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BTSG vs. ELV: BrightSpring Health Services vs. Elevance Health Stock Comparison

How do BrightSpring Health Services (BTSG) and Elevance Health (ELV) 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

BrightSpring Health Services (BTSG) and Elevance Health (ELV) both belong to the Health Care Providers & Services industry, though BTSG is classified under Health Care Services while ELV falls under Managed Health Care.

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

Company profile comparison for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
Profile ItemBTSGELV
NameBrightSpring Health Services, Inc.Elevance Health, Inc.
Country/RegionUnited StatesUnited States
GICS SectorHealth CareHealth Care
GICS Industry GroupHealth Care Equipment & ServicesHealth Care Equipment & Services
GICS IndustryHealth Care Providers & ServicesHealth Care Providers & Services
GICS Sub-IndustryHealth Care ServicesManaged Health Care
Market Capitalization13.36 billion USD91.96 billion USD
CurrencyUSDUSD
ExchangeNasdaqNYSE
Listing DateJanuary 26, 2024October 30, 2001
Security TypeCommon StockCommon Stock

Price Performance

Cumulative Growth

BTSG
ELV
GSPC
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV), 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 BrightSpring Health Services (BTSG) and Elevance Health (ELV). Returns over one year are annualized.

Calendar-Year Returns

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

Performance Metrics

Price performance metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Total Return (1Y)106.02%35.51%
Total Return (3Y, Annualized)---0.68%
Total Return (5Y, Annualized)--1.10%

Risk Profile

Drawdown History

BTSG
ELV
GSPC
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV), 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 BrightSpring Health Services (BTSG) and Elevance Health (ELV). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

BrightSpring Health Services (BTSG) has an aggressive beta of 1.75, indicating higher sensitivity to broad-market moves, while Elevance Health (ELV) is defensive at 0.61 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.

Risk profile metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Volatility (1Y, Annualized)45.20%35.05%
Beta (5Y)1.750.61
Max Drawdown (5Y)-35.56%-50.38%
Avg. Volume (3M)2.47M1.19M

Risk-Adjusted Performance

Risk-Return Positioning

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BTSG and ELV 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 BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Sharpe Ratio (1Y)2.250.89
Sortino Ratio (1Y)3.251.25

Profitability

ROE (TTM)

BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Elevance Health (ELV) at 11.48% is closer to the peer norm — stronger capital efficiency for BTSG.

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%

ELV

Health Care Equipment & Services industry group

11.48%

Max
47.61%
Q3
14.36%
ELV
11.48%
Median
5.45%
Q1
-10.67%
Min
-47.01%
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Both BrightSpring Health Services (BTSG) at 2.69% and Elevance Health (ELV) at 2.55% keep about the typical share of revenue as profit for their industries — neither bottom line stands out from peers.

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%

ELV

Health Care Equipment & Services industry group

2.55%

Max
29.35%
Q3
9.33%
ELV
2.55%
Median
2.18%
Q1
-6.29%
Min
-28.46%
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Both BrightSpring Health Services (BTSG) at 3.81% and Elevance Health (ELV) at 4.22% run core operations about as efficiently as their industries’ norm — neither stands out on operating profitability.

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%

ELV

Health Care Equipment & Services industry group

4.22%

Max
35.43%
Q3
14.14%
Median
6.81%
ELV
4.22%
Q1
-0.28%
Min
-16.29%
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
ROE (TTM)15.54%11.48%
ROA (TTM)5.44%4.01%
Net Margin (TTM)2.69%2.55%
Operating Margin (TTM)3.81%4.22%
Gross Margin (TTM)12.50%26.43%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Elevance Health (ELV) at 12.62% is closer to the peer norm — faster top-line expansion for BTSG.

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

EPS Growth

Only one side can be read here: Elevance Health (ELV) reports EPS growth of -1.83%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

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

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Revenue Growth (YoY)28.18%12.62%
Revenue Growth (3Y CAGR)18.69%8.34%
EPS Growth (YoY)---1.83%
EPS Growth (3Y CAGR)--0.53%

Financial Strength

Current Ratio (MRQ)

Both BrightSpring Health Services (BTSG) at 1.62 and Elevance Health (ELV) at 1.47 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.

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

ELV

Health Care Equipment & Services industry group

1.47

Max
7.59
Q3
4.00
Median
1.98
ELV
1.47
Q1
1.37
Min
0.30
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Elevance Health (ELV) at 0.69 carries an industry-typical debt-to-equity mix, while BrightSpring Health Services (BTSG) at 1.09 uses more debt funding than most peers.

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

ELV

Health Care Equipment & Services industry group

0.69

Max
1.88
Q3
0.91
ELV
0.69
Median
0.58
Q1
0.16
Min
0.00
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their debt-to-equity ratio against the Health Care Equipment & Services industry group benchmark.

Financial Strength Metrics

Financial strength metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Current Ratio (MRQ)1.621.47
Debt / Equity (MRQ)1.090.69
Net Debt / EBITDA2.39-0.81

Dividends

Dividend Yield (TTM)

BrightSpring Health Services (BTSG) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Elevance Health (ELV) reports a yield of 1.59%, ranking against industry peers normally.

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%

ELV

Health Care Equipment & Services industry group

1.59%

ELV
1.59%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

BrightSpring Health Services (BTSG) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Elevance Health (ELV) reports a payout of 29.17%, ranking against industry peers normally.

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%

ELV

Health Care Equipment & Services industry group

29.17%

ELV
29.17%
Max
0.00%
Q3
0.00%
Median
0.00%
Q1
0.00%
Min
0.00%
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
Dividend Yield (TTM)0.00%1.59%
Dividend Payout Ratio (TTM)0.00%29.17%

Valuation

P/E Ratio (TTM)

Elevance Health (ELV) at 18.07 sits in the cheaper P/E ratio quartile, while BrightSpring Health Services (BTSG) at 47.62 is closer to its industry’s usual earnings multiple — a discount for ELV, though growth and earnings durability still matter.

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

ELV

Health Care Equipment & Services industry group

18.07

Max
80.41
Q3
47.62
Median
29.93
Q1
21.19
ELV
18.07
Min
4.21
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BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

Both BrightSpring Health Services (BTSG) at 0.88 and Elevance Health (ELV) at 0.46 fetch a relatively low price per dollar of sales, landing in the cheaper P/S ratio quartile of their industries.

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

ELV

Health Care Equipment & Services industry group

0.46

Max
8.80
Q3
4.32
Median
2.13
Q1
1.10
ELV
0.46
Min
0.03
Loading chart…
BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Elevance Health (ELV) at 2.06 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.

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

ELV

Health Care Equipment & Services industry group

2.06

Max
11.68
Q3
6.12
Median
3.00
ELV
2.06
Q1
1.73
Min
-1.31
Loading chart…
BrightSpring Health Services (BTSG) vs. Elevance Health (ELV): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for BrightSpring Health Services (BTSG) and Elevance Health (ELV)
MetricBTSGELV
P/E Ratio (TTM)47.6218.07
P/S Ratio (TTM)0.880.46
P/B Ratio (MRQ)6.392.06
Free Cash Flow Yield (TTM)8.30%8.69%