BTSG vs. PEN: BrightSpring Health Services vs. Penumbra Stock Comparison

November 11, 2026

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

Penumbra (PEN) has been public since September 18, 2015, 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 Penumbra (PEN)
Profile Item	BTSG	PEN
Name	BrightSpring Health Services, Inc.	Penumbra 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 Equipment & Supplies
GICS Sub-Industry	Health Care Services	Health Care Equipment
Market Capitalization	13.36 billion USD	12.58 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	January 26, 2024	September 18, 2015
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

BTSG

PEN

GSPC

BrightSpring Health Services (BTSG) vs. Penumbra (PEN), 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

Loading price history…

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

Calendar-Year Returns

Loading price history…

Calendar-year total returns for BrightSpring Health Services (BTSG) and Penumbra (PEN). 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 Penumbra (PEN)
Metric	BTSG	PEN
Total Return (1Y)	106.02%	20.52%
Total Return (3Y, Annualized)	--	20.38%
Total Return (5Y, Annualized)	--	3.15%

Risk Profile

Drawdown History

BTSG

PEN

GSPC

BrightSpring Health Services (BTSG) vs. Penumbra (PEN), 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

Loading price history…

Distribution of monthly total returns for BrightSpring Health Services (BTSG) and Penumbra (PEN). 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 Penumbra (PEN) is defensive at 0.68 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 Penumbra (PEN)
Metric	BTSG	PEN
Volatility (1Y, Annualized)	45.20%	19.78%
Beta (5Y)	1.75	0.68
Max Drawdown (5Y)	-35.56%	-59.60%
Avg. Volume (3M)	2.47M	348.64K

Risk-Adjusted Performance

Risk-Return Positioning

BTSG and PEN 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 Penumbra (PEN)
Metric	BTSG	PEN
Sharpe Ratio (1Y)	2.25	0.82
Sortino Ratio (1Y)	3.25	1.56

Profitability

ROE (TTM)

BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Penumbra (PEN) at 10.67% 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%

PEN

Health Care Equipment & Services industry group

10.67%

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

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

Net Margin (TTM)

Penumbra (PEN) at 10.06% 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.

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%

PEN

Health Care Equipment & Services industry group

10.06%

Max: 29.35%
PEN: 10.06%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 Penumbra (PEN) at 12.37% 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%

PEN

Health Care Equipment & Services industry group

12.37%

Max: 35.43%
Q3: 14.14%
PEN: 12.37%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 Penumbra (PEN)
Metric	BTSG	PEN
ROE (TTM)	15.54%	10.67%
ROA (TTM)	5.44%	6.28%
Net Margin (TTM)	2.69%	10.06%
Operating Margin (TTM)	3.81%	12.37%
Gross Margin (TTM)	12.50%	67.99%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Penumbra (PEN) at 17.50% is closer to the peer norm — faster top-line expansion for BTSG.

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

EPS Growth

Only one side can be read here: Penumbra (PEN) reports EPS growth of 1,155.56%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

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

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and Penumbra (PEN)
Metric	BTSG	PEN
Revenue Growth (YoY)	28.18%	17.50%
Revenue Growth (3Y CAGR)	18.69%	18.33%
EPS Growth (YoY)	--	1,155.56%
EPS Growth (3Y CAGR)	--	--

Financial Strength

Current Ratio (MRQ)

BrightSpring Health Services (BTSG) at 1.62 keeps current ratio within its industry’s typical mid-range, while Penumbra (PEN) at 5.89 sits above its industry’s typical mid-range — comfortable liquidity, though possibly with more idle current assets 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

PEN

Health Care Equipment & Services industry group

5.89

Max: 7.59
PEN: 5.89
Q3: 4.00
Median: 1.98
Q1: 1.37
Min: 0.30

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

Debt / Equity (MRQ)

Penumbra (PEN) at 0.13 keeps leverage in the lower quartile, while BrightSpring Health Services (BTSG) at 1.09 sits in the higher-leverage quartile.

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

PEN

Health Care Equipment & Services industry group

0.13

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
PEN: 0.13
Min: 0.00

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 Penumbra (PEN)
Metric	BTSG	PEN
Current Ratio (MRQ)	1.62	5.89
Debt / Equity (MRQ)	1.09	0.13
Net Debt / EBITDA	2.39	-2.22

Dividends

Dividend Yield (TTM)

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

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%

PEN

Health Care Equipment & Services industry group

0.00%

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

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

Dividend Payout Ratio (TTM)

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

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%

PEN

Health Care Equipment & Services industry group

0.00%

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

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 Penumbra (PEN)
Metric	BTSG	PEN
Dividend Yield (TTM)	0.00%	0.00%
Dividend Payout Ratio (TTM)	0.00%	0.00%

Valuation

P/E Ratio (TTM)

BrightSpring Health Services (BTSG) at 47.62 is near its industry’s usual P/E ratio, while Penumbra (PEN) at 80.41 sits in the richer quartile — PEN needs stronger growth or earnings quality to justify the premium.

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

PEN

Health Care Equipment & Services industry group

80.41

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

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 looks cheap on sales in the lower P/S ratio quartile, while Penumbra (PEN) at 8.06 looks rich in the upper quartile — a clear gap in price per dollar of revenue.

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

PEN

Health Care Equipment & Services industry group

8.06

Max: 8.80
PEN: 8.06
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

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

P/B Ratio (MRQ)

Both BrightSpring Health Services (BTSG) at 6.39 and Penumbra (PEN) at 7.95 carry a premium to book value versus peers, sitting in the upper P/B ratio quartile of their industries.

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

PEN

Health Care Equipment & Services industry group

7.95

Max: 11.68
PEN: 7.95
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

BrightSpring Health Services (BTSG) vs. Penumbra (PEN): 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 Penumbra (PEN)
Metric	BTSG	PEN
P/E Ratio (TTM)	47.62	80.41
P/S Ratio (TTM)	0.88	8.06
P/B Ratio (MRQ)	6.39	7.95
Free Cash Flow Yield (TTM)	8.30%	1.32%