ADUS vs BTSG vs OPCH Stock Comparison

Addus HomeCare, BrightSpring Health Services and Option Care Health Prices as of Nov 5, 2026 Peers: Industry group
1 more company in this comparison (PACS) Create a free account to keep reading and compare up to 10 companies.
ADUS Addus HomeCare Corp
$126.93 +12.2% 1M +5.9% 1Y
Market cap
$2.37B
P/E
20.9x
Revenue (TTM)
$1.50B
Div. yield
–
Home Health and Senior Care Healthcare
6 wins
OPCH Option Care Health, Inc.
$31.50 +1.6% 1M +16.3% 1Y
Market cap
$4.72B
P/E
21.9x
Revenue (TTM)
$5.75B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

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

QuestionADUSBTSGOPCHLeader
Larger companyMarket capitalisation $2.37B $13.11B $4.72B BTSG
Cheaper on earningsLower P/E, profitable companies only 20.9x 33.2x 21.9x ADUS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.6x 36.0x 16.2x OPCH
Faster revenue growthRevenue growth, trailing twelve months +11.5% +26.0% +4.0% BTSG
More profitableNet margin, trailing twelve months 7.4% 2.7% 3.7% ADUS
Better return on capitalReturn on invested capital 9.6% 10.0% 10.1% OPCH
Less leveragedLower net debt / EBITDA -0.4x 2.1x 2.1x ADUS
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +5.9% +101.5% +16.3% BTSG
Better 5-year returnAnnualised price return, 5 years +4.5%/yr — +2.4%/yr ADUS
Less volatileAnnualised volatility, 1 year 27.5% 45.9% 51.1% ADUS
Higher overall scoreMean of the five percentile scores vs peers 70/100 66/100 59/100 ADUS

Percentile Scorecard

ADUSBTSGOPCH

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

AxisADUSBTSGOPCH
Valuation 82 #18 of 95 67 #32 of 95 79 #21 of 95
Growth 58 #38 of 88 93 #7 of 88 24 #67 of 88
Profitability 73 #24 of 87 61 #35 of 87 64 #32 of 87
Financial Health 90 #11 of 100 44 #56 of 100 46 #55 of 100
Shareholder Returns 49 #31 of 60 66 #21 of 60 85 #10 of 60
Overall 70 66 59
  • ADUS ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodADUSBTSGOPCHSPY
1 month +12.2%+3.3%+1.6% -5.9%
3 months +6.9%+8.7%+33.3% -4.6%
6 months +30.5%+24.4%+51.8% +0.2%
Year to date +18.2%+75.9%-1.1% +7.5%
1 year +5.9%+101.5%+16.3% +8.2%
3 years +49.6%—+9.8% +68.3%
3 years, per year +14.4%—+3.2% +19.0%
5 years +24.4%—+12.8% +56.5%
5 years, per year +4.5%—+2.4% +9.4%
10 years +395.8%—— +251.5%
10 years, per year +17.4%—— +13.4%

Risk

MeasureADUSBTSGOPCHSPY
Volatility, 1Y 27.5%45.9%51.1% 13.6%
Downside volatility, 1Y 29.4%51.2%48.4% 14.2%
Beta vs S&P 500, 1Y 0.101.130.01 1.00
Return / volatility, 1Y 0.212.210.32 0.60
Max drawdown, 5Y -34.9%-35.6%-46.7% -25.4%
From 52-week high -0.8%-9.7%-13.9% -5.9%
52-week high $127.94$72.91$36.59 $779.14
52-week low $88.49$31.36$19.52 $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.

MultipleADUSBTSGOPCH
P/E now vs peer median 20.9xmedian 24.8x 33.2xmedian 24.8x 21.9xmedian 24.8x
P/S now vs peer median 1.6xmedian 1.6x 0.9xmedian 1.6x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 13.2xmedian 15.9x 21.1xmedian 15.9x 13.5xmedian 15.9x
P/FCF now vs peer median 16.4xmedian 20.9x 26.6xmedian 20.9x 16.8xmedian 20.9x
P/B now vs peer median 2.0xmedian 3.3x 6.0xmedian 3.3x 3.6xmedian 3.3x
PEG now vs peer median 1.10median 0.88 —median 0.88 241.41median 0.88

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 monthsADUSBTSGOPCH
Revenue $1.50B $15.25B $5.75B
Gross profit $485.44M $1.91B $1.10B
Operating income $155.11M $520.43M $338.40M
Net income $111.05M $410.46M $215.19M
Free cash flow $144.23M $492.41M $281.65M
EPS (diluted) $5.98 $1.86 $1.43
Cash & equivalents $98.48M $717.84M $299.09M
Total debt $21.92M $2.18B $1.16B
Shares (diluted) 18.57M 220.23M 150.49M
Enterprise value $1.98B $10.87B $3.82B

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
MetricADUSBTSGOPCH
P/E 20.9x 33.2x 21.9x
P/FCF 16.4x 26.6x 16.8x
P/Operating cash flow 15.6x 21.7x 14.6x
P/S 1.6x 0.9x 0.8x
P/B 2.0x 6.0x 3.6x
P/Tangible book 2.2x 7.8x 4.5x
EV/EBITDA 13.2x 21.1x 13.5x
EV/EBIT 14.8x 28.0x 16.5x
EV/Revenue 1.5x 1.0x 1.0x
EV/FCF 15.9x 29.6x 19.8x
EV/Operating cash flow 15.1x 24.2x 17.3x
PEG (3Y EPS CAGR) 1.10 – 241.41

Growth

14 metrics
MetricADUSBTSGOPCH
Revenue growth (1Y) 11.5% 26.0% 4.0%
Revenue CAGR (3Y) 13.4% – 11.0%
Gross profit growth (1Y) 10.4% 32.0% 2.2%
Gross profit CAGR (3Y) 14.2% – 4.4%
Operating income growth (1Y) 25.8% 114.5% 1.5%
Operating income CAGR (3Y) 22.8% – 4.3%
Net income growth (1Y) 29.7% 219.3% 2.9%
Net income CAGR (3Y) 24.4% – -5.8%
EPS growth (1Y) 28.4% 213.4% 11.5%
EPS CAGR (3Y) 19.1% – 0.1%
Operating cash flow growth (1Y) 47.4% 72.6% 24.5%
Operating cash flow CAGR (3Y) 12.6% – -4.0%
Free cash flow growth (1Y) 49.6% 78.3% 27.6%
Free cash flow CAGR (3Y) 14.2% – -4.5%

Profitability

14 metrics
MetricADUSBTSGOPCH
Gross margin 32.3% 12.5% 19.1%
EBITDA margin 11.5% 4.5% 7.2%
Operating margin 10.3% 3.4% 5.9%
Pretax margin 10.0% 2.5% 5.1%
Net margin 7.4% 2.7% 3.7%
FCF margin 9.6% 3.2% 4.9%
Operating cash flow margin 10.1% 4.0% 5.6%
Return on equity 9.5% 19.4% 16.6%
Return on assets 7.6% 6.7% 6.3%
Return on invested capital 9.6% 10.0% 10.1%
Return on capital employed 12.1% 11.8% 13.1%
Asset turnover 1.0x 2.5x 1.7x
Cash conversion (OCF / net income) 1.4x 1.5x 1.5x
Stock comp / revenue 1.1% 0.4% 0.6%

Financial Health

11 metrics
MetricADUSBTSGOPCH
Debt / assets 1.5% 34.8% 33.3%
Debt / equity 0.0x 1.0x 0.9x
Net debt / EBITDA -0.4x 2.1x 2.1x
Debt / FCF 0.2x 4.4x 4.1x
Liabilities / assets 18.6% 65.3% 61.9%
Equity / assets 81.4% 34.7% 38.1%
Interest coverage 19.7x 3.6x 6.4x
Current ratio 1.6x 1.6x 1.5x
Quick ratio 1.5x 1.2x 1.1x
Cash ratio 0.6x 0.4x 0.4x
Altman Z-score 7.26 4.86 3.87

Shareholder Returns

7 metrics
MetricADUSBTSGOPCH
Dividend yield – – –
Net buyback yield -0.1% 0.6% 5.3%
Shareholder yield -0.1% 0.6% 5.3%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

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.

ConsensusADUSBTSGOPCH
Forward P/E 17.6xFY2026 36.0xFY2026 16.2xFY2026
EPS, next fiscal year $7.20FY2026 $1.83FY2026 $1.94FY2026
EPS growth, next FY +15.6%FY2026 +83.0%FY2026 +12.8%FY2026
EPS growth, the year after +11.1% +43.7% +12.9%
Revenue, next fiscal year $1.57BFY2026 $16.69BFY2026 $5.93BFY2026
Revenue growth, next FY +10.8%FY2026 +29.3%FY2026 +5.0%FY2026
Revenue growth, the year after +6.1% +3.1% -2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersADUSBTSGOPCH
Held by institutions 100.0% 100.0% 100.0%
Institutions holding 305 423 374
Change in shares held, QoQ +0.8% -0.7% -4.6%
Institutions buying 162 309 213
Institutions selling 94 83 122
Buyers to sellers 1.72 3.72 1.75

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.

ADUSBTSGOPCH
ADUS 1.00 0.18 0.26
BTSG 0.18 1.00 0.11
OPCH 0.26 0.11 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ADUS, BTSG and OPCH?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Addus HomeCare (ADUS) $2.37B, BrightSpring Health Services (BTSG) $13.11B, Option Care Health (OPCH) $4.72B.

Which stock is cheaper, ADUS, BTSG and OPCH?

Addus HomeCare (ADUS) trades on the lowest price-to-earnings ratio (Addus HomeCare (ADUS) 20.9x, BrightSpring Health Services (BTSG) 33.2x, Option Care Health (OPCH) 21.9x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Addus HomeCare (ADUS) 17.6x, BrightSpring Health Services (BTSG) 36.0x, Option Care Health (OPCH) 16.2x). 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) +11.5%, BrightSpring Health Services (BTSG) +26.0%, Option Care Health (OPCH) +4.0%.

Which company is more profitable?

Addus HomeCare (ADUS) has the highest net margin (Addus HomeCare (ADUS) 7.4%, BrightSpring Health Services (BTSG) 2.7%, Option Care Health (OPCH) 3.7%). On return on invested capital, Option Care Health (OPCH) leads (Addus HomeCare (ADUS) 9.6%, BrightSpring Health Services (BTSG) 10.0%, Option Care Health (OPCH) 10.1%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Addus HomeCare (ADUS) +5.9%, BrightSpring Health Services (BTSG) +101.5%, Option Care Health (OPCH) +16.3%. Over five years, Addus HomeCare (ADUS) compounded fastest (Addus HomeCare (ADUS) +4.5%/yr, Option Care Health (OPCH) +2.4%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Addus HomeCare (ADUS) has been the steadiest (Addus HomeCare (ADUS) 27.5%, BrightSpring Health Services (BTSG) 45.9%, Option Care Health (OPCH) 51.1%). Volatility measures how widely the price swings, not the risk of the business.

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

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.