ENSG vs AVAH vs ADUS Stock Comparison

Ensign, Aveanna Healthcare Holdings and Addus HomeCare Prices as of Oct 29, 2026 Peers: Industry group
ENSG Ensign Group, Inc
$186.32 +6.1% 1M +2.0% 1Y
Market cap
$10.63B
P/E
26.6x
Revenue (TTM)
$5.67B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins
ADUS Addus HomeCare Corp
$124.34 +10.1% 1M +1.3% 1Y
Market cap
$2.30B
P/E
21.8x
Revenue (TTM)
$1.48B
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, Addus HomeCare 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionENSGAVAHADUSLeader
Larger companyMarket capitalisation $10.63B $2.86B $2.30B ENSG
Cheaper on earningsLower P/E, profitable companies only 26.6x 11.0x 21.8x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.5x 15.6x 17.3x AVAH
Faster revenue growthRevenue growth, trailing twelve months +17.5% +16.8% +15.9% ENSG
More profitableNet margin, trailing twelve months 7.0% 10.2% 7.1% AVAH
Better return on capitalReturn on invested capital 14.3% 18.4% 9.2% AVAH
Less leveragedLower net debt / EBITDA -0.3x 4.0x -0.2x ENSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +2.0% +34.5% +1.3% AVAH
Better 5-year returnAnnualised price return, 5 years +19.0%/yr +11.4%/yr +5.9%/yr ENSG
Less volatileAnnualised volatility, 1 year 29.3% 47.8% 29.2% ADUS
Higher overall scoreMean of the five percentile scores vs peers 65/100 68/100 71/100 ADUS

Percentile Scorecard

ENSGAVAHADUS

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

AxisENSGAVAHADUS
Valuation 70 #28 of 92 73 #26 of 92 88 #12 of 92
Growth 63 #33 of 87 84 #15 of 87 62 #34 of 87
Profitability 74 #23 of 86 93 #7 of 86 73 #24 of 86
Financial Health 72 #28 of 97 23 #75 of 97 87 #14 of 97
Shareholder Returns 44 #31 of 55 – 46 #30 of 55
Overall 65 68 71
  • ENSG ranked among 102 companies in Healthcare Providers
  • AVAH ranked among 102 companies in Healthcare Providers
  • ADUS ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodENSGAVAHADUSSPY
1 month +6.1%+3.8%+10.1% +0.7%
3 months +4.2%+36.8%+6.6% +3.7%
6 months -0.2%+102.8%+28.3% +7.1%
Year to date +7.0%+62.3%+15.8% +12.8%
1 year +2.0%+34.5%+1.3% +11.9%
3 years +95.5%+854.0%+49.5% +85.2%
3 years, per year +25.1%+112.2%+14.3% +22.8%
5 years +138.8%+71.8%+33.0% +67.6%
5 years, per year +19.0%+11.4%+5.9% +10.9%
10 years +993.4%—+398.2% +262.0%
10 years, per year +27.0%—+17.4% +13.7%

Risk

MeasureENSGAVAHADUSSPY
Volatility, 1Y 29.3%47.8%29.2% 12.7%
Downside volatility, 1Y 24.9%43.2%30.9% 12.6%
Beta vs S&P 500, 1Y -0.060.630.18 1.00
Return / volatility, 1Y 0.070.720.04 0.94
Max drawdown, 5Y -31.8%-92.3%-34.9% -25.4%
From 52-week high -13.7%-7.8%0.0% -1.2%
52-week high $215.83$14.38$124.34 $779.14
52-week low $147.13$6.22$88.49 $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.

MultipleENSGAVAHADUS
P/E now vs peer median 27.0xmedian 26.0x 11.1xmedian 26.0x 21.6xmedian 26.0x
P/S now vs peer median 1.9xmedian 1.6x 1.1xmedian 1.6x 1.6xmedian 1.6x
EV/EBITDA now vs peer median 16.9xmedian 15.4x 13.7xmedian 15.4x 13.7xmedian 15.4x
P/FCF now vs peer median 21.3xmedian 21.5x —median 21.5x 15.0xmedian 21.5x
P/B now vs peer median 4.2xmedian 3.2x 10.1xmedian 3.2x 2.0xmedian 3.2x
PEG now vs peer median 1.70median 0.87 0.25median 0.87 1.08median 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 monthsENSGAVAHADUS
Revenue $5.67B $2.54B $1.48B
Gross profit $1.20B $845.45M $477.75M
Operating income $509.16M $284.64M $148.23M
Net income $399.32M $260.11M $105.31M
Free cash flow $509.91M – $154.77M
EPS (diluted) $6.73 $1.16 $5.70
Cash & equivalents $337.59M $97.20M $99.57M
Total debt $198.72M $1.30B $61.60M
Shares (diluted) 59.30M 224.86M 18.47M
Enterprise value $8.75B $2.33B $1.91B

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
MetricENSGAVAHADUS
P/E 27.0x 11.1x 21.6x
P/FCF 21.3x – 15.0x
P/Operating cash flow 15.6x – 14.3x
P/S 1.9x 1.1x 1.6x
P/B 4.2x 10.1x 2.0x
P/Tangible book 4.3x 15.4x 2.2x
EV/EBITDA 16.9x 13.7x 13.7x
EV/EBIT 21.0x 14.4x 15.4x
EV/Revenue 1.9x 1.6x 1.5x
EV/FCF 20.9x – 14.8x
EV/Operating cash flow 15.4x – 14.1x
PEG (3Y EPS CAGR) 1.70 0.25 1.08

Growth

14 metrics
MetricENSGAVAHADUS
Revenue growth (1Y) 17.5% 16.8% 15.9%
Revenue CAGR (3Y) 16.8% 11.6% 13.9%
Gross profit growth (1Y) 21.7% 16.5% 15.1%
Gross profit CAGR (3Y) 16.3% 14.5% 14.9%
Operating income growth (1Y) 26.6% 34.5% 27.5%
Operating income CAGR (3Y) 18.3% 58.3% 23.6%
Net income growth (1Y) 21.6% 1,302% 26.9%
Net income CAGR (3Y) 17.2% 47.1% 25.1%
EPS growth (1Y) 20.9% 1,212% 26.0%
EPS CAGR (3Y) 15.9% 44.2% 19.9%
Operating cash flow growth (1Y) 44.5% – 61.7%
Operating cash flow CAGR (3Y) 26.8% – 16.4%
Free cash flow growth (1Y) 76.1% – 65.3%
Free cash flow CAGR (3Y) 29.2% – 17.9%

Profitability

14 metrics
MetricENSGAVAHADUS
Gross margin 21.2% 33.2% 32.4%
EBITDA margin 11.1% 11.8% 11.3%
Operating margin 9.0% 11.2% 10.0%
Pretax margin 9.4% 6.0% 9.5%
Net margin 7.0% 10.2% 7.1%
FCF margin 9.0% – 10.5%
Operating cash flow margin 12.3% – 11.0%
Return on equity 16.0% 108.0% 9.3%
Return on assets 6.8% 12.6% 7.3%
Return on invested capital 14.3% 18.4% 9.2%
Return on capital employed 10.4% 17.3% 11.6%
Asset turnover 1.0x 1.2x 1.0x
Cash conversion (OCF / net income) 1.7x – 1.5x
Stock comp / revenue 1.1% – 1.2%

Financial Health

11 metrics
MetricENSGAVAHADUS
Debt / assets 3.3% 61.6% 4.2%
Debt / equity 0.1x 4.5x 0.1x
Net debt / EBITDA -0.3x 4.0x -0.2x
Debt / FCF 0.4x – 0.4x
Liabilities / assets 57.3% 86.4% 21.2%
Equity / assets 42.7% 13.6% 78.8%
Interest coverage 62.8x 2.2x 14.9x
Current ratio 1.2x 1.2x 1.7x
Quick ratio 1.1x 1.1x 1.5x
Cash ratio 0.4x 0.2x 0.6x
Altman Z-score 3.64 1.93 6.47

Shareholder Returns

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

ConsensusENSGAVAHADUS
Forward P/E 22.5xFY2026 15.6xFY2026 17.3xFY2026
EPS, next fiscal year $8.29FY2026 $0.85FY2026 $7.20FY2026
EPS growth, next FY +26.2%FY2026 +41.7%FY2026 +15.6%FY2026
EPS growth, the year after -1.8% +11.8% +11.1%
Revenue, next fiscal year $5.76BFY2026 $2.76BFY2026 $1.57BFY2026
Revenue growth, next FY +13.9%FY2026 +13.4%FY2026 +10.8%FY2026
Revenue growth, the year after +16.9% +8.7% +6.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersENSGAVAHADUS
Held by institutions 89.8% 92.5% 100.0%
Institutions holding 548 215 304
Change in shares held, QoQ -1.2% +1.8% +0.8%
Institutions buying 250 151 162
Institutions selling 214 52 94
Buyers to sellers 1.17 2.90 1.72

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.

ENSGAVAHADUS
ENSG 1.00 0.29 0.35
AVAH 0.29 1.00 0.27
ADUS 0.35 0.27 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ENSG, AVAH and ADUS?

Ensign (ENSG) is the largest by market capitalisation: Ensign (ENSG) $10.63B, Aveanna Healthcare Holdings (AVAH) $2.86B, Addus HomeCare (ADUS) $2.30B.

Which stock is cheaper, ENSG, AVAH and ADUS?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Ensign (ENSG) 26.6x, Aveanna Healthcare Holdings (AVAH) 11.0x, Addus HomeCare (ADUS) 21.8x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Ensign (ENSG) 22.5x, Aveanna Healthcare Holdings (AVAH) 15.6x, Addus HomeCare (ADUS) 17.3x). 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: Ensign (ENSG) +17.5%, Aveanna Healthcare Holdings (AVAH) +16.8%, Addus HomeCare (ADUS) +15.9%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Ensign (ENSG) 7.0%, Aveanna Healthcare Holdings (AVAH) 10.2%, Addus HomeCare (ADUS) 7.1%). On return on invested capital, Aveanna Healthcare Holdings (AVAH) leads (Ensign (ENSG) 14.3%, Aveanna Healthcare Holdings (AVAH) 18.4%, Addus HomeCare (ADUS) 9.2%).

Which stock has performed better?

Over the past year Aveanna Healthcare Holdings (AVAH) returned the most: Ensign (ENSG) +2.0%, Aveanna Healthcare Holdings (AVAH) +34.5%, Addus HomeCare (ADUS) +1.3%. Over five years, Ensign (ENSG) compounded fastest (Ensign (ENSG) +19.0%/yr, Aveanna Healthcare Holdings (AVAH) +11.4%/yr, Addus HomeCare (ADUS) +5.9%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Ensign (ENSG) 29.3%, Aveanna Healthcare Holdings (AVAH) 47.8%, Addus HomeCare (ADUS) 29.2%). Volatility measures how widely the price swings, not the risk of the business.

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

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.