BrightSpring Health Services, Inc. ((BTSG)) has held its Q3 earnings call. Read on for the main highlights of the call.
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BrightSpring Health Services’ recent earnings call painted a picture of robust financial health, underscored by notable revenue and EBITDA growth. The sentiment was overwhelmingly positive, reflecting strong performance in Pharmacy Solutions and operational efficiencies. Despite facing hurdles in the Home & Community Pharmacy segment and a delay in the divestiture of the Community Living business, the company remains optimistic, bolstered by increased guidance for 2025 and ongoing investments in quality and efficiency.
Strong Revenue Growth
BrightSpring Health Services reported an impressive 28% year-over-year increase in total revenue for Q3 2025, reaching $3.3 billion. This growth was significantly driven by Pharmacy Solutions, which saw a 31% increase, and Provider Services, which grew by 9%.
Adjusted EBITDA Increase
The company achieved a 37% increase in adjusted EBITDA compared to the same quarter last year, with an improvement in the EBITDA margin by 30 basis points. This reflects BrightSpring’s effective cost management and operational strategies.
Pharmacy Solutions Performance
Pharmacy Solutions emerged as a key growth driver, with revenue reaching $3.0 billion, marking a 31% year-over-year increase. The specialty and infusion business within this segment experienced a remarkable 42% growth, fueled by strong commercial execution and successful drug launches.
Operational Efficiency Improvements
BrightSpring realized over $100 million in cash flow from operations and reduced its leverage to 3.3x by the end of the quarter, surpassing expectations. These improvements underscore the company’s commitment to enhancing operational efficiency.
Quality and Patient Satisfaction
The company maintained high quality and patient satisfaction scores across its service lines, with home health branches achieving a 99% timely initiation of care, highlighting BrightSpring’s dedication to quality service delivery.
Decline in Home & Community Pharmacy Scripts
BrightSpring faced a 1% decline in total pharmacy scripts, attributed to divestitures and strategic decisions to exit uneconomic customer relationships, impacting the Home & Community Pharmacy segment.
Community Living Divestiture Delay
The anticipated divestiture of the Community Living business has been delayed, now expected to close in the first quarter of 2026. This delay poses a temporary challenge but is part of a strategic realignment.
Forward-Looking Guidance
BrightSpring Health Services has raised its revenue and adjusted EBITDA guidance for 2025, now expecting between $12.5 billion and $12.8 billion in revenue and $605 million to $615 million in adjusted EBITDA. The company also anticipates further leverage reduction to 3x by year-end and highlighted strategic developments, including the closure of the Community Living divestiture and contributions from upcoming acquisitions, setting the stage for continued growth into 2026.
In summary, BrightSpring Health Services’ earnings call conveyed a strong and positive outlook, driven by significant revenue and EBITDA growth, particularly in Pharmacy Solutions. Despite some challenges, the company’s strategic initiatives and increased guidance for 2025 reflect its commitment to sustained growth and operational excellence.

