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Side-by-side financial comparison of AMERICAN COASTAL INSURANCE Corp (ACIC) and eHealth, Inc. (EHTH), based on the latest 10-Q / 10-K filings. Click either name above to swap in a different company.

eHealth, Inc. is the larger business by last-quarter revenue ($326.2M vs $86.4M, roughly 3.8× AMERICAN COASTAL INSURANCE Corp). AMERICAN COASTAL INSURANCE Corp runs the higher net margin — 30.8% vs 26.7%, a 4.0% gap on every dollar of revenue. On growth, AMERICAN COASTAL INSURANCE Corp posted the faster year-over-year revenue change (9.0% vs 3.5%). eHealth, Inc. produced more free cash flow last quarter ($-36.1M vs $-47.8M). Over the past eight quarters, eHealth, Inc.'s revenue compounded faster (87.3% CAGR vs 13.9%).

United Property & Casualty Insurance Company, Inc. is an American property and casualty insurance company with headquarters in Florida. It writes commercial, residential, homeowners’, and flood insurance policies in several coastal states.

eHealth, Inc., doing business as eHealthInsurance, is a publicly traded online marketplace for health insurance, organized in Delaware and based in Santa Clara, California. The company primarily provides plans related to Medicare such as prescription drug plans, Medigap, and Medicare Advantage plans. The company also sells individual plans, competing with health insurance marketplaces. The company sells plans in all 50 U.S. states and the District of Columbia from 170 health insurance carrier...

ACIC vs EHTH — Head-to-Head

Bigger by revenue
EHTH
EHTH
3.8× larger
EHTH
$326.2M
$86.4M
ACIC
Growing faster (revenue YoY)
ACIC
ACIC
+5.5% gap
ACIC
9.0%
3.5%
EHTH
Higher net margin
ACIC
ACIC
4.0% more per $
ACIC
30.8%
26.7%
EHTH
More free cash flow
EHTH
EHTH
$11.7M more FCF
EHTH
$-36.1M
$-47.8M
ACIC
Faster 2-yr revenue CAGR
EHTH
EHTH
Annualised
EHTH
87.3%
13.9%
ACIC

Income Statement — Q4 2025 vs Q4 2025

Metric
ACIC
ACIC
EHTH
EHTH
Revenue
$86.4M
$326.2M
Net Profit
$26.6M
$87.2M
Gross Margin
55.3%
Operating Margin
43.2%
38.7%
Net Margin
30.8%
26.7%
Revenue YoY
9.0%
3.5%
Net Profit YoY
437.1%
-10.6%
EPS (diluted)
$0.54
$2.43

Green = leading value per metric. Periods may differ when fiscal calendars don't align — see 8-quarter trend below.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history — bar widths are scaled to the larger of the two companies so you can eyeball the size gap and growth trajectory without doing math. Quarters aligned by calendar period (report date) so offset fiscal years line up.

Revenue
ACIC
ACIC
EHTH
EHTH
Q4 25
$86.4M
$326.2M
Q3 25
$90.4M
$53.9M
Q2 25
$86.5M
$60.8M
Q1 25
$72.2M
$113.1M
Q4 24
$79.3M
$315.2M
Q3 24
$82.1M
$58.4M
Q2 24
$68.7M
$65.9M
Q1 24
$66.6M
$93.0M
Net Profit
ACIC
ACIC
EHTH
EHTH
Q4 25
$26.6M
$87.2M
Q3 25
$32.5M
$-31.7M
Q2 25
$26.4M
$-17.4M
Q1 25
$21.3M
$1.9M
Q4 24
$4.9M
$97.5M
Q3 24
$28.1M
$-42.5M
Q2 24
$19.1M
$-28.0M
Q1 24
$23.6M
$-17.0M
Gross Margin
ACIC
ACIC
EHTH
EHTH
Q4 25
55.3%
Q3 25
-0.3%
Q2 25
31.1%
Q1 25
36.9%
Q4 24
52.0%
Q3 24
-6.5%
Q2 24
28.7%
Q1 24
31.7%
Operating Margin
ACIC
ACIC
EHTH
EHTH
Q4 25
43.2%
38.7%
Q3 25
46.1%
-77.1%
Q2 25
41.8%
-37.9%
Q1 25
34.8%
4.2%
Q4 24
11.2%
35.7%
Q3 24
43.9%
-74.0%
Q2 24
35.1%
-42.5%
Q1 24
45.9%
-19.3%
Net Margin
ACIC
ACIC
EHTH
EHTH
Q4 25
30.8%
26.7%
Q3 25
35.9%
-58.8%
Q2 25
30.6%
-28.6%
Q1 25
29.6%
1.7%
Q4 24
6.2%
30.9%
Q3 24
34.2%
-72.7%
Q2 24
27.8%
-42.5%
Q1 24
35.4%
-18.3%
EPS (diluted)
ACIC
ACIC
EHTH
EHTH
Q4 25
$0.54
$2.43
Q3 25
$0.65
$-1.46
Q2 25
$0.53
$-0.98
Q1 25
$0.43
$-0.33
Q4 24
$0.10
$2.93
Q3 24
$0.57
$-1.83
Q2 24
$0.39
$-1.33
Q1 24
$0.48
$-0.96

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest filing — the kind of financial-strength check premium terminals charge for.

Metric
ACIC
ACIC
EHTH
EHTH
Cash + ST InvestmentsLiquidity on hand
$198.8M
$73.7M
Total DebtLower is stronger
$150.0M
Stockholders' EquityBook value
$317.6M
$591.6M
Total Assets
$1.1B
$1.3B
Debt / EquityLower = less leverage
0.47×

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Cash + ST Investments
ACIC
ACIC
EHTH
EHTH
Q4 25
$198.8M
$73.7M
Q3 25
$267.9M
$63.1M
Q2 25
$315.5M
$65.9M
Q1 25
$167.2M
$121.1M
Q4 24
$137.0M
$39.2M
Q3 24
$183.1M
$64.0M
Q2 24
$229.4M
$126.3M
Q1 24
$285.4M
$175.0M
Total Debt
ACIC
ACIC
EHTH
EHTH
Q4 25
$150.0M
Q3 25
Q2 25
Q1 25
Q4 24
$150.0M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
ACIC
ACIC
EHTH
EHTH
Q4 25
$317.6M
$591.6M
Q3 25
$327.2M
$514.2M
Q2 25
$292.3M
$554.9M
Q1 25
$260.9M
$581.6M
Q4 24
$235.7M
$588.4M
Q3 24
$259.6M
$499.3M
Q2 24
$223.1M
$548.9M
Q1 24
$204.0M
$582.8M
Total Assets
ACIC
ACIC
EHTH
EHTH
Q4 25
$1.1B
$1.3B
Q3 25
$1.2B
$1.0B
Q2 25
$1.3B
$1.1B
Q1 25
$1.2B
$1.1B
Q4 24
$1.2B
$1.2B
Q3 24
$1.1B
$1.0B
Q2 24
$1.3B
$1.0B
Q1 24
$1.1B
$1.1B
Debt / Equity
ACIC
ACIC
EHTH
EHTH
Q4 25
0.47×
Q3 25
Q2 25
Q1 25
Q4 24
0.64×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Net income can be massaged; cash flow is harder to fake.

Metric
ACIC
ACIC
EHTH
EHTH
Operating Cash FlowLast quarter
$-47.8M
$-35.9M
Free Cash FlowOCF − Capex
$-47.8M
$-36.1M
FCF MarginFCF / Revenue
-55.4%
-11.1%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
0.1%
0.0%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
-1.80×
-0.41×
TTM Free Cash FlowTrailing 4 quarters
$-27.6M

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Operating Cash Flow
ACIC
ACIC
EHTH
EHTH
Q4 25
$-47.8M
$-35.9M
Q3 25
$-35.6M
$-25.3M
Q2 25
$127.9M
$-41.2M
Q1 25
$26.4M
$77.1M
Q4 24
$1.6M
$-27.7M
Q3 24
$-9.0M
$-29.3M
Q2 24
$126.4M
$-32.2M
Q1 24
$124.5M
$70.8M
Free Cash Flow
ACIC
ACIC
EHTH
EHTH
Q4 25
$-47.8M
$-36.1M
Q3 25
$-25.5M
Q2 25
$-42.8M
Q1 25
$26.3M
$76.8M
Q4 24
$1.6M
$-28.3M
Q3 24
$-9.0M
$-30.3M
Q2 24
$-32.4M
Q1 24
$70.6M
FCF Margin
ACIC
ACIC
EHTH
EHTH
Q4 25
-55.4%
-11.1%
Q3 25
-47.4%
Q2 25
-70.4%
Q1 25
36.5%
67.9%
Q4 24
2.0%
-9.0%
Q3 24
-10.9%
-51.8%
Q2 24
-49.3%
Q1 24
75.9%
Capex Intensity
ACIC
ACIC
EHTH
EHTH
Q4 25
0.1%
0.0%
Q3 25
0.0%
0.4%
Q2 25
0.0%
2.6%
Q1 25
0.1%
0.3%
Q4 24
0.0%
0.2%
Q3 24
0.0%
1.7%
Q2 24
0.0%
0.4%
Q1 24
0.0%
0.2%
Cash Conversion
ACIC
ACIC
EHTH
EHTH
Q4 25
-1.80×
-0.41×
Q3 25
-1.10×
Q2 25
4.84×
Q1 25
1.24×
39.55×
Q4 24
0.32×
-0.28×
Q3 24
-0.32×
Q2 24
6.63×
Q1 24
5.27×

Financial Flow Comparison

Sankey diagram of revenue → gross profit → operating profit → net profit for each company. Charts shown full-width and stacked so both segment hierarchies are readable side-by-side on desktop and mobile.

Revenue Breakdown by Segment

ACIC
ACIC

Segment breakdown not available.

EHTH
EHTH

Medicare$282.7M87%
Other$29.2M9%
Ancillaries$7.9M2%
Commission Members Approved In Prior Periods$3.8M1%
Small Business$3.1M1%
Commission Revenue From Renewals$2.4M1%

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