HSIC vs BTSG vs AMRX Stock Comparison

Henry Schein, BrightSpring Health Services and Amneal Pharmaceuticals Prices as of Oct 26, 2026 Peers: Industry group
HSIC Henry Schein Inc
$84.51 -2.2% 1M +32.4% 1Y
Market cap
$9.56B
P/E
23.7x
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.

QuestionHSICBTSGAMRXLeader
Larger companyMarket capitalisation $9.56B $12.04B $6.85B BTSG
Cheaper on earningsLower P/E, profitable companies only 23.7x 32.9x 43.5x HSIC
Cheaper on forward earningsLower price / next fiscal year consensus EPS 14.7x 34.0x 21.7x HSIC
Faster revenue growthRevenue growth, trailing twelve months +6.5% +26.4% +9.3% BTSG
More profitableNet margin, trailing twelve months 3.0% 2.5% 5.0% AMRX
Better return on capitalReturn on invested capital 7.1% 8.6% 17.4% AMRX
Less leveragedLower net debt / EBITDA 3.3x 2.6x 3.8x BTSG
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +32.4% +75.6% +99.2% AMRX
Better 5-year returnAnnualised price return, 5 years +2.6%/yr — +31.6%/yr AMRX
Less volatileAnnualised volatility, 1 year 25.7% 44.7% 35.1% HSIC
Higher overall scoreMean of the five percentile scores vs peers 56/100 63/100 70/100 AMRX

Percentile Scorecard

HSICBTSGAMRX

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

AxisHSICBTSGAMRX
Valuation 38 #16 of 25 66 #32 of 93 92 #54 of 626
Growth 39 #15 of 24 93 #7 of 88 74 #158 of 604
Profitability 83 #5 of 24 56 #39 of 87 84 #91 of 555
Financial Health 20 #21 of 26 41 #59 of 100 12 #582 of 658
Shareholder Returns 100 #1 of 16 56 #25 of 56 88 #44 of 368
Overall 56 63 70
  • HSIC 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

PeriodHSICBTSGAMRXSPY
1 month -2.2%+4.0%+6.3% -0.8%
3 months -0.1%-18.2%+16.2% +3.5%
6 months +9.5%+21.2%+67.2% +7.0%
Year to date +11.8%+57.2%+66.8% +12.2%
1 year +32.4%+75.6%+99.2% +13.0%
3 years +27.3%—+457.6% +86.3%
3 years, per year +8.4%—+77.4% +23.1%
5 years +13.9%—+293.6% +68.6%
5 years, per year +2.6%—+31.6% +11.0%
10 years +44.7%—— +258.0%
10 years, per year +3.8%—— +13.6%

Risk

MeasureHSICBTSGAMRXSPY
Volatility, 1Y 25.7%44.7%35.1% 12.7%
Downside volatility, 1Y 24.1%51.7%31.0% 12.7%
Beta vs S&P 500, 1Y 0.461.300.70 1.00
Return / volatility, 1Y 1.261.692.83 1.02
Max drawdown, 5Y -32.7%-35.6%-78.2% -25.4%
From 52-week high -7.0%-19.2%0.0% -1.8%
52-week high $90.86$72.91$21.02 $779.14
52-week low $62.32$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.

MultipleHSICBTSGAMRX
P/E now vs peer median 23.8xmedian 24.3x 33.1xmedian 25.1x 42.6xmedian 17.1x
P/S now vs peer median 0.7xmedian 0.3x 0.8xmedian 1.6x 2.2xmedian 8.8x
EV/EBITDA now vs peer median 12.7xmedian 13.5x 21.4xmedian 14.5x 13.9xmedian 17.1x
P/FCF now vs peer median 16.6xmedian 15.6x 28.9xmedian 22.4x 80.8xmedian 18.0x
P/B now vs peer median 2.5xmedian 2.5x 5.7xmedian 3.1x 203.3xmedian 2.1x
PEG now vs peer median 49.82median 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 monthsHSICBTSGAMRX
Revenue $13.60B $14.37B $3.12B
Gross profit $4.26B $1.78B $1.23B
Operating income $680.00M $447.80M $453.92M
Net income $426.00M $365.85M $215.32M
Free cash flow $569.00M $402.35M $83.11M
R&D – – $175.57M
EPS (diluted) $3.52 $1.66 $0.48
Cash & equivalents – $550.38M $127.64M
Total debt $3.46B $2.19B $2.67B
Shares (diluted) 114.39M 220.28M 328.10M
Enterprise value $9.40B $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
MetricHSICBTSGAMRX
P/E 23.8x 33.1x 42.6x
P/FCF 16.6x 28.9x 80.8x
P/Operating cash flow 13.5x 23.0x 33.4x
P/S 0.7x 0.8x 2.2x
P/B 2.5x 5.7x 203.3x
P/Tangible book 3.3x 7.6x -12.1x
EV/EBITDA 12.7x 21.4x 13.9x
EV/EBIT 18.8x 29.6x 20.4x
EV/Revenue 0.9x 0.9x 3.0x
EV/FCF 22.4x 33.0x 111.4x
EV/Operating cash flow 18.2x 26.2x 46.1x
PEG (3Y EPS CAGR) 49.82 – 0.18

Growth

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

Profitability

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

Financial Health

11 metrics
MetricHSICBTSGAMRX
Debt / assets 30.4% 36.6% 70.7%
Debt / equity 0.9x 1.1x 80.9x
Net debt / EBITDA 3.3x 2.6x 3.8x
Debt / FCF 6.1x 5.4x 32.1x
Liabilities / assets 66.5% 65.8% 99.1%
Equity / assets 33.5% 34.2% 0.9%
Interest coverage 4.3x 2.9x –
Current ratio 1.3x 1.6x 2.2x
Quick ratio 0.6x 1.1x 1.3x
Cash ratio 0.0x 0.4x 0.1x
Altman Z-score 2.65 4.61 2.48

Shareholder Returns

7 metrics
MetricHSICBTSGAMRX
Dividend yield – – –
Net buyback yield 7.7% 0.6% 0.0%
Shareholder yield 7.7% 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.

ConsensusHSICBTSGAMRX
Forward P/E 14.7xFY2026 34.0xFY2026 21.7xFY2026
EPS, next fiscal year $5.75FY2026 $1.73FY2026 $0.97FY2026
EPS growth, next FY +15.7%FY2026 +73.0%FY2026 +16.9%FY2026
EPS growth, the year after +8.2% +42.2% +26.8%
Revenue, next fiscal year $13.38BFY2026 $16.01BFY2026 $3.24BFY2026
Revenue growth, next FY +1.5%FY2026 +24.0%FY2026 +7.4%FY2026
Revenue growth, the year after +4.8% +1.4% +12.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHSICBTSGAMRX
Held by institutions 100.0% 100.0% 51.1%
Institutions holding 564 421 310
Change in shares held, QoQ +2.1% -0.7% +1.3%
Institutions buying 245 309 182
Institutions selling 216 83 86
Buyers to sellers 1.13 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.

HSICBTSGAMRX
HSIC 1.00 0.15 0.17
BTSG 0.15 1.00 0.18
AMRX 0.17 0.18 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HSIC, BTSG and AMRX?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Henry Schein (HSIC) $9.56B, BrightSpring Health Services (BTSG) $12.04B, Amneal Pharmaceuticals (AMRX) $6.85B.

Which stock is cheaper, HSIC, BTSG and AMRX?

Henry Schein (HSIC) trades on the lowest price-to-earnings ratio (Henry Schein (HSIC) 23.7x, BrightSpring Health Services (BTSG) 32.9x, Amneal Pharmaceuticals (AMRX) 43.5x). On next year's consensus earnings, Henry Schein (HSIC) is cheapest (Henry Schein (HSIC) 14.7x, 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: Henry Schein (HSIC) +6.5%, BrightSpring Health Services (BTSG) +26.4%, Amneal Pharmaceuticals (AMRX) +9.3%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Henry Schein (HSIC) 3.0%, BrightSpring Health Services (BTSG) 2.5%, Amneal Pharmaceuticals (AMRX) 5.0%). On return on invested capital, Amneal Pharmaceuticals (AMRX) leads (Henry Schein (HSIC) 7.1%, 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: Henry Schein (HSIC) +32.4%, BrightSpring Health Services (BTSG) +75.6%, Amneal Pharmaceuticals (AMRX) +99.2%. Over five years, Amneal Pharmaceuticals (AMRX) compounded fastest (Henry Schein (HSIC) +2.6%/yr, Amneal Pharmaceuticals (AMRX) +31.6%/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) 25.7%, 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, HSIC, 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.