HSIC vs AMRX vs BTSG Stock Comparison

Henry Schein, Amneal Pharmaceuticals and BrightSpring Health Services Prices as of Oct 29, 2026 Peers: Industry group
HSIC Henry Schein Inc
$86.44 +1.7% 1M +38.7% 1Y
Market cap
$9.67B
P/E
24.3x
Revenue (TTM)
$13.60B
Div. yield
–
Drug Distribution Healthcare
3 wins

Head to Head

11 decided of 12

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

QuestionHSICAMRXBTSGLeader
Larger companyMarket capitalisation $9.67B $6.82B $11.89B BTSG
Cheaper on earningsLower P/E, profitable companies only 24.3x 43.3x 33.9x HSIC
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.0x 22.0x 34.8x HSIC
Faster revenue growthRevenue growth, trailing twelve months +6.5% +9.3% +26.4% BTSG
More profitableNet margin, trailing twelve months 3.0% 5.0% 2.5% AMRX
Better return on capitalReturn on invested capital 7.1% 17.4% 8.6% AMRX
Less leveragedLower net debt / EBITDA 3.3x 3.8x 2.6x BTSG
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +38.7% +104.7% +76.9% AMRX
Better 5-year returnAnnualised price return, 5 years +2.5%/yr +31.2%/yr — AMRX
Less volatileAnnualised volatility, 1 year 25.6% 35.1% 44.6% HSIC
Higher overall scoreMean of the five percentile scores vs peers 55/100 70/100 65/100 AMRX

Percentile Scorecard

HSICAMRXBTSG

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

AxisHSICAMRXBTSG
Valuation 33 #17 of 25 92 #54 of 624 66 #32 of 92
Growth 39 #15 of 24 74 #158 of 601 93 #7 of 87
Profitability 83 #5 of 24 84 #87 of 541 57 #38 of 86
Financial Health 20 #21 of 26 12 #573 of 647 41 #58 of 97
Shareholder Returns 100 #1 of 16 87 #46 of 359 67 #19 of 55
Overall 55 70 65
  • HSIC ranked among 27 companies in Healthcare Payers and Distributors
  • AMRX ranked among 671 companies in Pharmaceuticals and Biotechnology
  • 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

PeriodHSICAMRXBTSGSPY
1 month +1.7%+5.7%+8.1% +0.7%
3 months +1.5%+15.4%-17.4% +3.7%
6 months +15.9%+65.9%+25.5% +7.1%
Year to date +14.4%+69.4%+60.8% +12.8%
1 year +38.7%+104.7%+76.9% +11.9%
3 years +30.7%+450.3%— +85.2%
3 years, per year +9.3%+76.6%— +22.8%
5 years +13.2%+288.9%— +67.6%
5 years, per year +2.5%+31.2%— +10.9%
10 years +47.6%—— +262.0%
10 years, per year +4.0%—— +13.7%

Risk

MeasureHSICAMRXBTSGSPY
Volatility, 1Y 25.6%35.1%44.6% 12.7%
Downside volatility, 1Y 24.1%30.9%51.5% 12.6%
Beta vs S&P 500, 1Y 0.460.701.30 1.00
Return / volatility, 1Y 1.512.991.72 0.94
Max drawdown, 5Y -32.7%-78.2%-35.6% -25.4%
From 52-week high -4.9%-0.4%-17.4% -1.2%
52-week high $90.86$21.44$72.91 $779.14
52-week low $62.32$10.00$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.

MultipleHSICAMRXBTSG
P/E now vs peer median 24.3xmedian 24.3x 43.3xmedian 17.8x 33.9xmedian 26.0x
P/S now vs peer median 0.7xmedian 0.3x 2.2xmedian 9.1x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 12.9xmedian 12.9x 14.1xmedian 15.0x 21.8xmedian 15.4x
P/FCF now vs peer median 17.0xmedian 16.4x 82.0xmedian 21.7x 29.6xmedian 21.5x
P/B now vs peer median 2.5xmedian 2.5x 206.5xmedian 2.2x 5.8xmedian 3.2x
PEG now vs peer median 50.96median 1.36 0.18median 0.35 —median 0.87

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 monthsHSICAMRXBTSG
Revenue $13.60B $3.12B $14.37B
Gross profit $4.26B $1.23B $1.78B
Operating income $680.00M $453.92M $447.80M
Net income $426.00M $215.32M $365.85M
Free cash flow $569.00M $83.11M $402.35M
R&D – $175.57M –
EPS (diluted) $3.52 $0.48 $1.66
Cash & equivalents – $127.64M $550.38M
Total debt $3.46B $2.67B $2.19B
Shares (diluted) 114.39M 328.10M 220.28M
Enterprise value $10.42B $6.09B $10.24B

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
MetricHSICAMRXBTSG
P/E 24.3x 43.3x 33.9x
P/FCF 17.0x 82.0x 29.6x
P/Operating cash flow 13.8x 34.0x 23.5x
P/S 0.7x 2.2x 0.8x
P/B 2.5x 206.5x 5.8x
P/Tangible book 3.4x -12.3x 7.8x
EV/EBITDA 12.9x 14.1x 21.8x
EV/EBIT 19.1x 20.6x 30.2x
EV/Revenue 1.0x 3.0x 0.9x
EV/FCF 22.8x 112.6x 33.6x
EV/Operating cash flow 18.5x 46.6x 26.7x
PEG (3Y EPS CAGR) 50.96 0.18 –

Growth

14 metrics
MetricHSICAMRXBTSG
Revenue growth (1Y) 6.5% 9.3% 26.4%
Revenue CAGR (3Y) 2.6% 10.5% –
Gross profit growth (1Y) 6.4% 14.1% 29.4%
Gross profit CAGR (3Y) 3.4% 14.9% –
Operating income growth (1Y) 6.6% 20.6% 143.5%
Operating income CAGR (3Y) 1.1% 32.5% –
Net income growth (1Y) 6.0% 426.4% 472.6%
Net income CAGR (3Y) -4.5% 139.1% –
EPS growth (1Y) 11.1% 4,481% 448.6%
EPS CAGR (3Y) 0.5% 237.0% –
Operating cash flow growth (1Y) 36.7% -42.8% 88.6%
Operating cash flow CAGR (3Y) 2.3% 0.4% –
Free cash flow growth (1Y) 50.1% -69.3% 110.5%
Free cash flow CAGR (3Y) 2.3% -17.3% –

Profitability

14 metrics
MetricHSICAMRXBTSG
Gross margin 31.3% 39.3% 12.4%
EBITDA margin 7.4% 21.3% 4.3%
Operating margin 5.0% 14.6% 3.1%
Pretax margin 4.1% 6.5% 2.1%
Net margin 3.0% 5.0% 2.5%
FCF margin 4.2% 2.7% 2.8%
Operating cash flow margin 5.1% 6.4% 3.5%
Return on equity 11.0% – 18.2%
Return on assets 3.8% 5.9% 6.0%
Return on invested capital 7.1% 17.4% 8.6%
Return on capital employed 8.7% 16.4% 9.9%
Asset turnover 1.2x 0.9x 2.4x
Cash conversion (OCF / net income) 1.6x 0.9x 1.4x
Stock comp / revenue 0.3% 1.1% 0.4%

Financial Health

11 metrics
MetricHSICAMRXBTSG
Debt / assets 30.4% 70.7% 36.6%
Debt / equity 0.9x 80.9x 1.1x
Net debt / EBITDA 3.3x 3.8x 2.6x
Debt / FCF 6.1x 32.1x 5.4x
Liabilities / assets 66.5% 99.1% 65.8%
Equity / assets 33.5% 0.9% 34.2%
Interest coverage 4.3x – 2.9x
Current ratio 1.3x 2.2x 1.6x
Quick ratio 0.6x 1.3x 1.1x
Cash ratio 0.0x 0.1x 0.4x
Altman Z-score 2.67 2.50 4.65

Shareholder Returns

7 metrics
MetricHSICAMRXBTSG
Dividend yield – – –
Net buyback yield 7.5% 0.0% 0.6%
Shareholder yield 7.5% 0.0% 0.6%
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.

ConsensusHSICAMRXBTSG
Forward P/E 15.0xFY2026 22.0xFY2026 34.8xFY2026
EPS, next fiscal year $5.75FY2026 $0.97FY2026 $1.73FY2026
EPS growth, next FY +15.7%FY2026 +16.9%FY2026 +73.0%FY2026
EPS growth, the year after +8.2% +26.8% +42.2%
Revenue, next fiscal year $13.38BFY2026 $3.24BFY2026 $16.01BFY2026
Revenue growth, next FY +1.5%FY2026 +7.4%FY2026 +24.0%FY2026
Revenue growth, the year after +4.8% +12.4% +1.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHSICAMRXBTSG
Held by institutions 100.0% 51.1% 100.0%
Institutions holding 565 310 422
Change in shares held, QoQ +2.1% +1.3% -0.7%
Institutions buying 245 182 309
Institutions selling 216 86 83
Buyers to sellers 1.13 2.12 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.

HSICAMRXBTSG
HSIC 1.00 0.17 0.16
AMRX 0.17 1.00 0.17
BTSG 0.16 0.17 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HSIC, AMRX and BTSG?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Henry Schein (HSIC) $9.67B, Amneal Pharmaceuticals (AMRX) $6.82B, BrightSpring Health Services (BTSG) $11.89B.

Which stock is cheaper, HSIC, AMRX and BTSG?

Henry Schein (HSIC) trades on the lowest price-to-earnings ratio (Henry Schein (HSIC) 24.3x, Amneal Pharmaceuticals (AMRX) 43.3x, BrightSpring Health Services (BTSG) 33.9x). On next year's consensus earnings, Henry Schein (HSIC) is cheapest (Henry Schein (HSIC) 15.0x, Amneal Pharmaceuticals (AMRX) 22.0x, BrightSpring Health Services (BTSG) 34.8x). 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: Henry Schein (HSIC) +6.5%, Amneal Pharmaceuticals (AMRX) +9.3%, BrightSpring Health Services (BTSG) +26.4%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Henry Schein (HSIC) 3.0%, Amneal Pharmaceuticals (AMRX) 5.0%, BrightSpring Health Services (BTSG) 2.5%). On return on invested capital, Amneal Pharmaceuticals (AMRX) leads (Henry Schein (HSIC) 7.1%, Amneal Pharmaceuticals (AMRX) 17.4%, BrightSpring Health Services (BTSG) 8.6%).

Which stock has performed better?

Over the past year Amneal Pharmaceuticals (AMRX) returned the most: Henry Schein (HSIC) +38.7%, Amneal Pharmaceuticals (AMRX) +104.7%, BrightSpring Health Services (BTSG) +76.9%. Over five years, Amneal Pharmaceuticals (AMRX) compounded fastest (Henry Schein (HSIC) +2.5%/yr, Amneal Pharmaceuticals (AMRX) +31.2%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Henry Schein (HSIC) has been the steadiest (Henry Schein (HSIC) 25.6%, Amneal Pharmaceuticals (AMRX) 35.1%, BrightSpring Health Services (BTSG) 44.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HSIC, AMRX 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, 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.