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Side-by-side financial comparison of Alignment Healthcare, Inc. (ALHC) and Oscar Health, Inc. (OSCR). Click either name above to swap in a different company.
Alignment Healthcare, Inc. is the larger business by last-quarter revenue ($1.0B vs $9.0M, roughly 113.0× Oscar Health, Inc.). Alignment Healthcare, Inc. runs the higher net margin — -1.1% vs -3933.2%, a 3932.1% gap on every dollar of revenue. On growth, Oscar Health, Inc. posted the faster year-over-year revenue change (86.3% vs 44.4%). Oscar Health, Inc. produced more free cash flow last quarter ($662.8M vs $-55.4M). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs 26.1%).
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.
Oscar Health, Inc. is an American for-profit health insurance company, founded in 2012 by Joshua Kushner, Kevin Nazemi and Mario Schlosser, and is headquartered in New York City. The company focuses on the health insurance industry through telemedicine, healthcare focused technological interfaces, and transparent claims pricing systems which would make it easier for patients to navigate.
ALHC vs OSCR — Head-to-Head
Income Statement — Q4 2025 vs Q4 2025
| Metric | | |
|---|---|---|
| Revenue | $1.0B | $9.0M |
| Net Profit | $-11.0M | $-352.6M |
| Gross Margin | — | — |
| Operating Margin | -1.0% | -3722.8% |
| Net Margin | -1.1% | -3933.2% |
| Revenue YoY | 44.4% | 86.3% |
| Net Profit YoY | 64.6% | -129.6% |
| EPS (diluted) | $-0.04 | $-1.19 |
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 | $9.0M | ||
| Q3 25 | $993.7M | $8.8M | ||
| Q2 25 | $1.0B | $6.5M | ||
| Q1 25 | $926.9M | $4.3M | ||
| Q4 24 | $701.2M | $4.8M | ||
| Q3 24 | $692.4M | $4.9M | ||
| Q2 24 | $681.3M | $5.2M | ||
| Q1 24 | $628.6M | $5.6M |
| Q4 25 | $-11.0M | $-352.6M | ||
| Q3 25 | $3.7M | $-137.4M | ||
| Q2 25 | $15.7M | $-228.4M | ||
| Q1 25 | $-9.1M | $275.3M | ||
| Q4 24 | $-31.1M | $-153.5M | ||
| Q3 24 | $-26.4M | $-54.6M | ||
| Q2 24 | $-24.0M | $56.2M | ||
| Q1 24 | $-46.5M | $177.4M |
| Q4 25 | -1.0% | -3722.8% | ||
| Q3 25 | 0.8% | -1468.6% | ||
| Q2 25 | 2.2% | -3547.5% | ||
| Q1 25 | -0.6% | — | ||
| Q4 24 | -3.2% | -3070.1% | ||
| Q3 24 | -2.8% | -987.4% | ||
| Q2 24 | -2.7% | — | ||
| Q1 24 | -6.5% | — |
| Q4 25 | -1.1% | -3933.2% | ||
| Q3 25 | 0.4% | -1561.8% | ||
| Q2 25 | 1.5% | -3514.9% | ||
| Q1 25 | -1.0% | 6357.3% | ||
| Q4 24 | -4.4% | -3190.9% | ||
| Q3 24 | -3.8% | -1114.4% | ||
| Q2 24 | -3.5% | 1074.5% | ||
| Q1 24 | -7.4% | 3148.2% |
| Q4 25 | $-0.04 | $-1.19 | ||
| Q3 25 | $0.02 | $-0.53 | ||
| Q2 25 | $0.07 | $-0.89 | ||
| Q1 25 | $-0.05 | $0.92 | ||
| Q4 24 | $-0.15 | $-0.50 | ||
| Q3 24 | $-0.14 | $-0.22 | ||
| Q2 24 | $-0.13 | $0.20 | ||
| Q1 24 | $-0.25 | $0.62 |
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 | $2.8B |
| Total DebtLower is stronger | $323.2M | — |
| Stockholders' EquityBook value | $179.3M | $977.6M |
| Total Assets | $1.1B | $6.3B |
| Debt / EquityLower = less leverage | 1.80× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $604.2M | $2.8B | ||
| Q3 25 | $644.1M | $2.1B | ||
| Q2 25 | $503.8M | $2.6B | ||
| Q1 25 | $479.5M | $2.2B | ||
| Q4 24 | $470.6M | $2.2B | ||
| Q3 24 | $381.0M | $1.2B | ||
| Q2 24 | $363.7M | $2.3B | ||
| Q1 24 | $301.7M | $2.2B |
| 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 | — |
| Q4 25 | $179.3M | $977.6M | ||
| Q3 25 | $161.9M | $1.0B | ||
| Q2 25 | $141.0M | $1.2B | ||
| Q1 25 | $108.1M | $1.3B | ||
| Q4 24 | $99.9M | $1.0B | ||
| Q3 24 | $114.5M | $1.2B | ||
| Q2 24 | $123.7M | $1.1B | ||
| Q1 24 | $130.9M | $1.0B |
| Q4 25 | $1.1B | $6.3B | ||
| Q3 25 | $1.1B | $5.7B | ||
| Q2 25 | $1.0B | $6.4B | ||
| Q1 25 | $895.6M | $5.8B | ||
| Q4 24 | $782.1M | $4.8B | ||
| Q3 24 | $692.3M | $4.5B | ||
| Q2 24 | $716.3M | $5.0B | ||
| Q1 24 | $633.2M | $4.4B |
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $-50.4M | $671.9M |
| Free Cash FlowOCF − Capex | $-55.4M | $662.8M |
| FCF MarginFCF / Revenue | -5.5% | 7393.7% |
| Capex IntensityCapex / Revenue | 0.5% | 101.1% |
| Cash ConversionOCF / Net Profit | — | — |
| TTM Free Cash FlowTrailing 4 quarters | $113.1M | $1.1B |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-50.4M | $671.9M | ||
| Q3 25 | $144.6M | $-964.7M | ||
| Q2 25 | $29.1M | $509.1M | ||
| Q1 25 | $16.6M | $878.5M | ||
| Q4 24 | $-8.7M | $346.8M | ||
| Q3 24 | $26.2M | $-500.1M | ||
| Q2 24 | $23.5M | $497.2M | ||
| Q1 24 | $-6.2M | $634.4M |
| Q4 25 | $-55.4M | $662.8M | ||
| Q3 25 | $139.1M | $-973.7M | ||
| Q2 25 | $21.1M | $499.8M | ||
| Q1 25 | $8.4M | $869.5M | ||
| Q4 24 | $-18.0M | $340.0M | ||
| Q3 24 | $16.9M | $-507.7M | ||
| Q2 24 | $11.8M | $489.6M | ||
| Q1 24 | $-17.4M | $628.4M |
| Q4 25 | -5.5% | 7393.7% | ||
| Q3 25 | 14.0% | -11063.1% | ||
| Q2 25 | 2.1% | 7692.6% | ||
| Q1 25 | 0.9% | 20081.2% | ||
| Q4 24 | -2.6% | 7065.7% | ||
| Q3 24 | 2.4% | -10363.5% | ||
| Q2 24 | 1.7% | 9359.4% | ||
| Q1 24 | -2.8% | 11153.9% |
| Q4 25 | 0.5% | 101.1% | ||
| Q3 25 | 0.6% | 102.3% | ||
| Q2 25 | 0.8% | 142.8% | ||
| Q1 25 | 0.9% | 208.5% | ||
| Q4 24 | 1.3% | 141.7% | ||
| Q3 24 | 1.3% | 154.4% | ||
| Q2 24 | 1.7% | 144.6% | ||
| Q1 24 | 1.8% | 105.6% |
| Q4 25 | — | — | ||
| Q3 25 | 38.77× | — | ||
| Q2 25 | 1.86× | — | ||
| Q1 25 | — | 3.19× | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | 8.85× | ||
| Q1 24 | — | 3.58× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
