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

Fastenal is the larger business by last-quarter revenue ($2.0B vs $1.2B, roughly 1.6× Alignment Healthcare, Inc.). Fastenal runs the higher net margin — 14.5% vs 0.9%, a 13.6% gap on every dollar of revenue. On growth, Fastenal posted the faster year-over-year revenue change (3.5% vs -74.7%). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (34.6% CAGR vs 2.9%).

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.

Fastenal Company is an American publicly traded company based in Winona, Minnesota, founded in 1967. Fastenal is a major distributor of industrial and construction supplies, and the largest fastener distributor in North America. Fastenal provides supply chain solutions including bin stock, vending machines, inventory management, and logistics services.

ALHC vs FAST — Head-to-Head

Bigger by revenue
FAST
FAST
1.6× larger
FAST
$2.0B
$1.2B
ALHC
Growing faster (revenue YoY)
FAST
FAST
+78.2% gap
FAST
3.5%
-74.7%
ALHC
Higher net margin
FAST
FAST
13.6% more per $
FAST
14.5%
0.9%
ALHC
Faster 2-yr revenue CAGR
ALHC
ALHC
Annualised
ALHC
34.6%
2.9%
FAST

Income Statement — Q1 FY2026 vs Q1 FY2026

Metric
ALHC
ALHC
FAST
FAST
Revenue
$1.2B
$2.0B
Net Profit
$11.4M
$293.9M
Gross Margin
44.3%
Operating Margin
18.9%
Net Margin
0.9%
14.5%
Revenue YoY
-74.7%
3.5%
Net Profit YoY
-1.6%
EPS (diluted)
$-0.01

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
FAST
FAST
Q1 26
$1.2B
$2.0B
Q4 25
$1.0B
$2.0B
Q3 25
$993.7M
$2.1B
Q2 25
$1.0B
$2.1B
Q1 25
$926.9M
$2.0B
Q4 24
$701.2M
$1.8B
Q3 24
$692.4M
$1.9B
Q2 24
$681.3M
$1.9B
Net Profit
ALHC
ALHC
FAST
FAST
Q1 26
$11.4M
$293.9M
Q4 25
$-11.0M
$293.9M
Q3 25
$3.7M
$335.5M
Q2 25
$15.7M
$330.3M
Q1 25
$-9.1M
$298.7M
Q4 24
$-31.1M
$262.1M
Q3 24
$-26.4M
$298.1M
Q2 24
$-24.0M
$292.7M
Gross Margin
ALHC
ALHC
FAST
FAST
Q1 26
44.3%
Q4 25
44.3%
Q3 25
45.3%
Q2 25
45.3%
Q1 25
45.1%
Q4 24
44.8%
Q3 24
44.9%
Q2 24
45.1%
Operating Margin
ALHC
ALHC
FAST
FAST
Q1 26
18.9%
Q4 25
-1.0%
18.9%
Q3 25
0.8%
20.7%
Q2 25
2.2%
21.0%
Q1 25
-0.6%
20.1%
Q4 24
-3.2%
18.9%
Q3 24
-2.8%
20.3%
Q2 24
-2.7%
20.2%
Net Margin
ALHC
ALHC
FAST
FAST
Q1 26
0.9%
14.5%
Q4 25
-1.1%
14.5%
Q3 25
0.4%
15.7%
Q2 25
1.5%
15.9%
Q1 25
-1.0%
15.2%
Q4 24
-4.4%
14.4%
Q3 24
-3.8%
15.6%
Q2 24
-3.5%
15.3%
EPS (diluted)
ALHC
ALHC
FAST
FAST
Q1 26
$-0.01
Q4 25
$-0.04
$-0.01
Q3 25
$0.02
$0.29
Q2 25
$0.07
$0.29
Q1 25
$-0.05
$0.52
Q4 24
$-0.15
$0.45
Q3 24
$-0.14
$0.52
Q2 24
$-0.13
$0.51

Balance Sheet & Financial Strength

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

Metric
ALHC
ALHC
FAST
FAST
Cash + ST InvestmentsLiquidity on hand
$705.6M
$276.8M
Total DebtLower is stronger
$125.0M
Stockholders' EquityBook value
$206.9M
$3.9B
Total Assets
$1.3B
$5.1B
Debt / EquityLower = less leverage
0.03×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALHC
ALHC
FAST
FAST
Q1 26
$705.6M
$276.8M
Q4 25
$604.2M
$276.8M
Q3 25
$644.1M
$288.1M
Q2 25
$503.8M
$237.8M
Q1 25
$479.5M
$231.8M
Q4 24
$470.6M
$255.8M
Q3 24
$381.0M
$292.2M
Q2 24
$363.7M
$255.5M
Total Debt
ALHC
ALHC
FAST
FAST
Q1 26
$125.0M
Q4 25
$323.2M
$125.0M
Q3 25
$322.7M
$195.0M
Q2 25
$322.3M
$230.0M
Q1 25
$321.9M
$200.0M
Q4 24
$321.4M
$200.0M
Q3 24
$212.0M
$240.0M
Q2 24
$211.7M
$235.0M
Stockholders' Equity
ALHC
ALHC
FAST
FAST
Q1 26
$206.9M
$3.9B
Q4 25
$179.3M
$3.9B
Q3 25
$161.9M
$3.9B
Q2 25
$141.0M
$3.8B
Q1 25
$108.1M
$3.7B
Q4 24
$99.9M
$3.6B
Q3 24
$114.5M
$3.6B
Q2 24
$123.7M
$3.5B
Total Assets
ALHC
ALHC
FAST
FAST
Q1 26
$1.3B
$5.1B
Q4 25
$1.1B
$5.1B
Q3 25
$1.1B
$5.1B
Q2 25
$1.0B
$5.0B
Q1 25
$895.6M
$4.9B
Q4 24
$782.1M
$4.7B
Q3 24
$692.3M
$4.7B
Q2 24
$716.3M
$4.6B
Debt / Equity
ALHC
ALHC
FAST
FAST
Q1 26
0.03×
Q4 25
1.80×
0.03×
Q3 25
1.99×
0.05×
Q2 25
2.29×
0.06×
Q1 25
2.98×
0.05×
Q4 24
3.22×
0.06×
Q3 24
1.85×
0.07×
Q2 24
1.71×
0.07×

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
FAST
FAST
Operating Cash FlowLast quarter
$128.7M
$368.2M
Free Cash FlowOCF − Capex
$308.2M
FCF MarginFCF / Revenue
15.2%
Capex IntensityCapex / Revenue
3.0%
Cash ConversionOCF / Net Profit
11.27×
1.25×
TTM Free Cash FlowTrailing 4 quarters
$1.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALHC
ALHC
FAST
FAST
Q1 26
$128.7M
$368.2M
Q4 25
$-50.4M
$368.2M
Q3 25
$144.6M
$386.9M
Q2 25
$29.1M
$278.6M
Q1 25
$16.6M
$262.2M
Q4 24
$-8.7M
$282.8M
Q3 24
$26.2M
$296.9M
Q2 24
$23.5M
$258.0M
Free Cash Flow
ALHC
ALHC
FAST
FAST
Q1 26
$308.2M
Q4 25
$-55.4M
$308.2M
Q3 25
$139.1M
$326.6M
Q2 25
$21.1M
$209.3M
Q1 25
$8.4M
$206.5M
Q4 24
$-18.0M
$222.6M
Q3 24
$16.9M
$237.5M
Q2 24
$11.8M
$201.9M
FCF Margin
ALHC
ALHC
FAST
FAST
Q1 26
15.2%
Q4 25
-5.5%
15.2%
Q3 25
14.0%
15.3%
Q2 25
2.1%
10.1%
Q1 25
0.9%
10.5%
Q4 24
-2.6%
12.2%
Q3 24
2.4%
12.4%
Q2 24
1.7%
10.5%
Capex Intensity
ALHC
ALHC
FAST
FAST
Q1 26
3.0%
Q4 25
0.5%
3.0%
Q3 25
0.6%
2.8%
Q2 25
0.8%
3.3%
Q1 25
0.9%
2.8%
Q4 24
1.3%
3.3%
Q3 24
1.3%
3.1%
Q2 24
1.7%
2.9%
Cash Conversion
ALHC
ALHC
FAST
FAST
Q1 26
11.27×
1.25×
Q4 25
1.25×
Q3 25
38.77×
1.15×
Q2 25
1.86×
0.84×
Q1 25
0.88×
Q4 24
1.08×
Q3 24
1.00×
Q2 24
0.88×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALHC
ALHC

Segment breakdown not available.

FAST
FAST

Reportable Segment Aggregation Before Other Operating Segment$1.8B90%
Other$211.2M10%

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