AMRX vs BTSG vs GRDN Stock Comparison

Amneal Pharmaceuticals, BrightSpring Health Services and Guardian Pharmacy Services Prices as of Oct 26, 2026 Peers: Industry group

Head to Head

10 decided of 12

Amneal Pharmaceuticals leads on 5 of the 12 questions below (Amneal Pharmaceuticals 5, BrightSpring Health Services 3, Guardian Pharmacy Services 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionAMRXBTSGGRDNLeader
Larger companyMarket capitalisation $6.85B $12.04B $5.02M BTSG
Cheaper on earningsLower P/E, profitable companies only 43.5x 32.9x 0.1x GRDN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.7x 34.0x 30.9x AMRX
Faster revenue growthRevenue growth, trailing twelve months +9.3% +26.4% +10.3% BTSG
More profitableNet margin, trailing twelve months 5.0% 2.5% 4.5% AMRX
Better return on capitalReturn on invested capital 17.4% 8.6% — AMRX
Less leveragedLower net debt / EBITDA 3.8x 2.6x — BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +99.2% +75.6% +37.4% AMRX
Better 5-year returnAnnualised price return, 5 years +31.6%/yr — — –
Less volatileAnnualised volatility, 1 year 35.1% 44.7% 40.6% AMRX
Higher overall scoreMean of the five percentile scores vs peers 70/100 63/100 94/100 GRDN

Percentile Scorecard

AMRXBTSGGRDN

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

AxisAMRXBTSGGRDN
Valuation 92 #54 of 626 66 #32 of 93 100 #1 of 25
Growth 74 #158 of 604 93 #7 of 88 87 #4 of 24
Profitability 84 #91 of 555 56 #39 of 87 100 #1 of 24
Financial Health 12 #582 of 658 41 #59 of 100 88 #4 of 26
Shareholder Returns 88 #44 of 368 56 #25 of 56 –
Overall 70 63 94
  • AMRX ranked among 673 companies in Pharmaceuticals and Biotechnology
  • BTSG ranked among 103 companies in Healthcare Providers
  • GRDN 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

PeriodAMRXBTSGGRDNSPY
1 month +6.3%+4.0%-4.8% -0.8%
3 months +16.2%-18.2%-5.5% +3.5%
6 months +67.2%+21.2%+3.3% +7.0%
Year to date +66.8%+57.2%+30.3% +12.2%
1 year +99.2%+75.6%+37.4% +13.0%
3 years +457.6%—— +86.3%
3 years, per year +77.4%—— +23.1%
5 years +293.6%—— +68.6%
5 years, per year +31.6%—— +11.0%

Risk

MeasureAMRXBTSGGRDNSPY
Volatility, 1Y 35.1%44.7%40.6% 12.7%
Downside volatility, 1Y 31.0%51.7%38.6% 12.7%
Beta vs S&P 500, 1Y 0.701.300.57 1.00
Return / volatility, 1Y 2.831.690.92 1.02
Max drawdown, 5Y -78.2%-35.6%-27.2% -25.4%
From 52-week high 0.0%-19.2%-15.7% -1.8%
52-week high $21.02$72.91$46.49 $779.14
52-week low $10.00$31.36$27.03 $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.

MultipleAMRXBTSGGRDN
P/E now vs peer median 42.6xmedian 17.1x 33.1xmedian 25.1x 0.1xmedian 24.3x
P/S now vs peer median 2.2xmedian 8.8x 0.8xmedian 1.6x 0.0xmedian 0.3x
EV/EBITDA now vs peer median 13.9xmedian 17.1x 21.4xmedian 14.5x -0.8xmedian 13.5x
P/FCF now vs peer median 80.8xmedian 18.0x 28.9xmedian 22.4x 0.1xmedian 15.6x
P/B now vs peer median 203.3xmedian 2.1x 5.7xmedian 3.1x 0.0xmedian 2.5x
PEG now vs peer median 0.18median 0.31 —median 0.66 —median 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 monthsAMRXBTSGGRDN
Revenue $3.12B $14.37B $1.46B
Gross profit $1.23B $1.78B $316.58M
Operating income $453.92M $447.80M $85.44M
Net income $215.32M $365.85M $65.91M
Free cash flow $83.11M $402.35M $75.29M
R&D $175.57M – –
EPS (diluted) $0.48 $1.66 $1,032.46
Cash & equivalents $127.64M $550.38M $89.81M
Total debt $2.67B $2.19B –
Shares (diluted) 328.10M 220.28M 63.84K
Enterprise value $6.04B $10.37B -$251.79M

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
MetricAMRXBTSGGRDN
P/E 42.6x 33.1x 0.1x
P/FCF 80.8x 28.9x 0.1x
P/Operating cash flow 33.4x 23.0x 0.1x
P/S 2.2x 0.8x 0.0x
P/B 203.3x 5.7x 0.0x
P/Tangible book -12.1x 7.6x 0.0x
EV/EBITDA 13.9x 21.4x -0.8x
EV/EBIT 20.4x 29.6x -1.0x
EV/Revenue 3.0x 0.9x -0.1x
EV/FCF 111.4x 33.0x -1.1x
EV/Operating cash flow 46.1x 26.2x -0.9x
PEG (3Y EPS CAGR) 0.18 – –

Growth

14 metrics
MetricAMRXBTSGGRDN
Revenue growth (1Y) 9.3% 26.4% 10.3%
Revenue CAGR (3Y) 10.5% – –
Gross profit growth (1Y) 14.1% 29.4% 21.5%
Gross profit CAGR (3Y) 14.9% – –
Operating income growth (1Y) 20.6% 143.5% 237.2%
Operating income CAGR (3Y) 32.5% – –
Net income growth (1Y) 426.4% 472.6% 172.0%
Net income CAGR (3Y) 139.1% – –
EPS growth (1Y) 4,481% 448.6% 142,625%
EPS CAGR (3Y) 237.0% – –
Operating cash flow growth (1Y) -42.8% 88.6% 71.4%
Operating cash flow CAGR (3Y) 0.4% – –
Free cash flow growth (1Y) -69.3% 110.5% 206.9%
Free cash flow CAGR (3Y) -17.3% – –

Profitability

14 metrics
MetricAMRXBTSGGRDN
Gross margin 39.3% 12.4% 21.6%
EBITDA margin 21.3% 4.3% 7.4%
Operating margin 14.6% 3.1% 5.8%
Pretax margin 6.5% 2.1% 6.5%
Net margin 5.0% 2.5% 4.5%
FCF margin 2.7% 2.8% 5.1%
Operating cash flow margin 6.4% 3.5% 6.8%
Return on equity – 18.2% 27.1%
Return on assets 5.9% 6.0% 15.3%
Return on invested capital 17.4% 8.6% –
Return on capital employed 16.4% 9.9% 30.4%
Asset turnover 0.9x 2.4x 3.4x
Cash conversion (OCF / net income) 0.9x 1.4x 1.5x
Stock comp / revenue 1.1% 0.4% 0.7%

Financial Health

11 metrics
MetricAMRXBTSGGRDN
Debt / assets 70.7% 36.6% –
Debt / equity 80.9x 1.1x –
Net debt / EBITDA 3.8x 2.6x –
Debt / FCF 32.1x 5.4x –
Liabilities / assets 99.1% 65.8% 41.9%
Equity / assets 0.9% 34.2% 58.1%
Interest coverage – 2.9x 135.4x
Current ratio 2.2x 1.6x 1.7x
Quick ratio 1.3x 1.1x 1.3x
Cash ratio 0.1x 0.4x 0.6x
Altman Z-score 2.48 4.61 4.54

Shareholder Returns

7 metrics
MetricAMRXBTSGGRDN
Dividend yield – – –
Net buyback yield 0.0% 0.6% –
Shareholder yield 0.0% 0.6% –
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.

ConsensusAMRXBTSGGRDN
Forward P/E 21.7xFY2026 34.0xFY2026 30.9xFY2026
EPS, next fiscal year $0.97FY2026 $1.73FY2026 $1.27FY2026
EPS growth, next FY +16.9%FY2026 +73.0%FY2026 +18.7%FY2026
EPS growth, the year after +26.8% +42.2% +17.3%
Revenue, next fiscal year $3.24BFY2026 $16.01BFY2026 $1.41BFY2026
Revenue growth, next FY +7.4%FY2026 +24.0%FY2026 -2.8%FY2026
Revenue growth, the year after +12.4% +1.4% +2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersAMRXBTSGGRDN
Held by institutions 51.1% 100.0% 46.1%
Institutions holding 310 421 189
Change in shares held, QoQ +1.3% -0.7% +3.8%
Institutions buying 182 309 109
Institutions selling 86 83 54
Buyers to sellers 2.12 3.72 2.02

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.

AMRXBTSGGRDN
AMRX 1.00 0.18 0.13
BTSG 0.18 1.00 0.34
GRDN 0.13 0.34 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, AMRX, BTSG and GRDN?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Amneal Pharmaceuticals (AMRX) $6.85B, BrightSpring Health Services (BTSG) $12.04B, Guardian Pharmacy Services (GRDN) $5.02M.

Which stock is cheaper, AMRX, BTSG and GRDN?

Guardian Pharmacy Services (GRDN) trades on the lowest price-to-earnings ratio (Amneal Pharmaceuticals (AMRX) 43.5x, BrightSpring Health Services (BTSG) 32.9x, Guardian Pharmacy Services (GRDN) 0.1x). On next year's consensus earnings, Amneal Pharmaceuticals (AMRX) is cheapest (Amneal Pharmaceuticals (AMRX) 21.7x, BrightSpring Health Services (BTSG) 34.0x, Guardian Pharmacy Services (GRDN) 30.9x). 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%, Guardian Pharmacy Services (GRDN) +10.3%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Amneal Pharmaceuticals (AMRX) 5.0%, BrightSpring Health Services (BTSG) 2.5%, Guardian Pharmacy Services (GRDN) 4.5%). On return on invested capital, Amneal Pharmaceuticals (AMRX) leads (Amneal Pharmaceuticals (AMRX) 17.4%, BrightSpring Health Services (BTSG) 8.6%).

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%, Guardian Pharmacy Services (GRDN) +37.4%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Amneal Pharmaceuticals (AMRX) has been the steadiest (Amneal Pharmaceuticals (AMRX) 35.1%, BrightSpring Health Services (BTSG) 44.7%, Guardian Pharmacy Services (GRDN) 40.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, AMRX, BTSG and GRDN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Amneal Pharmaceuticals (AMRX) leads on 5. 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.