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Aveanna Healthcare Holdings

AVAH
59
Medical - Care Facilities · Healthcare
Exchange
NASDAQ
Winston Score
59
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jul 4, 2026
How the score breaks down
Quality
Good
Growth
Exceptional
Cash Flow
Mixed
Stability
Weak
Valuation
Good

Winston Score History

The full picture

Aveanna Healthcare Holdings is a home health company that sends nurses and caregivers directly to patients' homes instead of treating them in hospitals or clinics. Its main services include skilled nursing care for medically fragile children, home health therapy, and hospice care for adults. It is one of the largest pediatric home nursing providers in the United States.

Aveanna makes money by billing government programs like Medicaid and Medicare, which pay for most of its services, along with some private insurance. The company operates across roughly 30 states, employing tens of thousands of caregivers. Its scale and long-standing relationships with state Medicaid programs give it some competitive advantage, but heavy reliance on government reimbursement rates is a significant risk — any cuts to Medicaid funding or changes in reimbursement policy could directly squeeze revenue and margins. Continued demand for lower-cost, home-based care is the primary long-term growth driver.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

YoY Growth Rate

Revenue data limited

EPS Growth

YoY Growth Rate

EPS data limited

Insider Activity

78.4%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$231M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
32.6%
Modest — 32.6% gross margin
Profit after running costs
Operating Margin
11.9%
Modest — 11.9% operating margin
Return on the money invested
ROCE
16.5%
Strong — 16.5% return on capital

ROIC between 15% and 25%. Every dollar invested in the business earns 15 to 25 cents back per year.

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Growth

Sales growth
Sales YoY
+19.5%
Fast-growing sales (+19.5% YoY)
Profit growth
EPS YoY
>+1,000%
Earnings growing fast (>+1,000% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
61%
Modest — 61% of profit becomes cash
Spare cash per sale
FCF Margin
5.9%
Thin free cash flow (5.9%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
5.09
Heavy debt load (5.09)
Covers its interest
Interest Cover
2.32x
Tight — interest eats into profit (2.3x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
9.9x
no trend
Attractive valuation — P/E 9.9

P/E under 10. The price tag is small relative to last year's profit.

Cheaper or dearer next year
P/E vs Forward
-3.3
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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