ALGN vs. BTSG: Align vs. BrightSpring Health Services Stock Comparison

November 11, 2026

How do Align (ALGN) and BrightSpring Health Services (BTSG) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

Align (ALGN) and BrightSpring Health Services (BTSG) both fall under the Health Care Equipment & Services industry group, but ALGN is classified in Health Care Equipment & Supplies while BTSG is classified in Health Care Providers & Services.

Align (ALGN) carries decades of public-market history since January 30, 2001, while BrightSpring Health Services (BTSG) listed on January 26, 2024 — long-window comparisons have far more historical data on the ALGN side.

Company profile comparison for Align (ALGN) and BrightSpring Health Services (BTSG)
Profile Item	ALGN	BTSG
Name	Align Technology Inc.	BrightSpring Health Services, Inc.
Country/Region	United States	United States
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Equipment & Supplies	Health Care Providers & Services
GICS Sub-Industry	Health Care Supplies	Health Care Services
Market Capitalization	11.70 billion USD	13.36 billion USD
Currency	USD	USD
Exchange	Nasdaq	Nasdaq
Listing Date	January 30, 2001	January 26, 2024
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ALGN

BTSG

GSPC

Align (ALGN) vs. BrightSpring Health Services (BTSG), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for Align (ALGN) and BrightSpring Health Services (BTSG). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Align (ALGN) and BrightSpring Health Services (BTSG). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Total Return (1Y)	27.43%	106.02%
Total Return (3Y, Annualized)	-2.84%	--
Total Return (5Y, Annualized)	-24.73%	--

Risk Profile

Drawdown History

ALGN

BTSG

GSPC

Align (ALGN) vs. BrightSpring Health Services (BTSG), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for Align (ALGN) and BrightSpring Health Services (BTSG). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Volatility (1Y, Annualized)	40.49%	45.20%
Beta (5Y)	1.67	1.75
Max Drawdown (5Y)	-82.44%	-35.56%
Avg. Volume (3M)	942.14K	2.47M

Risk-Adjusted Performance

Risk-Return Positioning

ALGN and BTSG are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Sharpe Ratio (1Y)	0.57	2.25
Sortino Ratio (1Y)	0.89	3.25

Profitability

ROE (TTM)

BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Align (ALGN) at 11.91% is closer to the peer norm — stronger capital efficiency for BTSG.

ALGN

Health Care Equipment & Services industry group

11.91%

Max: 47.61%
Q3: 14.36%
ALGN: 11.91%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

BTSG

Health Care Equipment & Services industry group

15.54%

Max: 47.61%
BTSG: 15.54%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Align (ALGN) at 11.83% retains a top-quartile share of revenue as profit, ahead of BrightSpring Health Services (BTSG) at 2.69%, which keeps about the industry-typical share.

ALGN

Health Care Equipment & Services industry group

11.83%

Max: 29.35%
ALGN: 11.83%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

BTSG

Health Care Equipment & Services industry group

2.69%

Max: 29.35%
Q3: 9.33%
BTSG: 2.69%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Align (ALGN) at 20.13% operates in the top operating margin quartile, ahead of BrightSpring Health Services (BTSG) at 3.81%, which runs around its industry’s norm.

ALGN

Health Care Equipment & Services industry group

20.13%

Max: 35.43%
ALGN: 20.13%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

BTSG

Health Care Equipment & Services industry group

3.81%

Max: 35.43%
Q3: 14.14%
Median: 6.81%
BTSG: 3.81%
Q1: -0.28%
Min: -16.29%

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
ROE (TTM)	11.91%	15.54%
ROA (TTM)	8.01%	5.44%
Net Margin (TTM)	11.83%	2.69%
Operating Margin (TTM)	20.13%	3.81%
Gross Margin (TTM)	71.53%	12.50%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Align (ALGN) at 0.90% is in the bottom quartile, showing a clear gap in revenue momentum.

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their Revenue Growth across different time periods.

EPS Growth

Only one side can be read here: Align (ALGN) reports EPS growth of 0.53%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Revenue Growth (YoY)	0.90%	28.18%
Revenue Growth (3Y CAGR)	2.61%	18.69%
EPS Growth (YoY)	0.53%	--
EPS Growth (3Y CAGR)	7.02%	--

Financial Strength

Current Ratio (MRQ)

Both Align (ALGN) at 1.43 and BrightSpring Health Services (BTSG) at 1.62 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.

ALGN

Health Care Equipment & Services industry group

1.43

Max: 7.59
Q3: 4.00
Median: 1.98
ALGN: 1.43
Q1: 1.37
Min: 0.30

BTSG

Health Care Equipment & Services industry group

1.62

Max: 7.59
Q3: 4.00
Median: 1.98
BTSG: 1.62
Q1: 1.37
Min: 0.30

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Align (ALGN) at 0.03 keeps leverage in the lower quartile, while BrightSpring Health Services (BTSG) at 1.09 sits in the higher-leverage quartile.

ALGN

Health Care Equipment & Services industry group

0.03

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
ALGN: 0.03
Min: 0.00

BTSG

Health Care Equipment & Services industry group

1.09

Max: 1.88
BTSG: 1.09
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Current Ratio (MRQ)	1.43	1.62
Debt / Equity (MRQ)	0.03	1.09
Net Debt / EBITDA	-1.04	2.39

Dividends

Dividend Yield (TTM)

Neither Align (ALGN) nor BrightSpring Health Services (BTSG) pays a dividend this period — they may reinvest, use buybacks, or simply not return cash through dividends.

ALGN

Health Care Equipment & Services industry group

0.00%

ALGN: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Neither Align (ALGN) nor BrightSpring Health Services (BTSG) pays a dividend this period — they may reinvest, use buybacks, or simply not return cash through dividends.

ALGN

Health Care Equipment & Services industry group

0.00%

ALGN: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
Dividend Yield (TTM)	0.00%	0.00%
Dividend Payout Ratio (TTM)	0.00%	0.00%

Valuation

P/E Ratio (TTM)

Both Align (ALGN) at 24.20 and BrightSpring Health Services (BTSG) at 47.62 land around their industries’ usual P/E ratio levels — neither is getting a clear earnings-multiple discount or premium versus peers.

ALGN

Health Care Equipment & Services industry group

24.20

Max: 80.41
Q3: 47.62
Median: 29.93
ALGN: 24.20
Q1: 21.19
Min: 4.21

BTSG

Health Care Equipment & Services industry group

47.62

Max: 80.41
BTSG: 47.62
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

BrightSpring Health Services (BTSG) at 0.88 sits in the cheaper P/S ratio quartile while Align (ALGN) at 2.81 prices around its industry’s middle — BTSG costs less per dollar of sales, though read it alongside growth and margins.

ALGN

Health Care Equipment & Services industry group

2.81

Max: 8.80
Q3: 4.32
ALGN: 2.81
Median: 2.13
Q1: 1.10
Min: 0.03

BTSG

Health Care Equipment & Services industry group

0.88

Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
BTSG: 0.88
Min: 0.03

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Align (ALGN) at 2.73 is valued about in line with its industry on P/B ratio, while BrightSpring Health Services (BTSG) at 6.39 carries an above-peer premium to book — BTSG is pricier on assets.

ALGN

Health Care Equipment & Services industry group

2.73

Max: 11.68
Q3: 6.12
Median: 3.00
ALGN: 2.73
Q1: 1.73
Min: -1.31

BTSG

Health Care Equipment & Services industry group

6.39

Max: 11.68
BTSG: 6.39
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

Align (ALGN) vs. BrightSpring Health Services (BTSG): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for Align (ALGN) and BrightSpring Health Services (BTSG)
Metric	ALGN	BTSG
P/E Ratio (TTM)	24.20	47.62
P/S Ratio (TTM)	2.81	0.88
P/B Ratio (MRQ)	2.73	6.39
Free Cash Flow Yield (TTM)	4.90%	8.30%