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BrightSpring Health Services, Inc. (BTSG)
NASDAQ:BTSG
US Market

BrightSpring Health Services, Inc. (BTSG) AI Stock Analysis

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BrightSpring Health Services, Inc.

(NASDAQ:BTSG)

Rating:70Outperform
Price Target:
$24.50
▲(10.01%Upside)
BrightSpring Health Services shows strong financial health and strategic growth potential, supported by technical indicators and positive earnings guidance. However, the current valuation is high, potentially limiting upside. The strategic divestiture further reinforces its focus on core growth areas.
Positive Factors
Earnings
1Q EBITDA of $131M was ahead of consensus, with impressive revenue rising 25.9%, largely on strength across Pharmacy Solutions.
Financial Performance
BTSG raised 2025 guidance, calling for revenue growth of 19.1%-24.1%, driven by double-digit growth across both segments.
Growth Strategy
The Infusion Pharmacy sector is seen as a significant growth opportunity, with management expecting it to grow over 20% annually.
Negative Factors
Competition
BTSG's competitive advantage lies in its sales force, which is crucial for handling generic launches amidst increased competition.
Policy Risks
Policy headwinds from the Inflation Reduction Act are acknowledged, but other operational efficiencies are expected to offset these challenges.
Sector Dynamics
The home/community pharmacy business, though slower growing than Specialty, is vital for the company due to its purchasing scale and leverage with payors.

BrightSpring Health Services, Inc. (BTSG) vs. SPDR S&P 500 ETF (SPY)

BrightSpring Health Services, Inc. Business Overview & Revenue Model

Company DescriptionBrightSpring Health Services, Inc. operates a home and community-based healthcare services platform in the United States. The company's platform focuses on delivering pharmacy and provider services, including clinical and supportive care in home and community settings to Medicare, Medicaid, and insured populations. It serves patients through clinical providers and pharmacists. BrightSpring Health Services, Inc. was formerly known as Phoenix Parent Holdings Inc. and changed its name to BrightSpring Health Services, Inc. in May 2021. The company was founded in 1974 and is based in Louisville, Kentucky.
How the Company Makes MoneyBrightSpring Health Services, Inc. generates revenue primarily through the provision of its diverse health services. The company's key revenue streams include payments received from government healthcare programs like Medicaid and Medicare, private health insurance reimbursements, and direct payments from clients for services rendered. Additionally, BrightSpring may engage in partnerships with healthcare facilities, insurance companies, and other organizations to expand its service offerings and client base. The company's financial performance is closely tied to healthcare policy changes, reimbursement rates, and the growing demand for home and community-based care solutions.

BrightSpring Health Services, Inc. Earnings Call Summary

Earnings Call Date:May 02, 2025
(Q1-2025)
|
% Change Since: 24.41%|
Next Earnings Date:Aug 01, 2025
Earnings Call Sentiment Positive
BrightSpring Health Services reported a strong first quarter with significant revenue and EBITDA growth, driven by the Pharmacy Solutions and Specialty and Infusion segments. The company increased its financial guidance for the year, reflecting confidence in continued growth and operational efficiency. While there are uncertainties related to tariffs and regulatory changes, the company does not expect significant impacts this year. Overall, the positive financial performance and strategic positioning outweigh the noted challenges.
Q1-2025 Updates
Positive Updates
Strong Revenue Growth
Total company revenue was $2.9 billion, representing growth of 26% year over year. Pharmacy Solutions revenue grew 28% year over year, while provider services revenue grew 12%.
Increased EBITDA and Guidance
Total company adjusted EBITDA was $131 million, growing 28% year over year. The company increased its EBITDA guidance for 2025 by $25 million at both the low and high ends of the prior range.
Specialty and Infusion Business Performance
Revenue growth for the Specialty and Infusion business was 33% year over year, with total script volume growth of 20% in the quarter.
High Quality Metrics in Health Services
Patient satisfaction rates remained high across various services, including a 90% satisfaction rate in home health and 98% in rehab.
Positive Market Positioning
The company demonstrated strong performance in the home and community settings, with a focus on high-quality care and innovative growth.
Negative Updates
Regulatory and Tariff Uncertainties
The company faces uncertainties related to potential future pharma tariffs and regulatory changes, although it does not anticipate material impacts in 2025.
Leap Year Impact
The company experienced a $3.7 million negative EBITDA impact due to fewer days in Q1 2025 compared to Q1 2024, which was a leap year.
Company Guidance
During the BrightSpring Health Services, Inc. Common Stock first quarter 2025 earnings call, guidance for the fiscal year was updated to reflect stronger-than-expected performance, with total revenue anticipated to be between $12 billion and $12.5 billion, and adjusted EBITDA expected to range from $570 million to $585 million. This represents a 19.1% to 24.1% growth in revenue and a 23.9% to 27.2% increase in adjusted EBITDA over the previous year, excluding the community living segment. The company's Pharmacy Solutions segment is projected to achieve revenue between $10.55 billion and $11 billion, while the Provider Services segment is expected to generate $1.45 billion to $1.5 billion in revenue. BrightSpring noted improvements in efficiency and cost reductions, alongside continued investments in technology and patient care. The company also highlighted its capability to drive growth across its pharmacy and provider services, supported by strong operational execution and favorable market conditions.

BrightSpring Health Services, Inc. Financial Statement Overview

Summary
BrightSpring Health Services is experiencing solid revenue growth and improving financial health, with a focus on reducing debt and enhancing cash flow. Despite robust revenue growth and efficient cost management, profitability margins remain under pressure.
Income Statement
72
Positive
BrightSpring Health Services shows a robust revenue growth of 31.1% from 2023 to 2024, driven by the healthcare demand. The gross profit margin stands at 13.5% for TTM, indicating efficient cost management. However, the net profit margin is relatively low at 0.5%, reflecting challenges in controlling other expenses or interest costs.
Balance Sheet
55
Neutral
The company's debt-to-equity ratio has improved significantly to 0.13, suggesting a better capital structure and reduced financial risk. However, the return on equity is modest at 3.4% TTM, indicating limited profitability relative to shareholder investment. The equity ratio of 28.9% highlights a moderate reliance on debt.
Cash Flow
68
Positive
BrightSpring Health Services demonstrates a notable improvement in free cash flow, with a growth rate of 322.7% from 2023 to TTM. The operating cash flow to net income ratio of 3.56 suggests strong cash conversion efficiency. However, fluctuations in financing cash flows highlight potential volatility in financial management.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
11.57B11.27B8.83B7.72B6.70B5.58B
Gross Profit
1.56B1.59B1.43B1.35B1.25B1.05B
EBIT
260.12M206.37M147.18M296.03M234.18M273.81M
EBITDA
415.68M398.13M349.52M500.00M433.34M346.69M
Net Income Common Stockholders
57.23M-18.06M-154.60M-53.91M49.80M20.81M
Balance SheetCash, Cash Equivalents and Short-Term Investments
52.34M61.25M13.07M13.63M46.73M262.00M
Total Assets
5.85B5.93B5.53B5.64B5.51B4.73B
Total Debt
227.54M2.90B3.67B3.68B3.77B2.97B
Net Debt
175.20M2.84B3.66B3.67B3.72B2.71B
Total Liabilities
4.16B4.27B4.92B4.85B4.71B4.00B
Stockholders Equity
1.69B1.65B584.74M754.78M774.82M704.98M
Cash FlowFree Cash Flow
127.28M-57.14M137.26M-74.77M210.90M170.73M
Operating Cash Flow
204.01M23.77M210.78M-4.65M270.17M222.64M
Investing Cash Flow
-133.49M-140.24M-134.43M45.36M-1.19B-451.85M
Financing Cash Flow
-75.91M166.96M-76.91M-73.81M705.22M472.92M

BrightSpring Health Services, Inc. Technical Analysis

Technical Analysis Sentiment
Positive
Last Price22.27
Price Trends
50DMA
21.00
Positive
100DMA
20.29
Positive
200DMA
18.61
Positive
Market Momentum
MACD
0.02
Positive
RSI
50.29
Neutral
STOCH
29.31
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For BTSG, the sentiment is Positive. The current price of 22.27 is below the 20-day moving average (MA) of 22.84, above the 50-day MA of 21.00, and above the 200-day MA of 18.61, indicating a neutral trend. The MACD of 0.02 indicates Positive momentum. The RSI at 50.29 is Neutral, neither overbought nor oversold. The STOCH value of 29.31 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for BTSG.

BrightSpring Health Services, Inc. Risk Analysis

BrightSpring Health Services, Inc. disclosed 57 risk factors in its most recent earnings report. BrightSpring Health Services, Inc. reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 1 New Risks
1.
The sale of our Community Living business may not occur on the terms agreed to by the parties, in the expected time frame, or at all and, as a result, could adversely affect the Company's business and financial condition. Q4, 2024

BrightSpring Health Services, Inc. Peers Comparison

Overall Rating
UnderperformOutperform
Sector (58)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$1.83B39.016.05%3.77%-17.69%-10.24%
73
Outperform
$2.66B176.782.53%6.79%-18.52%
70
Outperform
$3.92B79.142.30%23.40%
PHPHR
58
Neutral
$1.53B-15.97%16.29%66.01%
58
Neutral
$4.92B18.67-16.94%10.08%13.73%-24.47%
EVEVH
56
Neutral
$1.02B-10.99%10.24%2.63%
48
Neutral
$1.23B-54.49%-2.54%-322.03%
* General Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
BTSG
BrightSpring Health Services, Inc.
22.27
11.46
106.01%
PINC
Premier
22.06
4.21
23.59%
EVH
Evolent Health
9.25
-12.79
-58.03%
TDOC
Teladoc
6.90
-3.46
-33.40%
PHR
Phreesia
26.21
5.95
29.37%
PRVA
Privia Health Group
21.85
4.99
29.60%

BrightSpring Health Services, Inc. Corporate Events

Executive/Board Changes
BrightSpring Health Services Executive Resignation Announced
Neutral
Jun 20, 2025

On June 20, 2025, Michael McMaude resigned from his roles as President of Hospice Services at BrightSpring Health Services, Inc. and CEO of its subsidiary, Abode Healthcare, Inc. His resignation was not due to any disagreements with the company. McMaude will continue as a consultant until January 26, 2027, under a Resignation Agreement that includes a monthly consulting fee and continued vesting of stock options. The agreement also outlines non-competition and non-solicitation clauses for McMaude.

The most recent analyst rating on (BTSG) stock is a Buy with a $22.00 price target. To see the full list of analyst forecasts on BrightSpring Health Services, Inc. stock, see the BTSG Stock Forecast page.

Private Placements and FinancingRegulatory Filings and Compliance
BrightSpring Health Services Stock Offering Agreement
Neutral
Jun 12, 2025

On June 10, 2025, BrightSpring Health Services, Inc. entered into an underwriting agreement for an offering of 14,000,000 shares of its common stock at $21.75 per share, with the closing occurring on June 12, 2025. The company did not receive proceeds from the offering, which was conducted by the selling stockholders, but it involved customary legal and financial arrangements, including indemnification obligations under the Securities Act of 1933.

The most recent analyst rating on (BTSG) stock is a Buy with a $22.00 price target. To see the full list of analyst forecasts on BrightSpring Health Services, Inc. stock, see the BTSG Stock Forecast page.

M&A TransactionsBusiness Operations and Strategy
BrightSpring Health Divests Community Living Business
Positive
Jun 10, 2025

On January 17, 2025, BrightSpring Health Services, Inc. announced the divestiture of its Community Living business for $835 million, marking a strategic shift to focus on its core services. This divestiture is expected to enhance BrightSpring’s operational efficiencies and strategic focus, allowing the company to better serve its target growth markets in home health, rehab, primary care, and hospice. The financial results of the Community Living business have been classified as discontinued operations, reflecting this major change in the company’s business strategy.

The most recent analyst rating on (BTSG) stock is a Buy with a $22.00 price target. To see the full list of analyst forecasts on BrightSpring Health Services, Inc. stock, see the BTSG Stock Forecast page.

Executive/Board ChangesShareholder Meetings
BrightSpring Health Services Holds 2025 Annual Stockholders Meeting
Neutral
Jun 3, 2025

On May 28, 2025, BrightSpring Health Services, Inc. held its 2025 Annual Meeting of Stockholders, where significant decisions were made regarding the company’s governance and operations. During the meeting, Johnny Kim and Timothy A. Wicks were elected as Class I directors, and the appointment of KPMG LLP as the independent registered public accounting firm was ratified. Additionally, the stockholders approved the executive officers’ compensation and decided to hold advisory votes on executive compensation annually.

The most recent analyst rating on (BTSG) stock is a Buy with a $22.00 price target. To see the full list of analyst forecasts on BrightSpring Health Services, Inc. stock, see the BTSG Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.