The Filing Desk

Alignment Healthcare vs Labcorp

Alignment Healthcare ALHC · Labcorp LH · Health Care Services

Labcorp reported revenue of $14.0 billion in fiscal 2025, 3.5 times Alignment Healthcare's $3.9 billion in fiscal 2025. Alignment Healthcare's revenue grew 46.1% in its latest year, and Labcorp's grew 7.2%. Alignment Healthcare had an operating margin of 0.4%, against 9.9% at Labcorp. Free cash flow was $113 million at Alignment Healthcare and $1.2 billion at Labcorp.

Side by side

Alignment HealthcareLabcorp
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$3.9B$14.0B
Revenue growth46.1%7.2%
Revenue growth a year, last 5 years32.7%−0.0%
Gross margin—28.8%
Operating margin0.4%9.9%
Net margin−0.0%6.3%
Free cash flow$113M$1.2B
Free cash flow margin2.9%8.6%
Return on capital—8.2%
Net debt to EBITDA−6.2x2.5x
Dividends and buybacks$0M$691M
Change in diluted share count3.8%−0.7%
Last close$7.89$329.90
P/E at the last close41.5×27.3×
Insider trades, last 12 monthsbought $197,627, sold $314.3 millionsold $13.7 million
Piotroski F-score5 of 87 of 9
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
Alignment HealthcareLabcorp
Operating margin
Percent of revenue
Alignment HealthcareLabcorp
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Alignment HealthcareLabcorp

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Alignment Healthcare and Labcorp pages.