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Side-by-side financial comparison of Aveanna Healthcare Holdings, Inc. (AVAH) and CASELLA WASTE SYSTEMS INC (CWST). Click either name above to swap in a different company.

Aveanna Healthcare Holdings, Inc. is the larger business by last-quarter revenue ($621.9M vs $557.2M, roughly 1.1× CASELLA WASTE SYSTEMS INC). Aveanna Healthcare Holdings, Inc. runs the higher net margin — 2.3% vs -1.0%, a 3.3% gap on every dollar of revenue. On growth, Aveanna Healthcare Holdings, Inc. posted the faster year-over-year revenue change (22.2% vs 9.6%). Over the past eight quarters, CASELLA WASTE SYSTEMS INC's revenue compounded faster (21.5% CAGR vs 14.0%).

Aveanna Healthcare Holdings, Inc. is a leading U.S. provider of home and community-based healthcare services. Its core offerings include pediatric home health, adult personal care, hospice care, and infusion therapy, serving patients across the United States through its nationwide network of local care centers, catering to both public and private payer segments.

Casella Waste Systems, Inc. is a waste management company based in Rutland, Vermont, United States. Founded in 1975 with a single truck, Casella is a regional, vertically integrated solid waste services company. Casella provides resource management expertise and services to residential, commercial, municipal and industrial customers, primarily in the areas of solid waste collection and disposal, transfer, recycling and organics services. The company provides integrated solid waste services in...

AVAH vs CWST — Head-to-Head

Bigger by revenue
AVAH
AVAH
1.1× larger
AVAH
$621.9M
$557.2M
CWST
Growing faster (revenue YoY)
AVAH
AVAH
+12.5% gap
AVAH
22.2%
9.6%
CWST
Higher net margin
AVAH
AVAH
3.3% more per $
AVAH
2.3%
-1.0%
CWST
Faster 2-yr revenue CAGR
CWST
CWST
Annualised
CWST
21.5%
14.0%
AVAH

Income Statement — Q3 FY2025 vs Q1 FY2026

Metric
AVAH
AVAH
CWST
CWST
Revenue
$621.9M
$557.2M
Net Profit
$14.1M
$-5.5M
Gross Margin
32.6%
Operating Margin
8.6%
0.9%
Net Margin
2.3%
-1.0%
Revenue YoY
22.2%
9.6%
Net Profit YoY
132.8%
-15.2%
EPS (diluted)
$0.06
$-0.09

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AVAH
AVAH
CWST
CWST
Q1 26
$557.2M
Q4 25
$469.1M
Q3 25
$621.9M
$485.4M
Q2 25
$589.6M
$465.3M
Q1 25
$559.2M
$417.1M
Q4 24
$519.9M
$427.5M
Q3 24
$509.0M
$411.6M
Q2 24
$505.0M
$377.2M
Net Profit
AVAH
AVAH
CWST
CWST
Q1 26
$-5.5M
Q4 25
$-2.5M
Q3 25
$14.1M
$10.0M
Q2 25
$27.0M
$5.2M
Q1 25
$5.2M
$-4.8M
Q4 24
$29.2M
$4.9M
Q3 24
$-42.8M
$5.8M
Q2 24
$13.9M
$7.0M
Gross Margin
AVAH
AVAH
CWST
CWST
Q1 26
Q4 25
33.3%
Q3 25
32.6%
35.0%
Q2 25
35.8%
33.8%
Q1 25
32.8%
32.8%
Q4 24
33.0%
33.2%
Q3 24
31.4%
35.1%
Q2 24
31.3%
35.4%
Operating Margin
AVAH
AVAH
CWST
CWST
Q1 26
0.9%
Q4 25
2.5%
Q3 25
8.6%
6.1%
Q2 25
13.6%
4.1%
Q1 25
9.3%
0.8%
Q4 24
8.8%
4.3%
Q3 24
6.7%
5.9%
Q2 24
7.4%
6.1%
Net Margin
AVAH
AVAH
CWST
CWST
Q1 26
-1.0%
Q4 25
-0.5%
Q3 25
2.3%
2.1%
Q2 25
4.6%
1.1%
Q1 25
0.9%
-1.2%
Q4 24
5.6%
1.1%
Q3 24
-8.4%
1.4%
Q2 24
2.8%
1.9%
EPS (diluted)
AVAH
AVAH
CWST
CWST
Q1 26
$-0.09
Q4 25
$-0.04
Q3 25
$0.06
$0.16
Q2 25
$0.13
$0.08
Q1 25
$0.03
$-0.08
Q4 24
$0.15
$0.08
Q3 24
$-0.22
$0.10
Q2 24
$0.07
$0.12

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AVAH
AVAH
CWST
CWST
Cash + ST InvestmentsLiquidity on hand
$145.9M
$126.9M
Total DebtLower is stronger
$1.3B
Stockholders' EquityBook value
$9.2M
$1.6B
Total Assets
$1.8B
$3.3B
Debt / EquityLower = less leverage
141.83×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVAH
AVAH
CWST
CWST
Q1 26
$126.9M
Q4 25
$123.8M
Q3 25
$145.9M
$192.7M
Q2 25
$100.7M
$217.8M
Q1 25
$71.5M
$267.7M
Q4 24
$84.3M
$358.3M
Q3 24
$78.5M
$519.0M
Q2 24
$47.7M
$208.5M
Total Debt
AVAH
AVAH
CWST
CWST
Q1 26
Q4 25
$1.1B
Q3 25
$1.3B
$1.1B
Q2 25
$1.3B
$1.1B
Q1 25
$1.3B
$1.1B
Q4 24
$1.3B
$1.1B
Q3 24
$1.3B
$1.0B
Q2 24
$1.3B
$976.6M
Stockholders' Equity
AVAH
AVAH
CWST
CWST
Q1 26
$1.6B
Q4 25
$1.6B
Q3 25
$9.2M
$1.6B
Q2 25
$-12.0M
$1.6B
Q1 25
$-100.1M
$1.5B
Q4 24
$-123.6M
$1.6B
Q3 24
$-156.4M
$1.5B
Q2 24
$-119.0M
$1.0B
Total Assets
AVAH
AVAH
CWST
CWST
Q1 26
$3.3B
Q4 25
$3.3B
Q3 25
$1.8B
$3.3B
Q2 25
$1.8B
$3.3B
Q1 25
$1.7B
$3.2B
Q4 24
$1.7B
$3.2B
Q3 24
$1.6B
$3.1B
Q2 24
$1.7B
$2.5B
Debt / Equity
AVAH
AVAH
CWST
CWST
Q1 26
Q4 25
0.72×
Q3 25
141.83×
0.72×
Q2 25
0.72×
Q1 25
0.72×
Q4 24
0.70×
Q3 24
0.68×
Q2 24
0.94×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
AVAH
AVAH
CWST
CWST
Operating Cash FlowLast quarter
$33.2M
$62.3M
Free Cash FlowOCF − Capex
$30.7M
FCF MarginFCF / Revenue
5.5%
Capex IntensityCapex / Revenue
9.0%
Cash ConversionOCF / Net Profit
2.36×
TTM Free Cash FlowTrailing 4 quarters
$120.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVAH
AVAH
CWST
CWST
Q1 26
$62.3M
Q4 25
$96.6M
Q3 25
$33.2M
$93.6M
Q2 25
$51.6M
$89.5M
Q1 25
$-8.6M
$50.1M
Q4 24
$13.4M
$109.8M
Q3 24
$29.4M
$91.8M
Q2 24
$1.8M
$72.1M
Free Cash Flow
AVAH
AVAH
CWST
CWST
Q1 26
$30.7M
Q4 25
$39.3M
Q3 25
$27.6M
Q2 25
$23.1M
Q1 25
$-5.4M
Q4 24
$32.9M
Q3 24
$40.4M
Q2 24
$27.5M
FCF Margin
AVAH
AVAH
CWST
CWST
Q1 26
5.5%
Q4 25
8.4%
Q3 25
5.7%
Q2 25
5.0%
Q1 25
-1.3%
Q4 24
7.7%
Q3 24
9.8%
Q2 24
7.3%
Capex Intensity
AVAH
AVAH
CWST
CWST
Q1 26
9.0%
Q4 25
12.2%
Q3 25
13.6%
Q2 25
14.3%
Q1 25
13.3%
Q4 24
18.0%
Q3 24
12.5%
Q2 24
11.8%
Cash Conversion
AVAH
AVAH
CWST
CWST
Q1 26
Q4 25
Q3 25
2.36×
9.37×
Q2 25
1.91×
17.19×
Q1 25
-1.66×
Q4 24
0.46×
22.51×
Q3 24
15.91×
Q2 24
0.13×
10.29×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

AVAH
AVAH

Private Duty Services$514.4M83%
Home Health And Hospice$62.4M10%
Medical Solutions$45.1M7%

CWST
CWST

Collection$334.8M60%
Transfer station$65.9M12%
Processing (ii)$49.0M9%
Landfill$48.0M9%
National Accounts (ii)$45.6M8%
Transportation$8.2M1%
Landfill gas-to-energy$2.9M1%

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