation and lower volatility. As sector peers, any of these can serve as alternatives in the same allocation.
ALHC
Alignment Healthcare, Inc.
The Insurance Pick

ALHC carries the broadest edge in this set and is the clearest fit for growth exposure.

  • Rev growth 46.1%, EPS growth 99.4%, 3Y rev CAGR 40.2%
  • 46.1% revenue growth vs CNC's 19.4%
  • Combined ratio 1.0 vs CNC's 1.0 (lower = better underwriting)
Best for: growth exposure
CNC
Centene Corporation
The Insurance Pick

CNC is the clearest fit if your priority is income & stability and long-term compounding.

  • Dividend streak 1 yrs, beta 0.39
  • 74.6% 10Y total return vs ALHC's 5.7%
  • Lower volatility, beta 0.39, Low D/E 93.6%, current ratio 1.68x
Best for: income & stability and long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthALHC logoALHC46.1% revenue growth vs CNC's 19.4%
ValueCNC logoCNCLower P/E (15.7x vs 141.3x)
Quality / MarginsALHC logoALHCCombined ratio 1.0 vs CNC's 1.0 (lower = better underwriting)
Stability / SafetyCNC logoCNCBeta 0.39 vs ALHC's 0.75, lower leverage
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)ALHC logoALHC+18.2% vs CNC's -11.4%
Efficiency (ROA)ALHC logoALHC1.8% ROA vs CNC's -7.9%

ALHC vs CNC — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

ALHCAlignment Healthcare, Inc.
FY 2023
Health Care, Premium
92.6%$1.7B
Health Care Capitation
7.4%$133M
CNCCentene Corporation
FY 2025
Medicaid Segment
75.8%$147.6B
Commercial Segment
21.6%$42.0B
Other Operating Segment
2.6%$5.1B

ALHC vs CNC — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLALHCLAGGINGCNC

Income & Cash Flow (Last 12 Months)

ALHC leads this category, winning 5 of 6 comparable metrics.

CNC is the larger business by revenue, generating $198.1B annually — 46.5x ALHC's $4.3B. Profitability is closely matched — net margins range from 0.5% (ALHC) to -3.3% (CNC). On growth, ALHC holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.

MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
RevenueTrailing 12 months$4.3B$198.1B
EBITDAEarnings before interest/tax$66M-$5.9B
Net IncomeAfter-tax profit$20M-$6.4B
Free Cash FlowCash after capex$237M$6.3B
Gross MarginGross profit ÷ Revenue+9.0%+14.9%
Operating MarginEBIT ÷ Revenue+0.8%-3.7%
Net MarginNet income ÷ Revenue+0.5%-3.3%
FCF MarginFCF ÷ Revenue+5.6%+3.2%
Rev. Growth (YoY)Latest quarter vs prior year+33.3%+7.1%
EPS Growth (YoY)Latest quarter vs prior year+2.1%+18.3%
ALHC leads this category, winning 5 of 6 comparable metrics.

Valuation Metrics

CNC leads this category, winning 4 of 5 comparable metrics.
MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
Market CapShares × price$3.7B$26.2B
Enterprise ValueMkt cap + debt − cash$3.5B$27.0B
Trailing P/EPrice ÷ TTM EPS-4945.95x-3.89x
Forward P/EPrice ÷ next-FY EPS est.141.31x15.70x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple77.35x
Price / SalesMarket cap ÷ Revenue0.95x0.13x
Price / BookPrice ÷ Book value/share20.21x1.30x
Price / FCFMarket cap ÷ FCF33.04x6.05x
CNC leads this category, winning 4 of 5 comparable metrics.

Profitability & Efficiency

ALHC leads this category, winning 6 of 7 comparable metrics.

ALHC delivers a 11.5% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $-29 for CNC. CNC carries lower financial leverage with a 0.94x debt-to-equity ratio, signaling a more conservative balance sheet compared to ALHC's 1.89x.

MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
ROE (TTM)Return on equity+11.5%-28.6%
ROA (TTM)Return on assets+1.8%-7.9%
ROICReturn on invested capital-21.6%
ROCEReturn on capital employed+2.9%-14.6%
Piotroski ScoreFundamental quality 0–966
Debt / EquityFinancial leverage1.89x0.94x
Net DebtTotal debt minus cash-$240M$889M
Cash & Equiv.Liquid assets$578M$17.9B
Total DebtShort + long-term debt$338M$18.8B
Interest CoverageEBIT ÷ Interest expense1.27x-9.03x
ALHC leads this category, winning 6 of 7 comparable metrics.

Total Returns (Dividends Reinvested)

Evenly matched — ALHC and CNC each lead in 3 of 6 comparable metrics.

A $10,000 investment in CNC five years ago would be worth $8,112 today (with dividends reinvested), compared to $6,806 for ALHC. Over the past 12 months, ALHC leads with a +18.2% total return vs CNC's -11.4%. The 3-year compound annual growth rate (CAGR) favors ALHC at 38.5% vs CNC's -8.2% — a key indicator of consistent wealth creation.

MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
YTD ReturnYear-to-date-9.5%+26.8%
1-Year ReturnPast 12 months+18.2%-11.4%
3-Year ReturnCumulative with dividends+165.6%-22.6%
5-Year ReturnCumulative with dividends-31.9%-18.9%
10-Year ReturnCumulative with dividends+5.7%+74.6%
CAGR (3Y)Annualised 3-year return+38.5%-8.2%
Evenly matched — ALHC and CNC each lead in 3 of 6 comparable metrics.

Risk & Volatility

CNC leads this category, winning 2 of 2 comparable metrics.

CNC is the less volatile stock with a 0.39 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. CNC currently trades 82.6% from its 52-week high vs ALHC's 76.7% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
Beta (5Y)Sensitivity to S&P 5000.75x0.39x
52-Week HighHighest price in past year$23.87$64.15
52-Week LowLowest price in past year$11.63$25.08
% of 52W HighCurrent price vs 52-week peak+76.7%+82.6%
RSI (14)Momentum oscillator 0–10042.683.9
Avg Volume (50D)Average daily shares traded3.6M5.7M
CNC leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates ALHC as "Buy" and CNC as "Buy". Consensus price targets imply 35.7% upside for ALHC (target: $25) vs -3.7% for CNC (target: $51).

MetricALHC logoALHCAlignment Healthc…CNC logoCNCCentene Corporati…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$24.83$51.00
# AnalystsCovering analysts1643
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+1.8%
Insufficient data to determine a leader in this category.
Key Takeaway

ALHC leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). CNC leads in 2 (Valuation Metrics, Risk & Volatility). 1 tied.

Best OverallAlignment Healthcare, Inc. (ALHC)Leads 2 of 6 categories
Loading custom metrics...

ALHC vs CNC: Frequently Asked Questions

9 questions · data-driven answers · updated daily

01

Is ALHC or CNC 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 19. 4% for Centene Corporation (CNC). Analysts rate Alignment Healthcare, Inc. (ALHC) a "Buy" — based on 16 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.

02

Which is the better long-term investment — ALHC or CNC?

Over the past 5 years, Centene Corporation (CNC) delivered a total return of -18.

9%, compared to -31. 9% for Alignment Healthcare, Inc. (ALHC). Over 10 years, the gap is even starker: CNC returned +74. 6% versus ALHC's +5. 7%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — ALHC or CNC?

By beta (market sensitivity over 5 years), Centene Corporation (CNC) is the lower-risk stock at 0.

39β versus Alignment Healthcare, Inc. 's 0. 75β — meaning ALHC is approximately 91% more volatile than CNC relative to the S&P 500. On balance sheet safety, Centene Corporation (CNC) carries a lower debt/equity ratio of 94% versus 189% for Alignment Healthcare, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — ALHC or CNC?

By revenue growth (latest reported year), Alignment Healthcare, Inc.

(ALHC) is pulling ahead at 46. 1% versus 19. 4% for Centene Corporation (CNC). On earnings-per-share growth, the picture is similar: Alignment Healthcare, Inc. grew EPS 99. 4% year-over-year, compared to -315. 8% for Centene 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.

05

Which has better profit margins — ALHC or CNC?

Alignment Healthcare, Inc.

(ALHC) is the more profitable company, earning -0. 0% net margin versus -3. 4% for Centene Corporation — meaning it keeps -0. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALHC leads at 0. 4% versus -3. 9% for CNC. At the gross margin level — before operating expenses — ALHC leads at 12. 4%, 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.

06

Is ALHC or CNC more undervalued right now?

On forward earnings alone, Centene Corporation (CNC) trades at 15.

7x forward P/E versus 141. 3x for Alignment Healthcare, Inc. — 125. 6x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ALHC: 35. 7% to $24. 83.

07

Which pays a better dividend — ALHC or CNC?

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.

08

Is ALHC or CNC better for a retirement portfolio?

For long-horizon retirement investors, Centene Corporation (CNC) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

39)). Both have compounded well over 10 years (CNC: +74. 6%, ALHC: +5. 7%), 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.

09

What are the main differences between ALHC and CNC?

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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CNC

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  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 5%
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