BrightSpring Health Services, Inc. (BTSG)
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BrightSpring Health Services, Inc. (BTSG) reported revenue of $3.9 billion for Q2 FY2026, the quarter ended 30 June 2026, up 23.0% on the same quarter a year earlier. Net income was $84 million, up 198.8% on the year, and diluted earnings per share $0.38. The figures are the company's own, from the 10-Q it filed with the SEC on 31 July 2026.
Revenue$3.9 billionup 23.0%
Net income$84 millionup 198.8%
Diluted EPS$0.38
QuarterQ2 FY2026ended 30 June 2026
BrightSpring Health Services (BTSG) in brief
BrightSpring Health Services (BTSG) reported revenue of $12.9 billion for fiscal 2025, the year ended 31 December 2025, up 28.2% on the year before.
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Net income was $191 million and diluted earnings per share $0.87. Revenue was $10.1 billion in fiscal 2024, $7.7 billion in fiscal 2023 and $6.6 billion in fiscal 2022. Net income in the same years was a loss of $18 million, a loss of $155 million and a loss of $54 million. BrightSpring Health Services had 198 million shares outstanding at the latest filed count. At 30 June 2026 it carried $2.2 billion of debt and $550 million of cash. At the close of 7 October 2026 the market cap of BrightSpring Health Services was $12.6 billion.Ratios
From the filings
ROEn/a
ROCEn/a
Operating marginn/a
Net marginn/a
FCF marginn/a
Interest covern/a
Debt to equity1.07
Cash conversionn/a
Share count, 1 year11.6%
Sales CAGR, 3 years24.8%
Profit CAGR, 3 yearsn/a
EPS, TTMn/a
At the close of 7 October 2026
Price$63.80
Market cap$12.6 billion
Stock P/En/a
Price to book6.15
EV / EBITDAn/a
Dividend yieldn/a
Market cap / salesn/a
52-week high$72.91
52-week low$28.36
Price, 1 year124.5%
Price CAGR, 3 yearsn/a
Price CAGR, 5 yearsn/a
Worked from the filed figures; hover a name for the formula.
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The priced ones use the latest daily close from CBOE. Debt to equity here stands on long-term debt as BrightSpring Health Services, Inc. files it, with lease liabilities counted separately and never inside it. Nothing here is a valuation or a view.BTSGgreeksoup.ai
Daily closes to 7 October 2026, adjusted for splits; prices from CBOE.
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Day by day for the last three years; before that one point a week, carrying the week's last close and its average daily volume, so a volume bar means the same thing across the whole series; the bars sit under the price on their own scale, on the right. The moving averages need consecutive days and are drawn from the daily part. P/E is the close over the trailing four quarters' EPS as filed at each filing date, on the current share count; the dashed line is the median over the range shown. Sales and margin are quarterly revenue and the operating margin from the tables above. EV/EBITDA, price to book and market cap to sales use the latest filed balance sheet and share count at each date. Before the quarters on file begin, P/E, price to book and market cap to sales stand on each annual report from the day it was filed. Drawn in your browser; the range and overlay you pick are remembered here only.The public record on BTSG
| Filings | 18 in twelve months: 11 current reports (8-K), about 5 results of operations; 3 material agreement; 2 officer or director change; 2 regulation fd disclosure; 1 shareholder vote |
| Planned insider sales | 3 Form 144 notices in twelve months, $5.2 million; latest 14 September 2026 |
| Options tape | put/call 0.6 by open interest at the 8 October 2026 close; the straddle prices a 4.4% move to 16 October 2026 |
| 13F holders | 11 of the followed funds hold it; largest FMR LLC; 10 Schedule 13D or 13G filings in twelve months |
| Insider trading | 16 sales and 0 purchases on Form 4 in twelve months |
| Congress | 0 House trades disclosed in six months |
| Short interest | 10.2 million shares short, 4.63 days to cover at 15 September 2026 |
| Documents | the 10-K, the 10-Qs, the proxy and 5 earnings press releases, each linked |
Quarterly results, the last 12 quarters
| Q3 FY2023 | Q4 FY2023 * | Q1 FY2024 † | Q2 FY2024 † | Q3 FY2024 † | Q4 FY2024 * † | Q1 FY2025 | Q2 FY2025 | Q3 FY2025 | Q4 FY2025 * | Q1 FY2026 | Q2 FY2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | 2,257 | 2,375 | 2,577 | 2,730 | 2,907 | 3,053 | 2,878 | 3,148 | 3,334 | n/a | 3,614 | 3,873 |
| Cost of revenue | 1,898 | n/a | 2,207 | 2,341 | 2,499 | n/a | n/a | n/a | n/a | n/a | n/a | n/a |
| Gross profit | 358 | 369 | 292 | 312 | 323 | 339 | 338 | 375 | 392 | n/a | 482 | 493 |
| Gross margin | 16% | 16% | 11% | 11% | 11% | 11% | 12% | 12% | 12% | n/a | 13% | 13% |
| SG&A | 411 | 300 | 308 | 274 | 294 | 283 | 288 | 326 | 304 | n/a | 361 | 362 |
| Operating income | -52.3 | 68.3 | -15.3 | 38.7 | 29.1 | 55.5 | 50.7 | 48.6 | 87.8 | n/a | 121 | 130 |
| Operating margin | -2% | 3% | -1% | 1% | 1% | 2% | 2% | 2% | 3% | n/a | 3% | 3% |
| Interest expense | 83.7 | 83.1 | 54.5 | 43.3 | 46.6 | 46.2 | 41.8 | 38.8 | 38.2 | n/a | 38.6 | 36.9 |
| Pre-tax income | -136 | -14.8 | -82.5 | -4.6 | -17.5 | 9.4 | 9.0 | 9.8 | 49.6 | n/a | 82.8 | 93.5 |
| Tax rate | n/a | n/a | n/a | n/a | n/a | 54% | -3% | 13% | 24% | n/a | 10% | 7% |
| Net income | -131 | -6.5 | -45.8 | 19.9 | -8.2 | 16.0 | 29.5 | 28.2 | 55.8 | n/a | 149 | 84.3 |
| Net margin | -6% | -0% | -2% | 1% | -0% | 1% | 1% | 1% | 2% | n/a | 4% | 2% |
| Diluted EPS | -$1.11 | -$0.05 | -$0.26 | $0.10 | -$0.04 | $0.08 | $0.14 | $0.13 | $0.26 | n/a | $0.67 | $0.38 |
| Operating cash flow | 33.7 | 162 | -78.9 | -15.2 | 27.2 | 90.6 | 102 | 49.1 | 108 | n/a | 123 | 43.9 |
| Capital expenditure | 17.9 | 16.8 | 21.8 | 23.7 | 20.0 | 15.3 | 17.6 | 24.4 | 15.8 | n/a | 21.5 | 29.0 |
| Free cash flow | 15.8 | 146 | -101 | -39.0 | 7.2 | 75.3 | 84.0 | 24.7 | 92.2 | n/a | 101 | 14.9 |
| Buybacks | n/a | n/a | 0.3 | 0.3 | 0.0 | 0.0 | n/a | n/a | n/a | n/a | 60.0 | 60.0 |
| Shares outstanding | 174m | 118m | 171m | 171m | 174m | 174m | 175m | 177m | 181m | 192m | 193m | 198m |
| Filing | 10-Q | 10-K | 10-Q | 10-Q | 10-Q | 10-K | 10-Q | 10-Q | 10-Q | 10-K | 10-Q | 10-Q |
Each quarter as filed, linked to its filing.
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* The fourth quarter is the full year less the first three quarters, because the company files the year and not the quarter on its own. A fourth quarter's EPS and diluted share count are from the company's results press release for that quarter, used where the release gives the same revenue and net income as the table. A fourth quarter left blank is one the arithmetic cannot give yet: the annual report changed the basis of the year (a business sold or spun off, a line regrouped), so the year less the three quarters as first filed would not be a quarter of anything. It fills in once the three quarters have been refiled on the new basis. A quarter marked † is shown as the company last restated it in a later filing, so it compares with the quarters around it on one basis; rest on a figure for the one first filed. EPS is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and the share count are as they are. Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Cash flow lines filed year to date are the difference between two filings. Shares outstanding are at the period end where the balance sheet tags them, otherwise the count on the filing's cover page. A derived fourth-quarter EPS is left blank when a split in the year makes the arithmetic meaningless.Income statement (profit and loss), 4 fiscal years and the trailing twelve months
Play it forward: change any box and its column follows; every box opens at the company's own record, shown under the row's name, and says when you set it outside every year in the table.
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Each column runs from the last twelve months as filed to the year chosen in its heading, at a yearly rate. Sales growth starts at the company's own five-year rate and eases a third of the way each year toward the median of the 12 peers in Healthcare (7.6% a year), because a rate far from the rest rarely lasts. Before you open a year, the strip reads today's price backwards: the yearly sales growth that brings EPS, at the company's own margins, tax and share count, to today's price at the median P/E of the 11 peers in Healthcare (23.3). Low, middle, high opens three columns for one year: the low and high cases take the company's own weaker and stronger years in the table (the lower and upper quarter of its yearly sales growth and operating margin) and the lower and higher of today's P/E and its peers'; the middle is the boxes as they open. Net income keeps the share that went to minority holders; EPS is net income over the diluted shares, on the same basis as the EPS in the table. The price is that year's EPS at the P/E you set, and the yearly return runs from today's price to the year's end. These are your assumptions and your arithmetic, not an estimate of ours. The link carries your columns, so you can send the forecast to someone.| FY2022 † | FY2023 † | FY2024 † | FY2025 | TTM | |
|---|---|---|---|---|---|
| Revenue | 6,637 | 7,691 | 10,072 | 12,911 | n/a |
| Gross profit | 1,085 | 1,139 | 1,266 | 1,518 | n/a |
| Gross margin | 16.3% | 14.8% | 12.6% | 11.8% | n/a |
| Selling, general and administrative | 925 | 1,081 | 1,158 | 1,223 | n/a |
| Operating income | 119 | 58.1 | 108 | 295 | n/a |
| Operating margin | 1.8% | 0.8% | 1.1% | 2.3% | n/a |
| Interest expense | 200 | 272 | 191 | 157 | n/a |
| Pre-tax income | -81.0 | -214 | -95.3 | 138 | n/a |
| Income tax | -0.4 | -31.5 | -26.4 | 33.1 | n/a |
| Effective tax rate | n/a | n/a | n/a | 24.0% | n/a |
| Net income | -53.9 | -155 | -18.1 | 191 | n/a |
| Net margin | -0.8% | -2.0% | -0.2% | 1.5% | n/a |
| Diluted EPS | -$0.46 | -$1.31 | -$0.09 | $0.87 | n/a |
| Filing | 10-K | 10-K | 10-K | 10-K |
From each year's 10-K, linked; TTM is the last four quarters.
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Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are. † The year as the company last restated it in a later filing; rest on a figure for the one first filed. EPS is as filed.Revenue by segment
| FY2023 | FY2024 | FY2025 | Share latest year | |
|---|---|---|---|---|
| Pharmacy Solutions | 6,522 | 8,754 | 11,446 | 88.7% |
| Provider Services | 1,168 | 1,318 | 1,465 | 11.3% |
Pharmacy SolutionsProvider Services
$ billion; hover a block for its figure and share
From the latest 10-K, in the company's own words.
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A year is shown only where the parts add up to the revenue above. Fiscal years are labelled by the year they end in.Revenue by product or service
| FY2023 | FY2024 | FY2025 | Share latest year | |
|---|---|---|---|---|
| Products | 6,522 | 8,754 | 11,446 | 88.7% |
| Services | 1,169 | 1,318 | 1,465 | 11.3% |
ProductsServices
$ billion; hover a block for its figure and share
From the latest 10-K, in the company's own words.
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A year is shown only where the parts add up to the revenue above. Fiscal years are labelled by the year they end in.Cash flow and capital returned
Follow the cash: free cash flow, which is operating cash flow less capital expenditure and share-based pay, for five years and after, in today's money.
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The figure a share at the top is what a discounted cash flow calls intrinsic value, worked out on your assumptions. Everything after year five is one sum: the sixth year's cash, growing at the long-run rate every year after, added up and brought back to today's money. Each year runs from the last twelve months as filed. Sales growth opens where Play it forward does: the company's own five-year rate, easing a third of the way each year toward the median of the 12 peers in Healthcare (7.6% a year); change a year and the years after it follow. Operating cash flow, capital expenditure and share-based pay open at the company's own median share of sales over its last five years, shown under each row. Share-based pay is taken off because operating cash flow adds back the shares paid to staff as if they cost nothing; set it to 0 to leave it in. Capital spending counts every capital line the company files in its cash flow, such as equipment it leases to customers, software, wells or property it develops, named under the row, while the Capital expenditure row in the table below stays the one line as filed; buying a business, securities or a finished property is not counted. The discount rate opens at 10%, about what US stocks have returned a year over the long run, so it is the return you give up by holding this company instead of the market; the growth after year five opens at 3%, a little under the US economy's long-run growth in dollars, because no company outgrows it for ever. Net debt is the debt and short-term borrowings less the cash on the latest balance sheet that shows the debt; the figure per share divides what is left by the diluted share count. These are your assumptions and your arithmetic, not an estimate of ours. The link carries them, so you can send them to someone.| FY2022 † | FY2023 † | FY2024 † | FY2025 | TTM | |
|---|---|---|---|---|---|
| Operating cash flow | -4.7 | 211 | 23.8 | 490 | n/a |
| Capital expenditure | 70.1 | 73.5 | 80.9 | 95.5 | n/a |
| Free cash flow | -74.8 | 137 | -57.1 | 395 | n/a |
| Free cash flow margin | -1.1% | 1.8% | -0.6% | 3.1% | n/a |
| Cash from investing | 45.4 | -134 | -140 | -305 | n/a |
| Cash from financing | -73.8 | -76.9 | 165 | -158 | n/a |
| Depreciation and amortisation | 204 | 202 | 204 | 164 | n/a |
| Share-based compensation | 3.5 | 3.9 | 69.2 | 70.1 | n/a |
| Buybacks | n/a | 0.7 | 0.7 | 43.2 | n/a |
| Diluted shares, weighted | 118m | 118m | 193m | 220m | 220m |
| Shares outstanding at period end | n/a | 118m | 174m | 192m | 198m |
| Filing | 10-K | 10-K | 10-K | 10-K |
Cash paid in the year, from the cash flow statement.
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The dividend per share is as declared. Diluted shares are the weighted average for the year; a falling count is the buybacks net of issuance. TTM sums the last four quarters; the share counts are the latest quarter's.Balance sheet at year end
| FY2022 † | FY2023 † | FY2024 † | FY2025 | TTM | |
|---|---|---|---|---|---|
| Funded by | |||||
| Shareholders' equity | 755 | 585 | 1,648 | 1,875 | 2,049 |
| Non-controlling interest | n/a | 0.7 | 0.0 | 0.1 | 0.1 |
| Redeemable equity | n/a | 27.1 | 3.7 | 11.2 | 9.4 |
| Debt | n/a | 3,364 | 2,611 | 2,508 | 2,191 |
| Operating lease liabilities | n/a | 135 | 129 | 135 | 132 |
| Finance lease liabilities | n/a | 5.8 | 6.5 | 14.5 | 13.3 |
| Other liabilities | n/a | 1,415 | 1,528 | 1,869 | 1,591 |
| Total liabilities and equity | n/a | 5,533 | 5,926 | 6,413 | 5,986 |
| Owned | |||||
| Fixed assets | n/a | 175 | 181 | 205 | 214 |
| Goodwill | 2,268 | 2,301 | 2,364 | 2,546 | 2,535 |
| Intangible assets | n/a | 640 | 595 | 558 | 514 |
| Cash and equivalents | 13.2 | 12.4 | 61.0 | 88.4 | 550 |
| Receivables | n/a | 767 | 903 | 990 | 1,139 |
| Inventory | n/a | 399 | 637 | 815 | 575 |
| Other assets | n/a | 1,238 | 1,186 | 1,212 | 457 |
| Total assets | n/a | 5,533 | 5,926 | 6,413 | 5,986 |
| Filing | 10-K | 10-K | 10-K | 10-K | |
At the fiscal year end; the TTM column is the latest quarter end.
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Both totals are the company's own. Other liabilities is the filed total less the rows above it: payables, deferred revenue, taxes, borrowings the rows above do not carry and the rest; other assets is the same on the other side. Investments add the current and non-current lines as filed. Debt is the company's own stated total where it files one, otherwise its long-term debt with the current maturities, never parts added together. A row is left blank in a year where the lines shown overlap and the remainder would fall below nil.Compounded growth
| 10 years | 5 years | 3 years | TTM | |
|---|---|---|---|---|
| Sales growth, compounded | n/a | n/a | 24.8% | n/a |
| Profit growth, compounded | n/a | n/a | n/a | n/a |
| Return on equity, average | n/a | -6.1% | -5.8% | 10.2% |
Yearly growth, compounded; TTM is the last four quarters against the four before.
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Return on equity is net income over shareholders' equity at each year end, averaged over the window (the TTM column is the latest year alone); equity is the parent's shareholders' equity as tagged in the 10-K. Arithmetic on filed numbers, nothing forecast.Peers: Healthcare
| Company | Market cap | P/E | ROE | Op. margin | Sales growth TTM | Debt to equity | Div. yield |
|---|---|---|---|---|---|---|---|
| Quest Diagnostics Inc. DGX | $25.5 billion | 24.50 | 14.1% | 14.1% | 9.9% | 0.75 | 1.4% |
| Labcorp Holdings Inc. LH | $25.4 billion | 25.99 | 11.6% | 10.4% | 6.4% | 0.68 | 0.9% |
| Tenet Healthcare Corp. THC | $21.0 billion | 10.05 | 48.1% | 20.8% | 5.4% | 2.81 | n/a |
| BrightSpring Health Services, Inc. BTSG | $12.6 billion | n/a | n/a | n/a | n/a | 1.07 | n/a |
| Encompass Health Corp. EHC | $12.1 billion | 19.96 | 23.9% | 18.0% | 9.5% | 1.00 | 0.6% |
| Davita Inc. DVA | $11.3 billion | 14.49 | n/a | 15.2% | 6.4% | n/a | n/a |
| Universal Health Services Inc. UHS | $10.5 billion | 7.16 | 20.3% | 11.4% | 10.0% | 0.65 | 0.5% |
| Ensign Group, Inc. ENSG | $10.0 billion | 26.88 | 15.5% | 8.5% | 18.9% | 0.06 | 0.1% |
| Chemed Corp. CHE | $6.5 billion | 25.03 | 33.1% | 13.5% | 3.3% | 0.17 | 0.4% |
| Hims & Hers Health, Inc. HIMS | $6.5 billion | n/a | -43.8% | -6.0% | 28.0% | 4.21 | n/a |
| Sotera Health Co. SHC | $5.1 billion | 31.28 | 24.6% | n/a | 8.1% | 3.21 | n/a |
| Option Care Health, Inc. OPCH | $4.7 billion | 23.35 | 16.6% | 5.9% | 5.9% | 0.92 | n/a |
All 13 in Healthcare
| Company | Market cap | P/E | ROE | Op. margin | Sales growth TTM | Debt to equity | Div. yield |
|---|---|---|---|---|---|---|---|
| HCA Healthcare, Inc. HCA | $97.0 billion | 14.90 | n/a | 12.7% | 7.3% | n/a | 0.7% |
| Quest Diagnostics Inc. DGX | $25.5 billion | 24.50 | 14.1% | 14.1% | 9.9% | 0.75 | 1.4% |
| Labcorp Holdings Inc. LH | $25.4 billion | 25.99 | 11.6% | 10.4% | 6.4% | 0.68 | 0.9% |
| Tenet Healthcare Corp. THC | $21.0 billion | 10.05 | 48.1% | 20.8% | 5.4% | 2.81 | n/a |
| BrightSpring Health Services, Inc. BTSG | $12.6 billion | n/a | n/a | n/a | n/a | 1.07 | n/a |
| Encompass Health Corp. EHC | $12.1 billion | 19.96 | 23.9% | 18.0% | 9.5% | 1.00 | 0.6% |
| Davita Inc. DVA | $11.3 billion | 14.49 | n/a | 15.2% | 6.4% | n/a | n/a |
| Universal Health Services Inc. UHS | $10.5 billion | 7.16 | 20.3% | 11.4% | 10.0% | 0.65 | 0.5% |
| Ensign Group, Inc. ENSG | $10.0 billion | 26.88 | 15.5% | 8.5% | 18.9% | 0.06 | 0.1% |
| Chemed Corp. CHE | $6.5 billion | 25.03 | 33.1% | 13.5% | 3.3% | 0.17 | 0.4% |
| Hims & Hers Health, Inc. HIMS | $6.5 billion | n/a | -43.8% | -6.0% | 28.0% | 4.21 | n/a |
| Sotera Health Co. SHC | $5.1 billion | 31.28 | 24.6% | n/a | 8.1% | 3.21 | n/a |
| Option Care Health, Inc. OPCH | $4.7 billion | 23.35 | 16.6% | 5.9% | 5.9% | 0.92 | n/a |
2 companies share its SEC industry code (Services-Home Health Care Services); the rest are the names nearest in size in its wider industry, Healthcare, one of the Fama-French 48 industries, a published grouping of SEC industry codes.
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By market capitalisation; a click on a heading sorts by it, largest first, and a second click turns it round. Each figure is the same arithmetic as the ratio box above, on each company's own filings and latest close; a name marked * is a foreign company that files once a year, on its latest fiscal year.Filings
| Filing | Period | Filed | Where |
|---|---|---|---|
| 10-Q | 30 June 2026 | 31 July 2026 | EDGAR |
| 10-Q | 31 March 2026 | 1 May 2026 | EDGAR |
| 10-K | 31 December 2025 | 27 February 2026 | EDGAR |
| 10-Q | 30 September 2025 | 28 October 2025 | EDGAR |
| 10-Q | 30 June 2025 | 1 August 2025 | EDGAR |
| 10-Q | 31 March 2025 | 2 May 2025 | EDGAR |
| 10-K | 31 December 2024 | 6 March 2025 | EDGAR |
| 10-Q | 30 September 2024 | 1 November 2024 | EDGAR |
| 10-Q | 30 June 2024 | 2 August 2024 | EDGAR |
| 10-Q | 31 March 2024 | 2 May 2024 | EDGAR |
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