Apollo Medical Holdings Inc (NASDAQ:AMEH): Can It Deliver A Superior ROE To The Industry?

This analysis is intended to introduce important early concepts to people who are starting to invest and want to begin learning the link between company’s fundamentals and stock market performance.

Apollo Medical Holdings Inc (NASDAQ:AMEH) performed in line with its healthcare services industry on the basis of its ROE – producing a return of 13.79% relative to the peer average of 13.81% over the past 12 months. But what is more interesting is whether AMEH can sustain or improve on this level of return. Metrics such as financial leverage can impact the level of ROE which in turn can affect the sustainability of AMEH’s returns. Let me show you what I mean by this. See our latest analysis for Apollo Medical Holdings

Breaking down Return on Equity

Firstly, Return on Equity, or ROE, is simply the percentage of last years’ earning against the book value of shareholders’ equity. An ROE of 13.79% implies $0.14 returned on every $1 invested, so the higher the return, the better. If investors diversify their portfolio by industry, they may want to maximise their return in the Healthcare Services sector by investing in the highest returning stock. However, this can be deceiving as each company has varying costs of equity and debt levels, which could exaggeratedly push up ROE at the same time as accumulating high interest expense.

Return on Equity = Net Profit ÷ Shareholders Equity

ROE is assessed against cost of equity, which is measured using the Capital Asset Pricing Model (CAPM) – but let’s not dive into the details of that today. For now, let’s just look at the cost of equity number for Apollo Medical Holdings, which is 8.59%. Some of Apollo Medical Holdings’s peers may have a higher ROE but its cost of equity could exceed this return, leading to an unsustainable negative discrepancy i.e. the company spends more than it earns. This is not the case for Apollo Medical Holdings which is reassuring. ROE can be dissected into three distinct ratios: net profit margin, asset turnover, and financial leverage. This is called the Dupont Formula:

Dupont Formula

ROE = profit margin × asset turnover × financial leverage

ROE = (annual net profit ÷ sales) × (sales ÷ assets) × (assets ÷ shareholders’ equity)

ROE = annual net profit ÷ shareholders’ equity

NasdaqCM:AMEH Last Perf July 12th 18
NasdaqCM:AMEH Last Perf July 12th 18

Basically, profit margin measures how much of revenue trickles down into earnings which illustrates how efficient the business is with its cost management. Asset turnover reveals how much revenue can be generated from Apollo Medical Holdings’s asset base. Finally, financial leverage will be our main focus today. It shows how much of assets are funded by equity and can show how sustainable the company’s capital structure is. We can determine if Apollo Medical Holdings’s ROE is inflated by borrowing high levels of debt. Generally, a balanced capital structure means its returns will be sustainable over the long run. We can examine this by looking at Apollo Medical Holdings’s debt-to-equity ratio. Currently the ratio stands at 1.69%, which is very low. This means Apollo Medical Holdings has not taken on leverage, which could explain its below-average ROE. Apollo Medical Holdings still has headroom to take on more leverage in order to grow its returns.

NasdaqCM:AMEH Historical Debt July 12th 18
NasdaqCM:AMEH Historical Debt July 12th 18

Next Steps:

While ROE is a relatively simple calculation, it can be broken down into different ratios, each telling a different story about the strengths and weaknesses of a company. While Apollo Medical Holdings exhibits a weak ROE against its peers, its returns are sufficient enough to cover its cost of equity. Its appropriate level of leverage means investors can be more confident in the sustainability of Apollo Medical Holdings’s return with a possible increase should the company decide to increase its debt levels. ROE is a helpful signal, but it is definitely not sufficient on its own to make an investment decision.

For Apollo Medical Holdings, I’ve put together three pertinent aspects you should further research:

  1. Financial Health: Does it have a healthy balance sheet? Take a look at our free balance sheet analysis with six simple checks on key factors like leverage and risk.
  2. Valuation: What is Apollo Medical Holdings worth today? Is the stock undervalued, even when its growth outlook is factored into its intrinsic value? The intrinsic value infographic in our free research report helps visualize whether Apollo Medical Holdings is currently mispriced by the market.
  3. Other High-Growth Alternatives : Are there other high-growth stocks you could be holding instead of Apollo Medical Holdings? Explore our interactive list of stocks with large growth potential to get an idea of what else is out there you may be missing!