BTSG vs GRDN vs PACS Stock Comparison

BrightSpring Health Services, Guardian Pharmacy Services and Pacs Prices as of Oct 27, 2026 Peers: Industry group
PACS PACS Group, Inc.
$47.88 +16.0% 1M +280.0% 1Y
Market cap
$7.78B
P/E
28.9x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins

Head to Head

10 decided of 12

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

QuestionBTSGGRDNPACSLeader
Larger companyMarket capitalisation $12.22B $5.09M $7.78B BTSG
Cheaper on earningsLower P/E, profitable companies only 33.4x 0.1x 28.9x GRDN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 33.7x 31.1x 21.0x PACS
Faster revenue growthRevenue growth, trailing twelve months +26.4% +10.3% +15.2% BTSG
More profitableNet margin, trailing twelve months 2.5% 4.5% 4.8% PACS
Better return on capitalReturn on invested capital 8.6% — 21.8% PACS
Less leveragedLower net debt / EBITDA 2.6x — 0.2x PACS
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +72.5% +36.2% +280.0% PACS
Better 5-year returnAnnualised price return, 5 years — — — –
Less volatileAnnualised volatility, 1 year 44.6% 40.5% 81.5% GRDN
Higher overall scoreMean of the five percentile scores vs peers 64/100 94/100 64/100 GRDN

Percentile Scorecard

BTSGGRDNPACS

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

AxisBTSGGRDNPACS
Valuation 66 #32 of 92 100 #1 of 25 67 #31 of 92
Growth 93 #7 of 87 87 #4 of 24 74 #23 of 87
Profitability 57 #38 of 86 100 #1 of 24 71 #26 of 86
Financial Health 41 #58 of 97 88 #4 of 26 44 #55 of 97
Shareholder Returns 62 #22 of 56 – –
Overall 64 94 64
  • BTSG ranked among 102 companies in Healthcare Providers
  • GRDN ranked among 27 companies in Healthcare Payers and Distributors
  • PACS ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGGRDNPACSSPY
1 month +3.1%-4.0%+16.0% -0.2%
3 months -19.5%-5.5%+1.9% +3.9%
6 months +22.9%+5.2%+44.5% +8.2%
Year to date +55.8%+31.5%+24.7% +12.9%
1 year +72.5%+36.2%+280.0% +12.3%

Risk

MeasureBTSGGRDNPACSSPY
Volatility, 1Y 44.6%40.5%81.5% 12.7%
Downside volatility, 1Y 51.5%38.6%48.6% 12.7%
Beta vs S&P 500, 1Y 1.300.570.38 1.00
Return / volatility, 1Y 1.630.893.44 0.97
Max drawdown, 5Y -35.6%-27.2%-82.0% -25.4%
From 52-week high -20.0%-14.9%-1.8% -1.2%
52-week high $72.91$46.49$48.74 $779.14
52-week low $31.36$27.03$10.58 $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.

MultipleBTSGGRDNPACS
P/E now vs peer median 32.9xmedian 24.6x 0.1xmedian 23.9x 28.1xmedian 24.6x
P/S now vs peer median 0.8xmedian 1.6x 0.0xmedian 0.3x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 21.2xmedian 14.6x -0.8xmedian 13.4x 16.0xmedian 14.6x
P/FCF now vs peer median 28.6xmedian 21.6x 0.1xmedian 15.5x 62.4xmedian 21.6x
P/B now vs peer median 5.6xmedian 3.2x 0.0xmedian 2.5x 6.8xmedian 3.2x
PEG now vs peer median —median 0.66 —median 1.34 —median 0.66

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 monthsBTSGGRDNPACS
Revenue $14.37B $1.46B $5.55B
Gross profit $1.78B $316.58M $1.30B
Operating income $447.80M $85.44M $410.32M
Net income $365.85M $65.91M $269.17M
Free cash flow $402.35M $75.29M $121.47M
EPS (diluted) $1.66 $1,032.46 $1.66
Cash & equivalents $550.38M $89.81M $164.45M
Total debt $2.19B – $246.09M
Shares (diluted) 220.28M 63.84K 161.99M
Enterprise value $10.55B -$251.71M $6.81B

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
MetricBTSGGRDNPACS
P/E 32.9x 0.1x 28.1x
P/FCF 28.6x 0.1x 62.4x
P/Operating cash flow 22.8x 0.1x 13.2x
P/S 0.8x 0.0x 1.4x
P/B 5.6x 0.0x 6.8x
P/Tangible book 7.5x 0.0x 6.8x
EV/EBITDA 21.2x -0.8x 16.0x
EV/EBIT 29.4x -1.0x 18.7x
EV/Revenue 0.9x -0.1x 1.4x
EV/FCF 32.7x -1.1x 63.1x
EV/Operating cash flow 26.0x -0.9x 13.4x
PEG (3Y EPS CAGR) – – –

Growth

14 metrics
MetricBTSGGRDNPACS
Revenue growth (1Y) 26.4% 10.3% 15.2%
Revenue CAGR (3Y) – – –
Gross profit growth (1Y) 29.4% 21.5% 33.3%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) 143.5% 237.2% 83.5%
Operating income CAGR (3Y) – – –
Net income growth (1Y) 472.6% 172.0% 103.5%
Net income CAGR (3Y) – – –
EPS growth (1Y) 448.6% 142,625% 107.9%
EPS CAGR (3Y) – – –
Operating cash flow growth (1Y) 88.6% 71.4% 20.3%
Operating cash flow CAGR (3Y) – – –
Free cash flow growth (1Y) 110.5% 206.9% -58.3%
Free cash flow CAGR (3Y) – – –

Profitability

14 metrics
MetricBTSGGRDNPACS
Gross margin 12.4% 21.6% 23.5%
EBITDA margin 4.3% 7.4% 8.6%
Operating margin 3.1% 5.8% 7.4%
Pretax margin 2.1% 6.5% 6.9%
Net margin 2.5% 4.5% 4.8%
FCF margin 2.8% 5.1% 2.2%
Operating cash flow margin 3.5% 6.8% 10.3%
Return on equity 18.2% 27.1% 24.9%
Return on assets 6.0% 15.3% 4.8%
Return on invested capital 8.6% – 21.8%
Return on capital employed 9.9% 30.4% 8.9%
Asset turnover 2.4x 3.4x 1.0x
Cash conversion (OCF / net income) 1.4x 1.5x 2.1x
Stock comp / revenue 0.4% 0.7% 1.3%

Financial Health

11 metrics
MetricBTSGGRDNPACS
Debt / assets 36.6% – 4.4%
Debt / equity 1.1x – 0.2x
Net debt / EBITDA 2.6x – 0.2x
Debt / FCF 5.4x – 2.0x
Liabilities / assets 65.8% 41.9% 80.3%
Equity / assets 34.2% 58.1% 19.7%
Interest coverage 2.9x 135.4x 13.9x
Current ratio 1.6x 1.7x 0.9x
Quick ratio 1.1x 1.3x 0.8x
Cash ratio 0.4x 0.6x 0.2x
Altman Z-score 4.60 4.54 2.32

Shareholder Returns

7 metrics
MetricBTSGGRDNPACS
Dividend yield – – –
Net buyback yield 0.6% – –
Shareholder yield 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.

ConsensusBTSGGRDNPACS
Forward P/E 33.7xFY2026 31.1xFY2026 21.0xFY2026
EPS, next fiscal year $1.73FY2026 $1.27FY2026 $2.28FY2026
EPS growth, next FY +73.0%FY2026 +18.7%FY2026 +23.9%FY2026
EPS growth, the year after +42.2% +17.3% +25.4%
Revenue, next fiscal year $16.01BFY2026 $1.41BFY2026 $6.17BFY2026
Revenue growth, next FY +24.0%FY2026 -2.8%FY2026 +16.6%FY2026
Revenue growth, the year after +1.4% +2.1% +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGGRDNPACS
Held by institutions 100.0% 46.1% 31.3%
Institutions holding 421 189 239
Change in shares held, QoQ -0.7% +3.8% +5.8%
Institutions buying 309 109 155
Institutions selling 83 54 54
Buyers to sellers 3.72 2.02 2.87

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.

BTSGGRDNPACS
BTSG 1.00 0.34 0.12
GRDN 0.34 1.00 0.07
PACS 0.12 0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, GRDN and PACS?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $12.22B, Guardian Pharmacy Services (GRDN) $5.09M, Pacs (PACS) $7.78B.

Which stock is cheaper, BTSG, GRDN and PACS?

Guardian Pharmacy Services (GRDN) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 33.4x, Guardian Pharmacy Services (GRDN) 0.1x, Pacs (PACS) 28.9x). On next year's consensus earnings, Pacs (PACS) is cheapest (BrightSpring Health Services (BTSG) 33.7x, Guardian Pharmacy Services (GRDN) 31.1x, Pacs (PACS) 21.0x). 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: BrightSpring Health Services (BTSG) +26.4%, Guardian Pharmacy Services (GRDN) +10.3%, Pacs (PACS) +15.2%.

Which company is more profitable?

Pacs (PACS) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Guardian Pharmacy Services (GRDN) 4.5%, Pacs (PACS) 4.8%). On return on invested capital, Pacs (PACS) leads (BrightSpring Health Services (BTSG) 8.6%, Pacs (PACS) 21.8%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: BrightSpring Health Services (BTSG) +72.5%, Guardian Pharmacy Services (GRDN) +36.2%, Pacs (PACS) +280.0%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Guardian Pharmacy Services (GRDN) has been the steadiest (BrightSpring Health Services (BTSG) 44.6%, Guardian Pharmacy Services (GRDN) 40.5%, Pacs (PACS) 81.5%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Pacs (PACS) 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.