ADUS vs OPCH vs AVAH Stock Comparison

Addus HomeCare, Option Care Health and Aveanna Healthcare Holdings Prices as of Oct 23, 2026 Peers: Industry group
ADUS Addus HomeCare Corp
$121.81 +6.0% 1M +0.9% 1Y
Market cap
$2.21B
P/E
21.0x
Revenue (TTM)
$1.48B
Div. yield
–
Home Health and Senior Care Healthcare
3 wins
OPCH Option Care Health, Inc.
$31.22 +33.8% 1M +11.3% 1Y
Market cap
$4.78B
P/E
22.8x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
1 win

Head to Head

11 decided of 12

Aveanna Healthcare Holdings leads on 7 of the 12 questions below (Aveanna Healthcare Holdings 7, Addus HomeCare 3, Option Care Health 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionADUSOPCHAVAHLeader
Larger companyMarket capitalisation $2.21B $4.78B $2.87B OPCH
Cheaper on earningsLower P/E, profitable companies only 21.0x 22.8x 11.0x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.9x 16.1x 15.7x AVAH
Faster revenue growthRevenue growth, trailing twelve months +15.9% +5.9% +16.8% AVAH
More profitableNet margin, trailing twelve months 7.1% 3.7% 10.2% AVAH
Better return on capitalReturn on invested capital 9.2% 9.9% 18.4% AVAH
Less leveragedLower net debt / EBITDA -0.2x 2.4x 4.0x ADUS
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +0.9% +11.3% +46.7% AVAH
Better 5-year returnAnnualised price return, 5 years +8.2%/yr +3.4%/yr +13.1%/yr AVAH
Less volatileAnnualised volatility, 1 year 29.2% 52.0% 47.7% ADUS
Higher overall scoreMean of the five percentile scores vs peers 69/100 53/100 66/100 ADUS

Percentile Scorecard

ADUSOPCHAVAH

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisADUSOPCHAVAH
Valuation 85 #15 of 93 79 #20 of 93 70 #29 of 93
Growth 61 #35 of 88 23 #68 of 88 84 #15 of 88
Profitability 72 #25 of 87 65 #31 of 87 91 #9 of 87
Financial Health 87 #14 of 100 44 #56 of 100 21 #79 of 100
Shareholder Returns 38 #35 of 56 – –
Overall 69 53 66
  • ADUS ranked among 103 companies in Healthcare Providers
  • OPCH ranked among 103 companies in Healthcare Providers
  • AVAH ranked among 103 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodADUSOPCHAVAHSPY
1 month +6.0%+33.8%+4.6% -1.0%
3 months +6.3%+44.1%+41.6% +2.9%
6 months +27.3%+9.9%+104.3% +6.4%
Year to date +13.4%-2.0%+63.8% +11.4%
1 year +0.9%+11.3%+46.7% +13.1%
3 years +48.1%-5.0%+1,033.9% +79.4%
3 years, per year +14.0%-1.7%+124.8% +21.5%
5 years +48.5%+18.1%+85.3% +67.7%
5 years, per year +8.2%+3.4%+13.1% +10.9%
10 years +360.0%—— +255.2%
10 years, per year +16.5%—— +13.5%

Risk

MeasureADUSOPCHAVAHSPY
Volatility, 1Y 29.2%52.0%47.7% 12.7%
Downside volatility, 1Y 30.8%50.0%43.2% 12.7%
Beta vs S&P 500, 1Y 0.190.050.67 1.00
Return / volatility, 1Y 0.030.220.98 1.03
Max drawdown, 5Y -34.9%-46.7%-92.3% -25.4%
From 52-week high -0.8%-14.7%-7.0% -2.5%
52-week high $122.75$36.59$14.38 $779.14
52-week low $88.49$19.52$6.22 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleADUSOPCHAVAH
P/E now vs peer median 21.2xmedian 25.3x 22.8xmedian 25.3x 11.2xmedian 25.3x
P/S now vs peer median 1.5xmedian 1.6x 0.8xmedian 1.6x 1.1xmedian 1.6x
EV/EBITDA now vs peer median 13.5xmedian 14.6x 13.8xmedian 14.6x 13.7xmedian 14.6x
P/FCF now vs peer median 14.7xmedian 22.7x 15.4xmedian 22.7x —median 22.7x
P/B now vs peer median 2.0xmedian 3.3x 3.7xmedian 3.3x 10.2xmedian 3.3x
PEG now vs peer median 1.06median 0.66 22.06median 0.66 0.25median 0.66

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsADUSOPCHAVAH
Revenue $1.48B $5.69B $2.54B
Gross profit $477.75M $1.09B $845.45M
Operating income $148.23M $333.69M $284.64M
Net income $105.31M $209.58M $260.11M
Free cash flow $154.77M $303.85M –
EPS (diluted) $5.70 $1.37 $1.16
Cash & equivalents $99.57M $193.77M $97.20M
Total debt $424.47M $1.16B $5.19B
Shares (diluted) 18.47M 153.49M 224.86M
Enterprise value $1.83B $3.86B $2.34B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricADUSOPCHAVAH
P/E 21.2x 22.8x 11.2x
P/FCF 14.7x 15.4x –
P/Operating cash flow 14.0x 13.5x –
P/S 1.5x 0.8x 1.1x
P/B 2.0x 3.7x 10.2x
P/Tangible book 2.2x 4.8x 15.6x
EV/EBITDA 13.5x 13.8x 13.7x
EV/EBIT 15.1x 16.9x 14.5x
EV/Revenue 1.5x 1.0x 1.6x
EV/FCF 14.5x 18.6x –
EV/Operating cash flow 13.8x 16.3x –
PEG (3Y EPS CAGR) 1.06 22.06 0.25

Growth

14 metrics
MetricADUSOPCHAVAH
Revenue growth (1Y) 15.9% 5.9% 16.8%
Revenue CAGR (3Y) 13.9% 11.3% 11.6%
Gross profit growth (1Y) 15.1% 2.6% 16.5%
Gross profit CAGR (3Y) 14.9% 5.3% 14.5%
Operating income growth (1Y) 27.5% -0.1% 34.5%
Operating income CAGR (3Y) 23.6% 6.3% 58.3%
Net income growth (1Y) 26.9% -0.8% 1,302%
Net income CAGR (3Y) 25.1% -4.4% 47.1%
EPS growth (1Y) 26.0% 6.1% 1,212%
EPS CAGR (3Y) 19.9% 1.0% 44.2%
Operating cash flow growth (1Y) 61.7% 24.0% –
Operating cash flow CAGR (3Y) 16.4% -3.8% –
Free cash flow growth (1Y) 65.3% 26.0% –
Free cash flow CAGR (3Y) 17.9% -4.7% –

Profitability

14 metrics
MetricADUSOPCHAVAH
Gross margin 32.4% 19.1% 33.2%
EBITDA margin 11.3% 7.2% 11.8%
Operating margin 10.0% 5.9% 11.2%
Pretax margin 9.5% 5.0% 6.0%
Net margin 7.1% 3.7% 10.2%
FCF margin 10.5% 5.3% –
Operating cash flow margin 11.0% 6.1% –
Return on equity 9.3% 16.0% 108.0%
Return on assets 7.3% 6.2% 12.6%
Return on invested capital 9.2% 9.9% 18.4%
Return on capital employed 11.6% 13.0% 17.3%
Asset turnover 1.0x 1.7x 1.2x
Cash conversion (OCF / net income) 1.5x 1.7x –
Stock comp / revenue 1.2% 0.7% –

Financial Health

11 metrics
MetricADUSOPCHAVAH
Debt / assets 4.2% 34.3% 61.6%
Debt / equity 0.1x 0.9x 4.5x
Net debt / EBITDA -0.2x 2.4x 4.0x
Debt / FCF 0.4x 3.8x –
Liabilities / assets 21.2% 62.7% 86.4%
Equity / assets 78.8% 37.3% 13.6%
Interest coverage 14.9x 6.2x 2.2x
Current ratio 1.7x 1.5x 1.2x
Quick ratio 1.5x 1.0x 1.1x
Cash ratio 0.6x 0.2x 0.2x
Altman Z-score 6.38 3.87 1.94

Shareholder Returns

7 metrics
MetricADUSOPCHAVAH
Dividend yield – – –
Net buyback yield -0.1% – –
Shareholder yield -0.1% – –
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusADUSOPCHAVAH
Forward P/E 16.9xFY2026 16.1xFY2026 15.7xFY2026
EPS, next fiscal year $7.20FY2026 $1.94FY2026 $0.85FY2026
EPS growth, next FY +15.6%FY2026 +12.8%FY2026 +41.7%FY2026
EPS growth, the year after +11.1% +12.9% +11.8%
Revenue, next fiscal year $1.57BFY2026 $5.93BFY2026 $2.76BFY2026
Revenue growth, next FY +10.8%FY2026 +5.0%FY2026 +13.4%FY2026
Revenue growth, the year after +5.4% -2.1% +8.7%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersADUSOPCHAVAH
Held by institutions 100.0% 100.0% 92.5%
Institutions holding 303 372 215
Change in shares held, QoQ +0.8% -4.6% +1.8%
Institutions buying 162 212 151
Institutions selling 94 121 52
Buyers to sellers 1.72 1.75 2.90

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ADUSOPCHAVAH
ADUS 1.00 0.25 0.28
OPCH 0.25 1.00 0.13
AVAH 0.28 0.13 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ADUS, OPCH and AVAH?

Option Care Health (OPCH) is the largest by market capitalisation: Addus HomeCare (ADUS) $2.21B, Option Care Health (OPCH) $4.78B, Aveanna Healthcare Holdings (AVAH) $2.87B.

Which stock is cheaper, ADUS, OPCH and AVAH?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Addus HomeCare (ADUS) 21.0x, Option Care Health (OPCH) 22.8x, Aveanna Healthcare Holdings (AVAH) 11.0x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Addus HomeCare (ADUS) 16.9x, Option Care Health (OPCH) 16.1x, Aveanna Healthcare Holdings (AVAH) 15.7x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Aveanna Healthcare Holdings (AVAH) grew revenue fastest over the trailing twelve months: Addus HomeCare (ADUS) +15.9%, Option Care Health (OPCH) +5.9%, Aveanna Healthcare Holdings (AVAH) +16.8%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Addus HomeCare (ADUS) 7.1%, Option Care Health (OPCH) 3.7%, Aveanna Healthcare Holdings (AVAH) 10.2%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Addus HomeCare (ADUS) 9.2%, Option Care Health (OPCH) 9.9%, Aveanna Healthcare Holdings (AVAH) 18.4%).

Which stock has performed better?

Over the past year Aveanna Healthcare Holdings (AVAH) returned the most: Addus HomeCare (ADUS) +0.9%, Option Care Health (OPCH) +11.3%, Aveanna Healthcare Holdings (AVAH) +46.7%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Addus HomeCare (ADUS) +8.2%/yr, Option Care Health (OPCH) +3.4%/yr, Aveanna Healthcare Holdings (AVAH) +13.1%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Addus HomeCare (ADUS) 29.2%, Option Care Health (OPCH) 52.0%, Aveanna Healthcare Holdings (AVAH) 47.7%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ADUS, OPCH and AVAH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Aveanna Healthcare Holdings (AVAH) leads on 7. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.