AdCare Health Systems (NYSE: ADK) and Almost Family (NASDAQ:AFAM) are both small-cap healthcare companies, but which is the better business? We will compare the two companies based on the strength of their earnings, institutional ownership, dividends, profitabiliy, analyst recommendations, risk and valuation.

Insider & Institutional Ownership

82.7% of Almost Family shares are owned by institutional investors. 13.1% of Almost Family shares are owned by company insiders. Strong institutional ownership is an indication that large money managers, endowments and hedge funds believe a company will outperform the market over the long term.

Analyst Recommendations

This is a breakdown of current recommendations and price targets for AdCare Health Systems and Almost Family, as reported by MarketBeat.

Sell Ratings Hold Ratings Buy Ratings Strong Buy Ratings Rating Score
AdCare Health Systems 0 0 0 0 N/A
Almost Family 0 2 2 0 2.50

Almost Family has a consensus price target of $60.50, indicating a potential upside of 5.22%. Given Almost Family’s higher possible upside, analysts plainly believe Almost Family is more favorable than AdCare Health Systems.

Valuation and Earnings

This table compares AdCare Health Systems and Almost Family’s gross revenue, earnings per share (EPS) and valuation.

Gross Revenue Price/Sales Ratio EBITDA Earnings Per Share Price/Earnings Ratio
AdCare Health Systems $26.39 million 0.78 $10.75 million N/A N/A
Almost Family $671.16 million 1.09 $41.65 million $1.61 35.71

Almost Family has higher revenue and earnings than AdCare Health Systems.


This table compares AdCare Health Systems and Almost Family’s net margins, return on equity and return on assets.

Net Margins Return on Equity Return on Assets
AdCare Health Systems -8.79% N/A -1.91%
Almost Family 2.59% 7.67% 4.37%


Almost Family beats AdCare Health Systems on 10 of the 10 factors compared between the two stocks.

AdCare Health Systems Company Profile

AdCare Health Systems, Inc., through its subsidiaries, is a self-managed real estate investment company that invests in real estate purposed for long-term care and senior living. The Company’s business principally consists of leasing and subleasing such facilities to third-party tenants, which operate the facilities. The Company owns, leases, or manages for third parties approximately 40 facilities mainly in the Southeast. Its portfolio consists of over 30 skilled nursing facilities, approximately two assisted living facilities and an independent living facility. The Company’s facilities provide a range of healthcare and related services to patients and residents, including skilled nursing and assisted living services, social services, various therapy services, and other rehabilitative and healthcare services for both long-term and short-stay patients and residents.

Almost Family Company Profile

Almost Family, Inc. is a provider of home healthcare services. The Company has two divisions: Home Health and Healthcare Innovations (HCI). The Home Health division consists of two segments: Visiting Nurse Services (VN or Visiting Nurse) and Personal Care Services (PC or Personal Care). The VN segment provides a range of Medicare-certified home health nursing services to patients in need of recuperative care, following a period of hospitalization or care in another type of inpatient facility. The PC segment provides services in patients’ homes primarily on an as-needed, hourly basis. These services include personal care, medication management, meal preparation, caregiver respite and homemaking. The HCI segment includes its developmental activity outside of the home health business platform. HCI activities include technology, information, population health management, risk-sharing, enhanced patient engagement and informed clinical decision making.

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