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

NASDAQ: BTSGAI research summary: business, growth, valuation, analysts, bull and bear case.

BTSG AI stock analysis summary

AI Research

BrightSpring Health Services, Inc. (BTSG) provides home and community-based healthcare services across the United States. Revenue reached $12.91B in FY2025 and $14.37B over the trailing twelve months, supported by 23.0% quarterly revenue growth year-over-year. The company returned to profitability in FY2025 with net income of $190.7M while managing total debt of $2.39B.

Market cap
$12.04B
Revenue (TTM)
$14.37B
P/E
53.9x
fwd 22.2x
1Y return
106.7%
S&P 500 16.8%
Avg. target
$78.94
29.7% vs last close

Bull case

  • BrightSpring delivered strong top-line expansion with a 5-year revenue CAGR of 18.3% through FY2025.
  • In the latest quarter ended June 30, 2026, quarterly earnings grew 196.6% year-over-year.
  • FY2025 free cash flow reached $394.7M, marking a sharp recovery from negative free cash flow of -$57.1M in FY2024.

Bear case

  • Total debt stood at $2.39B as of June 30, 2026, significantly exceeding cash reserves of $550.4M.
  • Gross margin compressed steadily from 18.6% in FY2021 down to 11.8% in FY2025.
  • The stock trades at a trailing P/E of 53.9x, well above the US-listed Healthcare median of 24.6x.

What BrightSpring Health Services does

BrightSpring Health Services, Inc. offers a comprehensive home and community-based healthcare services platform across the United States. The platform delivers a wide range of pharmacy and provider services, encompassing clinical and supportive care tailored to the needs of Medicare, Medicaid, and insured populations. It serves patients through a network of clinical providers and pharmacists in home and community settings. Originally known as Phoenix Parent Holdings Inc., the company rebranded in May 2021. Founded in 1974 and headquartered in Louisville, Kentucky, BrightSpring focuses on integrated care solutions across its expanding services.

Growth and profitability

BrightSpring grew revenue from $6.70B in FY2021 to $7.72B in FY2022, $8.83B in FY2023, $11.27B in FY2024, and $12.91B in FY2025, reflecting a 5-year revenue CAGR of 18.3%. Net income shifted from $49.8M in FY2021 to net losses of -$53.9M in FY2022, -$154.6M in FY2023, and -$18.1M in FY2024, before rebounding to $190.7M in FY2025. Gross margin declined from 18.6% in FY2021 to 11.8% in FY2025, while operating margin sat at 2.3% in FY2025. For the trailing twelve months, revenue was $14.37B with a net profit margin of 2.5%. In the latest quarter ended June 30, 2026, quarterly revenue grew 23.0% and quarterly earnings surged 196.6% year-over-year.

BTSG income statement →

Balance sheet and cash flow

As of June 30, 2026, BrightSpring held $550.4M in cash and short-term investments against total debt of $2.39B, resulting in net debt of $1.84B. The current ratio was 1.59, and debt-to-equity stood at 1.17 against shareholders' equity of $2.05B. In FY2025, operating cash flow reached $490.2M and free cash flow stood at $394.7M. Capital allocation in FY2025 included capital expenditures of $95.5M and share buybacks of $43.2M.

BTSG balance sheet →

Valuation and performance

BTSG traded at a trailing P/E of 53.9x and a forward P/E of 22.2x, compared to the median of its US-listed Healthcare peers of 24.6x trailing and 17.3x forward. Its enterprise value to EBITDA ratio was 21.2x, higher than the peer median of 12.0x. However, its price-to-sales multiple of 0.8x stood well below the peer median of 4.1x. Over the past year, BTSG delivered a return of 106.7%, outperforming the 16.8% return of the S&P 500 (SPY).

BTSG key metrics →

What analysts expect

Wall Street coverage includes 15 StrongBuy ratings, 3 Buy ratings, and 0 Hold or Sell ratings. The mean price target is $78.94, representing a 29.7% upside relative to the last close of $60.87. For the fiscal year ending December 31, 2026, consensus estimates project EPS of $1.82 on revenue of $15.37B. The company recorded 4 EPS beats out of the last 4 quarters. The next earnings date is October 30, 2026.

BTSG forecast and price target →

Key risks and what to watch

  • BTSG exhibits elevated price volatility with a beta of 1.88.
  • Net debt of $1.84B requires sustained operating cash flow generation to service obligations.
  • Operating margin of 3.4% over the trailing twelve months leaves limited buffer against cost increases.
  • Short interest represents 9.4% of the float, reflecting meaningful bearish sentiment.

AI-generated research summary. Written with AI from Quotelinks data as of October 16, 2026 and checked so every figure matches that data. For information only, not investment advice. Disclaimer

About this BTSG AI stock analysis

This page is an AI-written research summary of BrightSpring Health Services, Inc. (BTSG). The text was generated on October 30, 2026 from Quotelinks data as of October 16, 2026 (company profile, annual results, latest balance sheet, valuation, price performance and analyst estimates). An automatic check rejects any draft that contains a figure not found in that data. It is not investment advice; verify figures on the linked tabs before making decisions.

Related: BTSG income statement, BTSG balance sheet, BTSG key metrics, BTSG analyst forecast, BTSG chart. See the BTSG stock overview for the latest quote and news.

BTSG AI stock analysis FAQ

Does BrightSpring Health Services pay a dividend?

BrightSpring does not currently pay a dividend. In FY2025, the company deployed $43.2M into share buybacks and $95.5M toward capital expenditures.

What are the consensus earnings estimates for BTSG?

For the fiscal year ending December 31, 2026, analysts estimate EPS of $1.82 on revenue of $15.37B, followed by an EPS estimate of $2.28 on revenue of $17.43B for the next fiscal year.

What is BrightSpring's debt load?

As of June 30, 2026, BrightSpring had total debt of $2.39B and net debt of $1.84B, alongside a debt-to-equity ratio of 1.17.

When is BrightSpring's next earnings report?

BrightSpring is scheduled to report its next earnings on October 30, 2026.

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