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

MAXIMUS, INC. is the larger business by last-quarter revenue ($1.3B vs $1.0B, roughly 1.3× Alignment Healthcare, Inc.). MAXIMUS, INC. runs the higher net margin — 7.0% vs -1.1%, a 8.1% gap on every dollar of revenue. On growth, Alignment Healthcare, Inc. posted the faster year-over-year revenue change (44.4% vs -4.1%). Alignment Healthcare, Inc. produced more free cash flow last quarter ($-55.4M vs $-250.7M). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs -0.1%).

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.

Maximus Inc. is an American government services company, with operations in countries including the United States, Canada, and the United Kingdom. Maximus provides administration and other services for Medicaid, Medicare, health care reform, welfare-to-work, and student loan servicing, among other government programs. The company is based in Tysons, Virginia, has 39,600 employees and a reported annual revenue of $5.3 billion in fiscal year 2024.

ALHC vs MMS — Head-to-Head

Bigger by revenue
MMS
MMS
1.3× larger
MMS
$1.3B
$1.0B
ALHC
Growing faster (revenue YoY)
ALHC
ALHC
+48.5% gap
ALHC
44.4%
-4.1%
MMS
Higher net margin
MMS
MMS
8.1% more per $
MMS
7.0%
-1.1%
ALHC
More free cash flow
ALHC
ALHC
$195.3M more FCF
ALHC
$-55.4M
$-250.7M
MMS
Faster 2-yr revenue CAGR
ALHC
ALHC
Annualised
ALHC
26.9%
-0.1%
MMS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ALHC
ALHC
MMS
MMS
Revenue
$1.0B
$1.3B
Net Profit
$-11.0M
$93.9M
Gross Margin
23.7%
Operating Margin
-1.0%
10.9%
Net Margin
-1.1%
7.0%
Revenue YoY
44.4%
-4.1%
Net Profit YoY
64.6%
128.0%
EPS (diluted)
$-0.04
$1.70

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
MMS
MMS
Q4 25
$1.0B
$1.3B
Q3 25
$993.7M
$1.3B
Q2 25
$1.0B
$1.3B
Q1 25
$926.9M
$1.4B
Q4 24
$701.2M
$1.4B
Q3 24
$692.4M
$1.3B
Q2 24
$681.3M
$1.3B
Q1 24
$628.6M
$1.3B
Net Profit
ALHC
ALHC
MMS
MMS
Q4 25
$-11.0M
$93.9M
Q3 25
$3.7M
$75.3M
Q2 25
$15.7M
$106.0M
Q1 25
$-9.1M
$96.6M
Q4 24
$-31.1M
$41.2M
Q3 24
$-26.4M
$72.5M
Q2 24
$-24.0M
$89.8M
Q1 24
$-46.5M
$80.5M
Gross Margin
ALHC
ALHC
MMS
MMS
Q4 25
23.7%
Q3 25
25.3%
Q2 25
26.7%
Q1 25
24.9%
Q4 24
21.5%
Q3 24
22.9%
Q2 24
25.3%
Q1 24
23.6%
Operating Margin
ALHC
ALHC
MMS
MMS
Q4 25
-1.0%
10.9%
Q3 25
0.8%
9.3%
Q2 25
2.2%
12.3%
Q1 25
-0.6%
11.2%
Q4 24
-3.2%
6.2%
Q3 24
-2.8%
8.5%
Q2 24
-2.7%
10.8%
Q1 24
-6.5%
9.5%
Net Margin
ALHC
ALHC
MMS
MMS
Q4 25
-1.1%
7.0%
Q3 25
0.4%
5.7%
Q2 25
1.5%
7.9%
Q1 25
-1.0%
7.1%
Q4 24
-4.4%
2.9%
Q3 24
-3.8%
5.5%
Q2 24
-3.5%
6.8%
Q1 24
-7.4%
6.0%
EPS (diluted)
ALHC
ALHC
MMS
MMS
Q4 25
$-0.04
$1.70
Q3 25
$0.02
$1.27
Q2 25
$0.07
$1.86
Q1 25
$-0.05
$1.69
Q4 24
$-0.15
$0.69
Q3 24
$-0.14
$1.18
Q2 24
$-0.13
$1.46
Q1 24
$-0.25
$1.31

Balance Sheet & Financial Strength

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

Metric
ALHC
ALHC
MMS
MMS
Cash + ST InvestmentsLiquidity on hand
$604.2M
$137.6M
Total DebtLower is stronger
$323.2M
Stockholders' EquityBook value
$179.3M
$1.7B
Total Assets
$1.1B
$4.2B
Debt / EquityLower = less leverage
1.80×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALHC
ALHC
MMS
MMS
Q4 25
$604.2M
$137.6M
Q3 25
$644.1M
$222.4M
Q2 25
$503.8M
$59.8M
Q1 25
$479.5M
$108.1M
Q4 24
$470.6M
$72.7M
Q3 24
$381.0M
$183.1M
Q2 24
$363.7M
$102.8M
Q1 24
$301.7M
$77.4M
Total Debt
ALHC
ALHC
MMS
MMS
Q4 25
$323.2M
Q3 25
$322.7M
Q2 25
$322.3M
Q1 25
$321.9M
Q4 24
$321.4M
Q3 24
$212.0M
Q2 24
$211.7M
Q1 24
$162.0M
Stockholders' Equity
ALHC
ALHC
MMS
MMS
Q4 25
$179.3M
$1.7B
Q3 25
$161.9M
$1.7B
Q2 25
$141.0M
$1.8B
Q1 25
$108.1M
$1.7B
Q4 24
$99.9M
$1.6B
Q3 24
$114.5M
$1.8B
Q2 24
$123.7M
$1.8B
Q1 24
$130.9M
$1.8B
Total Assets
ALHC
ALHC
MMS
MMS
Q4 25
$1.1B
$4.2B
Q3 25
$1.1B
$4.1B
Q2 25
$1.0B
$4.5B
Q1 25
$895.6M
$4.2B
Q4 24
$782.1M
$4.1B
Q3 24
$692.3M
$4.1B
Q2 24
$716.3M
$4.0B
Q1 24
$633.2M
$4.0B
Debt / Equity
ALHC
ALHC
MMS
MMS
Q4 25
1.80×
Q3 25
1.99×
Q2 25
2.29×
Q1 25
2.98×
Q4 24
3.22×
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
MMS
MMS
Operating Cash FlowLast quarter
$-50.4M
$-244.4M
Free Cash FlowOCF − Capex
$-55.4M
$-250.7M
FCF MarginFCF / Revenue
-5.5%
-18.6%
Capex IntensityCapex / Revenue
0.5%
0.5%
Cash ConversionOCF / Net Profit
-2.60×
TTM Free Cash FlowTrailing 4 quarters
$113.1M
$218.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALHC
ALHC
MMS
MMS
Q4 25
$-50.4M
$-244.4M
Q3 25
$144.6M
$649.4M
Q2 25
$29.1M
$-182.7M
Q1 25
$16.6M
$42.7M
Q4 24
$-8.7M
$-80.0M
Q3 24
$26.2M
$163.8M
Q2 24
$23.5M
$199.3M
Q1 24
$-6.2M
$130.5M
Free Cash Flow
ALHC
ALHC
MMS
MMS
Q4 25
$-55.4M
$-250.7M
Q3 25
$139.1M
$641.8M
Q2 25
$21.1M
$-198.2M
Q1 25
$8.4M
$25.5M
Q4 24
$-18.0M
$-103.0M
Q3 24
$16.9M
$131.9M
Q2 24
$11.8M
$164.6M
Q1 24
$-17.4M
$105.2M
FCF Margin
ALHC
ALHC
MMS
MMS
Q4 25
-5.5%
-18.6%
Q3 25
14.0%
48.7%
Q2 25
2.1%
-14.7%
Q1 25
0.9%
1.9%
Q4 24
-2.6%
-7.3%
Q3 24
2.4%
10.0%
Q2 24
1.7%
12.5%
Q1 24
-2.8%
7.8%
Capex Intensity
ALHC
ALHC
MMS
MMS
Q4 25
0.5%
0.5%
Q3 25
0.6%
0.6%
Q2 25
0.8%
1.1%
Q1 25
0.9%
1.3%
Q4 24
1.3%
1.6%
Q3 24
1.3%
2.4%
Q2 24
1.7%
2.6%
Q1 24
1.8%
1.9%
Cash Conversion
ALHC
ALHC
MMS
MMS
Q4 25
-2.60×
Q3 25
38.77×
8.63×
Q2 25
1.86×
-1.72×
Q1 25
0.44×
Q4 24
-1.94×
Q3 24
2.26×
Q2 24
2.22×
Q1 24
1.62×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALHC
ALHC

Segment breakdown not available.

MMS
MMS

Clinical Services$523.7M39%
Cost Plus Contracts$386.4M29%
Outside The United States$143.2M11%
International Government Agencies$141.0M10%
Technology Solutions$74.8M6%
Employment And Other$70.2M5%
Other Including Local Municipalities And Commercial Customers$17.6M1%

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