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BTSG logoBrightSpring Health Services, Inc. Common Stock(BTSG)Earnings, Financials & Key Ratios

BTSG•NASDAQ
$52.74
$10.19B mkt cap·60.6× P/E·Price updated May 6, 2026
SectorHealthcareIndustryHealthcare ITSub-IndustryCare Delivery Networks and Value-Based Care
AboutBrightSpring Health Services, Inc. operates a home and community-based healthcare services platform in the United States. The company's platform focuses on delivering pharmacy and provider services, including clinical and supportive care in home and community settings to Medicare, Medicaid, and insured populations. It serves patients through clinical providers and pharmacists. BrightSpring Health Services, Inc. was formerly known as Phoenix Parent Holdings Inc. and changed its name to BrightSpring Health Services, Inc. in May 2021. The company was founded in 1974 and is based in Louisville, Kentucky.Show more
  • Revenue$12.91B+14.6%
  • EBITDA$572M+39.3%
  • Net Income$191M+1155.6%
  • EPS (Diluted)0.87+1029.5%
  • Gross Margin11.76%-16.6%
  • EBITDA Margin4.43%+21.6%
  • Operating Margin3.16%+72.5%
  • Net Margin1.48%+1021.3%
  • ROE10.78%+775.5%
  • ROIC6.7%+89.7%
  • Debt/Equity1.51-14.3%
  • Interest Coverage2.59+205.9%
Analysis→Technical→

BTSG Key Insights

BrightSpring Health Services, Inc. Common Stock (BTSG) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Strong 5Y profit CAGR of 55.7%
  • ✓Strong Piotroski F-Score: 7/9
  • ✓Momentum leader: RS Rating 90 (top 10%)
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Strong 5Y sales CAGR of 18.3%
  • ✓Trading near 52-week high

✗Weaknesses

  • ✗Shares diluted 13.9% in last year

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

BTSG Price & Volume

BrightSpring Health Services, Inc. Common Stock (BTSG) stock price & volume — 10-year historical chart

Loading chart...

BTSG Growth Metrics

BrightSpring Health Services, Inc. Common Stock (BTSG) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years18.27%
3 Years18.69%
TTM21.02%

Profit CAGR

10 Years-
5 Years55.74%
3 Years-
TTM441.48%

EPS CAGR

10 Years-
5 Years48.62%
3 Years-
TTM287.79%

Return on Capital

10 Years4.78%
5 Years5.35%
3 Years5.68%
Last Year9.01%

BTSG Recent Earnings

BrightSpring Health Services, Inc. Common Stock (BTSG) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 6/12 qtrs (60%)●Beat Revenue 7/12 qtrs (70%)
Q2 2026Latest
May 1, 2026
EPS
$0.39
Est $0.29
+34.5%
Revenue
$3.6B
Est $3.4B
+6.6%
Q1 2026
Feb 27, 2026
EPS
$0.33
Est $0.34
-2.9%
Revenue
$3.6B
Est $3.4B
+5.0%
Q4 2025
Oct 31, 2025
EPS
$0.30
Est $0.26
+13.9%
Revenue
$3.3B
Est $3.2B
+5.3%
Q3 2025
Aug 1, 2025
EPS
$0.22
Est $0.19
+15.8%
Revenue
$3.1B
Est $3.2B
-0.6%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 1, 2026
$0.39vs $0.29+34.5%
$3.6Bvs $3.4B+6.6%
Q1 2026Feb 27, 2026
$0.33vs $0.34-2.9%
$3.6Bvs $3.4B+5.0%
Q4 2025Oct 31, 2025
$0.30vs $0.26+13.9%
$3.3Bvs $3.2B+5.3%
Q3 2025Aug 1, 2025
$0.22vs $0.19+15.8%
$3.1Bvs $3.2B-0.6%
Based on last 12 quarters of dataView full earnings history →

BTSG Peer Comparison

BrightSpring Health Services, Inc. Common Stock (BTSG) competitors in Care Delivery Networks and Value-Based Care — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
LFST logoLFSTLifeStance Health Group, Inc.Direct Competitor2.85B7.3636813.85%0.68%0.65%3.85%0.13
ACHC logoACHCAcadia Healthcare Company, Inc.Direct Competitor2.33B25.30-2.085.04%-32.84%-40.92%1.24
ENSG logoENSGThe Ensign Group, Inc.Direct Competitor10.28B175.9330.1318.72%6.89%16.61%3.61%1.86
ADUS logoADUSAddus HomeCare CorporationDirect Competitor1.8B96.6418.5523.21%6.89%9.34%5.76%0.19
CCRN logoCCRNCross Country Healthcare, Inc.Direct Competitor326.32M10.11-3.45-21.56%-9%-24.3%14.79%0.01
OPCH logoOPCHOption Care Health, Inc.Product Competitor3.2B20.4516.1013.03%3.64%15.28%8.08%
BKD logoBKDBrookdale Senior Living Inc.Product Competitor3.37B14.18-12.667.29%-8.21%-308.45%6.47%
HCSG logoHCSGHealthcare Services Group, Inc.Product Competitor1.58B22.0727.257.08%3.21%11.83%8.8%0.05

Compare BTSG vs Peers

BrightSpring Health Services, Inc. Common Stock (BTSG) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs LFST

Most directly comparable listed peer for BTSG.

Scale Benchmark

vs MCK

Larger-name benchmark to compare BTSG against a more recognizable public peer.

Peer Set

Compare Top 5

vs LFST, ACHC, ENSG, ADUS

BTSG Income Statement

BrightSpring Health Services, Inc. Common Stock (BTSG) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Sales/Revenue4.53B5.58B6.7B7.72B8.83B11.27B12.91B13.65B
Revenue Growth %-23.32%20.03%15.27%14.32%27.65%14.59%21.02%
Cost of Goods Sold3.69B4.53B5.45B6.37B7.39B9.68B11.39B11.98B
COGS % of Revenue81.57%81.21%81.36%82.46%83.76%85.9%88.24%-
Gross Profit
833.91M▲ 0%
1.05B▲ 25.8%
1.25B▲ 19.0%
1.35B▲ 8.5%
1.43B▲ 5.9%
1.59B▲ 10.8%
1.52B▼ 4.4%
1.66B▲ 0%
Gross Margin %18.43%18.79%18.64%17.54%16.24%14.1%11.76%12.18%
Gross Profit Growth %-25.76%19.02%8.49%5.87%10.79%-4.45%-
Operating Expenses770.59M883.55M1.01B1.17B1.29B1.38B1.11B1.21B
OpEx % of Revenue17.03%15.83%15.14%15.11%14.58%12.27%8.6%-
Selling, General & Admin770.59M883.55M1.01B1.13B1.29B1.38B1.11B1.21B
SG&A % of Revenue17.03%15.83%15.14%14.58%14.58%12.27%8.6%-
Research & Development00000000
R&D % of Revenue--------
Other Operating Expenses00040.86M0000
Operating Income
63.31M▲ 0%
165.19M▲ 160.9%
234.18M▲ 41.8%
187.83M▼ 19.8%
147.18M▼ 21.6%
206.37M▲ 40.2%
408.06M▲ 97.7%
449.95M▲ 0%
Operating Margin %1.4%2.96%3.5%2.43%1.67%1.83%3.16%3.3%
Operating Income Growth %-160.91%41.77%-19.79%-21.64%40.22%97.73%-
EBITDA218.18M346.69M433.34M391.8M349.52M410.86M572.34M572.07M
EBITDA Margin %4.82%6.21%6.47%5.07%3.96%3.65%4.43%4.19%
EBITDA Growth %-58.9%24.99%-9.59%-10.79%17.55%39.3%27.12%
D&A (Non-Cash Add-back)154.87M181.5M199.16M203.97M202.34M204.48M164.28M122.12M
EBIT63.31M165.19M234.18M187.83M147.18M193.65M408.06M328.5M
Net Interest Income-166.89M-138.95M-165.32M-233.58M-324.59M-228.39M-157.31M-115.55M
Interest Income00000000
Interest Expense166.89M138.95M165.32M233.58M324.59M228.39M157.31M154.16M
Other Income/Expense-166.89M-138.95M-165.32M-233.58M-324.59M-241.11M-270.12M-238.15M
Pretax Income
-103.58M▲ 0%
26.24M▲ 125.3%
68.86M▲ 162.5%
-45.75M▼ 166.4%
-177.41M▼ 287.8%
-34.74M▲ 80.4%
137.94M▲ 497.1%
211.8M▲ 0%
Pretax Margin %-2.29%0.47%1.03%-0.59%-2.01%-0.31%1.07%1.55%
Income Tax-32.49M5.09M17.6M8.46M-20.58M-14.22M33.15M41.94M
Effective Tax Rate %31.37%19.39%25.56%-18.5%11.6%40.93%24.03%19.8%
Net Income
-72.38M▲ 0%
20.81M▲ 128.8%
49.8M▲ 139.3%
-53.91M▼ 208.2%
-154.6M▼ 186.8%
-18.06M▲ 88.3%
190.67M▲ 1155.6%
309.89M▲ 0%
Net Margin %-1.6%0.37%0.74%-0.7%-1.75%-0.16%1.48%2.27%
Net Income Growth %-128.75%139.3%-208.25%-186.8%88.32%1155.62%441.48%
Net Income (Continuing)-71.09M21.15M51.26M-54.22M-156.84M-20.52M104.8M244.35M
Discontinued Operations00000084.32M3M
Minority Interest53.36M30.39M25.65M29.31M27.81M3.73M11.3M10.51M
EPS (Diluted)
-0.42▲ 0%
0.12▲ 128.6%
0.29▲ 141.7%
-0.31▼ 206.9%
-0.90▼ 190.3%
-0.09▲ 89.6%
0.87▲ 1029.5%
1.40▲ 0%
EPS Growth %-128.57%141.67%-206.9%-190.32%89.6%1029.49%287.79%
EPS (Basic)-0.420.120.29-0.31-0.90-0.090.94-
Diluted Shares Outstanding171.19M171.19M171.19M171.19M171.19M193M219.77M221.32M
Basic Shares Outstanding171.19M171.19M171.19M171.19M171.19M193M202.56M204.71M
Dividend Payout Ratio--------

BTSG Balance Sheet

BrightSpring Health Services, Inc. Common Stock (BTSG) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Total Current Assets870.68M1.29B1.18B1.34B1.46B1.89B2.89B2.69B
Cash & Short-Term Investments18.3M262M46.73M13.63M13.07M61.25M88.37M888.8M
Cash Only18.3M262M46.73M13.63M13.07M61.25M88.37M888.8M
Short-Term Investments00000000
Accounts Receivable622.28M700.84M805M868.35M1.01B1.15B989.72M1.11B
Days Sales Outstanding50.1945.8443.8741.0541.837.2327.9828.58
Inventory198.47M300.06M299.22M430.52M402.78M640.57M815.18M560.17M
Days Inventory Outstanding19.6324.1720.0424.6819.8924.1626.1220.1
Other Current Assets23.37M16.41M12.66M13.51M13.19M24.59M1B126.81M
Total Non-Current Assets2.95B3.25B4.33B4.1B4.08B4.03B3.52B3.52B
Property, Plant & Equipment432.55M450.71M524.64M475.27M513.35M500.03M376.32M375.22M
Fixed Asset Turnover10.46x12.38x12.77x16.24x17.19x22.53x34.31x38.22x
Goodwill1.41B1.67B2.66B2.58B2.61B2.67B2.55B2.53B
Intangible Assets1.07B1.1B1.11B975.86M881.48M811.48M557.55M536.88M
Long-Term Investments2.37M2.48M2.66M736K720K670K014.54M
Other Non-Current Assets34.56M32.22M35.78M68.93M72.12M43.8M39.71M181.65M
Total Assets
3.82B▲ 0%
4.54B▲ 19.0%
5.51B▲ 21.4%
5.44B▼ 1.3%
5.53B▲ 1.7%
5.93B▲ 7.1%
6.41B▲ 8.2%
6.21B▲ 0%
Asset Turnover1.19x1.23x1.21x1.42x1.60x1.90x2.01x2.22x
Asset Growth %-18.96%21.41%-1.31%1.68%7.11%8.22%25.08%
Total Current Liabilities621.97M742.79M892.16M932.51M1.25B1.43B1.85B1.55B
Accounts Payable252.75M355.75M408.11M526.92M641.61M941.29M1.22B1.09B
Days Payables Outstanding24.9928.6527.3330.2131.6835.539.0232.2
Short-Term Debt18.48M22.5M40.54M30.41M32.27M48.73M102.07M105.09M
Deferred Revenue (Current)3.31M22.76M10.49M29.04M30.85M11M016.53M
Other Current Liabilities14.19M16.18M95.87M80.73M118.14M98.84M529.02M351.89M
Current Ratio1.40x1.74x1.32x1.44x1.17x1.33x1.57x1.57x
Quick Ratio1.08x1.33x0.99x0.98x0.84x0.88x1.12x1.12x
Cash Conversion Cycle44.8341.3536.5735.5330.0125.8915.0816.48
Total Non-Current Liabilities2.49B3.06B3.82B3.72B3.67B2.85B2.68B2.68B
Long-Term Debt2.16B2.67B3.39B3.36B3.33B2.56B2.59B149.75M
Capital Lease Obligations190.15M211.95M252.09M204.91M224.18M212.6M149.96M429.92M
Deferred Tax Liabilities65.68M121.64M98.16M79.39M23.67M06.18M17.79M
Other Non-Current Liabilities65.46M57.98M77.04M75.94M91.94M71.76M-68.86M2.59B
Total Liabilities3.11B3.81B4.71B4.66B4.92B4.27B4.53B4.22B
Total Debt2.44B2.97B3.77B3.68B3.67B2.9B2.84B254.83M
Net Debt2.43B2.71B3.72B3.66B3.66B2.84B2.75B-633.96M
Debt / Equity3.44x4.04x4.71x4.69x5.99x1.76x1.51x1.51x
Debt / EBITDA11.20x8.58x8.70x9.39x10.50x7.07x4.97x0.45x
Net Debt / EBITDA11.12x7.82x8.59x9.35x10.46x6.92x4.81x4.81x
Interest Coverage0.38x1.19x1.42x0.80x0.45x0.85x2.59x2.13x
Total Equity
710.23M▲ 0%
735.38M▲ 3.5%
800.46M▲ 8.9%
784.08M▼ 2.0%
612.55M▼ 21.9%
1.65B▲ 169.6%
1.89B▲ 14.2%
1.98B▲ 0%
Equity Growth %-3.54%8.85%-2.05%-21.88%169.63%14.22%52.46%
Book Value per Share4.154.304.684.583.588.568.588.94
Total Shareholders' Equity656.87M704.98M774.82M754.78M584.74M1.65B1.88B1.98B
Common Stock745.88M745.17M1.18M1.18M1.18M1.74M1.92M1.93M
Retained Earnings-94.28M-51.75M971K-45.72M-200.32M-222.16M-74.65M14.13M
Treasury Stock00000000
Accumulated OCI132K185K217K21.19M12.54M1.42M-6.69M-1.26M
Minority Interest53.36M30.39M25.65M29.31M27.81M3.73M11.3M10.51M

BTSG Cash Flow Statement

BrightSpring Health Services, Inc. Common Stock (BTSG) cash flow — operating, investing & free cash flow history

Line itemDec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Cash from Operations110.91M222.64M270.17M-4.65M210.78M23.77M490.17M490.17M
Operating CF Margin %2.45%3.99%4.03%-0.06%2.39%0.21%3.8%-
Operating CF Growth %-100.74%21.35%-101.72%4630.05%-88.72%1961.79%895.05%
Net Income-71.09M21.15M51.26M-54.22M-156.84M-20.52M190.67M309.89M
Depreciation & Amortization154.87M181.5M199.16M203.97M202.34M204.48M164.28M161.21M
Stock-Based Compensation3.71M6.27M4.52M3.55M3.92M69.17M70.1M58.09M
Deferred Taxes-34.41M22.6M6.49M-27.96M-52.63M-25.91M0-4.03M
Other Non-Cash Items64.31M27.2M38.85M94.48M54.56M66.63M83.67M-600K
Working Capital Changes-6.48M-36.08M-30.11M-224.47M159.44M-270.07M-18.54M-13.43M
Change in Receivables-53.95M-58.91M-93M-150.47M-127.25M-179.04M-131.29M-165.96M
Change in Inventory-16.03M-95.73M4.29M-131.83M28.66M-236.51M-177.91M-26.37M
Change in Payables46.78M100.43M63.54M133.47M105.65M303.21M264.17M231.06M
Cash from Investing-1.53B-452.87M-1.19B45.36M-134.43M-140.24M-310.18M466.5M
Capital Expenditures-51.22M-51.91M-59.27M-70.11M-73.53M-80.91M0-3.91M
CapEx % of Revenue1.13%0.93%0.88%0.91%0.83%0.72%0.74%-
Acquisitions-1.48B-402.01M-1.13B113.33M-63.06M-59.8M0-35.45M
Investments--------
Other Investing1.41M1.05M1.7M2.13M2.15M473K-310.18M505.87M
Cash from Financing1.41B473.94M705.22M-73.81M-76.91M164.65M-152.77M-141.86M
Debt Issued (Net)1.27B493.17M726.86M-68.93M-66.14M-829.36M-127.12M78.5M
Equity Issued (Net)261.14M-1.12M12.39M0-650K1.04B-17.89M-32.57M
Dividends Paid00000000
Share Repurchases-12.29M-1.12M-417K0-650K-650K-43.17M-103.17M
Other Financing-118.59M-18.11M-34.03M-4.88M-10.12M-50.83M-7.75M-187.79M
Net Change in Cash
-12.23M▲ 0%
243.71M▲ 2092.9%
-215.27M▼ 188.3%
-33.11M▲ 84.6%
-557K▲ 98.3%
48.18M▲ 8750.3%
27.12M▼ 43.7%
837M▲ 0%
Free Cash Flow
59.69M▲ 0%
170.73M▲ 186.0%
210.9M▲ 23.5%
-74.77M▼ 135.5%
137.26M▲ 283.6%
-57.14M▼ 141.6%
394.69M▲ 790.7%
507.6M▲ 0%
FCF Margin %1.32%3.06%3.15%-0.97%1.56%-0.51%3.06%3.72%
FCF Growth %-186.03%23.52%-135.45%283.58%-141.63%790.75%298.11%
FCF per Share0.351.001.23-0.440.80-0.301.801.80
FCF Conversion (FCF/Net Income)-1.53x10.70x5.43x0.09x-1.36x-1.32x2.57x1.64x
Interest Paid134.38M129.57M126.95M213.31M303.53M211.39M183.51M-53.8M
Taxes Paid3.72M3M028.85M37.5M24.95M26.97M-245K

BTSG Key Ratios

BrightSpring Health Services, Inc. Common Stock (BTSG) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric202020212022202320242025TTM
Return on Equity (ROE)2.88%6.48%-6.8%-22.14%-1.6%10.78%16.68%
Return on Invested Capital (ROIC)3.76%4.41%3.14%2.53%3.53%6.7%6.7%
Gross Margin18.79%18.64%17.54%16.24%14.1%11.76%12.18%
Net Margin0.37%0.74%-0.7%-1.75%-0.16%1.48%2.27%
Debt / Equity4.04x4.71x4.69x5.99x1.76x1.51x1.51x
Interest Coverage1.19x1.42x0.80x0.45x0.85x2.59x2.13x
FCF Conversion10.70x5.43x0.09x-1.36x-1.32x2.57x1.64x
Revenue Growth23.32%20.03%15.27%14.32%27.65%14.59%21.02%

BTSG SEC Filings & Documents

BrightSpring Health Services, Inc. Common Stock (BTSG) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Mar 31, 2026·SEC

Material company update

Mar 4, 2026·SEC

Material company update

Feb 27, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 27, 2026·SEC

FY 2025

Mar 6, 2025·SEC

FY 2024

Mar 6, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 1, 2026·SEC

FY 2025

Oct 28, 2025·SEC

FY 2025

Aug 1, 2025·SEC

BTSG Frequently Asked Questions

BrightSpring Health Services, Inc. Common Stock (BTSG) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

BrightSpring Health Services, Inc. Common Stock (BTSG) reported $13.65B in revenue for fiscal year 2025. This represents a 202% increase from $4.53B in 2019.

BrightSpring Health Services, Inc. Common Stock (BTSG) grew revenue by 14.6% over the past year. This is steady growth.

Yes, BrightSpring Health Services, Inc. Common Stock (BTSG) is profitable, generating $309.9M in net income for fiscal year 2025 (1.5% net margin).

Dividend & Returns

BrightSpring Health Services, Inc. Common Stock (BTSG) has a return on equity (ROE) of 10.8%. This is reasonable for most industries.

BrightSpring Health Services, Inc. Common Stock (BTSG) generated $507.6M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

Explore More BTSG

BrightSpring Health Services, Inc. Common Stock (BTSG) financial analysis — history, returns, DCA and operating performance tools

Full BTSG Stock Analysis

Analyst verdict, bull/bear case, risk factors and peer comparison

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Total Return Calculator

Historical returns with dividends reinvested

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DCA Calculator

Dollar cost averaging vs lump sum

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Dividend History

Yield, growth, payout safety & DRIP

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Earnings History

EPS trends, net income & profitability

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Price History

Long-term charts & historical price data

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Revenue History

Sales growth patterns & revenue breakdown

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Financial Ratios

30 years of market, efficiency and balance-sheet ratios

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Valuation

DCF intrinsic value, peer multiples & estimates

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