BTSG vs OPCH vs RHEP Stock Comparison

BrightSpring Health Services, Option Care Health and Regional Health Properties Prices as of Oct 29, 2026 Peers: Industry group
OPCH Option Care Health, Inc.
$31.85 +39.6% 1M +11.1% 1Y
Market cap
$4.87B
P/E
23.2x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins

Head to Head

11 decided of 12

BrightSpring Health Services leads on 4 of the 12 questions below (BrightSpring Health Services 4, Option Care Health 4, Regional Health Properties 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGOPCHRHEPLeader
Larger companyMarket capitalisation $13.69B $4.87B $4.12M BTSG
Cheaper on earningsLower P/E, profitable companies only 37.4x 23.2x 0.9x RHEP
Cheaper on forward earningsLower price / next fiscal year consensus EPS 34.8x 16.4x — OPCH
Faster revenue growthRevenue growth, trailing twelve months +26.4% +5.9% +200.4% RHEP
More profitableNet margin, trailing twelve months 2.5% 3.7% 5.4% RHEP
Better return on capitalReturn on invested capital 8.6% 9.9% — OPCH
Less leveragedLower net debt / EBITDA 2.6x 2.4x 7.7x OPCH
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +76.9% +11.1% -18.4% BTSG
Better 5-year returnAnnualised price return, 5 years — +3.1%/yr -31.0%/yr OPCH
Less volatileAnnualised volatility, 1 year 44.6% 52.0% 70.8% BTSG
Higher overall scoreMean of the five percentile scores vs peers 65/100 54/100 54/100 BTSG

Percentile Scorecard

BTSGOPCHRHEP

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

AxisBTSGOPCHRHEP
Valuation 66 #32 of 92 80 #19 of 92 53 #44 of 92
Growth 93 #7 of 87 27 #64 of 87 57 #38 of 87
Profitability 57 #38 of 86 68 #28 of 86 52 #42 of 86
Financial Health 41 #58 of 97 43 #56 of 97 8 #89 of 97
Shareholder Returns 67 #19 of 55 – 100 #1 of 55
Overall 65 54 54
  • BTSG ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers
  • RHEP ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGOPCHRHEPSPY
1 month +8.1%+39.6%+7.4% +0.7%
3 months -17.4%+41.8%-2.9% +3.7%
6 months +25.5%+56.7%-21.5% +7.1%
Year to date +60.8%0.0%-20.3% +12.8%
1 year +76.9%+11.1%-18.4% +11.9%
3 years —+18.7%-51.9% +85.2%
3 years, per year —+5.9%-21.7% +22.8%
5 years —+16.5%-84.4% +67.6%
5 years, per year —+3.1%-31.0% +10.9%

Risk

MeasureBTSGOPCHRHEPSPY
Volatility, 1Y 44.6%52.0%70.8% 12.7%
Downside volatility, 1Y 51.5%50.4%79.4% 12.6%
Beta vs S&P 500, 1Y 1.300.04-0.19 1.00
Return / volatility, 1Y 1.720.21-0.26 0.94
Max drawdown, 5Y -35.6%-46.7%-87.2% -25.4%
From 52-week high -17.4%-13.0%-32.0% -1.2%
52-week high $72.91$36.59$1.50 $779.14
52-week low $31.36$19.52$0.95 $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.

MultipleBTSGOPCHRHEP
P/E now vs peer median 33.9xmedian 26.0x 23.2xmedian 26.0x 0.9xmedian 26.0x
P/S now vs peer median 0.8xmedian 1.6x 0.8xmedian 1.6x 0.0xmedian 1.6x
EV/EBITDA now vs peer median 21.8xmedian 15.4x 14.0xmedian 15.4x 8.5xmedian 15.4x
P/FCF now vs peer median 29.6xmedian 21.5x 15.7xmedian 21.5x -1.0xmedian 21.5x
P/B now vs peer median 5.8xmedian 3.2x 3.8xmedian 3.2x -2.3xmedian 3.2x
PEG now vs peer median —median 0.87 22.50median 0.87 -0.02median 0.87

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 monthsBTSGOPCHRHEP
Revenue $14.37B $5.69B $81.52M
Gross profit $1.78B $1.09B $63.95M
Operating income $447.80M $333.69M $1.57M
Net income $365.85M $209.58M $4.07M
Free cash flow $402.35M $303.85M -$3.98M
EPS (diluted) $1.66 $1.37 $1.13
Cash & equivalents $550.38M $193.77M $1.73M
Total debt $2.19B $1.16B $153.24M
Shares (diluted) 220.28M 153.49M 3.93M
Enterprise value $12.03B $3.96B -$2.72M

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
MetricBTSGOPCHRHEP
P/E 33.9x 23.2x 0.9x
P/FCF 29.6x 15.7x -1.0x
P/Operating cash flow 23.5x 13.8x -1.5x
P/S 0.8x 0.8x 0.0x
P/B 5.8x 3.8x -2.3x
P/Tangible book 7.8x 4.9x -0.6x
EV/EBITDA 21.8x 14.0x 8.5x
EV/EBIT 30.2x 17.2x 26.6x
EV/Revenue 0.9x 1.0x 0.5x
EV/FCF 33.6x 18.9x -10.5x
EV/Operating cash flow 26.7x 16.5x -16.0x
PEG (3Y EPS CAGR) – 22.50 -0.02

Growth

14 metrics
MetricBTSGOPCHRHEP
Revenue growth (1Y) 26.4% 5.9% 200.4%
Revenue CAGR (3Y) – 11.3% 40.0%
Gross profit growth (1Y) 29.4% 2.6% –
Gross profit CAGR (3Y) – 5.3% –
Operating income growth (1Y) 143.5% -0.1% 368.7%
Operating income CAGR (3Y) – 6.3% 31.7%
Net income growth (1Y) 472.6% -0.8% 195.5%
Net income CAGR (3Y) – -4.4% 41.9%
EPS growth (1Y) 448.6% 6.1% 149.6%
EPS CAGR (3Y) – 1.0% -59.3%
Operating cash flow growth (1Y) 88.6% 24.0% -258.3%
Operating cash flow CAGR (3Y) – -3.8% -47.5%
Free cash flow growth (1Y) 110.5% 26.0% -445.4%
Free cash flow CAGR (3Y) – -4.7% -75.3%

Profitability

14 metrics
MetricBTSGOPCHRHEP
Gross margin 12.4% 19.1% 78.5%
EBITDA margin 4.3% 7.2% 6.0%
Operating margin 3.1% 5.9% 1.9%
Pretax margin 2.1% 5.0% -1.1%
Net margin 2.5% 3.7% 5.4%
FCF margin 2.8% 5.3% -4.9%
Operating cash flow margin 3.5% 6.1% -3.2%
Return on equity 18.2% 16.0% –
Return on assets 6.0% 6.2% 6.0%
Return on invested capital 8.6% 9.9% –
Return on capital employed 9.9% 13.0% 3.9%
Asset turnover 2.4x 1.7x 1.2x
Cash conversion (OCF / net income) 1.4x 1.7x -0.6x
Stock comp / revenue 0.4% 0.7% 0.4%

Financial Health

11 metrics
MetricBTSGOPCHRHEP
Debt / assets 36.6% 34.3% 58.1%
Debt / equity 1.1x 0.9x -23.1x
Net debt / EBITDA 2.6x 2.4x 7.7x
Debt / FCF 5.4x 3.8x -9.9x
Liabilities / assets 65.8% 62.7% 102.5%
Equity / assets 34.2% 37.3% -2.5%
Interest coverage 2.9x 6.2x 0.6x
Current ratio 1.6x 1.5x 0.7x
Quick ratio 1.1x 1.0x 0.4x
Cash ratio 0.4x 0.2x 0.1x
Altman Z-score 4.65 3.90 -0.58

Shareholder Returns

7 metrics
MetricBTSGOPCHRHEP
Dividend yield – – –
Net buyback yield 0.6% – 27.8%
Shareholder yield 0.6% – 27.8%
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.

ConsensusBTSGOPCHRHEP
Forward P/E 34.8xFY2026 16.4xFY2026 –
EPS, next fiscal year $1.73FY2026 $1.94FY2026 –
EPS growth, next FY +73.0%FY2026 +12.8%FY2026 –
EPS growth, the year after +42.2% +12.9% –
Revenue, next fiscal year $16.01BFY2026 $5.93BFY2026 –
Revenue growth, next FY +24.0%FY2026 +5.0%FY2026 –
Revenue growth, the year after +1.4% -2.1% –

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGOPCHRHEP
Held by institutions 100.0% 100.0% –
Institutions holding 422 373 –
Change in shares held, QoQ -0.7% -4.6% –
Institutions buying 309 213 –
Institutions selling 83 121 –
Buyers to sellers 3.72 1.76 –

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.

BTSGOPCHRHEP
BTSG 1.00 0.11 -0.06
OPCH 0.11 1.00 0.06
RHEP -0.06 0.06 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, OPCH and RHEP?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $13.69B, Option Care Health (OPCH) $4.87B, Regional Health Properties (RHEP) $4.12M.

Which stock is cheaper, BTSG, OPCH and RHEP?

Regional Health Properties (RHEP) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 37.4x, Option Care Health (OPCH) 23.2x, Regional Health Properties (RHEP) 0.9x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (BrightSpring Health Services (BTSG) 34.8x, Option Care Health (OPCH) 16.4x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Regional Health Properties (RHEP) grew revenue fastest over the trailing twelve months: BrightSpring Health Services (BTSG) +26.4%, Option Care Health (OPCH) +5.9%, Regional Health Properties (RHEP) +200.4%.

Which company is more profitable?

Regional Health Properties (RHEP) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Option Care Health (OPCH) 3.7%, Regional Health Properties (RHEP) 5.4%). On return on invested capital, Option Care Health (OPCH) leads (BrightSpring Health Services (BTSG) 8.6%, Option Care Health (OPCH) 9.9%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +76.9%, Option Care Health (OPCH) +11.1%, Regional Health Properties (RHEP) -18.4%. Over five years, Option Care Health (OPCH) compounded fastest (Option Care Health (OPCH) +3.1%/yr, Regional Health Properties (RHEP) -31.0%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, BrightSpring Health Services (BTSG) has been the steadiest (BrightSpring Health Services (BTSG) 44.6%, Option Care Health (OPCH) 52.0%, Regional Health Properties (RHEP) 70.8%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, BTSG, OPCH and RHEP?

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 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.