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Stock comparison · Signal date 2026-11-06

ALHC vs TRUP: stock comparison and AI forecast

Alignment Healthcare, Inc. (ALHC) and Trupanion, Inc. (TRUP) compared on price performance, valuation, profitability and the daily AI forecast. · Alpha · vs market

Share
Nasdaq · Hospital & Medical Service Plans

ALHC Alignment Healthcare, Inc.

Price
$7.34 -59.8% · 6M
Market Cap
$1.54B
P/E Ratio
–
Size
small-cap
AI Forecast
Full analysis →
Nasdaq · Hospital & Medical Service Plans

TRUP Trupanion, Inc.

Price
$36.75 +43.6% · 6M
Market Cap
$1.61B
P/E Ratio
69.3x
Size
small-cap
AI Forecast
Full analysis →
Model output

Which one does the AI model favor?

Intratio's model scores both stocks every trading day. Sign in to see their current direction; the exact ratings and forecasts come with a plan or a free follow slot.

6M · 2026-05-07 → 2026-11-06

Six-month price performance

Closing prices rebased to 100 at the start of the window.

5075100125
ALHC -59.8% TRUP +43.6%
ALHC · TRUP

Key facts

  • ALHC and TRUP have similar market capitalizations ($1.54B and $1.61B).
  • Over the last six months TRUP returned +43.6% and ALHC -59.8%.
  • ALHC carries 3.68 times debt per unit of equity, against 1.31 times for TRUP.
  • Both companies share the SEC industry classification Hospital & Medical Service Plans.
Fundamentals

Fundamentals side by side

Trailing twelve months.

Valuation & Market

MetricALHCTRUP
Market Cap$1.54B$1.61B
P/E Ratio–69.34x
P/B Ratio5.54x4.04x
EPS$-0.06$0.53
Book Value/Share$1.32$9.10
Revenue/Share$23.62$35.54
FCF/Share$0.37$1.98

Profitability & Margins

MetricALHCTRUP
ROE–6.7%
ROA–2.9%
ROIC7.2%5.4%
Gross Margin–16.8%
Operating Margin0.9%1.8%
Net Margin–1.7%
EBT Margin0.6%1.9%
Tax Rate-7.3%10.9%

Financial Health

MetricALHCTRUP
Current Ratio1.71x1.74x
D/E Ratio3.68x1.31x
Financial Leverage4.68x2.31x
Interest Coverage–5.2x
Working Capital$489M$304M

Cash Flow

MetricALHCTRUP
Operating Cash Flow$108M$96M
Free Cash Flow$77M$87M
Capital Spending-$31M-$9M
OCF Growth YoY-40.5%13.8%
FCF Growth YoY-48.8%20.7%
FCF/Sales1.6%5.6%
CapEx/Sales0.6%0.6%

Operational Efficiency

MetricALHCTRUP
Asset Turnover3.81x1.69x
Receivables Turnover20.4x–
Fixed Assets Turnover74.4x15.5x
Days Sales Outstanding18 days–
Payables Period–4 days

Income Statement

MetricALHCTRUP
Total Revenue$4.94B$1.56B
Operating Income$44M$28M
Net Income–$27M
SG&A Expense$514M$241M
Cost of Goods Sold–$1.30B

Dividend & Shareholder Information

MetricALHCTRUP
Shares Outstanding209M44M
Net Income Growth–72.2%
FAQ

ALHC vs TRUP: stock comparison and AI forecast

Which is bigger, ALHC or TRUP?

ALHC and TRUP have similar market capitalizations ($1.54B and $1.61B).

Which stock performed better over the last six months, ALHC or TRUP?

Over the last six months TRUP returned +43.6% and ALHC -59.8%.

Which one does Intratio's AI model rank higher, ALHC or TRUP?

Intratio's model scores both stocks every trading day. Sign in to see their current direction; the exact ratings and forecasts come with a plan or a free follow slot.

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This analysis is generated automatically using our proprietary AI systems and should not be considered personalized investment advice. Past performance does not guarantee future results. Always conduct your own research and consider consulting a financial advisor before making investment decisions.