BTSG vs OPCH vs SNDA Stock Comparison

BrightSpring Health Services, Option Care Health and Sonida Senior Living Prices as of Oct 23, 2026 Peers: Industry group
OPCH Option Care Health, Inc.
$31.22 +33.8% 1M +11.3% 1Y
Market cap
$4.78B
P/E
22.8x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
6 wins
SNDA Sonida Senior Living, Inc.
$33.82 -10.6% 1M +29.4% 1Y
Market cap
$1.57B
P/E
–
Revenue (TTM)
$525.97M
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

11 decided of 12

Option Care Health leads on 6 of the 12 questions below (Option Care Health 6, BrightSpring Health Services 3, Sonida Senior Living 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionBTSGOPCHSNDALeader
Larger companyMarket capitalisation $12.13B $4.78B $1.57B BTSG
Cheaper on earningsLower P/E, profitable companies only 33.1x 22.8x -10.8x OPCH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 34.7x 16.1x — OPCH
Faster revenue growthRevenue growth, trailing twelve months +26.4% +5.9% +49.4% SNDA
More profitableNet margin, trailing twelve months 2.5% 3.7% -27.6% OPCH
Better return on capitalReturn on invested capital 8.6% 9.9% -2.7% OPCH
Less leveragedLower net debt / EBITDA 2.6x 2.4x 52.8x OPCH
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +79.4% +11.3% +29.4% BTSG
Better 5-year returnAnnualised price return, 5 years — +3.4%/yr +2.6%/yr OPCH
Less volatileAnnualised volatility, 1 year 44.5% 52.0% 37.4% SNDA
Higher overall scoreMean of the five percentile scores vs peers 62/100 53/100 19/100 BTSG

Percentile Scorecard

BTSGOPCHSNDA

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

AxisBTSGOPCHSNDA
Valuation 65 #33 of 93 79 #20 of 93 27 #68 of 93
Growth 93 #7 of 88 23 #68 of 88 17 #73 of 88
Profitability 56 #39 of 87 65 #31 of 87 26 #65 of 87
Financial Health 41 #59 of 100 44 #56 of 100 17 #83 of 100
Shareholder Returns 56 #25 of 56 – 6 #53 of 56
Overall 62 53 19
  • BTSG ranked among 103 companies in Healthcare Providers
  • OPCH ranked among 103 companies in Healthcare Providers
  • SNDA ranked among 103 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGOPCHSNDASPY
1 month +7.8%+33.8%-10.6% -1.0%
3 months -17.6%+44.1%-18.8% +2.9%
6 months +24.8%+9.9%-6.1% +6.4%
Year to date +60.5%-2.0%+3.7% +11.4%
1 year +79.4%+11.3%+29.4% +13.1%
3 years —-5.0%+268.4% +79.4%
3 years, per year —-1.7%+54.5% +21.5%
5 years —+18.1%+13.9% +67.7%
5 years, per year —+3.4%+2.6% +10.9%
10 years ——-85.9% +255.2%
10 years, per year ——-17.8% +13.5%

Risk

MeasureBTSGOPCHSNDASPY
Volatility, 1Y 44.5%52.0%37.4% 12.7%
Downside volatility, 1Y 51.8%50.0%34.8% 12.7%
Beta vs S&P 500, 1Y 1.310.050.32 1.00
Return / volatility, 1Y 1.780.220.79 1.03
Max drawdown, 5Y -35.6%-46.7%-82.1% -25.4%
From 52-week high -17.6%-14.7%-21.7% -2.5%
52-week high $72.91$36.59$43.17 $779.14
52-week low $31.36$19.52$25.53 $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.

MultipleBTSGOPCHSNDA
P/E now vs peer median 33.8xmedian 25.3x 22.8xmedian 25.3x -10.9xmedian 25.3x
P/S now vs peer median 0.8xmedian 1.6x 0.8xmedian 1.6x 3.0xmedian 1.6x
EV/EBITDA now vs peer median 21.8xmedian 14.6x 13.8xmedian 14.6x 108.3xmedian 14.6x
P/FCF now vs peer median 29.5xmedian 22.7x 15.4xmedian 22.7x -23.4xmedian 22.7x
P/B now vs peer median 5.8xmedian 3.3x 3.7xmedian 3.3x 1.8xmedian 3.3x
PEG now vs peer median —median 0.66 22.06median 0.66 -1.21median 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 monthsBTSGOPCHSNDA
Revenue $14.37B $5.69B $525.97M
Gross profit $1.78B $1.09B –
Operating income $447.80M $333.69M –
Net income $365.85M $209.58M -$123.67M
Free cash flow $402.35M $303.85M -$68.36M
EPS (diluted) $1.66 $1.37 $-3.11
Cash & equivalents $550.38M $193.77M $48.71M
Total debt $9.71B $1.16B $4.57B
Shares (diluted) 220.28M 153.49M 46.81M
Enterprise value $10.46B $3.86B $1.41B

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
MetricBTSGOPCHSNDA
P/E 33.8x 22.8x -10.9x
P/FCF 29.5x 15.4x -23.4x
P/Operating cash flow 23.4x 13.5x -103.0x
P/S 0.8x 0.8x 3.0x
P/B 5.8x 3.7x 1.8x
P/Tangible book 7.7x 4.8x 2.3x
EV/EBITDA 21.8x 13.8x 108.3x
EV/EBIT 30.2x 16.9x -46.2x
EV/Revenue 0.9x 1.0x 5.9x
EV/FCF 33.6x 18.6x -45.7x
EV/Operating cash flow 26.7x 16.3x -200.8x
PEG (3Y EPS CAGR) – 22.06 -1.21

Growth

14 metrics
MetricBTSGOPCHSNDA
Revenue growth (1Y) 26.4% 5.9% 49.4%
Revenue CAGR (3Y) – 11.3% 29.0%
Gross profit growth (1Y) 29.4% 2.6% –
Gross profit CAGR (3Y) – 5.3% –
Operating income growth (1Y) 143.5% -0.1% –
Operating income CAGR (3Y) – 6.3% –
Net income growth (1Y) 472.6% -0.8% -243.6%
Net income CAGR (3Y) – -4.4% -88.8%
EPS growth (1Y) 448.6% 6.1% -44.1%
EPS CAGR (3Y) – 1.0% 9.0%
Operating cash flow growth (1Y) 88.6% 24.0% -223.5%
Operating cash flow CAGR (3Y) – -3.8% -72.1%
Free cash flow growth (1Y) 110.5% 26.0% 66.2%
Free cash flow CAGR (3Y) – -4.7% -58.8%

Profitability

14 metrics
MetricBTSGOPCHSNDA
Gross margin 12.4% 19.1% –
EBITDA margin 4.3% 7.2% 5.5%
Operating margin 3.1% 5.9% –
Pretax margin 2.1% 5.0% -23.4%
Net margin 2.5% 3.7% -27.6%
FCF margin 2.8% 5.3% -13.0%
Operating cash flow margin 3.5% 6.1% -3.0%
Return on equity 18.2% 16.0% -14.1%
Return on assets 6.0% 6.2% -4.8%
Return on invested capital 8.6% 9.9% -2.7%
Return on capital employed 9.9% 13.0% -2.7%
Asset turnover 2.4x 1.7x 0.2x
Cash conversion (OCF / net income) 1.4x 1.7x 0.1x
Stock comp / revenue 0.4% 0.7% 1.4%

Financial Health

11 metrics
MetricBTSGOPCHSNDA
Debt / assets 36.6% 34.3% 61.7%
Debt / equity 1.1x 0.9x 1.8x
Net debt / EBITDA 2.6x 2.4x 52.8x
Debt / FCF 5.4x 3.8x -23.0x
Liabilities / assets 65.8% 62.7% 66.0%
Equity / assets 34.2% 37.3% 34.0%
Interest coverage 2.9x 6.2x -1.2x
Current ratio 1.6x 1.5x 0.9x
Quick ratio 1.1x 1.0x 0.6x
Cash ratio 0.4x 0.2x 0.4x
Altman Z-score 4.65 3.87 0.38

Shareholder Returns

7 metrics
MetricBTSGOPCHSNDA
Dividend yield – – –
Net buyback yield 0.6% – -6.8%
Shareholder yield 0.6% – -6.8%
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.

ConsensusBTSGOPCHSNDA
Forward P/E 34.7xFY2026 16.1xFY2026 –
EPS, next fiscal year $1.73FY2026 $1.94FY2026 $-3.72FY2026
EPS growth, next FY +73.0%FY2026 +12.8%FY2026 –
EPS growth, the year after +41.6% +12.9% –
Revenue, next fiscal year $15.99BFY2026 $5.93BFY2026 $682.14MFY2026
Revenue growth, next FY +23.9%FY2026 +5.0%FY2026 +79.0%FY2026
Revenue growth, the year after +1.3% -2.1% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGOPCHSNDA
Held by institutions 100.0% 100.0% 79.1%
Institutions holding 421 372 228
Change in shares held, QoQ -0.7% -4.6% +44.5%
Institutions buying 309 212 132
Institutions selling 83 121 55
Buyers to sellers 3.72 1.75 2.40

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.

BTSGOPCHSNDA
BTSG 1.00 0.12 0.18
OPCH 0.12 1.00 0.06
SNDA 0.18 0.06 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, OPCH and SNDA?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $12.13B, Option Care Health (OPCH) $4.78B, Sonida Senior Living (SNDA) $1.57B.

Which stock is cheaper, BTSG, OPCH and SNDA?

Option Care Health (OPCH) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 33.1x, Option Care Health (OPCH) 22.8x, Sonida Senior Living (SNDA) -10.8x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (BrightSpring Health Services (BTSG) 34.7x, Option Care Health (OPCH) 16.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Sonida Senior Living (SNDA) grew revenue fastest over the trailing twelve months: BrightSpring Health Services (BTSG) +26.4%, Option Care Health (OPCH) +5.9%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Option Care Health (OPCH) has the highest net margin (BrightSpring Health Services (BTSG) 2.5%, Option Care Health (OPCH) 3.7%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Option Care Health (OPCH) leads (BrightSpring Health Services (BTSG) 8.6%, Option Care Health (OPCH) 9.9%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: BrightSpring Health Services (BTSG) +79.4%, Option Care Health (OPCH) +11.3%, Sonida Senior Living (SNDA) +29.4%. Over five years, Option Care Health (OPCH) compounded fastest (Option Care Health (OPCH) +3.4%/yr, Sonida Senior Living (SNDA) +2.6%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Sonida Senior Living (SNDA) has been the steadiest (BrightSpring Health Services (BTSG) 44.5%, Option Care Health (OPCH) 52.0%, Sonida Senior Living (SNDA) 37.4%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Option Care Health (OPCH) leads on 6. 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.