CAH vs BTSG vs ZSTK Stock Comparison

Cardinal Health, BrightSpring Health Services and ZeroStack Prices as of Nov 5, 2026 Peers: Industry group
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CAH Cardinal Health Inc
$268.03 +14.8% 1M +36.2% 1Y
Market cap
$61.95B
P/E
34.2x
Revenue (TTM)
$257.75B
Div. yield
0.77%
Drug Distribution Healthcare
5 wins
ZSTK ZeroStack Corp.
$2.60 -45.3% 1M -72.6% 1Y
Market cap
$25.90M
P/E
–
Revenue (TTM)
$40.03M
Div. yield
–
Drug Distribution Healthcare
2 wins

Head to Head

11 decided of 12

Cardinal Health leads on 5 of the 12 questions below (Cardinal Health 5, BrightSpring Health Services 4, ZeroStack 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionCAHBTSGZSTKLeader
Larger companyMarket capitalisation $61.95B $13.11B $25.90M CAH
Cheaper on earningsLower P/E, profitable companies only 34.2x 33.2x -0.1x BTSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS 22.3x 36.0x — CAH
Faster revenue growthRevenue growth, trailing twelve months +10.0% +26.0% +27.3% ZSTK
More profitableNet margin, trailing twelve months 0.7% 2.7% -444.3% BTSG
Better return on capitalReturn on invested capital 36.5% 10.0% -852.2% CAH
Less leveragedLower net debt / EBITDA 1.0x 2.1x 0.0x ZSTK
Higher dividend yieldTrailing dividend yield 0.77% — — –
Better 1-year returnPrice return, last 12 months +36.2% +101.5% -72.6% BTSG
Better 5-year returnAnnualised price return, 5 years +40.2%/yr — -76.5%/yr CAH
Less volatileAnnualised volatility, 1 year 26.0% 45.9% 168.8% CAH
Higher overall scoreMean of the five percentile scores vs peers 62/100 66/100 28/100 BTSG

Percentile Scorecard

CAHBTSGZSTK

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

AxisCAHBTSGZSTK
Valuation 76 #7 of 26 67 #32 of 95 20 #21 of 26
Growth 67 #9 of 25 93 #7 of 88 46 #14 of 25
Profitability 54 #12 of 25 61 #35 of 87 8 #23 of 25
Financial Health 36 #17 of 26 44 #56 of 100 64 #10 of 26
Shareholder Returns 75 #5 of 17 66 #21 of 60 0 #17 of 17
Overall 62 66 28
  • CAH ranked among 27 companies in Healthcare Payers and Distributors
  • BTSG ranked among 102 companies in Healthcare Providers
  • ZSTK ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

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

Returns

PeriodCAHBTSGZSTKSPY
1 month +14.8%+3.3%-45.3% -5.9%
3 months +12.8%+8.7%+47.7% -4.6%
6 months +44.7%+24.4%-53.2% +0.2%
Year to date +30.4%+75.9%-58.5% +7.5%
1 year +36.2%+101.5%-72.6% +8.2%
3 years +163.7%—-92.3% +68.3%
3 years, per year +38.2%—-57.6% +19.0%
5 years +441.0%—-99.9% +56.5%
5 years, per year +40.2%—-76.5% +9.4%
10 years +311.3%—— +251.5%
10 years, per year +15.2%—— +13.4%

Risk

MeasureCAHBTSGZSTKSPY
Volatility, 1Y 26.0%45.9%168.8% 13.6%
Downside volatility, 1Y 24.6%51.2%130.3% 14.2%
Beta vs S&P 500, 1Y -0.021.131.49 1.00
Return / volatility, 1Y 1.392.21-0.43 0.60
Max drawdown, 5Y -21.0%-35.6%-100.0% -25.4%
From 52-week high 0.0%-9.7%-78.0% -5.9%
52-week high $268.03$72.91$11.80 $779.14
52-week low $182.50$31.36$1.37 $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.

MultipleCAHBTSGZSTK
P/E now vs peer median 34.2xmedian 25.1x 33.2xmedian 24.8x -0.1xmedian 25.1x
P/S now vs peer median 0.2xmedian 0.4x 0.9xmedian 1.6x 0.6xmedian 0.4x
EV/EBITDA now vs peer median 17.9xmedian 14.2x 21.1xmedian 15.9x -0.1xmedian 14.2x
P/FCF now vs peer median 12.6xmedian 16.4x 26.6xmedian 20.9x -4.6xmedian 16.4x
P/B now vs peer median -20.5xmedian 2.6x 6.0xmedian 3.3x 1.9xmedian 2.6x
PEG now vs peer median 0.38median 1.51 —median 0.88 0.00median 1.51

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 monthsCAHBTSGZSTK
Revenue $257.75B $15.25B $40.03M
Gross profit $10.05B $1.91B $5.26M
Operating income $2.70B $520.43M -$239.39M
Net income $1.82B $410.46M -$177.88M
Free cash flow $4.90B $492.41M -$5.64M
EPS (diluted) $7.80 $1.86 $-17.86
Cash & equivalents $5.26B $717.84M $2.64M
Total debt $8.82B $2.18B $2.41M
Shares (diluted) 233.00M 220.23M 9.96M
Enterprise value $45.28B $10.87B $2.58M

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
MetricCAHBTSGZSTK
P/E 34.2x 33.2x -0.1x
P/FCF 12.6x 26.6x -4.6x
P/Operating cash flow 11.1x 21.7x -4.6x
P/S 0.2x 0.9x 0.6x
P/B -20.5x 6.0x 1.9x
P/Tangible book -20.5x 7.8x 1.9x
EV/EBITDA 17.9x 21.1x -0.1x
EV/EBIT 24.3x 28.0x -0.1x
EV/Revenue 0.3x 1.0x 0.6x
EV/FCF 13.4x 29.6x -4.6x
EV/Operating cash flow 11.7x 24.2x -4.6x
PEG (3Y EPS CAGR) 0.38 – 0.00

Growth

14 metrics
MetricCAHBTSGZSTK
Revenue growth (1Y) 10.0% 26.0% 27.3%
Revenue CAGR (3Y) 7.1% – -13.1%
Gross profit growth (1Y) 17.1% 32.0% 171.8%
Gross profit CAGR (3Y) 12.6% – -32.4%
Operating income growth (1Y) 13.6% 114.5% -2,574%
Operating income CAGR (3Y) 63.6% – -57.0%
Net income growth (1Y) 13.6% 219.3% -1,263%
Net income CAGR (3Y) 86.5% – -37.3%
EPS growth (1Y) 16.9% 213.4% 24.9%
EPS CAGR (3Y) 90.8% – 64.4%
Operating cash flow growth (1Y) 11.6% 72.6% 37.6%
Operating cash flow CAGR (3Y) 18.7% – 23.9%
Free cash flow growth (1Y) 10.1% 78.3% 37.9%
Free cash flow CAGR (3Y) 19.9% – 25.2%

Profitability

14 metrics
MetricCAHBTSGZSTK
Gross margin 3.9% 12.5% 13.1%
EBITDA margin 1.4% 4.5% -597.5%
Operating margin 1.0% 3.4% -598.0%
Pretax margin 0.9% 2.5% -436.1%
Net margin 0.7% 2.7% -444.3%
FCF margin 1.9% 3.2% -14.1%
Operating cash flow margin 2.2% 4.0% -14.0%
Return on equity – 19.4% -702.9%
Return on assets 3.1% 6.7% -505.5%
Return on invested capital 36.5% 10.0% -852.2%
Return on capital employed 22.3% 11.8% -994.1%
Asset turnover 4.4x 2.5x 1.1x
Cash conversion (OCF / net income) 3.1x 1.5x 0.0x
Stock comp / revenue 0.1% 0.4% 13.1%

Financial Health

11 metrics
MetricCAHBTSGZSTK
Debt / assets 14.8% 34.8% 9.6%
Debt / equity -2.9x 1.0x 0.2x
Net debt / EBITDA 1.0x 2.1x 0.0x
Debt / FCF 1.8x 4.4x -0.4x
Liabilities / assets 105.1% 65.3% 45.1%
Equity / assets -5.1% 34.7% 54.9%
Interest coverage 7.9x 3.6x –
Current ratio 0.9x 1.6x 0.9x
Quick ratio 0.4x 1.2x 0.7x
Cash ratio 0.1x 0.4x 0.2x
Altman Z-score 5.02 4.86 -47.28

Shareholder Returns

7 metrics
MetricCAHBTSGZSTK
Dividend yield 0.8% – –
Net buyback yield 2.4% 0.6% -58.0%
Shareholder yield 3.2% 0.6% -58.0%
Payout ratio (earnings) 26.8% – –
Payout ratio (FCF) 10.0% – –
Dividend growth (1Y) -1.4% – –
Dividend CAGR (3Y) -1.7% – –

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.

ConsensusCAHBTSGZSTK
Forward P/E 22.3xFY2027 36.0xFY2026 –
EPS, next fiscal year $12.03FY2027 $1.83FY2026 $-4.29FY2026
EPS growth, next FY +6.8%FY2027 +83.0%FY2026 –
EPS growth, the year after +13.5% +43.7% –
Revenue, next fiscal year $272.90BFY2027 $16.69BFY2026 $31.29MFY2026
Revenue growth, next FY +7.3%FY2027 +29.3%FY2026 -12.3%FY2026
Revenue growth, the year after -3.5% +3.1% -10.3%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersCAHBTSGZSTK
Held by institutions 87.4% 100.0% –
Institutions holding 1,494 423 –
Change in shares held, QoQ +2.8% -0.7% –
Institutions buying 711 309 –
Institutions selling 559 83 –
Buyers to sellers 1.27 3.72 –

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.

CAHBTSGZSTK
CAH 1.00 0.13 -0.02
BTSG 0.13 1.00 -0.04
ZSTK -0.02 -0.04 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, CAH, BTSG and ZSTK?

Cardinal Health (CAH) is the largest by market capitalisation: Cardinal Health (CAH) $61.95B, BrightSpring Health Services (BTSG) $13.11B, ZeroStack (ZSTK) $25.90M.

Which stock is cheaper, CAH, BTSG and ZSTK?

BrightSpring Health Services (BTSG) trades on the lowest price-to-earnings ratio (Cardinal Health (CAH) 34.2x, BrightSpring Health Services (BTSG) 33.2x, ZeroStack (ZSTK) -0.1x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Cardinal Health (CAH) 22.3x, BrightSpring Health Services (BTSG) 36.0x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

ZeroStack (ZSTK) grew revenue fastest over the trailing twelve months: Cardinal Health (CAH) +10.0%, BrightSpring Health Services (BTSG) +26.0%, ZeroStack (ZSTK) +27.3%.

Which company is more profitable?

BrightSpring Health Services (BTSG) has the highest net margin (Cardinal Health (CAH) 0.7%, BrightSpring Health Services (BTSG) 2.7%, ZeroStack (ZSTK) -444.3%). On return on invested capital, Cardinal Health (CAH) leads (Cardinal Health (CAH) 36.5%, BrightSpring Health Services (BTSG) 10.0%, ZeroStack (ZSTK) -852.2%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Cardinal Health (CAH) +36.2%, BrightSpring Health Services (BTSG) +101.5%, ZeroStack (ZSTK) -72.6%. Over five years, Cardinal Health (CAH) compounded fastest (Cardinal Health (CAH) +40.2%/yr, ZeroStack (ZSTK) -76.5%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Cardinal Health (CAH) 0.77%. BrightSpring Health Services (BTSG) and ZeroStack (ZSTK) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Cardinal Health (CAH) 26.0%, BrightSpring Health Services (BTSG) 45.9%, ZeroStack (ZSTK) 168.8%). Volatility measures how widely the price swings, not the risk of the business.

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

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 5. 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.