MCK vs BTSG vs CAH Stock Comparison

Mckesson, BrightSpring Health Services and Cardinal Health Prices as of Oct 23, 2026 Peers: Industry group
MCK Mckesson Corp
$1,001.01 +13.6% 1M +26.2% 1Y
Market cap
$117.56B
P/E
25.6x
Revenue (TTM)
$410.98B
Div. yield
0.00%
Drug Distribution Healthcare
4 wins
CAH Cardinal Health Inc
$249.64 +12.8% 1M +56.8% 1Y
Market cap
$59.43B
P/E
34.7x
Revenue (TTM)
$254.25B
Div. yield
0.01%
Drug Distribution Healthcare
5 wins

Head to Head

12 decided of 12

Cardinal Health leads on 5 of the 12 questions below (Cardinal Health 5, Mckesson 4, BrightSpring Health Services 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMCKBTSGCAHLeader
Larger companyMarket capitalisation $117.56B $12.13B $59.43B MCK
Cheaper on earningsLower P/E, profitable companies only 25.6x 33.1x 34.7x MCK
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.2x 34.7x 20.8x CAH
Faster revenue growthRevenue growth, trailing twelve months +8.8% +26.4% +14.2% BTSG
More profitableNet margin, trailing twelve months 1.1% 2.5% 0.7% BTSG
Better return on capitalReturn on invested capital 107.9% 8.6% 33.9% MCK
Less leveragedLower net debt / EBITDA 0.6x 2.6x 1.1x MCK
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.01% CAH
Better 1-year returnPrice return, last 12 months +26.2% +79.4% +56.8% BTSG
Better 5-year returnAnnualised price return, 5 years +36.8%/yr — +38.2%/yr CAH
Less volatileAnnualised volatility, 1 year 30.6% 44.5% 29.4% CAH
Higher overall scoreMean of the five percentile scores vs peers 60/100 62/100 68/100 CAH

Percentile Scorecard

MCKBTSGCAH

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

AxisMCKBTSGCAH
Valuation 54 #12 of 25 65 #33 of 93 79 #6 of 25
Growth 65 #9 of 24 93 #7 of 88 78 #6 of 24
Profitability 65 #9 of 24 56 #39 of 87 70 #8 of 24
Financial Health 52 #13 of 26 41 #59 of 100 36 #17 of 26
Shareholder Returns 63 #7 of 17 56 #25 of 56 75 #5 of 17
Overall 60 62 68
  • MCK ranked among 27 companies in Healthcare Payers and Distributors
  • BTSG ranked among 103 companies in Healthcare Providers
  • CAH ranked among 27 companies in Healthcare Payers and Distributors

Price Performance

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

Returns

PeriodMCKBTSGCAHSPY
1 month +13.6%+7.8%+12.8% -1.0%
3 months +19.1%-17.6%+9.5% +2.9%
6 months +20.9%+24.8%+24.9% +6.4%
Year to date +22.0%+60.5%+21.5% +11.4%
1 year +26.2%+79.4%+56.8% +13.1%
3 years +121.4%—+167.2% +79.4%
3 years, per year +30.4%—+38.8% +21.5%
5 years +378.7%—+403.6% +67.7%
5 years, per year +36.8%—+38.2% +10.9%
10 years +521.6%—+232.2% +255.2%
10 years, per year +20.1%—+12.8% +13.5%

Risk

MeasureMCKBTSGCAHSPY
Volatility, 1Y 30.6%44.5%29.4% 12.7%
Downside volatility, 1Y 27.4%51.8%24.5% 12.7%
Beta vs S&P 500, 1Y -0.251.31-0.08 1.00
Return / volatility, 1Y 0.861.781.94 1.03
Max drawdown, 5Y -27.2%-35.6%-21.0% -25.4%
From 52-week high -2.8%-17.6%-3.1% -2.5%
52-week high $1,030.18$72.91$257.54 $779.14
52-week low $725.17$31.36$159.16 $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.

MultipleMCKBTSGCAH
P/E now vs peer median 25.9xmedian 24.5x 33.8xmedian 25.3x 34.4xmedian 24.5x
P/S now vs peer median 0.3xmedian 0.3x 0.8xmedian 1.6x 0.2xmedian 0.3x
EV/EBITDA now vs peer median 16.7xmedian 14.4x 21.8xmedian 14.6x 17.4xmedian 14.4x
P/FCF now vs peer median 18.2xmedian 15.8x 29.5xmedian 22.7x 12.8xmedian 15.8x
P/B now vs peer median -27.5xmedian 2.5x 5.8xmedian 3.3x -20.1xmedian 2.5x
PEG now vs peer median 2.16median 1.35 —median 0.66 0.50median 1.35

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 monthsMCKBTSGCAH
Revenue $410.98B $14.37B $254.25B
Gross profit $14.96B $1.78B $9.77B
Operating income $6.50B $447.80M $2.61B
Net income $5.30B $365.85M $1.72B
Free cash flow $6.42B $402.35M $4.53B
EPS (diluted) $38.52 $1.66 $7.23
Cash & equivalents $5.16B $550.38M $4.86B
Total debt $9.73B $9.71B $8.89B
Shares (diluted) 119.20M 220.28M 237.00M
Enterprise value $101.45B $10.46B $43.27B

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
MetricMCKBTSGCAH
P/E 25.9x 33.8x 34.4x
P/FCF 18.2x 29.5x 12.8x
P/Operating cash flow 17.0x 23.4x 11.2x
P/S 0.3x 0.8x 0.2x
P/B -27.5x 5.8x -20.1x
P/Tangible book -14.1x 7.7x -20.1x
EV/EBITDA 16.7x 21.8x 17.4x
EV/EBIT 18.7x 30.2x 23.8x
EV/Revenue 0.3x 0.9x 0.2x
EV/FCF 18.9x 33.6x 13.7x
EV/Operating cash flow 17.7x 26.7x 12.0x
PEG (3Y EPS CAGR) 2.16 – 0.50

Growth

14 metrics
MetricMCKBTSGCAH
Revenue growth (1Y) 8.8% 26.4% 14.2%
Revenue CAGR (3Y) 13.1% – 7.4%
Gross profit growth (1Y) 11.2% 29.4% 19.7%
Gross profit CAGR (3Y) 6.6% – 12.3%
Operating income growth (1Y) 46.6% 143.5% 14.9%
Operating income CAGR (3Y) 13.5% – 50.2%
Net income growth (1Y) 58.1% 472.6% 9.8%
Net income CAGR (3Y) 10.7% – 63.8%
EPS growth (1Y) 52.8% 448.6% 12.1%
EPS CAGR (3Y) 12.0% – 69.2%
Operating cash flow growth (1Y) 4.7% 88.6% 115.9%
Operating cash flow CAGR (3Y) 10.7% – 22.1%
Free cash flow growth (1Y) 6.8% 110.5% 144.6%
Free cash flow CAGR (3Y) 11.3% – 24.2%

Profitability

14 metrics
MetricMCKBTSGCAH
Gross margin 3.6% 12.4% 3.8%
EBITDA margin 1.8% 4.3% 1.4%
Operating margin 1.6% 3.1% 1.0%
Pretax margin 1.6% 2.1% 0.9%
Net margin 1.1% 2.5% 0.7%
FCF margin 1.6% 2.8% 1.8%
Operating cash flow margin 1.7% 3.5% 2.0%
Return on equity – 18.2% –
Return on assets 6.2% 6.0% 3.0%
Return on invested capital 107.9% 8.6% 33.9%
Return on capital employed 43.4% 9.9% 20.0%
Asset turnover 4.8x 2.4x 4.5x
Cash conversion (OCF / net income) 1.3x 1.4x 3.0x
Stock comp / revenue – 0.4% 0.1%

Financial Health

11 metrics
MetricMCKBTSGCAH
Debt / assets 11.0% 36.6% 15.5%
Debt / equity -2.3x 1.1x -3.1x
Net debt / EBITDA 0.6x 2.6x 1.1x
Debt / FCF 1.5x 5.4x 2.0x
Liabilities / assets 104.8% 65.8% 105.0%
Equity / assets -4.8% 34.2% -5.0%
Interest coverage 23.6x 2.9x 7.5x
Current ratio 0.9x 1.6x 0.9x
Quick ratio 0.5x 1.1x 0.4x
Cash ratio 0.1x 0.4x 0.1x
Altman Z-score 5.91 4.65 5.11

Shareholder Returns

7 metrics
MetricMCKBTSGCAH
Dividend yield 0.3% – 0.8%
Net buyback yield 5.7% 0.6% 2.3%
Shareholder yield 6.0% 0.6% 3.2%
Payout ratio (earnings) 7.4% – 28.5%
Payout ratio (FCF) 6.1% – 10.9%
Dividend growth (1Y) 11.3% – -0.6%
Dividend CAGR (3Y) 10.0% – -2.2%

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.

ConsensusMCKBTSGCAH
Forward P/E 21.2xFY2026 34.7xFY2026 20.8xFY2027
EPS, next fiscal year $47.14FY2026 $1.73FY2026 $12.00FY2027
EPS growth, next FY +20.5%FY2026 +73.0%FY2026 +6.6%FY2027
EPS growth, the year after +11.1% +41.6% +13.7%
Revenue, next fiscal year $444.51BFY2026 $15.99BFY2026 $272.89BFY2027
Revenue growth, next FY +10.2%FY2026 +23.9%FY2026 +7.3%FY2027
Revenue growth, the year after +1.4% +1.3% -3.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMCKBTSGCAH
Held by institutions 89.1% 100.0% 87.4%
Institutions holding 2,007 421 1,491
Change in shares held, QoQ -0.7% -0.7% +2.8%
Institutions buying 879 309 711
Institutions selling 791 83 556
Buyers to sellers 1.11 3.72 1.28

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.

MCKBTSGCAH
MCK 1.00 0.05 0.66
BTSG 0.05 1.00 0.07
CAH 0.66 0.07 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MCK, BTSG and CAH?

Mckesson (MCK) is the largest by market capitalisation: Mckesson (MCK) $117.56B, BrightSpring Health Services (BTSG) $12.13B, Cardinal Health (CAH) $59.43B.

Which stock is cheaper, MCK, BTSG and CAH?

Mckesson (MCK) trades on the lowest price-to-earnings ratio (Mckesson (MCK) 25.6x, BrightSpring Health Services (BTSG) 33.1x, Cardinal Health (CAH) 34.7x). On next year's consensus earnings, Cardinal Health (CAH) is cheapest (Mckesson (MCK) 21.2x, BrightSpring Health Services (BTSG) 34.7x, Cardinal Health (CAH) 20.8x). 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: Mckesson (MCK) +8.8%, BrightSpring Health Services (BTSG) +26.4%, Cardinal Health (CAH) +14.2%.

Which company is more profitable?

BrightSpring Health Services (BTSG) has the highest net margin (Mckesson (MCK) 1.1%, BrightSpring Health Services (BTSG) 2.5%, Cardinal Health (CAH) 0.7%). On return on invested capital, Mckesson (MCK) leads (Mckesson (MCK) 107.9%, BrightSpring Health Services (BTSG) 8.6%, Cardinal Health (CAH) 33.9%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Mckesson (MCK) +26.2%, BrightSpring Health Services (BTSG) +79.4%, Cardinal Health (CAH) +56.8%. Over five years, Cardinal Health (CAH) compounded fastest (Mckesson (MCK) +36.8%/yr, Cardinal Health (CAH) +38.2%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Cardinal Health (CAH) has the highest dividend yield: Mckesson (MCK) 0.00%, BrightSpring Health Services (BTSG) 0.00%, Cardinal Health (CAH) 0.01%. BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Cardinal Health (CAH) has been the steadiest (Mckesson (MCK) 30.6%, BrightSpring Health Services (BTSG) 44.5%, Cardinal Health (CAH) 29.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, MCK, BTSG and CAH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Cardinal Health (CAH) 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.