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AVAH Aveanna Healthcare Holdings Inc. - Fundamental Analysis

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AVAH Stock | Fundamental Analysis & Investment Insights
NASDAQ Healthcare Medical Care Facilities
Current Price Live
$8.68
Analyst Target
$11.0
+26.7% Upside
52W High
$10.32
52W Low
$3.67

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Jan 24, 2026
Market cap
$1.81B
P/E
23.46
ROE
N/A
Profit margin
3.3%
Debt/Equity
152.32
Dividend yield
N/A

AI Analysis

Powered by advanced machine learning algorithms

Confidence Score
68%
Analysis Accuracy
AVAH exhibits a Piotroski F-Score of 5/9, indicating stable financial health, but lacks an Altman Z-Score, limiting bankruptcy risk assessment. The stock trades above its Graham Number of $0.63 and intrinsic value of $2.59, reflecting high growth expectations, supported by strong revenue growth of 22.2% and robust analyst target of $11.00. However, extreme valuation multiples like a Price/Book of 184.68 and insider selling worth $295.49M over 6 months raise sustainability concerns. While recent earnings surprises have been exceptionally strong, declining Q/Q EPS and high leverage (Debt/Equity: 152.32) present material risks.

Key Strengths

Strong revenue growth (22.2% YoY) outpaces sector average of 62.62% in context of profitability
High operating margin (11.00%) and gross margin (33.57%) indicate pricing power and cost control
Impressive earnings surprise history with 3 out of last 4 quarters beating estimates, averaging +362.87%
Analyst consensus supports upside with $11.00 target price implying ~27% potential return
Improving profitability trend from negative to positive EPS since 2023

Key Risks

Extremely high Debt/Equity ratio of 152.32 signals severe financial leverage and refinancing risk
Insider selling activity (11 transactions, $295.49M) suggests lack of confidence from executives
Price/Book of 184.68 is exceptionally high, indicating possible overvaluation relative to book equity
Piotroski F-Score of 5 is stable but not strong, with no Altman Z-Score to confirm distress risk
Most recent Q/Q EPS growth declined by 16.7%, indicating potential near-term earnings weakness
AI Fair Value Estimate
Based on comprehensive analysis
$6.5
-25.1% below current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
45
Moderate
Value
45
Future
70
Past
60
Health
52
Dividend
0
AI Verdict
Cautiously optimistic with significant valuation and leverage risks
Key drivers: High revenue growth and earnings momentum, Rich valuation multiples, Aggressive insider selling, Strong operating margins, Extreme capital structure leverage
Confidence
70%
Value
45/100

Ref P/E, PEG, Graham Number

Positives
  • Forward P/E of 13.97 is below current P/E of 23.46, suggesting earnings recovery priced in
  • Price/Sales of 0.79 is below sector average implied by high P/E peers
Watchpoints
  • Current P/E of 23.46 is high for a company with inconsistent earnings history
  • Price/Book of 184.68 is extremely elevated, indicating severe overvaluation relative to equity
  • Stock trades at 13.7x intrinsic value (Graham: $0.63) and 3.3x growth-based intrinsic ($2.59)
Future
70/100

Ref Growth rates

Positives
  • Revenue growth of 22.2% YoY is strong and sustainable in healthcare services
  • Analyst target of $11.00 implies confidence in future earnings trajectory
  • Forward P/E of 13.97 suggests improving earnings outlook
Watchpoints
  • Q/Q EPS growth declined by 16.7%, signaling near-term headwinds
  • No PEG ratio due to inconsistent earnings, limiting growth-adjusted valuation
Past
60/100

Ref Historical trends

Positives
  • Transitioned from consistent losses to profitability in recent quarters
  • Long-term 3Y return of +583.5% shows strong price momentum
Watchpoints
  • 5Y price change of -27.7% indicates long-term underperformance
  • Earnings history includes multiple negative quarters and large misses
Health
52/100

Ref Altman Z-Score, Piotroski F-Score

Positives
  • Piotroski F-Score of 5/9 indicates stable financial condition
  • Current ratio (1.23) and quick ratio (1.15) suggest short-term liquidity adequacy
Watchpoints
  • Debt/Equity of 152.32 is dangerously high, indicating extreme financial risk
  • No Altman Z-Score available to assess bankruptcy risk
  • ROE and ROIC missing, limiting return efficiency analysis
Dividend
0/100

Ref Yield, Payout

Positives
No standout positives identified.
Watchpoints
  • No dividend yield or payout history
  • Dividend strength score of 0/100 confirms absence of income appeal

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$8.68
Analyst Target
$11.0
Upside/Downside
+26.7%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for AVAH and closest competitors.

Updated 2026-01-23
Company 5Y 3Y 1Y 6M 1M 1W
AVAH
Aveanna Healthcare Holdings Inc.
Primary
-27.7% +583.5% +75.7% +119.2% -0.3% -5.9%
AZTA
Azenta, Inc.
Peer
-50.6% -29.6% -26.9% +16.3% +16.1% +0.1%
ANAB
AnaptysBio, Inc.
Peer
+227.2% +183.1% +284.9% +177.0% +17.3% +17.0%
ADUS
Addus HomeCare Corporation
Peer
-6.0% +1.0% +11.6% -8.1% -10.1% -1.8%
AUPH
Aurinia Pharmaceuticals Inc.
Peer
-22.4% +77.0% +81.0% +62.7% -10.7% -2.1%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
23.46
Forward P/E
13.97
PEG Ratio
N/A
P/B Ratio
184.68
P/S Ratio
0.79
EV/Revenue
1.38
EV/EBITDA
11.9
Market Cap
$1.81B

Profitability

Profit margins and return metrics

Profit Margin 3.29%
Operating Margin 11.0%
Gross Margin 33.57%
ROE N/A
ROA 9.31%

Growth

Revenue and earnings growth rates

Revenue Growth +22.2%
Earnings Growth N/A
Q/Q Revenue Growth N/A
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
152.32
High debt
Current Ratio
1.23
Good
Quick Ratio
1.15
Good
Cash/Share
$0.73

Quarterly Earnings History

EPS performance vs analyst estimates

2026-03-12
$N/A
2025-11-06
$0.15
+14.9% surprise
2025-08-07
$0.18
+405.5% surprise
2025-05-08
$0.03
+668.2% surprise

Healthcare Sector Comparison

Comparing AVAH against 147 companies in the Healthcare sector (10 bullish, 55 neutral, 82 bearish)
P/E Ratio
23.46
This Stock
vs
164.56
Sector Avg
-85.7% (Discount)
Profit Margin
3.29%
This Stock
vs
-20.78%
Sector Avg
-115.9% (Weaker)
Debt to Equity
152.32
This Stock
vs
6.16
Sector Avg
+2371.6% (Higher)
Revenue Growth
22.2%
This Stock
vs
137.39%
Sector Avg
-83.8% (Slower)
Current Ratio
1.23
This Stock
vs
3.36
Sector Avg
-63.5% (Weaker)

Similar Companies

Peer comparison within the same industry

Company AI Rating Market Cap P/E ROE Profit Margin Price
AVAH
Aveanna Healthcare Holdings Inc.
NEUTRAL $1.81B 23.46 -% 3.3% $8.68
AZTA
Azenta, Inc.
NEUTRAL $1.84B 77.02 1.4% -9.4% $40.05
ANAB
AnaptysBio, Inc.
BULLISH $1.86B - -24.5% -5.6% $64.81
ADUS
Addus HomeCare Corporation
NEUTRAL $1.88B 19.42 9.3% 6.7% $101.35
AUPH
Aurinia Pharmaceuticals Inc.
NEUTRAL $1.92B 26.42 20.7% 29.3% $14.53

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

Date Insider Position Transaction Shares Value
2026-01-02 SHANER JEFFREY Chief Executive Officer Sale 84,960 $689,985
2026-01-02 REISZ EDWIN C Officer Sale 50,970 $413,942
2026-01-02 CUNNINGHAM PATRICK A Officer Sale 36,015 $292,488
2026-01-02 STEWART DEBORAH Officer Sale 34,616 $281,126
2026-01-02 BUCKHALTER MATTHEW Chief Financial Officer Sale 53,077 $431,054
2025-10-24 VIGANO PAUL R Beneficial Owner of more than 10% of a Class of Security Sale 1,500,000 $13,500,000
2025-10-24 WILLIAMS ROBERT M JR Beneficial Owner of more than 10% of a Class of Security Sale 1,500,000 $13,500,000
2025-10-24 J.H. WHITNEY EQUITY PARTNERS VII, L.L.C. Beneficial Owner of more than 10% of a Class of Security Sale 1,251,909 $11,267,181
2025-10-21 VIGANO PAUL R Beneficial Owner of more than 10% of a Class of Security Sale 10,000,000 $90,000,000
2025-10-21 WILLIAMS ROBERT M JR Beneficial Owner of more than 10% of a Class of Security Sale 10,000,000 $90,000,000
2025-10-21 J.H. WHITNEY EQUITY PARTNERS VII, L.L.C. Beneficial Owner of more than 10% of a Class of Security Sale 8,346,059 $75,114,531
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
BUY
10 analysts
Barclays
2026-01-16
Maintains
Overweight Overweight
UBS
2026-01-15
Maintains
Neutral Neutral
RBC Capital
2026-01-15
Maintains
Sector Perform Sector Perform
William Blair
2025-12-08
init
Outperform
BMO Capital
2025-11-13
init
Outperform
UBS
2025-11-07
Maintains
Neutral Neutral
Truist Securities
2025-11-07
Maintains
Hold Hold
Jefferies
2025-10-28
Maintains
Buy Buy
RBC Capital
2025-10-24
Maintains
Sector Perform Sector Perform
UBS
2025-10-13
Maintains
Neutral Neutral

Past News Coverage

Recent headlines mentioning AVAH from our newsroom.

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