HSIC vs BTSG vs MDLN Stock Comparison

Henry Schein, BrightSpring Health Services and Medline Prices as of Nov 4, 2026 Peers: Industry group
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HSIC Henry Schein Inc
$88.24 +4.8% 1M +23.2% 1Y
Market cap
$9.75B
P/E
23.3x
Revenue (TTM)
$13.73B
Div. yield
–
Drug Distribution Healthcare
4 wins
MDLN Medline Inc.
$40.35 +12.7% 1M
Market cap
$53.10B
P/E
61.3x
Revenue (TTM)
$30.68B
Div. yield
–
Medical Supplies Healthcare
1 win

Head to Head

10 decided of 12

BrightSpring Health Services leads on 5 of the 12 questions below (BrightSpring Health Services 5, Henry Schein 4, Medline 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionHSICBTSGMDLNLeader
Larger companyMarket capitalisation $9.75B $13.89B $53.10B MDLN
Cheaper on earningsLower P/E, profitable companies only 23.3x 35.2x 61.3x HSIC
Cheaper on forward earningsLower price / next fiscal year consensus EPS 15.3x 40.3x 28.0x HSIC
Faster revenue growthRevenue growth, trailing twelve months +6.2% +26.0% — BTSG
More profitableNet margin, trailing twelve months 3.1% 2.7% 1.9% HSIC
Better return on capitalReturn on invested capital 7.3% 10.0% 4.3% BTSG
Less leveragedLower net debt / EBITDA 3.2x 2.1x 3.2x BTSG
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +23.2% +117.9% — BTSG
Better 5-year returnAnnualised price return, 5 years +2.0%/yr — — –
Less volatileAnnualised volatility, 1 year 25.0% 45.5% 47.9% HSIC
Higher overall scoreMean of the five percentile scores vs peers 54/100 66/100 52/100 BTSG

Percentile Scorecard

HSICBTSGMDLN

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

AxisHSICBTSGMDLN
Valuation 44 #15 of 26 64 #35 of 95 79 #48 of 229
Growth 29 #18 of 25 93 #7 of 88 –
Profitability 79 #6 of 25 61 #35 of 87 72 #59 of 209
Financial Health 16 #22 of 26 46 #55 of 100 43 #137 of 240
Shareholder Returns 100 #1 of 17 67 #20 of 58 15 #125 of 146
Overall 54 66 52
  • HSIC ranked among 27 companies in Healthcare Payers and Distributors
  • BTSG ranked among 102 companies in Healthcare Providers
  • MDLN ranked among 248 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodHSICBTSGMDLNSPY
1 month +4.8%+12.6%+12.7% -1.0%
3 months -1.5%+10.8%+10.0% -0.4%
6 months +21.8%+32.3%-4.0% +4.5%
Year to date +16.8%+86.4%-3.9% +12.4%
1 year +23.2%+117.9%— +13.6%
3 years +41.4%—— +76.4%
3 years, per year +12.3%—— +20.8%
5 years +10.2%—— +63.7%
5 years, per year +2.0%—— +10.4%
10 years +45.3%—— +267.7%
10 years, per year +3.8%—— +13.9%

Risk

MeasureHSICBTSGMDLNSPY
Volatility, 1Y 25.0%45.5%47.9% 12.8%
Downside volatility, 1Y 25.1%50.6%48.3% 12.7%
Beta vs S&P 500, 1Y 0.601.100.75 1.00
Return / volatility, 1Y 0.932.59— 1.06
Max drawdown, 5Y -32.7%-35.6%-36.7% -25.4%
From 52-week high -2.9%-4.3%-19.3% -1.6%
52-week high $90.86$72.91$49.99 $779.14
52-week low $68.99$31.36$31.64 $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.

MultipleHSICBTSGMDLN
P/E now vs peer median 23.3xmedian 25.7x 35.2xmedian 25.6x 61.3xmedian 28.5x
P/S now vs peer median 0.7xmedian 0.3x 0.9xmedian 1.6x 1.7xmedian 2.9x
EV/EBITDA now vs peer median 12.6xmedian 13.9x 22.3xmedian 16.0x 22.0xmedian 18.5x
P/FCF now vs peer median 17.4xmedian 16.6x 28.2xmedian 21.6x 28.0xmedian 26.7x
P/B now vs peer median 2.6xmedian 2.6x 6.4xmedian 3.4x 2.7xmedian 2.3x
PEG now vs peer median 6.89median 1.56 —median 0.74 —median 0.93

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 monthsHSICBTSGMDLN
Revenue $13.73B $15.25B $30.68B
Gross profit $4.34B $1.91B $7.90B
Operating income $709.00M $520.43M $1.74B
Net income $443.00M $410.46M $889.00M
Free cash flow $559.00M $492.41M $1.90B
EPS (diluted) $3.74 $1.86 $0.44
Cash & equivalents – $717.84M $2.32B
Total debt $3.52B $2.18B $12.58B
Shares (diluted) 112.54M 220.23M 1.32B
Enterprise value $10.48B $11.65B $50.23B

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
MetricHSICBTSGMDLN
P/E 23.3x 35.2x 61.3x
P/FCF 17.4x 28.2x 28.0x
P/Operating cash flow 14.2x 23.0x 22.3x
P/S 0.7x 0.9x 1.7x
P/B 2.6x 6.4x 2.7x
P/Tangible book 3.4x 8.2x 8.8x
EV/EBITDA 12.6x 22.3x 22.0x
EV/EBIT 18.5x 29.5x 35.6x
EV/Revenue 1.0x 1.0x 2.0x
EV/FCF 23.4x 31.2x 32.8x
EV/Operating cash flow 19.1x 25.5x 26.1x
PEG (3Y EPS CAGR) 6.89 – –

Growth

14 metrics
MetricHSICBTSGMDLN
Revenue growth (1Y) 6.2% 26.0% –
Revenue CAGR (3Y) 2.7% – –
Gross profit growth (1Y) 7.5% 32.0% –
Gross profit CAGR (3Y) 3.3% – –
Operating income growth (1Y) 9.9% 114.5% –
Operating income CAGR (3Y) 3.0% – –
Net income growth (1Y) 7.5% 219.3% –
Net income CAGR (3Y) -2.0% – –
EPS growth (1Y) 15.8% 213.4% –
EPS CAGR (3Y) 3.4% – –
Operating cash flow growth (1Y) 28.4% 72.6% –
Operating cash flow CAGR (3Y) -4.4% – –
Free cash flow growth (1Y) 38.7% 78.3% –
Free cash flow CAGR (3Y) -4.9% – –

Profitability

14 metrics
MetricHSICBTSGMDLN
Gross margin 31.6% 12.5% 25.7%
EBITDA margin 7.6% 4.5% 9.2%
Operating margin 5.2% 3.4% 5.7%
Pretax margin 4.2% 2.5% 3.6%
Net margin 3.1% 2.7% 1.9%
FCF margin 4.1% 3.2% 6.2%
Operating cash flow margin 5.0% 4.0% 7.8%
Return on equity 11.6% 19.4% 4.6%
Return on assets 3.9% 6.7% 2.2%
Return on invested capital 7.3% 10.0% 4.3%
Return on capital employed 9.0% 11.8% 4.8%
Asset turnover 1.2x 2.5x 0.8x
Cash conversion (OCF / net income) 1.6x 1.5x 2.7x
Stock comp / revenue 0.3% 0.4% 0.4%

Financial Health

11 metrics
MetricHSICBTSGMDLN
Debt / assets 30.6% 34.8% 31.3%
Debt / equity 0.9x 1.0x 0.6x
Net debt / EBITDA 3.2x 2.1x 3.2x
Debt / FCF 6.3x 4.4x 6.6x
Liabilities / assets 66.8% 65.3% 51.7%
Equity / assets 33.2% 34.7% 48.3%
Interest coverage 4.3x 3.6x –
Current ratio 1.3x 1.6x 4.0x
Quick ratio 0.6x 1.2x 2.4x
Cash ratio 0.1x 0.4x 1.2x
Altman Z-score 2.67 4.98 2.74

Shareholder Returns

7 metrics
MetricHSICBTSGMDLN
Dividend yield – – –
Net buyback yield 6.6% 0.5% -13.3%
Shareholder yield 6.6% 0.5% -13.3%
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.

ConsensusHSICBTSGMDLN
Forward P/E 15.3xFY2026 40.3xFY2026 28.0xFY2026
EPS, next fiscal year $5.75FY2026 $1.73FY2026 $1.44FY2026
EPS growth, next FY +15.7%FY2026 +73.0%FY2026 +0.7%FY2026
EPS growth, the year after +8.2% +42.2% +13.9%
Revenue, next fiscal year $13.38BFY2026 $16.01BFY2026 $32.52BFY2026
Revenue growth, next FY +1.5%FY2026 +24.0%FY2026 +14.4%FY2026
Revenue growth, the year after +4.8% +1.4% +8.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersHSICBTSGMDLN
Held by institutions 100.0% 100.0% 57.1%
Institutions holding 566 423 409
Change in shares held, QoQ +2.1% -0.7% +17.9%
Institutions buying 245 309 322
Institutions selling 216 83 69
Buyers to sellers 1.13 3.72 4.67

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.

HSICBTSGMDLN
HSIC 1.00 0.15 0.39
BTSG 0.15 1.00 0.09
MDLN 0.39 0.09 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, HSIC, BTSG and MDLN?

Medline (MDLN) is the largest by market capitalisation: Henry Schein (HSIC) $9.75B, BrightSpring Health Services (BTSG) $13.89B, Medline (MDLN) $53.10B.

Which stock is cheaper, HSIC, BTSG and MDLN?

Henry Schein (HSIC) trades on the lowest price-to-earnings ratio (Henry Schein (HSIC) 23.3x, BrightSpring Health Services (BTSG) 35.2x, Medline (MDLN) 61.3x). On next year's consensus earnings, Henry Schein (HSIC) is cheapest (Henry Schein (HSIC) 15.3x, BrightSpring Health Services (BTSG) 40.3x, Medline (MDLN) 28.0x). 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) +6.2%, BrightSpring Health Services (BTSG) +26.0%.

Which company is more profitable?

Henry Schein (HSIC) has the highest net margin (Henry Schein (HSIC) 3.1%, BrightSpring Health Services (BTSG) 2.7%, Medline (MDLN) 1.9%). On return on invested capital, BrightSpring Health Services (BTSG) leads (Henry Schein (HSIC) 7.3%, BrightSpring Health Services (BTSG) 10.0%, Medline (MDLN) 4.3%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Henry Schein (HSIC) +23.2%, BrightSpring Health Services (BTSG) +117.9%. 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) 25.0%, BrightSpring Health Services (BTSG) 45.5%, Medline (MDLN) 47.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, HSIC, BTSG and MDLN?

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 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.