AMRX vs BTSG vs CAH Stock Comparison

Amneal Pharmaceuticals, BrightSpring Health Services and Cardinal Health Prices as of Oct 26, 2026 Peers: Industry group
CAH Cardinal Health Inc
$251.63 +14.3% 1M +55.4% 1Y
Market cap
$58.69B
P/E
34.2x
Revenue (TTM)
$254.25B
Div. yield
0.01%
Drug Distribution Healthcare
6 wins

Head to Head

11 decided of 12

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

QuestionAMRXBTSGCAHLeader
Larger companyMarket capitalisation $6.80B $12.04B $58.69B CAH
Cheaper on earningsLower P/E, profitable companies only 43.2x 32.9x 34.2x BTSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.7x 34.0x 20.9x CAH
Faster revenue growthRevenue growth, trailing twelve months +9.3% +26.4% +14.2% BTSG
More profitableNet margin, trailing twelve months 5.0% 2.5% 0.7% AMRX
Better return on capitalReturn on invested capital 17.4% 8.6% 33.9% CAH
Less leveragedLower net debt / EBITDA 3.8x 2.6x 1.1x CAH
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.01% –
Better 1-year returnPrice return, last 12 months +99.2% +75.6% +55.4% AMRX
Better 5-year returnAnnualised price return, 5 years +31.6%/yr — +39.6%/yr CAH
Less volatileAnnualised volatility, 1 year 35.1% 44.7% 29.4% CAH
Higher overall scoreMean of the five percentile scores vs peers 70/100 63/100 66/100 AMRX

Percentile Scorecard

AMRXBTSGCAH

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

AxisAMRXBTSGCAH
Valuation 92 #54 of 626 66 #32 of 93 75 #7 of 25
Growth 74 #158 of 604 93 #7 of 88 78 #6 of 24
Profitability 84 #91 of 555 56 #39 of 87 61 #10 of 24
Financial Health 12 #582 of 658 41 #59 of 100 36 #17 of 26
Shareholder Returns 88 #44 of 368 56 #25 of 56 80 #4 of 16
Overall 70 63 66
  • AMRX ranked among 673 companies in Pharmaceuticals and Biotechnology
  • BTSG ranked among 103 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

PeriodAMRXBTSGCAHSPY
1 month +6.3%+4.0%+14.3% -0.8%
3 months +16.2%-18.2%+9.7% +3.5%
6 months +67.2%+21.2%+24.4% +7.0%
Year to date +66.8%+57.2%+22.4% +12.2%
1 year +99.2%+75.6%+55.4% +13.0%
3 years +457.6%—+175.3% +86.3%
3 years, per year +77.4%—+40.2% +23.1%
5 years +293.6%—+430.4% +68.6%
5 years, per year +31.6%—+39.6% +11.0%
10 years ——+238.2% +258.0%
10 years, per year ——+13.0% +13.6%

Risk

MeasureAMRXBTSGCAHSPY
Volatility, 1Y 35.1%44.7%29.4% 12.7%
Downside volatility, 1Y 31.0%51.7%24.5% 12.7%
Beta vs S&P 500, 1Y 0.701.30-0.09 1.00
Return / volatility, 1Y 2.831.691.89 1.02
Max drawdown, 5Y -78.2%-35.6%-21.0% -25.4%
From 52-week high 0.0%-19.2%-2.3% -1.8%
52-week high $21.02$72.91$257.54 $779.14
52-week low $10.00$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.

MultipleAMRXBTSGCAH
P/E now vs peer median 42.6xmedian 17.1x 33.1xmedian 25.1x 34.6xmedian 24.3x
P/S now vs peer median 2.2xmedian 8.8x 0.8xmedian 1.6x 0.2xmedian 0.3x
EV/EBITDA now vs peer median 13.9xmedian 17.1x 21.4xmedian 14.5x 17.5xmedian 13.5x
P/FCF now vs peer median 80.8xmedian 18.0x 28.9xmedian 22.4x 12.9xmedian 15.6x
P/B now vs peer median 203.3xmedian 2.1x 5.7xmedian 3.1x -20.3xmedian 2.5x
PEG now vs peer median 0.18median 0.31 —median 0.66 0.50median 1.33

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 monthsAMRXBTSGCAH
Revenue $3.12B $14.37B $254.25B
Gross profit $1.23B $1.78B $9.77B
Operating income $453.92M $447.80M $2.61B
Net income $215.32M $365.85M $1.72B
Free cash flow $83.11M $402.35M $4.53B
R&D $175.57M – –
EPS (diluted) $0.48 $1.66 $7.23
Cash & equivalents $127.64M $550.38M $4.86B
Total debt $2.67B $2.19B $8.89B
Shares (diluted) 328.10M 220.28M 237.00M
Enterprise value $5.99B $10.37B $42.53B

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
MetricAMRXBTSGCAH
P/E 42.6x 33.1x 34.6x
P/FCF 80.8x 28.9x 12.9x
P/Operating cash flow 33.4x 23.0x 11.3x
P/S 2.2x 0.8x 0.2x
P/B 203.3x 5.7x -20.3x
P/Tangible book -12.1x 7.6x -20.3x
EV/EBITDA 13.9x 21.4x 17.5x
EV/EBIT 20.4x 29.6x 23.9x
EV/Revenue 3.0x 0.9x 0.2x
EV/FCF 111.4x 33.0x 13.8x
EV/Operating cash flow 46.1x 26.2x 12.1x
PEG (3Y EPS CAGR) 0.18 – 0.50

Growth

14 metrics
MetricAMRXBTSGCAH
Revenue growth (1Y) 9.3% 26.4% 14.2%
Revenue CAGR (3Y) 10.5% – 7.4%
Gross profit growth (1Y) 14.1% 29.4% 19.7%
Gross profit CAGR (3Y) 14.9% – 12.3%
Operating income growth (1Y) 20.6% 143.5% 14.9%
Operating income CAGR (3Y) 32.5% – 50.2%
Net income growth (1Y) 426.4% 472.6% 9.8%
Net income CAGR (3Y) 139.1% – 63.8%
EPS growth (1Y) 4,481% 448.6% 12.1%
EPS CAGR (3Y) 237.0% – 69.2%
Operating cash flow growth (1Y) -42.8% 88.6% 115.9%
Operating cash flow CAGR (3Y) 0.4% – 22.1%
Free cash flow growth (1Y) -69.3% 110.5% 144.6%
Free cash flow CAGR (3Y) -17.3% – 24.2%

Profitability

14 metrics
MetricAMRXBTSGCAH
Gross margin 39.3% 12.4% 3.8%
EBITDA margin 21.3% 4.3% 1.4%
Operating margin 14.6% 3.1% 1.0%
Pretax margin 6.5% 2.1% 0.9%
Net margin 5.0% 2.5% 0.7%
FCF margin 2.7% 2.8% 1.8%
Operating cash flow margin 6.4% 3.5% 2.0%
Return on equity – 18.2% –
Return on assets 5.9% 6.0% 3.0%
Return on invested capital 17.4% 8.6% 33.9%
Return on capital employed 16.4% 9.9% 20.0%
Asset turnover 0.9x 2.4x 4.5x
Cash conversion (OCF / net income) 0.9x 1.4x 3.0x
Stock comp / revenue 1.1% 0.4% 0.1%

Financial Health

11 metrics
MetricAMRXBTSGCAH
Debt / assets 70.7% 36.6% 15.5%
Debt / equity 80.9x 1.1x -3.1x
Net debt / EBITDA 3.8x 2.6x 1.1x
Debt / FCF 32.1x 5.4x 2.0x
Liabilities / assets 99.1% 65.8% 105.0%
Equity / assets 0.9% 34.2% -5.0%
Interest coverage – 2.9x 7.5x
Current ratio 2.2x 1.6x 0.9x
Quick ratio 1.3x 1.1x 0.4x
Cash ratio 0.1x 0.4x 0.1x
Altman Z-score 2.48 4.61 5.11

Shareholder Returns

7 metrics
MetricAMRXBTSGCAH
Dividend yield – – 0.8%
Net buyback yield 0.0% 0.6% 2.3%
Shareholder yield 0.0% 0.6% 3.1%
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.

ConsensusAMRXBTSGCAH
Forward P/E 21.7xFY2026 34.0xFY2026 20.9xFY2027
EPS, next fiscal year $0.97FY2026 $1.73FY2026 $12.03FY2027
EPS growth, next FY +16.9%FY2026 +73.0%FY2026 +6.8%FY2027
EPS growth, the year after +26.8% +42.2% +13.5%
Revenue, next fiscal year $3.24BFY2026 $16.01BFY2026 $272.90BFY2027
Revenue growth, next FY +7.4%FY2026 +24.0%FY2026 +7.3%FY2027
Revenue growth, the year after +12.4% +1.4% -3.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAMRXBTSGCAH
Held by institutions 51.1% 100.0% 87.4%
Institutions holding 310 421 1,491
Change in shares held, QoQ +1.3% -0.7% +2.8%
Institutions buying 182 309 711
Institutions selling 86 83 556
Buyers to sellers 2.12 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.

AMRXBTSGCAH
AMRX 1.00 0.18 0.12
BTSG 0.18 1.00 0.07
CAH 0.12 0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AMRX, BTSG and CAH?

Cardinal Health (CAH) is the largest by market capitalisation: Amneal Pharmaceuticals (AMRX) $6.80B, BrightSpring Health Services (BTSG) $12.04B, Cardinal Health (CAH) $58.69B.

Which stock is cheaper, AMRX, BTSG and CAH?

BrightSpring Health Services (BTSG) trades on the lowest price-to-earnings ratio (Amneal Pharmaceuticals (AMRX) 43.2x, BrightSpring Health Services (BTSG) 32.9x, Cardinal Health (CAH) 34.2x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Amneal Pharmaceuticals (AMRX) 21.7x, BrightSpring Health Services (BTSG) 34.0x, Cardinal Health (CAH) 20.9x). 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: Amneal Pharmaceuticals (AMRX) +9.3%, BrightSpring Health Services (BTSG) +26.4%, Cardinal Health (CAH) +14.2%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Amneal Pharmaceuticals (AMRX) 5.0%, BrightSpring Health Services (BTSG) 2.5%, Cardinal Health (CAH) 0.7%). On return on invested capital, Cardinal Health (CAH) leads (Amneal Pharmaceuticals (AMRX) 17.4%, BrightSpring Health Services (BTSG) 8.6%, Cardinal Health (CAH) 33.9%).

Which stock has performed better?

Over the past year Amneal Pharmaceuticals (AMRX) returned the most: Amneal Pharmaceuticals (AMRX) +99.2%, BrightSpring Health Services (BTSG) +75.6%, Cardinal Health (CAH) +55.4%. Over five years, Cardinal Health (CAH) compounded fastest (Amneal Pharmaceuticals (AMRX) +31.6%/yr, Cardinal Health (CAH) +39.6%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Amneal Pharmaceuticals (AMRX) 0.00%, BrightSpring Health Services (BTSG) 0.00%, Cardinal Health (CAH) 0.01%. Amneal Pharmaceuticals (AMRX) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Amneal Pharmaceuticals (AMRX) 35.1%, BrightSpring Health Services (BTSG) 44.7%, Cardinal Health (CAH) 29.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AMRX, 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, Cardinal Health (CAH) 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.