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AVAHAveanna Healthcare Holdings Inc.
$9.60$2.1B
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  3. AVAH
  4. Financial Ratios

Aveanna Healthcare Holdings Inc. (AVAH) Financial Ratios

Latest Ratios: P/E Ratio 9.1x · EV/EBITDA 11.2x · ROE 621.9%. (2018–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

AVAH Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Market Cap$2.1B$1.7B$899M$509M$145M$1.4B———
Enterprise Value$3.2B$2.9B$2.3B$2.0B$1.5B$2.6B———
P/E Ratio →9.147.70———————
P/S Ratio0.860.710.440.270.080.81———
P/B Ratio10.618.93———2.14———
P/FCF18.2115.1334.1530.75—————
P/OCF17.1014.2127.5422.45—————

P/E links to full P/E history page with 30-year chart

AVAH EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
EV / Revenue—1.191.141.040.831.57———
EV / EBITDA11.219.9813.5551.46—————
EV / EBIT12.2111.5114.83216.55—————
EV / FCF—25.1588.02118.65—————

AVAH Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Gross Margin33.1%33.1%31.4%31.4%30.9%32.3%30.4%30.3%31.5%
Operating Margin10.9%10.9%6.9%0.4%-35.9%-2.2%-0.2%2.8%3.1%
Net Profit Margin9.2%9.2%-0.5%-7.1%-37.0%-7.0%-3.8%-5.5%-3.8%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
ROE621.9%621.9%——-208.9%-25.9%-21.2%-24.8%-13.7%
ROA12.2%12.2%-0.7%-8.1%-32.7%-5.6%-3.3%-4.9%-3.0%
ROIC15.1%15.1%8.0%0.5%-29.8%-1.7%-0.2%2.2%2.3%
ROCE18.5%18.5%11.1%0.6%-38.1%-2.0%-0.2%2.8%2.9%

AVAH Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Debt / Equity6.916.91———2.044.603.982.76
Debt / EBITDA4.654.658.7939.28——45.9416.3718.69
Net Debt / Equity—5.91———1.994.083.972.74
Net Debt / EBITDA3.983.988.2938.13——40.8116.3218.53
Debt / FCF—10.0253.8787.90——10.76—468.24
Interest Coverage1.791.791.000.06-5.23-0.770.380.190.34

AVAH Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Current Ratio1.321.320.980.890.830.811.311.111.08
Quick Ratio1.321.320.980.890.830.811.311.111.08
Cash Ratio0.460.460.210.120.060.090.530.020.04
Asset Turnover—1.201.221.171.040.720.810.880.81
Inventory Turnover—————————
Days Sales Outstanding—47.0150.0647.3446.0748.9944.1643.3353.12

AVAH Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Dividend Yield—————————
Payout Ratio—————————

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018
Earnings Yield10.9%13.0%———————
FCF Yield5.5%6.6%2.9%3.3%—————
Buyback Yield0.0%0.0%0.0%0.0%0.0%0.0%———
Total Shareholder Yield0.0%0.0%0.0%0.0%0.0%0.0%———
Shares Outstanding—$215M$193M$190M$186M$185M$186M$186M$180M

Key Metrics

Growth RegimeExpanding
ProfitabilityStrained
Balance SheetVulnerable
Cash FlowMixed
Top Statement Risk

High debt service burden

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Complexity Discount Masks Growth Potential

Based on current market data, AVAH trades at a TTM P/E of 8.25, which appears to reflect a significant complexity discount compared to peers like Addus HomeCare, potentially underestimating the long-term stability of the company's specialized pediatric private duty nursing revenue streams in the current market environment.

The forward P/E of 14.92 suggests that investors are pricing in a recovery in earnings, yet the valuation remains compressed relative to the broader healthcare services sector. This discrepancy may stem from the market's skepticism regarding the company's ability to manage its high leverage while simultaneously scaling its diverse service segments.

Capital Efficiency Constrained by Goodwill

As reported in recent financial statements, AVAH's ROIC has struggled to exceed 5% over the last ten quarters, a trend that suggests the company's aggressive acquisition strategy has yet to generate returns that meaningfully exceed the cost of capital required to maintain its complex debt structure.

The persistent reliance on goodwill, which constitutes over half of total assets, indicates that the company's return profile is heavily skewed by historical M&A activity. Investors should monitor whether management can shift toward organic growth, as the current ROIC levels suggest that the existing asset base is not yet compounding value effectively.

Working Capital Volatility Impacts Liquidity

According to quarterly filings, the company's DSO has remained relatively stable near 47 days, yet the significant fluctuations in working capital observed in recent periods suggest that revenue cycle management remains a primary operational challenge that directly impacts the company's ability to maintain consistent cash flow.

The lack of inventory data is expected given the service-oriented business model, but the reliance on government payers makes the company vulnerable to payment delays. The current CCC trend warrants further investigation to determine if administrative bottlenecks are hindering the conversion of billed services into actual cash receipts.

Debt Service Remains Primary Constraint

Based on reported figures, AVAH's debt-to-equity ratio of 6.26 in 2026Q1 highlights a highly leveraged capital structure that leaves the company with limited flexibility, particularly when compared to the more conservative balance sheets of peers like Healthcare Services Group, which maintain significantly lower debt profiles.

The interest coverage ratio, which has fluctuated between 0.17 and 2.60 over the last ten quarters, indicates that the company's ability to service its debt is highly sensitive to quarterly earnings volatility. This leverage profile remains a critical risk factor that could limit the company's ability to invest in future growth initiatives.

Misapplication of P/E Multiples

The P/E ratio is frequently misapplied to AVAH, as it obscures the significant impact of non-operating accounting adjustments and high interest expenses that distort net income, making it a poor proxy for the company's underlying cash-generating capability in the high-acuity home care industry.

Analysts should instead prioritize EV/EBITDA or P/FCF to better assess the company's operational performance, as these metrics are less susceptible to the volatility of non-recurring items and the company's specific capital structure. Relying solely on P/E may lead to an inaccurate assessment of the firm's true earning power.

Download Financial Ratios Data

Includes 30+ ratios · 8 years · Updated daily

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AVAH — Frequently Asked Questions

Quick answers to the most common questions about buying AVAH stock.

What is Aveanna Healthcare Holdings Inc.'s P/E ratio?

Aveanna Healthcare Holdings Inc.'s current P/E ratio is 9.1x. The historical average is 7.7x. This places it at the 100th percentile of its historical range.

What is Aveanna Healthcare Holdings Inc.'s EV/EBITDA?

Aveanna Healthcare Holdings Inc.'s current EV/EBITDA is 11.2x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 25.0x.

What is Aveanna Healthcare Holdings Inc.'s ROE?

Aveanna Healthcare Holdings Inc.'s return on equity (ROE) is 621.9%. This is above the typical threshold of 15-20% considered good for most companies. The historical average is -58.9%.

Is AVAH stock overvalued?

Based on historical data, Aveanna Healthcare Holdings Inc. is trading at a P/E of 9.1x. This is at the 100th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What are Aveanna Healthcare Holdings Inc.'s profit margins?

Aveanna Healthcare Holdings Inc. has 33.1% gross margin and 10.9% operating margin. Operating margin between 10-20% is typical for established companies.

How much debt does Aveanna Healthcare Holdings Inc. have?

Aveanna Healthcare Holdings Inc.'s Debt/EBITDA ratio is 4.6x, indicating high leverage. A ratio above 4x may signal elevated financial risk.