AVAH vs OPCH vs PACS Stock Comparison

Aveanna Healthcare Holdings, Option Care Health and Pacs Prices as of Nov 4, 2026 Peers: Industry group
1 more company in this comparison (CHE) Create a free account to keep reading and compare up to 10 companies.
OPCH Option Care Health, Inc.
$31.65 +35.4% 1M +17.1% 1Y
Market cap
$4.74B
P/E
23.1x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
1 win
PACS PACS Group, Inc.
$50.28 +17.6% 1M +303.5% 1Y
Market cap
$7.98B
P/E
28.7x
Revenue (TTM)
$5.71B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins

Head to Head

11 decided of 12

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

QuestionAVAHOPCHPACSLeader
Larger companyMarket capitalisation $3.10B $4.74B $7.98B PACS
Cheaper on earningsLower P/E, profitable companies only 11.3x 23.1x 28.7x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.7x 16.3x 22.1x OPCH
Faster revenue growthRevenue growth, trailing twelve months +19.5% +5.9% +11.0% AVAH
More profitableNet margin, trailing twelve months 10.6% 3.7% 4.9% AVAH
Better return on capitalReturn on invested capital 17.5% 9.9% 20.7% PACS
Less leveragedLower net debt / EBITDA 4.1x 2.4x 0.3x PACS
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +52.8% +17.1% +303.5% PACS
Better 5-year returnAnnualised price return, 5 years +11.2%/yr +2.5%/yr — AVAH
Less volatileAnnualised volatility, 1 year 47.7% 51.1% 81.9% AVAH
Higher overall scoreMean of the five percentile scores vs peers 58/100 53/100 58/100 PACS

Percentile Scorecard

AVAHOPCHPACS

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

AxisAVAHOPCHPACS
Valuation 72 #27 of 95 79 #21 of 95 66 #33 of 95
Growth 89 #11 of 88 24 #67 of 88 64 #32 of 88
Profitability 76 #22 of 87 66 #30 of 87 65 #31 of 87
Financial Health 21 #79 of 100 43 #57 of 100 37 #63 of 100
Shareholder Returns 32 #40 of 58 – –
Overall 58 53 58
  • AVAH ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers
  • PACS ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodAVAHOPCHPACSSPY
1 month +15.0%+35.4%+17.6% -1.0%
3 months +52.5%+33.5%+10.2% -0.4%
6 months +110.5%+54.8%+48.6% +4.5%
Year to date +74.2%-0.7%+31.0% +12.4%
1 year +52.8%+17.1%+303.5% +13.6%
3 years +868.0%+10.7%— +76.4%
3 years, per year +113.2%+3.4%— +20.8%
5 years +70.2%+13.4%— +63.7%
5 years, per year +11.2%+2.5%— +10.4%

Risk

MeasureAVAHOPCHPACSSPY
Volatility, 1Y 47.7%51.1%81.9% 12.8%
Downside volatility, 1Y 42.7%48.6%49.5% 12.7%
Beta vs S&P 500, 1Y 0.650.000.54 1.00
Return / volatility, 1Y 1.110.333.71 1.06
Max drawdown, 5Y -92.3%-46.7%-82.0% -25.4%
From 52-week high -1.0%-13.5%0.0% -1.6%
52-week high $14.38$36.59$50.28 $779.14
52-week low $6.22$19.52$10.58 $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.

MultipleAVAHOPCHPACS
P/E now vs peer median 11.3xmedian 25.6x 23.1xmedian 25.6x 28.7xmedian 25.6x
P/S now vs peer median 1.2xmedian 1.6x 0.8xmedian 1.6x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 14.9xmedian 16.0x 14.0xmedian 16.0x 16.4xmedian 16.0x
P/FCF now vs peer median 19.6xmedian 21.6x 15.6xmedian 21.6x 967.3xmedian 21.6x
P/B now vs peer median 10.8xmedian 3.4x 3.8xmedian 3.4x 6.5xmedian 3.4x
PEG now vs peer median 0.25median 0.74 22.36median 0.74 —median 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 monthsAVAHOPCHPACS
Revenue $2.60B $5.69B $5.71B
Gross profit $840.08M $1.09B $1.36B
Operating income $273.93M $333.69M $423.77M
Net income $274.76M $209.58M $277.59M
Free cash flow $158.38M $303.85M $8.25M
EPS (diluted) $1.22 $1.37 $1.69
Cash & equivalents $97.20M $193.77M $115.28M
Total debt $1.30B $1.16B $272.33M
Shares (diluted) 224.86M 153.49M 163.91M
Enterprise value $2.48B $3.83B $7.26B

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
MetricAVAHOPCHPACS
P/E 11.3x 23.1x 28.7x
P/FCF 19.6x 15.6x 967.3x
P/Operating cash flow 18.5x 13.7x 13.8x
P/S 1.2x 0.8x 1.4x
P/B 10.8x 3.8x 6.5x
P/Tangible book 16.6x 4.9x 6.5x
EV/EBITDA 14.9x 14.0x 16.4x
EV/EBIT 15.7x 17.1x 19.2x
EV/Revenue 1.7x 1.0x 1.4x
EV/FCF 27.2x 18.8x 986.4x
EV/Operating cash flow 25.6x 16.5x 14.0x
PEG (3Y EPS CAGR) 0.25 22.36 –

Growth

14 metrics
MetricAVAHOPCHPACS
Revenue growth (1Y) 19.5% 5.9% 11.0%
Revenue CAGR (3Y) 12.4% 11.3% –
Gross profit growth (1Y) 15.7% 2.6% 23.8%
Gross profit CAGR (3Y) 14.3% 5.3% –
Operating income growth (1Y) 29.4% -0.1% 47.7%
Operating income CAGR (3Y) 57.3% 6.3% –
Net income growth (1Y) 1,381% -0.8% 64.8%
Net income CAGR (3Y) 48.1% -4.4% –
EPS growth (1Y) 1,286% 6.1% 65.0%
EPS CAGR (3Y) 45.1% 1.0% –
Operating cash flow growth (1Y) 96.2% 24.0% 22.8%
Operating cash flow CAGR (3Y) 112.7% -3.8% –
Free cash flow growth (1Y) 101.7% 26.0% -96.8%
Free cash flow CAGR (3Y) 91.5% -4.7% –

Profitability

14 metrics
MetricAVAHOPCHPACS
Gross margin 32.3% 19.1% 23.8%
EBITDA margin 11.1% 7.2% 8.7%
Operating margin 10.5% 5.9% 7.4%
Pretax margin 5.9% 5.0% 7.0%
Net margin 10.6% 3.7% 4.9%
FCF margin 6.1% 5.3% 0.1%
Operating cash flow margin 6.5% 6.1% 10.2%
Return on equity 104.2% 16.0% 23.8%
Return on assets 13.3% 6.2% 4.8%
Return on invested capital 17.5% 9.9% 20.7%
Return on capital employed 16.6% 13.0% 9.2%
Asset turnover 1.3x 1.7x 1.0x
Cash conversion (OCF / net income) 0.6x 1.7x 2.1x
Stock comp / revenue 0.7% 0.7% 1.9%

Financial Health

11 metrics
MetricAVAHOPCHPACS
Debt / assets 61.6% 34.3% 4.6%
Debt / equity 4.5x 0.9x 0.2x
Net debt / EBITDA 4.1x 2.4x 0.3x
Debt / FCF 8.2x 3.8x 33.0x
Liabilities / assets 86.4% 62.7% 79.4%
Equity / assets 13.6% 37.3% 20.6%
Interest coverage 2.2x 6.2x 16.2x
Current ratio 1.2x 1.5x 0.8x
Quick ratio 1.1x 1.0x 0.7x
Cash ratio 0.2x 0.2x 0.1x
Altman Z-score 2.01 3.89 2.30

Shareholder Returns

7 metrics
MetricAVAHOPCHPACS
Dividend yield – – –
Net buyback yield -0.3% – –
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.

ConsensusAVAHOPCHPACS
Forward P/E 16.7xFY2026 16.3xFY2026 22.1xFY2026
EPS, next fiscal year $0.85FY2026 $1.94FY2026 $2.28FY2026
EPS growth, next FY +41.7%FY2026 +12.8%FY2026 +23.9%FY2026
EPS growth, the year after +11.8% +12.9% +25.4%
Revenue, next fiscal year $2.76BFY2026 $5.93BFY2026 $6.17BFY2026
Revenue growth, next FY +13.4%FY2026 +5.0%FY2026 +16.6%FY2026
Revenue growth, the year after +8.7% -2.1% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAVAHOPCHPACS
Held by institutions 92.4% 100.0% 31.3%
Institutions holding 215 374 241
Change in shares held, QoQ +1.8% -4.6% +5.8%
Institutions buying 151 213 155
Institutions selling 52 122 54
Buyers to sellers 2.90 1.75 2.87

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.

AVAHOPCHPACS
AVAH 1.00 0.11 0.12
OPCH 0.11 1.00 0.02
PACS 0.12 0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AVAH, OPCH and PACS?

Pacs (PACS) is the largest by market capitalisation: Aveanna Healthcare Holdings (AVAH) $3.10B, Option Care Health (OPCH) $4.74B, Pacs (PACS) $7.98B.

Which stock is cheaper, AVAH, OPCH and PACS?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Aveanna Healthcare Holdings (AVAH) 11.3x, Option Care Health (OPCH) 23.1x, Pacs (PACS) 28.7x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Aveanna Healthcare Holdings (AVAH) 16.7x, Option Care Health (OPCH) 16.3x, Pacs (PACS) 22.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Aveanna Healthcare Holdings (AVAH) grew revenue fastest over the trailing twelve months: Aveanna Healthcare Holdings (AVAH) +19.5%, Option Care Health (OPCH) +5.9%, Pacs (PACS) +11.0%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Aveanna Healthcare Holdings (AVAH) 10.6%, Option Care Health (OPCH) 3.7%, Pacs (PACS) 4.9%). On return on invested capital, Pacs (PACS) leads (Aveanna Healthcare Holdings (AVAH) 17.5%, Option Care Health (OPCH) 9.9%, Pacs (PACS) 20.7%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Aveanna Healthcare Holdings (AVAH) +52.8%, Option Care Health (OPCH) +17.1%, Pacs (PACS) +303.5%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.2%/yr, Option Care Health (OPCH) +2.5%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Aveanna Healthcare Holdings (AVAH) has been the steadiest (Aveanna Healthcare Holdings (AVAH) 47.7%, Option Care Health (OPCH) 51.1%, Pacs (PACS) 81.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AVAH, OPCH and PACS?

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