BrightSpring Health Services, Inc. BTSG

56.59 0.57 1.02% as of 25 Sep
Market cap
$11.1B
P/E
31.6×

Insider Decisions

Total sells 4,218.19
in millions of $
Nov 25 Feb 26 May 26 Aug 26
Buy — — — — — — — — — — — —
Sell 4 — — — — 5 — — 5 — — 1
Insider Ownership 18.19%

Capital & Financial Ratios

Market Cap 11,080.00
Revenue 14,371.60
Net Income 365.38
Free Cash Flow 402.35
Net Debt 1,653.65
Current Ratio 1.59
Debt/Equity 1.08
P/E ratio 31.61
P/S ratio 0.81
P/B ratio 5.69
Past 5Y EPS Growth 60.10%
This Y EPS Growth 81.81%
Next Y EPS Growth 26.86%
Next 5Y EPS Growth 41.10%
in millions of $

Dividends

Payout Ratio —
Annual Dividend Rate —
Annual Dividend Yield —

Assets vs Liabilities

2023 2024 2025 Q'26
Cash 13 61 88 550
Receivables 882 903 990 1,139
Inventory 403 637 815 575
Other — 131 882 —
1,457 1,893 2,894 2,470
2023 2024 2025 Q'26
Payables 642 924 1,218 1,091
ST’ Debt 32 49 52 41
Other — 118 196 —
1,248 1,428 1,849 1,556
in millions of $

Compound Annual Growth

10y 5y 3y
Sales — — 18.69%
Cash Flow — — 0.00%
Earnings — — 0.00%
Book Value — — 35.44%

Revenue

Mar Jun Sep Dec Year
’26 3,614 3,873 — — —
’25 2,878 3,148 3,334 3,551 12,911
’24 2,286 2,438 2,601 2,747 10,072
’23 2,028 2,167 2,257 2,375 7,691
’22 — — — — 7,721
in millions of $ · fiscal quarters ending in the months shown

Operating Cash Flow

Mar Jun Sep Dec Year
’26 123 44 — — —
’25 102 49 108 232 490
’24 (79) (15) 27 91 24
’23 40 (25) 34 162 211
’22 — — — (5) (5)
in millions of $ · fiscal quarters ending in the months shown

Free Cash Flow

Mar Jun Sep Dec Year
’26 101 15 — — —
’25 84 25 92 194 395
’24 (101) (39) 7 75 (57)
’23 22 (46) 16 146 137
’22 — — — (75) (75)
in millions of $ · fiscal quarters ending in the months shown

EPS

Mar Jun Sep Dec Year
’26 0.67 0.38 — — —
’25 0.14 0.13 0.26 0.35 0.87
’24 (0.26) 0.10 (0.04) 0.08 (0.09)
’23 (0.19) 0.02 (1.10) (0.06) (1.31)
’22 — — — — (0.46)
fiscal quarters ending in the months shown

Target Price Range

Analyst price targets

Recommendation Rating

1.1
1Buy 2 3Hold 4 5Sell
2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
— — — — — — — — 7.85 15.26

Analyst estimates 2026–2028

Powerpack
Low Price
— — — — — — — — 20.25 38.42
High Price
— — — — — — 35,000 35,000 37,000 23,500
Employees
— — — — — 0 0 0 0 1
Revenue/Emp
— — — — — 6,698 7,721 7,691 10,072 12,911
Revenue
— — — — — 18.64% 17.54% 14.81% 12.57% 11.76%
Gross Margin
— — — — — 69 (46) (214) (95) 138
EBT
— — — — — 1.03% (0.59%) (2.78%) (0.95%) 1.07%
EBT Margin
— — — — — 51 (54) (157) (21) 189
Net Income
— — — — — 220 265 223 217 176
Depreciation
— — — — — 56.96 65.52 65.25 52.19 63.74
Revenue/Sh
— — — — — 0.44 (0.46) (1.31) (0.09) 0.94
Earnings/Sh
— — — — — 2.30 (0.04) 1.79 0.12 2.42
Cash Flow/Sh
— — — — — (0.50) (0.59) (0.62) (0.42) (0.47)
Capex/Sh
— — — — — 1.79 (0.63) 1.16 (0.30) 1.95
Free CF/Sh
— — — — — 0.00 6.41 4.97 8.54 9.26
Book Value/Sh
— — — — — 118 118 118 193 203
Shares
— — — — — 0.00 0.00 0.00 0.00 39.84
PE Ratio
— — — — — 0.15 0.15 0.15 0.33 0.59
PS Ratio
— — — — — 2.21 2.21 2.21 1.99 4.05
PB Ratio
— — — — — 0.53 0.53 0.53 0.58 0.78
EV/Sales
— — — — — 34.02 34.02 34.02 (102.26) 25.39
EV/FCF
— — — — — 270 (5) 211 24 490
Op' Cash Flow
— — — — — (59) (70) (74) (81) (95)
Capex
— — — — — 211 (75) 137 (57) 395
FCF
— — — — — — 412 208 465 1,045
Working Cap'
— — — — — — 3,415 3,387 2,617 2,522
Total Debt
— — — — — — 3,401 3,374 2,556 2,434
Net Debt
— — — — — 0 755 585 1,648 1,875
Sh' Equity
— — — — — 0.00% (1.98%) (2.82%) (0.32%) 3.09%
ROA
— — — — — 0.00% 2.82% 0.92% 1.60% 4.28%
ROIC
— — — — — 0.00% 0.00% (23.07%) (1.62%) 10.82%
ROE
predictions in italic, sparklines do not include predictions

All 10 years →

Fiscal years to Dec 2025 · latest quarter Jun 2026

BrightSpring Health Services, Inc. peers in Health Information Services

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TXG 10x Genomics $11.1B 0.0× Compare
TEM Tempus AI, Inc. $14.9B 0.0× Compare
HNGE Hinge Health Inc. $7.4B 70.8× Compare
HQY HealthEquity, Inc. $7.3B 31.6× Compare
Company Market cap P/E Compare
WAY Waystar Holding Corp. $4.7B 34.3× Compare
DOCS Doximity, Inc. $4.6B 29.6× Compare
HTFL Heartflow, Inc. $4.2B 0.0× Compare
VEEV Veeva Systems Inc. $44.5B 45.2× Compare

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BrightSpring Health Services, Inc. (BTSG) key facts

  • BrightSpring Health Services, Inc. (BTSG) is a Health Information Services company in the Healthcare sector, listed on Nasdaq.
  • BrightSpring Health Services, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $12.9 billion, up 28.2% from fiscal 2024.
  • Net income was $189.1 million, or $0.94 per share (basic), a net margin of 1.48%.
  • As of September 25, 2026, BTSG traded at $56.59, a market capitalization of $11.1 billion.
  • At that price the stock trades at 31.6× trailing-twelve-month earnings and 0.8× sales.
  • Return on equity was 10.8% and debt-to-equity 1.08.

Source: company filings (standardised) and stockrow calculations.

BrightSpring Health Services, Inc. (BTSG) Latest News

News by impact score

Fine-tune

25 Sep

4

BrightSpring Health Services posted stronger Q2 cash flow and reduced leverage, broadening its capacity for acquisitions. Operating cash flow reached $144 million in Q2, excluding a one-time ~$100 million cash tax tied to the Community Living sale. The company now guides 2026 OCF around $600 million with an EBITDA-to-OCF conversion of about 70%. End-June leverage fell to 2.15x from an adjusted 2.40x in Q1 after repaying roughly $300 million of term debt with Community Living proceeds and repricing the loan to SOFR +200 bp (vs. SOFR +325 bp at IPO). Moody’s and S&P upgraded BrightSpring credit ratings. Management signaled stronger balance sheet gives greater M&A flexibility, with CFO Phipps noting an active pipeline and CEO Rousseau considering expanding the seven-person M&A team, focusing on tuck-ins and adjacent geographies with synergies. The improvement extends into 2027, though valuation discipline remains a priority. Stronger cash flow, lower leverage, and enhanced acquisition capacity create meaningful growth potential and investor sentiment improvements.

23 Sep

3

BrightSpring Health Services (BTSG) drew investor attention after Carillon Eagle Small Cap Growth Fund cited Q2 2026 revenue and adjusted EBITDA ahead of IPO expectations. Yet the stock cooled: current price $56.55, up 1.24% on the day but down 16.36% over 90 days; year-to-date +47.3%, 1-year total return +102.11%, signaling momentum amid mixed sentiment. Simply Wall St’s narrative tags BTSG as undervalued with a fair value of $70.59, driven by its pharmacy engine, which accounts for about 80% of revenue from specialty and institutional pharmacy (infusions at home, long-term care, specialty drug distribution). The moat rests on treatment continuity, embedded payer relationships, and complex logistics, yielding low churn and recurring revenue. Risks include potential pharmacy-margin compression and deleveraging delays raising financing costs. Valuation shows a P/E of 47.4x versus ~24x for the sector; fair ratio ~36.3x. An institutional backing and improved Q2 metrics could support upside, but margin pressure and deleveraging risk cap long-term gains.

21 Sep

3

Carillon Eagle Small Cap Growth Fund's Q2 2026 letter highlights BrightSpring Health Services (BTSG) as a contributor, noting BTSG propelled 1.27% of the quarter's returns. BrightSpring, a US home- and community-based healthcare platform with Pharmacy Solutions and Provider Services, posted revenue and EBITDA growth that exceeded IPO expectations, aided by limited-distribution drug wins and robust provider-services sales. BTSG closed at $56.78 on Sept. 18, 2026, with a $11.24B market cap and a 52-week range of $26.28–$73.75; it has fallen 11.23% in the last month but is up 105.72% YoY. About 49 hedge funds held BTSG in Q2. The piece situates BTSG within a robust small-cap rally but does not signal any fundamental change to its long-term trajectory. Near-term sentiment improves on a strong quarter and IPO-beat, but no evidence of a fundamental strategic shift for BTSG.

17 Sep

3

BrightSpring Health Services faces a $200M IRA impact but efficiency measures may preserve profitability. A $200M financial hit creates moderate risk to future profitability and market perception despite offsetting efficiency.

16 Sep

4

IRA pricing changes create margin risks for CAH, raising questions about its ability to navigate without pressure and potential spillover effects on health services providers including BTSG. IRA-driven regulatory pricing shifts constitute major changes that can significantly alter CAH trajectory and BTSG market performance.

10 Sep

3

BTSG specialty pharmacy sales rose 30%, prompting questions on whether this growth will persist. 30% specialty pharmacy sales increase directly supports BTSG revenue and operational performance.

4 Sep

3

BrightSpring Health Services, Inc. (BTSG) examines whether volume growth alone can allow it to exceed the $20B acute infusion market. BTSG volume growth prospects in the acute infusion market may moderately affect its financial trajectory and investor sentiment.

27 Aug

3

BrightSpring Health Services shows two factors supporting its outlook alongside one cautionary element. Analysis of mixed signals indicates moderate influence on operations and investor sentiment without fundamental trajectory shifts.

24 Aug

3

BrightSpring Health Services outperformed peers in Q2 earnings among senior health, home health and hospice stocks. Q2 earnings outperformance versus sector peers supports modestly improved investor sentiment and valuation.

13 Aug

4

BrightSpring Health Services earnings and guidance have shifted, raising questions on whether the stock requires revaluation. Earnings and guidance shifts directly alter valuation models and investor expectations for the company.

7 Aug

4

BrightSpring Health Services reported Q2 growth and raised its full-year outlook in its earnings call. Q2 growth and raised outlook indicate major positive shift in company performance expectations.

3 transcript

BrightSpring Health Services, Inc. (BTSG) held its Q2 2026 earnings call to review financial results and outlook. Earnings call content supplies performance data and guidance that can shift near-term investor sentiment.

6 Aug

3

BrightSpring Health Services (BTSG) beat Q3 earnings and revenue estimates, lifting its stock in pre-market trading even as margins declined. Q3 beat with margin decline produces moderate short-term stock reaction without shifting long-term trajectory.

4 Aug

4

BrightSpring Health Services raised its 2026 guidance as specialty and home health segments drive growth. Raising 2026 guidance signals strong growth in core segments that can materially lift future results and investor views.

3

BTSG shares fell 18.1% in one week as growth faces new valuation risks. Valuation concerns create short-term market pressure without altering core operations.

3 Aug

4

BrightSpring Health Services beat Q2 earnings expectations on specialty segment growth and raised its 2026 outlook. Earnings beat combined with raised 2026 guidance signals stronger performance and growth trajectory.

3

BrightSpring Health Services raises 2026 outlook after strong Q2 results, with questions on whether margin trends are shifting. Raised outlook after Q2 results signals moderate effects on financial trajectory and investor views.

1 Aug

4 transcript

BrightSpring Health Services, Inc. (BTSG) held its Q2 2026 earnings call, covering financial results, operational performance, and forward outlook. Q2 2026 earnings call delivers key financial metrics and guidance that typically drive major shifts in valuation and investor sentiment.

31 Jul

4

BrightSpring Health Services Inc (BTSG) reported a 23% revenue surge in its Q2 2026 earnings call. 23% revenue surge in earnings call points to major positive trajectory shift for BTSG.

4

BrightSpring Health Services Q2 earnings call covered revenue, profitability metrics, operational updates, and forward guidance. Q2 results and outlook statements directly shape investor assessments of financial trajectory and valuation.

4

BrightSpring Health Services reported second quarter 2026 financial results and raised full year 2026 guidance. Raised full-year guidance after quarterly results points to stronger expected performance and positive market reaction.

3

BrightSpring Health Services reported upbeat Q2 CY2026 results with a full-year outlook that slightly exceeds expectations. Upbeat quarterly results and slightly improved outlook can moderately influence company valuation and market perception.

28 Jul

3

BrightSpring Health Services questions whether pharmacy wins and home-based care can improve its Q2 financial results. Focus on pharmacy and home-based care as Q2 drivers points to noticeable but limited effects on near-term performance and sentiment.

24 Jul

3

BrightSpring Health Services, Inc. (BTSG) anticipates earnings growth, prompting questions on whether to buy the stock. Expected earnings growth at BrightSpring Health Services signals moderate positive influence on financial trajectory and investor views.

14 Jul

4

BrightSpring Health Services, Inc. (BTSG) is set to join the S&P MidCap 400 index while Karman Holdings joins the S&P SmallCap 600. S&P MidCap 400 inclusion typically drives higher institutional ownership and liquidity for BrightSpring Health Services.

1 Jul

3

BrightSpring Health Services (NASDAQ:BTSG) earns top marks in Q1 senior health, home health and hospice earnings. Positive quarterly earnings results can lift near-term investor sentiment and share price.

11 Jun

4

BrightSpring Health Services expects specialty pharmacy operations and tuck-in acquisitions to drive future growth. Specialty pharmacy focus plus tuck-in deals represent major strategic moves likely to alter BrightSpring's growth trajectory and investor sentiment.

3 Jun

3

BrightSpring Health Services, Inc. announces secondary offering of common stock with concurrent share repurchase. Secondary offering increases share supply with potential dilution effects offset partially by concurrent repurchase altering near-term market sentiment.

25 May

4

BrightSpring Health Services raised its 2026 outlook, prompting evaluation of BTSG stock purchase suitability based on updated projections. Raised 2026 outlook directly improves earnings visibility and can materially shift BTSG valuation and investor flows.

3

BrightSpring Health Services shifts emphasis to home care expansion to offset revenue pressure from IRA drug pricing resets. Strategic refocus on home care directly responds to IRA pricing changes that could moderately affect revenue mix and growth trajectory.

stockrow.com/BTSG · Data as of Jun 30, 2026 · For information only; not investment advice. · © 2026 stockrow.com