AVAH vs ENSG vs INNV Stock Comparison

Aveanna Healthcare Holdings, Ensign and InnovAge Holding Prices as of Oct 29, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.51B
P/E
26.3x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins
INNV InnovAge Holding Corp.
$9.24 +2.9% 1M +91.7% 1Y
Market cap
$1.25B
P/E
–
Revenue (TTM)
$989.71M
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

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

QuestionAVAHENSGINNVLeader
Larger companyMarket capitalisation $2.84B $10.51B $1.25B ENSG
Cheaper on earningsLower P/E, profitable companies only 10.9x 26.3x -490.8x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.6x 22.5x 20.5x AVAH
Faster revenue growthRevenue growth, trailing twelve months +16.8% +17.5% +15.9% ENSG
More profitableNet margin, trailing twelve months 10.2% 7.0% -0.3% AVAH
Better return on capitalReturn on invested capital 18.4% 14.3% 0.0% AVAH
Less leveragedLower net debt / EBITDA 4.0x -0.3x -3.8x INNV
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +34.5% +2.0% +91.7% INNV
Better 5-year returnAnnualised price return, 5 years +11.4%/yr +19.0%/yr +6.9%/yr ENSG
Less volatileAnnualised volatility, 1 year 47.8% 29.3% 72.5% ENSG
Higher overall scoreMean of the five percentile scores vs peers 68/100 65/100 66/100 AVAH

Percentile Scorecard

AVAHENSGINNV

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

AxisAVAHENSGINNV
Valuation 73 #26 of 92 70 #28 of 92 65 #33 of 92
Growth 84 #15 of 87 63 #33 of 87 87 #12 of 87
Profitability 93 #7 of 86 74 #23 of 86 49 #44 of 86
Financial Health 23 #75 of 97 72 #28 of 97 64 #36 of 97
Shareholder Returns – 44 #31 of 55 –
Overall 68 65 66
  • AVAH ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers
  • INNV ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHENSGINNVSPY
1 month +3.8%+6.1%+2.9% +0.7%
3 months +36.8%+4.2%-20.3% +3.7%
6 months +102.8%-0.2%+13.4% +7.1%
Year to date +62.3%+7.0%+78.0% +12.8%
1 year +34.5%+2.0%+91.7% +11.9%
3 years +854.0%+95.5%+71.4% +85.2%
3 years, per year +112.2%+25.1%+19.7% +22.8%
5 years +71.8%+138.8%+39.6% +67.6%
5 years, per year +11.4%+19.0%+6.9% +10.9%
10 years —+993.4%— +262.0%
10 years, per year —+27.0%— +13.7%

Risk

MeasureAVAHENSGINNVSPY
Volatility, 1Y 47.8%29.3%72.5% 12.7%
Downside volatility, 1Y 43.2%24.9%65.6% 12.6%
Beta vs S&P 500, 1Y 0.63-0.060.54 1.00
Return / volatility, 1Y 0.720.071.26 0.94
Max drawdown, 5Y -92.3%-31.8%-71.0% -25.4%
From 52-week high -7.8%-13.7%-23.7% -1.2%
52-week high $14.38$215.83$12.11 $779.14
52-week low $6.22$147.13$3.99 $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.

MultipleAVAHENSGINNV
P/E now vs peer median 11.1xmedian 26.0x 27.0xmedian 26.0x -494.2xmedian 26.0x
P/S now vs peer median 1.1xmedian 1.6x 1.9xmedian 1.6x 1.3xmedian 1.6x
EV/EBITDA now vs peer median 13.7xmedian 15.4x 16.9xmedian 15.4x 47.4xmedian 15.4x
P/FCF now vs peer median —median 21.5x 21.3xmedian 21.5x 24.9xmedian 21.5x
P/B now vs peer median 10.1xmedian 3.2x 4.2xmedian 3.2x 5.3xmedian 3.2x
PEG now vs peer median 0.25median 0.87 1.70median 0.87 -8.19median 0.87

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 monthsAVAHENSGINNV
Revenue $2.54B $5.67B $989.71M
Gross profit $845.45M $1.20B $677.61M
Operating income $284.64M $509.16M $2.62M
Net income $260.11M $399.32M -$1.83M
Free cash flow – $509.91M $50.41M
EPS (diluted) $1.16 $6.73 $-0.02
Cash & equivalents $97.20M $337.59M $97.89M
Total debt $1.30B $198.72M $48.06M
Shares (diluted) 224.86M 59.30M 135.70M
Enterprise value $2.31B $8.63B $729.74M

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
MetricAVAHENSGINNV
P/E 11.1x 27.0x -494.2x
P/FCF – 21.3x 24.9x
P/Operating cash flow – 15.6x 19.4x
P/S 1.1x 1.9x 1.3x
P/B 10.1x 4.2x 5.3x
P/Tangible book 15.4x 4.3x 5.3x
EV/EBITDA 13.7x 16.9x 47.4x
EV/EBIT 14.4x 21.0x 444.4x
EV/Revenue 1.6x 1.9x 1.2x
EV/FCF – 20.9x 23.1x
EV/Operating cash flow – 15.4x 18.0x
PEG (3Y EPS CAGR) 0.25 1.70 -8.19

Growth

14 metrics
MetricAVAHENSGINNV
Revenue growth (1Y) 16.8% 17.5% 15.9%
Revenue CAGR (3Y) 11.6% 16.8% 12.9%
Gross profit growth (1Y) 16.5% 21.7% 15.9%
Gross profit CAGR (3Y) 14.5% 16.3% 12.5%
Operating income growth (1Y) 34.5% 26.6% 108.8%
Operating income CAGR (3Y) 58.3% 18.3% 27.1%
Net income growth (1Y) 1,302% 21.6% 94.9%
Net income CAGR (3Y) 47.1% 17.2% 65.2%
EPS growth (1Y) 1,212% 20.9% 91.6%
EPS CAGR (3Y) 44.2% 15.9% 60.4%
Operating cash flow growth (1Y) – 44.5% 96.9%
Operating cash flow CAGR (3Y) – 26.8% 47.3%
Free cash flow growth (1Y) – 76.1% 89.5%
Free cash flow CAGR (3Y) – 29.2% 162.9%

Profitability

14 metrics
MetricAVAHENSGINNV
Gross margin 33.2% 21.2% 68.5%
EBITDA margin 11.8% 11.1% 2.5%
Operating margin 11.2% 9.0% 0.3%
Pretax margin 6.0% 9.4% 0.0%
Net margin 10.2% 7.0% -0.3%
FCF margin – 9.0% 5.1%
Operating cash flow margin – 12.3% 6.5%
Return on equity 108.0% 16.0% -0.3%
Return on assets 12.6% 6.8% -0.1%
Return on invested capital 18.4% 14.3% 0.0%
Return on capital employed 17.3% 10.4% 0.8%
Asset turnover 1.2x 1.0x 1.8x
Cash conversion (OCF / net income) – 1.7x -35.4x
Stock comp / revenue – 1.1% 0.7%

Financial Health

11 metrics
MetricAVAHENSGINNV
Debt / assets 61.6% 3.3% 8.6%
Debt / equity 4.5x 0.1x 0.2x
Net debt / EBITDA 4.0x -0.3x -3.8x
Debt / FCF – 0.4x 1.0x
Liabilities / assets 86.4% 57.3% 57.2%
Equity / assets 13.6% 42.7% 42.8%
Interest coverage 2.2x 62.8x –
Current ratio 1.2x 1.2x 1.1x
Quick ratio 1.1x 1.1x 0.9x
Cash ratio 0.2x 0.4x 0.7x
Altman Z-score 1.93 3.64 3.91

Shareholder Returns

7 metrics
MetricAVAHENSGINNV
Dividend yield – 0.1% –
Net buyback yield – 0.2% –
Shareholder yield – 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.

ConsensusAVAHENSGINNV
Forward P/E 15.6xFY2026 22.5xFY2026 20.5xFY2027
EPS, next fiscal year $0.85FY2026 $8.29FY2026 $0.45FY2027
EPS growth, next FY +41.7%FY2026 +26.2%FY2026 –
EPS growth, the year after +11.8% -1.8% +4.4%
Revenue, next fiscal year $2.76BFY2026 $5.76BFY2026 $1.00BFY2027
Revenue growth, next FY +13.4%FY2026 +13.9%FY2026 +1.5%FY2027
Revenue growth, the year after +8.7% +16.9% +11.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHENSGINNV
Held by institutions 92.5% 89.8% 13.5%
Institutions holding 215 548 106
Change in shares held, QoQ +1.8% -1.2% +15.2%
Institutions buying 151 250 70
Institutions selling 52 214 24
Buyers to sellers 2.90 1.17 2.92

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.

AVAHENSGINNV
AVAH 1.00 0.29 0.09
ENSG 0.29 1.00 0.03
INNV 0.09 0.03 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, ENSG and INNV?

Ensign (ENSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $2.84B, Ensign (ENSG) $10.51B, InnovAge Holding (INNV) $1.25B.

Which stock is cheaper, AVAH, ENSG and INNV?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 10.9x, Ensign (ENSG) 26.3x, InnovAge Holding (INNV) -490.8x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.6x, Ensign (ENSG) 22.5x, InnovAge Holding (INNV) 20.5x). 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%, Ensign (ENSG) +17.5%, InnovAge Holding (INNV) +15.9%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.2%, Ensign (ENSG) 7.0%, InnovAge Holding (INNV) -0.3%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 18.4%, Ensign (ENSG) 14.3%, InnovAge Holding (INNV) 0.0%).

Which stock has performed better?

Over the past year InnovAge Holding (INNV) returned the most: Aveanna Healthcare Holdings (AVAH) +34.5%, Ensign (ENSG) +2.0%, InnovAge Holding (INNV) +91.7%. Over five years, Ensign (ENSG) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.4%/yr, Ensign (ENSG) +19.0%/yr, InnovAge Holding (INNV) +6.9%/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%, Ensign (ENSG) 29.3%, InnovAge Holding (INNV) 72.5%). Volatility measures how widely the price swings, not the risk of the business.

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

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 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.