Astrana Health, Inc. (ASTH) vs Aveanna Healthcare Holdings Inc. (AVAH)

Astrana Health, Inc. and Aveanna Healthcare Holdings Inc. are both Medical Care Facilities companies. Aveanna Healthcare Holdings Inc. is the larger, with a market value of $2.8B against $1.9B — 1.5× the size. Aveanna Healthcare Holdings Inc. trades at the lower P/E: 9.5× against 44.3×. Astrana Health, Inc. grew revenue faster over the last twelve months: 58.9% against 19.5%. Aveanna Healthcare Holdings Inc. has the higher net margin (10.6% vs 1.05%) and the higher return on invested capital (10.4% vs 4.56%). Across the 22 metrics below, Aveanna Healthcare Holdings Inc. leads on 15 and Astrana Health, Inc. on 7.

Valuation

Metric ASTH AVAH Medical Care Facilities median
P/E 44.35 9.49 20.56
P/S 0.47 1.03 0.85
P/B 2.15 9.36 2.84
Price to free cash flow 19.16 16.97 13.73
EV/EBITDA 13.94 13.17 10.21
EV/Sales 0.61 1.56 1.32
Earnings yield 2.25% 10.53% 2.25%
Free cash flow yield 5.22% 5.89% 4.16%

Profitability

Metric ASTH AVAH Medical Care Facilities median
Gross margin 10.46% 32.28% 30.78%
Operating margin 2.61% 10.52% 5.74%
Net margin 1.05% 10.56% 2.32%
Free cash flow margin 2.46% 6.09% 5.46%
Return on equity 5.03% 199.62% 8.76%
Return on assets 2.18% 14.17% 2.18%
Return on invested capital 4.56% 10.36% 5.01%

Growth

Metric ASTH AVAH Medical Care Facilities median
Revenue growth (TTM) 58.91% 19.52% 7.12%
EPS growth (last fiscal year) (48.89%) 1,850.00% 17.46%
Revenue growth, 5-year CAGR 35.87% 10.23% 9.58%
Net income growth, 5-year CAGR (9.81%) 0.00% 0.00%

Health

Metric ASTH AVAH Medical Care Facilities median
Debt to equity 1.11 5.09 0.37
Current ratio 1.23 1.16 1.20
Net debt to EBITDA 4.75 4.38 1.07

Dividend

Metric ASTH AVAH Medical Care Facilities median
Dividend yield — — 0.63%
Payout ratio — — 0.13

Size

Metric ASTH AVAH Medical Care Facilities median
Market cap 1.89b 2.76b 1.47b

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