ADUS vs BTSG vs CAH Stock Comparison

Addus HomeCare, BrightSpring Health Services and Cardinal Health Prices as of Oct 28, 2026 Peers: Industry group
ADUS Addus HomeCare Corp
$122.18 +9.2% 1M +1.4% 1Y
Market cap
$2.28B
P/E
21.2x
Revenue (TTM)
$1.48B
Div. yield
–
Home Health and Senior Care Healthcare
6 wins
CAH Cardinal Health Inc
$244.90 +11.5% 1M +50.4% 1Y
Market cap
$56.96B
P/E
33.7x
Revenue (TTM)
$254.25B
Div. yield
0.84%
Drug Distribution Healthcare
3 wins

Head to Head

11 decided of 12

Addus HomeCare leads on 6 of the 12 questions below (Addus HomeCare 6, Cardinal Health 3, BrightSpring Health Services 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionADUSBTSGCAHLeader
Larger companyMarket capitalisation $2.28B $11.74B $56.96B CAH
Cheaper on earningsLower P/E, profitable companies only 21.2x 33.5x 33.7x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.0x 34.4x 20.4x ADUS
Faster revenue growthRevenue growth, trailing twelve months +15.9% +26.4% +14.2% BTSG
More profitableNet margin, trailing twelve months 7.1% 2.5% 0.7% ADUS
Better return on capitalReturn on invested capital 9.2% 8.6% 33.9% CAH
Less leveragedLower net debt / EBITDA -0.2x 2.6x 1.1x ADUS
Higher dividend yieldTrailing dividend yield — — 0.84% –
Better 1-year returnPrice return, last 12 months +1.4% +74.9% +50.4% BTSG
Better 5-year returnAnnualised price return, 5 years +5.5%/yr — +38.7%/yr CAH
Less volatileAnnualised volatility, 1 year 29.2% 44.6% 29.4% ADUS
Higher overall scoreMean of the five percentile scores vs peers 69/100 64/100 67/100 ADUS

Percentile Scorecard

ADUSBTSGCAH

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisADUSBTSGCAH
Valuation 87 #13 of 92 66 #32 of 92 75 #7 of 25
Growth 61 #35 of 87 93 #7 of 87 78 #6 of 24
Profitability 73 #24 of 86 58 #37 of 86 61 #10 of 24
Financial Health 87 #14 of 97 40 #59 of 97 40 #16 of 26
Shareholder Returns 41 #33 of 55 63 #21 of 55 80 #4 of 16
Overall 69 64 67
  • ADUS ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • CAH ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodADUSBTSGCAHSPY
1 month +9.2%+5.2%+11.5% +0.9%
3 months +2.6%-14.3%+6.9% +5.9%
6 months +26.0%+23.5%+20.7% +8.5%
Year to date +13.8%+58.8%+19.2% +13.3%
1 year +1.4%+74.9%+50.4% +12.4%
3 years +49.1%—+168.0% +88.1%
3 years, per year +14.3%—+38.9% +23.5%
5 years +30.7%—+412.2% +68.2%
5 years, per year +5.5%—+38.7% +11.0%
10 years +389.5%—+262.8% +263.4%
10 years, per year +17.2%—+13.8% +13.8%

Risk

MeasureADUSBTSGCAHSPY
Volatility, 1Y 29.2%44.6%29.4% 12.7%
Downside volatility, 1Y 30.9%51.5%24.6% 12.7%
Beta vs S&P 500, 1Y 0.181.30-0.10 1.00
Return / volatility, 1Y 0.051.681.72 0.98
Max drawdown, 5Y -34.9%-35.6%-21.0% -25.4%
From 52-week high -0.5%-18.4%-4.9% -0.9%
52-week high $122.75$72.91$257.54 $779.14
52-week low $88.49$31.36$162.79 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleADUSBTSGCAH
P/E now vs peer median 21.2xmedian 25.6x 33.5xmedian 25.6x 33.7xmedian 23.9x
P/S now vs peer median 1.5xmedian 1.6x 0.8xmedian 1.6x 0.2xmedian 0.3x
EV/EBITDA now vs peer median 13.5xmedian 16.3x 21.6xmedian 16.3x 17.1xmedian 12.7x
P/FCF now vs peer median 14.7xmedian 21.3x 29.2xmedian 21.3x 12.6xmedian 15.4x
P/B now vs peer median 2.0xmedian 3.3x 5.7xmedian 3.3x -19.8xmedian 2.5x
PEG now vs peer median 1.07median 0.68 —median 0.68 0.49median 1.34

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsADUSBTSGCAH
Revenue $1.48B $14.37B $254.25B
Gross profit $477.75M $1.78B $9.77B
Operating income $148.23M $447.80M $2.61B
Net income $105.31M $365.85M $1.72B
Free cash flow $154.77M $402.35M $4.53B
EPS (diluted) $5.70 $1.66 $7.23
Cash & equivalents $99.57M $550.38M $4.86B
Total debt $61.60M $2.19B $8.89B
Shares (diluted) 18.47M 220.28M 237.00M
Enterprise value $1.90B $10.09B $40.95B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricADUSBTSGCAH
P/E 21.2x 33.5x 33.7x
P/FCF 14.7x 29.2x 12.6x
P/Operating cash flow 14.0x 23.2x 11.0x
P/S 1.5x 0.8x 0.2x
P/B 2.0x 5.7x -19.8x
P/Tangible book 2.2x 7.7x -19.8x
EV/EBITDA 13.5x 21.6x 17.1x
EV/EBIT 15.1x 29.9x 23.3x
EV/Revenue 1.5x 0.9x 0.2x
EV/FCF 14.5x 33.3x 13.5x
EV/Operating cash flow 13.8x 26.4x 11.8x
PEG (3Y EPS CAGR) 1.07 – 0.49

Growth

14 metrics
MetricADUSBTSGCAH
Revenue growth (1Y) 15.9% 26.4% 14.2%
Revenue CAGR (3Y) 13.9% – 7.4%
Gross profit growth (1Y) 15.1% 29.4% 19.7%
Gross profit CAGR (3Y) 14.9% – 12.3%
Operating income growth (1Y) 27.5% 143.5% 14.9%
Operating income CAGR (3Y) 23.6% – 50.2%
Net income growth (1Y) 26.9% 472.6% 9.8%
Net income CAGR (3Y) 25.1% – 63.8%
EPS growth (1Y) 26.0% 448.6% 12.1%
EPS CAGR (3Y) 19.9% – 69.2%
Operating cash flow growth (1Y) 61.7% 88.6% 115.9%
Operating cash flow CAGR (3Y) 16.4% – 22.1%
Free cash flow growth (1Y) 65.3% 110.5% 144.6%
Free cash flow CAGR (3Y) 17.9% – 24.2%

Profitability

14 metrics
MetricADUSBTSGCAH
Gross margin 32.4% 12.4% 3.8%
EBITDA margin 11.3% 4.3% 1.4%
Operating margin 10.0% 3.1% 1.0%
Pretax margin 9.5% 2.1% 0.9%
Net margin 7.1% 2.5% 0.7%
FCF margin 10.5% 2.8% 1.8%
Operating cash flow margin 11.0% 3.5% 2.0%
Return on equity 9.3% 18.2% –
Return on assets 7.3% 6.0% 3.0%
Return on invested capital 9.2% 8.6% 33.9%
Return on capital employed 11.6% 9.9% 20.0%
Asset turnover 1.0x 2.4x 4.5x
Cash conversion (OCF / net income) 1.5x 1.4x 3.0x
Stock comp / revenue 1.2% 0.4% 0.1%

Financial Health

11 metrics
MetricADUSBTSGCAH
Debt / assets 4.2% 36.6% 15.5%
Debt / equity 0.1x 1.1x -3.1x
Net debt / EBITDA -0.2x 2.6x 1.1x
Debt / FCF 0.4x 5.4x 2.0x
Liabilities / assets 21.2% 65.8% 105.0%
Equity / assets 78.8% 34.2% -5.0%
Interest coverage 14.9x 2.9x 7.5x
Current ratio 1.7x 1.6x 0.9x
Quick ratio 1.5x 1.1x 0.4x
Cash ratio 0.6x 0.4x 0.1x
Altman Z-score 6.39 4.63 5.10

Shareholder Returns

7 metrics
MetricADUSBTSGCAH
Dividend yield – – 0.8%
Net buyback yield -0.1% 0.6% 2.4%
Shareholder yield -0.1% 0.6% 3.2%
Payout ratio (earnings) – – 28.5%
Payout ratio (FCF) – – 10.9%
Dividend growth (1Y) – – -0.6%
Dividend CAGR (3Y) – – -2.2%

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusADUSBTSGCAH
Forward P/E 17.0xFY2026 34.4xFY2026 20.4xFY2027
EPS, next fiscal year $7.20FY2026 $1.73FY2026 $12.03FY2027
EPS growth, next FY +15.6%FY2026 +73.0%FY2026 +6.8%FY2027
EPS growth, the year after +11.1% +42.2% +13.5%
Revenue, next fiscal year $1.57BFY2026 $16.01BFY2026 $272.90BFY2027
Revenue growth, next FY +10.8%FY2026 +24.0%FY2026 +7.3%FY2027
Revenue growth, the year after +6.1% +1.4% -3.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersADUSBTSGCAH
Held by institutions 100.0% 100.0% 87.4%
Institutions holding 303 421 1,491
Change in shares held, QoQ +0.8% -0.7% +2.8%
Institutions buying 162 309 711
Institutions selling 94 83 556
Buyers to sellers 1.72 3.72 1.28

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ADUSBTSGCAH
ADUS 1.00 0.21 0.03
BTSG 0.21 1.00 0.07
CAH 0.03 0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ADUS, BTSG and CAH?

Cardinal Health (CAH) is the largest by market capitalisation: Addus HomeCare (ADUS) $2.28B, BrightSpring Health Services (BTSG) $11.74B, Cardinal Health (CAH) $56.96B.

Which stock is cheaper, ADUS, BTSG and CAH?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (Addus HomeCare (ADUS) 21.2x, BrightSpring Health Services (BTSG) 33.5x, Cardinal Health (CAH) 33.7x). On next year's consensus earnings, Addus HomeCare (ADUS) is cheapest (Addus HomeCare (ADUS) 17.0x, BrightSpring Health Services (BTSG) 34.4x, Cardinal Health (CAH) 20.4x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

BrightSpring Health Services (BTSG) grew revenue fastest over the trailing twelve months: Addus HomeCare (ADUS) +15.9%, BrightSpring Health Services (BTSG) +26.4%, Cardinal Health (CAH) +14.2%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (Addus HomeCare (ADUS) 7.1%, BrightSpring Health Services (BTSG) 2.5%, Cardinal Health (CAH) 0.7%). On return on invested capital, Cardinal Health (CAH) leads (Addus HomeCare (ADUS) 9.2%, BrightSpring Health Services (BTSG) 8.6%, Cardinal Health (CAH) 33.9%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Addus HomeCare (ADUS) +1.4%, BrightSpring Health Services (BTSG) +74.9%, Cardinal Health (CAH) +50.4%. Over five years, Cardinal Health (CAH) compounded fastest (Addus HomeCare (ADUS) +5.5%/yr, Cardinal Health (CAH) +38.7%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Cardinal Health (CAH) 0.84%. Addus HomeCare (ADUS) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Addus HomeCare (ADUS) 29.2%, BrightSpring Health Services (BTSG) 44.6%, Cardinal Health (CAH) 29.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ADUS, BTSG and CAH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Addus HomeCare (ADUS) leads on 6. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.