Alignment Healthcare (ALHC) vs Trupanion (TRUP)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Trupanion (TRUP) has outperformed Alignment Healthcare (ALHC) over the past year, losing 39.0% versus a loss of 50.8%. Over five years, ALHC leads with a -53.2% price change compared with -71.7% for TRUP. Alignment Healthcare is the larger company by market cap ($1.57 billion vs $1.14 billion), about 1.4 times the size.
On valuation, Trupanion trades at a lower forward P/E (6.1x vs 10.3x for Alignment Healthcare).
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 | TRUP |
|---|---|---|
| Share price | $7.55 | $26.06 |
| Market cap | $1.57B | $1.14B |
| 1-day change | -13.38% | +0.93% |
| YTD return | -55.90% | -30.91% |
| 1-year return | -50.76% | -38.99% |
| 5-year return | -53.22% | -71.68% |
| P/E ratio (TTM) | 39.71 | 49.17 |
| Forward P/E | 10.27 | 6.12 |
| EPS (TTM) | $0.19 | $0.53 |
| Dividend yield | 0.00% | 0.00% |
| Annual dividend | $0.00 | $0.00 |
| Revenue (latest FY) | $3.95B | — |
| Revenue growth (YoY) | +46.06% | — |
| Net income (latest FY) | $-724.00K | — |
| Operating margin | 0.37% | — |
| Net margin | -0.02% | — |
| 52-week high | $25.12 | $46.98 |
| 52-week low | $6.01 | $21.16 |
| Distance from 52-week high | -69.96% | -44.53% |
| Analyst consensus | strong_buy | buy |
| Avg. price target upside | +172.23% | +31.43% |
| Average volume | 7.55M | 473.25K |
| Shares outstanding | 207.44M | 43.62M |
| Employees | 1,849 | 1,121 |
| 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
- TRUP has outperformed ALHC by 11.8 percentage points over the past year.
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 Trupanion
TRUP stock →Trupanion, Inc., together with its subsidiaries, provides medical insurance for cats and dogs on subscription basis in the United States, Canada, and Continental Europe. The company operates in two segments, Subscription Business and Other Business.
Health Care · Medical Specialities · 1,121 employees
ALHC vs TRUP FAQ
Which is bigger, Alignment Healthcare or Trupanion?
Alignment Healthcare (ALHC) is larger, with a market capitalization of $1.57B compared with $1.14B for Trupanion (TRUP).
Which stock has performed better over the past year, ALHC or TRUP?
TRUP returned -38.99% 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 TRUP?
ALHC has the lower trailing P/E at 39.7, versus 49.2 for TRUP. A lower P/E is not by itself a sign of a better investment; it can reflect slower expected growth or higher risk.
Are Alignment Healthcare and Trupanion in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.