GRDN vs BTSG vs AMRX Stock Comparison

Guardian Pharmacy Services, BrightSpring Health Services and Amneal Pharmaceuticals Prices as of Oct 26, 2026 Peers: Industry group

Head to Head

10 decided of 12

Amneal Pharmaceuticals leads on 5 of the 12 questions below (Amneal Pharmaceuticals 5, BrightSpring Health Services 3, Guardian Pharmacy Services 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionGRDNBTSGAMRXLeader
Larger companyMarket capitalisation $5.02M $12.04B $6.85B BTSG
Cheaper on earningsLower P/E, profitable companies only 0.1x 32.9x 43.5x GRDN
Cheaper on forward earningsLower price / next fiscal year consensus EPS 30.9x 34.0x 21.7x AMRX
Faster revenue growthRevenue growth, trailing twelve months +10.3% +26.4% +9.3% BTSG
More profitableNet margin, trailing twelve months 4.5% 2.5% 5.0% AMRX
Better return on capitalReturn on invested capital — 8.6% 17.4% AMRX
Less leveragedLower net debt / EBITDA — 2.6x 3.8x BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +37.4% +75.6% +99.2% AMRX
Better 5-year returnAnnualised price return, 5 years — — +31.6%/yr –
Less volatileAnnualised volatility, 1 year 40.6% 44.7% 35.1% AMRX
Higher overall scoreMean of the five percentile scores vs peers 94/100 63/100 70/100 GRDN

Percentile Scorecard

GRDNBTSGAMRX

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

AxisGRDNBTSGAMRX
Valuation 100 #1 of 25 66 #32 of 93 92 #54 of 626
Growth 87 #4 of 24 93 #7 of 88 74 #158 of 604
Profitability 100 #1 of 24 56 #39 of 87 84 #91 of 555
Financial Health 88 #4 of 26 41 #59 of 100 12 #582 of 658
Shareholder Returns – 56 #25 of 56 88 #44 of 368
Overall 94 63 70
  • GRDN ranked among 27 companies in Healthcare Payers and Distributors
  • BTSG ranked among 103 companies in Healthcare Providers
  • AMRX ranked among 673 companies in Pharmaceuticals and Biotechnology

Price Performance

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

Returns

PeriodGRDNBTSGAMRXSPY
1 month -4.8%+4.0%+6.3% -0.8%
3 months -5.5%-18.2%+16.2% +3.5%
6 months +3.3%+21.2%+67.2% +7.0%
Year to date +30.3%+57.2%+66.8% +12.2%
1 year +37.4%+75.6%+99.2% +13.0%
3 years ——+457.6% +86.3%
3 years, per year ——+77.4% +23.1%
5 years ——+293.6% +68.6%
5 years, per year ——+31.6% +11.0%

Risk

MeasureGRDNBTSGAMRXSPY
Volatility, 1Y 40.6%44.7%35.1% 12.7%
Downside volatility, 1Y 38.6%51.7%31.0% 12.7%
Beta vs S&P 500, 1Y 0.571.300.70 1.00
Return / volatility, 1Y 0.921.692.83 1.02
Max drawdown, 5Y -27.2%-35.6%-78.2% -25.4%
From 52-week high -15.7%-19.2%0.0% -1.8%
52-week high $46.49$72.91$21.02 $779.14
52-week low $27.03$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.

MultipleGRDNBTSGAMRX
P/E now vs peer median 0.1xmedian 24.3x 33.1xmedian 25.1x 42.6xmedian 17.1x
P/S now vs peer median 0.0xmedian 0.3x 0.8xmedian 1.6x 2.2xmedian 8.8x
EV/EBITDA now vs peer median -0.8xmedian 13.5x 21.4xmedian 14.5x 13.9xmedian 17.1x
P/FCF now vs peer median 0.1xmedian 15.6x 28.9xmedian 22.4x 80.8xmedian 18.0x
P/B now vs peer median 0.0xmedian 2.5x 5.7xmedian 3.1x 203.3xmedian 2.1x
PEG now vs peer median —median 1.33 —median 0.66 0.18median 0.31

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 monthsGRDNBTSGAMRX
Revenue $1.46B $14.37B $3.12B
Gross profit $316.58M $1.78B $1.23B
Operating income $85.44M $447.80M $453.92M
Net income $65.91M $365.85M $215.32M
Free cash flow $75.29M $402.35M $83.11M
R&D – – $175.57M
EPS (diluted) $1,032.46 $1.66 $0.48
Cash & equivalents $89.81M $550.38M $127.64M
Total debt – $2.19B $2.67B
Shares (diluted) 63.84K 220.28M 328.10M
Enterprise value -$251.79M $10.37B $6.04B

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
MetricGRDNBTSGAMRX
P/E 0.1x 33.1x 42.6x
P/FCF 0.1x 28.9x 80.8x
P/Operating cash flow 0.1x 23.0x 33.4x
P/S 0.0x 0.8x 2.2x
P/B 0.0x 5.7x 203.3x
P/Tangible book 0.0x 7.6x -12.1x
EV/EBITDA -0.8x 21.4x 13.9x
EV/EBIT -1.0x 29.6x 20.4x
EV/Revenue -0.1x 0.9x 3.0x
EV/FCF -1.1x 33.0x 111.4x
EV/Operating cash flow -0.9x 26.2x 46.1x
PEG (3Y EPS CAGR) – – 0.18

Growth

14 metrics
MetricGRDNBTSGAMRX
Revenue growth (1Y) 10.3% 26.4% 9.3%
Revenue CAGR (3Y) – – 10.5%
Gross profit growth (1Y) 21.5% 29.4% 14.1%
Gross profit CAGR (3Y) – – 14.9%
Operating income growth (1Y) 237.2% 143.5% 20.6%
Operating income CAGR (3Y) – – 32.5%
Net income growth (1Y) 172.0% 472.6% 426.4%
Net income CAGR (3Y) – – 139.1%
EPS growth (1Y) 142,625% 448.6% 4,481%
EPS CAGR (3Y) – – 237.0%
Operating cash flow growth (1Y) 71.4% 88.6% -42.8%
Operating cash flow CAGR (3Y) – – 0.4%
Free cash flow growth (1Y) 206.9% 110.5% -69.3%
Free cash flow CAGR (3Y) – – -17.3%

Profitability

14 metrics
MetricGRDNBTSGAMRX
Gross margin 21.6% 12.4% 39.3%
EBITDA margin 7.4% 4.3% 21.3%
Operating margin 5.8% 3.1% 14.6%
Pretax margin 6.5% 2.1% 6.5%
Net margin 4.5% 2.5% 5.0%
FCF margin 5.1% 2.8% 2.7%
Operating cash flow margin 6.8% 3.5% 6.4%
Return on equity 27.1% 18.2% –
Return on assets 15.3% 6.0% 5.9%
Return on invested capital – 8.6% 17.4%
Return on capital employed 30.4% 9.9% 16.4%
Asset turnover 3.4x 2.4x 0.9x
Cash conversion (OCF / net income) 1.5x 1.4x 0.9x
Stock comp / revenue 0.7% 0.4% 1.1%

Financial Health

11 metrics
MetricGRDNBTSGAMRX
Debt / assets – 36.6% 70.7%
Debt / equity – 1.1x 80.9x
Net debt / EBITDA – 2.6x 3.8x
Debt / FCF – 5.4x 32.1x
Liabilities / assets 41.9% 65.8% 99.1%
Equity / assets 58.1% 34.2% 0.9%
Interest coverage 135.4x 2.9x –
Current ratio 1.7x 1.6x 2.2x
Quick ratio 1.3x 1.1x 1.3x
Cash ratio 0.6x 0.4x 0.1x
Altman Z-score 4.54 4.61 2.48

Shareholder Returns

7 metrics
MetricGRDNBTSGAMRX
Dividend yield – – –
Net buyback yield – 0.6% 0.0%
Shareholder yield – 0.6% 0.0%
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.

ConsensusGRDNBTSGAMRX
Forward P/E 30.9xFY2026 34.0xFY2026 21.7xFY2026
EPS, next fiscal year $1.27FY2026 $1.73FY2026 $0.97FY2026
EPS growth, next FY +18.7%FY2026 +73.0%FY2026 +16.9%FY2026
EPS growth, the year after +17.3% +42.2% +26.8%
Revenue, next fiscal year $1.41BFY2026 $16.01BFY2026 $3.24BFY2026
Revenue growth, next FY -2.8%FY2026 +24.0%FY2026 +7.4%FY2026
Revenue growth, the year after +2.1% +1.4% +12.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersGRDNBTSGAMRX
Held by institutions 46.1% 100.0% 51.1%
Institutions holding 189 421 310
Change in shares held, QoQ +3.8% -0.7% +1.3%
Institutions buying 109 309 182
Institutions selling 54 83 86
Buyers to sellers 2.02 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.

GRDNBTSGAMRX
GRDN 1.00 0.34 0.13
BTSG 0.34 1.00 0.18
AMRX 0.13 0.18 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, GRDN, BTSG and AMRX?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Guardian Pharmacy Services (GRDN) $5.02M, BrightSpring Health Services (BTSG) $12.04B, Amneal Pharmaceuticals (AMRX) $6.85B.

Which stock is cheaper, GRDN, BTSG and AMRX?

Guardian Pharmacy Services (GRDN) trades on the lowest price-to-earnings ratio (Guardian Pharmacy Services (GRDN) 0.1x, BrightSpring Health Services (BTSG) 32.9x, Amneal Pharmaceuticals (AMRX) 43.5x). On next year's consensus earnings, Amneal Pharmaceuticals (AMRX) is cheapest (Guardian Pharmacy Services (GRDN) 30.9x, BrightSpring Health Services (BTSG) 34.0x, Amneal Pharmaceuticals (AMRX) 21.7x). 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: Guardian Pharmacy Services (GRDN) +10.3%, BrightSpring Health Services (BTSG) +26.4%, Amneal Pharmaceuticals (AMRX) +9.3%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Guardian Pharmacy Services (GRDN) 4.5%, BrightSpring Health Services (BTSG) 2.5%, Amneal Pharmaceuticals (AMRX) 5.0%). On return on invested capital, Amneal Pharmaceuticals (AMRX) leads (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: Guardian Pharmacy Services (GRDN) +37.4%, BrightSpring Health Services (BTSG) +75.6%, Amneal Pharmaceuticals (AMRX) +99.2%. Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Amneal Pharmaceuticals (AMRX) has been the steadiest (Guardian Pharmacy Services (GRDN) 40.6%, BrightSpring Health Services (BTSG) 44.7%, Amneal Pharmaceuticals (AMRX) 35.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, GRDN, 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, Amneal Pharmaceuticals (AMRX) 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.