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

• Market Cap: $5.78B
• Dividend Yield: N/A
• Average Volume (3M): 4.71M
• Price to Earnings (P/E): 53.5
• Beta (1Y): 1.15
• Revenue Growth: 17.23%
• EPS Growth: N/A
• Country: US
• Employees: 37,000
• Sector: Healthcare
• Sector Strength: 45
• Industry: Medical - Healthcare Information Services
• EPS (TTM): 0.30
• Shares Outstanding: 180,352,300
• 10 Day Avg. Volume: 4,742,774
• 30 Day Avg. Volume: 4,710,325
• PEG Ratio: 2.03
• Price to Book (P/B): 1.99
• Price to Sales (P/S): 0.29
• P/FCF Ratio: -57.52
• Enterprise Value/Market Cap: 1.56
• Enterprise Value/Revenue: 0.73
• Enterprise Value/Gross Profit: 5.90
• Enterprise Value/Ebitda: 20.20
• 1Y Price Target: $38.89
• Price Target Upside: 18.71% Upside
• Rating Consensus: Strong Buy
• Number of Analyst Covering: 11
• EPS Forecast (FY): N/A
• Revenue Forecast (FY): N/A

• Rating: 67 Neutral
• Price Target: $37.00 ▲(12.94% Upside)

BrightSpring Health Services has a moderate overall stock score of 67. The most significant factors include strong earnings call performance with increased guidance and robust revenue growth. However, financial performance is constrained by high leverage and low profitability margins. Technical analysis shows bullish momentum, but overbought conditions could lead to a pullback. The valuation is a concern due to a high P/E ratio and lack of dividend yield.

Positive Factors

Revenue Growth

The significant revenue growth reflects strong market demand and effective business strategies, positioning the company for sustained expansion.

Operational Efficiency

Improved operational efficiency and cash flow generation enhance financial stability and provide resources for future investments.

Quality and Patient Satisfaction

High quality and patient satisfaction scores strengthen the company's reputation and competitive position, supporting long-term client retention.

Negative Factors

High Leverage

High leverage can limit financial flexibility and increase risk, potentially impacting the company's ability to invest in growth opportunities.

Profitability Margins

Low profitability margins indicate challenges in cost management and pricing power, which could hinder long-term financial performance.

Community Living Divestiture Delay

Delays in strategic divestitures can impact financial restructuring plans and delay potential improvements in operational focus and efficiency.

BrightSpring Health Services, Inc. Business Overview & Revenue Model

Company Description

BrightSpring 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 Money

BrightSpring Health Services generates revenue through multiple channels, primarily by providing direct care services to individuals through government contracts, private insurance reimbursements, and out-of-pocket payments from clients. Key revenue streams include Medicaid-funded services, which make up a significant portion of their income, as well as partnerships with healthcare providers and community organizations that enhance service delivery. Additionally, the company invests in technology solutions that improve operational efficiency and care outcomes, contributing to cost savings and revenue growth. Strategic alliances with healthcare systems and participation in value-based care models further bolster its financial performance.

BrightSpring Health Services, Inc. Financial Statement Overview

Summary

BrightSpring Health Services demonstrates moderate financial performance with revenue and cash flow growth. However, profitability margins are under pressure, and high leverage poses potential risks. The company needs to improve operational efficiency and manage debt levels to enhance financial stability.

Income Statement

BrightSpring Health Services shows moderate revenue growth with a 3.57% increase in TTM. However, the gross profit margin has declined to 12.30% from previous years, indicating rising costs or pricing pressures. The net profit margin is low at 1.04%, suggesting limited profitability. EBIT and EBITDA margins have also decreased, reflecting operational challenges.

Balance Sheet

The company has a high debt-to-equity ratio of 1.56, indicating significant leverage, which could pose financial risks. Return on equity is modest at 7.74%, showing some profitability but not exceptional. The equity ratio is relatively low, suggesting a reliance on debt financing.

Cash Flow

BrightSpring Health Services has shown strong free cash flow growth of 44.46% in TTM, indicating improved cash generation. The operating cash flow to net income ratio of 0.18 suggests moderate cash conversion efficiency. The free cash flow to net income ratio is healthy at 0.71, reflecting good cash flow management.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	12.41B	11.27B	8.83B	7.72B	6.70B	5.58B
Gross Profit	1.53B	1.59B	1.43B	1.35B	1.25B	1.05B
EBITDA	445.83M	398.13M	349.52M	391.80M	433.34M	346.69M
Net Income	129.59M	-18.06M	-154.60M	-53.91M	49.80M	20.81M
Balance Sheet
Total Assets	6.05B	5.93B	5.53B	5.44B	5.51B	4.54B
Cash, Cash Equivalents and Short-Term Investments	140.34M	61.25M	13.07M	13.63M	46.73M	262.00M
Total Debt	2.70B	2.90B	3.67B	3.68B	3.77B	2.97B
Total Liabilities	4.23B	4.27B	4.92B	4.66B	4.71B	3.81B
Stockholders Equity	1.82B	1.65B	584.74M	754.78M	774.82M	704.98M
Cash Flow
Free Cash Flow	276.09M	-57.14M	137.26M	-74.77M	210.90M	170.73M
Operating Cash Flow	349.22M	23.77M	210.78M	-4.65M	270.17M	222.64M
Investing Cash Flow	-86.97M	-140.24M	-134.43M	45.36M	-1.19B	-451.85M
Financing Cash Flow	-156.92M	164.65M	-76.91M	-73.81M	705.22M	472.92M

BrightSpring Health Services, Inc. Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 32.76
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Positive
• RSI: Neutral
• STOCH: 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 32.76 is below the 20-day moving average (MA) of 32.90, above the 50-day MA of 30.48, and above the 200-day MA of 23.28, indicating a neutral trend. The MACD of 0.46 indicates Positive momentum. The RSI at 55.71 is Neutral, neither overbought nor oversold. The STOCH value of 41.01 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. Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
PGNY	78 Outperform	$2.19B	39.31	11.37%	―	11.41%	8.70%
PRVA	75 Outperform	$3.03B	211.21	2.74%	―	19.01%	38.68%
BTSG	67 Neutral	$5.78B	53.47	4.25%	―	17.23%	―
HNGE	64 Neutral	$3.45B	―	―	―	50.67%	-578.00%
PINC	62 Neutral	$2.33B	-102.92	0.42%	2.98%	-21.26%	-119.34%
Sector *	51 Neutral	$7.86B	-0.30	-43.30%	2.27%	22.53%	-2.21%
EVH	45 Neutral	$395.07M	―	-13.63%	―	-16.65%	-71.92%

BrightSpring Health Services, Inc. Corporate Events

BrightSpring Health Services Shines in Q3 Earnings Call

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.

BrightSpring Health Services Reports Strong Q3 2025 Results

BrightSpring Health Services, Inc. is a prominent provider of home and community-based health services, focusing on complex populations with specialized and chronic care needs across the United States. The company operates in the healthcare sector, delivering integrated care solutions through various service lines, including pharmacy, home health care, and rehabilitation.

BrightSpring Completes Stock Offering with KKR and BofA

On October 20, 2025, BrightSpring Health Services, Inc. entered into an underwriting agreement with KKR Phoenix Aggregator L.P., Management Selling Stockholders, and BofA Securities, Inc. for an underwritten offering of 15,000,000 shares of its common stock. The offering, which closed on October 22, 2025, involved the sale of shares by the Selling Stockholders, with the company not receiving any proceeds except from the exercise of stock options by management. BrightSpring also repurchased 1,500,000 shares from the underwriter without incurring underwriting fees. This transaction was conducted under an automatic shelf registration statement filed with the SEC, and included customary conditions and indemnification obligations.

The most recent analyst rating on (BTSG) stock is a Buy with a $32.00 price target. To see the full list of analyst forecasts on BrightSpring Health Services, Inc. stock, see the BTSG Stock Forecast page.