BKD vs BTSG vs GRDN Stock Comparison

Brookdale Senior Living, BrightSpring Health Services and Guardian Pharmacy Services Prices as of Oct 27, 2026 Peers: Industry group

Head to Head

10 decided of 12

BrightSpring Health Services leads on 5 of the 12 questions below (BrightSpring Health Services 5, Guardian Pharmacy Services 4, Brookdale Senior Living 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBKDBTSGGRDNLeader
Larger companyMarket capitalisation $2.36B $12.14B $5.08M BTSG
Cheaper on earningsLower P/E, profitable companies only -17.1x 33.2x 0.1x GRDN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 317.0x 33.7x 31.1x GRDN
Faster revenue growthRevenue growth, trailing twelve months -4.4% +26.4% +10.3% BTSG
More profitableNet margin, trailing twelve months -4.5% 2.5% 4.5% GRDN
Better return on capitalReturn on invested capital 2.5% 8.6% — BTSG
Less leveragedLower net debt / EBITDA 8.9x 2.6x — BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +8.7% +72.5% +36.2% BTSG
Better 5-year returnAnnualised price return, 5 years +7.3%/yr — — –
Less volatileAnnualised volatility, 1 year 38.9% 44.6% 40.5% BKD
Higher overall scoreMean of the five percentile scores vs peers 40/100 64/100 94/100 GRDN

Percentile Scorecard

BKDBTSGGRDN

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

AxisBKDBTSGGRDN
Valuation 64 #34 of 92 66 #32 of 92 100 #1 of 25
Growth 34 #58 of 87 93 #7 of 87 87 #4 of 24
Profitability 53 #41 of 86 57 #38 of 86 100 #1 of 24
Financial Health 9 #88 of 97 41 #58 of 97 88 #4 of 26
Shareholder Returns – 62 #22 of 56 –
Overall 40 64 94
  • BKD ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 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

PeriodBKDBTSGGRDNSPY
1 month -14.4%+3.1%-4.0% -0.2%
3 months -38.2%-19.5%-5.5% +3.9%
6 months -32.7%+22.9%+5.2% +8.2%
Year to date -11.9%+55.8%+31.5% +12.9%
1 year +8.7%+72.5%+36.2% +12.3%
3 years +142.0%—— +87.4%
3 years, per year +34.3%—— +23.3%
5 years +42.2%—— +67.9%
5 years, per year +7.3%—— +10.9%
10 years -36.0%—— +261.1%
10 years, per year -4.4%—— +13.7%

Risk

MeasureBKDBTSGGRDNSPY
Volatility, 1Y 38.9%44.6%40.5% 12.7%
Downside volatility, 1Y 39.2%51.5%38.6% 12.7%
Beta vs S&P 500, 1Y 0.281.300.57 1.00
Return / volatility, 1Y 0.221.630.89 0.97
Max drawdown, 5Y -69.0%-35.6%-27.2% -25.4%
From 52-week high -43.3%-20.0%-14.9% -1.2%
52-week high $16.77$72.91$46.49 $779.14
52-week low $8.75$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.

MultipleBKDBTSGGRDN
P/E now vs peer median -16.4xmedian 24.6x 32.9xmedian 24.6x 0.1xmedian 23.9x
P/S now vs peer median 0.7xmedian 1.6x 0.8xmedian 1.6x 0.0xmedian 0.3x
EV/EBITDA now vs peer median 14.1xmedian 14.6x 21.2xmedian 14.6x -0.8xmedian 13.4x
P/FCF now vs peer median 9,385xmedian 21.6x 28.6xmedian 21.6x 0.1xmedian 15.5x
P/B now vs peer median -78.4xmedian 3.2x 5.6xmedian 3.2x 0.0xmedian 2.5x
PEG now vs peer median 2.21median 0.66 —median 0.66 —median 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 monthsBKDBTSGGRDN
Revenue $3.05B $14.37B $1.46B
Gross profit $2.93B $1.78B $316.58M
Operating income $106.04M $447.80M $85.44M
Net income -$138.35M $365.85M $65.91M
Free cash flow $242.00K $402.35M $75.29M
EPS (diluted) $-0.57 $1.66 $1,032.46
Cash & equivalents $370.39M $550.38M $89.81M
Total debt $4.27B $2.19B –
Shares (diluted) 243.89M 220.28M 63.84K
Enterprise value $1.17B $10.48B -$251.72M

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
MetricBKDBTSGGRDN
P/E -16.4x 32.9x 0.1x
P/FCF 9,385x 28.6x 0.1x
P/Operating cash flow 10.1x 22.8x 0.1x
P/S 0.7x 0.8x 0.0x
P/B -78.4x 5.6x 0.0x
P/Tangible book -78.4x 7.5x 0.0x
EV/EBITDA 14.1x 21.2x -0.8x
EV/EBIT 58.0x 29.4x -1.0x
EV/Revenue 2.0x 0.9x -0.1x
EV/FCF 25,428x 32.7x -1.1x
EV/Operating cash flow 27.5x 26.0x -0.9x
PEG (3Y EPS CAGR) 2.21 – –

Growth

14 metrics
MetricBKDBTSGGRDN
Revenue growth (1Y) -4.4% 26.4% 10.3%
Revenue CAGR (3Y) 1.0% – –
Gross profit growth (1Y) -3.9% 29.4% 21.5%
Gross profit CAGR (3Y) 1.7% – –
Operating income growth (1Y) 101.6% 143.5% 237.2%
Operating income CAGR (3Y) 4.1% – –
Net income growth (1Y) 43.0% 472.6% 172.0%
Net income CAGR (3Y) -10.3% – –
EPS growth (1Y) 45.1% 448.6% 142,625%
EPS CAGR (3Y) -7.4% – –
Operating cash flow growth (1Y) 2.4% 88.6% 71.4%
Operating cash flow CAGR (3Y) 29.6% – –
Free cash flow growth (1Y) 100.1% 110.5% 206.9%
Free cash flow CAGR (3Y) 26.0% – –

Profitability

14 metrics
MetricBKDBTSGGRDN
Gross margin 96.1% 12.4% 21.6%
EBITDA margin 14.3% 4.3% 7.4%
Operating margin 3.5% 3.1% 5.8%
Pretax margin -4.4% 2.1% 6.5%
Net margin -4.5% 2.5% 4.5%
FCF margin 0.0% 2.8% 5.1%
Operating cash flow margin 7.3% 3.5% 6.8%
Return on equity – 18.2% 27.1%
Return on assets -2.3% 6.0% 15.3%
Return on invested capital 2.5% 8.6% –
Return on capital employed 2.0% 9.9% 30.4%
Asset turnover 0.5x 2.4x 3.4x
Cash conversion (OCF / net income) -1.6x 1.4x 1.5x
Stock comp / revenue 0.4% 0.4% 0.7%

Financial Health

11 metrics
MetricBKDBTSGGRDN
Debt / assets 72.4% 36.6% –
Debt / equity -147.5x 1.1x –
Net debt / EBITDA 8.9x 2.6x –
Debt / FCF 17,655x 5.4x –
Liabilities / assets 100.5% 65.8% 41.9%
Equity / assets -0.5% 34.2% 58.1%
Interest coverage – 2.9x 135.4x
Current ratio 1.1x 1.6x 1.7x
Quick ratio 0.9x 1.1x 1.3x
Cash ratio 0.7x 0.4x 0.6x
Altman Z-score -0.20 4.60 4.54

Shareholder Returns

7 metrics
MetricBKDBTSGGRDN
Dividend yield – – –
Net buyback yield – 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.

ConsensusBKDBTSGGRDN
Forward P/E 317.0xFY2026 33.7xFY2026 31.1xFY2026
EPS, next fiscal year $0.03FY2026 $1.73FY2026 $1.27FY2026
EPS growth, next FY – +73.0%FY2026 +18.7%FY2026
EPS growth, the year after +433.3% +42.2% +17.3%
Revenue, next fiscal year $2.81BFY2026 $16.01BFY2026 $1.41BFY2026
Revenue growth, next FY -12.0%FY2026 +24.0%FY2026 -2.8%FY2026
Revenue growth, the year after +3.6% +1.4% +2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBKDBTSGGRDN
Held by institutions 100.0% 100.0% 46.1%
Institutions holding 293 421 189
Change in shares held, QoQ +5.6% -0.7% +3.8%
Institutions buying 165 309 109
Institutions selling 92 83 54
Buyers to sellers 1.79 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.

BKDBTSGGRDN
BKD 1.00 0.26 0.14
BTSG 0.26 1.00 0.34
GRDN 0.14 0.34 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BKD, BTSG and GRDN?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Brookdale Senior Living (BKD) $2.36B, BrightSpring Health Services (BTSG) $12.14B, Guardian Pharmacy Services (GRDN) $5.08M.

Which stock is cheaper, BKD, BTSG and GRDN?

Guardian Pharmacy Services (GRDN) trades on the lowest price-to-earnings ratio (Brookdale Senior Living (BKD) -17.1x, BrightSpring Health Services (BTSG) 33.2x, Guardian Pharmacy Services (GRDN) 0.1x). On next year's consensus earnings, Guardian Pharmacy Services (GRDN) is cheapest (Brookdale Senior Living (BKD) 317.0x, BrightSpring Health Services (BTSG) 33.7x, Guardian Pharmacy Services (GRDN) 31.1x). 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: Brookdale Senior Living (BKD) -4.4%, BrightSpring Health Services (BTSG) +26.4%, Guardian Pharmacy Services (GRDN) +10.3%.

Which company is more profitable?

Guardian Pharmacy Services (GRDN) has the highest net margin (Brookdale Senior Living (BKD) -4.5%, BrightSpring Health Services (BTSG) 2.5%, Guardian Pharmacy Services (GRDN) 4.5%). On return on invested capital, BrightSpring Health Services (BTSG) leads (Brookdale Senior Living (BKD) 2.5%, BrightSpring Health Services (BTSG) 8.6%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Brookdale Senior Living (BKD) +8.7%, BrightSpring Health Services (BTSG) +72.5%, Guardian Pharmacy Services (GRDN) +36.2%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Brookdale Senior Living (BKD) has been the steadiest (Brookdale Senior Living (BKD) 38.9%, BrightSpring Health Services (BTSG) 44.6%, Guardian Pharmacy Services (GRDN) 40.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BKD, 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, BrightSpring Health Services (BTSG) 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.