BrightSpring Health Services, Inc.
Business
BrightSpring Health Services, Inc. operates a home and community-based healthcare services platform that delivers coordinated pharmacy and provider care to medically complex Senior and Specialty patients. It offers complementary services including infusion and specialty pharmacy, home and community pharmacy, medication therapy management (CCRx), home-based primary care, home health, hospice, rehab, supportive care, and community living and I/DD programs. The company’s operations are organized into two reportable segments: Pharmacy Solutions and Provider Services. Its services are delivered across all 50 U.S. states through local pharmacies, infusion centers, clinics, home visits, and institutional contracts with hospitals, senior living, behavioral providers, skilled nursing facilities, payors and PBMs.
Summary from filing dated 2025-03-06
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Total revenues | 12,911 | 10,072 | 7,691 | 7,721 | |
| Cost of goods | 10,507 | 8,009 | 5,841 | 4,635 | |
| Cost of services | 885 | 797 | 711 | 1,731 | |
| Gross profit | 1,518 | 1,266 | 1,139 | 1,354 | |
| Selling, general, and administrative expenses | 1,223 | 1,158 | 1,081 | 1,126 | |
| Operating income | 295 | 108 | 58 | 188 | |
| Loss on extinguishment of debt | — | 13 | — | — | |
| Interest expense, net | 157 | 191 | 272 | 234 | |
| Income (loss) from continuing operations before income taxes | 138 | −95 | −214 | −46 | |
| Income tax expense (benefit) | 33 | −26 | −32 | 33 | |
| Net income (loss) from continuing operations | 105 | −69 | −182 | — | |
| Income from discontinued operations, net of income taxes | 84 | 48 | 25 | — | |
| Net income (loss) | 189 | −21 | −157 | −54 | |
| Net loss attributable to noncontrolling interests included in continuing operations | −2 | −2 | −2 | −312,000 | |
| Net income (loss) attributable to BrightSpring Health Services, Inc. and subsidiaries | 191 | −18 | −155 | −54 | |
| Continuing operations | 0.53 | −0.34 | −1.53 | — | |
| Discontinued operations | 0.41 | 0.25 | 0.22 | — | |
| Net income (loss) per share | 0.94 | −0.09 | −1.31 | −0.46 | |
| Continuing operations | 0.48 | −0.34 | −1.53 | — | |
| Discontinued operations | 0.39 | 0.25 | 0.22 | — | |
| Net income (loss) per share | 0.87 | −0.09 | −1.31 | −0.46 | |
| Basic | 203 | 193 | 118 | 118 | |
| Diluted | 220 | 193 | 118 | 118 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 88 | 61 | 13 | — | — | |
| Accounts receivable, net of allowance for credit losses | 990 | 903 | 882 | — | — | |
| Inventories | 815 | 637 | 403 | — | — | |
| Prepaid expenses and other current assets | 119 | 161 | 159 | — | — | |
| Total current assets | 2,894 | 1,893 | 1,457 | — | — | |
| Property and equipment, net of accumulated depreciation of $404,878 and $339,892 at December 31, 2025 and 2024, respectively | 205 | 181 | 246 | — | — | |
| Goodwill | 2,546 | 2,364 | 2,301 | 2,576 | — | |
| Intangible assets, net of accumulated amortization | 558 | 595 | 881 | — | — | |
| Operating lease right-of-use assets, net | 172 | 161 | 267 | — | — | |
| Deferred income taxes, net | 0 | 5 | — | — | — | |
| Other assets | 40 | 39 | 73 | — | — | |
| Total assets | 6,413 | 5,926 | 5,533 | — | — | |
| Trade accounts payable | 1,218 | 924 | 642 | — | — | |
| Accrued expenses | 333 | 296 | 492 | — | — | |
| Current portion of obligations under operating leases | 43 | 39 | 71 | — | — | |
| Current portion of obligations under financing leases | 7 | 3 | 11 | — | — | |
| Current portion of long-term debt | 52 | 49 | 32 | — | — | |
| Total current liabilities | 1,849 | 1,428 | 1,248 | — | — | |
| Obligations under operating leases, net of current portion | 135 | 129 | 202 | — | — | |
| Obligations under financing leases, net of current portion | 15 | 7 | 23 | — | — | |
| Long-term debt, net of current portion | 2,455 | 2,562 | 3,332 | — | — | |
| Deferred income taxes, net | 6 | — | 24 | — | — | |
| Long-term liabilities | 67 | 71 | 92 | — | — | |
| Total liabilities | 4,527 | 4,275 | 4,920 | — | — | |
| Redeemable noncontrolling interests | 11 | 4 | 27 | — | — | |
| Common stock, $0.01 par value, 1,500,000,000 shares authorized, 192,124,125 and 174,245,990 shares issued and outstanding at December 31, 2025 and 2024, respectively | 2 | 2 | 1 | — | — | |
| Preferred stock, $0.01 par value, 250,000,000 authorized; no shares issued and outstanding at December 31, 2025 and 2024 | 0 | — | — | — | — | |
| Additional paid-in capital | 1,954 | 1,867 | 771 | — | — | |
| Accumulated deficit | −75 | −222 | −200 | — | — | |
| Accumulated other comprehensive (loss) income | −7 | 1 | 13 | — | — | |
| Total shareholders' equity | 1,875 | 1,648 | 585 | — | — | |
| Noncontrolling interest | 74,000 | 0 | 670,000 | — | — | |
| Total equity | 1,875 | 1,648 | 585 | 755 | 775 | |
| Total liabilities, redeemable noncontrolling interests, and equity | 6,413 | 5,926 | 5,533 | — | — |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|
| Depreciation and amortization | 164 | 204 | 202 | 204 | |
| Impairment of long-lived assets | 13 | 10 | 11 | 11 | |
| Change in fair value of contingent consideration, net | −1 | 2 | — | — | |
| Payment of contingent consideration in excess of acquisition date fair value | −6 | −2 | — | — | |
| Provision for credit losses | 56 | 34 | 23 | 15 | |
| Amortization of deferred debt issuance costs | 11 | 12 | 21 | 20 | |
| Share-based compensation | 70 | 69 | 4 | 4 | |
| Deferred income taxes, net | 15 | −26 | −53 | −28 | |
| Loss on disposition of fixed assets | 2 | 101,000 | 349,000 | −903,000 | |
| Other | −4 | −2 | −572,000 | 3 | |
| Accounts receivable | −131 | −179 | −127 | −150 | |
| Prepaid expenses and other current assets | 31 | 8 | −35 | −24 | |
| Inventories | −178 | −237 | 29 | −132 | |
| Trade accounts payable | 264 | 303 | 106 | 133 | |
| Accrued expenses | 32 | −145 | 194 | −46 | |
| Other assets and liabilities | −36 | −21 | −6 | −5 | |
| Net cash provided by operating activities | 490 | 24 | 211 | −5 | |
| Purchases of property and equipment | −95 | −81 | −74 | −70 | |
| Acquisitions of businesses, net of cash acquired | −205 | −60 | −63 | −42 | |
| Other | −5 | 473,000 | 2 | 2 | |
| Net cash used in investing activities | −305 | −140 | −134 | 45 | |
| Long-term debt borrowings | — | 2,566 | — | — | |
| Long-term debt repayments | −50 | −3,396 | −30 | −41 | |
| Proceeds from issuance of common stock on initial public offering, net | — | 656 | — | — | |
| Proceeds from issuance of tangible equity units, net | — | 389 | — | — | |
| (Repayments) borrowings of the Revolving Credit Facility, net | −63 | 13 | −24 | −17 | |
| Payment of debt issuance costs | — | −47 | — | — | |
| Repurchase of shares of common stock | −43 | −650,000 | −650,000 | — | |
| Proceeds from shares issued under share-based compensation plan | 25 | 2 | 598,000 | 234,000 | |
| Payment of taxes related to net share settlement of equity awards | −8 | −1 | — | — | |
| Repurchase of stock options | — | — | −10 | — | |
| Payment of contingent consideration up to acquisition date fair value | −200,000 | −2 | −1 | −4 | |
| Purchase of redeemable noncontrolling interest | −5 | −2 | — | — | |
| Investment in noncontrolling interests | — | — | 735,000 | — | |
| Payment of financing lease obligations | −14 | −12 | −12 | −11 | |
| Net cash (used in) provided by financing activities | −158 | 165 | −77 | −74 | |
| Net increase (decrease) in cash and cash equivalents | 27 | 48 | −557,000 | −33 | |
| Interest, net | 184 | 211 | 304 | 213 | |
| Income taxes, net of refunds | 27 | 25 | 37 | 29 | |
| Notes issued and contingent liabilities assumed in connection with acquisitions | — | 22 | 8 | 5 | |
| Financing lease obligations (Note 13) | 20 | 13 | 12 | 11 | |
| Repurchases of common stock in accounts payable | — | — | 650,000 | — | |
| Purchases of property and equipment in accounts payable | 7 | 12 | 13 | 5 | |
| Acquisition consideration in accounts payable | 42 | — | 3 | — | |
| Consideration for purchase of redeemable noncontrolling interest in accounts payable | — | 5 | — | — | |
| Shares issued in connection with acquisitions | — | 31 | — | — |