CAH vs BTSG vs AMRX Stock Comparison

Cardinal Health, BrightSpring Health Services and Amneal Pharmaceuticals Prices as of Oct 23, 2026 Peers: Industry group
CAH Cardinal Health Inc
$249.64 +12.8% 1M +56.8% 1Y
Market cap
$59.43B
P/E
34.7x
Revenue (TTM)
$254.25B
Div. yield
0.01%
Drug Distribution Healthcare
6 wins

Head to Head

11 decided of 12

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

QuestionCAHBTSGAMRXLeader
Larger companyMarket capitalisation $59.43B $12.13B $6.71B CAH
Cheaper on earningsLower P/E, profitable companies only 34.7x 33.1x 42.6x BTSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.8x 34.7x 21.2x CAH
Faster revenue growthRevenue growth, trailing twelve months +14.2% +26.4% +9.3% BTSG
More profitableNet margin, trailing twelve months 0.7% 2.5% 5.0% AMRX
Better return on capitalReturn on invested capital 33.9% 8.6% 17.4% CAH
Less leveragedLower net debt / EBITDA 1.1x 2.6x 3.8x CAH
Higher dividend yieldTrailing dividend yield 0.01% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +56.8% +79.4% +95.6% AMRX
Better 5-year returnAnnualised price return, 5 years +38.2%/yr — +29.2%/yr CAH
Less volatileAnnualised volatility, 1 year 29.4% 44.5% 35.0% CAH
Higher overall scoreMean of the five percentile scores vs peers 68/100 62/100 70/100 AMRX

Percentile Scorecard

CAHBTSGAMRX

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

AxisCAHBTSGAMRX
Valuation 79 #6 of 25 65 #33 of 93 92 #53 of 624
Growth 78 #6 of 24 93 #7 of 88 74 #158 of 603
Profitability 70 #8 of 24 56 #39 of 87 84 #90 of 555
Financial Health 36 #17 of 26 41 #59 of 100 11 #582 of 657
Shareholder Returns 75 #5 of 17 56 #25 of 56 88 #46 of 370
Overall 68 62 70
  • CAH ranked among 27 companies in Healthcare Payers and Distributors
  • BTSG ranked among 103 companies in Healthcare Providers
  • AMRX ranked among 671 companies in Pharmaceuticals and Biotechnology

Price Performance

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

Returns

PeriodCAHBTSGAMRXSPY
1 month +12.8%+7.8%+5.4% -1.0%
3 months +9.5%-17.6%+13.7% +2.9%
6 months +24.9%+24.8%+62.8% +6.4%
Year to date +21.5%+60.5%+61.7% +11.4%
1 year +56.8%+79.4%+95.6% +13.1%
3 years +167.2%—+409.5% +79.4%
3 years, per year +38.8%—+72.1% +21.5%
5 years +403.6%—+259.4% +67.7%
5 years, per year +38.2%—+29.2% +10.9%
10 years +232.2%—— +255.2%
10 years, per year +12.8%—— +13.5%

Risk

MeasureCAHBTSGAMRXSPY
Volatility, 1Y 29.4%44.5%35.0% 12.7%
Downside volatility, 1Y 24.5%51.8%31.1% 12.7%
Beta vs S&P 500, 1Y -0.081.310.66 1.00
Return / volatility, 1Y 1.941.782.73 1.03
Max drawdown, 5Y -21.0%-35.6%-78.2% -25.4%
From 52-week high -3.1%-17.6%-0.6% -2.5%
52-week high $257.54$72.91$20.50 $779.14
52-week low $159.16$31.36$10.00 $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.

MultipleCAHBTSGAMRX
P/E now vs peer median 34.4xmedian 24.5x 33.8xmedian 25.3x 41.3xmedian 17.2x
P/S now vs peer median 0.2xmedian 0.3x 0.8xmedian 1.6x 2.1xmedian 8.8x
EV/EBITDA now vs peer median 17.4xmedian 14.4x 21.8xmedian 14.6x 13.6xmedian 16.0x
P/FCF now vs peer median 12.8xmedian 15.8x 29.5xmedian 22.7x 78.3xmedian 17.8x
P/B now vs peer median -20.1xmedian 2.5x 5.8xmedian 3.3x 197.1xmedian 2.1x
PEG now vs peer median 0.50median 1.35 —median 0.66 0.17median 0.32

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 monthsCAHBTSGAMRX
Revenue $254.25B $14.37B $3.12B
Gross profit $9.77B $1.78B $1.23B
Operating income $2.61B $447.80M $453.92M
Net income $1.72B $365.85M $215.32M
Free cash flow $4.53B $402.35M $83.11M
R&D – – $175.57M
EPS (diluted) $7.23 $1.66 $0.48
Cash & equivalents $4.86B $550.38M $127.64M
Total debt $8.89B $9.71B $2.67B
Shares (diluted) 237.00M 220.28M 328.10M
Enterprise value $43.27B $10.46B $5.90B

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
MetricCAHBTSGAMRX
P/E 34.4x 33.8x 41.3x
P/FCF 12.8x 29.5x 78.3x
P/Operating cash flow 11.2x 23.4x 32.4x
P/S 0.2x 0.8x 2.1x
P/B -20.1x 5.8x 197.1x
P/Tangible book -20.1x 7.7x -11.7x
EV/EBITDA 17.4x 21.8x 13.6x
EV/EBIT 23.8x 30.2x 19.9x
EV/Revenue 0.2x 0.9x 2.9x
EV/FCF 13.7x 33.6x 108.9x
EV/Operating cash flow 12.0x 26.7x 45.1x
PEG (3Y EPS CAGR) 0.50 – 0.17

Growth

14 metrics
MetricCAHBTSGAMRX
Revenue growth (1Y) 14.2% 26.4% 9.3%
Revenue CAGR (3Y) 7.4% – 10.5%
Gross profit growth (1Y) 19.7% 29.4% 14.1%
Gross profit CAGR (3Y) 12.3% – 14.9%
Operating income growth (1Y) 14.9% 143.5% 20.6%
Operating income CAGR (3Y) 50.2% – 32.5%
Net income growth (1Y) 9.8% 472.6% 426.4%
Net income CAGR (3Y) 63.8% – 139.1%
EPS growth (1Y) 12.1% 448.6% 4,481%
EPS CAGR (3Y) 69.2% – 237.0%
Operating cash flow growth (1Y) 115.9% 88.6% -42.8%
Operating cash flow CAGR (3Y) 22.1% – 0.4%
Free cash flow growth (1Y) 144.6% 110.5% -69.3%
Free cash flow CAGR (3Y) 24.2% – -17.3%

Profitability

14 metrics
MetricCAHBTSGAMRX
Gross margin 3.8% 12.4% 39.3%
EBITDA margin 1.4% 4.3% 21.3%
Operating margin 1.0% 3.1% 14.6%
Pretax margin 0.9% 2.1% 6.5%
Net margin 0.7% 2.5% 5.0%
FCF margin 1.8% 2.8% 2.7%
Operating cash flow margin 2.0% 3.5% 6.4%
Return on equity – 18.2% –
Return on assets 3.0% 6.0% 5.9%
Return on invested capital 33.9% 8.6% 17.4%
Return on capital employed 20.0% 9.9% 16.4%
Asset turnover 4.5x 2.4x 0.9x
Cash conversion (OCF / net income) 3.0x 1.4x 0.9x
Stock comp / revenue 0.1% 0.4% 1.1%

Financial Health

11 metrics
MetricCAHBTSGAMRX
Debt / assets 15.5% 36.6% 70.7%
Debt / equity -3.1x 1.1x 80.9x
Net debt / EBITDA 1.1x 2.6x 3.8x
Debt / FCF 2.0x 5.4x 32.1x
Liabilities / assets 105.0% 65.8% 99.1%
Equity / assets -5.0% 34.2% 0.9%
Interest coverage 7.5x 2.9x –
Current ratio 0.9x 1.6x 2.2x
Quick ratio 0.4x 1.1x 1.3x
Cash ratio 0.1x 0.4x 0.1x
Altman Z-score 5.11 4.65 2.45

Shareholder Returns

7 metrics
MetricCAHBTSGAMRX
Dividend yield 0.8% – –
Net buyback yield 2.3% 0.6% 0.0%
Shareholder yield 3.2% 0.6% 0.0%
Payout ratio (earnings) 28.5% – –
Payout ratio (FCF) 10.9% – –
Dividend growth (1Y) -0.6% – –
Dividend CAGR (3Y) -2.2% – –

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.

ConsensusCAHBTSGAMRX
Forward P/E 20.8xFY2027 34.7xFY2026 21.2xFY2026
EPS, next fiscal year $12.00FY2027 $1.73FY2026 $0.96FY2026
EPS growth, next FY +6.6%FY2027 +73.0%FY2026 +15.7%FY2026
EPS growth, the year after +13.7% +41.6% +27.1%
Revenue, next fiscal year $272.89BFY2027 $15.99BFY2026 $3.24BFY2026
Revenue growth, next FY +7.3%FY2027 +23.9%FY2026 +7.4%FY2026
Revenue growth, the year after -3.5% +1.3% +12.1%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCAHBTSGAMRX
Held by institutions 87.4% 100.0% 51.1%
Institutions holding 1,491 421 310
Change in shares held, QoQ +2.8% -0.7% +1.3%
Institutions buying 711 309 182
Institutions selling 556 83 86
Buyers to sellers 1.28 3.72 2.12

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.

CAHBTSGAMRX
CAH 1.00 0.07 0.12
BTSG 0.07 1.00 0.18
AMRX 0.12 0.18 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, CAH, BTSG and AMRX?

Cardinal Health (CAH) is the largest by market capitalisation: Cardinal Health (CAH) $59.43B, BrightSpring Health Services (BTSG) $12.13B, Amneal Pharmaceuticals (AMRX) $6.71B.

Which stock is cheaper, CAH, BTSG and AMRX?

BrightSpring Health Services (BTSG) trades on the lowest price-to-earnings ratio (Cardinal Health (CAH) 34.7x, BrightSpring Health Services (BTSG) 33.1x, Amneal Pharmaceuticals (AMRX) 42.6x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Cardinal Health (CAH) 20.8x, BrightSpring Health Services (BTSG) 34.7x, Amneal Pharmaceuticals (AMRX) 21.2x). 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: Cardinal Health (CAH) +14.2%, BrightSpring Health Services (BTSG) +26.4%, Amneal Pharmaceuticals (AMRX) +9.3%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Cardinal Health (CAH) 0.7%, BrightSpring Health Services (BTSG) 2.5%, Amneal Pharmaceuticals (AMRX) 5.0%). On return on invested capital, Cardinal Health (CAH) leads (Cardinal Health (CAH) 33.9%, BrightSpring Health Services (BTSG) 8.6%, Amneal Pharmaceuticals (AMRX) 17.4%).

Which stock has performed better?

Over the past year Amneal Pharmaceuticals (AMRX) returned the most: Cardinal Health (CAH) +56.8%, BrightSpring Health Services (BTSG) +79.4%, Amneal Pharmaceuticals (AMRX) +95.6%. Over five years, Cardinal Health (CAH) compounded fastest (Cardinal Health (CAH) +38.2%/yr, Amneal Pharmaceuticals (AMRX) +29.2%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Cardinal Health (CAH) 0.01%, BrightSpring Health Services (BTSG) 0.00%, Amneal Pharmaceuticals (AMRX) 0.00%. BrightSpring Health Services (BTSG) and Amneal Pharmaceuticals (AMRX) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Cardinal Health (CAH) 29.4%, BrightSpring Health Services (BTSG) 44.5%, Amneal Pharmaceuticals (AMRX) 35.0%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, CAH, BTSG and AMRX?

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