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Side-by-side financial comparison of Alignment Healthcare, Inc. (ALHC) and American Water Works (AWK). Click either name above to swap in a different company.

American Water Works is the larger business by last-quarter revenue ($1.3B vs $1.2B, roughly 1.0× Alignment Healthcare, Inc.). American Water Works runs the higher net margin — 18.7% vs 0.9%, a 17.8% gap on every dollar of revenue. On growth, American Water Works posted the faster year-over-year revenue change (5.8% vs -74.7%). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (34.6% CAGR vs 12.6%).

Alignment Healthcare, Inc. is a U.S.-based healthcare provider offering Medicare Advantage plans for seniors. It adopts a value-based care model, partnering with local providers to deliver personalized coordinated medical services, prescription drug coverage and supplemental benefits to members across multiple U.S. states.

American Water Works Company, Inc., through its subsidiaries, provides water and wastewater services in the United States. It offers water and wastewater services to approximately 1,700 communities in 14 states serving approximately 3.4 million active customers. The company serves residential customers; commercial customers, including food and beverage providers, commercial property developers and proprietors, and energy suppliers; fire service and private fire customers; industrial customers...

ALHC vs AWK — Head-to-Head

Bigger by revenue
AWK
AWK
1.0× larger
AWK
$1.3B
$1.2B
ALHC
Growing faster (revenue YoY)
AWK
AWK
+80.6% gap
AWK
5.8%
-74.7%
ALHC
Higher net margin
AWK
AWK
17.8% more per $
AWK
18.7%
0.9%
ALHC
Faster 2-yr revenue CAGR
ALHC
ALHC
Annualised
ALHC
34.6%
12.6%
AWK

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ALHC
ALHC
AWK
AWK
Revenue
$1.2B
$1.3B
Net Profit
$11.4M
$238.0M
Gross Margin
Operating Margin
31.9%
Net Margin
0.9%
18.7%
Revenue YoY
-74.7%
5.8%
Net Profit YoY
-0.4%
EPS (diluted)
$1.22

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ALHC
ALHC
AWK
AWK
Q1 26
$1.2B
Q4 25
$1.0B
$1.3B
Q3 25
$993.7M
$1.5B
Q2 25
$1.0B
$1.3B
Q1 25
$926.9M
$1.1B
Q4 24
$701.2M
$1.2B
Q3 24
$692.4M
$1.3B
Q2 24
$681.3M
$1.1B
Net Profit
ALHC
ALHC
AWK
AWK
Q1 26
$11.4M
Q4 25
$-11.0M
$238.0M
Q3 25
$3.7M
$379.0M
Q2 25
$15.7M
$289.0M
Q1 25
$-9.1M
$205.0M
Q4 24
$-31.1M
$239.0M
Q3 24
$-26.4M
$350.0M
Q2 24
$-24.0M
$277.0M
Operating Margin
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
-1.0%
31.9%
Q3 25
0.8%
42.2%
Q2 25
2.2%
38.4%
Q1 25
-0.6%
32.7%
Q4 24
-3.2%
33.3%
Q3 24
-2.8%
40.9%
Q2 24
-2.7%
39.4%
Net Margin
ALHC
ALHC
AWK
AWK
Q1 26
0.9%
Q4 25
-1.1%
18.7%
Q3 25
0.4%
26.1%
Q2 25
1.5%
22.7%
Q1 25
-1.0%
18.1%
Q4 24
-4.4%
19.9%
Q3 24
-3.8%
26.4%
Q2 24
-3.5%
24.3%
EPS (diluted)
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
$-0.04
$1.22
Q3 25
$0.02
$1.94
Q2 25
$0.07
$1.48
Q1 25
$-0.05
$1.05
Q4 24
$-0.15
$1.22
Q3 24
$-0.14
$1.80
Q2 24
$-0.13
$1.42

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ALHC
ALHC
AWK
AWK
Cash + ST InvestmentsLiquidity on hand
$705.6M
$98.0M
Total DebtLower is stronger
$12.8B
Stockholders' EquityBook value
$206.9M
$10.8B
Total Assets
$1.3B
$35.4B
Debt / EquityLower = less leverage
1.18×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALHC
ALHC
AWK
AWK
Q1 26
$705.6M
Q4 25
$604.2M
$98.0M
Q3 25
$644.1M
$166.0M
Q2 25
$503.8M
$94.0M
Q1 25
$479.5M
$114.0M
Q4 24
$470.6M
$96.0M
Q3 24
$381.0M
$127.0M
Q2 24
$363.7M
$48.0M
Total Debt
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
$323.2M
$12.8B
Q3 25
$322.7M
$13.0B
Q2 25
$322.3M
$12.3B
Q1 25
$321.9M
$13.3B
Q4 24
$321.4M
$12.5B
Q3 24
$212.0M
$12.6B
Q2 24
$211.7M
$12.6B
Stockholders' Equity
ALHC
ALHC
AWK
AWK
Q1 26
$206.9M
Q4 25
$179.3M
$10.8B
Q3 25
$161.9M
$10.9B
Q2 25
$141.0M
$10.7B
Q1 25
$108.1M
$10.5B
Q4 24
$99.9M
$10.3B
Q3 24
$114.5M
$10.4B
Q2 24
$123.7M
$10.2B
Total Assets
ALHC
ALHC
AWK
AWK
Q1 26
$1.3B
Q4 25
$1.1B
$35.4B
Q3 25
$1.1B
$34.7B
Q2 25
$1.0B
$33.9B
Q1 25
$895.6M
$33.2B
Q4 24
$782.1M
$32.8B
Q3 24
$692.3M
$31.8B
Q2 24
$716.3M
$31.2B
Debt / Equity
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
1.80×
1.18×
Q3 25
1.99×
1.19×
Q2 25
2.29×
1.15×
Q1 25
2.98×
1.26×
Q4 24
3.22×
1.21×
Q3 24
1.85×
1.21×
Q2 24
1.71×
1.24×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ALHC
ALHC
AWK
AWK
Operating Cash FlowLast quarter
$128.7M
$663.0M
Free Cash FlowOCF − Capex
$-385.0M
FCF MarginFCF / Revenue
-30.3%
Capex IntensityCapex / Revenue
82.5%
Cash ConversionOCF / Net Profit
11.27×
2.79×
TTM Free Cash FlowTrailing 4 quarters
$-1.1B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALHC
ALHC
AWK
AWK
Q1 26
$128.7M
Q4 25
$-50.4M
$663.0M
Q3 25
$144.6M
$764.0M
Q2 25
$29.1M
$301.0M
Q1 25
$16.6M
$331.0M
Q4 24
$-8.7M
$639.0M
Q3 24
$26.2M
$679.0M
Q2 24
$23.5M
$345.0M
Free Cash Flow
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
$-55.4M
$-385.0M
Q3 25
$139.1M
$-33.0M
Q2 25
$21.1M
$-432.0M
Q1 25
$8.4M
$-217.0M
Q4 24
$-18.0M
$-255.0M
Q3 24
$16.9M
$-4.0M
Q2 24
$11.8M
$-325.0M
FCF Margin
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
-5.5%
-30.3%
Q3 25
14.0%
-2.3%
Q2 25
2.1%
-34.0%
Q1 25
0.9%
-19.1%
Q4 24
-2.6%
-21.2%
Q3 24
2.4%
-0.3%
Q2 24
1.7%
-28.5%
Capex Intensity
ALHC
ALHC
AWK
AWK
Q1 26
Q4 25
0.5%
82.5%
Q3 25
0.6%
54.8%
Q2 25
0.8%
57.6%
Q1 25
0.9%
48.3%
Q4 24
1.3%
74.4%
Q3 24
1.3%
51.4%
Q2 24
1.7%
58.8%
Cash Conversion
ALHC
ALHC
AWK
AWK
Q1 26
11.27×
Q4 25
2.79×
Q3 25
38.77×
2.02×
Q2 25
1.86×
1.04×
Q1 25
1.61×
Q4 24
2.67×
Q3 24
1.94×
Q2 24
1.25×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ALHC
ALHC

Segment breakdown not available.

AWK
AWK

Water Services$1.0B81%
Other$127.0M10%
Wastewater Services$101.0M8%
Miscellaneous Utility Charge$11.0M1%

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