AVAH vs BKD vs ENSG Stock Comparison

Aveanna Healthcare Holdings, Brookdale Senior Living and Ensign Prices as of Oct 28, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$184.11 +4.4% 1M -0.8% 1Y
Market cap
$10.77B
P/E
27.0x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins

Head to Head

11 decided of 12

Aveanna Healthcare Holdings leads on 6 of the 12 questions below (Aveanna Healthcare Holdings 6, Ensign 5). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAVAHBKDENSGLeader
Larger companyMarket capitalisation $2.88B $2.45B $10.77B ENSG
Cheaper on earningsLower P/E, profitable companies only 11.1x -17.7x 27.0x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.4x 332.3x 22.2x AVAH
Faster revenue growthRevenue growth, trailing twelve months +16.8% -4.4% +17.5% ENSG
More profitableNet margin, trailing twelve months 10.2% -4.5% 7.0% AVAH
Better return on capitalReturn on invested capital 18.4% 2.5% 14.3% AVAH
Less leveragedLower net debt / EBITDA 4.0x 8.9x -0.3x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +33.1% +12.9% -0.8% AVAH
Better 5-year returnAnnualised price return, 5 years +11.1%/yr +8.9%/yr +18.8%/yr ENSG
Less volatileAnnualised volatility, 1 year 47.8% 39.2% 29.3% ENSG
Higher overall scoreMean of the five percentile scores vs peers 68/100 41/100 64/100 AVAH

Percentile Scorecard

AVAHBKDENSG

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

AxisAVAHBKDENSG
Valuation 71 #27 of 92 63 #35 of 92 69 #29 of 92
Growth 84 #15 of 87 35 #57 of 87 63 #33 of 87
Profitability 94 #6 of 86 55 #39 of 86 75 #22 of 86
Financial Health 21 #77 of 97 10 #87 of 97 72 #28 of 97
Shareholder Returns – – 43 #32 of 55
Overall 68 41 64
  • AVAH ranked among 102 companies in Healthcare Providers
  • BKD ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHBKDENSGSPY
1 month +2.9%-9.8%+4.4% +0.9%
3 months +33.9%-32.9%+1.2% +5.9%
6 months +99.4%-29.2%-1.2% +8.5%
Year to date +59.9%-7.6%+5.7% +13.3%
1 year +33.1%+12.9%-0.8% +12.4%
3 years +988.3%+153.7%+89.2% +88.1%
3 years, per year +121.7%+36.4%+23.7% +23.5%
5 years +69.2%+53.4%+136.0% +68.2%
5 years, per year +11.1%+8.9%+18.8% +11.0%
10 years —-32.0%+980.5% +263.4%
10 years, per year —-3.8%+26.9% +13.8%

Risk

MeasureAVAHBKDENSGSPY
Volatility, 1Y 47.8%39.2%29.3% 12.7%
Downside volatility, 1Y 43.2%39.2%24.9% 12.7%
Beta vs S&P 500, 1Y 0.630.29-0.06 1.00
Return / volatility, 1Y 0.690.33-0.03 0.98
Max drawdown, 5Y -92.3%-69.0%-31.8% -25.4%
From 52-week high -9.2%-40.5%-14.7% -0.9%
52-week high $14.38$16.77$215.83 $779.14
52-week low $6.22$8.83$147.13 $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.

MultipleAVAHBKDENSG
P/E now vs peer median 10.9xmedian 25.6x -17.2xmedian 25.6x 26.7xmedian 25.6x
P/S now vs peer median 1.1xmedian 1.6x 0.8xmedian 1.6x 1.9xmedian 1.6x
EV/EBITDA now vs peer median 13.5xmedian 16.3x 14.4xmedian 16.3x 16.7xmedian 16.3x
P/FCF now vs peer median —median 21.3x 9,839xmedian 21.3x 21.1xmedian 21.3x
P/B now vs peer median 9.9xmedian 3.3x -82.2xmedian 3.3x 4.2xmedian 3.3x
PEG now vs peer median 0.25median 0.68 2.32median 0.68 1.68median 0.68

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 monthsAVAHBKDENSG
Revenue $2.54B $3.05B $5.67B
Gross profit $845.45M $2.93B $1.20B
Operating income $284.64M $106.04M $509.16M
Net income $260.11M -$138.35M $399.32M
Free cash flow – $242.00K $509.91M
EPS (diluted) $1.16 $-0.57 $6.73
Cash & equivalents $97.20M $370.39M $337.59M
Total debt $1.30B $4.27B $198.72M
Shares (diluted) 224.86M 243.89M 59.30M
Enterprise value $2.35B $1.26B $8.89B

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
MetricAVAHBKDENSG
P/E 10.9x -17.2x 26.7x
P/FCF – 9,839x 21.1x
P/Operating cash flow – 10.6x 15.4x
P/S 1.1x 0.8x 1.9x
P/B 9.9x -82.2x 4.2x
P/Tangible book 15.2x -82.2x 4.2x
EV/EBITDA 13.5x 14.4x 16.7x
EV/EBIT 14.2x 59.1x 20.7x
EV/Revenue 1.6x 2.1x 1.9x
EV/FCF – 25,882x 20.7x
EV/Operating cash flow – 28.0x 15.2x
PEG (3Y EPS CAGR) 0.25 2.32 1.68

Growth

14 metrics
MetricAVAHBKDENSG
Revenue growth (1Y) 16.8% -4.4% 17.5%
Revenue CAGR (3Y) 11.6% 1.0% 16.8%
Gross profit growth (1Y) 16.5% -3.9% 21.7%
Gross profit CAGR (3Y) 14.5% 1.7% 16.3%
Operating income growth (1Y) 34.5% 101.6% 26.6%
Operating income CAGR (3Y) 58.3% 4.1% 18.3%
Net income growth (1Y) 1,302% 43.0% 21.6%
Net income CAGR (3Y) 47.1% -10.3% 17.2%
EPS growth (1Y) 1,212% 45.1% 20.9%
EPS CAGR (3Y) 44.2% -7.4% 15.9%
Operating cash flow growth (1Y) – 2.4% 44.5%
Operating cash flow CAGR (3Y) – 29.6% 26.8%
Free cash flow growth (1Y) – 100.1% 76.1%
Free cash flow CAGR (3Y) – 26.0% 29.2%

Profitability

14 metrics
MetricAVAHBKDENSG
Gross margin 33.2% 96.1% 21.2%
EBITDA margin 11.8% 14.3% 11.1%
Operating margin 11.2% 3.5% 9.0%
Pretax margin 6.0% -4.4% 9.4%
Net margin 10.2% -4.5% 7.0%
FCF margin – 0.0% 9.0%
Operating cash flow margin – 7.3% 12.3%
Return on equity 108.0% – 16.0%
Return on assets 12.6% -2.3% 6.8%
Return on invested capital 18.4% 2.5% 14.3%
Return on capital employed 17.3% 2.0% 10.4%
Asset turnover 1.2x 0.5x 1.0x
Cash conversion (OCF / net income) – -1.6x 1.7x
Stock comp / revenue – 0.4% 1.1%

Financial Health

11 metrics
MetricAVAHBKDENSG
Debt / assets 61.6% 72.4% 3.3%
Debt / equity 4.5x -147.5x 0.1x
Net debt / EBITDA 4.0x 8.9x -0.3x
Debt / FCF – 17,655x 0.4x
Liabilities / assets 86.4% 100.5% 57.3%
Equity / assets 13.6% -0.5% 42.7%
Interest coverage 2.2x – 62.8x
Current ratio 1.2x 1.1x 1.2x
Quick ratio 1.1x 0.9x 1.1x
Cash ratio 0.2x 0.7x 0.4x
Altman Z-score 1.92 -0.18 3.62

Shareholder Returns

7 metrics
MetricAVAHBKDENSG
Dividend yield – – 0.1%
Net buyback yield – – 0.2%
Shareholder yield – 0.0% 0.3%
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.

ConsensusAVAHBKDENSG
Forward P/E 15.4xFY2026 332.3xFY2026 22.2xFY2026
EPS, next fiscal year $0.85FY2026 $0.03FY2026 $8.29FY2026
EPS growth, next FY +41.7%FY2026 – +26.2%FY2026
EPS growth, the year after +11.8% +433.3% -1.8%
Revenue, next fiscal year $2.76BFY2026 $2.81BFY2026 $5.76BFY2026
Revenue growth, next FY +13.4%FY2026 -12.0%FY2026 +13.9%FY2026
Revenue growth, the year after +8.7% +3.6% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHBKDENSG
Held by institutions 92.5% 100.0% 89.8%
Institutions holding 215 293 547
Change in shares held, QoQ +1.8% +5.6% -1.2%
Institutions buying 151 165 250
Institutions selling 52 92 213
Buyers to sellers 2.90 1.79 1.17

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.

AVAHBKDENSG
AVAH 1.00 0.22 0.29
BKD 0.22 1.00 0.35
ENSG 0.29 0.35 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, BKD and ENSG?

Ensign (ENSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $2.88B, Brookdale Senior Living (BKD) $2.45B, Ensign (ENSG) $10.77B.

Which stock is cheaper, AVAH, BKD and ENSG?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.1x, Brookdale Senior Living (BKD) -17.7x, Ensign (ENSG) 27.0x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.4x, Brookdale Senior Living (BKD) 332.3x, Ensign (ENSG) 22.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Ensign (ENSG) grew revenue fastest over the trailing twelve months: Aveanna Healthcare Holdings (AVAH) +16.8%, Brookdale Senior Living (BKD) -4.4%, Ensign (ENSG) +17.5%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.2%, Brookdale Senior Living (BKD) -4.5%, Ensign (ENSG) 7.0%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 18.4%, Brookdale Senior Living (BKD) 2.5%, Ensign (ENSG) 14.3%).

Which stock has performed better?

Over the past year Aveanna Healthcare Holdings (AVAH) returned the most: Aveanna Healthcare Holdings (AVAH) +33.1%, Brookdale Senior Living (BKD) +12.9%, Ensign (ENSG) -0.8%. Over five years, Ensign (ENSG) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.1%/yr, Brookdale Senior Living (BKD) +8.9%/yr, Ensign (ENSG) +18.8%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Ensign (ENSG) has been the steadiest (Aveanna Healthcare Holdings (AVAH) 47.8%, Brookdale Senior Living (BKD) 39.2%, Ensign (ENSG) 29.3%). Volatility measures how widely the price swings, not the risk of the business.

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

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 6. 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.