Alignment Healthcare (ALHC) vs Exagen (XGN)
Head-to-head comparison of performance, valuation, growth, profitability and dividends. Prices delayed 15 minutes; data as of Oct 9, 2026.
Summary
Exagen (XGN) has outperformed Alignment Healthcare (ALHC) over the past year, losing 25.6% versus a loss of 50.8%. Over five years, XGN leads with a -35.3% price change compared with -53.2% for ALHC. Alignment Healthcare is the larger company by market cap ($1.81 billion vs $197.9 million), about 9.1 times the size.
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 | XGN |
|---|---|---|
| Share price | $8.71 | $8.17 |
| Market cap | $1.81B | $197.92M |
| 1-day change | +1.87% | -1.57% |
| YTD return | -55.90% | +34.38% |
| 1-year return | -50.76% | -25.59% |
| 5-year return | -53.22% | -35.31% |
| P/E ratio (TTM) | 45.84 | — |
| Forward P/E | 11.85 | — |
| EPS (TTM) | $0.19 | $-0.81 |
| 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 | $12.23 |
| 52-week low | $7.37 | $2.59 |
| Distance from 52-week high | -65.33% | -33.20% |
| Analyst consensus | strong_buy | none |
| Avg. price target upside | +135.82% | +24.11% |
| Average volume | 7.55M | 328.42K |
| Shares outstanding | 207.44M | 24.23M |
| Employees | 1,849 | 216 |
| 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
- Alignment Healthcare is about 9.1 times larger than Exagen by market value ($1.81B vs $197.92M).
- XGN has outperformed ALHC by 25.2 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 Exagen
XGN stock →Exagen Inc. designs, develops, and commercializes various testing products under the AVISE brand in the United States.
Health Care · Medical Specialities · 216 employees
ALHC vs XGN FAQ
Which is bigger, Alignment Healthcare or Exagen?
Alignment Healthcare (ALHC) is larger, with a market capitalization of $1.81B compared with $197.92M for Exagen (XGN).
Which stock has performed better over the past year, ALHC or XGN?
XGN returned -25.59% over the past 12 months, compared with -50.76% for ALHC (price return, excluding dividends). Past performance does not predict future results.
Are Alignment Healthcare and Exagen in the same industry?
Yes. Both are classified in the Medical Specialities industry within the Health Care sector.