BTSG vs NHC vs PACS Stock Comparison

BrightSpring Health Services, National Healthcare and Pacs Prices as of Oct 23, 2026 Peers: Industry group
NHC National Healthcare Corp
$235.53 +4.6% 1M +92.9% 1Y
Market cap
$3.50B
P/E
25.0x
Revenue (TTM)
$1.56B
Div. yield
0.01%
Home Health and Senior Care Healthcare
4 wins
PACS PACS Group, Inc.
$47.65 +16.1% 1M +274.0% 1Y
Market cap
$7.72B
P/E
28.7x
Revenue (TTM)
$5.55B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins

Head to Head

10 decided of 12

National Healthcare leads on 4 of the 12 questions below (National Healthcare 4, Pacs 4, BrightSpring Health Services 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGNHCPACSLeader
Larger companyMarket capitalisation $12.13B $3.50B $7.72B BTSG
Cheaper on earningsLower P/E, profitable companies only 33.1x 25.0x 28.7x NHC
Cheaper on forward earningsLower price / next fiscal year consensus EPS 34.7x — 20.9x PACS
Faster revenue growthRevenue growth, trailing twelve months +26.4% +6.9% +15.2% BTSG
More profitableNet margin, trailing twelve months 2.5% 9.0% 4.8% NHC
Better return on capitalReturn on invested capital 8.6% 10.0% 21.8% PACS
Less leveragedLower net debt / EBITDA 2.6x — 0.2x PACS
Higher dividend yieldTrailing dividend yield 0.00% 0.01% 0.00% –
Better 1-year returnPrice return, last 12 months +79.4% +92.9% +274.0% PACS
Better 5-year returnAnnualised price return, 5 years — +27.0%/yr — –
Less volatileAnnualised volatility, 1 year 44.5% 33.9% 81.5% NHC
Higher overall scoreMean of the five percentile scores vs peers 62/100 75/100 64/100 NHC

Percentile Scorecard

BTSGNHCPACS

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

AxisBTSGNHCPACS
Valuation 65 #33 of 93 71 #28 of 93 69 #30 of 93
Growth 93 #7 of 88 79 #19 of 88 75 #23 of 88
Profitability 56 #39 of 87 76 #22 of 87 67 #29 of 87
Financial Health 41 #59 of 100 88 #13 of 100 46 #55 of 100
Shareholder Returns 56 #25 of 56 64 #21 of 56 –
Overall 62 75 64
  • BTSG ranked among 103 companies in Healthcare Providers
  • NHC ranked among 103 companies in Healthcare Providers
  • PACS ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGNHCPACSSPY
1 month +7.8%+4.6%+16.1% -1.0%
3 months -17.6%+4.6%+1.7% +2.9%
6 months +24.8%+36.3%+34.5% +6.4%
Year to date +60.5%+71.8%+24.1% +11.4%
1 year +79.4%+92.9%+274.0% +13.1%
3 years —+257.9%— +79.4%
3 years, per year —+53.0%— +21.5%
5 years —+230.8%— +67.7%
5 years, per year —+27.0%— +10.9%
10 years —+261.2%— +255.2%
10 years, per year —+13.7%— +13.5%

Risk

MeasureBTSGNHCPACSSPY
Volatility, 1Y 44.5%33.9%81.5% 12.7%
Downside volatility, 1Y 51.8%30.8%48.4% 12.7%
Beta vs S&P 500, 1Y 1.310.160.36 1.00
Return / volatility, 1Y 1.782.743.36 1.03
Max drawdown, 5Y -35.6%-34.4%-82.0% -25.4%
From 52-week high -17.6%-4.8%-1.7% -2.5%
52-week high $72.91$247.31$48.45 $779.14
52-week low $31.36$119.44$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.

MultipleBTSGNHCPACS
P/E now vs peer median 33.8xmedian 25.3x 26.2xmedian 25.3x 28.0xmedian 25.3x
P/S now vs peer median 0.8xmedian 1.6x 2.4xmedian 1.6x 1.4xmedian 1.6x
EV/EBITDA now vs peer median 21.8xmedian 14.6x 18.3xmedian 14.6x 15.9xmedian 14.6x
P/FCF now vs peer median 29.5xmedian 22.7x 25.2xmedian 22.7x 62.1xmedian 22.7x
P/B now vs peer median 5.8xmedian 3.3x 3.3xmedian 3.3x 6.8xmedian 3.3x
PEG now vs peer median —median 0.66 0.42median 0.66 —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 monthsBTSGNHCPACS
Revenue $14.37B $1.56B $5.55B
Gross profit $1.78B – $1.30B
Operating income $447.80M $144.68M $410.32M
Net income $365.85M $142.84M $269.17M
Free cash flow $402.35M $146.53M $121.47M
EPS (diluted) $1.66 $8.84 $1.66
Cash & equivalents $550.38M $39.21M $164.45M
Total debt $9.71B – $246.09M
Shares (diluted) 220.28M 15.86M 161.99M
Enterprise value $10.46B $2.48B $6.76B

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
MetricBTSGNHCPACS
P/E 33.8x 26.2x 28.0x
P/FCF 29.5x 25.2x 62.1x
P/Operating cash flow 23.4x 19.5x 13.2x
P/S 0.8x 2.4x 1.4x
P/B 5.8x 3.3x 6.8x
P/Tangible book 7.7x 3.3x 6.8x
EV/EBITDA 21.8x 18.3x 15.9x
EV/EBIT 30.2x 24.0x 18.6x
EV/Revenue 0.9x 2.2x 1.4x
EV/FCF 33.6x 23.7x 62.8x
EV/Operating cash flow 26.7x 18.4x 13.3x
PEG (3Y EPS CAGR) – 0.42 –

Growth

14 metrics
MetricBTSGNHCPACS
Revenue growth (1Y) 26.4% 6.9% 15.2%
Revenue CAGR (3Y) – 12.8% –
Gross profit growth (1Y) 29.4% – 33.3%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) 143.5% 24.1% 83.5%
Operating income CAGR (3Y) – 57.4% –
Net income growth (1Y) 472.6% 35.9% 103.5%
Net income CAGR (3Y) – 68.9% –
EPS growth (1Y) 448.6% 31.6% 107.9%
EPS CAGR (3Y) – 61.9% –
Operating cash flow growth (1Y) 88.6% 26.7% 20.3%
Operating cash flow CAGR (3Y) – 44.1% –
Free cash flow growth (1Y) 110.5% 23.2% -58.3%
Free cash flow CAGR (3Y) – 58.0% –

Profitability

14 metrics
MetricBTSGNHCPACS
Gross margin 12.4% – 23.5%
EBITDA margin 4.3% 12.2% 8.6%
Operating margin 3.1% 9.3% 7.4%
Pretax margin 2.1% 11.9% 6.9%
Net margin 2.5% 9.0% 4.8%
FCF margin 2.8% 9.4% 2.2%
Operating cash flow margin 3.5% 12.1% 10.3%
Return on equity 18.2% 12.8% 24.9%
Return on assets 6.0% 9.3% 4.8%
Return on invested capital 8.6% 10.0% 21.8%
Return on capital employed 9.9% 11.2% 8.9%
Asset turnover 2.4x 1.0x 1.0x
Cash conversion (OCF / net income) 1.4x 1.3x 2.1x
Stock comp / revenue 0.4% 0.3% 1.3%

Financial Health

11 metrics
MetricBTSGNHCPACS
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% 26.6% 80.3%
Equity / assets 34.2% 73.4% 19.7%
Interest coverage 2.9x 56.6x 13.9x
Current ratio 1.6x 1.9x 0.9x
Quick ratio 1.1x 1.5x 0.8x
Cash ratio 0.4x 0.9x 0.2x
Altman Z-score 4.65 7.71 2.31

Shareholder Returns

7 metrics
MetricBTSGNHCPACS
Dividend yield – 1.1% –
Net buyback yield 0.6% 0.1% –
Shareholder yield 0.6% 1.2% –
Payout ratio (earnings) – 27.8% –
Payout ratio (FCF) – 27.1% –
Dividend growth (1Y) – 5.6% –
Dividend CAGR (3Y) – 4.3% –

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.

ConsensusBTSGNHCPACS
Forward P/E 34.7xFY2026 – 20.9xFY2026
EPS, next fiscal year $1.73FY2026 – $2.28FY2026
EPS growth, next FY +73.0%FY2026 – +23.9%FY2026
EPS growth, the year after +41.6% – +25.4%
Revenue, next fiscal year $15.99BFY2026 – $6.17BFY2026
Revenue growth, next FY +23.9%FY2026 – +16.6%FY2026
Revenue growth, the year after +1.3% – +1.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGNHCPACS
Held by institutions 100.0% 65.3% 31.3%
Institutions holding 421 250 239
Change in shares held, QoQ -0.7% -0.6% +5.8%
Institutions buying 309 136 155
Institutions selling 83 72 54
Buyers to sellers 3.72 1.89 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.

BTSGNHCPACS
BTSG 1.00 0.22 0.13
NHC 0.22 1.00 0.14
PACS 0.13 0.14 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, NHC and PACS?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $12.13B, National Healthcare (NHC) $3.50B, Pacs (PACS) $7.72B.

Which stock is cheaper, BTSG, NHC and PACS?

National Healthcare (NHC) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 33.1x, National Healthcare (NHC) 25.0x, Pacs (PACS) 28.7x). On next year's consensus earnings, Pacs (PACS) is cheapest (BrightSpring Health Services (BTSG) 34.7x, Pacs (PACS) 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: BrightSpring Health Services (BTSG) +26.4%, National Healthcare (NHC) +6.9%, Pacs (PACS) +15.2%.

Which company is more profitable?

National Healthcare (NHC) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, National Healthcare (NHC) 9.0%, Pacs (PACS) 4.8%). On return on invested capital, Pacs (PACS) leads (BrightSpring Health Services (BTSG) 8.6%, National Healthcare (NHC) 10.0%, Pacs (PACS) 21.8%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: BrightSpring Health Services (BTSG) +79.4%, National Healthcare (NHC) +92.9%, Pacs (PACS) +274.0%. Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: BrightSpring Health Services (BTSG) 0.00%, National Healthcare (NHC) 0.01%, Pacs (PACS) 0.00%. BrightSpring Health Services (BTSG) and Pacs (PACS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, National Healthcare (NHC) has been the steadiest (BrightSpring Health Services (BTSG) 44.5%, National Healthcare (NHC) 33.9%, Pacs (PACS) 81.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BTSG, NHC 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, National Healthcare (NHC) leads on 4. 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.