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Stock Comparison

ALHC vs UNH

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$3.71B
5Y Perf.-17.3%
UNH
UnitedHealth Group Incorporated

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$333.37B
5Y Perf.-1.3%

ALHC vs UNH — Key Financials

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

Company Snapshot
ALHC logoALHC
UNH logoUNH
IndustryMedical - Healthcare PlansMedical - Healthcare Plans
Market Cap$3.71B$333.37B
Revenue (TTM)$4.26B$449.71B
Net Income (TTM)$20M$12.04B
Gross Margin9.0%18.8%
Operating Margin0.8%4.2%
Forward P/E140.1x20.1x
Total Debt$338M$78.39B
Cash & Equiv.$578M$24.36B

ALHC vs UNHLong-Term Stock Performance

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

ALHC
UNH
StockMar 21May 26Return
Alignment Healthcar… (ALHC)10082.7-17.3%
UnitedHealth Group … (UNH)10098.7-1.3%

Price return only. Dividends and distributions are not included.

Quick Verdict: ALHC vs UNH

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

Bottom line: UNH leads in 5 of 7 categories, making it the strongest pick for valuation and capital efficiency and profitability and margin quality. Alignment Healthcare, Inc. is the stronger pick specifically for growth and revenue expansion and recent price momentum and sentiment. 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 UNH's 11.8%
  • +15.4% vs UNH's -4.7%
Best for: growth exposure
UNH
UnitedHealth Group Incorporated
The Insurance Pick

UNH carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.

  • Dividend streak 25 yrs, beta 0.59, yield 2.4%
  • 220.3% 10Y total return vs ALHC's 4.8%
  • Lower volatility, beta 0.59, Low D/E 77.1%, current ratio 0.79x
Best for: income & stability and long-term compounding
See the full category breakdown
CategoryWinnerWhy
GrowthALHC logoALHC46.1% revenue growth vs UNH's 11.8%
ValueUNH logoUNHLower P/E (20.1x vs 140.1x)
Quality / MarginsUNH logoUNHCombined ratio 1.0 vs ALHC's 1.0 (lower = better underwriting)
Stability / SafetyUNH logoUNHBeta 0.59 vs ALHC's 0.75, lower leverage
DividendsUNH logoUNH2.4% yield; 25-year raise streak; the other pay no meaningful dividend
Momentum (1Y)ALHC logoALHC+15.4% vs UNH's -4.7%
Efficiency (ROA)UNH logoUNH3.9% ROA vs ALHC's 1.8%

ALHC vs UNH — 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
UNHUnitedHealth Group Incorporated
FY 2025
Unitedhealthcare
94.4%$332.4B
Optumhealth
5.6%$19.8B

ALHC vs UNH — Financial Metrics

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

BEST OVERALLUNHLAGGINGALHC

Income & Cash Flow (Last 12 Months)

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

UNH is the larger business by revenue, generating $449.7B annually — 105.6x ALHC's $4.3B. Profitability is closely matched — net margins range from 2.7% (UNH) to 0.5% (ALHC). On growth, ALHC holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
RevenueTrailing 12 months$4.3B$449.7B
EBITDAEarnings before interest/tax$66M$23.2B
Net IncomeAfter-tax profit$20M$12.0B
Free Cash FlowCash after capex$237M$19.7B
Gross MarginGross profit ÷ Revenue+9.0%+18.8%
Operating MarginEBIT ÷ Revenue+0.8%+4.2%
Net MarginNet income ÷ Revenue+0.5%+2.7%
FCF MarginFCF ÷ Revenue+5.6%+4.4%
Rev. Growth (YoY)Latest quarter vs prior year+33.3%+2.0%
EPS Growth (YoY)Latest quarter vs prior year+2.1%+0.7%
Evenly matched — ALHC and UNH each lead in 3 of 6 comparable metrics.

Valuation Metrics

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

On an enterprise value basis, UNH's 16.6x EV/EBITDA is more attractive than ALHC's 76.6x.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
Market CapShares × price$3.7B$333.4B
Enterprise ValueMkt cap + debt − cash$3.5B$387.4B
Trailing P/EPrice ÷ TTM EPS-4902.70x27.76x
Forward P/EPrice ÷ next-FY EPS est.140.08x20.06x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple76.63x16.61x
Price / SalesMarket cap ÷ Revenue0.94x0.74x
Price / BookPrice ÷ Book value/share20.04x3.29x
Price / FCFMarket cap ÷ FCF32.75x20.74x
UNH leads this category, winning 5 of 6 comparable metrics.

Profitability & Efficiency

UNH leads this category, winning 5 of 7 comparable metrics.

UNH delivers a 11.5% return on equity — every $100 of shareholder capital generates $12 in annual profit, vs $11 for ALHC. UNH carries lower financial leverage with a 0.77x debt-to-equity ratio, signaling a more conservative balance sheet compared to ALHC's 1.89x.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
ROE (TTM)Return on equity+11.5%+11.5%
ROA (TTM)Return on assets+1.8%+3.9%
ROICReturn on invested capital+9.2%
ROCEReturn on capital employed+2.9%+9.7%
Piotroski ScoreFundamental quality 0–966
Debt / EquityFinancial leverage1.89x0.77x
Net DebtTotal debt minus cash-$240M$54.0B
Cash & Equiv.Liquid assets$578M$24.4B
Total DebtShort + long-term debt$338M$78.4B
Interest CoverageEBIT ÷ Interest expense1.27x4.71x
UNH leads this category, winning 5 of 7 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in UNH five years ago would be worth $9,746 today (with dividends reinvested), compared to $7,216 for ALHC. Over the past 12 months, ALHC leads with a +15.4% total return vs UNH's -4.7%. The 3-year compound annual growth rate (CAGR) favors ALHC at 35.9% vs UNH's -7.3% — a key indicator of consistent wealth creation.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
YTD ReturnYear-to-date-10.3%+9.8%
1-Year ReturnPast 12 months+15.4%-4.7%
3-Year ReturnCumulative with dividends+150.9%-20.4%
5-Year ReturnCumulative with dividends-27.8%-2.5%
10-Year ReturnCumulative with dividends+4.8%+220.3%
CAGR (3Y)Annualised 3-year return+35.9%-7.3%
Evenly matched — ALHC and UNH each lead in 3 of 6 comparable metrics.

Risk & Volatility

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

UNH is the less volatile stock with a 0.59 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. UNH currently trades 90.7% from its 52-week high vs ALHC's 76.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
Beta (5Y)Sensitivity to S&P 5000.75x0.59x
52-Week HighHighest price in past year$23.87$404.72
52-Week LowLowest price in past year$11.63$234.60
% of 52W HighCurrent price vs 52-week peak+76.0%+90.7%
RSI (14)Momentum oscillator 0–10038.074.5
Avg Volume (50D)Average daily shares traded3.6M8.1M
UNH 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 UNH as "Buy". Consensus price targets imply 36.9% upside for ALHC (target: $25) vs 4.9% for UNH (target: $385). UNH is the only dividend payer here at 2.37% yield — a key consideration for income-focused portfolios.

MetricALHC logoALHCAlignment Healthc…UNH logoUNHUnitedHealth Grou…
Analyst RatingConsensus buy/hold/sellBuyBuy
Price TargetConsensus 12-month target$24.83$385.43
# AnalystsCovering analysts1652
Dividend YieldAnnual dividend ÷ price+2.4%
Dividend StreakConsecutive years of raises25
Dividend / ShareAnnual DPS$8.70
Buyback YieldShare repurchases ÷ mkt cap0.0%+1.7%
Insufficient data to determine a leader in this category.
Key Takeaway

UNH leads in 3 of 6 categories — strongest in Valuation Metrics and Profitability & Efficiency. 2 categories are tied.

Best OverallUnitedHealth Group Incorpor… (UNH)Leads 3 of 6 categories
Loading custom metrics...

ALHC vs UNH: Frequently Asked Questions

10 questions · data-driven answers · updated daily

01

Is ALHC or UNH 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 11. 8% for UnitedHealth Group Incorporated (UNH). UnitedHealth Group Incorporated (UNH) offers the better valuation at 27. 8x trailing P/E (20. 1x forward), 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 UNH?

On forward P/E, UnitedHealth Group Incorporated is actually cheaper at 20.

1x.

03

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

Over the past 5 years, UnitedHealth Group Incorporated (UNH) delivered a total return of -2.

5%, compared to -27. 8% for Alignment Healthcare, Inc. (ALHC). Over 10 years, the gap is even starker: UNH returned +220. 3% 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.

04

Which is safer — ALHC or UNH?

By beta (market sensitivity over 5 years), UnitedHealth Group Incorporated (UNH) is the lower-risk stock at 0.

59β versus Alignment Healthcare, Inc. 's 0. 75β — meaning ALHC is approximately 28% more volatile than UNH relative to the S&P 500. On balance sheet safety, UnitedHealth Group Incorporated (UNH) carries a lower debt/equity ratio of 77% versus 189% for Alignment Healthcare, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — ALHC or UNH?

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

(ALHC) is pulling ahead at 46. 1% versus 11. 8% for UnitedHealth Group Incorporated (UNH). On earnings-per-share growth, the picture is similar: Alignment Healthcare, Inc. grew EPS 99. 4% year-over-year, compared to -14. 7% for UnitedHealth Group Incorporated. 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 UNH?

UnitedHealth Group Incorporated (UNH) is the more profitable company, earning 2.

7% net margin versus -0. 0% for Alignment Healthcare, Inc. — meaning it keeps 2. 7% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: UNH leads at 4. 2% versus 0. 4% for ALHC. At the gross margin level — before operating expenses — UNH leads at 18. 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.

07

Is ALHC or UNH more undervalued right now?

On forward earnings alone, UnitedHealth Group Incorporated (UNH) trades at 20.

1x forward P/E versus 140. 1x for Alignment Healthcare, Inc. — 120. 0x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ALHC: 36. 9% to $24. 83.

08

Which pays a better dividend — ALHC or UNH?

In this comparison, UNH (2.

4% yield) pays a dividend. ALHC does not pay a meaningful dividend and should not be held primarily for income.

09

Is ALHC or UNH better for a retirement portfolio?

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

59), 2. 4% yield, +220. 3% 10Y return). Both have compounded well over 10 years (UNH: +220. 3%, 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.

10

What are the main differences between ALHC and UNH?

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; UNH is a large-cap quality compounder stock. UNH pays a dividend while ALHC does not, making them suitable for different income and tax situations. 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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