BTSG vs. HCA: BrightSpring Health Services vs. HCA Healthcare Stock Comparison

November 11, 2026

How do BrightSpring Health Services (BTSG) and HCA Healthcare (HCA) 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 HCA Healthcare (HCA) both belong to the Health Care Providers & Services industry, though BTSG is classified under Health Care Services while HCA falls under Health Care Facilities.

HCA Healthcare (HCA) has been public since March 10, 2011, giving it a longer listed trading history, while BrightSpring Health Services (BTSG) listed on January 26, 2024 and still has a shorter public-market record.

Company profile comparison for BrightSpring Health Services (BTSG) and HCA Healthcare (HCA)
Profile Item	BTSG	HCA
Name	BrightSpring Health Services, Inc.	HCA Healthcare, 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 Providers & Services	Health Care Providers & Services
GICS Sub-Industry	Health Care Services	Health Care Facilities
Market Capitalization	13.36 billion USD	103.40 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	January 26, 2024	March 10, 2011
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

BTSG

HCA

GSPC

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA), 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 HCA Healthcare (HCA). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for BrightSpring Health Services (BTSG) and HCA Healthcare (HCA). 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 HCA Healthcare (HCA)
Metric	BTSG	HCA
Total Return (1Y)	106.02%	6.56%
Total Return (3Y, Annualized)	--	31.39%
Total Return (5Y, Annualized)	--	16.40%

Risk Profile

Drawdown History

BTSG

HCA

GSPC

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

Risk Metrics

Risk profile metrics for BrightSpring Health Services (BTSG) and HCA Healthcare (HCA)
Metric	BTSG	HCA
Volatility (1Y, Annualized)	45.20%	32.89%
Beta (5Y)	1.75	1.07
Max Drawdown (5Y)	-35.56%	-39.49%
Avg. Volume (3M)	2.47M	1.35M

Risk-Adjusted Performance

Risk-Return Positioning

BTSG and HCA 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 HCA Healthcare (HCA)
Metric	BTSG	HCA
Sharpe Ratio (1Y)	2.25	0.07
Sortino Ratio (1Y)	3.25	0.11

Profitability

ROE (TTM)

Capital efficiency shows on one side only: BrightSpring Health Services (BTSG) earns 15.54% on shareholders’ equity, ranked against its industry; HCA Healthcare (HCA) has no ROE this period.

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%

HCA

Health Care Equipment & Services industry group

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

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): HCA does not report ROE, so it has no value marker; BTSG is benchmarked against the Health Care Equipment & Services industry group.

Net Margin (TTM)

Both BrightSpring Health Services (BTSG) at 2.69% and HCA Healthcare (HCA) at 8.61% 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%

HCA

Health Care Equipment & Services industry group

8.61%

Max: 29.35%
Q3: 9.33%
HCA: 8.61%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

HCA Healthcare (HCA) at 14.83% operates in the top operating margin quartile, ahead of BrightSpring Health Services (BTSG) at 3.81%, which runs around its industry’s norm.

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%

HCA

Health Care Equipment & Services industry group

14.83%

Max: 35.43%
HCA: 14.83%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): 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 HCA Healthcare (HCA)
Metric	BTSG	HCA
ROE (TTM)	15.54%	--
ROA (TTM)	5.44%	12.23%
Net Margin (TTM)	2.69%	8.61%
Operating Margin (TTM)	3.81%	14.83%
Gross Margin (TTM)	12.50%	42.76%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while HCA Healthcare (HCA) at 7.08% is closer to the peer norm — faster top-line expansion for BTSG.

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

EPS Growth

Only one side can be read here: HCA Healthcare (HCA) reports EPS growth of 28.77%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

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

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and HCA Healthcare (HCA)
Metric	BTSG	HCA
Revenue Growth (YoY)	28.18%	7.08%
Revenue Growth (3Y CAGR)	18.69%	7.87%
EPS Growth (YoY)	--	28.77%
EPS Growth (3Y CAGR)	--	13.94%

Financial Strength

Current Ratio (MRQ)

BrightSpring Health Services (BTSG) at 1.62 keeps current ratio within its industry’s typical mid-range, while HCA Healthcare (HCA) at 0.82 runs in the tighter-liquidity quartile — a thinner cushion against current liabilities for HCA.

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

HCA

Health Care Equipment & Services industry group

0.82

Max: 7.59
Q3: 4.00
Median: 1.98
Q1: 1.37
HCA: 0.82
Min: 0.30

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

Debt / Equity (MRQ)

Only one side’s leverage can be read here: BrightSpring Health Services (BTSG) carries debt-to-equity ratio of 1.09 against its industry range, while HCA Healthcare (HCA) reports no figure this period.

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

HCA

Health Care Equipment & Services industry group

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00
HCA: --

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): HCA does not report debt-to-equity ratio, so it has no value marker; BTSG is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for BrightSpring Health Services (BTSG) and HCA Healthcare (HCA)
Metric	BTSG	HCA
Current Ratio (MRQ)	1.62	0.82
Debt / Equity (MRQ)	1.09	--
Net Debt / EBITDA	2.39	3.26

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 HCA Healthcare (HCA) reports a yield of 0.60%, 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%

HCA

Health Care Equipment & Services industry group

0.60%

HCA: 0.60%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): 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 HCA Healthcare (HCA) reports a payout of 10.15%, 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%

HCA

Health Care Equipment & Services industry group

10.15%

HCA: 10.15%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): 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 HCA Healthcare (HCA)
Metric	BTSG	HCA
Dividend Yield (TTM)	0.00%	0.60%
Dividend Payout Ratio (TTM)	0.00%	10.15%

Valuation

P/E Ratio (TTM)

HCA Healthcare (HCA) at 16.42 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 HCA, 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

HCA

Health Care Equipment & Services industry group

16.42

Max: 80.41
Q3: 47.62
Median: 29.93
Q1: 21.19
HCA: 16.42
Min: 4.21

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): 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 HCA Healthcare (HCA) at 1.31 prices around its industry’s middle — BTSG costs less per dollar of sales, though read it alongside growth and margins.

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

HCA

Health Care Equipment & Services industry group

1.31

Max: 8.80
Q3: 4.32
Median: 2.13
HCA: 1.31
Q1: 1.10
Min: 0.03

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

P/B Ratio (MRQ)

HCA Healthcare (HCA) reports a negative P/B ratio of -12.92, meaning negative book equity — the multiple itself is not meaningful for valuation. Meanwhile BrightSpring Health Services (BTSG) reports 6.39, ranking against industry peers normally.

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

HCA

Health Care Equipment & Services industry group

-12.92

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31
HCA: -12.92

BrightSpring Health Services (BTSG) vs. HCA Healthcare (HCA): 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 HCA Healthcare (HCA)
Metric	BTSG	HCA
P/E Ratio (TTM)	47.62	16.42
P/S Ratio (TTM)	0.88	1.31
P/B Ratio (MRQ)	6.39	-12.92
Free Cash Flow Yield (TTM)	8.30%	3.81%