AVAH vs ENSG vs SNDA Stock Comparison

Aveanna Healthcare Holdings, Ensign and Sonida Senior Living Prices as of Nov 4, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$188.31 +8.9% 1M +2.4% 1Y
Market cap
$10.89B
P/E
27.3x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins

Head to Head

11 decided of 12

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

QuestionAVAHENSGSNDALeader
Larger companyMarket capitalisation $3.09B $10.89B $1.62B ENSG
Cheaper on earningsLower P/E, profitable companies only 11.2x 27.3x -11.2x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.7x 22.7x — AVAH
Faster revenue growthRevenue growth, trailing twelve months +19.5% +17.5% +49.4% SNDA
More profitableNet margin, trailing twelve months 10.6% 7.0% -27.6% AVAH
Better return on capitalReturn on invested capital 17.5% 14.3% -2.7% AVAH
Less leveragedLower net debt / EBITDA 4.1x -0.3x 52.8x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +52.8% +2.4% +43.8% AVAH
Better 5-year returnAnnualised price return, 5 years +11.2%/yr +17.8%/yr +5.5%/yr ENSG
Less volatileAnnualised volatility, 1 year 47.7% 29.6% 38.4% ENSG
Higher overall scoreMean of the five percentile scores vs peers 58/100 64/100 18/100 ENSG

Percentile Scorecard

AVAHENSGSNDA

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

AxisAVAHENSGSNDA
Valuation 72 #27 of 95 69 #30 of 95 26 #71 of 95
Growth 89 #11 of 88 62 #34 of 88 17 #73 of 88
Profitability 76 #22 of 87 74 #23 of 87 24 #66 of 87
Financial Health 21 #79 of 100 72 #29 of 100 16 #84 of 100
Shareholder Returns 32 #40 of 58 44 #33 of 58 5 #55 of 58
Overall 58 64 18
  • AVAH ranked among 102 companies in Healthcare Providers
  • ENSG ranked among 102 companies in Healthcare Providers
  • SNDA ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHENSGSNDASPY
1 month +15.0%+8.9%+0.7% -1.0%
3 months +52.5%+5.4%-7.1% -0.4%
6 months +110.5%+7.0%-0.4% +4.5%
Year to date +74.2%+8.1%+13.5% +12.4%
1 year +52.8%+2.4%+43.8% +13.6%
3 years +868.0%+84.6%+311.2% +76.4%
3 years, per year +113.2%+22.7%+60.3% +20.8%
5 years +70.2%+126.5%+30.8% +63.7%
5 years, per year +11.2%+17.8%+5.5% +10.4%
10 years —+1,024.9%-80.8% +267.7%
10 years, per year —+27.4%-15.2% +13.9%

Risk

MeasureAVAHENSGSNDASPY
Volatility, 1Y 47.7%29.6%38.4% 12.8%
Downside volatility, 1Y 42.7%25.2%35.0% 12.7%
Beta vs S&P 500, 1Y 0.650.000.38 1.00
Return / volatility, 1Y 1.110.081.14 1.06
Max drawdown, 5Y -92.3%-31.8%-82.1% -25.4%
From 52-week high -1.0%-12.8%-14.3% -1.6%
52-week high $14.38$215.83$43.17 $779.14
52-week low $6.22$147.13$25.74 $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.

MultipleAVAHENSGSNDA
P/E now vs peer median 11.3xmedian 25.6x 27.3xmedian 25.6x -11.9xmedian 25.6x
P/S now vs peer median 1.2xmedian 1.6x 1.9xmedian 1.6x 3.3xmedian 1.6x
EV/EBITDA now vs peer median 14.9xmedian 16.0x 17.1xmedian 16.0x 113.6xmedian 16.0x
P/FCF now vs peer median 19.6xmedian 21.6x 21.5xmedian 21.6x -25.6xmedian 21.6x
P/B now vs peer median 10.8xmedian 3.4x 4.3xmedian 3.4x 2.0xmedian 3.4x
PEG now vs peer median 0.25median 0.74 1.72median 0.74 -1.33median 0.74

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 monthsAVAHENSGSNDA
Revenue $2.60B $5.67B $525.97M
Gross profit $840.08M $1.20B –
Operating income $273.93M $509.16M –
Net income $274.76M $399.32M -$123.67M
Free cash flow $158.38M $509.91M -$68.36M
EPS (diluted) $1.22 $6.73 $-3.11
Cash & equivalents $97.20M $337.59M $48.71M
Total debt $1.30B $198.72M $1.57B
Shares (diluted) 224.86M 59.30M 46.81M
Enterprise value $2.46B $9.01B $1.46B

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
MetricAVAHENSGSNDA
P/E 11.3x 27.3x -11.9x
P/FCF 19.6x 21.5x -25.6x
P/Operating cash flow 18.5x 15.8x -112.7x
P/S 1.2x 1.9x 3.3x
P/B 10.8x 4.3x 2.0x
P/Tangible book 16.6x 4.3x 2.6x
EV/EBITDA 14.9x 17.1x 113.6x
EV/EBIT 15.7x 21.2x -48.4x
EV/Revenue 1.7x 1.9x 6.2x
EV/FCF 27.2x 21.2x -47.9x
EV/Operating cash flow 25.6x 15.5x -210.6x
PEG (3Y EPS CAGR) 0.25 1.72 -1.33

Growth

14 metrics
MetricAVAHENSGSNDA
Revenue growth (1Y) 19.5% 17.5% 49.4%
Revenue CAGR (3Y) 12.4% 16.8% 29.0%
Gross profit growth (1Y) 15.7% 21.7% –
Gross profit CAGR (3Y) 14.3% 16.3% –
Operating income growth (1Y) 29.4% 26.6% –
Operating income CAGR (3Y) 57.3% 18.3% –
Net income growth (1Y) 1,381% 21.6% -243.6%
Net income CAGR (3Y) 48.1% 17.2% -88.8%
EPS growth (1Y) 1,286% 20.9% -44.1%
EPS CAGR (3Y) 45.1% 15.9% 9.0%
Operating cash flow growth (1Y) 96.2% 44.5% -223.5%
Operating cash flow CAGR (3Y) 112.7% 26.8% -72.1%
Free cash flow growth (1Y) 101.7% 76.1% 66.2%
Free cash flow CAGR (3Y) 91.5% 29.2% -58.8%

Profitability

14 metrics
MetricAVAHENSGSNDA
Gross margin 32.3% 21.2% –
EBITDA margin 11.1% 11.1% 5.5%
Operating margin 10.5% 9.0% –
Pretax margin 5.9% 9.4% -23.4%
Net margin 10.6% 7.0% -27.6%
FCF margin 6.1% 9.0% -13.0%
Operating cash flow margin 6.5% 12.3% -3.0%
Return on equity 104.2% 16.0% -14.1%
Return on assets 13.3% 6.8% -4.8%
Return on invested capital 17.5% 14.3% -2.7%
Return on capital employed 16.6% 10.4% -2.7%
Asset turnover 1.3x 1.0x 0.2x
Cash conversion (OCF / net income) 0.6x 1.7x 0.1x
Stock comp / revenue 0.7% 1.1% 1.4%

Financial Health

11 metrics
MetricAVAHENSGSNDA
Debt / assets 61.6% 3.3% 61.7%
Debt / equity 4.5x 0.1x 1.8x
Net debt / EBITDA 4.1x -0.3x 52.8x
Debt / FCF 8.2x 0.4x -23.0x
Liabilities / assets 86.4% 57.3% 66.0%
Equity / assets 13.6% 42.7% 34.0%
Interest coverage 2.2x 62.8x -1.2x
Current ratio 1.2x 1.2x 0.9x
Quick ratio 1.1x 1.1x 0.6x
Cash ratio 0.2x 0.4x 0.4x
Altman Z-score 2.01 3.66 0.43

Shareholder Returns

7 metrics
MetricAVAHENSGSNDA
Dividend yield – 0.1% –
Net buyback yield -0.3% 0.2% -6.2%
Shareholder yield -0.3% 0.3% -6.2%
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.

ConsensusAVAHENSGSNDA
Forward P/E 16.7xFY2026 22.7xFY2026 –
EPS, next fiscal year $0.85FY2026 $8.29FY2026 $-3.72FY2026
EPS growth, next FY +41.7%FY2026 +26.2%FY2026 –
EPS growth, the year after +11.8% -1.8% –
Revenue, next fiscal year $2.76BFY2026 $5.76BFY2026 $682.14MFY2026
Revenue growth, next FY +13.4%FY2026 +13.9%FY2026 +79.0%FY2026
Revenue growth, the year after +8.7% +16.9% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHENSGSNDA
Held by institutions 92.4% 89.8% 79.1%
Institutions holding 215 549 230
Change in shares held, QoQ +1.8% -1.2% +44.5%
Institutions buying 151 250 132
Institutions selling 52 215 55
Buyers to sellers 2.90 1.16 2.40

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.

AVAHENSGSNDA
AVAH 1.00 0.30 0.28
ENSG 0.30 1.00 0.30
SNDA 0.28 0.30 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, ENSG and SNDA?

Ensign (ENSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $3.09B, Ensign (ENSG) $10.89B, Sonida Senior Living (SNDA) $1.62B.

Which stock is cheaper, AVAH, ENSG and SNDA?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.2x, Ensign (ENSG) 27.3x, Sonida Senior Living (SNDA) -11.2x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 16.7x, Ensign (ENSG) 22.7x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Sonida Senior Living (SNDA) grew revenue fastest over the trailing twelve months: Aveanna Healthcare Holdings (AVAH) +19.5%, Ensign (ENSG) +17.5%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.6%, Ensign (ENSG) 7.0%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 17.5%, Ensign (ENSG) 14.3%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year Aveanna Healthcare Holdings (AVAH) returned the most: Aveanna Healthcare Holdings (AVAH) +52.8%, Ensign (ENSG) +2.4%, Sonida Senior Living (SNDA) +43.8%. Over five years, Ensign (ENSG) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.2%/yr, Ensign (ENSG) +17.8%/yr, Sonida Senior Living (SNDA) +5.5%/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) 47.7%, Ensign (ENSG) 29.6%, Sonida Senior Living (SNDA) 38.4%). Volatility measures how widely the price swings, not the risk of the business.

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

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