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

Alignment Healthcare, Inc. is the larger business by last-quarter revenue ($1.0B vs $959.0M, roughly 1.1× DNOW Inc.). Alignment Healthcare, Inc. runs the higher net margin — -1.1% vs -16.8%, a 15.7% gap on every dollar of revenue. On growth, DNOW Inc. posted the faster year-over-year revenue change (68.0% vs 44.4%). DNOW Inc. produced more free cash flow last quarter ($76.0M vs $-55.4M). Over the past eight quarters, DNOW Inc.'s revenue compounded faster (30.5% CAGR vs 26.9%).

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.

DNOW Inc., operating under the trade name DistributionNOW, is a global industrial and energy products distributor. It provides supply chain management, inventory optimization, and technical support services, offering parts, equipment, and consumables for oil and gas, renewable energy, manufacturing, and construction sectors, with operations spanning North America, Europe, and Asia-Pacific.

ALHC vs DNOW — Head-to-Head

Bigger by revenue
ALHC
ALHC
1.1× larger
ALHC
$1.0B
$959.0M
DNOW
Growing faster (revenue YoY)
DNOW
DNOW
+23.5% gap
DNOW
68.0%
44.4%
ALHC
Higher net margin
ALHC
ALHC
15.7% more per $
ALHC
-1.1%
-16.8%
DNOW
More free cash flow
DNOW
DNOW
$131.4M more FCF
DNOW
$76.0M
$-55.4M
ALHC
Faster 2-yr revenue CAGR
DNOW
DNOW
Annualised
DNOW
30.5%
26.9%
ALHC

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALHC
ALHC
DNOW
DNOW
Revenue
$1.0B
$959.0M
Net Profit
$-11.0M
$-161.0M
Gross Margin
5.2%
Operating Margin
-1.0%
-19.6%
Net Margin
-1.1%
-16.8%
Revenue YoY
44.4%
68.0%
Net Profit YoY
64.6%
-905.0%
EPS (diluted)
$-0.04
$-1.42

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
DNOW
DNOW
Q4 25
$1.0B
$959.0M
Q3 25
$993.7M
$634.0M
Q2 25
$1.0B
$628.0M
Q1 25
$926.9M
$599.0M
Q4 24
$701.2M
$571.0M
Q3 24
$692.4M
$606.0M
Q2 24
$681.3M
$633.0M
Q1 24
$628.6M
$563.0M
Net Profit
ALHC
ALHC
DNOW
DNOW
Q4 25
$-11.0M
$-161.0M
Q3 25
$3.7M
$25.0M
Q2 25
$15.7M
$25.0M
Q1 25
$-9.1M
$22.0M
Q4 24
$-31.1M
$20.0M
Q3 24
$-26.4M
$13.0M
Q2 24
$-24.0M
$24.0M
Q1 24
$-46.5M
$21.0M
Gross Margin
ALHC
ALHC
DNOW
DNOW
Q4 25
5.2%
Q3 25
22.9%
Q2 25
22.9%
Q1 25
23.2%
Q4 24
22.6%
Q3 24
22.3%
Q2 24
21.8%
Q1 24
22.9%
Operating Margin
ALHC
ALHC
DNOW
DNOW
Q4 25
-1.0%
-19.6%
Q3 25
0.8%
5.2%
Q2 25
2.2%
5.1%
Q1 25
-0.6%
5.0%
Q4 24
-3.2%
4.4%
Q3 24
-2.8%
3.8%
Q2 24
-2.7%
5.2%
Q1 24
-6.5%
5.0%
Net Margin
ALHC
ALHC
DNOW
DNOW
Q4 25
-1.1%
-16.8%
Q3 25
0.4%
3.9%
Q2 25
1.5%
4.0%
Q1 25
-1.0%
3.7%
Q4 24
-4.4%
3.5%
Q3 24
-3.8%
2.1%
Q2 24
-3.5%
3.8%
Q1 24
-7.4%
3.7%
EPS (diluted)
ALHC
ALHC
DNOW
DNOW
Q4 25
$-0.04
$-1.42
Q3 25
$0.02
$0.23
Q2 25
$0.07
$0.23
Q1 25
$-0.05
$0.20
Q4 24
$-0.15
$0.19
Q3 24
$-0.14
$0.12
Q2 24
$-0.13
$0.21
Q1 24
$-0.25
$0.19

Balance Sheet & Financial Strength

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

Metric
ALHC
ALHC
DNOW
DNOW
Cash + ST InvestmentsLiquidity on hand
$604.2M
$164.0M
Total DebtLower is stronger
$323.2M
$411.0M
Stockholders' EquityBook value
$179.3M
$2.2B
Total Assets
$1.1B
$3.9B
Debt / EquityLower = less leverage
1.80×
0.18×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALHC
ALHC
DNOW
DNOW
Q4 25
$604.2M
$164.0M
Q3 25
$644.1M
$266.0M
Q2 25
$503.8M
$232.0M
Q1 25
$479.5M
$219.0M
Q4 24
$470.6M
$256.0M
Q3 24
$381.0M
$261.0M
Q2 24
$363.7M
$197.0M
Q1 24
$301.7M
$188.0M
Total Debt
ALHC
ALHC
DNOW
DNOW
Q4 25
$323.2M
$411.0M
Q3 25
$322.7M
Q2 25
$322.3M
Q1 25
$321.9M
Q4 24
$321.4M
$0
Q3 24
$212.0M
Q2 24
$211.7M
Q1 24
$162.0M
Stockholders' Equity
ALHC
ALHC
DNOW
DNOW
Q4 25
$179.3M
$2.2B
Q3 25
$161.9M
$1.2B
Q2 25
$141.0M
$1.2B
Q1 25
$108.1M
$1.1B
Q4 24
$99.9M
$1.1B
Q3 24
$114.5M
$1.1B
Q2 24
$123.7M
$1.1B
Q1 24
$130.9M
$1.1B
Total Assets
ALHC
ALHC
DNOW
DNOW
Q4 25
$1.1B
$3.9B
Q3 25
$1.1B
$1.7B
Q2 25
$1.0B
$1.7B
Q1 25
$895.6M
$1.7B
Q4 24
$782.1M
$1.6B
Q3 24
$692.3M
$1.6B
Q2 24
$716.3M
$1.6B
Q1 24
$633.2M
$1.6B
Debt / Equity
ALHC
ALHC
DNOW
DNOW
Q4 25
1.80×
0.18×
Q3 25
1.99×
Q2 25
2.29×
Q1 25
2.98×
Q4 24
3.22×
0.00×
Q3 24
1.85×
Q2 24
1.71×
Q1 24
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
DNOW
DNOW
Operating Cash FlowLast quarter
$-50.4M
$83.0M
Free Cash FlowOCF − Capex
$-55.4M
$76.0M
FCF MarginFCF / Revenue
-5.5%
7.9%
Capex IntensityCapex / Revenue
0.5%
0.7%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$113.1M
$134.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALHC
ALHC
DNOW
DNOW
Q4 25
$-50.4M
$83.0M
Q3 25
$144.6M
$43.0M
Q2 25
$29.1M
$45.0M
Q1 25
$16.6M
$-16.0M
Q4 24
$-8.7M
$122.0M
Q3 24
$26.2M
$74.0M
Q2 24
$23.5M
$21.0M
Q1 24
$-6.2M
$81.0M
Free Cash Flow
ALHC
ALHC
DNOW
DNOW
Q4 25
$-55.4M
$76.0M
Q3 25
$139.1M
$39.0M
Q2 25
$21.1M
$41.0M
Q1 25
$8.4M
$-22.0M
Q4 24
$-18.0M
$119.0M
Q3 24
$16.9M
$72.0M
Q2 24
$11.8M
$18.0M
Q1 24
$-17.4M
$80.0M
FCF Margin
ALHC
ALHC
DNOW
DNOW
Q4 25
-5.5%
7.9%
Q3 25
14.0%
6.2%
Q2 25
2.1%
6.5%
Q1 25
0.9%
-3.7%
Q4 24
-2.6%
20.8%
Q3 24
2.4%
11.9%
Q2 24
1.7%
2.8%
Q1 24
-2.8%
14.2%
Capex Intensity
ALHC
ALHC
DNOW
DNOW
Q4 25
0.5%
0.7%
Q3 25
0.6%
0.6%
Q2 25
0.8%
0.6%
Q1 25
0.9%
1.0%
Q4 24
1.3%
0.5%
Q3 24
1.3%
0.3%
Q2 24
1.7%
0.5%
Q1 24
1.8%
0.2%
Cash Conversion
ALHC
ALHC
DNOW
DNOW
Q4 25
Q3 25
38.77×
1.72×
Q2 25
1.86×
1.80×
Q1 25
-0.73×
Q4 24
6.10×
Q3 24
5.69×
Q2 24
0.88×
Q1 24
3.86×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALHC
ALHC

Segment breakdown not available.

DNOW
DNOW

Pipelines$455.0M47%
Downstream And Industrial$196.0M20%
Gas Utilities$183.0M19%
Oil And Gas Properties$105.0M11%
Other$20.0M2%

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