Sifting through countless of stocks in the Health Care Providers & Services industry can be tedious, and sometimes two stocks are just too similar to judge which is the better investment. If you’re on the fence about investing in The Ensign Group, Inc. or Aveanna Healthcare Holdings Inc. because you’re not sure how they measure up, it’s important to compare them on a few factors before making your decision.

Read on to learn how The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. compare based on key financial metrics to determine which better meets your investment needs.

About The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc.

The Ensign Group, Inc. provides skilled nursing, senior living, and rehabilitative services. It operates through two segments: Skilled Services and Standard Bearer. The Skilled Services segment provides short and long-term nursing care services for patients with chronic conditions, prolonged illness, and the elderly; specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management; and standard services, such as room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. The Standard Bearer segment leases post-acute care properties to healthcare operators. In addition, the company operates senior living units; and provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and long-term care pharmacy and patient transportation to people in their homes or at long-term care facilities, as well as mobile diagnostics. The company operates healthcare facilities in Alabama, Alaska, Arizona, Colorado, Idaho, Iowa, Kansas, Oregon, Nebraska, Nevada, South Carolina, Tennessee, Texas, Utah, Washington, and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.

Aveanna Healthcare Holdings Inc., a diversified home care platform company, provides pediatric and adult healthcare services in the United States. Its patient-centered care delivery platform allows patients to remain in their homes and minimizes the overutilization of high-cost care settings, such as hospitals or skilled nursing facilities. The company operates through three segments: Private Duty Services (PDS), Home Health & Hospice (HHH), and Medical Solutions (MS). The PDS segment offers private duty nursing (PDN) services, which include in-home skilled nursing services to medically complex children and adults; nursing services in school settings in which its caregivers accompany patients to school; services to patients in its pediatric day healthcare centers; and non-clinical care, including support services and personal care services; and in-clinic and home-based therapy services, such as physical, occupational, and speech services. The HHH segment provides home health services, including in-home skilled nursing services; physical, occupational, and speech therapy services; and medical social and aide services, as well as hospice services for patients and their families when a life-limiting illness no longer responds to cure-oriented treatments. The MS segment offers enteral nutrition supplies and other products, including formulas, supplies, and pumps to adults and children delivered on a periodic or as-needed basis. The company was incorporated in 2016 and is headquartered in Atlanta, Georgia.

Latest Health Care Providers & Services and The Ensign Group, Inc., Aveanna Healthcare Holdings Inc. Stock News

As of July 31, 2026, The Ensign Group, Inc. had a $10.3 billion market capitalization, compared to the Health Care Providers & Services median of $1.7 million. The Ensign Group, Inc.’s stock is up 2.3% in 2026, up 3% in the previous five trading days and up 18.47% in the past year.

Currently, The Ensign Group, Inc.’s price-earnings ratio is 27.9. The Ensign Group, Inc.’s trailing 12-month revenue is $5.5 billion with a 6.9% net profit margin. Year-over-year quarterly sales growth most recently was 17.3%. Analysts expect adjusted earnings to reach $7.794 per share for the current fiscal year. The Ensign Group, Inc. currently has a 0.1% dividend yield.

As of July 31, 2026, Aveanna Healthcare Holdings Inc. had a $2.0 billion market cap, putting it in the 54th percentile of all stocks. Aveanna Healthcare Holdings Inc.’s stock is up 14.9% in 2026, down 0.6% in the previous five trading days and up 135.34% in the past year.

Currently, Aveanna Healthcare Holdings Inc.’s price-earnings ratio is 7.9. Aveanna Healthcare Holdings Inc.’s trailing 12-month revenue is $2.5 billion with a 10.4% net profit margin. Year-over-year quarterly sales growth most recently was 15.9%. Analysts expect adjusted earnings to reach $0.707 per share for the current fiscal year. Aveanna Healthcare Holdings Inc. does not currently pay a dividend.

How We Compare The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. Stock Grades

Stock evaluation requires access to huge amounts of data and the knowledge and time to sift through it all, make sense of financial ratios, read income statements and analyze recent stock movements. AAII created A+ Investor, a robust data suite that condenses data research in an actionable and customizable way suitable for investors of all knowledge levels, to help investors streamline and work through such data.

AAII’s proprietary stock grades come with A+ Investor. These offer intuitive A‐F grades for each of five key investing factors: value, growth, momentum, earnings estimate revisions and quality. Here, we’ll take a closer look at The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc.’s stock grades to see how they measure up against one another.

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The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. Stock Value Grades

Company	Ticker	Value
The Ensign Group, Inc.	ENSG	D
Aveanna Healthcare Holdings Inc.	AVAH	C

Successful stock investing involves buying low and selling high, so stock valuation is an important consideration for stock selection.

Buying stocks that are going to go up typically means buying stocks that are undervalued in the first place, although momentum investors may argue that point.

AAII’s A+ Investor Value Grade derives from a stock’s value score. The Value Score is the percentile rank of the average of the percentile ranks of the price-to-sales ratio, price-earnings ratio, enterprise-value-to-EBITDA (EV/EBITDA) ratio, shareholder yield, price-to-book-value ratio and price-to-free-cash-flow ratio. The score is variable, meaning it can consider all six ratios or, should any of the six ratios not be valid, the remaining ratios that are valid. To be assigned a Value Score, stocks must have a valid (non-null) ratio and corresponding ranking for at least two of the six valuation ratios.

Stocks with a Value Score from 81 to 100 are considered deep value, those with a score between 61 and 80 are a good value and so on.

The Ensign Group, Inc. has a Value Score of 26, which is Expensive. Aveanna Healthcare Holdings Inc. has a Value Score of 58, which is Average.

The Value Stock Winner: No Clear Winner

Neither The Ensign Group, Inc. or Aveanna Healthcare Holdings Inc. has a high enough value grade to be considered a “winner.” Investors who are considering these companies should do additional due diligence and research to see if either could be a good addition to their portfolio. It’s important to look at a wide range of financial metrics in order to determine if The Ensign Group, Inc. or Aveanna Healthcare Holdings Inc. is the better investment when it comes to value.

The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. Growth Grades

Company	Ticker	Growth
The Ensign Group, Inc.	ENSG	A
Aveanna Healthcare Holdings Inc.	AVAH	B

The foundation of growth investing is seeking out stocks of companies exhibiting strong, consistent and prolonged growth that is expected to continue into the future.

In order to compute the growth score and assign it a letter grade, the percentile ranks for each of three components‐consistency of annual sales growth, five-year sales growth rankings adjusted for extreme levels, and consistency of positive annual cash from operations‐must be determined. These three rank figures are added together, and the sum is ranked against the entire stock universe to arrive at a company’s Growth Score to create an equal distribution of grades.

The companies in the bottom 20% of the stock universe receive Growth Grades of F, considered to be very weak, while those in the top 20% receive A grades, which are considered very strong.

The Ensign Group, Inc. has a Growth Score of 89, which is Very Strong. Aveanna Healthcare Holdings Inc. has a Growth Score of 64, which is Strong.

The Growth Grade Winner: The Ensign Group, Inc.

As you can clearly see from the Growth Grade breakdown above, The Ensign Group, Inc. has a more attractive growth grade than Aveanna Healthcare Holdings Inc.. For investors who focus solely on how a company is growing relative to other companies in the same industry, The Ensign Group, Inc. could be a good stock to add to their portfolio. However, it’s important for investors to analyze multiple factors based on a wide range of metrics before deciding whether to buy.

The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc.’s Momentum Grades

Company	Ticker	Momentum
The Ensign Group, Inc.	ENSG	C
Aveanna Healthcare Holdings Inc.	AVAH	A

Momentum grades help to uncover stocks experiencing anomalously high rates of return; research finds that stocks with high relative levels of momentum tend to outperform, whereas those with low levels of momentum tend to continue underperforming. Momentum is based on the price change of a stock over a specified period relative to all other stocks.

Typically, AAII looks at the weighted relative strength over the trailing four quarters. The weighted four-quarter relative strength rank is the relative price change for each of the past four quarters. The most recent quarterly price change is given a weight of 40% and each of the three previous quarters are given a weighting of 20%.

The Ensign Group, Inc. has a Momentum Score of 49, which is Average. Aveanna Healthcare Holdings Inc. has a Momentum Score of 97, which is Very Strong.

The Momentum Grade Winner: Aveanna Healthcare Holdings Inc.

As you can clearly see from the Momentum Grade breakdown above, Aveanna Healthcare Holdings Inc. is considered to have stronger momentum compared to The Ensign Group, Inc.. For those specifically looking for companies that have stronger momentum compared to other companies in the same industry, Aveanna Healthcare Holdings Inc. could be a good stock to invest in. However, it’s important for investors to analyze multiple factors based on a wide range of metrics before deciding whether to buy.

Other The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. Grades

In addition to Value, Momentum and Growth, A+ Investor also provides grades for Estimate Revisions and Quality.

Earnings estimate revisions scores take into account the magnitude of a company’s earnings surprise in its last two reported fiscal quarters. Often, surprises beget further surprises‐or at least continued sales growth (the exact opposite is generally true, too).

AAII’s A+ Investor Quality Grade comes from the ranking of key metrics. Specifically, the quality grade is the percentile rank of the composite of return on assets (ROA), return on invested capital (ROIC), gross profit relative to assets, buyback yield, change in total liabilities to assets, accruals, Z double prime bankruptcy risk (Z) score and F-Score.

These 2 key factors, when combined with the above, provide a holistic view into a particular stock. Further, by joining A+ Investor you can see whether The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc. pass any of our 60+ stock screens that have outperformed the market since their creation.

So, Which Is the Better Investment, The Ensign Group, Inc. or Aveanna Healthcare Holdings Inc. Stock?

Overall, The Ensign Group, Inc. stock has a Value Score of 26, Growth Score of 89 and Momentum Score of 49.

Aveanna Healthcare Holdings Inc. stock has a Value Score of 58, Growth Score of 64 and Momentum Score of 97.

Comparing The Ensign Group, Inc. and Aveanna Healthcare Holdings Inc.’s grades, scores and metrics can act as a solid basis to determine whether they may be a good investment or not. You’ll also want to look at your portfolio’s asset allocation as well as your risk tolerance and financial goals to see if either of these stocks would make a good fit for you. AAII can help you figure out which investments align with your individual needs and preferences.

Investors are encouraged to do their own due diligence and research. In this way, individuals can effectively become managers of their own assets‐without having to rely on others for financial independence. You can count on AAII for timeless articles on financial planning and stock-picking, unbiased research and actionable analysis.

A+ Investor adds to our qualitative teaching with a powerful data suite to help you whittle down investment choices to find stocks, exchange-traded funds (ETFs) or mutual funds that meet your needs.

AAII Disclaimer

We make no representations or warranties that any investor will, or is likely to, achieve profits similar to those shown, because past, hypothetical or simulated performance is not necessarily indicative of future results. Before making an investment decision, you should consider your circumstances and whether the information on our content is applicable to your situation. This information was prepared in good faith, and we accept no liability for any errors or omissions. The full disclaimer can be read here.