BTSG vs PACS vs OPCH Stock Comparison

BrightSpring Health Services, Pacs and Option Care Health Prices as of Nov 3, 2026 Peers: Industry group
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PACS PACS Group, Inc.
$46.66 +8.8% 1M +295.8% 1Y
Market cap
$8.03B
P/E
28.9x
Revenue (TTM)
$5.71B
Div. yield
–
Home Health and Senior Care Healthcare
4 wins
OPCH Option Care Health, Inc.
$31.77 +40.3% 1M +20.2% 1Y
Market cap
$4.85B
P/E
23.2x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
2 wins

Head to Head

10 decided of 12

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

QuestionBTSGPACSOPCHLeader
Larger companyMarket capitalisation $14.45B $8.03B $4.85B BTSG
Cheaper on earningsLower P/E, profitable companies only 35.2x 28.9x 23.2x OPCH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 40.4x 20.5x 16.4x OPCH
Faster revenue growthRevenue growth, trailing twelve months +26.0% +11.0% +5.9% BTSG
More profitableNet margin, trailing twelve months 2.7% 4.9% 3.7% PACS
Better return on capitalReturn on invested capital 10.0% 20.7% 9.9% PACS
Less leveragedLower net debt / EBITDA 2.1x 0.3x 2.4x PACS
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +108.5% +295.8% +20.2% PACS
Better 5-year returnAnnualised price return, 5 years — — +3.0%/yr –
Less volatileAnnualised volatility, 1 year 45.7% 81.7% 51.2% BTSG
Higher overall scoreMean of the five percentile scores vs peers 66/100 58/100 53/100 BTSG

Percentile Scorecard

BTSGPACSOPCH

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

AxisBTSGPACSOPCH
Valuation 64 #35 of 95 67 #32 of 95 79 #21 of 95
Growth 93 #7 of 88 63 #33 of 88 24 #67 of 88
Profitability 61 #35 of 87 66 #30 of 87 67 #29 of 87
Financial Health 46 #55 of 100 37 #63 of 100 43 #57 of 100
Shareholder Returns 65 #21 of 58 – –
Overall 66 58 53
  • BTSG ranked among 102 companies in Healthcare Providers
  • PACS ranked among 102 companies in Healthcare Providers
  • OPCH ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodBTSGPACSOPCHSPY
1 month +15.9%+8.8%+40.3% -2.0%
3 months +11.3%+4.2%+34.1% -2.2%
6 months +35.8%+43.2%+49.2% +4.2%
Year to date +86.5%+21.5%-0.3% +10.6%
1 year +108.5%+295.8%+20.2% +10.4%
3 years ——+11.1% +73.6%
3 years, per year ——+3.6% +20.2%
5 years ——+15.8% +61.6%
5 years, per year ——+3.0% +10.1%

Risk

MeasureBTSGPACSOPCHSPY
Volatility, 1Y 45.7%81.7%51.2% 12.8%
Downside volatility, 1Y 51.1%49.5%48.8% 12.8%
Beta vs S&P 500, 1Y 1.150.43-0.02 1.00
Return / volatility, 1Y 2.373.620.40 0.81
Max drawdown, 5Y -35.6%-82.0%-46.7% -25.4%
From 52-week high -4.2%-6.0%-13.2% -3.2%
52-week high $72.91$49.65$36.59 $779.14
52-week low $31.36$10.58$19.52 $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.

MultipleBTSGPACSOPCH
P/E now vs peer median 35.2xmedian 24.9x 26.6xmedian 24.9x 23.2xmedian 24.9x
P/S now vs peer median 0.9xmedian 1.6x 1.3xmedian 1.6x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 22.3xmedian 15.2x 15.2xmedian 15.2x 14.0xmedian 15.2x
P/FCF now vs peer median 28.2xmedian 20.7x 897.7xmedian 20.7x 15.7xmedian 20.7x
P/B now vs peer median 6.4xmedian 3.2x 6.1xmedian 3.2x 3.8xmedian 3.2x
PEG now vs peer median —median 0.72 —median 0.72 22.45median 0.72

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 monthsBTSGPACSOPCH
Revenue $15.25B $5.71B $5.69B
Gross profit $1.91B $1.36B $1.09B
Operating income $520.43M $423.77M $333.69M
Net income $410.46M $277.59M $209.58M
Free cash flow $492.41M $8.25M $303.85M
EPS (diluted) $1.86 $1.69 $1.37
Cash & equivalents $717.84M $115.28M $193.77M
Total debt $2.18B $272.33M $1.16B
Shares (diluted) 220.23M 163.91M 153.49M
Enterprise value $12.21B $7.31B $3.94B

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
MetricBTSGPACSOPCH
P/E 35.2x 26.6x 23.2x
P/FCF 28.2x 897.7x 15.7x
P/Operating cash flow 23.1x 12.8x 13.7x
P/S 0.9x 1.3x 0.8x
P/B 6.4x 6.1x 3.8x
P/Tangible book 8.2x 6.1x 4.9x
EV/EBITDA 22.3x 15.2x 14.0x
EV/EBIT 29.5x 17.8x 17.2x
EV/Revenue 1.0x 1.3x 1.0x
EV/FCF 31.2x 916.7x 18.8x
EV/Operating cash flow 25.5x 13.0x 16.5x
PEG (3Y EPS CAGR) – – 22.45

Growth

14 metrics
MetricBTSGPACSOPCH
Revenue growth (1Y) 26.0% 11.0% 5.9%
Revenue CAGR (3Y) – – 11.3%
Gross profit growth (1Y) 32.0% 23.8% 2.6%
Gross profit CAGR (3Y) – – 5.3%
Operating income growth (1Y) 114.5% 47.7% -0.1%
Operating income CAGR (3Y) – – 6.3%
Net income growth (1Y) 219.3% 64.8% -0.8%
Net income CAGR (3Y) – – -4.4%
EPS growth (1Y) 213.4% 65.0% 6.1%
EPS CAGR (3Y) – – 1.0%
Operating cash flow growth (1Y) 72.6% 22.8% 24.0%
Operating cash flow CAGR (3Y) – – -3.8%
Free cash flow growth (1Y) 78.3% -96.8% 26.0%
Free cash flow CAGR (3Y) – – -4.7%

Profitability

14 metrics
MetricBTSGPACSOPCH
Gross margin 12.5% 23.8% 19.1%
EBITDA margin 4.5% 8.7% 7.2%
Operating margin 3.4% 7.4% 5.9%
Pretax margin 2.5% 7.0% 5.0%
Net margin 2.7% 4.9% 3.7%
FCF margin 3.2% 0.1% 5.3%
Operating cash flow margin 4.0% 10.2% 6.1%
Return on equity 19.4% 23.8% 16.0%
Return on assets 6.7% 4.8% 6.2%
Return on invested capital 10.0% 20.7% 9.9%
Return on capital employed 11.8% 9.2% 13.0%
Asset turnover 2.5x 1.0x 1.7x
Cash conversion (OCF / net income) 1.5x 2.1x 1.7x
Stock comp / revenue 0.4% 1.9% 0.7%

Financial Health

11 metrics
MetricBTSGPACSOPCH
Debt / assets 34.8% 4.6% 34.3%
Debt / equity 1.0x 0.2x 0.9x
Net debt / EBITDA 2.1x 0.3x 2.4x
Debt / FCF 4.4x 33.0x 3.8x
Liabilities / assets 65.3% 79.4% 62.7%
Equity / assets 34.7% 20.6% 37.3%
Interest coverage 3.6x 16.2x 6.2x
Current ratio 1.6x 0.8x 1.5x
Quick ratio 1.2x 0.7x 1.0x
Cash ratio 0.4x 0.1x 0.2x
Altman Z-score 4.98 2.22 3.90

Shareholder Returns

7 metrics
MetricBTSGPACSOPCH
Dividend yield – – –
Net buyback yield 0.5% – –
Shareholder yield 0.5% – –
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.

ConsensusBTSGPACSOPCH
Forward P/E 40.4xFY2026 20.5xFY2026 16.4xFY2026
EPS, next fiscal year $1.73FY2026 $2.28FY2026 $1.94FY2026
EPS growth, next FY +73.0%FY2026 +23.9%FY2026 +12.8%FY2026
EPS growth, the year after +42.2% +25.4% +12.9%
Revenue, next fiscal year $16.01BFY2026 $6.17BFY2026 $5.93BFY2026
Revenue growth, next FY +24.0%FY2026 +16.6%FY2026 +5.0%FY2026
Revenue growth, the year after +1.4% +1.1% -2.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersBTSGPACSOPCH
Held by institutions 100.0% 31.3% 100.0%
Institutions holding 423 241 374
Change in shares held, QoQ -0.7% +5.8% -4.6%
Institutions buying 309 155 213
Institutions selling 83 54 122
Buyers to sellers 3.72 2.87 1.75

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.

BTSGPACSOPCH
BTSG 1.00 0.12 0.11
PACS 0.12 1.00 0.02
OPCH 0.11 0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, BTSG, PACS and OPCH?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: BrightSpring Health Services (BTSG) $14.45B, Pacs (PACS) $8.03B, Option Care Health (OPCH) $4.85B.

Which stock is cheaper, BTSG, PACS and OPCH?

Option Care Health (OPCH) trades on the lowest price-to-earnings ratio (BrightSpring Health Services (BTSG) 35.2x, Pacs (PACS) 28.9x, Option Care Health (OPCH) 23.2x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (BrightSpring Health Services (BTSG) 40.4x, Pacs (PACS) 20.5x, 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?

BrightSpring Health Services (BTSG) grew revenue fastest over the trailing twelve months: BrightSpring Health Services (BTSG) +26.0%, Pacs (PACS) +11.0%, Option Care Health (OPCH) +5.9%.

Which company is more profitable?

Pacs (PACS) has the highest net margin (BrightSpring Health Services (BTSG) 2.7%, Pacs (PACS) 4.9%, Option Care Health (OPCH) 3.7%). On return on invested capital, Pacs (PACS) leads (BrightSpring Health Services (BTSG) 10.0%, Pacs (PACS) 20.7%, Option Care Health (OPCH) 9.9%).

Which stock has performed better?

Over the past year Pacs (PACS) returned the most: BrightSpring Health Services (BTSG) +108.5%, Pacs (PACS) +295.8%, Option Care Health (OPCH) +20.2%. 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) 45.7%, Pacs (PACS) 81.7%, Option Care Health (OPCH) 51.2%). Volatility measures how widely the price swings, not the risk of the business.

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

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.