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BrightSpring Health Services, Inc. BTSG Q4 2025 Annual earnings

Reported February 27, 2026 · Before market open

Revenue$3.6BBeat by $168.8M
EPS$0.33Miss by $0.01
Revenue estimate$3.4B
EPS estimate$0.34

Next report

Jul 31, 2026 (In 2 days)
Revenue estimate$3.7B
EPS estimate$0.40

Financials

Q4 2025

Income statement

See full
Revenue$3.6B+29.3%
Gross profit$412.5M+21.8%
Operating income$108.1M+94.7%
Net income$77.1M—
EPS (diluted)$0.35—

Balance sheet

See full
Cash & equivalents$88.4M+45.0%
Total debt$2.7B-6.8%
Total equity$1.9B+13.8%
Total assets$6.4B+8.2%

Cash flow

See full
Operating cash flow$231.6M+156%
CapEx$37.7M+146%
Free cash flow$193.9M—

Valuation & ratios

Valuation

as of 12/31/25
See full
Market cap$6.75B+128%
Enterprise value$9.37B+61.3%
P/E35.4×—
P/S0.5×+0.2×

Profitability

See full
Gross margin11.8%-0.8pp
Operating margin2.3%+1.2pp
Net margin1.5%—
FCF margin3.1%—

Returns & leverage

See full
Return on equity10.8%—
Debt / equity1.4×-0.3×
Current ratio1.6×+0.2×

Segments

By product

See full
Medicare D$1.1B+31.9%
Commercial Insurance$931.7M+31.3%
Medicare C$680.8M+48.1%
Medicaid$401.5M+27.8%
Medicare A$296.8M+8.6%

By segment

See full
Pharmacy Solutions$3.2B+31.7%
Provider Services$394.1M+12.6%

Versus estimates

Revenue

Q1 2026$3.6BBeat by $222.4M
Q4 2025$3.6BBeat by $168.8M
Q3 2025$3.3BBeat by $168.8MQ2 2025$3.1BMiss by $17.7MQ1 2025$2.9BMiss by $25.0MQ4 2024$3.1BBeat by $304.2M

Diluted EPS

Q1 2026$0.39Beat by $0.10
Q4 2025$0.33Miss by $0.01
Q3 2025$0.30Beat by $0.04Q2 2025$0.22Beat by $0.03Q1 2025$0.19Beat by $0.11Q4 2024$0.22Beat by $0.03

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Questions, answered.

When did BrightSpring Health Services, Inc. report Q4 2025 earnings?
BrightSpring Health Services, Inc. (BTSG) reported Q4 2025 earnings on February 27, 2026 before market open.
What were BrightSpring Health Services, Inc.'s Q4 2025 revenue and EPS?
BrightSpring Health Services, Inc. reported revenue of $3.6B and eps of $0.33 for Q4 2025.
Did BrightSpring Health Services, Inc. beat estimates in Q4 2025?
Revenue beat the consensus estimate of $3.4B by $168.8M. EPS missed the consensus estimate of $0.34 by $0.01.
How did BrightSpring Health Services, Inc.'s Q4 2025 results compare year-over-year?
Compared to the same quarter a year prior, revenue grew 16.3% from $3.1B a year earlier and eps grew 50.0% from $0.22.
Where can I find BrightSpring Health Services, Inc.'s Q4 2025 SEC filings?
You can read the 8-K earnings release (0001193125-26-078998) and the 10-K periodic report (0001193125-26-079454) directly on SEC EDGAR. The filing index links above go to sec.gov.