MCK vs AMRX vs BTSG Stock Comparison

Mckesson, Amneal Pharmaceuticals and BrightSpring Health Services Prices as of Oct 27, 2026 Peers: Industry group
MCK Mckesson Corp
$967.03 +11.6% 1M +19.2% 1Y
Market cap
$113.72B
P/E
24.8x
Revenue (TTM)
$410.98B
Div. yield
0.00%
Drug Distribution Healthcare
7 wins

Head to Head

11 decided of 12

Mckesson leads on 7 of the 12 questions below (Mckesson 7, Amneal Pharmaceuticals 3, BrightSpring Health Services 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMCKAMRXBTSGLeader
Larger companyMarket capitalisation $113.72B $6.75B $12.18B MCK
Cheaper on earningsLower P/E, profitable companies only 24.8x 42.9x 33.3x MCK
Cheaper on forward earningsLower price / next fiscal year consensus EPS 20.5x 22.1x 33.7x MCK
Faster revenue growthRevenue growth, trailing twelve months +8.8% +9.3% +26.4% BTSG
More profitableNet margin, trailing twelve months 1.1% 5.0% 2.5% AMRX
Better return on capitalReturn on invested capital 107.9% 17.4% 8.6% MCK
Less leveragedLower net debt / EBITDA 0.6x 3.8x 2.6x MCK
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +19.2% +109.2% +72.5% AMRX
Better 5-year returnAnnualised price return, 5 years +36.4%/yr +31.5%/yr — MCK
Less volatileAnnualised volatility, 1 year 30.7% 35.0% 44.6% MCK
Higher overall scoreMean of the five percentile scores vs peers 57/100 70/100 64/100 AMRX

Percentile Scorecard

MCKAMRXBTSG

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

AxisMCKAMRXBTSG
Valuation 50 #13 of 25 91 #55 of 625 66 #32 of 92
Growth 65 #9 of 24 74 #157 of 602 93 #7 of 87
Profitability 61 #10 of 24 84 #88 of 551 57 #38 of 86
Financial Health 52 #13 of 26 12 #580 of 656 41 #58 of 97
Shareholder Returns 57 #7 of 15 88 #46 of 365 62 #22 of 56
Overall 57 70 64
  • MCK ranked among 27 companies in Healthcare Payers and Distributors
  • AMRX ranked among 672 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

PeriodMCKAMRXBTSGSPY
1 month +11.6%+8.4%+3.1% -0.2%
3 months +8.7%+14.3%-19.5% +3.9%
6 months +15.8%+68.4%+22.9% +8.2%
Year to date +17.9%+70.2%+55.8% +12.9%
1 year +19.2%+109.2%+72.5% +12.3%
3 years +115.8%+468.7%— +87.4%
3 years, per year +29.3%+78.6%— +23.3%
5 years +371.7%+293.4%— +67.9%
5 years, per year +36.4%+31.5%— +10.9%
10 years +502.5%—— +261.1%
10 years, per year +19.7%—— +13.7%

Risk

MeasureMCKAMRXBTSGSPY
Volatility, 1Y 30.7%35.0%44.6% 12.7%
Downside volatility, 1Y 27.4%31.0%51.5% 12.7%
Beta vs S&P 500, 1Y -0.270.701.30 1.00
Return / volatility, 1Y 0.623.121.63 0.97
Max drawdown, 5Y -27.2%-78.2%-35.6% -25.4%
From 52-week high -6.1%0.0%-20.0% -1.2%
52-week high $1,030.18$21.44$72.91 $779.14
52-week low $725.17$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.

MultipleMCKAMRXBTSG
P/E now vs peer median 25.0xmedian 23.9x 43.5xmedian 17.2x 32.9xmedian 24.6x
P/S now vs peer median 0.3xmedian 0.3x 2.2xmedian 9.0x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 16.2xmedian 13.4x 14.1xmedian 16.3x 21.2xmedian 14.6x
P/FCF now vs peer median 17.6xmedian 15.5x 82.4xmedian 18.7x 28.6xmedian 21.6x
P/B now vs peer median -26.6xmedian 2.5x 207.3xmedian 2.2x 5.6xmedian 3.2x
PEG now vs peer median 2.09median 1.34 0.18median 0.33 —median 0.66

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 monthsMCKAMRXBTSG
Revenue $410.98B $3.12B $14.37B
Gross profit $14.96B $1.23B $1.78B
Operating income $6.50B $453.92M $447.80M
Net income $5.30B $215.32M $365.85M
Free cash flow $6.42B $83.11M $402.35M
R&D – $175.57M –
EPS (diluted) $38.52 $0.48 $1.66
Cash & equivalents $5.16B $127.64M $550.38M
Total debt $9.73B $2.67B $2.19B
Shares (diluted) 119.20M 328.10M 220.28M
Enterprise value $97.62B $5.95B $10.52B

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
MetricMCKAMRXBTSG
P/E 25.0x 43.5x 32.9x
P/FCF 17.6x 82.4x 28.6x
P/Operating cash flow 16.5x 34.1x 22.8x
P/S 0.3x 2.2x 0.8x
P/B -26.6x 207.3x 5.6x
P/Tangible book -13.7x -12.3x 7.5x
EV/EBITDA 16.2x 14.1x 21.2x
EV/EBIT 18.1x 20.7x 29.4x
EV/Revenue 0.3x 3.0x 0.9x
EV/FCF 18.3x 113.0x 32.7x
EV/Operating cash flow 17.1x 46.8x 26.0x
PEG (3Y EPS CAGR) 2.09 0.18 –

Growth

14 metrics
MetricMCKAMRXBTSG
Revenue growth (1Y) 8.8% 9.3% 26.4%
Revenue CAGR (3Y) 13.1% 10.5% –
Gross profit growth (1Y) 11.2% 14.1% 29.4%
Gross profit CAGR (3Y) 6.6% 14.9% –
Operating income growth (1Y) 46.6% 20.6% 143.5%
Operating income CAGR (3Y) 13.5% 32.5% –
Net income growth (1Y) 58.1% 426.4% 472.6%
Net income CAGR (3Y) 10.7% 139.1% –
EPS growth (1Y) 52.8% 4,481% 448.6%
EPS CAGR (3Y) 12.0% 237.0% –
Operating cash flow growth (1Y) 4.7% -42.8% 88.6%
Operating cash flow CAGR (3Y) 10.7% 0.4% –
Free cash flow growth (1Y) 6.8% -69.3% 110.5%
Free cash flow CAGR (3Y) 11.3% -17.3% –

Profitability

14 metrics
MetricMCKAMRXBTSG
Gross margin 3.6% 39.3% 12.4%
EBITDA margin 1.8% 21.3% 4.3%
Operating margin 1.6% 14.6% 3.1%
Pretax margin 1.6% 6.5% 2.1%
Net margin 1.1% 5.0% 2.5%
FCF margin 1.6% 2.7% 2.8%
Operating cash flow margin 1.7% 6.4% 3.5%
Return on equity – – 18.2%
Return on assets 6.2% 5.9% 6.0%
Return on invested capital 107.9% 17.4% 8.6%
Return on capital employed 43.4% 16.4% 9.9%
Asset turnover 4.8x 0.9x 2.4x
Cash conversion (OCF / net income) 1.3x 0.9x 1.4x
Stock comp / revenue – 1.1% 0.4%

Financial Health

11 metrics
MetricMCKAMRXBTSG
Debt / assets 11.0% 70.7% 36.6%
Debt / equity -2.3x 80.9x 1.1x
Net debt / EBITDA 0.6x 3.8x 2.6x
Debt / FCF 1.5x 32.1x 5.4x
Liabilities / assets 104.8% 99.1% 65.8%
Equity / assets -4.8% 0.9% 34.2%
Interest coverage 23.6x – 2.9x
Current ratio 0.9x 2.2x 1.6x
Quick ratio 0.5x 1.3x 1.1x
Cash ratio 0.1x 0.1x 0.4x
Altman Z-score 5.89 2.50 4.60

Shareholder Returns

7 metrics
MetricMCKAMRXBTSG
Dividend yield 0.4% – –
Net buyback yield 5.9% 0.0% 0.6%
Shareholder yield 6.2% 0.0% 0.6%
Payout ratio (earnings) 7.4% – –
Payout ratio (FCF) 6.1% – –
Dividend growth (1Y) 11.3% – –
Dividend CAGR (3Y) 10.0% – –

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.

ConsensusMCKAMRXBTSG
Forward P/E 20.5xFY2026 22.1xFY2026 33.7xFY2026
EPS, next fiscal year $47.15FY2026 $0.97FY2026 $1.73FY2026
EPS growth, next FY +20.6%FY2026 +16.9%FY2026 +73.0%FY2026
EPS growth, the year after +11.0% +26.8% +42.2%
Revenue, next fiscal year $444.47BFY2026 $3.24BFY2026 $16.01BFY2026
Revenue growth, next FY +10.2%FY2026 +7.4%FY2026 +24.0%FY2026
Revenue growth, the year after +1.5% +12.4% +1.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMCKAMRXBTSG
Held by institutions 89.1% 51.0% 100.0%
Institutions holding 2,009 310 421
Change in shares held, QoQ -0.7% +1.3% -0.7%
Institutions buying 881 182 309
Institutions selling 791 86 83
Buyers to sellers 1.11 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.

MCKAMRXBTSG
MCK 1.00 0.13 0.06
AMRX 0.13 1.00 0.18
BTSG 0.06 0.18 1.00

Add a Peer

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Related Comparisons

Frequently Asked Questions

Which is bigger, MCK, AMRX and BTSG?

Mckesson (MCK) is the largest by market capitalisation: Mckesson (MCK) $113.72B, Amneal Pharmaceuticals (AMRX) $6.75B, BrightSpring Health Services (BTSG) $12.18B.

Which stock is cheaper, MCK, AMRX and BTSG?

Mckesson (MCK) trades on the lowest price-to-earnings ratio (Mckesson (MCK) 24.8x, Amneal Pharmaceuticals (AMRX) 42.9x, BrightSpring Health Services (BTSG) 33.3x). On next year's consensus earnings, Mckesson (MCK) is cheapest (Mckesson (MCK) 20.5x, Amneal Pharmaceuticals (AMRX) 22.1x, BrightSpring Health Services (BTSG) 33.7x). 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: Mckesson (MCK) +8.8%, Amneal Pharmaceuticals (AMRX) +9.3%, BrightSpring Health Services (BTSG) +26.4%.

Which company is more profitable?

Amneal Pharmaceuticals (AMRX) has the highest net margin (Mckesson (MCK) 1.1%, Amneal Pharmaceuticals (AMRX) 5.0%, BrightSpring Health Services (BTSG) 2.5%). On return on invested capital, Mckesson (MCK) leads (Mckesson (MCK) 107.9%, 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: Mckesson (MCK) +19.2%, Amneal Pharmaceuticals (AMRX) +109.2%, BrightSpring Health Services (BTSG) +72.5%. Over five years, Mckesson (MCK) compounded fastest (Mckesson (MCK) +36.4%/yr, Amneal Pharmaceuticals (AMRX) +31.5%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Mckesson (MCK) 0.00%, Amneal Pharmaceuticals (AMRX) 0.00%, BrightSpring Health Services (BTSG) 0.00%. Amneal Pharmaceuticals (AMRX) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Mckesson (MCK) has been the steadiest (Mckesson (MCK) 30.7%, Amneal Pharmaceuticals (AMRX) 35.0%, BrightSpring Health Services (BTSG) 44.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, MCK, 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, Mckesson (MCK) 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.