BTSG vs SBRA vs AVAH Stock Comparison

BrightSpring Health Services, Sabra Health Care REIT and Aveanna Healthcare Holdings 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.

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

Percentile Scorecard

BTSGSBRAAVAH

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

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

Price Performance

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

Returns

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

Risk

MeasureBTSGSBRAAVAHSPY
Volatility, 1Y 45.6%24.5%47.3% 12.8%
Downside volatility, 1Y 51.1%22.5%42.5% 12.8%
Beta vs S&P 500, 1Y 1.14-0.250.60 1.00
Return / volatility, 1Y 2.210.440.95 0.80
Max drawdown, 5Y -35.6%-38.7%-92.3% -25.4%
From 52-week high -9.1%-11.9%-8.8% -3.5%
52-week high $72.91$22.39$14.38 $779.14
52-week low $31.36$17.67$6.22 $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.

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

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

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

Growth

14 metrics
MetricBTSGSBRAAVAH
Revenue growth (1Y) 26.4% 17.3% 16.8%
Revenue CAGR (3Y) – 11.0% 11.6%
Gross profit growth (1Y) 29.4% – 16.5%
Gross profit CAGR (3Y) – – 14.5%
Operating income growth (1Y) 143.5% – 34.5%
Operating income CAGR (3Y) – – 58.3%
Net income growth (1Y) 472.6% -64.1% 1,302%
Net income CAGR (3Y) – 36.3% 47.1%
EPS growth (1Y) 448.6% -65.7% 1,212%
EPS CAGR (3Y) – 35.5% 44.2%
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
MetricBTSGSBRAAVAH
Gross margin 12.4% – 33.2%
EBITDA margin 4.3% 46.0% 11.8%
Operating margin 3.1% – 11.2%
Pretax margin 2.1% 7.0% 6.0%
Net margin 2.5% 7.6% 10.2%
FCF margin 2.8% -42.6% –
Operating cash flow margin 3.5% 43.2% –
Return on equity 18.2% 2.4% 108.0%
Return on assets 6.0% 1.2% 12.6%
Return on invested capital 8.6% 4.2% 18.4%
Return on capital employed 9.9% – 17.3%
Asset turnover 2.4x 0.2x 1.2x
Cash conversion (OCF / net income) 1.4x 5.7x –
Stock comp / revenue 0.4% 1.5% –

Financial Health

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

Shareholder Returns

7 metrics
MetricBTSGSBRAAVAH
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.

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

Institutional Ownership

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

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.

BTSGSBRAAVAH
BTSG 1.00 0.08 0.27
SBRA 0.08 1.00 0.12
AVAH 0.27 0.12 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, SBRA and AVAH?

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

Which stock is cheaper, BTSG, SBRA and AVAH?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 37.3x, Sabra Health Care REIT (SBRA) 76.0x, Aveanna Healthcare Holdings (AVAH) 11.0x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (BrightSpring Health Services (BTSG) 38.3x, Sabra Health Care REIT (SBRA) 48.1x, Aveanna Healthcare Holdings (AVAH) 15.4x). 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: BrightSpring Health Services (BTSG) +26.4%, Sabra Health Care REIT (SBRA) +17.3%, Aveanna Healthcare Holdings (AVAH) +16.8%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Sabra Health Care REIT (SBRA) 7.6%, Aveanna Healthcare Holdings (AVAH) 10.2%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (BrightSpring Health Services (BTSG) 8.6%, Sabra Health Care REIT (SBRA) 4.2%, Aveanna Healthcare Holdings (AVAH) 18.4%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +100.5%, Sabra Health Care REIT (SBRA) +10.7%, Aveanna Healthcare Holdings (AVAH) +45.0%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Sabra Health Care REIT (SBRA) +6.0%/yr, Aveanna Healthcare Holdings (AVAH) +9.4%/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%. BrightSpring Health Services (BTSG) and Aveanna Healthcare Holdings (AVAH) pays no regular dividend.

Which stock is riskier?

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

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

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.