AVAH vs BTSG vs SBRA Stock Comparison

Aveanna Healthcare Holdings, BrightSpring Health Services and Sabra Health Care REIT Prices as of Nov 2, 2026 Peers: Industry group
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Head to Head

11 decided of 12

Aveanna Healthcare Holdings leads on 6 of the 12 questions below (Aveanna Healthcare Holdings 6, BrightSpring Health Services 3, Sabra Health Care REIT 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAVAHBTSGSBRALeader
Larger companyMarket capitalisation $2.86B $13.09B $5.04B BTSG
Cheaper on earningsLower P/E, profitable companies only 11.0x 37.3x 76.0x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.4x 38.3x 48.1x AVAH
Faster revenue growthRevenue growth, trailing twelve months +16.8% +26.4% +17.3% BTSG
More profitableNet margin, trailing twelve months 10.2% 2.5% 7.6% AVAH
Better return on capitalReturn on invested capital 18.4% 8.6% 4.2% AVAH
Less leveragedLower net debt / EBITDA 4.0x 2.6x 2.5x SBRA
Higher dividend yieldTrailing dividend yield — — 6.09% –
Better 1-year returnPrice return, last 12 months +45.0% +100.5% +10.7% BTSG
Better 5-year returnAnnualised price return, 5 years +9.4%/yr — +6.0%/yr AVAH
Less volatileAnnualised volatility, 1 year 47.3% 45.6% 24.5% SBRA
Higher overall scoreMean of the five percentile scores vs peers 67/100 63/100 47/100 AVAH

Percentile Scorecard

AVAHBTSGSBRA

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

AxisAVAHBTSGSBRA
Valuation 70 #29 of 94 62 #36 of 94 35 #94 of 145
Growth 84 #15 of 87 93 #7 of 87 47 #77 of 144
Profitability 93 #7 of 86 57 #38 of 86 50 #70 of 140
Financial Health 22 #77 of 99 42 #58 of 99 84 #24 of 146
Shareholder Returns – 62 #22 of 56 20 #106 of 132
Overall 67 63 47
  • AVAH ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • SBRA ranked among 149 companies in Property REITs

Price Performance

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

Returns

PeriodAVAHBTSGSBRASPY
1 month +4.2%+10.0%+2.9% -2.3%
3 months +36.5%+9.6%-4.3% -0.7%
6 months +97.9%+23.8%-3.6% +4.8%
Year to date +60.6%+76.9%+4.1% +10.3%
1 year +45.0%+100.5%+10.7% +10.3%
3 years +792.5%—+42.3% +73.0%
3 years, per year +107.5%—+12.5% +20.1%
5 years +56.6%—+33.8% +61.9%
5 years, per year +9.4%—+6.0% +10.1%
10 years ——-7.4% +258.6%
10 years, per year ——-0.8% +13.6%

Risk

MeasureAVAHBTSGSBRASPY
Volatility, 1Y 47.3%45.6%24.5% 12.8%
Downside volatility, 1Y 42.5%51.1%22.5% 12.8%
Beta vs S&P 500, 1Y 0.601.14-0.25 1.00
Return / volatility, 1Y 0.952.210.44 0.80
Max drawdown, 5Y -92.3%-35.6%-38.7% -25.4%
From 52-week high -8.8%-9.1%-11.9% -3.5%
52-week high $14.38$72.91$22.39 $779.14
52-week low $6.22$31.36$17.67 $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.

MultipleAVAHBTSGSBRA
P/E now vs peer median 11.0xmedian 25.3x 37.3xmedian 25.3x 76.0xmedian 26.3x
P/S now vs peer median 1.1xmedian 1.5x 0.9xmedian 1.5x 5.9xmedian 4.2x
EV/EBITDA now vs peer median 13.6xmedian 14.6x 23.8xmedian 14.6x 15.3xmedian 14.4x
P/FCF now vs peer median —median 21.6x 32.5xmedian 21.6x -13.8xmedian 23.9x
P/B now vs peer median 10.0xmedian 3.1x 6.4xmedian 3.1x 1.8xmedian 1.3x
PEG now vs peer median 0.25median 0.83 —median 0.83 2.14median 1.98

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 monthsAVAHBTSGSBRA
Revenue $2.54B $14.37B $859.56M
Gross profit $845.45M $1.78B –
Operating income $284.64M $447.80M –
Net income $260.11M $365.85M $65.40M
Free cash flow – $402.35M -$365.86M
EPS (diluted) $1.16 $1.66 $0.26
Cash & equivalents $97.20M $550.38M $231.58M
Total debt $1.30B $2.19B $1.24B
Shares (diluted) 224.86M 220.28M 252.27M
Enterprise value $2.33B $11.43B $4.42B

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
MetricAVAHBTSGSBRA
P/E 11.0x 37.3x 76.0x
P/FCF – 32.5x -13.8x
P/Operating cash flow – 25.8x 13.6x
P/S 1.1x 0.9x 5.9x
P/B 10.0x 6.4x 1.8x
P/Tangible book 15.3x 8.5x 1.9x
EV/EBITDA 13.6x 23.8x 15.3x
EV/EBIT 14.3x 32.9x 34.3x
EV/Revenue 1.6x 1.0x 7.0x
EV/FCF – 36.6x -16.5x
EV/Operating cash flow – 29.1x 16.3x
PEG (3Y EPS CAGR) 0.25 – 2.14

Growth

14 metrics
MetricAVAHBTSGSBRA
Revenue growth (1Y) 16.8% 26.4% 17.3%
Revenue CAGR (3Y) 11.6% – 11.0%
Gross profit growth (1Y) 16.5% 29.4% –
Gross profit CAGR (3Y) 14.5% – –
Operating income growth (1Y) 34.5% 143.5% –
Operating income CAGR (3Y) 58.3% – –
Net income growth (1Y) 1,302% 472.6% -64.1%
Net income CAGR (3Y) 47.1% – 36.3%
EPS growth (1Y) 1,212% 448.6% -65.7%
EPS CAGR (3Y) 44.2% – 35.5%
Operating cash flow growth (1Y) – 88.6% 9.7%
Operating cash flow CAGR (3Y) – – 5.7%
Free cash flow growth (1Y) – 110.5% -372.1%
Free cash flow CAGR (3Y) – – -68.7%

Profitability

14 metrics
MetricAVAHBTSGSBRA
Gross margin 33.2% 12.4% –
EBITDA margin 11.8% 4.3% 46.0%
Operating margin 11.2% 3.1% –
Pretax margin 6.0% 2.1% 7.0%
Net margin 10.2% 2.5% 7.6%
FCF margin – 2.8% -42.6%
Operating cash flow margin – 3.5% 43.2%
Return on equity 108.0% 18.2% 2.4%
Return on assets 12.6% 6.0% 1.2%
Return on invested capital 18.4% 8.6% 4.2%
Return on capital employed 17.3% 9.9% –
Asset turnover 1.2x 2.4x 0.2x
Cash conversion (OCF / net income) – 1.4x 5.7x
Stock comp / revenue – 0.4% 1.5%

Financial Health

11 metrics
MetricAVAHBTSGSBRA
Debt / assets 61.6% 36.6% 22.4%
Debt / equity 4.5x 1.1x 0.4x
Net debt / EBITDA 4.0x 2.6x 2.5x
Debt / FCF – 5.4x -3.4x
Liabilities / assets 86.4% 65.8% 50.1%
Equity / assets 13.6% 34.2% 49.9%
Interest coverage 2.2x 2.9x 1.5x
Current ratio 1.2x 1.6x –
Quick ratio 1.1x 1.1x –
Cash ratio 0.2x 0.4x –
Altman Z-score 1.92 4.83 –

Shareholder Returns

7 metrics
MetricAVAHBTSGSBRA
Dividend yield – – 6.1%
Net buyback yield – 0.5% -5.0%
Shareholder yield – 0.5% 1.1%
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.

ConsensusAVAHBTSGSBRA
Forward P/E 15.4xFY2026 38.3xFY2026 48.1xFY2026
EPS, next fiscal year $0.85FY2026 $1.73FY2026 $0.41FY2026
EPS growth, next FY +41.7%FY2026 +73.0%FY2026 -35.9%FY2026
EPS growth, the year after +11.8% +42.2% +90.2%
Revenue, next fiscal year $2.76BFY2026 $16.01BFY2026 $876.78MFY2026
Revenue growth, next FY +13.4%FY2026 +24.0%FY2026 +13.2%FY2026
Revenue growth, the year after +8.7% +1.4% +13.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHBTSGSBRA
Held by institutions 92.5% 100.0% 100.0%
Institutions holding 215 423 464
Change in shares held, QoQ +1.8% -0.7% +0.7%
Institutions buying 151 309 229
Institutions selling 52 83 147
Buyers to sellers 2.90 3.72 1.56

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.

AVAHBTSGSBRA
AVAH 1.00 0.27 0.12
BTSG 0.27 1.00 0.08
SBRA 0.12 0.08 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, BTSG and SBRA?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $2.86B, BrightSpring Health Services (BTSG) $13.09B, Sabra Health Care REIT (SBRA) $5.04B.

Which stock is cheaper, AVAH, BTSG and SBRA?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.0x, BrightSpring Health Services (BTSG) 37.3x, Sabra Health Care REIT (SBRA) 76.0x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.4x, BrightSpring Health Services (BTSG) 38.3x, Sabra Health Care REIT (SBRA) 48.1x). 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%, Sabra Health Care REIT (SBRA) +17.3%.

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%, Sabra Health Care REIT (SBRA) 7.6%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 18.4%, BrightSpring Health Services (BTSG) 8.6%, Sabra Health Care REIT (SBRA) 4.2%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Aveanna Healthcare Holdings (AVAH) +45.0%, BrightSpring Health Services (BTSG) +100.5%, Sabra Health Care REIT (SBRA) +10.7%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Aveanna Healthcare Holdings (AVAH) +9.4%/yr, Sabra Health Care REIT (SBRA) +6.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Sabra Health Care REIT (SBRA) 6.09%. Aveanna Healthcare Holdings (AVAH) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Sabra Health Care REIT (SBRA) has been the steadiest (Aveanna Healthcare Holdings (AVAH) 47.3%, BrightSpring Health Services (BTSG) 45.6%, Sabra Health Care REIT (SBRA) 24.5%). Volatility measures how widely the price swings, not the risk of the business.

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

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.