American Shared Hospital Services (AMS) vs Syra Health Corp. (SYRA)

American Shared Hospital Services and Syra Health Corp. are both Medical Care Facilities companies. American Shared Hospital Services is the larger, with a market value of $7.8M against $1.1M — 7.3× the size. American Shared Hospital Services has negative trailing earnings, so its P/E is not meaningful; Syra Health Corp. trades at 14.7×. Syra Health Corp. grew revenue faster over the last twelve months: 19.5% against 3.97%. Syra Health Corp. has the higher net margin (7.83% vs −5.83%) and the higher return on invested capital (59.2% vs −6.34%). Across the 19 metrics below, Syra Health Corp. leads on 12 and American Shared Hospital Services on 7.

Valuation

Metric AMS SYRA Medical Care Facilities median
P/E n/m 14.73 18.73
P/S 0.26 1.27 0.94
P/B 0.31 3.76 3.06
Price to free cash flow 2.27 16.69 15.79
EV/EBITDA 8.13 17.54 11.42
EV/Sales 0.86 1.20 1.31
Earnings yield (21.37%) 6.79% 3.53%
Free cash flow yield 43.97% 5.99% 5.56%

Profitability

Metric AMS SYRA Medical Care Facilities median
Gross margin 17.14% 42.57% 30.56%
Operating margin (7.44%) 6.77% 6.62%
Net margin (5.83%) 7.83% 3.08%
Free cash flow margin 11.62% 7.66% 7.22%
Return on equity (6.49%) 26.80% 6.41%
Return on assets (3.06%) 18.73% 2.78%
Return on invested capital (6.34%) 59.24% 7.44%

Growth

Metric AMS SYRA Medical Care Facilities median
Revenue growth (TTM) 3.97% 19.48% 6.38%
EPS growth (last fiscal year) (169.70%) 84.00% 21.70%
Revenue growth, 5-year CAGR 9.50% — 9.94%
Net income growth, 5-year CAGR 0.00% — 0.00%

Health

Metric AMS SYRA Medical Care Facilities median
Debt to equity 0.63 0.00 0.22
Current ratio 0.77 3.47 1.30
Net debt to EBITDA 3.55 1.83 1.32

Dividend

Metric AMS SYRA Medical Care Facilities median
Dividend yield — — 0.58%
Payout ratio — — 0.12

Size

Metric AMS SYRA Medical Care Facilities median
Market cap 7.78m 1.07m 1.64b

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