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

Alignment Healthcare, Inc. is the larger business by last-quarter revenue ($1.0B vs $376.9M, roughly 2.7× TRUPANION, INC.). On growth, Alignment Healthcare, Inc. posted the faster year-over-year revenue change (44.4% vs 11.7%). TRUPANION, INC. produced more free cash flow last quarter ($25.3M vs $-55.4M). Over the past eight quarters, Alignment Healthcare, Inc.'s revenue compounded faster (26.9% CAGR vs 11.0%).

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.

Trupanion, Inc. is a pet insurance provider headquartered in Seattle, Washington. Established in 1998, Trupanion operates across the United States, Canada, Australia, and Puerto Rico. The company offers coverage for pets and is self-underwritten by the American Pet Insurance Company (APIC).

ALHC vs TRUP — Head-to-Head

Bigger by revenue
ALHC
ALHC
2.7× larger
ALHC
$1.0B
$376.9M
TRUP
Growing faster (revenue YoY)
ALHC
ALHC
+32.7% gap
ALHC
44.4%
11.7%
TRUP
More free cash flow
TRUP
TRUP
$80.7M more FCF
TRUP
$25.3M
$-55.4M
ALHC
Faster 2-yr revenue CAGR
ALHC
ALHC
Annualised
ALHC
26.9%
11.0%
TRUP

Income Statement — Q4 2025 vs Q4 2025

Metric
ALHC
ALHC
TRUP
TRUP
Revenue
$1.0B
$376.9M
Net Profit
$-11.0M
Gross Margin
17.3%
Operating Margin
-1.0%
1.9%
Net Margin
-1.1%
Revenue YoY
44.4%
11.7%
Net Profit YoY
64.6%
EPS (diluted)
$-0.04
$0.13

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
TRUP
TRUP
Q4 25
$1.0B
$376.9M
Q3 25
$993.7M
$366.9M
Q2 25
$1.0B
$353.6M
Q1 25
$926.9M
$342.0M
Q4 24
$701.2M
$337.3M
Q3 24
$692.4M
$327.5M
Q2 24
$681.3M
$314.8M
Q1 24
$628.6M
$306.1M
Net Profit
ALHC
ALHC
TRUP
TRUP
Q4 25
$-11.0M
Q3 25
$3.7M
Q2 25
$15.7M
Q1 25
$-9.1M
Q4 24
$-31.1M
Q3 24
$-26.4M
Q2 24
$-24.0M
Q1 24
$-46.5M
Gross Margin
ALHC
ALHC
TRUP
TRUP
Q4 25
17.3%
Q3 25
16.4%
Q2 25
15.5%
Q1 25
14.9%
Q4 24
15.7%
Q3 24
15.1%
Q2 24
12.8%
Q1 24
11.8%
Operating Margin
ALHC
ALHC
TRUP
TRUP
Q4 25
-1.0%
1.9%
Q3 25
0.8%
1.6%
Q2 25
2.2%
0.7%
Q1 25
-0.6%
-0.4%
Q4 24
-3.2%
0.1%
Q3 24
-2.8%
0.5%
Q2 24
-2.7%
-1.7%
Q1 24
-6.5%
-2.0%
Net Margin
ALHC
ALHC
TRUP
TRUP
Q4 25
-1.1%
Q3 25
0.4%
Q2 25
1.5%
Q1 25
-1.0%
Q4 24
-4.4%
Q3 24
-3.8%
Q2 24
-3.5%
Q1 24
-7.4%
EPS (diluted)
ALHC
ALHC
TRUP
TRUP
Q4 25
$-0.04
$0.13
Q3 25
$0.02
$0.13
Q2 25
$0.07
$0.22
Q1 25
$-0.05
$-0.03
Q4 24
$-0.15
$0.04
Q3 24
$-0.14
$0.03
Q2 24
$-0.13
$-0.14
Q1 24
$-0.25
$-0.16

Balance Sheet & Financial Strength

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

Metric
ALHC
ALHC
TRUP
TRUP
Cash + ST InvestmentsLiquidity on hand
$604.2M
$370.7M
Total DebtLower is stronger
$323.2M
$101.8M
Stockholders' EquityBook value
$179.3M
$383.9M
Total Assets
$1.1B
$915.0M
Debt / EquityLower = less leverage
1.80×
0.27×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALHC
ALHC
TRUP
TRUP
Q4 25
$604.2M
$370.7M
Q3 25
$644.1M
$348.5M
Q2 25
$503.8M
$319.6M
Q1 25
$479.5M
$321.8M
Q4 24
$470.6M
$307.4M
Q3 24
$381.0M
$293.1M
Q2 24
$363.7M
$277.2M
Q1 24
$301.7M
$275.2M
Total Debt
ALHC
ALHC
TRUP
TRUP
Q4 25
$323.2M
$101.8M
Q3 25
$322.7M
Q2 25
$322.3M
Q1 25
$321.9M
Q4 24
$321.4M
$127.5M
Q3 24
$212.0M
Q2 24
$211.7M
Q1 24
$162.0M
Stockholders' Equity
ALHC
ALHC
TRUP
TRUP
Q4 25
$179.3M
$383.9M
Q3 25
$161.9M
$368.6M
Q2 25
$141.0M
$355.5M
Q1 25
$108.1M
$333.7M
Q4 24
$99.9M
$323.3M
Q3 24
$114.5M
$320.2M
Q2 24
$123.7M
$305.8M
Q1 24
$130.9M
$303.4M
Total Assets
ALHC
ALHC
TRUP
TRUP
Q4 25
$1.1B
$915.0M
Q3 25
$1.1B
$880.2M
Q2 25
$1.0B
$847.8M
Q1 25
$895.6M
$837.2M
Q4 24
$782.1M
$806.9M
Q3 24
$692.3M
$816.1M
Q2 24
$716.3M
$795.9M
Q1 24
$633.2M
$789.5M
Debt / Equity
ALHC
ALHC
TRUP
TRUP
Q4 25
1.80×
0.27×
Q3 25
1.99×
Q2 25
2.29×
Q1 25
2.98×
Q4 24
3.22×
0.39×
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
TRUP
TRUP
Operating Cash FlowLast quarter
$-50.4M
$29.3M
Free Cash FlowOCF − Capex
$-55.4M
$25.3M
FCF MarginFCF / Revenue
-5.5%
6.7%
Capex IntensityCapex / Revenue
0.5%
1.0%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$113.1M
$75.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALHC
ALHC
TRUP
TRUP
Q4 25
$-50.4M
$29.3M
Q3 25
$144.6M
$29.2M
Q2 25
$29.1M
$15.0M
Q1 25
$16.6M
$16.0M
Q4 24
$-8.7M
$23.7M
Q3 24
$26.2M
$15.3M
Q2 24
$23.5M
$6.9M
Q1 24
$-6.2M
$2.4M
Free Cash Flow
ALHC
ALHC
TRUP
TRUP
Q4 25
$-55.4M
$25.3M
Q3 25
$139.1M
$23.9M
Q2 25
$21.1M
$12.0M
Q1 25
$8.4M
$14.0M
Q4 24
$-18.0M
$21.8M
Q3 24
$16.9M
$13.4M
Q2 24
$11.8M
$4.0M
Q1 24
$-17.4M
$-631.0K
FCF Margin
ALHC
ALHC
TRUP
TRUP
Q4 25
-5.5%
6.7%
Q3 25
14.0%
6.5%
Q2 25
2.1%
3.4%
Q1 25
0.9%
4.1%
Q4 24
-2.6%
6.5%
Q3 24
2.4%
4.1%
Q2 24
1.7%
1.3%
Q1 24
-2.8%
-0.2%
Capex Intensity
ALHC
ALHC
TRUP
TRUP
Q4 25
0.5%
1.0%
Q3 25
0.6%
1.4%
Q2 25
0.8%
0.8%
Q1 25
0.9%
0.6%
Q4 24
1.3%
0.6%
Q3 24
1.3%
0.6%
Q2 24
1.7%
0.9%
Q1 24
1.8%
1.0%
Cash Conversion
ALHC
ALHC
TRUP
TRUP
Q4 25
Q3 25
38.77×
Q2 25
1.86×
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

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