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olivLaw · US equity research

BrightSpring Health Services, Inc. BTSG

Services-Home Health Care Services · SIC 8082 · Vertical: Services-Home Health Care Services (SIC 8082)

69.80USD−0.06% · 1 dayClose 04 Nov 2026

BrightSpring Health Services provides pharmacy and home and community care for patients with complex chronic conditions, especially seniors and patients with specialized needs. The company reported revenue of 12.9 bn USD in fiscal 2025, and second quarter 2026 revenue grew 23.0%, in a context where home-based care is becoming more important for the health system.

The AI analysis may be outdated: new filings came after its sources (see the «AI analysis» section).

At the close of 04 Nov 2026, BrightSpring Health Services, Inc. (BTSG) stock was 69.80 USD (−0.06% on the day), with market capitalisation 13.9 bn USD, P/E 37.8 on diluted EPS of 1.84 USD over the last 12 months, beta 1.13, 52-week range 31.36–72.91 USD. Latest reported quarter (Q3 2026): revenue of 4.2 bn USD (+26.4% YoY), net income of 100.1 m USD (+79.3% YoY), diluted EPS 0.45 USD.

Data as of · AI analysis dated · Source: SEC filings and closing prices, computed by olivLaw.

Market cap
13.9 bn USD
shares as of 27 Oct 2026
P/E (TTM)
37.8
Diluted EPS TTM 1.84 · TTM to 30 Sept 2026
E/P (TTM)
2.64%
TTM to 30 Sept 2026
Dividend yield
unavailable
Beta (2y)
1.13
Volatility (1y) 45%
52-week range
31.3672.91

Price history

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Technical reading

RSI (14)
71.0
overbought (≥ 70)
Bollinger (20, 2)
56.50 – 69.14
above the upper band · %B 1.05 · band width 20.1%
SMA 50 / 200
60.54 / 55.13
uptrend (price > SMA50 > SMA200)
MACD (12, 26, 9)
1.76 / 0.83
MACD above signal

Indicators describe past prices; on their own they do not predict direction. On our history the RSI ≤ 40 filter added no return (see the signals methodology).

Performance

CompanyS&P 500vs S&P 500Vertical median
1 month+12.6%−1.1%+13.7 pp—
3 months+10.8%−0.5%+11.2 pp—
6 months+32.3%+4.4%+28.0 pp—
Year to date+86.4%+12.3%+74.1 pp—
1 year+117.9%+13.5%+104.4 pp+6.4%
3 yearsunavailable+76.4%unavailable+6.4%
5 yearsunavailable+63.7%unavailable—
Max drawdown (1y)
−23.6%
24 Jul 2026 → 29 Sept 2026
Max drawdown (5y)
−35.6%
30 Jan 2025 → 21 Apr 2025
Compound annual growth (5y)
unavailable
S&P 500 +10.4%

Price returns, dividends excluded.

Quarterly results

Latest quarter: Q3 2026 · 30 Sept 2026

Revenue
4.2 bn USD
+26.4% YoY
Net income
100.1 m USD
+79.3% YoY
Diluted EPS
0.45
+73.1% YoY
net / operating
2.4% / 3.8%

Quarterly margins

Quarterly statements · USD

Fiscal yearQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26Q2 '26Q3 '26
Revenue1.9 bn2.9 bn3.1 bn3.3 bn3.6 bn3.6 bn3.9 bn4.2 bn
Gross profit338.7 m338.4 m374.9 m392.0 m412.5 m482.2 m492.7 m518.5 m
SG&A283.1 m287.6 m326.3 m304.2 m304.4 m360.8 m362.4 m358.1 m
Operating income55.5 m50.7 m48.6 m87.8 m108.1 m121.4 m130.4 m160.5 m
Depreciation & amortisation54.9 m42.2 m41.8 m ≈40.8 m ≈39.5 m39.1 m41.4 m ≈38.4 m ≈
Interest expense46.2 m41.8 m38.8 m38.2 m38.5 m38.6 m36.9 m31.0 m
Pre-tax income9.4 m9.0 m9.8 m49.6 m69.6 m82.8 m93.5 m129.4 m
Income tax5.1 m-240.0 k1.2 m12.1 m20.0 m8.6 m6.9 m28.6 m
Net income16.0 m29.5 m28.2 m55.8 m77.1 m148.8 m84.3 m100.1 m
Diluted EPS0.08 ≈0.140.130.260.34 ≈0.670.380.45
Operating cash flow90.6 m101.6 m49.1 m ≈107.9 m ≈231.6 m122.9 m43.9 m ≈204.3 m ≈
Capex15.3 m17.6 m24.4 m ≈15.8 m ≈37.7 m21.5 m29.0 m ≈22.1 m ≈
Share repurchases0————60.0 m60.0 m ≈0 ≈

≈ derived quarter (cumulative difference / share-days average)

E/P over time

E/P = trailing-12-month diluted EPS / price at quarter end. E/P is the inverse of P/E and stays defined when earnings are negative.

Today's P/E sits at the 29 percentile of its own 7-quarter history (min 30.3, median 42.8, max 76.1; quarters with earnings only).

Fiscal years

Fiscal year2022202320242025
Revenue7.7 bn7.7 bn10.1 bn12.9 bn
Revenue YoYunavailable−0.4%+31.0%+28.2%
Net income-53.9 m-154.6 m-18.1 m190.7 m
Net income YoYunavailableunavailableunavailableunavailable
Diluted EPS-0.46-1.31-0.090.87
Diluted EPS YoYunavailableunavailableunavailableunavailable
net %-0.7%-2.0%-0.2%1.5%
Free cash flow-74.8 m137.3 m-57.1 m394.7 m

Reported results vs expectations

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Balance sheet & financial health

Fiscal year 2025 · 31 Dec 2025

Cash
88.4 m USD
Financial debt
2.5 bn USD
Net debt
2.4 bn USD
Equity
1.9 bn USD
Total assets
6.4 bn USD
Debt / equity
1.34x
Current ratio
1.57x
ROE
10.8%
ROA
3.1%
FCF margin
3.1%

Financial statements (source on every figure)

Revenue and net income (USD)

Margins

Income statement · USD

Revenue
2023
7.7 bn
2024
10.1 bn
2025
12.9 bn

SEC (XBRL)· 27 Feb 2026verified

Gross profit
2023
1.1 bn
2024
1.3 bn
2025
1.5 bn

SEC (XBRL)· 27 Feb 2026verified

SG&A
2023
1.1 bn
2024
1.2 bn
2025
1.2 bn

SEC (XBRL)· 27 Feb 2026verified

Operating income
2023
58.1 m
2024
108.0 m
2025
295.3 m

SEC (XBRL)· 27 Feb 2026verified

Depreciation & amortisation
2023
202.3 m
2024
204.5 m
2025
164.3 m

SEC (XBRL)· 27 Feb 2026verified

EBITDA
2023
260.5 m ≈
2024
312.4 m ≈
2025
459.5 m ≈

SEC (XBRL)· 27 Feb 2026derived

Interest expense
2023
271.9 m
2024
190.5 m
2025
157.3 m

SEC (XBRL)· 27 Feb 2026verified

Pre-tax income
2023
-213.8 m
2024
-95.3 m
2025
137.9 m

SEC (XBRL)· 27 Feb 2026verified

Income tax
2023
-31.5 m
2024
-26.4 m
2025
33.1 m

SEC (XBRL)· 27 Feb 2026verified

Net income
2023
-154.6 m
2024
-18.1 m
2025
190.7 m

SEC (XBRL)· 27 Feb 2026verified

Diluted EPS
2023
-1.31
2024
-0.09
2025
0.87

SEC (XBRL)· 27 Feb 2026verified

Weighted average diluted shares
2023
117.9 m
2024
193.0 m
2025
219.8 m

SEC (XBRL)· 27 Feb 2026verified

Balance sheet · USD

Cash
2023
13.1 m
2024
61.0 m
2025
88.4 m

SEC (XBRL)· 27 Feb 2026verified

Receivables
2023
881.6 m
2024
902.8 m
2025
989.7 m

SEC (XBRL)· 27 Feb 2026verified

Inventories
2023
402.8 m
2024
636.6 m
2025
815.2 m

SEC (XBRL)· 27 Feb 2026verified

Current assets
2023
1.5 bn
2024
1.9 bn
2025
2.9 bn

SEC (XBRL)· 27 Feb 2026verified

Property, plant & equipment, net
2023
245.9 m
2024
180.6 m
2025
204.7 m

SEC (XBRL)· 27 Feb 2026verified

Goodwill
2023
2.3 bn
2024
2.4 bn
2025
2.5 bn

SEC (XBRL)· 27 Feb 2026verified

Intangibles (excl. goodwill)
2023
881.5 m
2024
595.2 m
2025
557.6 m

SEC (XBRL)· 27 Feb 2026verified

Total assets
2023
5.5 bn
2024
5.9 bn
2025
6.4 bn

SEC (XBRL)· 27 Feb 2026verified

Accounts payable
2023
641.6 m
2024
923.9 m
2025
1.2 bn

SEC (XBRL)· 27 Feb 2026verified

Short-term debt
2023
32.3 m
2024
48.7 m
2025
52.3 m

SEC (XBRL)· 27 Feb 2026verified

Long-term debt
2023
3.3 bn
2024
2.6 bn
2025
2.5 bn

SEC (XBRL)· 27 Feb 2026verified

Current liabilities
2023
1.2 bn
2024
1.4 bn
2025
1.8 bn

SEC (XBRL)· 27 Feb 2026verified

Total liabilities
2023
4.9 bn
2024
4.3 bn
2025
4.5 bn

SEC (XBRL)· 27 Feb 2026verified

Equity
2023
585.4 m
2024
1.6 bn
2025
1.9 bn

SEC (XBRL)· 27 Feb 2026verified

Cash flow · USD

Operating cash flow
2023
210.8 m
2024
23.8 m
2025
490.2 m

SEC (XBRL)· 27 Feb 2026verified

Capex
2023
73.5 m
2024
80.9 m
2025
95.5 m

SEC (XBRL)· 27 Feb 2026verified

Free cash flow
2023
137.3 m ≈
2024
-57.1 m ≈
2025
394.7 m ≈

SEC (XBRL)· 27 Feb 2026derived

Investing cash flow
2023
-134.4 m
2024
-140.2 m
2025
-305.1 m

SEC (XBRL)· 27 Feb 2026verified

Financing cash flow
2023
-76.9 m
2024
164.6 m
2025
-157.9 m

SEC (XBRL)· 27 Feb 2026verified

Share repurchases
2023
650.0 k
2024
650.0 k
2025
43.2 m

SEC (XBRL)· 27 Feb 2026verified

Computed indicators

Growth

Revenue growth (YoY)
28.2%
computed by olivLawFY 2025
Revenue CAGR 3Y
18.7%
computed by olivLawFY 2022 → FY 2025
Revenue CAGR 5Y
unavailable
input data missing
EBIT growth (YoY)
173.5%
computed by olivLawFY 2025
Net income growth (YoY)
unavailable
the base of the ratio is not positive
Net income CAGR 3Y
unavailable
the base of the ratio is not positive
Net income CAGR 5Y
unavailable
input data missing
EPS growth (YoY)
unavailable
the base of the ratio is not positive
EPS CAGR 3Y
unavailable
the base of the ratio is not positive
EPS CAGR 5Y
unavailable
input data missing
FCF growth (YoY)
unavailable
the base of the ratio is not positive

Profitability

Gross margin
12.5%
computed by olivLawTTM to 30 Sept 2026
EBITDA margin
4.5%
computed by olivLawTTM to 30 Sept 2026
EBIT margin
3.4%
computed by olivLawTTM to 30 Sept 2026
Net margin
2.7%
computed by olivLawTTM to 30 Sept 2026
FCF margin
3.2%
computed by olivLawTTM to 30 Sept 2026

Returns

ROE
20.5%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROA
6.7%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROIC
11.0%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROCE
11.4%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Payout ratio (EPS)
unavailable
input data missing
Payout ratio (FCF)
unavailable
input data missing

Balance sheet

Net debt
1.5 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
Net debt / EBITDA
2.2x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Debt / equity
1.0x
computed by olivLawbalance sheet at 30 Sept 2026
Interest coverage
3.6x
computed by olivLawTTM to 30 Sept 2026

Liquidity

Current ratio
1.6x
computed by olivLawbalance sheet at 30 Sept 2026
Quick ratio
1.2x
computed by olivLawbalance sheet at 30 Sept 2026
Cash ratio
0.4x
computed by olivLawbalance sheet at 30 Sept 2026

Cash

Operating cash flow
602.7 m USD
computed by olivLawTTM to 30 Sept 2026
Capital expenditure
110.3 m USD
computed by olivLawTTM to 30 Sept 2026
Free cash flow
492.4 m USD
computed by olivLawTTM to 30 Sept 2026
FCF conversion
120.0%
computed by olivLawTTM to 30 Sept 2026
Cash conversion
88.8%
computed by olivLawTTM to 30 Sept 2026

Efficiency

Days sales outstanding
27 days
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Days inventory outstanding
unavailable
input data missing
Days payables outstanding
unavailable
input data missing
Cash conversion cycle
unavailable
input data missing

Market and valuation

Market capitalisation
13.9 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
Enterprise value
15.4 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
Market cap / net income TTM
33.9x
computed by olivLawTTM to 30 Sept 2026
P/E (TTM)
37.8x
computed by olivLawTTM to 30 Sept 2026
Earnings yield
2.6%
computed by olivLawTTM to 30 Sept 2026
P/B
6.4x
computed by olivLawbalance sheet at 30 Sept 2026
P/S
0.9x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
EV/EBITDA
22.6x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
EV/EBIT
29.5x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
EV/Sales
1.0x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
P/FCF
28.2x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
FCF yield
3.5%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero
Shareholder yield (distributions)
0.3%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026

1 indicators that do not apply to the sector.

Valuation

olivLaw classification

Unattractive profile

Score: 43 / 100

A scoring methodology on indicators and valuation, not investment advice.

(margin_of_safety <= -0.25 & agreement in ['high', 'medium'])

Closing price

69.80 USD

04 Nov 2026Source: olivLaw, closing series

Market cap: 13.9 bn USD

Key indicators

Market capitalisation
13.9 bn USD
computed by olivLawbalance sheet at 30 Sept 2026
P/E (TTM)
37.8x
computed by olivLawTTM to 30 Sept 2026
P/B
6.4x
computed by olivLawbalance sheet at 30 Sept 2026
EV/EBITDA
22.6x
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
ROE
20.5%
computed by olivLawTTM to 30 Sept 2026 · balance sheet at 30 Sept 2026
Net margin
2.7%
computed by olivLawTTM to 30 Sept 2026
Revenue growth (YoY)
28.2%
computed by olivLawFY 2025
Dividend yield
unavailable
no dividend in the structured statements; a missing line is not a confirmed zero

Coverage and freshness

32/37 reporting lines present
Latest full fiscal year: 2025
Latest reported period: 30 Sept 2026
Latest balance sheet date: 30 Sept 2026
Share count (cover of the latest filing), as of: 27 Oct 2026
Source: SEC (XBRL)published 30 Oct 2026
verified 589derived 41

Score by group

  • Valuation13
  • Returns4
  • Quality64
  • Balance sheet50
  • Growth100

Estimated value range

Low
41.80
USD per share
Mid
44.16
USD per share
High
46.91
USD per share
Price: 69.80 USD
The price is above the range
Potential to the central value: -36.7% (value / price − 1)
Margin of safety: -58.1% (1 − price / value)
Agreement between methods: medium · 3 methods used · 2 independent bases

The combined range = the median of the valid methods' low, central and high values; it is not a probability interval and does not cover every result. Envelope of all methods: 34.83 – 79.70 USD.

Valuation assumptions are editorial choices, not measured; beta is not measured.

Method ranges (USD per share)

— — Mid · ▏ Price

Valuation methods

  • DCF (discounted cash flow)47.30 – 79.70 (Mid 59.61)
    WACC 8.7% · starting FCFF 612.7 m USD · terminal value share of EV 76%
    The WACC × g sensitivity gives the method's bounds; these are not probabilities.
    Reverse DCF: starting growth implied by the price (fading linearly to terminal growth, everything else fixed): 21.8%
  • Peers: EV/EBITDA41.80 – 46.91 (Mid 44.16)
    3 companies used · median multiple 15.1x · quartiles 14.4x – 15.9x
    AVAH, CHE, OPCH
  • Peers: P/E34.83 – 43.69 (Mid 40.72)
    4 companies used · median multiple 22.1x · quartiles 18.9x – 23.7x
    ADUS, AVAH, CHE, OPCH
  • Dividend discount (DDM)unavailable · the company pays no dividend: a dividend model needs an explicit initiation assumption
Multiple comparisons use the SIC vertical: Services-Home Health Care Services (SIC 8082)

Classification (SIC) comparables group by industry code, not by economic activity; the direct group is an editorial selection by activity. Members' multiples are on their own trailing twelve months, at their own latest close.

Assumptions (illustrative, editorial)

Risk-free rate
4.3%
Equity risk premium
5.0%
Beta (default)
1.00
Cost of equity
9.3%
Terminal growth
2.5%

Factor scorecard

Unattractive profile · Score 43/100

FactorValueScoreWeight used
ROIC · Quality11.0%69 (on a fixed band)12%
Net margin · Quality2.7%20 (vs peers)7%
FCF conversion · Quality120.0%100 (on a fixed band)7%
Revenue CAGR 3Y · Growth18.7%100 (on a fixed band)10%
EPS CAGR 3Y · Growthunavailableunavailable—
Net debt / EBITDA · Balance sheet2.2x53 (on a fixed band)12%
Interest coverage · Balance sheet3.6x32 (on a fixed band)7%
Current ratio · Balance sheet1.6x68 (on a fixed band)5%
P/E (TTM) · Valuation37.8x0 (on a fixed band)12%
EV/EBITDA · Valuation22.6x0 (on a fixed band)12%
FCF yield · Valuation3.5%44 (on a fixed band)10%
Shareholder yield (distributions) · Returns0.3%4 (on a fixed band)7%
Payout ratio (FCF) · Returnsunavailableunavailable—

Factors without a value were dropped; the remaining weights were renormalised.

Score groups

  • Balance sheet50/100 · 3/3 factors with a value
  • Growth· partial100/100 · 1/2 factors with a value
  • Quality64/100 · 3/3 factors with a value
  • Returns· partial4/100 · 1/2 factors with a value
  • Valuation13/100 · 3/3 factors with a value

A «partial» group is computed from under half of its weight or from one factor: it is not a full assessment of the group.

Memo

BrightSpring Health Services, Inc. (BTSG). Latest full fiscal year: 2025; data up to 2026-09-30.

Figures computed from the financial statements: revenue 12.9 bn USD in 2025; YoY growth 28.2%; net margin 2.7%; ROE 20.5%; net debt/EBITDA 2.2x.

The estimated value range is 41.80–46.91 USD per share (median of 3 methods, agreement: medium); assumptions are illustrative. Against the central value of 44.16 USD, the price of 69.80 USD leaves a potential of -36.7% (value / price − 1) and a margin of safety of -58.1% (1 − price / value). The range is the median of the methods' low, central and high values, not a probability interval.

olivLaw score 43/100, methodological classification: unattractive profile (score, margin of safety and method agreement together; not a judgement of the right price). Groups assessed only in part: growth, returns. Not investment advice.

Text generated deterministically from the figures shown; no language model. Not investment advice.

What supports the thesis

  • FCF conversion: 120.0%
  • Revenue CAGR 3Y: 18.7%

What contradicts it

  • Net margin: 2.7%
  • P/E (TTM): 37.8x
  • EV/EBITDA: 22.6x
  • Shareholder yield (distributions): 0.3%
  • The price is above the estimated value range

Not assessed (insufficient data or a ratio without meaning): EPS CAGR 3Y, Payout ratio (FCF).

Versus the vertical median

Services-Home Health Care Services (SIC 8082) · same industry (4-digit SIC) · compared with 5 companies

Multiples and returns vs the median

P/E
37.8x
vertical median 22.1x
above median (+71.4%)
EV/EBITDA
22.6x
vertical median 15.1x
above median (+49.8%)
P/S
0.9x
vertical median 1.2x
below median (−23.7%)
P/B
6.4x
vertical median 3.6x
above median (+78.3%)
ROE
20.5%
vertical median 16.0%
above median (+28.0%)
Net margin
2.7%
vertical median 7.4%
below median (−63.6%)
EBIT margin
3.4%
vertical median 10.3%
below median (−67.0%)
Revenue YoY
28.2%
vertical median 8.5%
above median (+229.8%)
Net debt/EBITDA
2.2x
vertical median 2.1x
at median
Dividend yield
—
vertical median —

Price rebased to 100 (monthly, 5 years)

Companies in the vertical

Market capP/EROENet marginRevenue YoY1A / 3A
BTSGBrightSpring Health Services, Inc.13.9 bn37.820.5%2.7%+28.2%+118% / unavailable
CHEChemed Corporation7.1 bn26.229.1%10.6%+4.1%+25% / −3%
OPCHOption Care Health, Inc.4.7 bn22.816.0%3.7%+13.0%+2% / +6%
AVAHAveanna Healthcare Holdings Inc.3.1 bn11.6199.6%10.6%unavailable+52% / +421%
ADUSAddus HomeCare Corp2.4 bn21.310.0%7.4%+23.2%+6% / +47%
AHCOAdaptHealth Corp.998.0 m—-28.6%-11.4%−0.5%−24% / −14%

1- and 3-year price returns: for BTSG from daily closes (the same as the performance table), for the other companies from month-end closes.

olivLaw engine forecast

The world engine ran after the company's latest material disclosure. Probabilities are of TOUCHING a level within the horizon (not closing there) and sit next to the random walk (p_rw), the no-information benchmark.

The engine has no published run for this company yet.

Valuation scenarios (editable assumptions)

Illustrative scenarios

Illustrative: not forecasts and without probabilities. Each case is one coherent set of assumptions, computed on today's figures.

Bear
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Base
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Bull
Allowed range: -50 … 50%
Allowed range: -100 … 100%
Allowed range: 0 … 100
Allowed range: -10 … 20%
Allowed range: 0 … 100%
Nothing is saved.

Estimated price (USD)

Estimated priceBearBaseBull
1 years
50.98
Total return -27% · Per year -27%
89.71
Total return 29% · Per year 29%
134.56
Total return 93% · Per year 93%
3 years
60.47
Total return -13% · Per year -5%
118.64
Total return 70% · Per year 19%
193.77
Total return 178% · Per year 41%
5 years
71.72
Total return 3% · Per year 1%
156.90
Total return 125% · Per year 18%
279.03
Total return 300% · Per year 32%
What moves the 3-year price the most
  • Exit P/E± 29.66
  • Net margin± 20.76
  • Annual revenue growth± 15.48
  • Annual dilution± 1.74

AI analysis

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

Possibly outdated: the newest document it read is from 31 Jul 2026; since then the company filed 8-K (30 Oct 2026 · results), 10-Q (30 Oct 2026).

In brief

BrightSpring Health Services provides pharmacy and home and community care for patients with complex chronic conditions, especially seniors and patients with specialized needs. The company reported revenue of 12.9 bn USD in fiscal 2025 1, and second quarter 2026 revenue grew 23.0% 2, in a context where home-based care is becoming more important for the health system.

SWOT

Strengths

  • The integrated platform combines pharmacy with clinical services, which allows better coordination for patients with complex needs 1.
  • Geographic coverage across all states and operating scale give advantages in purchasing and negotiations with payors 1.
  • The company reports high quality indicators, such as order accuracy and patient outcomes, which support relationships with referral sources 1.

Weaknesses

  • A large part of revenue depends on Medicare and Medicaid programs whose payment rules can change 1.
  • The pharmacy activity carries low margins relative to revenue volume, which makes profitability sensitive to drug costs 1.
  • The company depends on recruiting and retaining clinical and pharmacy staff, an area under constant labor market pressure 1.

Opportunities

  • Growth in patients with chronic conditions and expansion of specialty pharmacy services could support higher revenue 1.
  • Acquisitions and integrations of care branches, such as those from Amedisys and LHC, could add new contributions to results 3.
  • If outcome-based care models expand, the company could benefit from integrating pharmacy and clinical services 1.

Threats

  • Changes in government payment regulations could reduce revenue or profitability 1.
  • Vertically integrated competitors could offer better drug prices, which could limit competitiveness 1.
  • Post-payment audits and cost containment initiatives by payors could affect collections 1.

Risks

  • Dependence on government programshigh

    A significant part of revenue comes from Medicare and Medicaid, and changes in rates or eligibility could reduce receipts directly 1.

  • Intense competitionmedium

    Vertically integrated or larger competitors could reduce market share or pressure prices 1.

  • Relationships with drug suppliersmedium

    Loss of access to limited distribution drugs or changes in terms with manufacturers could affect activity 1.

  • Referral source relationshipsmedium

    If referral sources judge services to be low quality or not cost-effective, patient volumes could decline 1.

  • Debt and refinancinglow

    The company refinanced part of its debt in 2026, and a high level of indebtedness could limit financial flexibility 2.

Investment thesis

What would need to be true (bull case)

  • Rapid growth in revenue and adjusted EBITDA in recent quarters suggests the integrated model can support solid expansion 2.
  • The 2026 guidance was raised, indicating management confidence in operational execution and the contribution of acquisitions 3.
  • An ageing population and growth in patients with chronic conditions could sustain demand for the company's services over the long term 1.

What would break the thesis

  • Heavy dependence on government programs means any reduction in rates could quickly affect revenue and margins 1.
  • The pharmacy segment has large revenue but relatively thin margins, so profitability depends on cost pressure 1.
  • The high pace of growth in 2026 could be hard to sustain if acquisitions fail to deliver the expected contributions or if the market shifts 3.

What to watch

  • Delivery against 2026 revenue and adjusted EBITDA guidancenext quarterly release
  • Contribution from the Amedisys and LHC branch acquisitions2026
  • Changes to Medicare and Medicaid rates and payment rules2027
  • Leverage level and debt reduction after refinancingnext 10-Q

Products, market & competition

AI-generatedAI-generated analysis (Claude) from cited public sources; it may contain errors. Not investment advice. As of 27 Oct 2026 · Model: claude-haiku-5-5.

Possibly outdated: the newest document it read is from 31 Jul 2026; since then the company filed 8-K (30 Oct 2026 · results), 10-Q (30 Oct 2026).

The business

The business model relies on complementary services: pharmacy provides daily medication management, while provider services include home health, hospice, rehab and home-based primary care 1. According to the company, the link between the two lines allows better care coordination and lower costs 1.

In 2025 the company agreed to divest its Community Living business for 835 million USD, to focus on home health, rehab, primary care and hospice 1. The divestiture was completed on March 30, 2026, according to the results release 3.

Segments

Pharmacy Solutions

The pharmacy segment is the largest part of the business, with 88.7% of revenue in fiscal 2025 1. It includes home and community pharmacy, as well as infusion and specialty pharmacy for oncology and other complex treatments 1.

Provider Services

The provider segment represented 11.3% of revenue in fiscal 2025 1 and covers home health care, hospice, rehab and supportive care for daily living activities 1. In the second quarter of 2026, the average daily home health census rose 54% year over year 3.

Community reach

To limit dependence on government programs and specific customers, the company has also used acquisitions and integrations of care branches, such as those from Amedisys and LHC 3. The company indicated that these add a separate contribution to 2026 adjusted EBITDA 3.

Market context

The company estimates that the market for high-need, high-cost Senior and Specialty patients exceeds 2.0 trillion USD 1. Patients with five or more chronic conditions account for a large share of health spending, which makes the market appear to be growing 1.

The specialty pharmaceutical market is also broad, and the company points to opportunities linked to newly launched oncology drugs and drugs that will become generic 1. The highly fragmented nature of the market leaves room for consolidation, as payors and government look for more efficient services 1.

Trends

  • Ageing populationtailwind

    Demand for home-based care and chronic services could grow as the senior population increases, which supports the Provider Services segment 1.

  • Shift to coordinated, value-based caretailwind

    Outcome-based payment models could favor companies that coordinate patients between pharmacy and clinical services, if this trend strengthens 1.

  • Pressure on Medicare and Medicaid ratesheadwind

    Changes to tariffs or payment methods in government programs could reduce revenue, affecting a significant part of the company's activity 1.

  • Industry consolidation and competitionmixed

    If competition intensifies through vertical integration by rivals or the removal of certificate of need rules in some states, margins could be affected 1.

Competitive position

The company says it competes in pharmacy with distributors and national, regional and local pharmacies, and in provider services with local, regional and national providers 1. Some competitors have vertically integrated models with insurers, distributors or retail chains, which may give them a cost advantage 1.

Competition is lower in states without certificate of need or permit requirements, and removing these requirements could increase competition 1. Relationships with pharmaceutical manufacturers and suppliers are also essential to maintaining market position 1.

  • National pharmacy and distribution providers

    Competitors in pharmacy services, some vertically integrated with insurers or distributors, referred to generically in source 1 without named identification.

  • Retail pharmacy chains

    Competitors in medication supply that can offer comparable services; source 1 does not name them individually.

  • Local and regional home care providers

    Competitors in the Provider Services segment, present in each geographic market where the company operates.

  • Long-term care facility operators with in-house pharmacy

    Facility owners entering the facility-based pharmacy market in areas of their concentration, according to source 1.

News & filings

In the press

The latest news item in our archive is from 21 Sept 2026; the newest SEC filing is from 30 Oct 2026. The press archive comes from the RSS feeds we follow and does not necessarily cover the latest event — the filings alongside do.

SEC filings

Sources

  1. [1] Form 10-K, fiscal year ended 2025-12-31 · SEC / BrightSpring Health Services, Inc. · 27 Feb 2026
  2. [2] Form 10-Q, quarter ended 2026-06-30 · SEC / BrightSpring Health Services, Inc. · 31 Jul 2026
  3. [3] Form 8-K, results release (exhibit 99.1) · SEC / BrightSpring Health Services, Inc. · 31 Jul 2026

Figures computed by olivLaw from SEC filings and closing prices; the qualitative analysis is AI-generated from cited sources. Not investment advice.