ALGN vs. ELV: Align vs. Elevance Health Stock Comparison
How do Align (ALGN) and Elevance Health (ELV) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.
Company Profile
Align (ALGN) and Elevance Health (ELV) both fall under the Health Care Equipment & Services industry group, but ALGN is classified in Health Care Equipment & Supplies while ELV is classified in Health Care Providers & Services.
| Profile Item | ALGN | ELV |
|---|---|---|
| Name | Align Technology Inc. | Elevance Health, Inc. |
| Country/Region | United States | United States |
| GICS Sector | Health Care | Health Care |
| GICS Industry Group | Health Care Equipment & Services | Health Care Equipment & Services |
| GICS Industry | Health Care Equipment & Supplies | Health Care Providers & Services |
| GICS Sub-Industry | Health Care Supplies | Managed Health Care |
| Market Capitalization | 11.70 billion USD | 91.96 billion USD |
| Currency | USD | USD |
| Exchange | Nasdaq | NYSE |
| Listing Date | January 30, 2001 | October 30, 2001 |
| Security Type | Common Stock | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | ALGN | ELV |
|---|---|---|
| Total Return (1Y) | 27.43% | 35.51% |
| Total Return (3Y, Annualized) | -2.84% | -0.68% |
| Total Return (5Y, Annualized) | -24.73% | 1.10% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
Align (ALGN) has an aggressive beta of 1.67, indicating higher sensitivity to broad-market moves, while Elevance Health (ELV) is defensive at 0.61 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.
| Metric | ALGN | ELV |
|---|---|---|
| Volatility (1Y, Annualized) | 40.49% | 35.05% |
| Beta (5Y) | 1.67 | 0.61 |
| Max Drawdown (5Y) | -82.44% | -50.38% |
| Avg. Volume (3M) | 942.14K | 1.19M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | ALGN | ELV |
|---|---|---|
| Sharpe Ratio (1Y) | 0.57 | 0.89 |
| Sortino Ratio (1Y) | 0.89 | 1.25 |
Profitability
ROE (TTM)
Both Align (ALGN) at 11.91% and Elevance Health (ELV) at 11.48% land near their industries’ usual ROE ranges, so capital efficiency looks broadly in line with peers on both sides.
ALGN
Health Care Equipment & Services industry group
11.91%
- Max
- 47.61%
- Q3
- 14.36%
- ALGN
- 11.91%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
ELV
Health Care Equipment & Services industry group
11.48%
- Max
- 47.61%
- Q3
- 14.36%
- ELV
- 11.48%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Align (ALGN) at 11.83% retains a top-quartile share of revenue as profit, ahead of Elevance Health (ELV) at 2.55%, which keeps about the industry-typical share.
ALGN
Health Care Equipment & Services industry group
11.83%
- Max
- 29.35%
- ALGN
- 11.83%
- Q3
- 9.33%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
ELV
Health Care Equipment & Services industry group
2.55%
- Max
- 29.35%
- Q3
- 9.33%
- ELV
- 2.55%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Align (ALGN) at 20.13% operates in the top operating margin quartile, ahead of Elevance Health (ELV) at 4.22%, which runs around its industry’s norm.
ALGN
Health Care Equipment & Services industry group
20.13%
- Max
- 35.43%
- ALGN
- 20.13%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
ELV
Health Care Equipment & Services industry group
4.22%
- Max
- 35.43%
- Q3
- 14.14%
- Median
- 6.81%
- ELV
- 4.22%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | ALGN | ELV |
|---|---|---|
| ROE (TTM) | 11.91% | 11.48% |
| ROA (TTM) | 8.01% | 4.01% |
| Net Margin (TTM) | 11.83% | 2.55% |
| Operating Margin (TTM) | 20.13% | 4.22% |
| Gross Margin (TTM) | 71.53% | 26.43% |
Growth
Revenue Growth
Elevance Health (ELV) at 12.62% is around its peer norm for revenue growth, while Align (ALGN) at 0.90% drops into the bottom quartile, signaling weaker demand or pricing momentum.
EPS Growth
Both Align (ALGN) at 0.53% and Elevance Health (ELV) at -1.83% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.
Growth Metrics
| Metric | ALGN | ELV |
|---|---|---|
| Revenue Growth (YoY) | 0.90% | 12.62% |
| Revenue Growth (3Y CAGR) | 2.61% | 8.34% |
| EPS Growth (YoY) | 0.53% | -1.83% |
| EPS Growth (3Y CAGR) | 7.02% | 0.53% |
Financial Strength
Current Ratio (MRQ)
Both Align (ALGN) at 1.43 and Elevance Health (ELV) at 1.47 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.
ALGN
Health Care Equipment & Services industry group
1.43
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- ALGN
- 1.43
- Q1
- 1.37
- Min
- 0.30
ELV
Health Care Equipment & Services industry group
1.47
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- ELV
- 1.47
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Align (ALGN) at 0.03 keeps leverage in the lower industry quartile, while Elevance Health (ELV) at 0.69 runs a more typical debt-to-equity mix.
ALGN
Health Care Equipment & Services industry group
0.03
- Max
- 1.88
- Q3
- 0.91
- Median
- 0.58
- Q1
- 0.16
- ALGN
- 0.03
- Min
- 0.00
ELV
Health Care Equipment & Services industry group
0.69
- Max
- 1.88
- Q3
- 0.91
- ELV
- 0.69
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | ALGN | ELV |
|---|---|---|
| Current Ratio (MRQ) | 1.43 | 1.47 |
| Debt / Equity (MRQ) | 0.03 | 0.69 |
| Net Debt / EBITDA | -1.04 | -0.81 |
Dividends
Dividend Yield (TTM)
Align (ALGN) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Elevance Health (ELV) reports a yield of 1.59%, ranking against industry peers normally.
ALGN
Health Care Equipment & Services industry group
0.00%
- ALGN
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
ELV
Health Care Equipment & Services industry group
1.59%
- ELV
- 1.59%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Payout Ratio (TTM)
Align (ALGN) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Elevance Health (ELV) reports a payout of 29.17%, ranking against industry peers normally.
ALGN
Health Care Equipment & Services industry group
0.00%
- ALGN
- 0.00%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
ELV
Health Care Equipment & Services industry group
29.17%
- ELV
- 29.17%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | ALGN | ELV |
|---|---|---|
| Dividend Yield (TTM) | 0.00% | 1.59% |
| Dividend Payout Ratio (TTM) | 0.00% | 29.17% |
Valuation
P/E Ratio (TTM)
Elevance Health (ELV) at 18.07 sits in the cheaper P/E ratio quartile, while Align (ALGN) at 24.20 is closer to its industry’s usual earnings multiple — a discount for ELV, though growth and earnings durability still matter.
ALGN
Health Care Equipment & Services industry group
24.20
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- ALGN
- 24.20
- Q1
- 21.19
- Min
- 4.21
ELV
Health Care Equipment & Services industry group
18.07
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- Q1
- 21.19
- ELV
- 18.07
- Min
- 4.21
P/S Ratio (TTM)
Elevance Health (ELV) at 0.46 sits in the cheaper P/S ratio quartile while Align (ALGN) at 2.81 prices around its industry’s middle — ELV costs less per dollar of sales, though read it alongside growth and margins.
ALGN
Health Care Equipment & Services industry group
2.81
- Max
- 8.80
- Q3
- 4.32
- ALGN
- 2.81
- Median
- 2.13
- Q1
- 1.10
- Min
- 0.03
ELV
Health Care Equipment & Services industry group
0.46
- Max
- 8.80
- Q3
- 4.32
- Median
- 2.13
- Q1
- 1.10
- ELV
- 0.46
- Min
- 0.03
P/B Ratio (MRQ)
On P/B ratio, both Align (ALGN) at 2.73 and Elevance Health (ELV) at 2.06 are valued close to their industries’ norm against book — neither stands out from peers.
ALGN
Health Care Equipment & Services industry group
2.73
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- ALGN
- 2.73
- Q1
- 1.73
- Min
- -1.31
ELV
Health Care Equipment & Services industry group
2.06
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- ELV
- 2.06
- Q1
- 1.73
- Min
- -1.31
Valuation Metrics
| Metric | ALGN | ELV |
|---|---|---|
| P/E Ratio (TTM) | 24.20 | 18.07 |
| P/S Ratio (TTM) | 2.81 | 0.46 |
| P/B Ratio (MRQ) | 2.73 | 2.06 |
| Free Cash Flow Yield (TTM) | 4.90% | 8.69% |