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Side-by-side financial comparison of Alignment Healthcare, Inc. (ALHC) and Cigna (CI). Click either name above to swap in a different company.
Cigna is the larger business by last-quarter revenue ($72.5B vs $1.0B, roughly 71.6× Alignment Healthcare, Inc.). Cigna runs the higher net margin — 1.8% vs -1.1%, a 2.8% gap on every dollar of revenue. On growth, Alignment Healthcare, Inc. posted the faster year-over-year revenue change (44.4% vs 10.4%). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs 12.5%).
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.
The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut. Cigna's insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups.
ALHC vs CI — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $1.0B | $72.5B |
| Net Profit | $-11.0M | $1.3B |
| Gross Margin | — | 20.3% |
| Operating Margin | -1.0% | 3.2% |
| Net Margin | -1.1% | 1.8% |
| Revenue YoY | 44.4% | 10.4% |
| Net Profit YoY | 64.6% | -17.1% |
| EPS (diluted) | $-0.04 | $4.64 |
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.
| Q4 25 | $1.0B | $72.5B | ||
| Q3 25 | $993.7M | $69.7B | ||
| Q2 25 | $1.0B | $67.2B | ||
| Q1 25 | $926.9M | $65.5B | ||
| Q4 24 | $701.2M | $65.6B | ||
| Q3 24 | $692.4M | $63.7B | ||
| Q2 24 | $681.3M | $60.5B | ||
| Q1 24 | $628.6M | $57.3B |
| Q4 25 | $-11.0M | $1.3B | ||
| Q3 25 | $3.7M | $2.0B | ||
| Q2 25 | $15.7M | $1.6B | ||
| Q1 25 | $-9.1M | $1.4B | ||
| Q4 24 | $-31.1M | $1.5B | ||
| Q3 24 | $-26.4M | $825.0M | ||
| Q2 24 | $-24.0M | $1.6B | ||
| Q1 24 | $-46.5M | $-212.0M |
| Q4 25 | — | 20.3% | ||
| Q3 25 | — | 20.4% | ||
| Q2 25 | — | 20.7% | ||
| Q1 25 | — | 26.1% | ||
| Q4 24 | — | 25.3% | ||
| Q3 24 | — | 25.3% | ||
| Q2 24 | — | 26.5% | ||
| Q1 24 | — | 27.6% |
| Q4 25 | -1.0% | 3.2% | ||
| Q3 25 | 0.8% | 3.7% | ||
| Q2 25 | 2.2% | 3.4% | ||
| Q1 25 | -0.6% | 3.0% | ||
| Q4 24 | -3.2% | 3.3% | ||
| Q3 24 | -2.8% | 4.0% | ||
| Q2 24 | -2.7% | 4.0% | ||
| Q1 24 | -6.5% | 3.9% |
| Q4 25 | -1.1% | 1.8% | ||
| Q3 25 | 0.4% | 2.8% | ||
| Q2 25 | 1.5% | 2.4% | ||
| Q1 25 | -1.0% | 2.2% | ||
| Q4 24 | -4.4% | 2.3% | ||
| Q3 24 | -3.8% | 1.3% | ||
| Q2 24 | -3.5% | 2.7% | ||
| Q1 24 | -7.4% | -0.4% |
| Q4 25 | $-0.04 | $4.64 | ||
| Q3 25 | $0.02 | $6.98 | ||
| Q2 25 | $0.07 | $5.71 | ||
| Q1 25 | $-0.05 | $4.85 | ||
| Q4 24 | $-0.15 | $5.01 | ||
| Q3 24 | $-0.14 | $2.63 | ||
| Q2 24 | $-0.13 | $5.45 | ||
| Q1 24 | $-0.25 | $-0.97 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $604.2M | $8.7B |
| Total DebtLower is stronger | $323.2M | $30.9B |
| Stockholders' EquityBook value | $179.3M | $41.7B |
| Total Assets | $1.1B | $157.9B |
| Debt / EquityLower = less leverage | 1.80× | 0.74× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $604.2M | $8.7B | ||
| Q3 25 | $644.1M | $6.9B | ||
| Q2 25 | $503.8M | $5.1B | ||
| Q1 25 | $479.5M | $9.1B | ||
| Q4 24 | $470.6M | $8.2B | ||
| Q3 24 | $381.0M | $6.8B | ||
| Q2 24 | $363.7M | $7.9B | ||
| Q1 24 | $301.7M | $9.5B |
| Q4 25 | $323.2M | $30.9B | ||
| Q3 25 | $322.7M | $30.9B | ||
| Q2 25 | $322.3M | $26.5B | ||
| Q1 25 | $321.9M | $26.5B | ||
| Q4 24 | $321.4M | $28.9B | ||
| Q3 24 | $212.0M | $30.2B | ||
| Q2 24 | $211.7M | $30.2B | ||
| Q1 24 | $162.0M | $31.1B |
| Q4 25 | $179.3M | $41.7B | ||
| Q3 25 | $161.9M | $41.8B | ||
| Q2 25 | $141.0M | $40.2B | ||
| Q1 25 | $108.1M | $40.2B | ||
| Q4 24 | $99.9M | $41.0B | ||
| Q3 24 | $114.5M | $42.1B | ||
| Q2 24 | $123.7M | $41.3B | ||
| Q1 24 | $130.9M | $41.2B |
| Q4 25 | $1.1B | $157.9B | ||
| Q3 25 | $1.1B | $157.9B | ||
| Q2 25 | $1.0B | $151.7B | ||
| Q1 25 | $895.6M | $150.7B | ||
| Q4 24 | $782.1M | $155.9B | ||
| Q3 24 | $692.3M | $157.6B | ||
| Q2 24 | $716.3M | $155.4B | ||
| Q1 24 | $633.2M | $153.1B |
| Q4 25 | 1.80× | 0.74× | ||
| Q3 25 | 1.99× | 0.74× | ||
| Q2 25 | 2.29× | 0.66× | ||
| Q1 25 | 2.98× | 0.66× | ||
| Q4 24 | 3.22× | 0.71× | ||
| Q3 24 | 1.85× | 0.72× | ||
| Q2 24 | 1.71× | 0.73× | ||
| Q1 24 | 1.24× | 0.75× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-50.4M | $6.1B |
| Free Cash FlowOCF − Capex | $-55.4M | — |
| FCF MarginFCF / Revenue | -5.5% | — |
| Capex IntensityCapex / Revenue | 0.5% | — |
| Cash ConversionOCF / Net Profit | — | 4.83× |
| TTM Free Cash FlowTrailing 4 quarters | $113.1M | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-50.4M | $6.1B | ||
| Q3 25 | $144.6M | $3.4B | ||
| Q2 25 | $29.1M | $-1.9B | ||
| Q1 25 | $16.6M | $1.9B | ||
| Q4 24 | $-8.7M | $5.2B | ||
| Q3 24 | $26.2M | $46.0M | ||
| Q2 24 | $23.5M | $265.0M | ||
| Q1 24 | $-6.2M | $4.8B |
| Q4 25 | $-55.4M | — | ||
| Q3 25 | $139.1M | — | ||
| Q2 25 | $21.1M | — | ||
| Q1 25 | $8.4M | — | ||
| Q4 24 | $-18.0M | — | ||
| Q3 24 | $16.9M | — | ||
| Q2 24 | $11.8M | — | ||
| Q1 24 | $-17.4M | — |
| Q4 25 | -5.5% | — | ||
| Q3 25 | 14.0% | — | ||
| Q2 25 | 2.1% | — | ||
| Q1 25 | 0.9% | — | ||
| Q4 24 | -2.6% | — | ||
| Q3 24 | 2.4% | — | ||
| Q2 24 | 1.7% | — | ||
| Q1 24 | -2.8% | — |
| Q4 25 | 0.5% | — | ||
| Q3 25 | 0.6% | — | ||
| Q2 25 | 0.8% | — | ||
| Q1 25 | 0.9% | — | ||
| Q4 24 | 1.3% | — | ||
| Q3 24 | 1.3% | — | ||
| Q2 24 | 1.7% | — | ||
| Q1 24 | 1.8% | — |
| Q4 25 | — | 4.83× | ||
| Q3 25 | 38.77× | 1.73× | ||
| Q2 25 | 1.86× | -1.16× | ||
| Q1 25 | — | 1.36× | ||
| Q4 24 | — | 3.39× | ||
| Q3 24 | — | 0.06× | ||
| Q2 24 | — | 0.16× | ||
| Q1 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
ALHC
Segment breakdown not available.
CI
| Network Pharmacy | $34.3B | 47% |
| Home Delivery And Specialty | $21.1B | 29% |
| Cigna Healthcare | $9.4B | 13% |
| Services | $4.5B | 6% |
| Other Pharmacy | $3.4B | 5% |
| Service Other | $144.0M | 0% |
