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BrightSpring Health Services, Inc. Common Stock

BTSG
61
Medical - Healthcare Information Services · Healthcare
Exchange
NASDAQ
Winston Score
61
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Mixed
Growth
Exceptional
Cash Flow
Strong
Stability
Strong
Valuation
Good

Winston Score History

The full picture

BrightSpring Health Services provides home-based and community health services to people who need ongoing medical support, including the elderly, people with disabilities, and those with complex health conditions. Its core services include pharmacy solutions, home health care, and behavioral health support, serving patients who prefer or require care outside of a traditional hospital or nursing facility. The company is one of the larger providers of home and community-based care in the United States.

BrightSpring earns revenue by delivering pharmacy products and care services, typically reimbursed through government programs like Medicaid and Medicare, as well as private insurance. It operates across dozens of states, making it a nationally scaled provider, and its size gives it some advantage in contracting with payers and managing complex patient populations. The company's thin operating margins highlight its dependence on government reimbursement rates, meaning any cuts to Medicaid or Medicare funding represent a significant ongoing risk to profitability.

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+23.0% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

-64.3% YoY

YoY Growth Rate

Earnings declining

Insider Activity

23.2%ownership

Declining

Insider ownership declining — could be dilution or selling

Cash Position

Cash flow positive

$550M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

BrightSpring Health Services, Inc. Common Stock is a rare growth stock that's already generating positive cash flow while growing at 23%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
12.7%
Thin — 12.7% gross margin
Profit after running costs
Operating Margin
3.4%
Thin — 3.4% operating margin
Return on the money invested
ROCE
19.6%
Strong — 19.6% return on capital

ROIC between 15% and 25%. Every dollar invested in the business earns 15 to 25 cents back per year.

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Growth

Sales growth
Sales YoY
+19.9%
Fast-growing sales (+19.9% YoY)
Profit growth
EPS YoY
+335.3%
Earnings growing fast (+335.3% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
7/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
138%
Turns 138% of profit into real cash
Spare cash per sale
FCF Margin
2.8%
Thin free cash flow (2.8%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.12
Conservative — low debt load (0.12)
Covers its interest
Interest Cover
2.94x
Tight — interest eats into profit (2.9x)

Interest coverage between 1 and 3. Profits cover interest, but with little room to spare.

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Valuation

Price vs profit
P/E Ratio (TTM)
41.2x
no trend
Pricey — P/E 41.2

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
+18.9
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (41.2 → 22.3)

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Dividends

Not applicable for this business.
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