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← CockpitCompetitor Analysis › BTSG BrightSpring Health Services, Inc.Open in the cockpit ↗

BrightSpring Health Services, Inc.BTSGCompetitor analysis, valuation and peers

United States · USD·Health Care›Medical/Nursing Services

Provides home- and community-based health services (home health, hospice, personal/behavioral care) and pharmacy services to complex, chronic-care patients.

Momentum leader 81
Mkt cap
$13.4B
US dollars, full cap
Free float
85%
of shares outstanding
$/day
$162M
20-day average traded
Fwd P/E
28.3×
forward earnings
ROIC−WACC
-0.3 pp
WACC 12.5%
Hurdle
+6 pp
Req g minus delivered
Next earnings
112 days
26 Feb 2027
Close · USD$67.15
1D+2.0%
1W+0.4%
1M+5.5%
3M+9.3%
6M+22.5%
YTD+79.3%
1Y+105.5%
ATR %4.2%
Beta1.02
52w lowhigh8.9% off high

What BrightSpring Health Services does

Provides home- and community-based health services (home health, hospice, personal/behavioral care) and pharmacy services to complex, chronic-care patients.

Pharmacy Solutions carries most of the revenue by filling specialty and infusion drug orders for chronic-care patients, billed to insurers and government programs, while Provider Services is paid mostly by Medicaid and Medicare for care delivered at home or in community settings. KKR is the controlling shareholder.

Products and services

  • Pharmacy Solutions (specialty/home infusion pharmacy)
  • Provider Services (home health, hospice, personal care)
  • Rehabilitation/behavioral health services

Customers

  • Medicare/Medicaid patients
  • Individuals with intellectual/developmental disabi
  • Health plans/payers

Where it sits in the supply chain

  • Healthcare
  • Home & community-based care + pharmacy
  • Provider and pharmacy services for…

What could go right

  • Aging-in-place/home-care demand growth
  • Payer shift toward lower-cost home settings

What could go wrong

  • Medicaid reimbursement rate risk
  • Home-care labor cost inflation/shortages

Moat: narrow (scale, distribution, regulatory licence). Broad national footprint of licensed home/community-care sites and pharmacy operations serving complex patients.

Headquarters: Louisville, Kentucky, USA · Founded: 1974 · Employees: 23,500

Named competitors

BrightSpring Health Services at a glance

Size BrightSpring Health Services (BTSG) is a United States Health Care company (Medical/Nursing Services) with a market value of $13.4B, the 653rd largest of 3,117 United States companies the cockpit tracks. Shares closed at $67.15 on 6 Nov 2026.

Performance Over six months the shares gained 22.5%, against +27.7% for the median peer and -1.1% for the United States market (cap-weighted) — 7th lowest of 19 in its peer set.

Growth Revenue grew 22.9% over the last twelve months (peer median +7.9%); the operating margin is 3.9% (peer median 9.8%).

Valuation It trades at 28.3× forward earnings against a peer median of 20.8× (8th most expensive of 19).

Price implies For today's price to make sense, revenue must grow about 24% a year for seven years (Req g). Recent delivered growth is +18%, so the hurdle is +6 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.

Capital Return on invested capital runs 0.3 points below its cost of capital (12.5% WACC).

Short interest Short interest is 5.8% of the free float (15 Oct 2026).

Next results Next results expected around 26 Feb 2027 (exchange calendar; dates can move).

Relative performance

10011012013011 May 202611 Aug 20266 Nov 2026Peer median 128BTSG 122
Six months, rebased to 100: BrightSpring Health Services against the median of its 18 peers (local-currency closes).

BrightSpring Health Services financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue$15.3B$12.9B$10.1B$8.83B$7.72B
Revenue growth—+28%+14%+14%—
Gross profit$1.91B$1.52B$1.27B$1.43B$1.35B
EBITDA$754M$572M$428M$392M$500M
Net income$339M$191M-$18.1M-$155M-$53.9M
Free cash flow$489M$395M-$57.1M$137M-$74.8M
Capital expenditure$110M$95.5M$80.9M$73.5M$70.1M
Total debt$2.38B$2.71B$2.79B$3.67B$3.68B

Quarterly statements and history in the cockpit →

BrightSpring Health Services competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

0%+25%+50%+75%0%+20%EHCFME300015DVASOLVENSGSHLHIMSLHPHIARDNTCONBLLNLFSTOPCHMCOV-BLALPATHLABACHCBTSG6-month return →1-month return →
Up and to the right = strong over both horizons. BrightSpring Health Services is the large dot.

Fundamentals: revenue growth against valuation

0%+25%+50%+75%0×50×100×150×EHCFME300015DVAENSGHIMSPHIARDNTBLLNLFSTMCOV-BLALPATHLABBTSGRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. BrightSpring Health Services is the large dot.

Capital: growth delivered against growth the price implies

0%+25%+50%+75%0%50%EHCFME300015DVAENSGSHLHIMSLHRDNTBLLNLFSTOPCHMCOV-BLALPATHLABBTSGGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. BrightSpring Health Services is the large dot.

BrightSpring Health Services competitors and peer comparison

Head to head with its named competitors (BTSG vs OPCH vs ADUS vs AVAH)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
BrightSpring Health Services BTSG$13.4B+22%+23%4%28.3×24.2%
Option Care Health OPCH$4.74B+54%+4%6%15.6×1.5%
Addus HomeCare ADUS$2.32B+25%+12%11%16.6×4.9%
Aveanna Healthcare AVAH$2.89B+97%+20%11%15.4×13.4%
Pennant PNTG$1.27B+1%+38%6%24.0×21.1%
Chemed CHE$6.87B+24%+5%14%19.5×2.4%

How BrightSpring Health Services compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

BrightSpring Health Services against its 18 peers (data as of 6 Nov 2026)
MeasureBTSGPeer medianRank in peer set
1-month return+5.5%+11.8%6th lowest of 19
6-month return+22.5%+27.7%7th lowest of 19
Distance from 52-week high-8.9%-9.7%10th highest of 19
Revenue growth (TTM)+22.9%+7.9%3rd highest of 19
Operating margin3.9%9.8%2nd lowest of 19
Forward P/E28.3×20.8×8th most expensive of 19
Growth the price implies (Req g, 7 yrs)24.2%11.8%6th most demanding of 17
Growth delivered (Del g)+18.3%+12.5%5th highest of 17
Hurdle (Req g minus delivered)+6.0 pp-0.6 pp5th most demanding of 17
ROIC minus cost of capital-0.3 pp+0.6 pp8th lowest of 19
Net debt / EBITDA2.2×2.8×6th least indebted of 18

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
BrightSpring Health Services BTSGUnited States$13.4B+22%+23%4%28.3×24.2%+18.3%
Encompass Health EHCUnited States$13.5B+30%+9%18%20.5×5.6%+5.0%
Fresenius Medical Care FME.DEGermany$12.6B+14%0%11%10.4×-3.6%+1.9%
Aier Eye Hospital 300015.SZChina$12.5B-16%+5%21%29.5×11.7%+13.4%
DaVita DVAUnited States$12.0B-4%+6%15%11.9×-1.1%+3.4%
Solventum SOLVUnited States$15.4B+23%-1%8%12.2×n/an/a
Ensign ENSGUnited States$10.6B+6%+17%9%21.1×12.0%+16.5%
Sonic Healthcare SHL.AXAustralia$6.87B+6%+14%9%16.8×8.6%+3.5%
Hims & Hers Health HIMSUnited States$6.07B-8%+28%0%128.9×54.9%+73.6%
Labcorp LHUnited States$29.8B+45%+6%11%19.0×13.9%0.0%
Koninklijke Philips PHIA.ASNetherlands$29.8B+24%-1%10%16.5×5.7%+0.6%
RadNet RDNTUnited States$5.98B+31%+19%5%129.7×41.8%+13.7%
Concentra Group Holdings Parent CONUnited States$5.38B+75%+14%17%24.5×3.9%+7.9%
BillionToOne BLLNUnited States$5.38B+54%+90%11%144.4×26.8%+90.1%
Lifestance Health LFSTUnited States$5.26B+79%+20%5%62.6×37.8%+30.4%
Option Care Health OPCHUnited States$4.74B+54%+4%6%15.6×1.5%+13.2%
Medicover MCOV-B.STSweden$4.14B+36%+6%7%38.3×20.8%+20.2%
Dr. Lal PathLabs LALPATHLAB.NSIndia$3.50B+26%+17%24%51.5×32.2%+11.8%
Acadia Healthcare ACHCUnited States$3.44B+47%+4%10%18.7×n/an/a

Questions

Who are BrightSpring Health Services's main competitors?
Named competitors: Amedisys (private or unlisted), Option Care Health (OPCH), Addus HomeCare (ADUS), Aveanna Healthcare (AVAH), Enhabit (private or unlisted), Pennant Group (PNTG). The cockpit's measured peer set (industry) also includes Encompass Health (EHC), Fresenius Medical Care (FME.DE), Aier Eye Hospital (300015.SZ), DaVita (DVA), Solventum (SOLV), Ensign (ENSG).
Is BrightSpring Health Services expensive compared with its peers?
On forward p/e it trades at 28.3× against a peer median of 20.8×, 8th most expensive of 19 in its peer set. For today's price to make sense, revenue must grow about 24% a year for seven years (Req g). Recent delivered growth is +18%, so the hurdle is +6 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.
How has BrightSpring Health Services stock performed?
Over six months to 6 Nov 2026 the shares returned +22.5% against +27.7% for the median peer; over one year +105.5%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.