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About BrightSpring Health Services, Inc. Common Stock
Primary reporting period: 2025-12-31 · Research updated Oct 12, 2026. A research update is not a new financial filing.
Who they are
BrightSpring Health Services, Inc. operates across the United States, offering a range of healthcare solutions directly within patients' homes and local communities. The company's extensive platform focuses on providing crucial pharmacy and medical provider services, including both clinical care and supportive assistance, to individuals covered by Medicare, Medicaid, and private insurance. Patients receive care from a dedicated team of clinical professionals and licensed pharmacists.
How they make money
BrightSpring operates a home and community-based healthcare platform that generates revenue by providing pharmacy and provider services to complex, high-need patient populations. The company is primarily reimbursed through government programs such as Medicare and Medicaid, as well as commercial insurance plans, for delivering clinical and supportive care in lower-cost home and community settings.
Products & services
The company provides pharmacy services, home health care, primary care, rehabilitation, and behavioral health services for senior and specialty patient populations.
Brands & revenue mix
PharMerica
Pharmacy services subsidiary.
Separate brand revenue is not available in this research.Source
ResCare
Provider services subsidiary.
Separate brand revenue is not available in this research.Source
Revenue share is not unit sales or a best-seller ranking. Parent brands and included sub-brands can overlap; do not add overlapping rows.
Product / operating segments
No reconciled product or operating-segment revenue breakdown is available for the current research period. Company-wide revenue remains separate from segment disclosure.
Geographic revenue
No reconciled geographic revenue breakdown was confirmed for the current research period.
The company derives a significant portion of its revenue from government-funded programs, specifically Medicare and Medicaid, as disclosed in the 2025 annual report.
Suppliers, materials & equipment
Pharmaceutical manufacturers and wholesalers — The company relies on various pharmaceutical manufacturers and wholesalers to supply the medications and clinical supplies necessary for its pharmacy operations.Source
Overall investment score · Quality, value, risk and opportunity
38
Poor
PoorElite
View category scores →
Company Quality
How good is the actual business—regardless of today’s stock price?
65
Fair
Financial Strength
68
Business Quality / Moat
90
Management
61
Growth Quality
53
Risk / Durability
15
Weak Company · Expensive Stock
Uses financial strength, moat, management, growth quality and durability. It excludes share price, P/E, market cap, intrinsic value and margin of safety.
Opportunity
Opportunity Score · How does the current price compare with estimated value?
47
Avoid
Based on current valuation, company quality, recent trends, and available market signals.
View score details →
Model Outlook
12-month model · What does the model think happens next?
58/100
Building Historical Record
Model Score 58/100 — estimates relative performance potential, distinct from the overall Wall Street Score and the separate Company Quality score.
Probability unavailable — the model has not produced a calibrated probability yet.
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WSS View
The quick read
The overall Wall Street Score is low across its combined quality, valuation and risk inputs. This can reflect an expensive share price, business weaknesses, or both; check Company Quality and the category breakdown before drawing a conclusion.
At today’s price, the WSS valuation framework currently reads as less attractive based on the available valuation and market data.
The model outlook is currently moderate.
What we like
•Balance-sheet / debt profile scores strongly
•Recent buyback activity is present
What to watch
•Debt service risk
•Valuation is a weaker part of the current profile
•Revenue fundamentals are weak
•Asset quality is a weaker factor
Company-specific research
Questions worth answering for BTSG
Research inputs 100% complete
These questions are generated from this company's current financial and score data so the page adds context instead of treating the headline score as a stand-alone conclusion.
•Can BTSG maintain its current revenue growth rate and improve the amount of that revenue that turns into earnings and cash?
•Is BTSG's positive free cash flow repeatable, or is the current level being helped by temporary working-capital or spending changes?
•Is BTSG's debt load manageable relative to cash generation, interest costs and upcoming maturities?
•What future growth or profitability would be needed to justify BTSG's current valuation?
Two different market-behavior signals. Momentum measures direction and trend strength. Volatility measures how large and unstable the price moves are, regardless of direction.
A high momentum score means price has been trending upward with confirming short- and medium-term strength. A low score means downward or weakening momentum.
Volatility = How violently is it moving?
A high volatility score means larger, less stable price swings. It can happen while a stock is rising or falling, so high volatility is not automatically bullish or bearish.
Important: the volatility score above is based on realized price volatility. Implied volatility (IV) comes from options prices and represents the market's expected future movement. Wall Street Score will keep IV separate and will only display it when a verified options-chain feed is available.
Notices for BTSG
Detected from reported data — verify before acting.
Historical repurchase activity
Reported cash flows or share-count measures indicate past repurchase activity. This does not verify an active buyback authorization or future purchases.
Debt service risk
Interest coverage is low (~1.9x). Earnings may be strained to cover interest expense.
Community Sentiment
0 active · 0 total calls
0% Bullish (0) 0% Bearish (0)
No personal call yet on BTSG.
Potential upside factors
+Growth opportunities may come from revenue expansion, margin improvement, new products, market-share gains, and stronger cash flow.
+Integrated and scaled care delivery model.
+Focus on high-need, high-cost patient populations.
+Positive free cash flow may provide capacity to invest in growth.
Potential downside factors
−Key risks may include competition, margin pressure, debt levels, valuation risk, and changes in demand within the Medical - Healthcare Information Services industry.
−Dependence on government reimbursement rates and regulatory changes.
−Operational risks associated with providing clinical care in home and community settings.
These research factors come from saved company research and financial data, not community votes. They are starting points to verify against filings, not buy or sell recommendations.
Create a free account to make a call.
Scores
Click any score for full breakdown
Wall Street Score
Weak38/ 100
Weak (0–50)Fair (51–71)Strong (72+)
Debt
Strong
84
Debt Cost5.8%
Debt Reduction YoY6.8%
Debt / Equity1.44x
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Revenue
Weak
44
Revenue YoY11.3%
Revenue CAGR20.9%
Net Margin2.0%
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Asset
Poor
38
Asset Growth YoY8.2%
Liquidation/Share$9.37
Net Assets/MCap0.32x
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Capital
Poor
12
Earnings Yield2.6%
Buyback Yield0.1%
Debt Cost5.8%
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Management
Fair
61
ROIC5.8%
ROE14.4%
ROA4.9%
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Moat
Elite
90
EPS Growth50.9%
FCF/Share Growth22.4%
Rev/Share Growth11.0%
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Valuation
Poor
10
Intrinsic Value$55.06
Value Reference$33.03
MOS-9.2%
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Buffett
Fair
59
Revenue44
Moat90
Valuation10
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MOS
Poor
0
MOS %-9.2%
Value Reference$33.03
Deep Discount Reference$22.02
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Financial
Poor
29
Interest Coverage1.9x
ROIC5.8%
FCF Yield3.5%
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Master
Poor
29
Financial29
Valuation10
Debt84
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Resilience
Poor
34
Survival Years0.2 yrs
Current Ratio1.57x
FCF Margin3.1%
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Score Changes
5 historical score records available
Previous Score
37
Sep 9, 2026
Change
+0.9
points
Current Score
38
Oct 1, 2026
Category Changes
Revenue+1.4
Debt0
Assets+0.9
Capital+1.0
Management0
Moat0
Valuation+5.9
Buffett+1.0
BTSG increased 0.9 points because Valuation improved by 5.9 points.
Positive Contributors
+ Valuation improved by 5.9 points
Projected Score
Projected Score
43
Projected Change
+5.0 points
Preliminary comparable-period financial changes suggest improvement of approximately 5.0 points. This is a projected estimate, not the official WallStreetScore.
Monetary values in USD. Share counts in raw units.
Income StatementBalance SheetCash Flow
AnnualQuarterlyTTM + Annual
All rows
Free includes 3 annual periods plus available TTM; Premium includes up to 10 annual periods. History depends on available company filings. Swipe the table horizontally to see older periods. A dash means unavailable, not zero.
Line Item
TTM
2025
2024
2023
2022
2021
2020
2019
2018
Revenue
$14.37B
$12.91B
$11.27B
$8.83B
····
····
····
····
····
Cost of Revenue
$12.59B
$11.39B
$9.68B
$7.39B
····
····
····
····
····
Gross Profit
$1.78B
$1.52B
$1.59B
$1.43B
····
····
····
····
····
Research & Development
$0.00
$0.00
$0.00
$0.00
····
····
····
····
····
SG&A Expenses
$1.30B
$1.22B
$1.38B
$1.29B
····
····
····
····
····
Operating Expenses
$1.30B
$1.22B
$1.38B
$1.29B
····
····
····
····
····
EBITDA
$638.9M
$459.5M
$398.1M
$349.5M
····
····
····
····
····
Operating Income
$478.1M
$295.3M
$206.4M
$147.2M
····
····
····
····
····
Interest Expense
$152.3M
$157.3M
$228.4M
$324.6M
····
····
····
····
····
Income Before Tax
$295.5M
$137.9M
-$34.7M
-$177.4M
····
····
····
····
····
Income Tax Expense
$47.6M
$33.1M
-$14.2M
-$20.6M
····
····
····
····
····
Net Income
$294.0M
$190.7M
-$18.1M
-$154.6M
····
····
····
····
····
Basic EPS
$1.43
$0.94
$-0.09
$-0.90
····
····
····
····
····
Basic Shares
206M
203M
193M
171M
····
····
····
····
····
Diluted Shares
220M
220M
193M
171M
····
····
····
····
····
Upgrade to Premium for up to 10 annual periods, where available.
Debt and cash show percentage changes versus the comparison period; margin shows the change in percentage points (pp). These are company-wide changes, not per-share amounts.
Financial Changes Since Prior Period
What Improved
Margins expanded
Cash position grew
Debt reduced
Potential Score Impact
Positive indicators included revenue growth, EPS growth, cash levels, debt levels. These factors may support or pressure the Revenue, Management, Financial, and Debt categories; this summary does not claim that the stored scores changed.
Stored Earnings Analysis
Revenue increased 23.0%. EPS increased 200.0%. Cash increased 685.5%. Total debt declined 12.0%. Net income margin improved by 1.3 percentage points.
Earnings-Call Transcript
Earnings-call transcript analysis is not currently available.
These results may influence future scores when the next evaluation is completed.
Upgrade to Premium to unlock all earnings history.View plans
Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.
Dividend HistoryShare
Dividend History
Dividend data is not available yet. Missing data does not mean this company pays no dividend.
Predictions & Historical PerformanceShare
Conservative Projected Values
3 Years
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Premium
5 Years
$———.——
Premium
10 Years
$———.——
Premium
Conservative Projection Rate
——%
Premium
Conservative Projected Values — price projections derived from actual 10-year adjusted historical returns, conservatively adjusted and capped at 8% annually. These are distinct from the Outperformance Model Score and WallStreetScore.
Conservative Projected Values
Premium unlocks the 3-year, 5-year, and 10-year conservative projected values with full calculation breakdowns based on actual historical returns.
Premium includes stored forecasts and any available evaluated results. Completed results, win rates and calibrated probabilities are shown only when supported records exist; access does not create historical outcomes.