NHC vs BKD vs BTSG Stock Comparison

National Healthcare, Brookdale Senior Living and BrightSpring Health Services Prices as of Oct 27, 2026 Peers: Industry group
NHC National Healthcare Corp
$212.79 -6.1% 1M +76.8% 1Y
Market cap
$3.30B
P/E
23.6x
Revenue (TTM)
$1.56B
Div. yield
0.01%
Home Health and Senior Care Healthcare
7 wins

Head to Head

11 decided of 12

National Healthcare leads on 7 of the 12 questions below (National Healthcare 7, BrightSpring Health Services 4). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionNHCBKDBTSGLeader
Larger companyMarket capitalisation $3.30B $2.37B $12.22B BTSG
Cheaper on earningsLower P/E, profitable companies only 23.6x -17.2x 33.4x NHC
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 317.0x 33.7x BTSG
Faster revenue growthRevenue growth, trailing twelve months +6.9% -4.4% +26.4% BTSG
More profitableNet margin, trailing twelve months 9.0% -4.5% 2.5% NHC
Better return on capitalReturn on invested capital 10.0% 2.5% 8.6% NHC
Less leveragedLower net debt / EBITDA — 8.9x 2.6x BTSG
Higher dividend yieldTrailing dividend yield 0.01% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +76.8% +8.7% +72.5% NHC
Better 5-year returnAnnualised price return, 5 years +25.5%/yr +7.3%/yr — NHC
Less volatileAnnualised volatility, 1 year 34.7% 38.9% 44.6% NHC
Higher overall scoreMean of the five percentile scores vs peers 78/100 40/100 64/100 NHC

Percentile Scorecard

NHCBKDBTSG

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

AxisNHCBKDBTSG
Valuation 77 #22 of 92 64 #34 of 92 66 #32 of 92
Growth 79 #19 of 87 34 #58 of 87 93 #7 of 87
Profitability 80 #18 of 86 53 #41 of 86 57 #38 of 86
Financial Health 88 #13 of 97 9 #88 of 97 41 #58 of 97
Shareholder Returns 67 #19 of 56 – 62 #22 of 56
Overall 78 40 64
  • NHC ranked among 102 companies in Healthcare Providers
  • BKD ranked among 102 companies in Healthcare Providers
  • 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

PeriodNHCBKDBTSGSPY
1 month -6.1%-14.4%+3.1% -0.2%
3 months -7.8%-38.2%-19.5% +3.9%
6 months +21.8%-32.7%+22.9% +8.2%
Year to date +55.2%-11.9%+55.8% +12.9%
1 year +76.8%+8.7%+72.5% +12.3%
3 years +221.9%+142.0%— +87.4%
3 years, per year +47.7%+34.3%— +23.3%
5 years +211.4%+42.2%— +67.9%
5 years, per year +25.5%+7.3%— +10.9%
10 years +228.6%-36.0%— +261.1%
10 years, per year +12.6%-4.4%— +13.7%

Risk

MeasureNHCBKDBTSGSPY
Volatility, 1Y 34.7%38.9%44.6% 12.7%
Downside volatility, 1Y 32.3%39.2%51.5% 12.7%
Beta vs S&P 500, 1Y 0.130.281.30 1.00
Return / volatility, 1Y 2.210.221.63 0.97
Max drawdown, 5Y -34.4%-69.0%-35.6% -25.4%
From 52-week high -14.0%-43.3%-20.0% -1.2%
52-week high $247.31$16.77$72.91 $779.14
52-week low $119.44$8.75$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.

MultipleNHCBKDBTSG
P/E now vs peer median 23.7xmedian 24.6x -16.4xmedian 24.6x 32.9xmedian 24.6x
P/S now vs peer median 2.1xmedian 1.6x 0.7xmedian 1.6x 0.8xmedian 1.6x
EV/EBITDA now vs peer median 16.4xmedian 14.6x 14.1xmedian 14.6x 21.2xmedian 14.6x
P/FCF now vs peer median 22.7xmedian 21.6x 9,385xmedian 21.6x 28.6xmedian 21.6x
P/B now vs peer median 3.0xmedian 3.2x -78.4xmedian 3.2x 5.6xmedian 3.2x
PEG now vs peer median 0.38median 0.66 2.21median 0.66 —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 monthsNHCBKDBTSG
Revenue $1.56B $3.05B $14.37B
Gross profit – $2.93B $1.78B
Operating income $144.68M $106.04M $447.80M
Net income $142.84M -$138.35M $365.85M
Free cash flow $146.53M $242.00K $402.35M
EPS (diluted) $8.84 $-0.57 $1.66
Cash & equivalents $39.21M $370.39M $550.38M
Total debt – $4.27B $2.19B
Shares (diluted) 15.86M 243.89M 220.28M
Enterprise value $2.28B $1.18B $10.55B

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
MetricNHCBKDBTSG
P/E 23.7x -16.4x 32.9x
P/FCF 22.7x 9,385x 28.6x
P/Operating cash flow 17.7x 10.1x 22.8x
P/S 2.1x 0.7x 0.8x
P/B 3.0x -78.4x 5.6x
P/Tangible book 3.0x -78.4x 7.5x
EV/EBITDA 16.4x 14.1x 21.2x
EV/EBIT 21.6x 58.0x 29.4x
EV/Revenue 2.0x 2.0x 0.9x
EV/FCF 21.3x 25,428x 32.7x
EV/Operating cash flow 16.5x 27.5x 26.0x
PEG (3Y EPS CAGR) 0.38 2.21 –

Growth

14 metrics
MetricNHCBKDBTSG
Revenue growth (1Y) 6.9% -4.4% 26.4%
Revenue CAGR (3Y) 12.8% 1.0% –
Gross profit growth (1Y) – -3.9% 29.4%
Gross profit CAGR (3Y) – 1.7% –
Operating income growth (1Y) 24.1% 101.6% 143.5%
Operating income CAGR (3Y) 57.4% 4.1% –
Net income growth (1Y) 35.9% 43.0% 472.6%
Net income CAGR (3Y) 68.9% -10.3% –
EPS growth (1Y) 31.6% 45.1% 448.6%
EPS CAGR (3Y) 61.9% -7.4% –
Operating cash flow growth (1Y) 26.7% 2.4% 88.6%
Operating cash flow CAGR (3Y) 44.1% 29.6% –
Free cash flow growth (1Y) 23.2% 100.1% 110.5%
Free cash flow CAGR (3Y) 58.0% 26.0% –

Profitability

14 metrics
MetricNHCBKDBTSG
Gross margin – 96.1% 12.4%
EBITDA margin 12.2% 14.3% 4.3%
Operating margin 9.3% 3.5% 3.1%
Pretax margin 11.9% -4.4% 2.1%
Net margin 9.0% -4.5% 2.5%
FCF margin 9.4% 0.0% 2.8%
Operating cash flow margin 12.1% 7.3% 3.5%
Return on equity 12.8% – 18.2%
Return on assets 9.3% -2.3% 6.0%
Return on invested capital 10.0% 2.5% 8.6%
Return on capital employed 11.2% 2.0% 9.9%
Asset turnover 1.0x 0.5x 2.4x
Cash conversion (OCF / net income) 1.3x -1.6x 1.4x
Stock comp / revenue 0.3% 0.4% 0.4%

Financial Health

11 metrics
MetricNHCBKDBTSG
Debt / assets – 72.4% 36.6%
Debt / equity – -147.5x 1.1x
Net debt / EBITDA – 8.9x 2.6x
Debt / FCF – 17,655x 5.4x
Liabilities / assets 26.6% 100.5% 65.8%
Equity / assets 73.4% -0.5% 34.2%
Interest coverage 56.6x – 2.9x
Current ratio 1.9x 1.1x 1.6x
Quick ratio 1.5x 0.9x 1.1x
Cash ratio 0.9x 0.7x 0.4x
Altman Z-score 7.18 -0.20 4.60

Shareholder Returns

7 metrics
MetricNHCBKDBTSG
Dividend yield 1.2% – –
Net buyback yield 0.1% – 0.6%
Shareholder yield 1.4% 0.0% 0.6%
Payout ratio (earnings) 27.8% – –
Payout ratio (FCF) 27.1% – –
Dividend growth (1Y) 5.6% – –
Dividend CAGR (3Y) 4.3% – –

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.

ConsensusNHCBKDBTSG
Forward P/E – 317.0xFY2026 33.7xFY2026
EPS, next fiscal year – $0.03FY2026 $1.73FY2026
EPS growth, next FY – – +73.0%FY2026
EPS growth, the year after – +433.3% +42.2%
Revenue, next fiscal year – $2.81BFY2026 $16.01BFY2026
Revenue growth, next FY – -12.0%FY2026 +24.0%FY2026
Revenue growth, the year after – +3.6% +1.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersNHCBKDBTSG
Held by institutions 65.3% 100.0% 100.0%
Institutions holding 250 293 421
Change in shares held, QoQ -0.6% +5.6% -0.7%
Institutions buying 136 165 309
Institutions selling 72 92 83
Buyers to sellers 1.89 1.79 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.

NHCBKDBTSG
NHC 1.00 0.22 0.22
BKD 0.22 1.00 0.26
BTSG 0.22 0.26 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, NHC, BKD and BTSG?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: National Healthcare (NHC) $3.30B, Brookdale Senior Living (BKD) $2.37B, BrightSpring Health Services (BTSG) $12.22B.

Which stock is cheaper, NHC, BKD and BTSG?

National Healthcare (NHC) trades on the lowest price-to-earnings ratio (National Healthcare (NHC) 23.6x, Brookdale Senior Living (BKD) -17.2x, BrightSpring Health Services (BTSG) 33.4x). On next year's consensus earnings, BrightSpring Health Services (BTSG) is cheapest (Brookdale Senior Living (BKD) 317.0x, 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: National Healthcare (NHC) +6.9%, Brookdale Senior Living (BKD) -4.4%, BrightSpring Health Services (BTSG) +26.4%.

Which company is more profitable?

National Healthcare (NHC) has the highest net margin (National Healthcare (NHC) 9.0%, Brookdale Senior Living (BKD) -4.5%, BrightSpring Health Services (BTSG) 2.5%). On return on invested capital, National Healthcare (NHC) leads (National Healthcare (NHC) 10.0%, Brookdale Senior Living (BKD) 2.5%, BrightSpring Health Services (BTSG) 8.6%).

Which stock has performed better?

Over the past year National Healthcare (NHC) returned the most: National Healthcare (NHC) +76.8%, Brookdale Senior Living (BKD) +8.7%, BrightSpring Health Services (BTSG) +72.5%. Over five years, National Healthcare (NHC) compounded fastest (National Healthcare (NHC) +25.5%/yr, Brookdale Senior Living (BKD) +7.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: National Healthcare (NHC) 0.01%, Brookdale Senior Living (BKD) 0.00%, BrightSpring Health Services (BTSG) 0.00%. Brookdale Senior Living (BKD) and BrightSpring Health Services (BTSG) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, National Healthcare (NHC) has been the steadiest (National Healthcare (NHC) 34.7%, Brookdale Senior Living (BKD) 38.9%, BrightSpring Health Services (BTSG) 44.6%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, NHC, BKD 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, National Healthcare (NHC) 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.