Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in BTSG held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | Kohlberg Kravis Roberts & Co. L.P. | 41.8M | $1.78B | -32.5% | 21.652% | 33.33% |
| 2 | FMR LLC | 21.0M | $893.9M | -7.5% | 10.860% | 0.05% |
| 3 | BlackRock, Inc. | 19.6M | $835.2M | +15.4% | 10.148% | 0.01% |
| 4 | Invesco Ltd. | 11.5M | $489.3M | +8.4% | 5.944% | 0.07% |
| 5 | VANGUARD PORTFOLIO MANAGEMENT LLC | 8.0M | $342.3M | β | 4.158% | 0.02% |
| 6 | VANGUARD CAPITAL MANAGEMENT LLC | 6.3M | $268.3M | β | 3.259% | 0.01% |
| 7 | STATE STREET CORP | 4.9M | $210.2M | +22.3% | 2.554% | 0.01% |
| 8 | MANUFACTURERS LIFE INSURANCE COMPANY, THE | 4.3M | $181.5M | -1.7% | 2.205% | 0.16% |
| 9 | GEODE CAPITAL MANAGEMENT, LLC | 3.6M | $151.9M | +29.8% | 1.845% | 0.01% |
| 10 | FULLER & THALER ASSET MANAGEMENT, INC. | 3.3M | $138.5M | +6.1% | 1.683% | 0.47% |
| 11 | CITADEL ADVISORS LLC | 3.1M | $133.3M | +1600.9% | 1.620% | 0.06% |
| 12 | ALLIANCEBERNSTEIN L.P. | 3.6M | $133.0M | -19.5% | 1.838% | 0.04% |
| 13 | DIMENSIONAL FUND ADVISORS LP | 2.9M | $123.2M | -7.0% | 1.498% | 0.03% |
| 14 | MARSHALL WACE, LLP | 2.7M | $113.1M | +57.3% | 1.374% | 0.12% |
| 15 | BROWN ADVISORY INC | 2.2M | $92.3M | +11.2% | 1.122% | 0.15% |
| 16 | VOYA INVESTMENT MANAGEMENT LLC | 2.0M | $86.8M | +50.7% | 1.055% | 0.09% |
| 17 | FARALLON CAPITAL MANAGEMENT LLC | 1.6M | $68.9M | +7250.0% | 0.837% | 0.45% |
| 18 | CHARLES SCHWAB INVESTMENT MANAGEMENT INC | 1.6M | $67.6M | +18.9% | 0.822% | 0.01% |
| 19 | GOLDMAN SACHS GROUP INC | 1.6M | $66.6M | +22.8% | 0.809% | 0.01% |
| 20 | BANK OF AMERICA CORP /DE/ | 1.5M | $65.4M | +48.8% | 0.794% | 0.00% |
| 21 | Nuveen, LLC | 1.5M | $65.0M | -7.1% | 0.790% | 0.02% |
| 22 | HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND | 1.5M | $63.9M | -39.5% | 0.776% | 0.10% |
| 23 | ALTA FOX CAPITAL MANAGEMENT, LLC | 1.4M | $60.7M | +15.0% | 0.737% | 16.05% |
| 24 | ARROWSTREET CAPITAL, LIMITED PARTNERSHIP | 1.4M | $58.4M | +109.7% | 0.710% | 0.03% |
| 25 | AMERIPRISE FINANCIAL INC | 1.4M | $58.0M | +319.7% | 0.704% | 0.01% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). β% of Fundβ shows how much of that investorβs total 13F portfolio is invested in BTSG β a direct measure of their conviction.
Filings activity in BTSG during Q1 2026, grouped by how each filer changed its position.
Institutions that opened a new BTSG position in Q1 2026
Institutions that fully closed their BTSG position in Q1 2026
8 quarters of 13F filings Β· Ξ columns show change vs prior quarter
| Quarter | Inst. Holders | Ξ Holders | Ownership % | Ξ Ownership | Total 13F Value | Ξ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 329 | +18% | 65.64% | +6.38 pp | $8.02B | +11% |
| Q4 2025 | 280 | +27% | 59.26% | +12.68 pp | $7.24B | +27% |
| Q3 2025 | 220 | +8.9% | 46.58% | +8.91 pp | $5.69B | +24% |
| Q2 2025 | 202 | +25% | 37.67% | +10.20 pp | $4.60B | +37% |
| Q1 2025 | 161 | +19% | 27.47% | +0.64 pp | $3.36B | +2.4% |
| Q4 2024 | 135 | +7.1% | 26.83% | +4.04 pp | $3.28B | +18% |
| Q3 2024 | 126 | +31% | 22.79% | +4.91 pp | $2.78B | +28% |
| Q2 2024 | 96 | β | 17.88% | β | $2.18B | β |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Ξ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying BTSG stock.
Based on Q1 2026 13F filings, institutional ownership of BrightSpring Health Services, Inc. Common Stock stands at 65.6%, held across 329 reporting institutions.
Kohlberg Kravis Roberts & Co. L.P. is the largest reported institutional holder of BTSG, with approximately 41,824,259 shares worth $1.78B as of Q1 2026.
Yes β 1 widely-followed marquee investor appear among the top 25 institutional holders of BTSG, including CITADEL ADVISORS LLC.
Our composite Smart Money Score for BTSG is 68 out of 100 (Bullish). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
95 institutions opened new positions in BTSG during Q1 2026, while 46 fully exited. 188 added to existing positions and 45 trimmed.
BTSG institutional ownership rose by 6.38 percentage points quarter-over-quarter, with a net change of +49 holders.
The top 10 institutions account for 66.0% of all reported 13F value in BTSG, and the top 25 account for 81.7%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.