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BrightSpring Health Services, Inc. Tangible Equity Unit

BTSGU
53
Medical - Healthcare Information Services · Healthcare
Exchange
NASDAQ Global Select
Winston Score
53
Winston is curious
Mixed quality — meaningful strengths and weaknesses.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Exceptional
Cash Flow
Strong
Stability
Mixed
Valuation
Good
Dividends
Weak

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 patients with complex health conditions. Its core services include home health care, pharmacy solutions, and behavioral health support, serving both government-funded programs like Medicaid and Medicare and private patients. The company is one of the larger providers of home and community-based care in the United States.

BrightSpring earns revenue by delivering care services and dispensing specialty pharmacy products, billing primarily to government payers and insurance companies. It operates across dozens of U.S. states, generating roughly $8–9 billion in annual revenue, which makes it a sizable player in a fragmented industry. Its scale and integrated care model give it some competitive advantage, but thin operating margins and heavy reliance on Medicaid reimbursement rates mean that any cuts to government healthcare funding represent a significant ongoing risk to profitability.

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

+200.0% YoY

YoY Growth Rate

Strong earnings growth

Insider Activity

38.4%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$574M 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. Tangible Equity Unit 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

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Quality

Profit per sale
Gross Margin
12.7%
Thin — 12.7% gross margin
Profit after running costs
Operating Margin
3.7%
Thin — 3.7% operating margin
Return on the money invested
ROCE
11.3%
Below par — 11.3% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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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
8/8 quarters
Every recent quarter grew earnings vs last year

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Cash Flow

Profit that turns into cash
Cash Conversion
172%
Turns 172% 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
1.07
Elevated debt (1.07)
Covers its interest
Interest Cover
3.14x
Tight — interest eats into profit (3.1x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
41.5x
no trend
Pricey — P/E 41.5

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

Cheaper or dearer next year
P/E vs Forward
+20.3
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (41.5 → 21.1)

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Dividends

Dividend
Dividend Yield
1.72%
no trend
Small dividend — 1.72% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend record
Dividend Growth
+0.0%
no trend
Dividend flat

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