Astrana Health vs Aveanna Healthcare Holdings
Astrana Health is the larger business, with $3.18bn of revenue in fiscal 2025 against $2.43bn for Aveanna Healthcare Holdings (1.3 times as much). Astrana Health grew faster (56.4% against 20.2%). Aveanna Healthcare Holdings kept more of each dollar of sales as profit: a net margin of 9.2% against 0.7%. Astrana Health carries less debt relative to equity (135.0% against 679.7%).
| Latest fiscal year | Astrana HealthASTH, 2025 | Aveanna Healthcare HoldingsAVAH, 2025 |
|---|---|---|
| Revenue | $3.18bn | $2.43bn |
| Revenue growth | 56.4% | 20.2% |
| Net income | $22.5m | $225m |
| Operating margin | 2.5% | 10.5% |
| Net margin | 0.7% | 9.2% |
| Return on equity | 3.0% | — |
| Free cash flow | $104m | $126m |
| Cash | $429m | $193m |
| Total debt | $1.05bn | $1.32bn |
| Debt to equity | 135.0% | 679.7% |
| Dividend per share | — | — |
| Dividend yield | 0.1% | — |
| Share buybacks | $25.6m | — |
| Employees | 3,000 | — |
| Market value | $1.78bn | $2.90bn |
| Price vs our value range | Below our value range | Below our value range |
| Moat score | 36 (Weak) | 18 (Weak) |
| Insider trades, 12 months | 0 buys, 0 sales | 0 buys, 71 sales |