Alignment Healthcare (ALHC) vs Elevance Health (ELV)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Elevance Health (ELV) has outperformed Alignment Healthcare (ALHC) over the past year, gaining 10.7% versus a loss of 50.8%. Over five years, ELV leads with a +2.0% price change compared with -53.2% for ALHC. Elevance Health is the larger company by market cap ($89.73 billion vs $1.48 billion), about 60.5 times the size, while Alignment Healthcare is growing revenue faster (+46.1% vs +12.5%).
On valuation, Alignment Healthcare trades at a lower forward P/E (9.7x vs 14.0x for Elevance Health). Elevance Health pays a dividend yielding 1.66%, while Alignment Healthcare does not currently pay one. Elevance Health converts more of its revenue into profit, with a net margin of 2.8% 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 | ELV |
|---|---|---|
| Share price | $7.15 | $413.75 |
| Market cap | $1.48B | $89.73B |
| 1-day change | -17.97% | +3.19% |
| YTD return | -55.90% | +14.37% |
| 1-year return | -50.76% | +10.65% |
| 5-year return | -53.22% | +2.01% |
| P/E ratio (TTM) | 37.61 | 18.32 |
| Forward P/E | 9.72 | 13.98 |
| EPS (TTM) | $0.19 | $22.59 |
| Dividend yield | 0.00% | 1.66% |
| Annual dividend | $0.00 | $6.86 |
| Revenue (latest FY) | $3.95B | $199.13B |
| Revenue growth (YoY) | +46.06% | +12.49% |
| Net income (latest FY) | $-724.00K | $5.66B |
| Gross margin | — | 89.36% |
| Operating margin | 0.37% | 3.62% |
| Net margin | -0.02% | 2.84% |
| 52-week high | $25.12 | $436.24 |
| 52-week low | $6.01 | $274.84 |
| Distance from 52-week high | -71.56% | -5.16% |
| Analyst consensus | strong_buy | buy |
| Avg. price target upside | +187.47% | +9.12% |
| Average volume | 7.55M | 1.19M |
| Shares outstanding | 207.44M | 216.87M |
| Employees | 1,849 | 96,129 |
| 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
- Elevance Health is about 60.5 times larger than Alignment Healthcare by market value ($89.73B vs $1.48B).
- ELV has outperformed ALHC by 61.4 percentage points over the past year.
- Alignment Healthcare trades at a higher earnings multiple (37.6x vs 18.3x trailing P/E).
- Elevance Health offers a meaningfully higher dividend yield (1.66% vs 0.00%).
- Alignment Healthcare grew revenue faster in its latest fiscal year (+46.06% vs +12.49%).
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 Elevance Health
ELV stock →Elevance Health, Inc., together with its subsidiaries, operates as a health benefits company in the United States. The company operates in four segments: Health Benefits, CarelonRx, Carelon Services, and Corporate & Other.
Health Care · Medical Specialities · 96,129 employees
ALHC vs ELV FAQ
Which is bigger, Alignment Healthcare or Elevance Health?
Elevance Health (ELV) is larger, with a market capitalization of $89.73B compared with $1.48B for Alignment Healthcare (ALHC).
Which stock has performed better over the past year, ALHC or ELV?
ELV returned +10.65% 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 ELV?
ELV has the lower trailing P/E at 18.3, versus 37.6 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 Elevance Health?
Elevance Health pays a dividend yielding 1.66%, while Alignment Healthcare does not currently pay a regular dividend.
Are Alignment Healthcare and Elevance Health in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.