PACS vs AVAH vs OPCH Stock Comparison

Pacs, Aveanna Healthcare Holdings and Option Care Health Prices as of Oct 29, 2026 Peers: Industry group
PACS PACS Group, Inc.
$49.65 +17.6% 1M +299.1% 1Y
Market cap
$7.86B
P/E
29.2x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins
OPCH Option Care Health, Inc.
$31.85 +39.6% 1M +11.1% 1Y
Market cap
$4.77B
P/E
23.2x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare

Head to Head

11 decided of 12

Aveanna Healthcare Holdings leads on 7 of the 12 questions below (Aveanna Healthcare Holdings 7, Pacs 4). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionPACSAVAHOPCHLeader
Larger companyMarket capitalisation $7.86B $2.89B $4.77B PACS
Cheaper on earningsLower P/E, profitable companies only 29.2x 11.1x 23.2x AVAH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.8x 15.6x 16.4x AVAH
Faster revenue growthRevenue growth, trailing twelve months +15.2% +16.8% +5.9% AVAH
More profitableNet margin, trailing twelve months 4.8% 10.2% 3.7% AVAH
Better return on capitalReturn on invested capital 21.8% 18.4% 9.9% PACS
Less leveragedLower net debt / EBITDA 0.2x 4.0x 2.4x PACS
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +299.1% +34.5% +11.1% PACS
Better 5-year returnAnnualised price return, 5 years — +11.4%/yr +3.1%/yr AVAH
Less volatileAnnualised volatility, 1 year 81.5% 47.8% 52.0% AVAH
Higher overall scoreMean of the five percentile scores vs peers 64/100 68/100 54/100 AVAH

Percentile Scorecard

PACSAVAHOPCH

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

AxisPACSAVAHOPCH
Valuation 67 #31 of 92 73 #26 of 92 80 #19 of 92
Growth 73 #24 of 87 84 #15 of 87 27 #64 of 87
Profitability 69 #27 of 86 93 #7 of 86 68 #28 of 86
Financial Health 45 #54 of 97 23 #75 of 97 43 #56 of 97
Shareholder Returns – – –
Overall 64 68 54
  • PACS ranked among 102 companies in Healthcare Providers
  • AVAH ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodPACSAVAHOPCHSPY
1 month +17.6%+3.8%+39.6% +0.7%
3 months +5.6%+36.8%+41.8% +3.7%
6 months +48.0%+102.8%+56.7% +7.1%
Year to date +29.3%+62.3%0.0% +12.8%
1 year +299.1%+34.5%+11.1% +11.9%
3 years —+854.0%+18.7% +85.2%
3 years, per year —+112.2%+5.9% +22.8%
5 years —+71.8%+16.5% +67.6%
5 years, per year —+11.4%+3.1% +10.9%

Risk

MeasurePACSAVAHOPCHSPY
Volatility, 1Y 81.5%47.8%52.0% 12.7%
Downside volatility, 1Y 48.8%43.2%50.4% 12.6%
Beta vs S&P 500, 1Y 0.380.630.04 1.00
Return / volatility, 1Y 3.670.720.21 0.94
Max drawdown, 5Y -82.0%-92.3%-46.7% -25.4%
From 52-week high 0.0%-7.8%-13.0% -1.2%
52-week high $49.65$14.38$36.59 $779.14
52-week low $10.58$6.22$19.52 $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.

MultiplePACSAVAHOPCH
P/E now vs peer median 29.2xmedian 26.0x 11.1xmedian 26.0x 23.2xmedian 26.0x
P/S now vs peer median 1.4xmedian 1.6x 1.1xmedian 1.6x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 16.6xmedian 15.4x 13.7xmedian 15.4x 14.0xmedian 15.4x
P/FCF now vs peer median 64.7xmedian 21.5x —median 21.5x 15.7xmedian 21.5x
P/B now vs peer median 7.0xmedian 3.2x 10.1xmedian 3.2x 3.8xmedian 3.2x
PEG now vs peer median —median 0.87 0.25median 0.87 22.50median 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 monthsPACSAVAHOPCH
Revenue $5.55B $2.54B $5.69B
Gross profit $1.30B $845.45M $1.09B
Operating income $410.32M $284.64M $333.69M
Net income $269.17M $260.11M $209.58M
Free cash flow $121.47M – $303.85M
EPS (diluted) $1.66 $1.16 $1.37
Cash & equivalents $164.45M $97.20M $193.77M
Total debt $246.09M $1.30B $1.16B
Shares (diluted) 161.99M 224.86M 153.49M
Enterprise value $6.90B $2.36B $3.86B

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
MetricPACSAVAHOPCH
P/E 29.2x 11.1x 23.2x
P/FCF 64.7x – 15.7x
P/Operating cash flow 13.7x – 13.8x
P/S 1.4x 1.1x 0.8x
P/B 7.0x 10.1x 3.8x
P/Tangible book 7.0x 15.4x 4.9x
EV/EBITDA 16.6x 13.7x 14.0x
EV/EBIT 19.4x 14.4x 17.2x
EV/Revenue 1.4x 1.6x 1.0x
EV/FCF 65.4x – 18.9x
EV/Operating cash flow 13.9x – 16.5x
PEG (3Y EPS CAGR) – 0.25 22.50

Growth

14 metrics
MetricPACSAVAHOPCH
Revenue growth (1Y) 15.2% 16.8% 5.9%
Revenue CAGR (3Y) – 11.6% 11.3%
Gross profit growth (1Y) 33.3% 16.5% 2.6%
Gross profit CAGR (3Y) – 14.5% 5.3%
Operating income growth (1Y) 83.5% 34.5% -0.1%
Operating income CAGR (3Y) – 58.3% 6.3%
Net income growth (1Y) 103.5% 1,302% -0.8%
Net income CAGR (3Y) – 47.1% -4.4%
EPS growth (1Y) 107.9% 1,212% 6.1%
EPS CAGR (3Y) – 44.2% 1.0%
Operating cash flow growth (1Y) 20.3% – 24.0%
Operating cash flow CAGR (3Y) – – -3.8%
Free cash flow growth (1Y) -58.3% – 26.0%
Free cash flow CAGR (3Y) – – -4.7%

Profitability

14 metrics
MetricPACSAVAHOPCH
Gross margin 23.5% 33.2% 19.1%
EBITDA margin 8.6% 11.8% 7.2%
Operating margin 7.4% 11.2% 5.9%
Pretax margin 6.9% 6.0% 5.0%
Net margin 4.8% 10.2% 3.7%
FCF margin 2.2% – 5.3%
Operating cash flow margin 10.3% – 6.1%
Return on equity 24.9% 108.0% 16.0%
Return on assets 4.8% 12.6% 6.2%
Return on invested capital 21.8% 18.4% 9.9%
Return on capital employed 8.9% 17.3% 13.0%
Asset turnover 1.0x 1.2x 1.7x
Cash conversion (OCF / net income) 2.1x – 1.7x
Stock comp / revenue 1.3% – 0.7%

Financial Health

11 metrics
MetricPACSAVAHOPCH
Debt / assets 4.4% 61.6% 34.3%
Debt / equity 0.2x 4.5x 0.9x
Net debt / EBITDA 0.2x 4.0x 2.4x
Debt / FCF 2.0x – 3.8x
Liabilities / assets 80.3% 86.4% 62.7%
Equity / assets 19.7% 13.6% 37.3%
Interest coverage 13.9x 2.2x 6.2x
Current ratio 0.9x 1.2x 1.5x
Quick ratio 0.8x 1.1x 1.0x
Cash ratio 0.2x 0.2x 0.2x
Altman Z-score 2.36 1.93 3.90

Shareholder Returns

7 metrics
MetricPACSAVAHOPCH
Dividend yield – – –
Net buyback yield – – –
Shareholder yield – – –
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.

ConsensusPACSAVAHOPCH
Forward P/E 21.8xFY2026 15.6xFY2026 16.4xFY2026
EPS, next fiscal year $2.28FY2026 $0.85FY2026 $1.94FY2026
EPS growth, next FY +23.9%FY2026 +41.7%FY2026 +12.8%FY2026
EPS growth, the year after +25.4% +11.8% +12.9%
Revenue, next fiscal year $6.17BFY2026 $2.76BFY2026 $5.93BFY2026
Revenue growth, next FY +16.6%FY2026 +13.4%FY2026 +5.0%FY2026
Revenue growth, the year after +1.1% +8.7% -2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersPACSAVAHOPCH
Held by institutions 31.3% 92.5% 100.0%
Institutions holding 240 215 373
Change in shares held, QoQ +5.8% +1.8% -4.6%
Institutions buying 155 151 213
Institutions selling 54 52 121
Buyers to sellers 2.87 2.90 1.76

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.

PACSAVAHOPCH
PACS 1.00 0.11 0.03
AVAH 0.11 1.00 0.11
OPCH 0.03 0.11 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, PACS, AVAH and OPCH?

Pacs (PACS) is the largest by market capitalisation: Pacs (PACS) $7.86B, Aveanna Healthcare Holdings (AVAH) $2.89B, Option Care Health (OPCH) $4.77B.

Which stock is cheaper, PACS, AVAH and OPCH?

Aveanna Healthcare Holdings (AVAH) trades on the lowest price-to-earnings ratio (Pacs (PACS) 29.2x, Aveanna Healthcare Holdings (AVAH) 11.1x, Option Care Health (OPCH) 23.2x). On next year's consensus earnings, Aveanna Healthcare Holdings (AVAH) is cheapest (Pacs (PACS) 21.8x, Aveanna Healthcare Holdings (AVAH) 15.6x, Option Care Health (OPCH) 16.4x). 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: Pacs (PACS) +15.2%, Aveanna Healthcare Holdings (AVAH) +16.8%, Option Care Health (OPCH) +5.9%.

Which company is more profitable?

Aveanna Healthcare Holdings (AVAH) has the highest net margin (Pacs (PACS) 4.8%, Aveanna Healthcare Holdings (AVAH) 10.2%, Option Care Health (OPCH) 3.7%). On return on invested capital, Pacs (PACS) leads (Pacs (PACS) 21.8%, Aveanna Healthcare Holdings (AVAH) 18.4%, Option Care Health (OPCH) 9.9%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: Pacs (PACS) +299.1%, Aveanna Healthcare Holdings (AVAH) +34.5%, Option Care Health (OPCH) +11.1%. Over five years, Aveanna Healthcare Holdings (AVAH) compounded fastest (Aveanna Healthcare Holdings (AVAH) +11.4%/yr, Option Care Health (OPCH) +3.1%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Aveanna Healthcare Holdings (AVAH) has been the steadiest (Pacs (PACS) 81.5%, Aveanna Healthcare Holdings (AVAH) 47.8%, Option Care Health (OPCH) 52.0%). Volatility measures how widely the price swings, not the risk of the business.

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

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 7. 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.