Alliance HealthCare Services (NASDAQ: AIQ) and Cogentix Medical (NASDAQ:CGNT) are both small-cap medical companies, but which is the better stock? We will compare the two businesses based on the strength of their institutional ownership, analyst recommendations, profitability, earnings, valuation, risk and dividends.


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 -0.29% -63.99% 1.83%
Cogentix Medical -35.88% -15.08% -10.80%

Institutional and Insider Ownership

27.1% of Alliance HealthCare Services shares are owned by institutional investors. Comparatively, 12.4% 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 hedge funds, endowments and large money managers believe a stock will outperform the market over the long term.

Risk & Volatility

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 0.65, indicating that its share price is 35% less volatile than the S&P 500.

Analyst Recommendations

This is a breakdown of recent ratings and target prices for Alliance HealthCare Services and Cogentix Medical, as provided by

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

Valuation & Earnings

This table compares Alliance HealthCare Services and Cogentix Medical’s revenue, earnings per share (EPS) and valuation.

Gross Revenue Price/Sales Ratio EBITDA Earnings Per Share Price/Earnings Ratio
Alliance HealthCare Services $523.71 million 0.27 $131.51 million ($0.17) -76.76
Cogentix Medical $53.65 million 2.50 $3.20 million ($0.41) -5.46

Alliance HealthCare Services has higher revenue and earnings than Cogentix Medical. Alliance HealthCare Services is trading at a lower price-to-earnings ratio than Cogentix Medical, indicating that it is currently the more affordable of the two stocks.


Alliance HealthCare Services beats Cogentix Medical on 8 of the 11 factors compared between the two stocks.

Alliance HealthCare Services Company Profile

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.

Cogentix Medical Company Profile

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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