BTSG vs HR vs VTR Stock Comparison

BrightSpring Health Services, Healthcare Realty Trust and Ventas Prices as of Nov 3, 2026 Peers: Industry group
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VTR Ventas, Inc.
$87.04 +3.6% 1M +17.4% 1Y
Market cap
$45.93B
P/E
175.3x
Revenue (TTM)
$6.78B
Div. yield
0.02%
Healthcare REITs Real Estate
3 wins

Head to Head

12 decided of 12

BrightSpring Health Services leads on 7 of the 12 questions below (BrightSpring Health Services 7, Ventas 3, Healthcare Realty Trust 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGHRVTRLeader
Larger companyMarket capitalisation $14.45B $6.64B $45.93B VTR
Cheaper on earningsLower P/E, profitable companies only 35.2x -147.8x 175.3x BTSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 40.4x — 152.7x BTSG
Faster revenue growthRevenue growth, trailing twelve months +26.0% -5.8% +22.1% BTSG
More profitableNet margin, trailing twelve months 2.7% -4.0% 3.9% VTR
Better return on capitalReturn on invested capital 10.0% — 3.1% BTSG
Less leveragedLower net debt / EBITDA 2.1x — 4.9x BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.05% 0.02% HR
Better 1-year returnPrice return, last 12 months +108.5% +8.7% +17.4% BTSG
Better 5-year returnAnnualised price return, 5 years — -9.6%/yr +10.5%/yr VTR
Less volatileAnnualised volatility, 1 year 45.7% 20.3% 23.0% HR
Higher overall scoreMean of the five percentile scores vs peers 66/100 41/100 44/100 BTSG

Percentile Scorecard

BTSGHRVTR

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

AxisBTSGHRVTR
Valuation 64 #35 of 95 33 #98 of 146 6 #137 of 146
Growth 93 #7 of 88 48 #76 of 145 83 #25 of 145
Profitability 61 #35 of 87 39 #87 of 141 51 #70 of 141
Financial Health 46 #55 of 100 44 #82 of 146 63 #54 of 146
Shareholder Returns 65 #21 of 58 39 #83 of 136 18 #112 of 136
Overall 66 41 44
  • BTSG ranked among 102 companies in Healthcare Providers
  • HR ranked among 149 companies in Property REITs
  • VTR ranked among 149 companies in Property REITs

Price Performance

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

Returns

PeriodBTSGHRVTRSPY
1 month +15.9%+9.9%+3.6% -2.0%
3 months +11.3%-5.5%-4.2% -2.2%
6 months +35.8%-3.8%+0.3% +4.2%
Year to date +86.5%+13.1%+12.5% +10.6%
1 year +108.5%+8.7%+17.4% +10.4%
3 years —+28.7%+97.5% +73.6%
3 years, per year —+8.8%+25.5% +20.2%
5 years —-39.7%+64.9% +61.6%
5 years, per year —-9.6%+10.5% +10.1%
10 years —-35.5%+40.8% +261.3%
10 years, per year —-4.3%+3.5% +13.7%

Risk

MeasureBTSGHRVTRSPY
Volatility, 1Y 45.7%20.3%23.0% 12.8%
Downside volatility, 1Y 51.1%19.4%24.7% 12.8%
Beta vs S&P 500, 1Y 1.150.07-0.26 1.00
Return / volatility, 1Y 2.370.430.76 0.81
Max drawdown, 5Y -35.6%-60.6%-43.4% -25.4%
From 52-week high -4.2%-12.4%-13.4% -3.2%
52-week high $72.91$21.89$100.52 $779.14
52-week low $31.36$16.34$74.13 $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.

MultipleBTSGHRVTR
P/E now vs peer median 35.2xmedian 24.9x -145.3xmedian 26.1x 170.7xmedian 26.1x
P/S now vs peer median 0.9xmedian 1.6x 5.7xmedian 4.1x 6.8xmedian 4.1x
EV/EBITDA now vs peer median 22.3xmedian 15.2x —median 14.4x 23.6xmedian 14.4x
P/FCF now vs peer median 28.2xmedian 20.7x 40.3xmedian 21.6x -17.0xmedian 21.6x
P/B now vs peer median 6.4xmedian 3.2x 1.6xmedian 1.3x 2.9xmedian 1.3x
PEG now vs peer median —median 0.72 -3.36median 1.95 0.69median 1.95

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 monthsBTSGHRVTR
Revenue $15.25B $1.13B $6.78B
Gross profit $1.91B – –
Operating income $520.43M – –
Net income $410.46M -$45.27M $271.54M
Free cash flow $492.41M $161.54M -$2.71B
EPS (diluted) $1.86 $-0.13 $0.51
Cash & equivalents $717.84M $17.50M $202.01M
Total debt $2.18B $4.25B $12.44B
Shares (diluted) 220.23M 340.62M 518.94M
Enterprise value $12.21B $6.55B $44.61B

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
MetricBTSGHRVTR
P/E 35.2x -145.3x 170.7x
P/FCF 28.2x 40.3x -17.0x
P/Operating cash flow 23.1x 14.5x 24.1x
P/S 0.9x 5.7x 6.8x
P/B 6.4x 1.6x 2.9x
P/Tangible book 8.2x 1.6x 2.9x
EV/EBITDA 22.3x – 23.6x
EV/EBIT 29.5x – 68.5x
EV/Revenue 1.0x 9.5x 8.6x
EV/FCF 31.2x 66.5x -21.5x
EV/Operating cash flow 25.5x 23.9x 30.5x
PEG (3Y EPS CAGR) – -3.36 0.69

Growth

14 metrics
MetricBTSGHRVTR
Revenue growth (1Y) 26.0% -5.8% 22.1%
Revenue CAGR (3Y) – -5.7% 15.7%
Gross profit growth (1Y) 32.0% – –
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) 114.5% – –
Operating income CAGR (3Y) – – –
Net income growth (1Y) 219.3% 87.8% 9.8%
Net income CAGR (3Y) – 45.3% 190.9%
EPS growth (1Y) 213.4% 87.4% -1.7%
EPS CAGR (3Y) – 43.2% 249.1%
Operating cash flow growth (1Y) 72.6% -2.8% 23.5%
Operating cash flow CAGR (3Y) – -4.6% 20.0%
Free cash flow growth (1Y) 78.3% 28.9% -11.8%
Free cash flow CAGR (3Y) – -1.8% -92.9%

Profitability

14 metrics
MetricBTSGHRVTR
Gross margin 12.5% – –
EBITDA margin 4.5% – 36.5%
Operating margin 3.4% – –
Pretax margin 2.5% – 3.2%
Net margin 2.7% -4.0% 3.9%
FCF margin 3.2% 14.2% -39.9%
Operating cash flow margin 4.0% 39.7% 28.2%
Return on equity 19.4% -1.1% 1.8%
Return on assets 6.7% -0.5% 0.9%
Return on invested capital 10.0% – 3.1%
Return on capital employed 11.8% – –
Asset turnover 2.5x 0.1x 0.2x
Cash conversion (OCF / net income) 1.5x -9.9x 7.0x
Stock comp / revenue 0.4% 1.6% 0.6%

Financial Health

11 metrics
MetricBTSGHRVTR
Debt / assets 34.8% 47.4% 40.6%
Debt / equity 1.0x 1.0x 0.8x
Net debt / EBITDA 2.1x – 4.9x
Debt / FCF 4.4x 26.3x -4.6x
Liabilities / assets 65.3% 53.9% 48.2%
Equity / assets 34.7% 46.1% 51.8%
Interest coverage 3.6x – 1.3x
Current ratio 1.6x – –
Quick ratio 1.2x – –
Cash ratio 0.4x – –
Altman Z-score 4.98 – –

Shareholder Returns

7 metrics
MetricBTSGHRVTR
Dividend yield – 5.0% 2.3%
Net buyback yield 0.5% 3.5% -9.2%
Shareholder yield 0.5% 8.5% -6.9%
Payout ratio (earnings) – -735.1% 359.5%
Payout ratio (FCF) – 206.0% -36.0%
Dividend growth (1Y) – -19.3% 18.6%
Dividend CAGR (3Y) – -11.0% 10.6%

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.

ConsensusBTSGHRVTR
Forward P/E 40.4xFY2026 – 152.7xFY2026
EPS, next fiscal year $1.73FY2026 $-0.11FY2026 $0.57FY2026
EPS growth, next FY +73.0%FY2026 – +5.6%FY2026
EPS growth, the year after +42.2% – +77.2%
Revenue, next fiscal year $16.01BFY2026 $1.17BFY2026 $7.11BFY2026
Revenue growth, next FY +24.0%FY2026 -0.7%FY2026 +21.9%FY2026
Revenue growth, the year after +1.4% -8.9% +4.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGHRVTR
Held by institutions 100.0% 100.0% 100.0%
Institutions holding 423 460 952
Change in shares held, QoQ -0.7% +0.8% +5.1%
Institutions buying 309 226 527
Institutions selling 83 146 286
Buyers to sellers 3.72 1.55 1.84

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.

BTSGHRVTR
BTSG 1.00 0.16 0.03
HR 0.16 1.00 0.53
VTR 0.03 0.53 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, HR and VTR?

Ventas (VTR) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $14.45B, Healthcare Realty Trust (HR) $6.64B, Ventas (VTR) $45.93B.

Which stock is cheaper, BTSG, HR and VTR?

BrightSpring Health Services (BTSG) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 35.2x, Healthcare Realty Trust (HR) -147.8x, Ventas (VTR) 175.3x). On next year's consensus earnings, BrightSpring Health Services (BTSG) is cheapest (BrightSpring Health Services (BTSG) 40.4x, Ventas (VTR) 152.7x). 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) +26.0%, Healthcare Realty Trust (HR) -5.8%, Ventas (VTR) +22.1%.

Which company is more profitable?

Ventas (VTR) has the highest net margin (BrightSpring Health Services (BTSG) 2.7%, Healthcare Realty Trust (HR) -4.0%, Ventas (VTR) 3.9%). On return on invested capital, BrightSpring Health Services (BTSG) leads (BrightSpring Health Services (BTSG) 10.0%, Ventas (VTR) 3.1%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +108.5%, Healthcare Realty Trust (HR) +8.7%, Ventas (VTR) +17.4%. Over five years, Ventas (VTR) compounded fastest (Healthcare Realty Trust (HR) -9.6%/yr, Ventas (VTR) +10.5%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Healthcare Realty Trust (HR) has the highest dividend yield: BrightSpring Health Services (BTSG) 0.00%, Healthcare Realty Trust (HR) 0.05%, Ventas (VTR) 0.02%. BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (BrightSpring Health Services (BTSG) 45.7%, Healthcare Realty Trust (HR) 20.3%, Ventas (VTR) 23.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BTSG, HR and VTR?

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 7. 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.