American Shared Hospital Services (AMS) vs Adcare Health Systems Inc (RHEP)

American Shared Hospital Services and Adcare Health Systems Inc are both Medical Care Facilities companies. American Shared Hospital Services is the larger, with a market value of $9.7M against $5.2M — 1.9× the size. American Shared Hospital Services has negative trailing earnings, so its P/E is not meaningful; Adcare Health Systems Inc trades at 0.6×. Adcare Health Systems Inc grew revenue faster over the last twelve months: 200.5% against 3.97%. Adcare Health Systems Inc has the higher net margin (5.42% vs −5.83%) and the higher return on invested capital (2.35% vs −6.34%). Across the 19 metrics below, Adcare Health Systems Inc leads on 13 and American Shared Hospital Services on 6.

Valuation

Metric AMS RHEP Medical Care Facilities median
P/E n/m 0.64 19.16
P/S 0.32 0.05 0.90
P/B 0.38 n/m 2.91
Price to free cash flow 2.78 0.67 12.62
EV/EBITDA 8.68 9.58 10.06
EV/Sales 0.92 0.53 1.35
Earnings yield (17.48%) 156.73% 2.30%
Free cash flow yield 35.97% 148.27% 4.14%

Profitability

Metric AMS RHEP Medical Care Facilities median
Gross margin 17.14% 29.91% 30.78%
Operating margin (7.44%) 1.93% 5.74%
Net margin (5.83%) 5.42% 2.32%
Free cash flow margin 11.62% 7.43% 5.46%
Return on equity (6.49%) (21.71%) 8.76%
Return on assets (3.06%) 6.90% 2.18%
Return on invested capital (6.34%) 2.35% 5.40%

Growth

Metric AMS RHEP Medical Care Facilities median
Revenue growth (TTM) 3.97% 200.47% 7.12%
EPS growth (last fiscal year) (169.70%) 163.01% —
Revenue growth, 5-year CAGR 9.50% 24.77% 9.58%
Net income growth, 5-year CAGR 0.00% 0.00% 0.00%

Health

Metric AMS RHEP Medical Care Facilities median
Debt to equity 0.63 14.29 0.30
Current ratio 0.77 0.65 1.22
Net debt to EBITDA 3.55 9.87 1.32

Dividend

Metric AMS RHEP Medical Care Facilities median
Dividend yield 2.78% — 0.85%
Payout ratio 0.00 0.00 0.00

Size

Metric AMS RHEP Medical Care Facilities median
Market cap 9.71m 5.21m 1.34b

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