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Stock Comparison

ALHC vs DBVT vs CNC vs ALKS

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$3.73B
5Y Perf.-16.8%
DBVT
DBV Technologies S.A.

Biotechnology

HealthcareNASDAQ • FR
Market Cap$1712.35T
5Y Perf.-62.5%
CNC
Centene Corporation

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$27.13B
5Y Perf.-14.0%
ALKS
Alkermes plc

Biotechnology

HealthcareNASDAQ • IE
Market Cap$5.90B
5Y Perf.+89.5%

ALHC vs DBVT vs CNC vs ALKS — Key Financials

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

Company Snapshot
ALHC logoALHC
DBVT logoDBVT
CNC logoCNC
ALKS logoALKS
IndustryMedical - Healthcare PlansBiotechnologyMedical - Healthcare PlansBiotechnology
Market Cap$3.73B$1712.35T$27.13B$5.90B
Revenue (TTM)$4.26B$0.00$198.10B$1.56B
Net Income (TTM)$20M$-168M$-6.44B$153M
Gross Margin9.0%14.9%65.4%
Operating Margin0.8%-3.7%12.3%
Forward P/E140.9x16.3x24.8x
Total Debt$338M$22M$18.78B$70M
Cash & Equiv.$578M$194M$17.89B$1.12B

ALHC vs DBVT vs CNC vs ALKSLong-Term Stock Performance

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

ALHC
DBVT
CNC
ALKS
StockMar 21May 26Return
Alignment Healthcar… (ALHC)10083.2-16.8%
DBV Technologies S.… (DBVT)10037.5-62.5%
Centene Corporation (CNC)10086.0-14.0%
Alkermes plc (ALKS)100189.5+89.5%

Price return only. Dividends and distributions are not included.

Quick Verdict: ALHC vs DBVT vs CNC vs ALKS

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

Bottom line: CNC and ALKS are tied at the top with 2 categories each — the right choice depends on your priorities. Alkermes plc is the stronger pick specifically for profitability and margin quality and operational efficiency and capital deployment. ALHC and DBVT also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
ALHC
Alignment Healthcare, Inc.
The Insurance Pick

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 DBVT's -100.0%
Best for: growth exposure
DBVT
DBV Technologies S.A.
The Momentum Pick

DBVT is the clearest fit if your priority is momentum.

  • +110.4% vs CNC's -12.7%
Best for: momentum
CNC
Centene Corporation
The Insurance Pick

CNC has the current edge in this matchup, primarily because of its strength in income & stability and long-term compounding.

  • Dividend streak 1 yrs, beta 0.39
  • 81.2% 10Y total return vs ALKS's -11.0%
  • Lower volatility, beta 0.39, Low D/E 93.6%, current ratio 1.68x
  • Beta 0.39, current ratio 1.68x
Best for: income & stability and long-term compounding
ALKS
Alkermes plc
The Quality Compounder

ALKS is the #2 pick in this set and the best alternative if quality and efficiency is your priority.

  • 9.8% margin vs CNC's -3.3%
  • 5.4% ROA vs DBVT's -89.0%
Best for: quality and efficiency
See the full category breakdown
CategoryWinnerWhy
GrowthALHC logoALHC46.1% revenue growth vs DBVT's -100.0%
ValueCNC logoCNCLower P/E (16.3x vs 24.8x)
Quality / MarginsALKS logoALKS9.8% margin vs CNC's -3.3%
Stability / SafetyCNC logoCNCBeta 0.39 vs DBVT's 1.26
DividendsTieNone of these 4 stocks pay a meaningful dividend
Momentum (1Y)DBVT logoDBVT+110.4% vs CNC's -12.7%
Efficiency (ROA)ALKS logoALKS5.4% ROA vs DBVT's -89.0%

ALHC vs DBVT vs CNC vs ALKS — 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
DBVTDBV Technologies S.A.

Segment breakdown not available.

CNCCentene Corporation
FY 2025
Medicaid Segment
75.8%$147.6B
Commercial Segment
21.6%$42.0B
Other Operating Segment
2.6%$5.1B
ALKSAlkermes plc
FY 2025
Vivitrol
39.8%$468M
Aristada And Aristada Initio
31.5%$370M
Manufactured Product And Royalty
24.8%$291M
Manufacturing Revenue
3.9%$46M

ALHC vs DBVT vs CNC vs ALKS — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLCNCLAGGINGDBVT

Income & Cash Flow (Last 12 Months)

ALKS leads this category, winning 4 of 6 comparable metrics.

CNC and DBVT operate at a comparable scale, with $198.1B and $0 in trailing revenue. ALKS is the more profitable business, keeping 9.8% of every revenue dollar as net income compared to CNC's -3.3%. On growth, ALHC holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
RevenueTrailing 12 months$4.3B$0$198.1B$1.6B
EBITDAEarnings before interest/tax$66M-$112M-$5.9B$212M
Net IncomeAfter-tax profit$20M-$168M-$6.4B$153M
Free Cash FlowCash after capex$237M-$151M$6.3B$392M
Gross MarginGross profit ÷ Revenue+9.0%+14.9%+65.4%
Operating MarginEBIT ÷ Revenue+0.8%-3.7%+12.3%
Net MarginNet income ÷ Revenue+0.5%-3.3%+9.8%
FCF MarginFCF ÷ Revenue+5.6%+3.2%+25.1%
Rev. Growth (YoY)Latest quarter vs prior year+33.3%+7.1%+28.2%
EPS Growth (YoY)Latest quarter vs prior year+2.1%+91.5%+18.3%-4.1%
ALKS leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

CNC leads this category, winning 3 of 6 comparable metrics.

On an enterprise value basis, ALKS's 17.3x EV/EBITDA is more attractive than ALHC's 77.1x.

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
Market CapShares × price$3.7B$1712.35T$27.1B$5.9B
Enterprise ValueMkt cap + debt − cash$3.5B$1712.35T$28.0B$4.9B
Trailing P/EPrice ÷ TTM EPS-4932.43x-0.76x-4.03x24.76x
Forward P/EPrice ÷ next-FY EPS est.140.93x16.29x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple77.12x17.25x
Price / SalesMarket cap ÷ Revenue0.94x0.14x4.00x
Price / BookPrice ÷ Book value/share20.16x0.66x1.35x3.28x
Price / FCFMarket cap ÷ FCF32.95x6.28x12.28x
CNC leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

ALKS leads this category, winning 7 of 9 comparable metrics.

ALHC delivers a 11.5% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $-130 for DBVT. ALKS carries lower financial leverage with a 0.04x debt-to-equity ratio, signaling a more conservative balance sheet compared to ALHC's 1.89x. On the Piotroski fundamental quality scale (0–9), ALKS scores 7/9 vs DBVT's 4/9, reflecting strong financial health.

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
ROE (TTM)Return on equity+11.5%-130.2%-28.6%+8.8%
ROA (TTM)Return on assets+1.8%-89.0%-7.9%+5.4%
ROICReturn on invested capital-21.6%+18.9%
ROCEReturn on capital employed+2.9%-145.7%-14.6%+14.2%
Piotroski ScoreFundamental quality 0–96467
Debt / EquityFinancial leverage1.89x0.13x0.94x0.04x
Net DebtTotal debt minus cash-$240M-$172M$889M-$1.0B
Cash & Equiv.Liquid assets$578M$194M$17.9B$1.1B
Total DebtShort + long-term debt$338M$22M$18.8B$70M
Interest CoverageEBIT ÷ Interest expense1.27x-189.82x-9.03x32.30x
ALKS leads this category, winning 7 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

Evenly matched — ALHC and CNC each lead in 2 of 6 comparable metrics.

A $10,000 investment in ALKS five years ago would be worth $16,091 today (with dividends reinvested), compared to $3,090 for DBVT. Over the past 12 months, DBVT leads with a +110.4% total return vs CNC's -12.7%. The 3-year compound annual growth rate (CAGR) favors ALHC at 36.2% vs CNC's -7.0% — a key indicator of consistent wealth creation.

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
YTD ReturnYear-to-date-9.7%+4.9%+31.5%+25.3%
1-Year ReturnPast 12 months+17.6%+110.4%-12.7%+16.5%
3-Year ReturnCumulative with dividends+152.4%+19.7%-19.5%+14.5%
5-Year ReturnCumulative with dividends-22.7%-69.1%-22.0%+60.9%
10-Year ReturnCumulative with dividends+5.4%-87.0%+81.2%-11.0%
CAGR (3Y)Annualised 3-year return+36.2%+6.2%-7.0%+4.6%
Evenly matched — ALHC and CNC each lead in 2 of 6 comparable metrics.

Risk & Volatility

Evenly matched — CNC and ALKS each lead in 1 of 2 comparable metrics.

CNC is the less volatile stock with a 0.39 beta — it tends to amplify market swings less than DBVT's 1.26 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. ALKS currently trades 96.7% from its 52-week high vs DBVT's 76.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
Beta (5Y)Sensitivity to S&P 5000.75x1.26x0.39x1.06x
52-Week HighHighest price in past year$23.87$26.18$64.15$36.60
52-Week LowLowest price in past year$11.63$7.53$25.08$25.17
% of 52W HighCurrent price vs 52-week peak+76.5%+76.3%+85.7%+96.7%
RSI (14)Momentum oscillator 0–10037.348.183.560.2
Avg Volume (50D)Average daily shares traded3.6M252K5.8M2.3M
Evenly matched — CNC and ALKS each lead in 1 of 2 comparable metrics.

Analyst Outlook

CNC leads this category, winning 1 of 1 comparable metric.

Analyst consensus: ALHC as "Buy", DBVT as "Buy", CNC as "Buy", ALKS as "Buy". Consensus price targets imply 131.8% upside for DBVT (target: $46) vs -7.2% for CNC (target: $51).

MetricALHC logoALHCAlignment Healthc…DBVT logoDBVTDBV Technologies …CNC logoCNCCentene Corporati…ALKS logoALKSAlkermes plc
Analyst RatingConsensus buy/hold/sellBuyBuyBuyBuy
Price TargetConsensus 12-month target$24.83$46.33$51.00$44.00
# AnalystsCovering analysts16154328
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises010
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+1.8%+0.5%
CNC leads this category, winning 1 of 1 comparable metric.
Key Takeaway

ALKS leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). CNC leads in 2 (Valuation Metrics, Analyst Outlook). 2 tied.

Best OverallCentene Corporation (CNC)Leads 2 of 6 categories
Loading custom metrics...

ALHC vs DBVT vs CNC vs ALKS: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is ALHC or DBVT or CNC or ALKS 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 -5. 2% for Alkermes plc (ALKS). Alkermes plc (ALKS) offers the better valuation at 24. 8x trailing P/E, making it the more compelling value choice. 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 has the better valuation — ALHC or DBVT or CNC or ALKS?

On forward P/E, Centene Corporation is actually cheaper at 16.

3x — notably different from the trailing picture, reflecting expected earnings growth.

03

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

Over the past 5 years, Alkermes plc (ALKS) delivered a total return of +60.

9%, compared to -69. 1% for DBV Technologies S. A. (DBVT). Over 10 years, the gap is even starker: CNC returned +81. 2% versus DBVT's -87. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — ALHC or DBVT or CNC or ALKS?

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

39β versus DBV Technologies S. A. 's 1. 26β — meaning DBVT is approximately 221% more volatile than CNC relative to the S&P 500. On balance sheet safety, Alkermes plc (ALKS) carries a lower debt/equity ratio of 4% versus 189% for Alignment Healthcare, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — ALHC or DBVT or CNC or ALKS?

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

(ALHC) is pulling ahead at 46. 1% versus -5. 2% for Alkermes plc (ALKS). On earnings-per-share growth, the picture is similar: Alignment Healthcare, Inc. grew EPS 99. 4% year-over-year, compared to -347. 5% for DBV Technologies S. A.. 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.

06

Which has better profit margins — ALHC or DBVT or CNC or ALKS?

Alkermes plc (ALKS) is the more profitable company, earning 16.

4% net margin versus -3. 4% for Centene Corporation — meaning it keeps 16. 4% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: ALKS leads at 17. 2% versus -3. 9% for CNC. At the gross margin level — before operating expenses — ALKS leads at 86. 7%, 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.

07

Is ALHC or DBVT or CNC or ALKS more undervalued right now?

On forward earnings alone, Centene Corporation (CNC) trades at 16.

3x forward P/E versus 140. 9x for Alignment Healthcare, Inc. — 124. 6x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for DBVT: 131. 8% to $46. 33.

08

Which pays a better dividend — ALHC or DBVT or CNC or ALKS?

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.

09

Is ALHC or DBVT or CNC or ALKS 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: +81. 2%, DBVT: -87. 0%), 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.

10

What are the main differences between ALHC and DBVT and CNC and ALKS?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: ALHC is a small-cap high-growth stock; DBVT is a mega-cap quality compounder stock; CNC is a mid-cap high-growth stock; ALKS is a small-cap quality compounder stock. 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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