HR vs VTR vs BTSG Stock Comparison

Healthcare Realty Trust, Ventas and BrightSpring Health Services Prices as of Nov 2, 2026 Peers: Industry group
VTR Ventas, Inc.
$86.73 +3.2% 1M +17.5% 1Y
Market cap
$45.86B
P/E
170.1x
Revenue (TTM)
$6.78B
Div. yield
2.35%
Healthcare REITs Real Estate
3 wins

Head to Head

12 decided of 12

BrightSpring Health Services leads on 7 of the 12 questions below (BrightSpring Health Services 7, Ventas 3, Healthcare Realty Trust 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionHRVTRBTSGLeader
Larger companyMarket capitalisation $6.49B $45.86B $13.09B VTR
Cheaper on earningsLower P/E, profitable companies only -144.8x 170.1x 37.3x BTSG
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 152.2x 38.3x BTSG
Faster revenue growthRevenue growth, trailing twelve months -5.8% +22.1% +26.4% BTSG
More profitableNet margin, trailing twelve months -4.0% 3.9% 2.5% VTR
Better return on capitalReturn on invested capital — 3.1% 8.6% BTSG
Less leveragedLower net debt / EBITDA — 4.9x 2.6x BTSG
Higher dividend yieldTrailing dividend yield 5.03% 2.35% — HR
Better 1-year returnPrice return, last 12 months +7.8% +17.5% +100.5% BTSG
Better 5-year returnAnnualised price return, 5 years -10.5%/yr +9.6%/yr — VTR
Less volatileAnnualised volatility, 1 year 20.3% 23.0% 45.6% HR
Higher overall scoreMean of the five percentile scores vs peers 42/100 45/100 63/100 BTSG

Percentile Scorecard

HRVTRBTSG

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

AxisHRVTRBTSG
Valuation 36 #93 of 145 6 #136 of 145 62 #36 of 94
Growth 53 #68 of 144 85 #22 of 144 93 #7 of 87
Profitability 37 #88 of 140 51 #69 of 140 57 #38 of 86
Financial Health 44 #82 of 146 64 #53 of 146 42 #58 of 99
Shareholder Returns 39 #81 of 132 17 #110 of 132 62 #22 of 56
Overall 42 45 63
  • HR ranked among 149 companies in Property REITs
  • VTR ranked among 149 companies in Property REITs
  • BTSG ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodHRVTRBTSGSPY
1 month +9.5%+3.2%+10.0% -2.3%
3 months -6.9%-4.5%+9.6% -0.7%
6 months -2.5%-1.2%+23.8% +4.8%
Year to date +12.7%+12.1%+76.9% +10.3%
1 year +7.8%+17.5%+100.5% +10.3%
3 years +28.2%+96.8%— +73.0%
3 years, per year +8.6%+25.3%— +20.1%
5 years -42.5%+58.1%— +61.9%
5 years, per year -10.5%+9.6%— +10.1%
10 years -37.0%+37.1%— +258.6%
10 years, per year -4.5%+3.2%— +13.6%

Risk

MeasureHRVTRBTSGSPY
Volatility, 1Y 20.3%23.0%45.6% 12.8%
Downside volatility, 1Y 19.4%24.7%51.1% 12.8%
Beta vs S&P 500, 1Y 0.07-0.261.14 1.00
Return / volatility, 1Y 0.380.762.21 0.80
Max drawdown, 5Y -61.0%-43.4%-35.6% -25.4%
From 52-week high -12.7%-13.7%-9.1% -3.5%
52-week high $21.89$100.52$72.91 $779.14
52-week low $16.34$74.13$31.36 $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.

MultipleHRVTRBTSG
P/E now vs peer median -144.8xmedian 26.3x 170.1xmedian 26.3x 37.3xmedian 25.3x
P/S now vs peer median 5.7xmedian 4.2x 6.8xmedian 4.2x 0.9xmedian 1.5x
EV/EBITDA now vs peer median —median 14.4x 23.5xmedian 14.4x 23.8xmedian 14.6x
P/FCF now vs peer median 40.2xmedian 23.9x -16.9xmedian 23.9x 32.5xmedian 21.6x
P/B now vs peer median 1.6xmedian 1.3x 2.9xmedian 1.3x 6.4xmedian 3.1x
PEG now vs peer median -3.35median 1.98 0.68median 1.98 —median 0.83

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 monthsHRVTRBTSG
Revenue $1.13B $6.78B $14.37B
Gross profit – – $1.78B
Operating income – – $447.80M
Net income -$45.27M $271.54M $365.85M
Free cash flow $161.54M -$2.71B $402.35M
EPS (diluted) $-0.13 $0.51 $1.66
Cash & equivalents $17.50M $202.01M $550.38M
Total debt $4.25B $12.44B $2.19B
Shares (diluted) 340.62M 518.94M 220.28M
Enterprise value $6.46B $45.03B $11.43B

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
MetricHRVTRBTSG
P/E -144.8x 170.1x 37.3x
P/FCF 40.2x -16.9x 32.5x
P/Operating cash flow 14.4x 24.0x 25.8x
P/S 5.7x 6.8x 0.9x
P/B 1.6x 2.9x 6.4x
P/Tangible book 1.6x 2.9x 8.5x
EV/EBITDA – 23.5x 23.8x
EV/EBIT – 68.3x 32.9x
EV/Revenue 9.5x 8.6x 1.0x
EV/FCF 66.4x -21.4x 36.6x
EV/Operating cash flow 23.9x 30.4x 29.1x
PEG (3Y EPS CAGR) -3.35 0.68 –

Growth

14 metrics
MetricHRVTRBTSG
Revenue growth (1Y) -5.8% 22.1% 26.4%
Revenue CAGR (3Y) -5.7% 15.7% –
Gross profit growth (1Y) – – 29.4%
Gross profit CAGR (3Y) – – –
Operating income growth (1Y) – – 143.5%
Operating income CAGR (3Y) – – –
Net income growth (1Y) 87.8% 9.8% 472.6%
Net income CAGR (3Y) 45.3% 190.9% –
EPS growth (1Y) 87.4% -1.7% 448.6%
EPS CAGR (3Y) 43.2% 249.1% –
Operating cash flow growth (1Y) -2.8% 23.5% 88.6%
Operating cash flow CAGR (3Y) -4.6% 20.0% –
Free cash flow growth (1Y) 28.9% -11.8% 110.5%
Free cash flow CAGR (3Y) -1.8% -92.9% –

Profitability

14 metrics
MetricHRVTRBTSG
Gross margin – – 12.4%
EBITDA margin – 36.5% 4.3%
Operating margin – – 3.1%
Pretax margin – 3.2% 2.1%
Net margin -4.0% 3.9% 2.5%
FCF margin 14.2% -39.9% 2.8%
Operating cash flow margin 39.7% 28.2% 3.5%
Return on equity -1.1% 1.8% 18.2%
Return on assets -0.5% 0.9% 6.0%
Return on invested capital – 3.1% 8.6%
Return on capital employed – – 9.9%
Asset turnover 0.1x 0.2x 2.4x
Cash conversion (OCF / net income) -9.9x 7.0x 1.4x
Stock comp / revenue 1.6% 0.6% 0.4%

Financial Health

11 metrics
MetricHRVTRBTSG
Debt / assets 47.4% 40.6% 36.6%
Debt / equity 1.0x 0.8x 1.1x
Net debt / EBITDA – 4.9x 2.6x
Debt / FCF 26.3x -4.6x 5.4x
Liabilities / assets 53.9% 48.2% 65.8%
Equity / assets 46.1% 51.8% 34.2%
Interest coverage – 1.3x 2.9x
Current ratio – – 1.6x
Quick ratio – – 1.1x
Cash ratio – – 0.4x
Altman Z-score – – 4.83

Shareholder Returns

7 metrics
MetricHRVTRBTSG
Dividend yield 5.0% 2.4% –
Net buyback yield 3.5% -9.3% 0.5%
Shareholder yield 8.5% -6.9% 0.5%
Payout ratio (earnings) -735.1% 359.5% –
Payout ratio (FCF) 206.0% -36.0% –
Dividend growth (1Y) -19.3% 18.6% –
Dividend CAGR (3Y) -11.0% 10.6% –

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.

ConsensusHRVTRBTSG
Forward P/E – 152.2xFY2026 38.3xFY2026
EPS, next fiscal year $-0.11FY2026 $0.57FY2026 $1.73FY2026
EPS growth, next FY – +5.6%FY2026 +73.0%FY2026
EPS growth, the year after – +77.2% +42.2%
Revenue, next fiscal year $1.17BFY2026 $7.11BFY2026 $16.01BFY2026
Revenue growth, next FY -0.7%FY2026 +21.9%FY2026 +24.0%FY2026
Revenue growth, the year after -8.9% +4.4% +1.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHRVTRBTSG
Held by institutions 100.0% 100.0% 100.0%
Institutions holding 460 952 423
Change in shares held, QoQ +0.8% +5.1% -0.7%
Institutions buying 226 527 309
Institutions selling 146 286 83
Buyers to sellers 1.55 1.84 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.

HRVTRBTSG
HR 1.00 0.53 0.16
VTR 0.53 1.00 0.03
BTSG 0.16 0.03 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HR, VTR and BTSG?

Ventas (VTR) is the largest by market capitalisation: Healthcare Realty Trust (HR) $6.49B, Ventas (VTR) $45.86B, BrightSpring Health Services (BTSG) $13.09B.

Which stock is cheaper, HR, VTR and BTSG?

BrightSpring Health Services (BTSG) trades on the lowest price-to-earnings ratio (Healthcare Realty Trust (HR) -144.8x, Ventas (VTR) 170.1x, BrightSpring Health Services (BTSG) 37.3x). On next year's consensus earnings, BrightSpring Health Services (BTSG) is cheapest (Ventas (VTR) 152.2x, BrightSpring Health Services (BTSG) 38.3x). 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: Healthcare Realty Trust (HR) -5.8%, Ventas (VTR) +22.1%, BrightSpring Health Services (BTSG) +26.4%.

Which company is more profitable?

Ventas (VTR) has the highest net margin (Healthcare Realty Trust (HR) -4.0%, Ventas (VTR) 3.9%, BrightSpring Health Services (BTSG) 2.5%). On return on invested capital, BrightSpring Health Services (BTSG) leads (Ventas (VTR) 3.1%, BrightSpring Health Services (BTSG) 8.6%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Healthcare Realty Trust (HR) +7.8%, Ventas (VTR) +17.5%, BrightSpring Health Services (BTSG) +100.5%. Over five years, Ventas (VTR) compounded fastest (Healthcare Realty Trust (HR) -10.5%/yr, Ventas (VTR) +9.6%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Healthcare Realty Trust (HR) has the highest dividend yield: Healthcare Realty Trust (HR) 5.03%, Ventas (VTR) 2.35%. BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Healthcare Realty Trust (HR) has been the steadiest (Healthcare Realty Trust (HR) 20.3%, Ventas (VTR) 23.0%, BrightSpring Health Services (BTSG) 45.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HR, VTR and BTSG?

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 7. 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.