AVAH vs ENSG Stock Comparison

Aveanna Healthcare Holdings and Ensign Prices as of Oct 23, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$175.59 +0.1% 1M -5.3% 1Y
Market cap
$10.26B
P/E
27.1x
Revenue (TTM)
$5.49B
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.

QuestionAVAHENSGLeader
Larger companyMarket capitalisation $2.87B $10.26B ENSG
Cheaper on earningsLower P/E, profitable companies only 11.0x 27.1x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.7x 21.2x AVAH
Faster revenue growthRevenue growth, trailing twelve months +16.8% +18.9% ENSG
More profitableNet margin, trailing twelve months 10.2% 6.9% AVAH
Better return on capitalReturn on invested capital 18.4% 13.9% AVAH
Less leveragedLower net debt / EBITDA 4.0x -0.3x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +46.7% -5.3% AVAH
Better 5-year returnAnnualised price return, 5 years +13.1%/yr +19.5%/yr ENSG
Less volatileAnnualised volatility, 1 year 47.7% 27.7% ENSG
Higher overall scoreMean of the five percentile scores vs peers 66/100 62/100 AVAH

Percentile Scorecard

AVAHENSG

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

AxisAVAHENSG
Valuation 70 #29 of 93 66 #32 of 93
Growth 84 #15 of 88 59 #37 of 88
Profitability 91 #9 of 87 71 #26 of 87
Financial Health 21 #79 of 100 73 #28 of 100
Shareholder Returns – 40 #34 of 56
Overall 66 62
  • AVAH ranked among 103 companies in Healthcare Providers
  • ENSG ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHENSGSPY
1 month +4.6%+0.1% -1.0%
3 months +41.6%+1.5% +2.9%
6 months +104.3%-7.2% +6.4%
Year to date +63.8%+0.8% +11.4%
1 year +46.7%-5.3% +13.1%
3 years +1,033.9%+81.6% +79.4%
3 years, per year +124.8%+22.0% +21.5%
5 years +85.3%+143.4% +67.7%
5 years, per year +13.1%+19.5% +10.9%
10 years —+873.3% +255.2%
10 years, per year —+25.6% +13.5%

Risk

MeasureAVAHENSGSPY
Volatility, 1Y 47.7%27.7% 12.7%
Downside volatility, 1Y 43.2%24.3% 12.7%
Beta vs S&P 500, 1Y 0.67-0.06 1.00
Return / volatility, 1Y 0.98-0.19 1.03
Max drawdown, 5Y -92.3%-31.8% -25.4%
From 52-week high -7.0%-18.6% -2.5%
52-week high $14.38$215.83 $779.14
52-week low $6.22$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.

MultipleAVAHENSG
P/E now vs peer median 11.2xmedian 25.3x 26.9xmedian 25.3x
P/S now vs peer median 1.1xmedian 1.6x 1.9xmedian 1.6x
EV/EBITDA now vs peer median 13.7xmedian 14.6x 17.2xmedian 14.6x
P/FCF now vs peer median —median 22.7x 24.4xmedian 22.7x
P/B now vs peer median 10.2xmedian 3.3x 4.2xmedian 3.3x
PEG now vs peer median 0.25median 0.66 1.81median 0.66

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 monthsAVAHENSG
Revenue $2.54B $5.49B
Gross profit $845.45M $1.14B
Operating income $284.64M $467.39M
Net income $260.11M $378.95M
Free cash flow – $419.09M
EPS (diluted) $1.16 $6.37
Cash & equivalents $97.20M $262.30M
Total debt $5.19B $566.98M
Shares (diluted) 224.86M 59.48M
Enterprise value $2.34B $8.26B

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
MetricAVAHENSG
P/E 11.2x 26.9x
P/FCF – 24.4x
P/Operating cash flow – 16.8x
P/S 1.1x 1.9x
P/B 10.2x 4.2x
P/Tangible book 15.6x 4.2x
EV/EBITDA 13.7x 17.2x
EV/EBIT 14.5x 21.5x
EV/Revenue 1.6x 1.8x
EV/FCF – 24.0x
EV/Operating cash flow – 16.5x
PEG (3Y EPS CAGR) 0.25 1.81

Growth

14 metrics
MetricAVAHENSG
Revenue growth (1Y) 16.8% 18.9%
Revenue CAGR (3Y) 11.6% 17.4%
Gross profit growth (1Y) 16.5% 18.7%
Gross profit CAGR (3Y) 14.5% 15.7%
Operating income growth (1Y) 34.5% 18.2%
Operating income CAGR (3Y) 58.3% 15.6%
Net income growth (1Y) 1,302% 17.3%
Net income CAGR (3Y) 47.1% 16.4%
EPS growth (1Y) 1,212% 15.6%
EPS CAGR (3Y) 44.2% 14.9%
Operating cash flow growth (1Y) – 31.4%
Operating cash flow CAGR (3Y) – 25.1%
Free cash flow growth (1Y) – 51.4%
Free cash flow CAGR (3Y) – 26.2%

Profitability

14 metrics
MetricAVAHENSG
Gross margin 33.2% 20.7%
EBITDA margin 11.8% 10.6%
Operating margin 11.2% 8.5%
Pretax margin 6.0% 9.1%
Net margin 10.2% 6.9%
FCF margin – 7.6%
Operating cash flow margin – 11.1%
Return on equity 108.0% 15.7%
Return on assets 12.6% 6.7%
Return on invested capital 18.4% 13.9%
Return on capital employed 17.3% 9.7%
Asset turnover 1.2x 1.0x
Cash conversion (OCF / net income) – 1.6x
Stock comp / revenue – 1.0%

Financial Health

11 metrics
MetricAVAHENSG
Debt / assets 61.6% 2.4%
Debt / equity 4.5x 0.1x
Net debt / EBITDA 4.0x -0.3x
Debt / FCF – 0.3x
Liabilities / assets 86.4% 57.5%
Equity / assets 13.6% 42.5%
Interest coverage 2.2x 60.0x
Current ratio 1.2x 1.2x
Quick ratio 1.1x 1.1x
Cash ratio 0.2x 0.4x
Altman Z-score 1.94 3.59

Shareholder Returns

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

ConsensusAVAHENSG
Forward P/E 15.7xFY2026 21.2xFY2026
EPS, next fiscal year $0.85FY2026 $8.29FY2026
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
Revenue growth, next FY +13.4%FY2026 +13.9%FY2026
Revenue growth, the year after +8.7% +16.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHENSG
Held by institutions 92.5% 89.8%
Institutions holding 215 547
Change in shares held, QoQ +1.8% -1.2%
Institutions buying 151 250
Institutions selling 52 213
Buyers to sellers 2.90 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.

AVAHENSG
AVAH 1.00 0.28
ENSG 0.28 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH and ENSG?

Ensign (ENSG) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $2.87B, Ensign (ENSG) $10.26B.

Which stock is cheaper, AVAH and ENSG?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.0x, Ensign (ENSG) 27.1x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Aveanna Healthcare Holdings (AVAH) 15.7x, Ensign (ENSG) 21.2x). 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%, Ensign (ENSG) +18.9%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.2%, Ensign (ENSG) 6.9%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Aveanna Healthcare Holdings (AVAH) 18.4%, Ensign (ENSG) 13.9%).

Which stock has performed better?

Over the past year Aveanna Healthcare Holdings (AVAH) returned the most: Aveanna Healthcare Holdings (AVAH) +46.7%, Ensign (ENSG) -5.3%. Over five years, Ensign (ENSG) compounded fastest (Aveanna Healthcare Holdings (AVAH) +13.1%/yr, Ensign (ENSG) +19.5%/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) 27.7%). Volatility measures how widely the price swings, not the risk of the business.

Do AVAH and ENSG move together?

Their daily returns over the past year have a correlation of 0.28, a weak relationship. Holding both diversifies more than two closely linked stocks would.

Which is the better stock, AVAH 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.