BrightSpring Health Services (BTSG) Stock Analysis

November 11, 2026

This is a peer-relative look at BrightSpring Health Services (BTSG): its performance, risk, profitability, growth, financial strength, dividend, and valuation are each measured against its Health Care Equipment & Services peers, so every number reads in context rather than in isolation.

Company Profile

Company profile fields for BrightSpring Health Services (BTSG)
Profile Item	BTSG
Name	BrightSpring Health Services, Inc.
Country/Region	United States
GICS Sector	Health Care
GICS Industry Group	Health Care Equipment & Services
GICS Industry	Health Care Providers & Services
GICS Sub-Industry	Health Care Services
Market Capitalization	13.36 billion USD
Currency	USD
Exchange	Nasdaq
Listing Date	January 26, 2024
Security Type	Common Stock

Price Performance

Cumulative Growth

BTSG

GSPC

BrightSpring Health Services (BTSG) vs. S&P 500 (GSPC): Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for BrightSpring Health Services (BTSG) and S&P 500 (GSPC). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for BrightSpring Health Services (BTSG) and S&P 500 (GSPC). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Total Return (1Y)	106.02%	21.53%
Total Return (3Y, Annualized)	--	9.81%
Total Return (5Y, Annualized)	--	-2.76%

Risk Profile

Drawdown History

BTSG

GSPC

BrightSpring Health Services (BTSG) vs. S&P 500 (GSPC): Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for BrightSpring Health Services (BTSG) and S&P 500 (GSPC). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Volatility (1Y, Annualized)	45.20%	50.93%
Beta (5Y)	1.75	0.85
Max Drawdown (5Y)	-35.56%	-70.34%

Risk-Adjusted Performance

Risk-Return Positioning

Each dot is a stock plotted by 1-year volatility (risk) and 1-year return. BTSG is highlighted; the dashed line is the Capital Allocation Line from the risk-free rate through the industry median — dots above it are stronger on a risk-adjusted basis.

Risk-Adjusted Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Sharpe Ratio (1Y)	2.25	0.34
Sortino Ratio (1Y)	3.25	0.54

Profitability

ROE (TTM)

BrightSpring Health Services (BTSG) posts ROE of 15.54%, in the upper peer quartile. That suggests the company earns more from each dollar of shareholders’ equity than most industry peers, a useful capital-efficiency signal.

BTSG

Health Care Equipment & Services industry group

15.54%

Group distribution

Max: 47.61%
BTSG: 15.54%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Largest peers

ISRG: 17.93%
SYK: 16.02%
UNH: 15.77%
BTSG: 15.54%
MDT: 10.65%
ABT: 9.14%
MCK: --

Where BrightSpring Health Services (BTSG) stands on ROE within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Net Margin (TTM)

BrightSpring Health Services (BTSG) keeps 2.69% of revenue as net profit, roughly in line with the peer group’s normal net margin range. Its full cost stack is taking a typical share of sales for the industry.

BTSG

Health Care Equipment & Services industry group

2.69%

Group distribution

Max: 29.35%
Q3: 9.33%
BTSG: 2.69%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

Largest peers

ISRG: 25.54%
MDT: 13.93%
SYK: 13.78%
ABT: 9.75%
UNH: 3.53%
BTSG: 2.69%
MCK: 1.12%

Where BrightSpring Health Services (BTSG) stands on net margin within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Operating Margin (TTM)

BrightSpring Health Services (BTSG) turns 3.81% of revenue into operating profit, roughly in line with the peer group’s normal operating margin range. Its core cost structure looks typical for the industry.

BTSG

Health Care Equipment & Services industry group

3.81%

Group distribution

Max: 35.43%
Q3: 14.14%
Median: 6.81%
BTSG: 3.81%
Q1: -0.28%
Min: -16.29%

Largest peers

ISRG: 33.29%
SYK: 22.96%
MDT: 19.33%
ABT: 11.66%
UNH: 5.82%
BTSG: 3.81%
MCK: 1.48%

Where BrightSpring Health Services (BTSG) stands on operating margin within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Profitability Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
ROE (TTM)	15.54%	5.45%
ROA (TTM)	5.44%	3.17%
Net Margin (TTM)	2.69%	2.18%
Operating Margin (TTM)	3.81%	6.81%
Gross Margin (TTM)	12.50%	55.21%

Growth

Revenue Growth

BrightSpring Health Services (BTSG) grew revenue 28.18%, in the upper peer quartile. The top line is expanding faster than at most industry peers, which points to share gains or stronger pricing.

BrightSpring Health Services (BTSG): Revenue Growth across different time periods, set against Health Care Equipment & Services industry-group medians.

EPS Growth

No usable EPS growth is available for BrightSpring Health Services (BTSG) this period, so the earnings-momentum read is skipped.

BrightSpring Health Services (BTSG) doesn't report EPS Growth this period; the bars show the Health Care Equipment & Services industry-group medians on their own.

Growth Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Revenue Growth (YoY)	28.18%	11.55%
Revenue Growth (3Y CAGR)	18.69%	10.83%
EPS Growth (YoY)	--	4.88%
EPS Growth (3Y CAGR)	--	14.59%

Financial Strength

Current Ratio (MRQ)

BrightSpring Health Services (BTSG) has current ratio of 1.62, in the healthier middle range for its industry. The short-term asset cushion looks balanced relative to peers rather than stretched thin.

BTSG

Health Care Equipment & Services industry group

1.62

Group distribution

Max: 7.59
Q3: 4.00
Median: 1.98
BTSG: 1.62
Q1: 1.37
Min: 0.30

Largest peers

ISRG: 3.33
SYK: 2.18
MDT: 2.07
BTSG: 1.62
ABT: 1.46
MCK: 0.90
UNH: 0.74

Where BrightSpring Health Services (BTSG) stands on current ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Debt / Equity (MRQ)

BrightSpring Health Services (BTSG) has debt-to-equity ratio of 1.09, in the higher-leverage quartile for its industry. The heavier reliance on borrowing can make earnings, rates, or refinancing conditions matter more.

BTSG

Health Care Equipment & Services industry group

1.09

Group distribution

Max: 1.88
BTSG: 1.09
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00

Largest peers

BTSG: 1.09
UNH: 0.70
SYK: 0.66
ABT: 0.61
MDT: 0.55
ISRG: --
MCK: --

Where BrightSpring Health Services (BTSG) stands on debt-to-equity ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Financial Strength Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Current Ratio (MRQ)	1.62	1.98
Debt / Equity (MRQ)	1.09	0.58
Net Debt / EBITDA	2.39	2.04

Dividends

Dividend Yield (TTM)

BrightSpring Health Services (BTSG) pays no dividend, leaving dividend yield at 0.00% this period. Shareholders may still receive value through reinvestment or buybacks, but there is no dividend income to compare here.

BTSG

Health Care Equipment & Services industry group

0.00%

Group distribution

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Largest peers

MDT: 2.72%
UNH: 2.29%
ABT: 2.22%
SYK: 1.05%
MCK: 0.32%
BTSG: 0.00%
ISRG: 0.00%

Where BrightSpring Health Services (BTSG) stands on dividend yield within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Dividend Payout Ratio (TTM)

BrightSpring Health Services (BTSG) paid no earnings out as dividends this period, leaving payout ratio at 0.00%. There is no dividend payout to size against earnings.

BTSG

Health Care Equipment & Services industry group

0.00%

Group distribution

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

Largest peers

ABT: 92.54%
MDT: 70.02%
UNH: 51.71%
SYK: 37.49%
MCK: 8.77%
BTSG: 0.00%
ISRG: 0.00%

Where BrightSpring Health Services (BTSG) stands on payout ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Dividend Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
Dividend Yield (TTM)	0.00%	0.00%
Dividend Payout Ratio (TTM)	0.00%	0.00%

Valuation

P/E Ratio (TTM)

BrightSpring Health Services (BTSG) trades at P/E ratio of 47.62, near the industry’s usual earnings multiple. The stock is not showing a clear peer discount or premium on trailing earnings.

BTSG

Health Care Equipment & Services industry group

47.62

Group distribution

Max: 80.41
BTSG: 47.62
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

Largest peers

ISRG: 54.75
BTSG: 47.62
ABT: 41.02
SYK: 34.70
MCK: 27.36
MDT: 25.01
UNH: 22.50

Where BrightSpring Health Services (BTSG) stands on P/E ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

P/S Ratio (TTM)

BrightSpring Health Services (BTSG) trades at 0.88 on P/S ratio, in the lower sales-valuation quartile for its industry. That points to a cheaper revenue stream than most peers, with margin quality still doing the heavy lifting.

BTSG

Health Care Equipment & Services industry group

0.88

Group distribution

Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
BTSG: 0.88
Min: 0.03

Largest peers

ISRG: 13.82
SYK: 4.72
ABT: 3.95
MDT: 3.47
BTSG: 0.88
UNH: 0.78
MCK: 0.29

Where BrightSpring Health Services (BTSG) stands on P/S ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

P/B Ratio (MRQ)

BrightSpring Health Services (BTSG) trades at 6.39 on P/B ratio, in the higher book-value quartile. The market is paying a premium to book, so stronger ROE, cleaner assets, or a better growth profile need to justify it.

BTSG

Health Care Equipment & Services industry group

6.39

Group distribution

Max: 11.68
BTSG: 6.39
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

Largest peers

ISRG: 9.82
BTSG: 6.39
SYK: 5.29
ABT: 3.73
UNH: 3.60
MDT: 2.59
MCK: -30.85

Where BrightSpring Health Services (BTSG) stands on P/B ratio within its Health Care Equipment & Services peer group — the box is the group’s distribution and the dots its largest members.

Valuation Metrics

BrightSpring Health Services (BTSG) metric values compared with Health Care Equipment & Services industry-group medians
Metric	Current stock: BTSG	Industry group median
P/E Ratio (TTM)	47.62	29.93
P/S Ratio (TTM)	0.88	2.13
P/B Ratio (MRQ)	6.39	3.00
Free Cash Flow Yield (TTM)	8.30%	3.50%