BTSG vs. ZBH: BrightSpring Health Services vs. Zimmer Biomet Stock Comparison
How do BrightSpring Health Services (BTSG) and Zimmer Biomet (ZBH) 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 Zimmer Biomet (ZBH) both fall under the Health Care Equipment & Services industry group, but BTSG is classified in Health Care Providers & Services while ZBH is classified in Health Care Equipment & Supplies.
Zimmer Biomet (ZBH) carries decades of public-market history since July 25, 2001, while BrightSpring Health Services (BTSG) listed on January 26, 2024 — long-window comparisons have far more historical data on the ZBH side.
| Profile Item | BTSG | ZBH |
|---|---|---|
| Name | BrightSpring Health Services, Inc. | Zimmer Biomet Holdings 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 | 19.98 billion USD |
| Currency | USD | USD |
| Exchange | Nasdaq | NYSE |
| Listing Date | January 26, 2024 | July 25, 2001 |
| Security Type | Common Stock | Common Stock |
Price Performance
Cumulative Growth
Trailing Returns
Calendar-Year Returns
Performance Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| Total Return (1Y) | 106.02% | 24.04% |
| Total Return (3Y, Annualized) | -- | 2.38% |
| Total Return (5Y, Annualized) | -- | -2.74% |
Risk Profile
Drawdown History
Return Distribution
Risk Metrics
BrightSpring Health Services (BTSG) has an aggressive beta of 1.75, indicating higher sensitivity to broad-market moves, while Zimmer Biomet (ZBH) is defensive at 0.42 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.
| Metric | BTSG | ZBH |
|---|---|---|
| Volatility (1Y, Annualized) | 45.20% | 32.39% |
| Beta (5Y) | 1.75 | 0.42 |
| Max Drawdown (5Y) | -35.56% | -43.94% |
| Avg. Volume (3M) | 2.47M | 2.09M |
Risk-Adjusted Performance
Risk-Return Positioning
Risk-Adjusted Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| Sharpe Ratio (1Y) | 2.25 | 0.61 |
| Sortino Ratio (1Y) | 3.25 | 0.93 |
Profitability
ROE (TTM)
BrightSpring Health Services (BTSG) at 15.54% sits in the top ROE quartile, while Zimmer Biomet (ZBH) at 6.03% 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%
ZBH
Health Care Equipment & Services industry group
6.03%
- Max
- 47.61%
- Q3
- 14.36%
- ZBH
- 6.03%
- Median
- 5.45%
- Q1
- -10.67%
- Min
- -47.01%
Net Margin (TTM)
Both BrightSpring Health Services (BTSG) at 2.69% and Zimmer Biomet (ZBH) at 8.95% 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%
ZBH
Health Care Equipment & Services industry group
8.95%
- Max
- 29.35%
- Q3
- 9.33%
- ZBH
- 8.95%
- Median
- 2.18%
- Q1
- -6.29%
- Min
- -28.46%
Operating Margin (TTM)
Zimmer Biomet (ZBH) at 17.35% 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%
ZBH
Health Care Equipment & Services industry group
17.35%
- Max
- 35.43%
- ZBH
- 17.35%
- Q3
- 14.14%
- Median
- 6.81%
- Q1
- -0.28%
- Min
- -16.29%
Profitability Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| ROE (TTM) | 15.54% | 6.03% |
| ROA (TTM) | 5.44% | 3.81% |
| Net Margin (TTM) | 2.69% | 8.95% |
| Operating Margin (TTM) | 3.81% | 17.35% |
| Gross Margin (TTM) | 12.50% | 69.33% |
Growth
Revenue Growth
BrightSpring Health Services (BTSG) at 28.18% sits in the top revenue growth quartile, while Zimmer Biomet (ZBH) at 7.20% is closer to the peer norm — faster top-line expansion for BTSG.
EPS Growth
Only one side can be read here: Zimmer Biomet (ZBH) reports EPS growth of -19.86%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.
Growth Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| Revenue Growth (YoY) | 28.18% | 7.20% |
| Revenue Growth (3Y CAGR) | 18.69% | 5.85% |
| EPS Growth (YoY) | -- | -19.86% |
| EPS Growth (3Y CAGR) | -- | 47.78% |
Financial Strength
Current Ratio (MRQ)
Both BrightSpring Health Services (BTSG) at 1.62 and Zimmer Biomet (ZBH) at 1.46 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
ZBH
Health Care Equipment & Services industry group
1.46
- Max
- 7.59
- Q3
- 4.00
- Median
- 1.98
- ZBH
- 1.46
- Q1
- 1.37
- Min
- 0.30
Debt / Equity (MRQ)
Zimmer Biomet (ZBH) at 0.60 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
ZBH
Health Care Equipment & Services industry group
0.60
- Max
- 1.88
- Q3
- 0.91
- ZBH
- 0.60
- Median
- 0.58
- Q1
- 0.16
- Min
- 0.00
Financial Strength Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| Current Ratio (MRQ) | 1.62 | 1.46 |
| Debt / Equity (MRQ) | 1.09 | 0.60 |
| Net Debt / EBITDA | 2.39 | 2.85 |
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 Zimmer Biomet (ZBH) reports a yield of 0.90%, 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%
ZBH
Health Care Equipment & Services industry group
0.90%
- ZBH
- 0.90%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
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 Zimmer Biomet (ZBH) reports a payout of 24.24%, 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%
ZBH
Health Care Equipment & Services industry group
24.24%
- ZBH
- 24.24%
- Max
- 0.00%
- Q3
- 0.00%
- Median
- 0.00%
- Q1
- 0.00%
- Min
- 0.00%
Dividend Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| Dividend Yield (TTM) | 0.00% | 0.90% |
| Dividend Payout Ratio (TTM) | 0.00% | 24.24% |
Valuation
P/E Ratio (TTM)
Both BrightSpring Health Services (BTSG) at 47.62 and Zimmer Biomet (ZBH) at 26.66 land around their industries’ usual P/E ratio levels — neither is getting a clear earnings-multiple discount or premium versus peers.
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
ZBH
Health Care Equipment & Services industry group
26.66
- Max
- 80.41
- Q3
- 47.62
- Median
- 29.93
- ZBH
- 26.66
- Q1
- 21.19
- Min
- 4.21
P/S Ratio (TTM)
BrightSpring Health Services (BTSG) at 0.88 sits in the cheaper P/S ratio quartile while Zimmer Biomet (ZBH) at 2.33 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
ZBH
Health Care Equipment & Services industry group
2.33
- Max
- 8.80
- Q3
- 4.32
- ZBH
- 2.33
- Median
- 2.13
- Q1
- 1.10
- Min
- 0.03
P/B Ratio (MRQ)
Zimmer Biomet (ZBH) at 1.58 looks cheap against book in the lower P/B ratio quartile, while BrightSpring Health Services (BTSG) at 6.39 carries a premium in the upper quartile — a clear price-to-book gap.
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
ZBH
Health Care Equipment & Services industry group
1.58
- Max
- 11.68
- Q3
- 6.12
- Median
- 3.00
- Q1
- 1.73
- ZBH
- 1.58
- Min
- -1.31
Valuation Metrics
| Metric | BTSG | ZBH |
|---|---|---|
| P/E Ratio (TTM) | 47.62 | 26.66 |
| P/S Ratio (TTM) | 0.88 | 2.33 |
| P/B Ratio (MRQ) | 6.39 | 1.58 |
| Free Cash Flow Yield (TTM) | 8.30% | 7.22% |