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Side-by-side financial comparison of Aveanna Healthcare Holdings, Inc. (AVAH) and Natural Grocers by Vitamin Cottage, Inc. (NGVC). 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 $335.6M, roughly 1.9× Natural Grocers by Vitamin Cottage, Inc.). Natural Grocers by Vitamin Cottage, Inc. runs the higher net margin — 3.4% vs 2.3%, a 1.1% gap on every dollar of revenue. On growth, Aveanna Healthcare Holdings, Inc. posted the faster year-over-year revenue change (22.2% vs 1.6%). Over the past eight quarters, Aveanna Healthcare Holdings, Inc.'s revenue compounded faster (14.0% CAGR vs 4.4%).

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.

Natural Grocers by Vitamin Cottage, Inc. is a U.S.-based specialty retail chain that offers certified organic groceries, dietary supplements, natural personal care items, and eco-friendly household products. It serves health-conscious consumers across multiple U.S. states, following strict quality standards that exclude artificial preservatives, colors, flavors and harmful additives.

AVAH vs NGVC — Head-to-Head

Bigger by revenue
AVAH
AVAH
1.9× larger
AVAH
$621.9M
$335.6M
NGVC
Growing faster (revenue YoY)
AVAH
AVAH
+20.6% gap
AVAH
22.2%
1.6%
NGVC
Higher net margin
NGVC
NGVC
1.1% more per $
NGVC
3.4%
2.3%
AVAH
Faster 2-yr revenue CAGR
AVAH
AVAH
Annualised
AVAH
14.0%
4.4%
NGVC

Income Statement — Q3 FY2025 vs Q1 FY2026

Metric
AVAH
AVAH
NGVC
NGVC
Revenue
$621.9M
$335.6M
Net Profit
$14.1M
$11.3M
Gross Margin
32.6%
29.5%
Operating Margin
8.6%
4.4%
Net Margin
2.3%
3.4%
Revenue YoY
22.2%
1.6%
Net Profit YoY
132.8%
14.0%
EPS (diluted)
$0.06
$0.49

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
NGVC
NGVC
Q4 25
$335.6M
Q3 25
$621.9M
$336.1M
Q2 25
$589.6M
$328.7M
Q1 25
$559.2M
$335.8M
Q4 24
$519.9M
$330.2M
Q3 24
$509.0M
$322.7M
Q2 24
$505.0M
$309.1M
Q1 24
$490.7M
$308.1M
Net Profit
AVAH
AVAH
NGVC
NGVC
Q4 25
$11.3M
Q3 25
$14.1M
$11.8M
Q2 25
$27.0M
$11.6M
Q1 25
$5.2M
$13.1M
Q4 24
$29.2M
$9.9M
Q3 24
$-42.8M
$9.0M
Q2 24
$13.9M
$9.2M
Q1 24
$-11.2M
$8.0M
Gross Margin
AVAH
AVAH
NGVC
NGVC
Q4 25
29.5%
Q3 25
32.6%
29.5%
Q2 25
35.8%
29.9%
Q1 25
32.8%
30.3%
Q4 24
33.0%
29.9%
Q3 24
31.4%
29.6%
Q2 24
31.3%
29.2%
Q1 24
29.7%
29.3%
Operating Margin
AVAH
AVAH
NGVC
NGVC
Q4 25
4.4%
Q3 25
8.6%
4.6%
Q2 25
13.6%
4.7%
Q1 25
9.3%
5.2%
Q4 24
8.8%
4.0%
Q3 24
6.7%
3.7%
Q2 24
7.4%
4.2%
Q1 24
4.7%
3.7%
Net Margin
AVAH
AVAH
NGVC
NGVC
Q4 25
3.4%
Q3 25
2.3%
3.5%
Q2 25
4.6%
3.5%
Q1 25
0.9%
3.9%
Q4 24
5.6%
3.0%
Q3 24
-8.4%
2.8%
Q2 24
2.8%
3.0%
Q1 24
-2.3%
2.6%
EPS (diluted)
AVAH
AVAH
NGVC
NGVC
Q4 25
$0.49
Q3 25
$0.06
$0.51
Q2 25
$0.13
$0.50
Q1 25
$0.03
$0.56
Q4 24
$0.15
$0.43
Q3 24
$-0.22
$0.38
Q2 24
$0.07
$0.40
Q1 24
$-0.06
$0.35

Balance Sheet & Financial Strength

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

Metric
AVAH
AVAH
NGVC
NGVC
Cash + ST InvestmentsLiquidity on hand
$145.9M
$23.2M
Total DebtLower is stronger
$1.3B
Stockholders' EquityBook value
$9.2M
$220.0M
Total Assets
$1.8B
$668.6M
Debt / EquityLower = less leverage
141.83×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVAH
AVAH
NGVC
NGVC
Q4 25
$23.2M
Q3 25
$145.9M
$17.1M
Q2 25
$100.7M
$13.2M
Q1 25
$71.5M
$21.2M
Q4 24
$84.3M
$6.3M
Q3 24
$78.5M
$8.9M
Q2 24
$47.7M
$13.9M
Q1 24
$42.6M
$11.0M
Total Debt
AVAH
AVAH
NGVC
NGVC
Q4 25
Q3 25
$1.3B
Q2 25
$1.3B
Q1 25
$1.3B
Q4 24
$1.3B
Q3 24
$1.3B
Q2 24
$1.3B
Q1 24
$1.3B
Stockholders' Equity
AVAH
AVAH
NGVC
NGVC
Q4 25
$220.0M
Q3 25
$9.2M
$212.4M
Q2 25
$-12.0M
$202.5M
Q1 25
$-100.1M
$193.0M
Q4 24
$-123.6M
$181.9M
Q3 24
$-156.4M
$174.3M
Q2 24
$-119.0M
$167.8M
Q1 24
$-136.3M
$160.0M
Total Assets
AVAH
AVAH
NGVC
NGVC
Q4 25
$668.6M
Q3 25
$1.8B
$670.5M
Q2 25
$1.8B
$659.0M
Q1 25
$1.7B
$664.6M
Q4 24
$1.7B
$648.9M
Q3 24
$1.6B
$655.5M
Q2 24
$1.7B
$654.4M
Q1 24
$1.6B
$656.6M
Debt / Equity
AVAH
AVAH
NGVC
NGVC
Q4 25
Q3 25
141.83×
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24

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
NGVC
NGVC
Operating Cash FlowLast quarter
$33.2M
$21.1M
Free Cash FlowOCF − Capex
$11.6M
FCF MarginFCF / Revenue
3.4%
Capex IntensityCapex / Revenue
2.9%
Cash ConversionOCF / Net Profit
2.36×
1.86×
TTM Free Cash FlowTrailing 4 quarters
$42.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVAH
AVAH
NGVC
NGVC
Q4 25
$21.1M
Q3 25
$33.2M
$15.6M
Q2 25
$51.6M
$2.9M
Q1 25
$-8.6M
$34.1M
Q4 24
$13.4M
$2.7M
Q3 24
$29.4M
$24.5M
Q2 24
$1.8M
$12.4M
Q1 24
$-12.0M
$20.2M
Free Cash Flow
AVAH
AVAH
NGVC
NGVC
Q4 25
$11.6M
Q3 25
$7.5M
Q2 25
$-4.2M
Q1 25
$27.6M
Q4 24
$-6.9M
Q3 24
$18.0M
Q2 24
$3.6M
Q1 24
$9.8M
FCF Margin
AVAH
AVAH
NGVC
NGVC
Q4 25
3.4%
Q3 25
2.2%
Q2 25
-1.3%
Q1 25
8.2%
Q4 24
-2.1%
Q3 24
5.6%
Q2 24
1.2%
Q1 24
3.2%
Capex Intensity
AVAH
AVAH
NGVC
NGVC
Q4 25
2.9%
Q3 25
2.4%
Q2 25
2.2%
Q1 25
1.9%
Q4 24
2.9%
Q3 24
2.0%
Q2 24
2.9%
Q1 24
3.4%
Cash Conversion
AVAH
AVAH
NGVC
NGVC
Q4 25
1.86×
Q3 25
2.36×
1.32×
Q2 25
1.91×
0.25×
Q1 25
-1.66×
2.60×
Q4 24
0.46×
0.27×
Q3 24
2.72×
Q2 24
0.13×
1.35×
Q1 24
2.54×

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%

NGVC
NGVC

Grocery$243.8M73%
Dietary Supplements$60.7M18%
Manufactured Product Other$31.0M9%

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