OPCH vs BTSG vs SNDA Stock Comparison

Option Care Health, BrightSpring Health Services and Sonida Senior Living Prices as of Oct 29, 2026 Peers: Industry group
OPCH Option Care Health, Inc.
$31.85 +39.6% 1M +11.1% 1Y
Market cap
$4.87B
P/E
23.2x
Revenue (TTM)
$5.69B
Div. yield
–
Home Health and Senior Care Healthcare
5 wins
SNDA Sonida Senior Living, Inc.
$34.26 -8.9% 1M +33.2% 1Y
Market cap
$1.60B
P/E
–
Revenue (TTM)
$525.97M
Div. yield
–
Home Health and Senior Care Healthcare
3 wins

Head to Head

11 decided of 12

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

QuestionOPCHBTSGSNDALeader
Larger companyMarket capitalisation $4.87B $13.69B $1.60B BTSG
Cheaper on earningsLower P/E, profitable companies only 23.2x 37.4x -11.0x OPCH
Cheaper on forward earningsLower price / next fiscal year consensus EPS 16.4x 34.8x — OPCH
Faster revenue growthRevenue growth, trailing twelve months +5.9% +26.4% +49.4% SNDA
More profitableNet margin, trailing twelve months 3.7% 2.5% -27.6% OPCH
Better return on capitalReturn on invested capital 9.9% 8.6% -2.7% OPCH
Less leveragedLower net debt / EBITDA 2.4x 2.6x 52.8x OPCH
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +11.1% +76.9% +33.2% BTSG
Better 5-year returnAnnualised price return, 5 years +3.1%/yr — +4.0%/yr SNDA
Less volatileAnnualised volatility, 1 year 52.0% 44.6% 37.5% SNDA
Higher overall scoreMean of the five percentile scores vs peers 54/100 65/100 19/100 BTSG

Percentile Scorecard

OPCHBTSGSNDA

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

AxisOPCHBTSGSNDA
Valuation 80 #19 of 92 66 #32 of 92 28 #67 of 92
Growth 27 #64 of 87 93 #7 of 87 19 #71 of 87
Profitability 68 #28 of 86 57 #38 of 86 26 #64 of 86
Financial Health 43 #56 of 97 41 #58 of 97 19 #79 of 97
Shareholder Returns – 67 #19 of 55 6 #52 of 55
Overall 54 65 19
  • OPCH ranked among 102 companies in Healthcare Providers
  • BTSG ranked among 102 companies in Healthcare Providers
  • SNDA ranked among 102 companies in Healthcare Providers

Price Performance

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

Returns

PeriodOPCHBTSGSNDASPY
1 month +39.6%+8.1%-8.9% +0.7%
3 months +41.8%-17.4%-14.7% +3.7%
6 months +56.7%+25.5%-9.7% +7.1%
Year to date 0.0%+60.8%+5.1% +12.8%
1 year +11.1%+76.9%+33.2% +11.9%
3 years +18.7%—+283.2% +85.2%
3 years, per year +5.9%—+56.5% +22.8%
5 years +16.5%—+21.4% +67.6%
5 years, per year +3.1%—+4.0% +10.9%
10 years ——-85.5% +262.0%
10 years, per year ——-17.6% +13.7%

Risk

MeasureOPCHBTSGSNDASPY
Volatility, 1Y 52.0%44.6%37.5% 12.7%
Downside volatility, 1Y 50.4%51.5%34.8% 12.6%
Beta vs S&P 500, 1Y 0.041.300.31 1.00
Return / volatility, 1Y 0.211.720.88 0.94
Max drawdown, 5Y -46.7%-35.6%-82.1% -25.4%
From 52-week high -13.0%-17.4%-20.6% -1.2%
52-week high $36.59$72.91$43.17 $779.14
52-week low $19.52$31.36$25.53 $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.

MultipleOPCHBTSGSNDA
P/E now vs peer median 23.2xmedian 26.0x 33.9xmedian 26.0x -11.0xmedian 26.0x
P/S now vs peer median 0.8xmedian 1.6x 0.8xmedian 1.6x 3.1xmedian 1.6x
EV/EBITDA now vs peer median 14.0xmedian 15.4x 21.8xmedian 15.4x 109.1xmedian 15.4x
P/FCF now vs peer median 15.7xmedian 21.5x 29.6xmedian 21.5x -23.7xmedian 21.5x
P/B now vs peer median 3.8xmedian 3.2x 5.8xmedian 3.2x 1.9xmedian 3.2x
PEG now vs peer median 22.50median 0.87 —median 0.87 -1.23median 0.87

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 monthsOPCHBTSGSNDA
Revenue $5.69B $14.37B $525.97M
Gross profit $1.09B $1.78B –
Operating income $333.69M $447.80M –
Net income $209.58M $365.85M -$123.67M
Free cash flow $303.85M $402.35M -$68.36M
EPS (diluted) $1.37 $1.66 $-3.11
Cash & equivalents $193.77M $550.38M $48.71M
Total debt $1.16B $2.19B $1.57B
Shares (diluted) 153.49M 220.28M 46.81M
Enterprise value $3.96B $12.03B $1.44B

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
MetricOPCHBTSGSNDA
P/E 23.2x 33.9x -11.0x
P/FCF 15.7x 29.6x -23.7x
P/Operating cash flow 13.8x 23.5x -104.3x
P/S 0.8x 0.8x 3.1x
P/B 3.8x 5.8x 1.9x
P/Tangible book 4.9x 7.8x 2.4x
EV/EBITDA 14.0x 21.8x 109.1x
EV/EBIT 17.2x 30.2x -46.5x
EV/Revenue 1.0x 0.9x 6.0x
EV/FCF 18.9x 33.6x -46.0x
EV/Operating cash flow 16.5x 26.7x -202.2x
PEG (3Y EPS CAGR) 22.50 – -1.23

Growth

14 metrics
MetricOPCHBTSGSNDA
Revenue growth (1Y) 5.9% 26.4% 49.4%
Revenue CAGR (3Y) 11.3% – 29.0%
Gross profit growth (1Y) 2.6% 29.4% –
Gross profit CAGR (3Y) 5.3% – –
Operating income growth (1Y) -0.1% 143.5% –
Operating income CAGR (3Y) 6.3% – –
Net income growth (1Y) -0.8% 472.6% -243.6%
Net income CAGR (3Y) -4.4% – -88.8%
EPS growth (1Y) 6.1% 448.6% -44.1%
EPS CAGR (3Y) 1.0% – 9.0%
Operating cash flow growth (1Y) 24.0% 88.6% -223.5%
Operating cash flow CAGR (3Y) -3.8% – -72.1%
Free cash flow growth (1Y) 26.0% 110.5% 66.2%
Free cash flow CAGR (3Y) -4.7% – -58.8%

Profitability

14 metrics
MetricOPCHBTSGSNDA
Gross margin 19.1% 12.4% –
EBITDA margin 7.2% 4.3% 5.5%
Operating margin 5.9% 3.1% –
Pretax margin 5.0% 2.1% -23.4%
Net margin 3.7% 2.5% -27.6%
FCF margin 5.3% 2.8% -13.0%
Operating cash flow margin 6.1% 3.5% -3.0%
Return on equity 16.0% 18.2% -14.1%
Return on assets 6.2% 6.0% -4.8%
Return on invested capital 9.9% 8.6% -2.7%
Return on capital employed 13.0% 9.9% -2.7%
Asset turnover 1.7x 2.4x 0.2x
Cash conversion (OCF / net income) 1.7x 1.4x 0.1x
Stock comp / revenue 0.7% 0.4% 1.4%

Financial Health

11 metrics
MetricOPCHBTSGSNDA
Debt / assets 34.3% 36.6% 61.7%
Debt / equity 0.9x 1.1x 1.8x
Net debt / EBITDA 2.4x 2.6x 52.8x
Debt / FCF 3.8x 5.4x -23.0x
Liabilities / assets 62.7% 65.8% 66.0%
Equity / assets 37.3% 34.2% 34.0%
Interest coverage 6.2x 2.9x -1.2x
Current ratio 1.5x 1.6x 0.9x
Quick ratio 1.0x 1.1x 0.6x
Cash ratio 0.2x 0.4x 0.4x
Altman Z-score 3.90 4.65 0.38

Shareholder Returns

7 metrics
MetricOPCHBTSGSNDA
Dividend yield – – –
Net buyback yield – 0.6% -6.7%
Shareholder yield – 0.6% -6.7%
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.

ConsensusOPCHBTSGSNDA
Forward P/E 16.4xFY2026 34.8xFY2026 –
EPS, next fiscal year $1.94FY2026 $1.73FY2026 $-3.72FY2026
EPS growth, next FY +12.8%FY2026 +73.0%FY2026 –
EPS growth, the year after +12.9% +42.2% –
Revenue, next fiscal year $5.93BFY2026 $16.01BFY2026 $682.14MFY2026
Revenue growth, next FY +5.0%FY2026 +24.0%FY2026 +79.0%FY2026
Revenue growth, the year after -2.1% +1.4% +17.9%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersOPCHBTSGSNDA
Held by institutions 100.0% 100.0% 79.1%
Institutions holding 373 422 229
Change in shares held, QoQ -4.6% -0.7% +44.5%
Institutions buying 213 309 132
Institutions selling 121 83 55
Buyers to sellers 1.76 3.72 2.40

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.

OPCHBTSGSNDA
OPCH 1.00 0.11 0.06
BTSG 0.11 1.00 0.18
SNDA 0.06 0.18 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, OPCH, BTSG and SNDA?

BrightSpring Health Services (BTSG) is the largest by market capitalisation: Option Care Health (OPCH) $4.87B, BrightSpring Health Services (BTSG) $13.69B, Sonida Senior Living (SNDA) $1.60B.

Which stock is cheaper, OPCH, BTSG and SNDA?

Option Care Health (OPCH) trades on the lowest price-to-earnings ratio (Option Care Health (OPCH) 23.2x, BrightSpring Health Services (BTSG) 37.4x, Sonida Senior Living (SNDA) -11.0x). On next year's consensus earnings, Option Care Health (OPCH) is cheapest (Option Care Health (OPCH) 16.4x, BrightSpring Health Services (BTSG) 34.8x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Sonida Senior Living (SNDA) grew revenue fastest over the trailing twelve months: Option Care Health (OPCH) +5.9%, BrightSpring Health Services (BTSG) +26.4%, Sonida Senior Living (SNDA) +49.4%.

Which company is more profitable?

Option Care Health (OPCH) has the highest net margin (Option Care Health (OPCH) 3.7%, BrightSpring Health Services (BTSG) 2.5%, Sonida Senior Living (SNDA) -27.6%). On return on invested capital, Option Care Health (OPCH) leads (Option Care Health (OPCH) 9.9%, BrightSpring Health Services (BTSG) 8.6%, Sonida Senior Living (SNDA) -2.7%).

Which stock has performed better?

Over the past year BrightSpring Health Services (BTSG) returned the most: Option Care Health (OPCH) +11.1%, BrightSpring Health Services (BTSG) +76.9%, Sonida Senior Living (SNDA) +33.2%. Over five years, Sonida Senior Living (SNDA) compounded fastest (Option Care Health (OPCH) +3.1%/yr, Sonida Senior Living (SNDA) +4.0%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Sonida Senior Living (SNDA) has been the steadiest (Option Care Health (OPCH) 52.0%, BrightSpring Health Services (BTSG) 44.6%, Sonida Senior Living (SNDA) 37.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, OPCH, BTSG and SNDA?

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