Medical - Healthcare Information Services
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EVH vs ALHC vs CNC vs MOH
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Healthcare Plans
Medical - Healthcare Plans
Medical - Healthcare Plans
EVH vs ALHC vs CNC vs MOH — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Healthcare Information Services | Medical - Healthcare Plans | Medical - Healthcare Plans | Medical - Healthcare Plans |
| Market Cap | $488M | $3.73B | $27.13B | $9.99B |
| Revenue (TTM) | $1.89B | $4.26B | $198.10B | $45.08B |
| Net Income (TTM) | $-497M | $20M | $-6.44B | $188M |
| Gross Margin | 14.0% | 9.0% | 14.9% | 9.6% |
| Operating Margin | -27.4% | 0.8% | -3.7% | 1.2% |
| Forward P/E | 31.2x | 140.9x | 16.3x | 37.2x |
| Total Debt | $990M | $338M | $18.78B | $3.95B |
| Cash & Equiv. | $152M | $578M | $17.89B | $4.25B |
EVH vs ALHC vs CNC vs MOH — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Mar 21 | May 26 | Return |
|---|---|---|---|
| Evolent Health, Inc. (EVH) | 100 | 21.2 | -78.8% |
| Alignment Healthcar… (ALHC) | 100 | 83.2 | -16.8% |
| Centene Corporation (CNC) | 100 | 86.0 | -14.0% |
| Molina Healthcare, … (MOH) | 100 | 82.1 | -17.9% |
Price return only. Dividends and distributions are not included.
Quick Verdict: EVH vs ALHC vs CNC vs MOH
Each card shows where this stock fits in a portfolio — not just who wins on paper.
EVH is the clearest fit if your priority is dividends.
- 2.3% yield; the other 3 pay no meaningful dividend
ALHC carries the broadest edge in this set and is the clearest fit for growth exposure and defensive.
- Rev growth 46.1%, EPS growth 99.4%, 3Y rev CAGR 40.2%
- Beta 0.75, current ratio 1.74x
- 46.1% revenue growth vs EVH's -26.6%
- 0.5% margin vs EVH's -26.3%
CNC is the #2 pick in this set and the best alternative if income & stability and long-term compounding is your priority.
- Dividend streak 1 yrs, beta 0.39
- 81.2% 10Y total return vs MOH's 306.6%
- Lower volatility, beta 0.39, Low D/E 93.6%, current ratio 1.68x
- Lower P/E (16.3x vs 37.2x)
MOH lags the leaders in this set but could rank higher in a more targeted comparison.
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 46.1% revenue growth vs EVH's -26.6% | |
| Value | Lower P/E (16.3x vs 37.2x) | |
| Quality / Margins | 0.5% margin vs EVH's -26.3% | |
| Stability / Safety | Beta 0.39 vs EVH's 1.21, lower leverage | |
| Dividends | 2.3% yield; the other 3 pay no meaningful dividend | |
| Momentum (1Y) | +17.6% vs EVH's -59.0% | |
| Efficiency (ROA) | 1.8% ROA vs EVH's -22.8% |
EVH vs ALHC vs CNC vs MOH — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
EVH vs ALHC vs CNC vs MOH — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
ALHC leads in 2 of 6 categories
CNC leads 2 • EVH leads 0 • MOH leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
ALHC leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
CNC is the larger business by revenue, generating $198.1B annually — 104.9x EVH's $1.9B. ALHC is the more profitable business, keeping 0.5% of every revenue dollar as net income compared to EVH's -26.3%. On growth, ALHC holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $1.9B | $4.3B | $198.1B | $45.1B |
| EBITDAEarnings before interest/tax | -$403M | $66M | -$5.9B | $710M |
| Net IncomeAfter-tax profit | -$497M | $20M | -$6.4B | $188M |
| Free Cash FlowCash after capex | $1M | $237M | $6.3B | $251M |
| Gross MarginGross profit ÷ Revenue | +14.0% | +9.0% | +14.9% | +9.6% |
| Operating MarginEBIT ÷ Revenue | -27.4% | +0.8% | -3.7% | +1.2% |
| Net MarginNet income ÷ Revenue | -26.3% | +0.5% | -3.3% | +0.4% |
| FCF MarginFCF ÷ Revenue | +0.1% | +5.6% | +3.2% | +0.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +2.6% | +33.3% | +7.1% | -3.1% |
| EPS Growth (YoY)Latest quarter vs prior year | +61.9% | +2.1% | +18.3% | -95.0% |
Valuation Metrics
CNC leads this category, winning 3 of 6 comparable metrics.
Valuation Metrics
On an enterprise value basis, MOH's 9.9x EV/EBITDA is more attractive than ALHC's 77.1x.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $488M | $3.7B | $27.1B | $10.0B |
| Enterprise ValueMkt cap + debt − cash | $1.3B | $3.5B | $28.0B | $9.7B |
| Trailing P/EPrice ÷ TTM EPS | -0.84x | -4932.43x | -4.03x | 21.50x |
| Forward P/EPrice ÷ next-FY EPS est. | 31.17x | 140.93x | 16.29x | 37.20x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — |
| EV / EBITDAEnterprise value multiple | 11.90x | 77.12x | — | 9.93x |
| Price / SalesMarket cap ÷ Revenue | 0.26x | 0.94x | 0.14x | 0.22x |
| Price / BookPrice ÷ Book value/share | 1.18x | 20.16x | 1.35x | 2.39x |
| Price / FCFMarket cap ÷ FCF | 102.63x | 32.95x | 6.28x | — |
Profitability & Efficiency
Evenly matched — ALHC and MOH each lead in 4 of 9 comparable metrics.
Profitability & Efficiency
ALHC delivers a 11.5% return on equity — every $100 of shareholder capital generates $11 in annual profit, vs $-78 for EVH. CNC carries lower financial leverage with a 0.94x debt-to-equity ratio, signaling a more conservative balance sheet compared to EVH's 2.38x. On the Piotroski fundamental quality scale (0–9), ALHC scores 6/9 vs MOH's 4/9, reflecting solid financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | -77.9% | +11.5% | -28.6% | +4.4% |
| ROA (TTM)Return on assets | -22.8% | +1.8% | -7.9% | +1.2% |
| ROICReturn on invested capital | -0.2% | — | -21.6% | +17.4% |
| ROCEReturn on capital employed | -0.3% | +2.9% | -14.6% | +9.8% |
| Piotroski ScoreFundamental quality 0–9 | 5 | 6 | 6 | 4 |
| Debt / EquityFinancial leverage | 2.38x | 1.89x | 0.94x | 0.97x |
| Net DebtTotal debt minus cash | $838M | -$240M | $889M | -$298M |
| Cash & Equiv.Liquid assets | $152M | $578M | $17.9B | $4.2B |
| Total DebtShort + long-term debt | $990M | $338M | $18.8B | $4.0B |
| Interest CoverageEBIT ÷ Interest expense | -14.04x | 1.27x | -9.03x | 2.12x |
Total Returns (Dividends Reinvested)
ALHC leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in CNC five years ago would be worth $7,800 today (with dividends reinvested), compared to $2,156 for EVH. Over the past 12 months, ALHC leads with a +17.6% total return vs EVH's -59.0%. The 3-year compound annual growth rate (CAGR) favors ALHC at 36.2% vs EVH's -50.2% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | +10.0% | -9.7% | +31.5% | +7.5% |
| 1-Year ReturnPast 12 months | -59.0% | +17.6% | -12.7% | -41.3% |
| 3-Year ReturnCumulative with dividends | -87.7% | +152.4% | -19.5% | -35.0% |
| 5-Year ReturnCumulative with dividends | -78.4% | -22.7% | -22.0% | -28.4% |
| 10-Year ReturnCumulative with dividends | -63.6% | +5.4% | +81.2% | +306.6% |
| CAGR (3Y)Annualised 3-year return | -50.2% | +36.2% | -7.0% | -13.4% |
Risk & Volatility
Evenly matched — CNC and MOH each lead in 1 of 2 comparable metrics.
Risk & Volatility
MOH is the less volatile stock with a -0.04 beta — it tends to amplify market swings less than EVH's 1.21 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. CNC currently trades 85.7% from its 52-week high vs EVH's 35.5% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.21x | 0.75x | 0.39x | -0.04x |
| 52-Week HighHighest price in past year | $12.07 | $23.87 | $64.15 | $333.00 |
| 52-Week LowLowest price in past year | $2.10 | $11.63 | $25.08 | $121.06 |
| % of 52W HighCurrent price vs 52-week peak | +35.5% | +76.5% | +85.7% | +57.6% |
| RSI (14)Momentum oscillator 0–100 | 68.0 | 37.3 | 83.5 | 77.1 |
| Avg Volume (50D)Average daily shares traded | 3.0M | 3.6M | 5.8M | 1.4M |
Analyst Outlook
CNC leads this category, winning 1 of 1 comparable metric.
Analyst Outlook
Analyst consensus: EVH as "Buy", ALHC as "Buy", CNC as "Buy", MOH as "Buy". Consensus price targets imply 49.1% upside for EVH (target: $6) vs -13.4% for MOH (target: $166). EVH is the only dividend payer here at 2.28% yield — a key consideration for income-focused portfolios.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $6.38 | $24.83 | $51.00 | $166.09 |
| # AnalystsCovering analysts | 29 | 16 | 43 | 38 |
| Dividend YieldAnnual dividend ÷ price | +2.3% | — | — | — |
| Dividend StreakConsecutive years of raises | 0 | — | 1 | — |
| Dividend / ShareAnnual DPS | $0.10 | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | +8.2% | 0.0% | +1.8% | +10.0% |
ALHC leads in 2 of 6 categories (Income & Cash Flow, Total Returns). CNC leads in 2 (Valuation Metrics, Analyst Outlook). 2 tied.
EVH vs ALHC vs CNC vs MOH: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is EVH or ALHC or CNC or MOH 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 -26. 6% for Evolent Health, Inc. (EVH). Molina Healthcare, Inc. (MOH) offers the better valuation at 21. 5x trailing P/E (37. 2x forward), making it the more compelling value choice. Analysts rate Evolent Health, Inc. (EVH) a "Buy" — based on 29 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 — EVH or ALHC or CNC or MOH?
On forward P/E, Centene Corporation is actually cheaper at 16.
3x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — EVH or ALHC or CNC or MOH?
Over the past 5 years, Centene Corporation (CNC) delivered a total return of -22.
0%, compared to -78. 4% for Evolent Health, Inc. (EVH). Over 10 years, the gap is even starker: MOH returned +306. 6% versus EVH's -63. 6%. 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 — EVH or ALHC or CNC or MOH?
By beta (market sensitivity over 5 years), Molina Healthcare, Inc.
(MOH) is the lower-risk stock at -0. 04β versus Evolent Health, Inc. 's 1. 21β — meaning EVH is approximately -3403% more volatile than MOH relative to the S&P 500. On balance sheet safety, Centene Corporation (CNC) carries a lower debt/equity ratio of 94% versus 2% for Evolent Health, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — EVH or ALHC or CNC or MOH?
By revenue growth (latest reported year), Alignment Healthcare, Inc.
(ALHC) is pulling ahead at 46. 1% versus -26. 6% for Evolent Health, Inc. (EVH). On earnings-per-share growth, the picture is similar: Alignment Healthcare, Inc. grew EPS 99. 4% year-over-year, compared to -525. 9% for Evolent Health, Inc.. 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 — EVH or ALHC or CNC or MOH?
Molina Healthcare, Inc.
(MOH) is the more profitable company, earning 1. 0% net margin versus -28. 5% for Evolent Health, Inc. — meaning it keeps 1. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: MOH leads at 1. 7% versus -3. 9% for CNC. At the gross margin level — before operating expenses — EVH leads at 15. 1%, 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 EVH or ALHC or CNC or MOH 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 EVH: 49. 1% to $6. 38.
08Which pays a better dividend — EVH or ALHC or CNC or MOH?
In this comparison, EVH (2.
3% yield) pays a dividend. ALHC, CNC, MOH do not pay a meaningful dividend and should not be held primarily for income.
09Is EVH or ALHC or CNC or MOH better for a retirement portfolio?
For long-horizon retirement investors, Molina Healthcare, Inc.
(MOH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β -0. 04), +306. 6% 10Y return). Both have compounded well over 10 years (MOH: +306. 6%, ALHC: +5. 4%), 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 EVH and ALHC and CNC and MOH?
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: EVH is a small-cap quality compounder stock; ALHC is a small-cap high-growth stock; CNC is a mid-cap high-growth stock; MOH is a small-cap quality compounder stock. EVH pays a dividend while ALHC, CNC, MOH do 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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