AVAH vs BTSG vs MCK Stock Comparison

Aveanna Healthcare Holdings, BrightSpring Health Services and Mckesson Prices as of Oct 29, 2026 Peers: Industry group
MCK Mckesson Corp
$981.33 +13.5% 1M +21.5% 1Y
Market cap
$114.41B
P/E
25.4x
Revenue (TTM)
$410.98B
Div. yield
0.35%
Drug Distribution Healthcare
5 wins

Head to Head

11 decided of 12

Mckesson leads on 5 of the 12 questions below (Mckesson 5, Aveanna Healthcare Holdings 4, BrightSpring Health Services 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAVAHBTSGMCKLeader
Larger companyMarket capitalisation $2.89B $11.89B $114.41B MCK
Cheaper on earningsLower P/E, profitable companies only 11.1x 33.9x 25.4x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.6x 34.8x 20.8x AVAH
Faster revenue growthRevenue growth, trailing twelve months +16.8% +26.4% +8.8% BTSG
More profitableNet margin, trailing twelve months 10.2% 2.5% 1.1% AVAH
Better return on capitalReturn on invested capital 18.4% 8.6% 107.9% MCK
Less leveragedLower net debt / EBITDA 4.0x 2.6x 0.6x MCK
Higher dividend yieldTrailing dividend yield — — 0.35% –
Better 1-year returnPrice return, last 12 months +34.5% +76.9% +21.5% BTSG
Better 5-year returnAnnualised price return, 5 years +11.4%/yr — +36.4%/yr MCK
Less volatileAnnualised volatility, 1 year 47.8% 44.6% 30.8% MCK
Higher overall scoreMean of the five percentile scores vs peers 68/100 65/100 59/100 AVAH

Percentile Scorecard

AVAHBTSGMCK

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

AxisAVAHBTSGMCK
Valuation 73 #26 of 92 66 #32 of 92 54 #12 of 25
Growth 84 #15 of 87 93 #7 of 87 65 #9 of 24
Profitability 93 #7 of 86 57 #38 of 86 70 #8 of 24
Financial Health 23 #75 of 97 41 #58 of 97 48 #14 of 26
Shareholder Returns – 67 #19 of 55 60 #7 of 16
Overall 68 65 59
  • AVAH ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • MCK ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

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

Returns

PeriodAVAHBTSGMCKSPY
1 month +3.8%+8.1%+13.5% +0.7%
3 months +36.8%-17.4%+13.3% +3.7%
6 months +102.8%+25.5%+20.4% +7.1%
Year to date +62.3%+60.8%+19.6% +12.8%
1 year +34.5%+76.9%+21.5% +11.9%
3 years +854.0%—+118.3% +85.2%
3 years, per year +112.2%—+29.8% +22.8%
5 years +71.8%—+372.1% +67.6%
5 years, per year +11.4%—+36.4% +10.9%
10 years ——+690.7% +262.0%
10 years, per year ——+23.0% +13.7%

Risk

MeasureAVAHBTSGMCKSPY
Volatility, 1Y 47.8%44.6%30.8% 12.7%
Downside volatility, 1Y 43.2%51.5%27.4% 12.6%
Beta vs S&P 500, 1Y 0.631.30-0.28 1.00
Return / volatility, 1Y 0.721.720.70 0.94
Max drawdown, 5Y -92.3%-35.6%-27.2% -25.4%
From 52-week high -7.8%-17.4%-4.7% -1.2%
52-week high $14.38$72.91$1,030.18 $779.14
52-week low $6.22$31.36$725.17 $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.

MultipleAVAHBTSGMCK
P/E now vs peer median 11.1xmedian 26.0x 33.9xmedian 26.0x 25.4xmedian 24.3x
P/S now vs peer median 1.1xmedian 1.6x 0.8xmedian 1.6x 0.3xmedian 0.3x
EV/EBITDA now vs peer median 13.7xmedian 15.4x 21.8xmedian 15.4x 16.4xmedian 12.9x
P/FCF now vs peer median —median 21.5x 29.6xmedian 21.5x 17.8xmedian 16.4x
P/B now vs peer median 10.1xmedian 3.2x 5.8xmedian 3.2x -27.0xmedian 2.5x
PEG now vs peer median 0.25median 0.87 —median 0.87 2.12median 1.36

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 monthsAVAHBTSGMCK
Revenue $2.54B $14.37B $410.98B
Gross profit $845.45M $1.78B $14.96B
Operating income $284.64M $447.80M $6.50B
Net income $260.11M $365.85M $5.30B
Free cash flow – $402.35M $6.42B
EPS (diluted) $1.16 $1.66 $38.52
Cash & equivalents $97.20M $550.38M $5.16B
Total debt $1.30B $2.19B $9.73B
Shares (diluted) 224.86M 220.28M 119.20M
Enterprise value $2.36B $10.24B $100.87B

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
MetricAVAHBTSGMCK
P/E 11.1x 33.9x 25.4x
P/FCF – 29.6x 17.8x
P/Operating cash flow – 23.5x 16.7x
P/S 1.1x 0.8x 0.3x
P/B 10.1x 5.8x -27.0x
P/Tangible book 15.4x 7.8x -13.9x
EV/EBITDA 13.7x 21.8x 16.4x
EV/EBIT 14.4x 30.2x 18.3x
EV/Revenue 1.6x 0.9x 0.3x
EV/FCF – 33.6x 18.5x
EV/Operating cash flow – 26.7x 17.4x
PEG (3Y EPS CAGR) 0.25 – 2.12

Growth

14 metrics
MetricAVAHBTSGMCK
Revenue growth (1Y) 16.8% 26.4% 8.8%
Revenue CAGR (3Y) 11.6% – 13.1%
Gross profit growth (1Y) 16.5% 29.4% 11.2%
Gross profit CAGR (3Y) 14.5% – 6.6%
Operating income growth (1Y) 34.5% 143.5% 46.6%
Operating income CAGR (3Y) 58.3% – 13.5%
Net income growth (1Y) 1,302% 472.6% 58.1%
Net income CAGR (3Y) 47.1% – 10.7%
EPS growth (1Y) 1,212% 448.6% 52.8%
EPS CAGR (3Y) 44.2% – 12.0%
Operating cash flow growth (1Y) – 88.6% 4.7%
Operating cash flow CAGR (3Y) – – 10.7%
Free cash flow growth (1Y) – 110.5% 6.8%
Free cash flow CAGR (3Y) – – 11.3%

Profitability

14 metrics
MetricAVAHBTSGMCK
Gross margin 33.2% 12.4% 3.6%
EBITDA margin 11.8% 4.3% 1.8%
Operating margin 11.2% 3.1% 1.6%
Pretax margin 6.0% 2.1% 1.6%
Net margin 10.2% 2.5% 1.1%
FCF margin – 2.8% 1.6%
Operating cash flow margin – 3.5% 1.7%
Return on equity 108.0% 18.2% –
Return on assets 12.6% 6.0% 6.2%
Return on invested capital 18.4% 8.6% 107.9%
Return on capital employed 17.3% 9.9% 43.4%
Asset turnover 1.2x 2.4x 4.8x
Cash conversion (OCF / net income) – 1.4x 1.3x
Stock comp / revenue – 0.4% –

Financial Health

11 metrics
MetricAVAHBTSGMCK
Debt / assets 61.6% 36.6% 11.0%
Debt / equity 4.5x 1.1x -2.3x
Net debt / EBITDA 4.0x 2.6x 0.6x
Debt / FCF – 5.4x 1.5x
Liabilities / assets 86.4% 65.8% 104.8%
Equity / assets 13.6% 34.2% -4.8%
Interest coverage 2.2x 2.9x 23.6x
Current ratio 1.2x 1.6x 0.9x
Quick ratio 1.1x 1.1x 0.5x
Cash ratio 0.2x 0.4x 0.1x
Altman Z-score 1.93 4.65 5.90

Shareholder Returns

7 metrics
MetricAVAHBTSGMCK
Dividend yield – – 0.3%
Net buyback yield – 0.6% 5.8%
Shareholder yield – 0.6% 6.1%
Payout ratio (earnings) – – 7.4%
Payout ratio (FCF) – – 6.1%
Dividend growth (1Y) – – 11.3%
Dividend CAGR (3Y) – – 10.0%

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.

ConsensusAVAHBTSGMCK
Forward P/E 15.6xFY2026 34.8xFY2026 20.8xFY2026
EPS, next fiscal year $0.85FY2026 $1.73FY2026 $47.15FY2026
EPS growth, next FY +41.7%FY2026 +73.0%FY2026 +20.6%FY2026
EPS growth, the year after +11.8% +42.2% +11.0%
Revenue, next fiscal year $2.76BFY2026 $16.01BFY2026 $444.47BFY2026
Revenue growth, next FY +13.4%FY2026 +24.0%FY2026 +10.2%FY2026
Revenue growth, the year after +8.7% +1.4% +1.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHBTSGMCK
Held by institutions 92.5% 100.0% 89.1%
Institutions holding 215 422 2,011
Change in shares held, QoQ +1.8% -0.7% -0.7%
Institutions buying 151 309 883
Institutions selling 52 83 791
Buyers to sellers 2.90 3.72 1.12

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.

AVAHBTSGMCK
AVAH 1.00 0.28 0.09
BTSG 0.28 1.00 0.07
MCK 0.09 0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, BTSG and MCK?

Mckesson (MCK) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $2.89B, BrightSpring Health Services (BTSG) $11.89B, Mckesson (MCK) $114.41B.

Which stock is cheaper, AVAH, BTSG and MCK?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.1x, BrightSpring Health Services (BTSG) 33.9x, Mckesson (MCK) 25.4x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.6x, BrightSpring Health Services (BTSG) 34.8x, Mckesson (MCK) 20.8x). 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) +16.8%, BrightSpring Health Services (BTSG) +26.4%, Mckesson (MCK) +8.8%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.2%, BrightSpring Health Services (BTSG) 2.5%, Mckesson (MCK) 1.1%). On return on invested capital, Mckesson (MCK) leads (Aveanna Healthcare Holdings (AVAH) 18.4%, BrightSpring Health Services (BTSG) 8.6%, Mckesson (MCK) 107.9%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Aveanna Healthcare Holdings (AVAH) +34.5%, BrightSpring Health Services (BTSG) +76.9%, Mckesson (MCK) +21.5%. Over five years, Mckesson (MCK) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.4%/yr, Mckesson (MCK) +36.4%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Mckesson (MCK) 0.35%. Aveanna Healthcare Holdings (AVAH) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Mckesson (MCK) has been the steadiest (Aveanna Healthcare Holdings (AVAH) 47.8%, BrightSpring Health Services (BTSG) 44.6%, Mckesson (MCK) 30.8%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Mckesson (MCK) 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.