FCHS vs HR vs LFST Stock Comparison

First Choice Healthcare Solutions, Healthcare Realty Trust and LifeStance Health Prices as of Oct 26, 2026 Peers: Industry group

Head to Head

8 decided of 12

LifeStance Health leads on 5 of the 12 questions below (LifeStance Health 5, Healthcare Realty Trust 2, First Choice Healthcare Solutions 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionFCHSHRLFSTLeader
Larger companyMarket capitalisation $329.58K $6.13B $5.00B HR
Cheaper on earningsLower P/E, profitable companies only 0.0x -70.4x 99.3x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS — — 81.9x –
Faster revenue growthRevenue growth, trailing twelve months — -6.3% +20.4% LFST
More profitableNet margin, trailing twelve months — -7.6% 3.2% LFST
Better return on capitalReturn on invested capital — — 3.4% –
Less leveragedLower net debt / EBITDA -10.9x — 0.2x FCHS
Higher dividend yieldTrailing dividend yield — 5.37% — –
Better 1-year returnPrice return, last 12 months 0.0% -4.2% +156.4% LFST
Better 5-year returnAnnualised price return, 5 years -32.3%/yr -11.9%/yr +1.9%/yr LFST
Less volatileAnnualised volatility, 1 year 209.8% 19.9% 50.5% HR
Higher overall scoreMean of the five percentile scores vs peers 13/100 43/100 70/100 LFST

Percentile Scorecard

FCHSHRLFST

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

AxisFCHSHRLFST
Valuation 2 #90 of 92 39 #89 of 145 51 #46 of 92
Growth 36 #56 of 87 56 #63 of 141 90 #10 of 87
Profitability – 32 #92 of 134 59 #36 of 86
Financial Health 1 #96 of 97 47 #73 of 138 77 #23 of 97
Shareholder Returns – 41 #78 of 131 75 #15 of 56
Overall 13 43 70
  • FCHS ranked among 102 companies in Healthcare Providers
  • HR ranked among 149 companies in Property REITs
  • LFST ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodFCHSHRLFSTSPY
1 month 0.0%-1.0%+10.6% -0.2%
3 months -50.0%-18.3%+16.5% +3.9%
6 months 0.0%-3.8%+70.8% +8.2%
Year to date 0.0%+5.5%+86.1% +12.9%
1 year 0.0%-4.2%+156.4% +12.3%
3 years 0.0%+26.5%+132.7% +87.4%
3 years, per year 0.0%+8.2%+32.5% +23.3%
5 years -85.7%-46.9%+10.0% +67.9%
5 years, per year -32.3%-11.9%+1.9% +10.9%
10 years -99.1%-43.3%— +261.1%
10 years, per year -37.4%-5.5%— +13.7%

Risk

MeasureFCHSHRLFSTSPY
Volatility, 1Y 209.8%19.9%50.5% 12.7%
Downside volatility, 1Y —19.9%41.4% 12.7%
Beta vs S&P 500, 1Y -2.860.100.56 1.00
Return / volatility, 1Y 0.00-0.213.10 0.97
Max drawdown, 5Y -88.9%-61.6%-71.7% -25.4%
From 52-week high -66.7%-18.3%-2.1% -1.2%
52-week high $0.03$21.89$13.38 $779.14
52-week low $0.01$16.34$4.81 $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.

MultipleFCHSHRLFST
P/E now vs peer median 0.0xmedian 24.6x -70.4xmedian 26.3x 99.3xmedian 24.6x
P/S now vs peer median —median 1.6x 5.4xmedian 4.0x 3.2xmedian 1.6x
EV/EBITDA now vs peer median -11.1xmedian 14.6x —median 14.4x 37.6xmedian 14.6x
P/FCF now vs peer median -0.6xmedian 21.6x 49.5xmedian 23.3x 28.8xmedian 21.6x
P/B now vs peer median 0.0xmedian 3.2x 1.4xmedian 1.3x 3.4xmedian 3.2x
PEG now vs peer median -0.01median 0.66 -3.82median 1.91 3.12median 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 monthsFCHSHRLFST
Revenue – $1.14B $1.58B
Gross profit – – $531.85M
Operating income -$2.85M – $78.43M
Net income -$7.00M -$87.96M $50.60M
Free cash flow -$586.99K $123.68M $173.91M
EPS (diluted) $-0.22 $-0.25 $0.13
Cash & equivalents $3.86K $18.99M $225.94M
Total debt $118.13M $4.17B $258.99M
Shares (diluted) 32.96M 342.30M 387.30M
Enterprise value $310.94K $6.07B $4.13B

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
MetricFCHSHRLFST
P/E 0.0x -70.4x 99.3x
P/FCF -0.6x 49.5x 28.8x
P/Operating cash flow -0.6x 13.9x 23.0x
P/S – 5.4x 3.2x
P/B 0.0x 1.4x 3.4x
P/Tangible book 0.0x 1.4x 3.8x
EV/EBITDA -11.1x – 37.6x
EV/EBIT -11.0x – 64.2x
EV/Revenue – 9.0x 3.2x
EV/FCF -53.3x 83.1x 29.0x
EV/Operating cash flow -53.3x 23.3x 23.1x
PEG (3Y EPS CAGR) -0.01 -3.82 3.12

Growth

14 metrics
MetricFCHSHRLFST
Revenue growth (1Y) – -6.3% 20.4%
Revenue CAGR (3Y) – -4.5% 18.2%
Gross profit growth (1Y) – – 24.2%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) -106.8% – 32,780%
Operating income CAGR (3Y) 19.9% – 35.2%
Net income growth (1Y) -73.2% 78.5% 413.3%
Net income CAGR (3Y) 5.7% 21.1% 32.2%
EPS growth (1Y) -72.6% 77.9% 412.8%
EPS CAGR (3Y) 5.6% 18.4% 31.8%
Operating cash flow growth (1Y) 87.1% -5.8% 48.9%
Operating cash flow CAGR (3Y) 33.8% 2.2% 87.0%
Free cash flow growth (1Y) 87.1% -8.9% 44.8%
Free cash flow CAGR (3Y) 33.8% 314.6% 158.0%

Profitability

14 metrics
MetricFCHSHRLFST
Gross margin – – 33.6%
EBITDA margin – – 8.5%
Operating margin – – 4.9%
Pretax margin – – 4.2%
Net margin – -7.6% 3.2%
FCF margin – 10.8% 11.0%
Operating cash flow margin – 38.5% 13.7%
Return on equity – -2.0% 3.4%
Return on assets -172.9% -1.0% 2.3%
Return on invested capital – – 3.4%
Return on capital employed – – 4.2%
Asset turnover – 0.1x 0.7x
Cash conversion (OCF / net income) 0.1x -5.0x 4.3x
Stock comp / revenue – 1.8% 4.4%

Financial Health

11 metrics
MetricFCHSHRLFST
Debt / assets 764.7% 46.3% 11.9%
Debt / equity -0.8x 1.0x 0.2x
Net debt / EBITDA -10.9x – 0.2x
Debt / FCF -52.8x 33.7x 1.5x
Liabilities / assets 1,112% 52.6% 32.3%
Equity / assets -1,012% 47.4% 67.7%
Interest coverage -0.6x – 7.8x
Current ratio 0.0x – 1.4x
Quick ratio 0.0x – 1.2x
Cash ratio 0.0x – 0.8x
Altman Z-score – – 4.67

Shareholder Returns

7 metrics
MetricFCHSHRLFST
Dividend yield – 5.4% –
Net buyback yield – 3.0% 2.0%
Shareholder yield – 8.3% 2.0%
Payout ratio (earnings) – -381.2% –
Payout ratio (FCF) – 271.1% –
Dividend growth (1Y) – -23.8% –
Dividend CAGR (3Y) – -7.7% –

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.

ConsensusFCHSHRLFST
Forward P/E – – 81.9xFY2026
EPS, next fiscal year – $-0.11FY2026 $0.16FY2026
EPS growth, next FY – – +700.0%FY2026
EPS growth, the year after – – +50.0%
Revenue, next fiscal year – $1.17BFY2026 $1.82BFY2026
Revenue growth, next FY – -0.7%FY2026 +28.1%FY2026
Revenue growth, the year after – -8.9% +11.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersFCHSHRLFST
Held by institutions – 100.0% 97.9%
Institutions holding – 458 286
Change in shares held, QoQ – +0.8% +1.9%
Institutions buying – 225 204
Institutions selling – 145 55
Buyers to sellers – 1.55 3.71

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.

FCHSHRLFST
FCHS 1.00 -0.15 -0.10
HR -0.15 1.00 0.12
LFST -0.10 0.12 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, FCHS, HR and LFST?

Healthcare Realty Trust (HR) is the largest by market capitalisation: First Choice Healthcare Solutions (FCHS) $329.58K, Healthcare Realty Trust (HR) $6.13B, LifeStance Health (LFST) $5.00B.

Which company is growing faster?

LifeStance Health (LFST) grew revenue fastest over the trailing twelve months: Healthcare Realty Trust (HR) -6.3%, LifeStance Health (LFST) +20.4%.

Which company is more profitable?

LifeStance Health (LFST) has the highest net margin (Healthcare Realty Trust (HR) -7.6%, LifeStance Health (LFST) 3.2%).

Which stock has performed better?

Over the past year LifeStance Health (LFST) returned the most: First Choice Healthcare Solutions (FCHS) 0.0%, Healthcare Realty Trust (HR) -4.2%, LifeStance Health (LFST) +156.4%. Over five years, LifeStance Health (LFST) compounded fastest (First Choice Healthcare Solutions (FCHS) -32.3%/yr, Healthcare Realty Trust (HR) -11.9%/yr, LifeStance Health (LFST) +1.9%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Healthcare Realty Trust (HR) 5.37%. First Choice Healthcare Solutions (FCHS) and LifeStance Health (LFST) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (First Choice Healthcare Solutions (FCHS) 209.8%, Healthcare Realty Trust (HR) 19.9%, LifeStance Health (LFST) 50.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, FCHS, HR and LFST?

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