Alliance HealthCare Services (NASDAQ: AIQ) and Cogentix Medical (NASDAQ:CGNT) are both small-cap medical companies, but which is the superior investment? We will compare the two companies based on the strength of their valuation, profitabiliy, dividends, analyst recommendations, earnings, institutional ownership and risk.
Earnings and Valuation
This table compares Alliance HealthCare Services and Cogentix Medical’s gross revenue, earnings per share and valuation.
| Gross Revenue | Price/Sales Ratio | EBITDA | Earnings Per Share | Price/Earnings Ratio | |
| Alliance HealthCare Services | $511.76 million | 0.28 | $127.82 million | $0.09 | 147.22 |
| Cogentix Medical | $52.59 million | 2.36 | $2.88 million | ($0.52) | -3.94 |
Alliance HealthCare Services has higher revenue and earnings than Cogentix Medical. Cogentix Medical is trading at a lower price-to-earnings ratio than Alliance HealthCare Services, indicating that it is currently the more affordable of the two stocks.
Analyst Ratings
This is a summary of recent ratings and recommmendations for Alliance HealthCare Services and Cogentix Medical, as reported by MarketBeat.
| Sell Ratings | Hold Ratings | Buy Ratings | Strong Buy Ratings | Rating Score | |
| Alliance HealthCare Services | 0 | 0 | 0 | 0 | N/A |
| Cogentix Medical | 0 | 0 | 1 | 0 | 3.00 |
Volatility and Risk
Alliance HealthCare Services has a beta of 0.66, indicating that its share price is 34% less volatile than the S&P 500. Comparatively, Cogentix Medical has a beta of 0.63, indicating that its share price is 37% less volatile than the S&P 500.
Insider and Institutional Ownership
28.0% of Alliance HealthCare Services shares are owned by institutional investors. Comparatively, 12.8% of Cogentix Medical shares are owned by institutional investors. 54.8% of Alliance HealthCare Services shares are owned by insiders. Comparatively, 35.5% of Cogentix Medical shares are owned by insiders. Strong institutional ownership is an indication that endowments, hedge funds and large money managers believe a company will outperform the market over the long term.
Profitability
This table compares Alliance HealthCare Services and Cogentix Medical’s net margins, return on equity and return on assets.
| Net Margins | Return on Equity | Return on Assets | |
| Alliance HealthCare Services | 0.24% | -39.98% | 1.74% |
| Cogentix Medical | -42.47% | -22.70% | -14.32% |
Summary
Alliance HealthCare Services beats Cogentix Medical on 8 of the 11 factors compared between the two stocks.
About Alliance HealthCare Services
Alliance HealthCare Services, Inc. (Alliance) is a provider of outsourced healthcare services to hospitals and providers. The Company operates through three segments: Radiology Division, Oncology Division and Interventional Healthcare Services Division. The radiology segment comprises diagnostic imaging services, including magnetic resonance imaging (MRI), positron emission tomography/computed tomography (PET/CT) and other imaging services. The radiology segment also comprises radiation oncology services. The interventional healthcare services segment provides interventional healthcare through therapeutic minimally invasive pain management procedures medical management, laboratory testing and other services. The Company operates freestanding outpatient radiology, oncology and interventional clinics, and Ambulatory Surgical Centers (ASC) that are not owned by hospitals or providers. It operates over 560 diagnostic imaging and radiation therapy systems.
About Cogentix Medical
Cogentix Medical, Inc. is a global medical device company. The Company designs, develops, manufactures and markets a line of fiber-optic and video endoscopy products under the PrimeSight brand that are used across various surgical specialties in diagnostic and treatment procedures. The Company also offers the Urgent PC Neuromodulation System (Urgent PC Systems), a device that delivers percutaneous tibial nerve stimulation (PTNS), for the office-based treatment of overactive bladder (OAB). The Company also offers Macroplastique Implants, an injectable urethral bulking agent for the treatment of adult female stress urinary incontinence that is primarily due to intrinsic sphincter deficiency. The PrimeSight flexible endoscopes are used in conjunction with the sterile, single-use microbial barrier known as the EndoSheath Protective Barrier. The PrimeSight endoscopy line also includes rigid endoscopes and portable peripherals, such as the video system and stroboscopy unit.
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