AVAH vs BKD vs BTSG Stock Comparison

Aveanna Healthcare Holdings, Brookdale Senior Living and BrightSpring Health Services Prices as of Nov 3, 2026 Peers: Industry group
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Head to Head

11 decided of 12

BrightSpring Health Services leads on 5 of the 12 questions below (BrightSpring Health Services 5, Aveanna Healthcare Holdings 5, Brookdale Senior Living 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAVAHBKDBTSGLeader
Larger companyMarket capitalisation $3.12B $2.67B $14.45B BTSG
Cheaper on earningsLower P/E, profitable companies only 11.3x -19.3x 35.2x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.6x 345.3x 40.4x AVAH
Faster revenue growthRevenue growth, trailing twelve months +19.5% -4.4% +26.0% BTSG
More profitableNet margin, trailing twelve months 10.6% -4.5% 2.7% AVAH
Better return on capitalReturn on invested capital 17.5% 2.5% 10.0% AVAH
Less leveragedLower net debt / EBITDA 4.1x 8.9x 2.1x BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +41.1% +13.0% +108.5% BTSG
Better 5-year returnAnnualised price return, 5 years +9.9%/yr +9.4%/yr — AVAH
Less volatileAnnualised volatility, 1 year 47.2% 39.1% 45.7% BKD
Higher overall scoreMean of the five percentile scores vs peers 57/100 39/100 66/100 BTSG

Percentile Scorecard

AVAHBKDBTSG

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

AxisAVAHBKDBTSG
Valuation 72 #27 of 95 57 #41 of 95 64 #35 of 95
Growth 89 #11 of 88 35 #58 of 88 93 #7 of 88
Profitability 74 #23 of 87 52 #42 of 87 61 #35 of 87
Financial Health 21 #79 of 100 10 #90 of 100 46 #55 of 100
Shareholder Returns 30 #41 of 58 – 65 #21 of 58
Overall 57 39 66
  • AVAH ranked among 102 companies in Healthcare Providers
  • BKD ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHBKDBTSGSPY
1 month +5.5%-4.6%+15.9% -2.0%
3 months +41.9%-27.2%+11.3% -2.2%
6 months +105.3%-26.2%+35.8% +4.2%
Year to date +62.5%-4.0%+86.5% +10.6%
1 year +41.1%+13.0%+108.5% +10.4%
3 years +803.4%+150.2%— +73.6%
3 years, per year +108.4%+35.8%— +20.2%
5 years +60.4%+56.5%— +61.6%
5 years, per year +9.9%+9.4%— +10.1%
10 years —-13.8%— +261.3%
10 years, per year —-1.5%— +13.7%

Risk

MeasureAVAHBKDBTSGSPY
Volatility, 1Y 47.2%39.1%45.7% 12.8%
Downside volatility, 1Y 42.5%39.2%51.1% 12.8%
Beta vs S&P 500, 1Y 0.600.281.15 1.00
Return / volatility, 1Y 0.870.332.37 0.81
Max drawdown, 5Y -92.3%-69.0%-35.6% -25.4%
From 52-week high -7.6%-38.2%-4.2% -3.2%
52-week high $14.38$16.77$72.91 $779.14
52-week low $6.22$9.11$31.36 $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.

MultipleAVAHBKDBTSG
P/E now vs peer median 10.5xmedian 24.9x -17.9xmedian 24.9x 35.2xmedian 24.9x
P/S now vs peer median 1.1xmedian 1.6x 0.8xmedian 1.6x 0.9xmedian 1.6x
EV/EBITDA now vs peer median 14.1xmedian 15.2x 14.6xmedian 15.2x 22.3xmedian 15.2x
P/FCF now vs peer median 18.3xmedian 20.7x 10,224xmedian 20.7x 28.2xmedian 20.7x
P/B now vs peer median 10.1xmedian 3.2x -85.4xmedian 3.2x 6.4xmedian 3.2x
PEG now vs peer median 0.23median 0.72 2.41median 0.72 —median 0.72

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 monthsAVAHBKDBTSG
Revenue $2.60B $3.05B $15.25B
Gross profit $840.08M $2.93B $1.91B
Operating income $273.93M $106.04M $520.43M
Net income $274.76M -$138.35M $410.46M
Free cash flow $158.38M $242.00K $492.41M
EPS (diluted) $1.22 $-0.57 $1.86
Cash & equivalents $97.20M $370.39M $717.84M
Total debt $1.30B $4.27B $2.18B
Shares (diluted) 224.86M 243.89M 220.23M
Enterprise value $2.49B $1.47B $12.21B

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
MetricAVAHBKDBTSG
P/E 10.5x -17.9x 35.2x
P/FCF 18.3x 10,224x 28.2x
P/Operating cash flow 17.2x 11.1x 23.1x
P/S 1.1x 0.8x 0.9x
P/B 10.1x -85.4x 6.4x
P/Tangible book 15.5x -85.4x 8.2x
EV/EBITDA 14.1x 14.6x 22.3x
EV/EBIT 15.0x 59.9x 29.5x
EV/Revenue 1.6x 2.1x 1.0x
EV/FCF 25.9x 26,266x 31.2x
EV/Operating cash flow 24.4x 28.4x 25.5x
PEG (3Y EPS CAGR) 0.23 2.41 –

Growth

14 metrics
MetricAVAHBKDBTSG
Revenue growth (1Y) 19.5% -4.4% 26.0%
Revenue CAGR (3Y) 12.4% 1.0% –
Gross profit growth (1Y) 15.7% -3.9% 32.0%
Gross profit CAGR (3Y) 14.3% 1.7% –
Operating income growth (1Y) 29.4% 101.6% 114.5%
Operating income CAGR (3Y) 57.3% 4.1% –
Net income growth (1Y) 1,381% 43.0% 219.3%
Net income CAGR (3Y) 48.1% -10.3% –
EPS growth (1Y) 1,286% 45.1% 213.4%
EPS CAGR (3Y) 45.1% -7.4% –
Operating cash flow growth (1Y) 96.2% 2.4% 72.6%
Operating cash flow CAGR (3Y) 112.7% 29.6% –
Free cash flow growth (1Y) 101.7% 100.1% 78.3%
Free cash flow CAGR (3Y) 91.5% 26.0% –

Profitability

14 metrics
MetricAVAHBKDBTSG
Gross margin 32.3% 96.1% 12.5%
EBITDA margin 11.1% 14.3% 4.5%
Operating margin 10.5% 3.5% 3.4%
Pretax margin 5.9% -4.4% 2.5%
Net margin 10.6% -4.5% 2.7%
FCF margin 6.1% 0.0% 3.2%
Operating cash flow margin 6.5% 7.3% 4.0%
Return on equity 104.2% – 19.4%
Return on assets 13.3% -2.3% 6.7%
Return on invested capital 17.5% 2.5% 10.0%
Return on capital employed 16.6% 2.0% 11.8%
Asset turnover 1.3x 0.5x 2.5x
Cash conversion (OCF / net income) 0.6x -1.6x 1.5x
Stock comp / revenue 0.7% 0.4% 0.4%

Financial Health

11 metrics
MetricAVAHBKDBTSG
Debt / assets 61.6% 72.4% 34.8%
Debt / equity 4.5x -147.5x 1.0x
Net debt / EBITDA 4.1x 8.9x 2.1x
Debt / FCF 8.2x 17,655x 4.4x
Liabilities / assets 86.4% 100.5% 65.3%
Equity / assets 13.6% -0.5% 34.7%
Interest coverage 2.2x – 3.6x
Current ratio 1.2x 1.1x 1.6x
Quick ratio 1.1x 0.9x 1.2x
Cash ratio 0.2x 0.7x 0.4x
Altman Z-score 1.94 -0.18 4.98

Shareholder Returns

7 metrics
MetricAVAHBKDBTSG
Dividend yield – – –
Net buyback yield -0.3% – 0.5%
Shareholder yield -0.3% 0.0% 0.5%
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.

ConsensusAVAHBKDBTSG
Forward P/E 15.6xFY2026 345.3xFY2026 40.4xFY2026
EPS, next fiscal year $0.85FY2026 $0.03FY2026 $1.73FY2026
EPS growth, next FY +41.7%FY2026 – +73.0%FY2026
EPS growth, the year after +11.8% +433.3% +42.2%
Revenue, next fiscal year $2.76BFY2026 $2.81BFY2026 $16.01BFY2026
Revenue growth, next FY +13.4%FY2026 -12.0%FY2026 +24.0%FY2026
Revenue growth, the year after +8.7% +3.6% +1.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHBKDBTSG
Held by institutions 92.5% 100.0% 100.0%
Institutions holding 215 293 423
Change in shares held, QoQ +1.8% +5.6% -0.7%
Institutions buying 151 165 309
Institutions selling 52 92 83
Buyers to sellers 2.90 1.79 3.72

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.

AVAHBKDBTSG
AVAH 1.00 0.22 0.27
BKD 0.22 1.00 0.27
BTSG 0.27 0.27 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, BKD and BTSG?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $3.12B, Brookdale Senior Living (BKD) $2.67B, BrightSpring Health Services (BTSG) $14.45B.

Which stock is cheaper, AVAH, BKD and BTSG?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.3x, Brookdale Senior Living (BKD) -19.3x, BrightSpring Health Services (BTSG) 35.2x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.6x, Brookdale Senior Living (BKD) 345.3x, BrightSpring Health Services (BTSG) 40.4x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

BrightSpring Health Services (BTSG) grew revenue fastest over the trailing twelve months: Aveanna Healthcare Holdings (AVAH) +19.5%, Brookdale Senior Living (BKD) -4.4%, BrightSpring Health Services (BTSG) +26.0%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.6%, Brookdale Senior Living (BKD) -4.5%, BrightSpring Health Services (BTSG) 2.7%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 17.5%, Brookdale Senior Living (BKD) 2.5%, BrightSpring Health Services (BTSG) 10.0%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Aveanna Healthcare Holdings (AVAH) +41.1%, Brookdale Senior Living (BKD) +13.0%, BrightSpring Health Services (BTSG) +108.5%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Aveanna Healthcare Holdings (AVAH) +9.9%/yr, Brookdale Senior Living (BKD) +9.4%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Brookdale Senior Living (BKD) has been the steadiest (Aveanna Healthcare Holdings (AVAH) 47.2%, Brookdale Senior Living (BKD) 39.1%, BrightSpring Health Services (BTSG) 45.7%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AVAH, BKD and BTSG?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, BrightSpring Health Services (BTSG) leads on 5. 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.