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BrightSpring Health Services, Inc. Tangible Equity Unit logo

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.

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.

Winston Score History

Growth Profile

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

Revenue Growth

+25.6% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+386.7% YoY

YoY Growth Rate

EPS growth accelerating

Insider Activity

38.4%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$907M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

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

Revenue accelerating

BrightSpring Health Services, Inc. Tangible Equity Unit grew revenue 26% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

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

Gross Margin
13.3%
Thin — 13.3% gross margin
Operating Margin
3.4%
Thin — 3.4% operating margin
ROCE
2.7%
Weak — 2.7% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales YoY
+21.0%
Fast-growing sales (21.0% YoY)
EPS YoY
+426.9%
Earnings growing fast (426.9% YoY)

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

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

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Cash Flow

Cash Conversion
165%
Turns 165% of profit into real cash
FCF Margin
3.0%
Thin free cash flow (3.0%)

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

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Stability

Debt / Equity
1.26
Elevated debt (1.26)
Interest Cover
2.37x
Tight — interest eats into profit (2.4x)

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

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Valuation

P/E Ratio (TTM)
154.4x
no trend
Expensive — P/E 154.4

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

P/E vs Forward
+65.4
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (154.4 → 89.1)

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Dividends

Not applicable for this business.
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