Alignment Healthcare (ALHC) vs Cigna Group (CI)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Cigna Group (CI) has outperformed Alignment Healthcare (ALHC) over the past year, losing 8.4% versus a loss of 50.8%. Over five years, CI leads with a +36.3% price change compared with -53.2% for ALHC. Cigna Group is the larger company by market cap ($75.58 billion vs $1.40 billion), about 53.9 times the size, while Alignment Healthcare is growing revenue faster (+46.1% vs +11.2%).
On valuation, Cigna Group trades at a lower forward P/E (8.5x vs 9.2x for Alignment Healthcare). Cigna Group pays a dividend yielding 2.15%, while Alignment Healthcare does not currently pay one. Cigna Group converts more of its revenue into profit, with a net margin of 2.2% versus -0.0%.
Summary generated from market data by MetaCap's automated system. Methodology
Relative performance
Percent change in share price from the first common trading day shown; excludes dividends.
Head-to-head
| Metric | ALHC | CI |
|---|---|---|
| Share price | $6.76 | $286.04 |
| Market cap | $1.40B | $75.58B |
| 1-day change | -22.38% | +1.80% |
| YTD return | -55.90% | +2.11% |
| 1-year return | -50.76% | -8.39% |
| 5-year return | -53.22% | +36.30% |
| P/E ratio (TTM) | 35.58 | 11.82 |
| Forward P/E | 9.20 | 8.54 |
| EPS (TTM) | $0.19 | $24.19 |
| Dividend yield | 0.00% | 2.15% |
| Annual dividend | $0.00 | $6.14 |
| Revenue (latest FY) | $3.95B | $274.90B |
| Revenue growth (YoY) | +46.06% | +11.24% |
| Net income (latest FY) | $-724.00K | $5.96B |
| Gross margin | — | 21.79% |
| Operating margin | 0.37% | 3.35% |
| Net margin | -0.02% | 2.17% |
| 52-week high | $25.12 | $311.34 |
| 52-week low | $6.01 | $239.51 |
| Distance from 52-week high | -73.09% | -8.13% |
| Analyst consensus | strong_buy | buy |
| Avg. price target upside | +203.82% | +19.67% |
| Average volume | 7.55M | 1.68M |
| Shares outstanding | 207.44M | 264.24M |
| Employees | 1,849 | 65,669 |
| Sector | Health Care | Health Care |
| Industry | Medical Specialities | Medical Specialities |
Highlighted cells mark the higher value for growth, returns, margins and yield, and the lower value for P/E ratios. Highlighting is a mechanical comparison, not a recommendation.
Key differences
- Cigna Group is about 53.9 times larger than Alignment Healthcare by market value ($75.58B vs $1.40B).
- CI has outperformed ALHC by 42.4 percentage points over the past year.
- Alignment Healthcare trades at a higher earnings multiple (35.6x vs 11.8x trailing P/E).
- Cigna Group offers a meaningfully higher dividend yield (2.15% vs 0.00%).
- Alignment Healthcare grew revenue faster in its latest fiscal year (+46.06% vs +11.24%).
About Alignment Healthcare
ALHC stock →Alignment Healthcare, Inc. operates a consumer-centric healthcare platform for seniors in the United States.
Health Care · Medical Specialities · 1,849 employees
About Cigna Group
CI stock →The Cigna Group, together with its subsidiaries, provides insurance and related products and services in the United States. It operates through two segments: Evernorth Health Services and Cigna Healthcare.
Health Care · Medical Specialities · 65,669 employees
ALHC vs CI FAQ
Which is bigger, Alignment Healthcare or Cigna Group?
Cigna Group (CI) is larger, with a market capitalization of $75.58B compared with $1.40B for Alignment Healthcare (ALHC).
Which stock has performed better over the past year, ALHC or CI?
CI returned -8.39% over the past 12 months, compared with -50.76% for ALHC (price return, excluding dividends). Past performance does not predict future results.
Which has the lower P/E ratio, ALHC or CI?
CI has the lower trailing P/E at 11.8, versus 35.6 for ALHC. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Which pays a higher dividend, Alignment Healthcare or Cigna Group?
Cigna Group pays a dividend yielding 2.15%, while Alignment Healthcare does not currently pay a regular dividend.
Are Alignment Healthcare and Cigna Group in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.