Genesis Healthcare (NYSE: GEN) and Five Star Quality Care (NASDAQ:FVE) are both small-cap medical companies, but which is the better investment? We will contrast the two businesses based on the strength of their dividends, profitability, risk, earnings, analyst recommendations, institutional ownership and valuation.

Insider & Institutional Ownership

15.7% of Genesis Healthcare shares are owned by institutional investors. Comparatively, 20.1% of Five Star Quality Care shares are owned by institutional investors. 57.6% of Genesis Healthcare shares are owned by company insiders. Comparatively, 39.8% of Five Star Quality Care shares are owned by company insiders. Strong institutional ownership is an indication that large money managers, endowments and hedge funds believe a stock is poised for long-term growth.

Profitability

This table compares Genesis Healthcare and Five Star Quality Care’s net margins, return on equity and return on assets.

Net Margins Return on Equity Return on Assets
Genesis Healthcare -8.58% N/A -3.07%
Five Star Quality Care -1.83% -18.10% -5.59%

Valuation & Earnings

This table compares Genesis Healthcare and Five Star Quality Care’s top-line revenue, earnings per share (EPS) and valuation.

Gross Revenue Price/Sales Ratio NetIncome Earnings Per Share Price/Earnings Ratio
Genesis Healthcare $5.73 billion 0.02 -$64.01 million ($4.95) -0.18
Five Star Quality Care $1.38 billion 0.06 -$21.81 million ($0.51) -3.43

Five Star Quality Care has higher revenue, but lower earnings than Genesis Healthcare. Five Star Quality Care is trading at a lower price-to-earnings ratio than Genesis Healthcare, indicating that it is currently the more affordable of the two stocks.

Analyst Ratings

This is a breakdown of current ratings and recommmendations for Genesis Healthcare and Five Star Quality Care, as reported by MarketBeat.com.

Sell Ratings Hold Ratings Buy Ratings Strong Buy Ratings Rating Score
Genesis Healthcare 0 1 1 0 2.50
Five Star Quality Care 0 0 2 0 3.00

Genesis Healthcare presently has a consensus target price of $2.00, indicating a potential upside of 122.22%. Five Star Quality Care has a consensus target price of $3.88, indicating a potential upside of 121.43%. Given Genesis Healthcare’s higher possible upside, analysts plainly believe Genesis Healthcare is more favorable than Five Star Quality Care.

Risk & Volatility

Genesis Healthcare has a beta of 1.31, meaning that its share price is 31% more volatile than the S&P 500. Comparatively, Five Star Quality Care has a beta of 1.02, meaning that its share price is 2% more volatile than the S&P 500.

Summary

Five Star Quality Care beats Genesis Healthcare on 7 of the 13 factors compared between the two stocks.

Genesis Healthcare Company Profile

Genesis Healthcare, Inc. is a holding company that provides post-acute care. The Company operates through three segments: inpatient services, which includes the operation of skilled nursing facilities and assisted or senior living facilities; rehabilitation therapy services, which includes its integrated and third-party rehabilitation and respiratory therapy services, and all other services. As of December 31, 2016, the Company offered inpatient services through its network of 499 skilled nursing and assisted/senior living facilities across 34 states, consisting of 473 skilled nursing facilities and 26 stand-alone assisted/senior living facilities. Its services focus primarily on the medical and physical issues facing elderly patients and are provided by its skilled nursing companies, assisted or senior living communities, integrated and third-party rehabilitation therapy business, and other ancillary services.

Five Star Quality Care Company Profile

Five Star Senior Living Inc., formerly Five Star Quality Care, Inc., operates senior living communities, including independent living communities, assisted living communities and skilled nursing facilities (SNFs). The Company’s segments include senior living communities and rehabilitation and wellness. In the senior living communities segment, the Company operates for its own account or manage for the account of others independent living communities, assisted living communities and SNFs that are subject to centralized oversight and provide housing and services to elderly residents. In the rehabilitation and wellness segment, the Company provides services in the inpatient setting and in outpatient clinics. As of December 31, 2016, the Company operated 283 senior living communities located in 32 states with 31,830 living units, including 253 primarily independent and assisted living communities with 29,229 living units and 30 SNFs with 2,601 living units.

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